Leeds Parenting Unit resource kit
Working With Families Affected by Substance Misuse
Leeds Parenting Unit resource kit
PAGE 2
Contents Introduction: • Parenting unit • Background to workshops • Purpose of this resource pack
Substance Misuse • Why is the issue of working with families affected by parental substance misuse so important? • Leeds Addiction Unit & Leeds Parenting Unit’s ‘top ten tips for working with families affected by parental substance misuse’ • Spotlight on a worker: Gabby Holmes, Drug Liaison Midwife, Leeds Addiction Unit • Key outputs from Parenting Unit workshops March 2010 o Examples of what practitioners are already doing to engage families affected by substance misuse o Practical ideas for improving your practice locally
What services are available locally to support families affected by substance misuse? • Resources across Leeds
Where can I get more information on the issue of substance misuse? • Useful links: who they are and what they do
Leeds Parenting Unit resource kit
PAGE 3
Introduction to Leeds Parenting Unit and Parenting Unit Workshops In Leeds, we know that the vast majority of parents want the very best for their children; and we know that every parent needs help and support from time to time and that’s what we, as practitioners, are here to offer….together! The Leeds Family Support and Parenting Strategy, published in November 2007 and reviewed in November 2009, sets out how the Children Leeds Partnership will work together, with parents and each other, to make sure that family support and parenting services in Leeds go further to recognise and respond to every parent’s needs. The strategy identified the need for a central point of contact to support the coordination, the quality assurance and the development of family support and parenting across the whole of Leeds. In September 2008, Leeds Parenting Unit was born. In September 2009, Jonny Cohen (Respect Parenting Practitioner) and Lauren Dunstan (Senior Parenting Practitioner) came into post. Their job roles involve supporting the delivery of parenting programmes, engaging with and developing the services of those who work with ‘hard to reach families’ and those who are resistant to using services. A consultation exercise took place in September/October 2009 with staff from a number of different organisations: extended services clusters, children’s centres and the voluntary sector, to see how the parenting unit could support practitioners. A key theme that came out of this was that practitioners would like to know more about different services and what they offer so that if an issue arises for them in their everyday work, they would know who they could contact to access further support and where to refer on to, if specialist help is required. Following this consultation it was agreed that Leeds Parenting Unit would stage a number of topic led workshops which would seek to: • increase practitioners’ personal capacity and help them to deal with problematic situations; • help practitioners to know who to go to for further help on an issue without having to ring round several different people (extremely time-consuming exercise); • help practitioners to know when to refer on to other specialist services – which will in turn reduce inappropriate referrals; • share good practice and learn from colleagues in other agencies.
continued on page 4
Leeds Parenting Unit resource kit
PAGE 4
In addition to the workshops, a series of resource kits will be produced to give practitioners more information around the chosen subject. These will include hints and tips for good practice, local contacts and provision across the city (including referral processes) and useful links to ďŹ nd out more information. Working With Families Affected by Substance Misuse is the second resource kit in what will hopefully become a whole series. If anyone has ideas for future resource kits, please let us know as the aim of them is to assist you in your work with parents.
Jonny Cohen
Lauren Dunstan
Respect Parenting Practitioner
Senior Parenting Practitioner
Email: jonny.cohen@leeds.gov.uk Tel: 0113 395 7221 Mobile: 07891 275903
Email: lauren.dunstan@leeds.gov.uk Tel: 0113 395 7219 Mobile: 07891 277085
Leeds Parenting Unit resource kit
PAGE 5
Why is the issue of working with parents with substance misuse problems important? This issue is important because the problem is widespread. It is difficult to be precise about the numbers of parents and children affected by substance misuse, but a 2003 report from the Advisory Council on the Misuse of Drugs indicated that the number of children who may be exposed to the consequences of problem drug misuse in the UK is between 250,000 and 350,000 - while a 2001 study suggested that around two million children are affected by parents’ harmful drinking.1 Further research indicates that between 50% and 90% of families on social workers’ child care caseloads have a parent(s) with drug, alcohol or mental health problems. 2 However, it is also true to say that the majority of children who are affected in this way never come to the attention of Social Care and, as is made clear in ‘Hidden Harm’ (a 2003 report from the Advisory Council on the Misuse of Drugs) parental problem drug use causes serious harm to children at every age from conception to adulthood. All of this means that as professionals working in the community with children and families, often in crisis, it is highly likely that we will come across parents for whom substance misuse is an ongoing issue. Our task, as set out in the Every Child Matters framework, is to work to ensure the best outcomes for the children in those families, to help them be healthy, stay safe, enjoy and achieve, make a positive contribution and achieve economic well-being. Where parental substance misuse is present we need to understand how parental substance misuse affects these outcomes and what we can do to help. The lifestyle of families with a substance-misusing parent can also be characterised by chaos and a lack of routine as well as social isolation and it can be difficult to engage with and support parents
who are routinely suspicious of and resistant to attempts to assist. However, it is vital that we find ways to overcome these barriers in order to enable parents to reach their potential in their capacity to care for their children. This resource pack is designed to help you in your professional practice to consider some of the questions relating to working with parental substance misuse: how you can engage these parents; how you can access information and advice about substance misuse; how to stay safe. It includes pointers on how to make the work you do with this client group as effective as possible, to ensure the best outcomes for these parents and, most importantly, the children whom they care for.
1 Velleman R. (2001) Working with substance misusing parents as part of court proceedings. Representing Children, 14, 36-48. 2 Kearney P. (2003). Alcohol, Drug and Mental Health Problems: Working with Families. London, Social Care Institute of Excellence.
Leeds Parenting Unit resource kit
PAGE 6
Top Ten Tips for practitioners when working with parents with substance misuse problems The Pregnancy and Parenting Team is part of Leeds Addiction Unit. They offer support to mothers-to-be and their partners through their pregnancy, including treatment for their addiction. This specialist service was established in 1997, they help parents to manage their pregnancy in co-existence with addiction problems with a view to achieving their treatment goals – ranging from harm reduction to abstinence. These tips for practice have been developed in conjunction with Tracy Smith, Drug Liaison Health Visitor in the Pregnancy and Parenting Team and Leeds Parenting Unit. They are designed to be a starting point for all practitioners who may come into contact with this client group and an aid for good practice. Further practical advice can be accessed via contacting the agencies listed at the end of this resource pack.
1. Listen to the parent Go in with an open mind – avoid making judgements. Drug and alcohol use is an emotive issue and each of us will have a different personal view about it. However, it is vital that when acting in a professional capacity it is our professional judgement that leads us and not our potential prejudices.
2. Be aware of the balance of power Parents are likely to be at best suspicious, at worst afraid, of professionals knocking at their door. They may feel that, as a professional, you are in a position of power over them. Try to make the families you work with comfortable in your presence. Explain clearly what your role is (and what your role isn’t). Explain why you are visiting. Explain what you are going to do next. Schedule visits to fit in with the family and be clear with the parents what they can expect when you see them. All of this will serve to make a better working relationship with the parents you are trying to assist and will reduce the risk of hostility and avoidance on their part.
Leeds Parenting Unit resource kit
PAGE 7
3. Remember that the child(ren)’s care and safety is paramount
Parenting work is all about outcomes for children. Ensure that children of substance misusing parents have their needs recognised, assessed and, where appropriate, receive services which meet their needs at an early stage. Agencies should not wait until children are considered to be at risk from harm before providing support to these young people.
4. Share information when appropriate
If a child may be at risk of harm then this overrides any agency requirements for confidentiality. The Laming Report into the death of Victoria Climbié highlighted the fact that perceptions persist in both the statutory and the voluntary sector that sharing of information is an area of concern because of confidentiality issues. Make sure that where there are child protection issues information is shared with appropriate agencies working with the family without delay. If you are unsure seek support from your line manager or the child protection lead within your organisation. You can also refer to national guidance: pocket guide and Home Office guidelines to sharing personal information, which can be found at: http://search.publications.everychildmatters.gov.uk/kbroker/dcsf/ecmpubs/search. ladv?sr=0&cs=UTF-8&sc=ecmpubs&nh=10&sb=0&ha=144&hs=0&fl1=publicationshop%3A&op1 =1&ty1=0&tx1=2987&fl0=&op0=1&ty0=0&tx0=pocket+guide
5. Consider the wider picture
Take a holistic view of the family situation: are there issues relating to housing, childcare support, health, nutrition, domestic violence, and / or mental health? Substance misuse may not actually be the main or only factor at play. Do you need to involve other agencies to help out?
6. Stay safe
If you are making home visits on your own then always remember to consider your own safety and review this on a regular basis. After a period of time with no incidents it is easy to become blasé and assume that nothing can ever go wrong. It is important to remain alert to any risks and take precautions to reduce the risks. If you are unsure about making a home visit arrange to see the parents at your office base or with a worker who already knows the family. This is true for all home visiting regardless of the client group.
7. If you know what substance is being used - find out about it
In order to make a professional assessment of a situation where you feel that substance misuse may be impacting on an individual’s capacity to parent, you will need a clear understanding of the impact of that substance on the person in question. This will include an awareness of the physical and social presentation of the substance when taken and also the specific effect of the substance on the person with whom you are working. Do not be afraid to ask the parent. They will be able to tell you how it affects them. Do seek expert advice which can be accessed from many sources (see useful links). The effects of any substance vary from person to person so it is important to avoid assumptions and treat each case differently.
Leeds Parenting Unit resource kit
PAGE 8
8. Work with the strengths within the family
Identify the family’s support network and use it. Who does the parent call on when they are in need? Who helps with the children? What kind of support do they offer – e.g. emotional, practical, financial, etc? How is the support managed – does the child benefit from the support or the parent? Remember that the parents would need to consent to any disclosure about their substance use to a third party (except in cases of child protection).
9. Persistence
Keep trying to engage the parents. It can be a slow process with many setbacks on the way. A large number of parents will relapse in the first few months after trying to abstain from substance use. However, their children cannot afford for us to simply give up at this point. If we persist and there is the will of the parent to improve their situation then real and lasting improvements can be made for the whole family. This will take time and it is key that agencies understand that there is a resource implication in this in terms of staff time. However, in terms of the right of the child to reach their full potential persistence is the key
10. Success is achievable!
Be optimistic. If you can instil a sense of hope in the families you work with then there is the chance that things will improve. If you lack faith then this will be unlikely. Consider community support groups and organisations where those who have recovered and are recovering from substance misuse are at hand to offer their guidance and support to the families you work with.
Leeds Parenting Unit resource kit
PAGE 9
Spotlight on a worker Within each themed resource kit, we would like to introduce a worker to you to highlight the role that they undertake. Hopefully you will get some bright ideas from them, or even just realise that they are out there working in the city with some of the same families you may be engaging with. What is your name? Gabby Holmes
Who do you work for and what is your role? I work for the Leeds Addiction Unit, funded by the NHS Leeds Partnership Foundation Trust. My role is as a Drug Liaison Midwife. I am a qualified midwife specialising in working with pregnant women and their families who have problematic use of drugs and/or alcohol.
Can you tell us a little bit about your project and the work you do with families affected by substance misuse? The aim of the Leeds Addiction Unit is to deliver a comprehensive service for the treatment of dependence on alcohol and drugs where there are co-existing complex needs such as mental health problems, child protection issues and pregnancy. The clinical function of the unit is to assist people in stopping the use of illicit drugs or achieve safe use of illicit drugs or alcohol. The intermediate goal of harm reduction may be a more realistic end point for some service users. I work as part of a multidisciplinary team with health visitors, addiction therapists and doctors to provide a holistic approach to care. Many of these families have complex needs and require intensive support in the ante/postnatal period which our team is able to provide. As a midwife I provide antenatal care, screening (for HIV, Hepatitis B and Hepatitis C), postnatal care and liaison with community midwifery teams, ante/postnatal wards and other agencies. We assess clients’ social circumstances and look at support available to the client from various sources such as a partner, family or friends. I offer a supportive and non-judgmental approach to my care ensuring that I respect their confidentiality and liaise with appropriate support services to provide continuity of care for the family.
What are the main barriers you encounter in getting these hard-to-reach families engaged? How do you overcome these? Often clients/families when first referred do not see the need to engage with our service. They may not be ready to address their addiction needs or may be unsure as to what our service can offer. Clients can be reluctant to address their level of substance use and how it may affect their unborn child and/or parenting capacity. It can be very difficult for a new parent to accept that their behaviour may have potentially lasting effects physically, emotionally and socially on their child if they are unable to change their substance misuse behaviour.
CONT
Leeds Parenting Unit resource kit
PAGE 10
We overcome the barriers of hard to reach families by using a non-judgemental approach which is supportive and realistic, encouraging them to set appropriate treatment goals so they are able to meet their children’s needs fully. We use assertive outreach and spend many hours following up clients who have disengaged from treatment. We feel it is essential not to give up on these families for the safety of the child/ren and the client. We also liaise with numerous statutory and voluntary agencies who may be involved in a client’s care to ensure the client is receiving the best possible support available to them. Many of our clients find it difficult to engage with services as they often feel judged about their substance misuse and chaotic lifestyle. When relapses occur they need to be supported to achieve stability again. It is very important to keep an open mind and continue to offer clients support you can offer may be the turning point in their lives.
Leeds Parenting Unit resource kit
PAGE 11
Key Outputs from the 2010 ‘Working with Families Affected by Substance Misuse’ Workshops in Leeds Throughout the city a large number of practitioners attended a series of workshops in early 2010 to share ideas about how they are already working with families affected by the issue of substance misuse, and to discuss how they might better engage these families in their future work. There were some key ideas and suggestions generated which you may find useful in shaping your practice to engage these families.
Examples of what some practitioners are already doing to specifically engage families affected by substance misuse • Effective risk assessments • Encouraging families to access services e.g children’s centres • Active outreach work • Liaising with treatment providers • Educating ourselves re: substances and their effects • Support to families in attending appointments – with drugs workers, job centre etc • Maintain close relationships with school • CAF • Pre-birth assessment • Counselling • Accessing support for affected children e.g Willow Young Carers Service • Help parents to access local support services • Working with the whole family, not just the child – ‘Think Family’ approach • Help with housing • Be aware of other issues e.g domestic violence • Additional support through pregnancy e.g encouragement to attend antenatal groups • Supporting families to access other services e.g Job centre plus, CAB • Support with routines, things to do, places to go • Help with access to childcare • Referrals for Intensive Family Support services
Leeds Parenting Unit resource kit
PAGE 12
What could you do differently in the future to engage families affected by substance misuse? Further feedback and ideas from the 2010 workshops • CAF - Leeds is a CAF led city. Attend the CAF two day training course to learn about the process and how you can use it to bring services together to provide the best outcomes for families. - Explain the CAF process to parents, make them aware of how this process can bring professionals with different specialities together to work as a team to meet the needs of their children/family. - Utilise the expert support of the CAF team to identify the most suitable agencies to support the families you work with. • Effective risk assessments - Ensure that you gather as much information as possible about the family and the substance misuse before visiting the family. - Liaise with all other agencies working with the family to build up a picture of the issues and the risks present. - Conduct home visits with a colleague where possible. • Educate yourself about substances and their effects - Attend any training on offer to increase your knowledge and understanding of the different substances and their effects. - Utilise the ‘local provision’ and ‘useful links’ section of this resource kit to find out more information on the issue of substance misuse. • Develop links with specialist treatment providers - Familiarise yourself with specialist substance misuse services in the Leeds area and what support they can offer to families. This will enable you to make appropriate referrals to the right agencies. - Ensure that you liaise with treatment providers who are supporting the families you are working with. Take a multi-agency approach to meeting the needs of the family. • Keep Trying - Parents with substance misuse issues are hard to engage. You will need to persevere and put extra effort in to try and engage them to access your service. - Be prepared for relapses and maintain your support where possible. Relapses are a part of the normal cycle of assisting people to overcome their substance misuse. If we withdraw services each time there is a relapse then success will remain elusive. • Active Outreach Work - Parents with alcohol and substance misuse problems may not be regularly accessing children’s centres, community centres, libraries, etc. If we want them to access services then we may have to go the extra mile to reach out to them. - Distribute leaflets about the service and support you can offer these families. Post these not only through letterboxes in your area, but also in drugs clinics, probation offices, doctors surgeries, job centres. CONT
Leeds Parenting Unit resource kit
PAGE 13
• Try out new ideas - Consultation with parents with previous substance misuse issues at the Parenting Unit workshops highlighted that whilst they felt supported by treatment providers, there was hardly any support available for their children. Children of parents with these issues have different needs – are you able to set up a support group specifically for this group? -Link up with treatment agencies to offer family support at their offices where possible. • Build trust - The nature of alcohol and substance misuse leads to secrecy and denial on behalf of the parent with the difficulties. This, in turn, can lead to mistrust of agencies trying to assist the family (including those whose role is to safeguard the children in the family). - Be patient. Be flexible. For example, you may be able to help the family with pressing needs relating to other areas – assist with housing appointments and applications, advocate for parents with childcare providers, help with budgeting and so on. All of this will help provide a stable base for your relationship with the parent and reduce the risk of withdrawal from support services.
Leeds Parenting Unit resource kit
PAGE 14
Substance Misuse Treatment and Support Services in Leeds ADS (Addiction Dependency Solutions)
BARCA – Leeds Young People’s Service
Provide open access counselling and aftercare services for those wishing to make behavioural changes relating to their substance misuse. They offer a therapeutic support programme for individuals with drug problems, those who are stable, stabilising on a script or abstinent. The open access alcohol service includes advice, information, support and counselling, harm reduction and aftercare; community rehab, day care assessment and preparation for residential alcohol rehab in Leeds and the outside area. They also run a breakfast access group for homeless drinkers.
(Young People)
Self-referrals accepted as well as referrals from any other agency. Assessments carried out within 24 hours of first contact. 18 East Parade Leeds LS1 2BH Tel: 0113 247 0111 Fax: 0113 245 8803 http://www.alcoholanddrugservices.org.uk/centres/ leeds.html
BARCA – Leeds Harm Reduction Services (Adults)
BARCA (covering the West, North West and North East of Leeds) provides drop-in harm reduction services, offering information and support to anyone affected by their own or someone else’s drug use. They also provide a needle exchange, complimentary therapies, and social support with housing and benefits. The Manor House 259 Upper Town Street Bramley, Leeds, LS13 3JT Tel: 0113 255 2227 www.barca-leeds.org
BARCA (Leeds Young People’s Service) provides advice, information and support for young people around drugs in the West Leeds area. They host drug awareness workshops and group work in schools and youth centres - providing education and preventative advice for young people who misuse drugs or who may be in danger of becoming involved in drug use. They also provide learning mentors, teacher and youth worker support, outreach and 1:1 support for young people aged 12-19 affected by drug use. The Manor House 259 Upper Town Street Bramley, Leeds, LS13 3JT Tel: 0113 255 3331 www.barca-leeds.org
Carr-Beck (Leeds Housing Concern Project for Female Drinkers)
Carr Beck is a unique project which provides accommodation for homeless women (over 25) who choose to continue to drink. Carr Beck works in conjunction with health professionals, social service teams and voluntary agencies to offer a holistic approach to clients’ support. Carr Beck provides an intensive support package using the support/care planning approach with an emphasis on multi-agency working. This is in recognition that the majority of tenants have multiple needs, including alcohol use and physical and mental health problems. They also provide wide-ranging practical support from assisting with shopping and cooking, budgeting and improving daily living skills to expanding their social networks. Target Group: Female drinkers who wish to continue drinking alcohol, aged above 25 yrs. Age group: 25+ Able to work with: Female drinkers Unable to work with: Men or young women Contact Details: Julie McDonald, 0113 271 7295, rbarden@leedshc.org.uk
CONT
Leeds Parenting Unit resource kit
PAGE 15
CRI (LEDARS)
DRR Structured Day Care Service
CRI works with local communities to help them tackle issues of substance misuse, crime and anti social behaviour. They work with the parents of children who are at risk of involvement in crime and provide advice and support on parenting issues. They also work with the families, partners, parents and carers of people with substance misuse issues, and support the victims of domestic abuse and abuse related to drugs and alcohol. They help young people improve their relationships with family, friends and neighbours and encourage them to participate in education, employment and training opportunities. They also provide information, advice, advocacy and support to help young people obtain and maintain tenancies. Mill 2, 4th Floor Mabgate Mills Leeds, LS9 7DZ Tel: 0113 394 5400
DRR provides structured and unstructured group work, individual and group activities and 1:1 sessions as dictated by the Courts through the DRR and supervision orders through medium and high DRR Orders. The DRR team works in close partnership with the probation team, the PCT, DRR prescribing and testing team and the Leeds Dip programme to promote harm reduction, personal health and hygiene, improving personal relationships and reducing offending and substance misuse. 4th Floor, Mill 4, Mabgate Mills Mabgate Leeds, LS9 7DZ Tel: 0113 245 6464
www.cri.org/north
DIP Throughcare and Aftercare DIP offer intensive support and structured care planning, information and advice, harm reduction, activities and group work. They provide referral to RAPS, accommodation, education and employment, and support around improving personal relationships. 4th Floor, Mill 4, Mabgate Mills Mabgate Leeds, LS9 7DZ Tel: 0800 1699257 (Freephone 24hours) www.disc-vol.org.uk
DRR Drug Treatment Service This service is a drug treatment and testing service for offenders who are subject to a Court Order for a DRR. Self referrals and referrals from other agencies cannot be accepted. Mill 1, Ground Floor, Mabgate Mills Mabgate Leeds, LS9 7DZ Tel: 0113 242 7924
www.disc-vol.org.uk
Drug Action Team The Drug Action Team is a service for professionals only and brings together representatives of all the local agencies involved in tackling the misuse of drugs and alcohol including the health authority, local authority, police, probation, social services, education, youth services and the voluntary sector. Leeming House, Vicar Lane Leeds, LS2 7JF Tel: 0113 395 0840
Drugs Project @ St. Annes Drugs Project is a harm reduction service covering South, East and some of North East Leeds. Offering home visits, mobile needle exchange and satellite services in these areas it also provides a city centre needle exchange. 66 York Street Leeds, LS9 8AA Tel: 0113 242 1161
East Leeds CDTS CDTS is a comprehensive community based support for any resident in the Leeds district wanting treatment in a primary care setting. It provides locally-based prescribing, structured interventions and therapy. East Leeds CDTS 2nd Floor, 5-7 East Park Road East End Park Leeds, LS9 9JD Tel: 0113 295 8115
Leeds Parenting Unit resource kit
Faith Lodge
(St. George’s Crypt Dry House)
Faith Lodge is a ten space dry hostel for men aged 18+ who are now abstinent from alcohol or drugs. They will take people on methadone scripts. Residents must be willing towards confidence building and work or training. All rooms are single with shared facilities. Low risk offenders are also taken. Higher risk cases cannot be taken due to single cover overnight. Near Leeds University/ Little London. Target group: Men aged 18+ who have stopped drinking or taking drugs. Able to work with: Low risk offenders Unable to work with: High risk offenders Contact Name: Mary Booth, 0113 274 8070, flcrypt2005@aol.com
GASPED GASPED offers support for anyone affected by someone else’s drug use. It provides a resource centre drop-in, counselling, complimentary therapies and a 24 hour helpline. Resource Centre Suite 5, The Basement Oxford Place Centre Leeds, LS1 3AX Tel: 0845 2450100 (24 hours) www.gasped.org.uk
Genesis Genesis is a generic service for women of all ages involved in or at risk of becoming involved in prostitution who are also using drugs. Oxford Chambers Oxford Place Leeds, LS1 3AU Tel: 0113 243 0036 www.genesisleeds.org.uk
Leeds Addiction Unit Leeds Addiction Unit’s purpose is to help people with combined problems of alcohol or drug misuse and mental illness, physical illness, or pregnancy. All service users have a care plan which is tailored to individual needs over a period of between three and twelve months. Family and friends are encouraged to be involved in the care plan.
PAGE 16
Treatment Services There are three clinical teams which are multidisciplinary and which typically work collaboratively with other service providers both within the NHS family and other sectors. Clinical staff include doctors, nurses, and therapists. All staff are trained to work with people who have an addiction problem and all staff follow NHS rules on matters such as confidentiality.
Dual Diagnosis The Dual Diagnosis Team provides services to three patient groups who have needs arising out of substance dependence and mental illness. Much of the work of the Dual Diagnosis Team is on a shared care basis with Community Mental Health Teams (CMHTs). People who are described as suffering from severe and enduring mental illness (in conditions such as schizophrenia or manic depressive disorder) need a CMHT to take the lead role while Addiction Unit therapists work collaboratively to deal with the substance misuse problem. Patients suffering from anxiety or minor depression complicated by substance use can be seen exclusively within the Addiction Unit service. Patients with substance misuse and a personality disorder can also be seen exclusively with the Addiction Unit service.
Pregnancy and Parenting The Pregnancy and Parenting Team works in partnership with the Leeds Teaching Hospitals Trust, social care and NHS Leeds to provide treatment and care for pregnant women and families with substance misuse concerns. This is a multi-disciplinary team consisting of midwives, health visitors, addiction nurses and therapists, psychologists and medical staff. The team provides care programmes to meet the specific needs of this group including specialist obstetric care, psychosocial addiction therapy, and complex child protection and parenting skills. The service has been successful in attracting women and families who previously might have avoided contact with services.
CONT
Leeds Parenting Unit resource kit
Hospital and Central Services Team The Hospital Team provides a substance misuse liaison service to St James’s Hospital and the Leeds General Infirmary. The team consists of psychiatrists, RGN and RMN nurses who provide assessments and treatment plans to enable hospital staff to manage patients’ substance misuse needs during hospitalisation. Our priority is to engage patients in appropriate care pathways within the community to enable them to address their substance misuse and thereby reduce pressure on hospital resources. Central Services provide rapid access to comprehensive psychopharmacology, with a daily, morning clinic and duty doctor. It also provides health checks for service users attending initial appointments and oversees the provision of prescriptions for those stabilised on opioids, organises venepuncture, urine testing and immunisation services as well as nursing care such as wound dressing and dispensing of depot medications, as appropriate. Detoxification programmes commenced at Leeds Teaching Hospital Trust are continued for service users discharged from hospital. Leeds Addiction Unit 19 Springfield Mount Leeds LS2 9NG Tel: 0113 295 1300 Fax: 0113 295 1310
Leeds Street Outreach Team The Leeds Street Outreach Team engages people involved in street-based activity e.g rough sleeping, begging, prostitution, alcohol/drug use and other forms of anti-social behaviour. Tel: 0113 245 9445
Multiple Choice Multiple Choice offers structured day care including group work, one-to-one support and complementary therapies. They host a drop-in session (every afternoon 2pm – 5pm except Wednesdays) and provide specific support for women, stimulant users and those who are now drug-free. Access to residential detox and rehab is also provided; all services are free and confidential for adults over 19.
PAGE 17
Marquis House 33 Eastgate Leeds, LS2 7RD Tel: 0113 245 6616 www.multiplechoice.org.uk
NASHA Project NASHA provides information, advice, counselling and help for South Asian drug users and offers support to their families and carers. Working particularly with the Pakistani and Bangladeshi communities in the Burley Lodge, Hyde Park, Harehills and Chapeltown areas of Leeds they deliver in a religiously and culturally sensitive manner with bi-lingual staff for anyone from the South Asian communities concerned about drug use in any way. Leeds Health Focus 228 Roundhay Road Leeds, LS8 5AA Tel: 0113 248 8866 www.leedshealthfocus.co.uk
NEDS CDTS NEDS provides comprehensive community-based support for anyone resident in the Leeds district wanting treatment in a primary care setting. They offer locally-based prescribing, structured interventions and therapy. Bushbury House 4 Laurel Mount Leeds, LS7 3JX Tel: 0113 262 5281
NFA NFA offers drug treatment for homeless people aged 19+ for those registered with the practice. 68 York Street Leeds, LS9 8AA Tel: 0113 295 4840
New Hope Leeds The New Hope project works with people who have all kinds of addictions. They run a structured day care programme as well as home visits, outings and general helping the client through their issues i.e pre-programme help, doctor appointments for scripts, dentist, and post-programme help such as follow-on work with the client. CONT
Leeds Parenting Unit resource kit
Target Group: People with addictions Age Group: All Able to work with: anyone with an addiction Contact Name: Alistair Park Contact Number: 0113 217 0142 Email address: Alistair@newhopeleeds.co.uk
Rapid Access Prescribing Service Rapid access to drug treatment for those referred within DIP criminal justice services. Mill 1, Mabgate Mills Leeds, LS9 7DZ Tel: 0113 242 7924
Resource and Development Centre These referrals are for professionals only. The Resource and Development Centre is an independent charity specialising in work around alcohol, other drug use, sexual health and related issues and providing research and information. Their activities range from immediate advice over the phone to long-term consultancy and research. They do not provide treatment or care themselves, but work directly with many substance misuse and sexual health services. 3rd Floor, Leeming House Vicar Lane, Leeds, LS2 7JF Tel: 0113 244 8277 Fax: 0113 242 3381 E-mail: info@rsdc.demon.co.uk
Sinclair Project The Sinclair Project provides housing support for men and women over the age of 16 who are active drug users. Services include the provision of accommodation, individual support, and harm reduction. 6 Middleton Crescent Leeds, LS11 6JU Tel: 0113 277 7227 Fax: 0113 277 5510 www.leedshc.org.uk
South CDTS South CDTS is a comprehensive community-based support for anyone resident in the Leeds district wanting treatment in a primary care setting. It provides locally-based prescribing, structured interventions and therapy.
PAGE 18
Parkside Community Health Centre 1st Floor, 311 Dewsbury Road Beeston, Leeds, LS11 5LQ Tel: 0113 295 2881
Step 2 (formerly Base 10) Via the UP project, Step 2 work with young people (8yrs to 18yrs) affected by parental or carer drug and alcohol use. They do not work with the parents (in terms of addressing their substance use treatment needs) but look to working with a parent / carer if they were at the stage of addressing the impact of their substance use on their children. Step 2 takes referrals from any professional or member of the community who has confirmed with the young person that they would want to access the agency. Step 2 sees young people on a weekly basis, either at the city centre office or at an agreed location, often school. The care-planned interventions address the assessed individual needs of the young person, for example coping strategies, drugs awareness and education, advocacy, self-esteem and confidence building, peer relationships, staying safe, emotional wellbeing and resilience building. They also run closed group work with identified young people often for a duration of 8 weeks using play therapy and with visiting professionals such as the police, St John’s ambulance and paramedics. Step 2 1 Park Square Leeds LS1 2NE Tel: 0113 243 3552 Fax: 0113 234 0746
SUSTAIN/FOCUS - LHC (Floating Housing Support) Sustain and Focus provide long term, floating support to single people, families and couples who are at risk of losing their tenancies with Leeds City Council, RSLs, private and other landlords. Sustain is for anyone age 16+ whose tenancy has been put at risk due to drug and/or alcohol issues. Focus is for anyone aged 16+ with a history of mental health problems.
CONT
Leeds Parenting Unit resource kit
LHC is unable to work with those with generic housing issues without the above. Contact Details: David or Brian, 0113 276 5603 E-mail address: dberry@leedshc.org.uk
St Anne’s Community Services St.Anne’s is a homeless and substance misuse service that engages with individuals who may have experienced homeless and or drug and alcohol issues. They provide training and support through group work and individual learning in their open learning centre. They also provide Information Advice and Guidance, ESOL and IT computer skills. Contact Details: Ann Sunter, 0113 281 6982, ann@st-annes.org.uk Referral process: The resource centre has an open door policy, so people do not need a referral form. All information would be taken at their initial assessment.
St. Anne’s Alcohol Service St.Anne’s alcohol service provides in-patient detox, residential rehab and floating support. 186 Woodhouse Lane Leeds, LS2 9DX Tel: 0113 243 4486 www.st-annes.org.uk
St. Martins Practice St.Martin’s is a comprehensive community-based support for anyone resident in the practice area (Chapeltown, Harehills & Chapel Allerton) wanting drug, alcohol or general medical treatment in a primary care setting. It provides the full range of physical and mental health care, works with families, carers and dependants, locally based drug and alcohol services, prescribing, structured intervention, therapy and relapse prevention. 319 Chapeltown Road Leeds, LS7 3JT Tel: 0113 262 1013
T3 T3 offers information and support for young people aged 10-19 with problematic substance misuse.
PAGE 19
It provides one-to-one keywork, a prescribing clinic, nurse availability and community training to professionals. 2nd Floor, Duncan House Duncan Street, Leeds, LS1 6DL Tel: 0113 244 3399 www.cri.org.uk
The Market Place The Market Place provides information, support and counselling for young people in Leeds aged 13-25. It offers a drop-in, one-to-one service (by appointment), condoms and chlamydia testing. 28 Kirkgate Leeds, LS12 7DR Tel: 0113 246 1659 www.themarketplaceleeds.org.uk
The Mayisha Project Mayisha is a city-wide drugs and alcohol service predominantly for young people from the African/ African Caribbean communities aged up to the age of 25. The service provides drugs awareness, education and prevention as well as harm reduction strategies. The service can offer group work, dropins and 1:1 support. The project also offers a signposting and referral service. Unit 11, Chapeltown Enterprise Centre 231-235 Chapeltown Road Leeds, LS7 3DX Tel: 0113 307 0301 www.bcathealthiniative.co.uk
West/North West CDTS This is a comprehensive community based support for anyone resident in the Leeds district wanting treatment in a primary care setting. CDTS provides locally-based prescribing, structured interventions and therapy. The Manor House 259 Upper Town Street Bramley, Leeds, LS13 3JT Tel: 0113 220 9788 www.barca-leeds.org
Leeds Parenting Unit resource kit
PAGE 20
Useful links and further information www.talktofrank.com
www.pada.org.uk
A-Z list of substances which explains appearance and use, effects, chances of getting hooked, health risks and UK law. Includes information on peer pressure. If you have questions or are worried about someone else you can call FRANK on 0800 776600 24 hours per day, 7 days per week for friendly, confidential advice and information. FRANK is available in 120 languages. E-mail: frank@talktofrank.com
Parents Against Drug Abuse (PADA). Supporting parents of drug users. Tel: 08457 023867. E-mail: admin@pada.org.uk
www.adfam.org.uk Support materials for people with a family member who takes drugs. Can help you find local support groups. E-mail: admin@adfam.org.uk
www.release.org.uk
www.parentlineplus.org.uk Parent line Plus provides support and information for anyone parenting a child. Tel: 0800 8002222. E-mail: centraloffice@parentlineplus.org.uk
www.youngminds.org.uk Young minds is a free confidential helpline providing information and advice for any adult with concerns about the mental health of a young person. Tel: 0800 0182138.
Provides expert advice and information on drugs, the law and human rights. Tel: 0845 4500215. E-mail: ask@release.org.uk
www.re-solv.org
www.drugscope.org.uk
Online resources for parents on various topics.
In depth information on all aspects of drug use.
www.thesite.org A guide to the ‘real world’ for young people aged 16-25.
www.childline.org Free 24 hour helpline for children or young people in trouble or danger. Tel: 0800 11 11.
Re-solv is a charity dedicated to the prevention of volatile substance abuse.
www.e-parents.org www.familyrapp.com Answers to parenting questions and this includes a drugs section.
www.nta.nhs.uk Special health authority established by the UK government to increase the availability, capacity and effectiveness of drug treatment in England.