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Alcohol Awareness for Parenting Professionals. Possible harm. Being drunk more often Taking day off for hangover Accidents, rows or injuries due to drink Getting in trouble due to drink Doing something you wouldn’t do normally and regretting it Drinking more than you planned.
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Possible harm • Being drunk more often • Taking day off for hangover • Accidents, rows or injuries due to drink • Getting in trouble due to drink • Doing something you wouldn’t do normally and regretting it • Drinking more than you planned
Obsessive thinking Gulping first drink Being first to finish Needing, not choosing a drink Spending more than you can afford Secret drinking Hiding drink evidence People telling you they are worried Probable harm
Sense of compulsion Impaired capacity to control use and amount Withdrawal states (nausea, shakes etc) Tolerance Preoccupation with alcohol Use despite harm Dependence ICD 10
Roles Rituals Routines Social life Finances Communication Conflict (Velleman, 1993) 7 aspects of family life affected
Emotional unavailability and inconsistency Unpredictable parental behaviour Social exclusion Too much responsibility Child as ally, protector or carer “don’t talk, don’t trust, don’t feel” Parenting impacts on children (1)
Witness or experience physical,verbal and sexual abuse Self blame Long term effects into adulthood Foetal Alcohol Syndrome Parenting impacts on children (2)
Protective factors for children • Resilience • High self esteem • Self efficacy • Problem solving skills • At least one good parent relationship • Good support network beyond family
The Cycle of Change (Prochaska and DiClimente) Pre-contemplation Contemplation Action Maintenance Relapse Success
Lack of awareness from families The need to keep the secret Lack of service provision Lack of interagency communication Parental consent lacking Insufficient resources Barriers to treatment (concrete)
Use and misuse – a cultural norm Perception of children not ‘neglected enough’ for intervention Opening up the problem “floodgates” if alcohol tackled Individualistic treatment approaches Barriers to treatment (conceptual)
FRAMES for Brief Advice • Feedbackabout personal risk or impairment • Responsibility for change (rests with the individual) • Advice • Menu of options and strategies for change • Empathy • Self-efficacy
Information re alcohol & other issues (e.g.units and health issues) Advice giving Realistic feedback Unit tally Empathy & support Encouragement Referral Types of Brief Advice