“…In children and families social work, concerns about parental misuse of drugs or alcohol are associated with poor outcomes for children [8], and the issues arising can be complex [9]. Assessment of parental substance use by social care professionals has been found to take place ‘often at a late stage with little to no guidance on how to do so effectively’ (p. 1) [10].…”
Introduction and AimsFew studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams.Design and MethodsFifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach.ResultsVery few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder.Discussion and ConclusionsIdentified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part. [Fitzgerald N, Molloy H, MacDonald F, McCambridge J. Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study. Drug Alcohol Rev 2015;34:185–93]
“…In children and families social work, concerns about parental misuse of drugs or alcohol are associated with poor outcomes for children [8], and the issues arising can be complex [9]. Assessment of parental substance use by social care professionals has been found to take place ‘often at a late stage with little to no guidance on how to do so effectively’ (p. 1) [10].…”
Introduction and AimsFew studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams.Design and MethodsFifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach.ResultsVery few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder.Discussion and ConclusionsIdentified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part. [Fitzgerald N, Molloy H, MacDonald F, McCambridge J. Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study. Drug Alcohol Rev 2015;34:185–93]
“…Early in Beth's story, whilst recounting her experiences of living with her drug‐addicted mother, it is possible to unravel how the familial interpersonal relationships she established affected her conceptualization of responsibility. A direct consequence of Beth's mother's addiction to heroin was her inability to effectively care for her children (as reflected in the work of McKeganey et al, ; Kroll & Taylor, ; Holland et al, ), which in turn impinged on Beth's sense of responsibility to care for her younger siblings (Barnard, ; Klee et al, ). Throughout the discourse, Beth displays an inevitable and natural instinct to be a motherly figure to her younger siblings but also how she considered it an obligation, I had to be the Mum.I was very much the boss and Mum I was.I still felt like it was my job to look after David and Amy [siblings].Beth reflected how she would provide for the more dependent people in the household, extending to her mother.…”
Section: Discussionmentioning
confidence: 99%
“…Many researchers have identified a correlation between problem drug use and neglect towards children (Forrester, ; Holland, Forrester, Williams, & Copello, ; Kroll & Taylor, ; McKeganey, Barnard, & McIntosh, ; O'Connor, Forrester, Holland, & Williams, ), with babies and young children most likely to face this form of maltreatment (Harwin & Forrester, ). Due to parents' potential inability to care effectively for their children, children can experience a “loss of childhood” (Laybourne, Brown, & Hill, ; Velleman & Orford, ), as they often adopt the parental role in the family circle (Barnard, ; Klee, Wright, & Rothwell, ), and therefore, their ability to experience a “true” childhood is restricted.…”
This paper details a study that listened and empowered an adult (Beth, a pseudonym), through the use of a life story methodology, to reflect on her childhood experiences of parental drug misuse. Voice Relational Analysis was applied to Beth's life story to assist the researcher to unravel and cipher, through the complexities and nuances of her voice, Beth's familial relational experiences and the lengthy lineage these have had on her ability to relate with others. This paper highlights the somewhat complex composition of her interpersonal relationships and reveals how she related both positively and negatively within them.
“…Such challenges can also take a toll on parents' mental health and further impair their parenting abilities. Research suggests that parents living under socioeconomic stress may be at greater risk of experiencing various psychological issues, including depression and substance use, and that such issues could lead to substandard parenting practices and child maltreatment (Holland, Forrester, Williams, & Copello, 2014; Mistry, Vandewater, Huston, & McLoyd, 2002; Newland, Crnic, Cox, & Mills‐Koonce, 2013).…”
Section: Mental Health Service Needs Among Cps‐involved Parentsmentioning
Parents involved with child protective services (CPS) often face various challenges, including sociostructural marginalization, mental illness and difficulties in family relationships. Although their need for mental health services is generally acknowledged, the extant child welfare literature lacks studies on how CPS-involved parents may benefit from such services. In an attempt to address this gap, the current study seeks to explore clinicians' and parents' perspectives regarding the role of psychotherapy services (e.g. individual or conjoint counselling/therapy) for child welfare cases. Semistructured interviews were conducted with clinicians working with CPS-involved families and parents accused of child maltreatment. Thematic analysis of the interview data generated three themes: (1) psychotherapy as a place for safety and empathy, (2) psychotherapy as a place for challenge and (3) psychotherapy as a place for problem resolution. The findings suggest that psychotherapy services may benefit CPS-involved parents not only by offering much-needed emotional support and resources within sessions but also by facilitating parents' collaboration with CPS through their partnership with caseworkers outside of sessions. For child welfare practice, it is recommended that psychotherapy services be included from the outset of parents' CPS involvement to promote their psychological and relational well-being as well as their successful completion of CPS requirements. K E Y W O R D S psychotherapy, counselling, parents involved with child protective services, therapeutic intervention, therapy 1 | INTRODUCTION Child maltreatment is a pervasive concern in the United States, with an estimated 674 000 children victimized and the national victim rate reaching 9.1 per 1000 children in 2017 (U.S. Department of Health and Human Services [USDHHS], 2019). Upon the receipt of referrals alleging child abuse/neglect, child protective services (CPS) screens the referrals and then investigates the screened-in reports to ascertain whether child abuse or neglect has occurred, to assess the risks for child maltreatment and to determine the need for further intervention (USDHHS, 2019). While the specifics of CPS services vary by state, the collective vision is to assist families in ensuring their child's safety and well-being, with consideration given to how each family's experience of social and environmental challenges may have contributed to the occurrence of child maltreatment (Kyte, Trocmé, & Chamberland, 2013). The goal of CPS intervention, therefore, is to address not only problematic parenting but also familial and community-level risks through a wide variety of services, such as housing assistance, material/financial aid, medical care and social support (Child Welfare Information Gateway, 2006; USDHHS, 2019). Given that the majority (77.6% in 2017) of all perpetrators of child maltreatment are parents of the victims (USDHHS, 2019), CPS intervention often includes services that specifically address parents' needs. In particular, the imp...
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