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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 reoffending • 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 • www.adfam.org.uk
