1. Overcoming the harms caused by
alcohol, drugs and gambling
‘Families First’ conference workshop:
The impact of
alcohol on family
member s
2. Overcoming the harms caused by
alcohol, drugs and gambling
Richard McVey
Service Manager (Family Services)
3. Aquarius Family
Ser vices
Birmingham
Derby
Coventry
Sandwell
Dudley / Wolverhampton/ Solihull
4. Aquarius Support for Family
Members
Home visits/Outreach
Relatives Groups
Activity days/promo events
Care Planned support
‘Special pampering
day
thanks carer s w ho
live
with af fects of
addiction’
(Article in Sutton Coldfield Observer)
5. Involving Family Members Across Organisations
IFMO Research Project
3 year family work development plan:
Training for all teams
Follow up consultancy and support
Evidence based methods:
5 Step and SBNT
Organisational changes to support family
work
Research element
6. IFMO Research r esults
Staff attitudes towards family focussed practice:
Significant increase in staff scores on AAFPQ
questionnaire (Attitudes to Addiction Related
Family Problems Questionnaire) from baseline
to post intervention
Overall proportion of family focussed practice:
Baseline = 19%
Post intervention = 34%
7. Impact on Family Members 1
Substance user unpleasant to live with
Worry over substance users health
Financial Problems
Substance user disappears or comes &
goes
Other members of community become
involved
8. Impact on Family Members 2
Effect on Roles / Routines / Rituals
Social Isolation
Incidents / Crises
Relationship Difficulties
Arguments / Conflict
Violence / Abuse
9. Impact on Family Members 3
Are there any differences in the
impacts and experiences of family
members of alcohol users?
10. 5 Step Method
1. Listen, reassure, explore concerns
2. Provide relevant information
3. Explore coping
4. Explore social support
5. Referring on for additional help
11. Step 3- Ways of coping
Engaged- Standing up to it
• Trying to control my relatives behaviour
• Being emotional
• Being assertive
• Being supportive
Tolerant- Putting up with it
• Not doing anything
• Putting my relatives needs before my own
Withdrawal – Withdrawing from it
• Avoiding my relative
• Being independant
13. Step 3- Ways of coping
Feedback discussion:
What is most important about Step 3?
How could you see this being useful in
supporting family members
14. Step 4- Support
Drawing the social network diagram
Who or what can be supportive and in
what way
Can include personal and professional
Improving positive support
Decreasing negative support
Being an active agent of change in using
the network