Drugs, Alcohol and Families

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Drugs, Alcohol and Families

• Opportunities for change
• Rhoda Emlyn-Jones

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Bridging the Gap
Substance Misuse Services

• Childrens Services
• Child focussed
• Immediate response
• Transparency
• Risk elimination

• Adult focussed
• At the clients pace
• Confidentiality
• Harm minimisation

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Option 2s Aim

• To create a positive change in the way families
  function, thus enabling children to remain safely
  at home wherever possible.

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Research Led Models of Practice

• We bring together some intensively researched and
  well evidenced interventions of proven efficacy
  to focus on the families values and beliefs and
  highlight their strengths and resources
• Crisis Theory
• Motivational Interviewing
• Solution Focused Brief Therapy
• Systems Theory
• Cognitive Behavioural Therapy

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Motivation is not a static characteristic

• How important is it for me to make this change?

• How confident do I feel that I can make the
  change?

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Change is a Process

• Pre-contemplation

• Contemplation

• Action

• Maintenance

• Lapse

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Option 2s Model

• 4 to 6 week intensive intervention in the
  familys home
• Therapist is available 24hours a day
• All agree behavioural outcomes
• The work is transparent
• Maintenance, follow up boosters

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Option 2s Intervention

• The familys preferred
• future is explored

• Clear measurable, behavioural goals are agreed
• The familys values strengths are highlighted

• Skills training
• provided in situ

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The kinds of goals that families set

• Managing childrens behaviour
• - Communicating with a partner
• - Stopping or controlling drink or drug use
• - Getting children to return to school
• - Being a better parent
• - Having better routines
• - Being calmer learning to relax
• - Moving house
• - Going to college
• - Having a cleaner and tidier home

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Maintaining change

• Maintenance meeting
• Maintenance plan
• Detailed report shared with the family and the
  referrer
• Follow up at 1,3,6, and 12 months
• Booster Sessions

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Follow up and outcomes

• Over 75 goal attainment
• Families functioning safely together

• 1 month
• 3 months
• 6 months
• 12 months

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Messages from Families

• I feel happy, you know the proper happy, from
  inside.
• - K, a mother one month after the Option 2
  Intervention.
• Option 2 has made me become the person I want to
  be, not the person I would have become, a
  druggie, hopeless, lost my kids and everything.
• - L, a mother on an Option 2 evaluation form.