Eclypse - lifeline project

1. Eclypse - lifeline project Safeguarding and family interventions Janine Day – Service Manager Amy Wilson – Family Team Senior practitioner

2. Outline • Lifeline - Eclypse model of working to safeguarding children affected by parental substance misuse • Overview of the services strategic representation • Our Approach and practice in working with children and families affected by parental substance misuse • Partnerships developed along the way • Emerging outcomes

3. Manchester Safeguarding Children Board (MSCB) Sub groups MSCB Executive Workforce development Sub-Group Safeguarding Practice Improvement Group Child Death and CriticalIncident Panel Child Death Overview Panel Policy & Procedure Sub-Group Communication Subgroup Multi agency training pool 6 District Safeguarding practice Fora

4. Lifeline Eclypse.... • Eclypse is Lifeline Manchester’s Drug & alcohol service for children, young people and families. • The Family team (2 year pilot) provides specialist interventions with children and families affected by parental substance use. • Eclypse Treatment team provides specialist interventions to children and young people who use substances. • Specialist posts within the service include:- Family therapist, Mental health, Specialist drug trainer & practitioner

5. Eclypse Service FAMILY SERVICE • One to one support for parents and children • Strengthening Families programme • Family focus Sessions • Therapeutic interventions • Group work • Family activities • Community events TREATMENT TEAM • Eclypse Treatment team provides specialist interventions to children and young people who use substances. • Individual care planned interventions • Specialist posts within the service include:- Family therapist, Mental health, Specialist drug trainer & practitioner

6. Safeguarding families in practice

7. Assessment process • Referral: Appointment offered within 7 days • 3 Way consultation: Information sharing • Assessment • Risk review • Care Plan • 12 week review of treatment cycle • Exit plans • Outcome monitoring (PILOT)

8. What are we assessing for within a strengths based model Parallel assessment’s from the child and the parent and professionals known to the family The impact of substance use on the family • Risk and protective factors for the individual and the family and how these impact on family functioning • Parenting capacity and the families perception • Relationships, support network, parent child attachment • Social, emotional and physical functioning

9. Embedding safeguarding • Effective partnership working • Empower families to safeguard each other and themselves • Parenting skills • Challenging family members • Promoting and increasing protective factors • Escalation SG concerns

10. Attachment Cycle Child Experiences need or discomfort Secure attachment Child Relaxes trust develops Protests, signals for help Adult responds, soothes, makes eye contact, satisfies need

11. Attachment Cycle Child experiences need or discomfort Child gives up, no trust, rage develops Protest signals for help or cries Disturbed attachment cycle Parent does not respond or responds with anger or resentment Parent does not respond or responds inconsistently Child protests even loader

12. Lapse may involve a ‘one off’ use or full relapse into previous levels of substance use and risk taking behaviours. Higher potential for overdose Not wanting to change Defensive Chaotic Substance use Risk Behaviours Isolation from family/friends Denial Potential for neglect/abuse of child and Domestic Abuse Poor or inappropriate supervision Closing doors Unable to maintain any routines for children Poor cleanliness Dip in parenting capacity Potential return to chaotic substance use Guilt Blaming children or other for lapse Child seeking answers Lonely/isolated Denial Young carers and developed self care skills Anger/resentment/frustration Anger and hatred Disappointment Broken promises Child unaware of cycle and lapse-feels world has collapsed and nothing will change Back to beginning Fear Starting to think about change Realisation of negative effects Ambivalent Projecting fantasy onto children Promises Some denial Lack of confidence Maintaining the change Potential changes to environment Relapse prevention work Excited but anxious about changes Hope Not believing in change Not talking about issues for fear of relapse Scared Maintenance of routines and boundaries within the home Potential to return to employment or education Paying more attention Accessing support Planning and executing change Accessing detox/rehab or treatment Making future plans Mood swings Role change-starting to parent Setting boundaries Potential away from family if attending residential treatment Enjoy time with parent Wary of other substance using adults Smile more and appear relaxed Insecure Potential to be placed back with parent at this stage-feel loss for previous carers (may be grandparents etc) Different routines Rebellious in light of new boundaries Clingy due to poor attachment Having to speak to multiple professionals Wary of changes and fear of disappointment

13. Lifeline’s service’s in Manchester We offer an open door service into a system of joined up support at every point of entry

14. Partnership working • Child in Need • Sure start centers • Education • Family Intervention support service (FIP) • School nurses • Child social care • Adult treatment services • Specialist midwifery – specialist nursing partnership

15. Emerging Outcomes • Improved health – Sexual health screening, contraception, BBV screening and vaccinations • Improved engagement and retention with other services • Reduction in substance use • Increase in parents employment status • Improved attendance at school • Relapsing parents seeking support to safeguard their children

16. Thank you Questions & Answers Amy@eclypse-yps.org.uk Janine@eclypse-yps.org.uk

17. Resources Useful information & resources • www.exchangesupplies.org.uk • www.alcoholconcern.org.uk • Alcoholandfamilies.org.uk/briefings/13.7.pdf