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The families’ role in recovery. Vivienne Evans. Scale. Approximately 7 million people are affected by someone else’s substance misuse. Scale. There are 250,000 children of problematic drug users… …and 1 million children affected by parental alcohol misuse. Scale.
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The families’ role in recovery Vivienne Evans
Scale • Approximately 7 million people are affected by someone else’s substance misuse
Scale • There are 250,000 children of problematic drug users… • …and 1 million children affected by parental alcohol misuse
Scale • 150,000 people are affected by drug use in prison
Policy context: everyone’s business • Models of Care 2006 • Drugs Strategy 2008 • Carers Strategy 2008 • NICE guidance 2007 • Hidden Harm 2003 • Social Exclusion Task Force: Think Family 2007 • Aiming High for Every Child: HM Treasury 2007 • Children’s Plan: DCSF 2007
Impact • Social • Financial • Physical • Psychological • Criminality • Stigma • Personal and societal
Why support families? • They provide practical, emotional and financial support to the substance user, improving the likelihood of successful treatment and retention in treatment • Health and welfare of family members is improved if they are given support • Engaging families in a prison setting can reduce drug supply and re-offending • Isolation and stigma increases stress and its related problems, placing added strain on statutory services • Economic advantages
Recovery • Unrealistic goals • Equated with abstinence • Health • Job • Home • Family support Recovering from a drug or alcohol problem is more complex than not having a substance in your system any more
Emerging dilemmas • Interventions • Involvement and support • Insecure contracts • Parents and children/prevention and resilience
Key messages • Families are relied upon to provide support without being adequately supported themselves • Families subsidise treatment provision • The welfare system penalises families • Families do not get support when they want to disengage with the drug user • Families need to recover too • The role of the family needs to be recognised at grassroots level, not just with policy circles • Families want more information • There is a great deal we do not know about the family's role
Key issues • Rebuilding family relationships is a key constituent of recovery • Families provide vital recovery capital • Families are well placed to help map individualised routes away from drug dependency • Families need to recover too