Working with Parental Substance Misuse: Dilemmas for Practice

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47 citations0/0 files storedThe British Journal of Social Work

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Child Welfare and Adoption Substance Abuse Treatment and Outcomes Social Work Education and Practice

Abstract

The impact of parental substance misuse on child welfare is now being increasingly recognized. Drug and alcohol problems feature in a substantial proportion of families where there are child-care concerns and raise issues about engagement, confidentiality, assessment and inter-agency practice. This article explores some of the dilemmas faced by social welfare professionals who work with substance misusing parents. Based on a qualitative analysis of 40 semi-structured interviews with a wide range of practitioners from both adult focused and child and family settings, in both the voluntary and statutory sector, a variety of emerging themes will be discussed and linked to those from other studies. The problems of working with denial, the tensions created by different agency objectives and protocols and the way in which children can often fall through gaps in services will be highlighted, as will the way in which some professionals have sought to resolve the dilemmas they encounter. This will then be used as a basis for beginning to look at constructive ways forward in relation to training, interprofessional and inter-agency communication and service delivery.

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References

1996Qualitative Interviewing: The Art of Hearing Data 1994Social Research: Issues, Methods and Process.1996Onset of physical abuse and neglect: Psychiatric, substance abuse, and social risk factors from prospective community data 2000Framework for the assessment of children in need and their families 1992Parental substance abuse and the nature of child maltreatment 1994Assessing the Evidence of a Link Between Mental Illness and Violence 1997Characteristics of Participants in Domestic Violence 1995Association of drug abuse and child abuse

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2006A family affair? Kinship care and parental substance misuse: some dilemmas explored 2006Parental Alcohol Misuse in Complex Families: The Implications for Engagement 2016“You can never work with addictions in isolation”: Addressing intimate partner violence perpetration by men in substance misuse treatment 2015Cost‐Effectiveness Analysis of the Parents under Pressure Programme for Methadone‐Maintained Parents 2011Specialist Communication Skills for Social Workers

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