M-PACT Programme - ADEPIS Seminar
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Presentation on the M-PACT programme, an 8 weeks family intervention programme developed by Action on Addiction.
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M-PACT Programme - ADEPIS Seminar
- 1. Action on Addiction Families Emma Bond Business Development Manager for Families - London
- 2. Action on Addiction • We recognise that you don‟t have to misuse drugs and alcohol to suffer from drug and alcohol misuse
- 3. Hidden Harm .....Refers to children and young people who are living with parental/carer substance misuse 57% of Serious Case Reviews reveal evidence of parental substance misuse Estimated that 2.6 million children living in the UK with a hazardous drinker 250-350,000 affected by parental substance misuse
- 4. Child Experiences • Impaired development • Psychological and Attachment • Stigma • Isolation • Low place in parental priorities • Inconsistent or inadequate parenting • Needs unmet • Material, emotional, physical neglect • Role reversal
- 5. • 'Sometimes I get tinsy bits of headaches because its really confusing, because I‟m thinking about something I have to work on for maths, and then thinking about Mum at the same time, so its like my brain is broken inside because its all blurry, and confusing thinking of two things at the same time.' age 10 • 'I went from being a child to an adult overnight, so when I was in the classroom I couldn‟t accept people telling me what to do because I was an adult in myself, so that would make me kick off when I was spoke down to.' - age 16 Stars National Initiative – Children‟s Voices 2010
- 6. An 8 week intervention working with whole families where there is parental substance misuse
- 7. The Aim To promote and support the health and well being of children/young people and adults in the context of their whole family • • • • Give children a voice and raise self esteem Reduce harm and increase safety Increase understanding and coping with addiction Improve communication and reduced conflict
- 8. How we deliver M-PACT • Children • Aged 8-17 • Adults (parents, carers) • Using and non-using • Capable of meaningful engagement • Whole family approach • Not all family members will choose to attend Different families at the same time Work with adults and children together and separately
- 9. How we deliver M-PACT The programme structure Four+ facilitators Individual family assessment 8 weekly gatherings of 2.5 hours Post-programme individual family review • Aftercare - pathways to additional support and employment • Continuum of support • Reunion • • • • Structured sessions • Flexible to respond to service users
- 10. Outcomes • • • • Health problems – Intergenerational substance misuse problems – Access to treatment – Increased understanding of substance misuse Journey to stable futures – Improved family environments – Children removed from ‘at risk register’ – Improved School attendance – Improved educational attainment Positive and honest communication Greater understanding and appreciation of each other • • • • Professional/Service related – Professional Development – Adult and children services working together – Adult drug and alcohol treatment services working together – Gateway to statutory services Social Problems – Broke negative patterns of behaviour – Informal networks of support – Promoted self esteem and resilience – Diversion from offending – Peer mentoring Identified strategies for coping Enjoyed quality time as a family
- 11. “I didn‟t think that an eight week programme could help me and my daughter...By the third session on MPACT, things had really started to change, we started to learn, we became open to listening to each other, we built our relationship...I got so much from M-PACT” – Leila*
- 12. Place2Be
- 13. Place2Be • Place2Be is the leading UK provider of schoolbased mental health support, unlocking children's potential in the classroom - and beyond. • Place2Be provides emotional and therapeutic services in primary and secondary schools, building children's resilience through talking, creative work and play. We currently reach 75,000 children, helping them to cope with wide-ranging and often complex social issues including bullying, bereavement, domestic violence, family breakdown, neglect and trauma.
- 14. The Partnership The M-PACT Plus programme, funded by The Royal Foundation and Comic Relief. The groundbreaking initiative, which will transform families‟ lives is being piloted in four areas of England over two years: Manchester and Salford; the North East (Durham, Sunderland and Northumberland); London; and Essex.
- 15. How? • Action on Addiction‟s expertise in the field + • Place2Be‟s experience in schools
- 16. • Groups take place in school/community • Referrals via Schools • Children and parents/carers offered on-going support via our existing Place2Be services • Training for school and Place2Be staff in „Hidden Harm‟
- 18. Thank you To view the M-PACT promotional film http://www.actiononaddiction.org.uk/Family-Support/M-Pact-(UK)-Project.aspx
Notas do Editor
- So who are we. Action on Addiction – merged charity. Sites in Liverpool, London, Bournemouth and Wiltshire. These comprise of structured day programmes, secondary stage women only treatment, residential treatment, professional training and family support. Families Plus – established in 1998, was set up to respond directly to the needs of those affected by someone else’s substance misuse. Our services are not dependant on where the substance misuser is in their own journey, and we work with people all across the UK.
- One of our practitioners is part funded by Children in Need and we were winner of the 2012 local Health improvement awards. M-PACT was also runner up in two categories of the Children Young People Now Awards 2012 and runner up in the London Safeguarding Children Awards
- . To support children and young people whose parent(s) misuse (or have misused) drugs and/or alcohol To raise parents’ awareness about the impact that their misuse has on the whole family To offer the opportunity for change that is unlikely without external help To reduce the negative impact of substance misuse on children and young people and the family as a whole To interrupt repeating patterns of harmful behaviour and reduce risks To increase the range of coping strategies and to raise self-esteem To improve communication within the family To strengthen protective and resilience factors To provide education around substance misuse To explore values and beliefs that families carry both as individuals and as a family unit To identify additional needs of both parents, children and young people and guide them towards further help
- I’ll now take some time to talk in a bit more detail about key aspects of the programme that were not covered in the Video and I am hpapy to take questions throughout. Age of children – ‘we’ have worked with younger children and are keen to develop M-PACT to work with younger children across the UK, as young as 5, but further pilot work needs to be undertaken by our team before we market the prog as suitable for that age group. The adults – anyone who has parental responsibility or who plays a significant part in that childs life at the time of attendance. Grandparents, aunts/uncles. In one programme that has just started the parent and grandparents have attended as the children really wanted the grandparents there with them. We try to be inclusive as possible and ultimately work with who we can. Whole family approach –Chaotic. Children attending separately either from the start/during. Still gain from the experience, meeting other children/young people, adults Groups tend to max at about25 individuals, but this will very much depend on the families, but could be if 2:2 32 individuals.
- Every family is assessed as a family unit, the opportunity for them to find out about the programme and if not known to you, then you to find out about them and whether M-PACT is suitable and what the family need in terms of support. It mirrors that of the programme, two facilitators, time spent as a whole family and then children/adults split up so that both can discuss any areas in more detail. Sessions are structured< but flexible to respond to the needs of those in attendancesessions look at communication, families, making sense of addiction, keeping safe. During the sessions practitioners: - warm, non judgemental attitude to help build the necessary trust and working alliance toengage families. The acceptance of families/individuals at whatever ‘stage of readiness’ is vital. At the same time, practitionersshould aim to stimulate/provoke thought and to challenge unhelpful beliefs behaviours/myths around the self and addiction. Practitionersshould also model good boundaries and provide a robust containing environment where difficult emotions can be talked about and madesense of. At times their role can also be described as that of a coach: they assist families to set achievable goals, provide new information/learning, increase motivation and the confidence necessary to meet goals. Individuals should not be viewed in isolation and without reference to their family context.A systemic perspective offers a broader picture of how individuals interact within the family and how certain roles are created andmaintained. The group as agent for change.Families affected by addiction experience social isolation due to a sense of shame and stigma. The programme may be the first opportunity where they share openly with other families who are experiencing similar situations. They are united by common experiences; this brings a huge sense of relief and reduces their isolation. Often hearing from another child how it impacts on their life, it hits home to the parent. Instillation of hope and building an attitude of ‘can do’: families are the experts and have the solutions.Practitioners hold the belief that, given the right environment,timely interventions, relevant information and opportunities for mutual support,every individual/group has the capacity to grow and change. Practitioners trust the clients’ ability/capacity to find their own creativesolutions to problems. The programme provides a safe stage for families to develop more confidence in their resilience and a widerrepertoire of roles to play. A “client centred” attitude, collaborative approach and respectfor the family members at all times.Although the programme is structured and covers certain themes, it is essential to respond to the emerging needs of the clients from session to session and to adapt to these accordinglyIntegration of ‘thinking, feelings and behaviour’Children and adults who live with substance misuse can learn to cope with ongoing distressing situations by ‘switching off’. Often their abilityto think becomes totally absorbed by addiction, resulting in confusion, self blame and low self esteem. Thinking, feelings and behaviourcan become compartmentalized, adding to the sense of the family’s disintegration and isolation. The programme aims to promote the integration of thoughts, beliefs, feelings and an exploration of resulting behaviour. Or summary – Be flexible and responsive to identified needs (initially at assessment and throughout the sessions) Provide a safe, structured experience and good boundaries by modelling a containing environment. (Children and young peopleliving with addiction often grow up in an unsafe environment which lacks boundaries and containment) Understand the families and individuals within them, in terms of“attachment”, emotional development and how addiction has impacted and continues to impact on this process Provide a different view of the situation and promote positive change Create a safe, secure base from which children, young people and parents can begin to explore their experiences and grow as a familyAftercare – further additional support, not going to solve all in 8 weeks non- addiction services i.e. Swimming