Eclypse - lifeline project

Safeguarding and family interventions

Janine Day – Service ManagerAmy Wilson – Family Team Senior practitioner

Outline Lifeline - Eclypse model of working to

safeguarding children affected by parental substance misuse

Overview of the services strategic representation

Our Approach and practice in working with children and families affected by parental substance misuse

Partnerships developed along the way

Emerging outcomes

Manchester Safeguarding Children Board (MSCB) Sub

groupsMSCB ExecutiveMSCB Executive

Policy & Procedure

Sub-Group

Policy & Procedure

Sub-Group

Communication

Subgroup

Communication

Subgroup

Workforce development

Sub-Group

Workforce development

Sub-Group

Child Death Overview

Panel

Child Death Overview

Panel

6 District Safeguarding practice Fora

6 District Safeguarding practice Fora

Safeguarding Practice

Improvement Group

Safeguarding Practice

Improvement Group

Child Death and Critical

Incident Panel

Child Death and Critical

Incident Panel

Multi agency training poolMulti agency training pool

Lifeline Eclypse.... Eclypse is Lifeline Manchester’s Drug & alcohol

service for children, young people and families.

The Family team (2 year pilot) provides specialist interventions with children and families affected by parental substance use.

Eclypse Treatment team provides specialist interventions to children and young people who use substances.

Specialist posts within the service include:- Family therapist, Mental health, Specialist drug trainer & practitioner

Eclypse Service

FAMILY SERVICE

One to one support for parents and children

Strengthening Families programme

Family focus Sessions

Therapeutic interventions

Group work

Family activities

Community events

TREATMENT TEAM

Eclypse Treatment team provides specialist interventions to children and young people who use substances.

Individual care planned interventions

Specialist posts within the service include:- Family therapist, Mental health, Specialist drug trainer & practitioner

Safeguarding families in practice

Assessment process

Referral: Appointment offered within 7 days

3 Way consultation: Information sharing

Assessment

Risk review

Care Plan

12 week review of treatment cycle

Exit plans

Outcome monitoring (PILOT)

What are we assessing for within a strengths based model

Parallel assessment’s from the child and the parent and professionals known to the family

The impact of substance use on the family

• Risk and protective factors for the individual and the family and how these impact on family functioning

• Parenting capacity and the families perception

• Relationships, support network, parent child attachment

• Social, emotional and physical functioning

Embedding safeguarding

Effective partnership working

Empower families to safeguard each other and themselves

Parenting skills

Challenging family members

Promoting and increasing protective factors

Escalation SG concerns

Attachment Cycle

Child Experiences need or discomfortChild Experiences need or discomfort

Child Relaxes trust develops

Child Relaxes trust develops

Adult responds, soothes, makes eye contact, satisfies need

Adult responds, soothes, makes eye contact, satisfies need

Secure attachmentSecure attachmentSecure attachmentSecure attachment Protests, signals for help

Protests, signals for help

Attachment Cycle

Child gives up, no trust, rage develops

Child gives up, no trust, rage develops

Parent does not respond or responds with anger or resentment

Parent does not respond or responds with anger or resentment

Child protests even loader

Child protests even loader

Parent does not respond or responds inconsistently

Parent does not respond or responds inconsistently

Protest signals for help or cries

Protest signals for help or criesDisturbed

attachment cycleDisturbed

attachment cycle

Child experiences need or discomfort

Child experiences need or discomfort

Starting to think about changeRealisation of negative effectsAmbivalent

Starting to think about changeRealisation of negative effectsAmbivalent

Not wanting to changeDefensiveChaotic Substance useRisk BehavioursIsolation from family/friends

Not wanting to changeDefensiveChaotic Substance useRisk BehavioursIsolation from family/friends

Accessing supportPlanning and executing changeAccessing detox/rehab or treatment

Accessing supportPlanning and executing changeAccessing detox/rehab or treatment

Maintaining the changePotential changes to environmentRelapse prevention work

Maintaining the changePotential changes to environmentRelapse prevention work

Lapse may involve a ‘one off’ use or full relapse into previous levels of substance use and risk taking behaviours.Higher potential for overdose

Lapse may involve a ‘one off’ use or full relapse into previous levels of substance use and risk taking behaviours.Higher potential for overdose

Projecting fantasy onto childrenPromises Some denialLack of confidence

Projecting fantasy onto childrenPromises Some denialLack of confidence

DenialPotential for neglect/abuse of child and Domestic AbusePoor or inappropriate supervisionClosing doorsUnable to maintain any routines for childrenPoor cleanliness

DenialPotential for neglect/abuse of child and Domestic AbusePoor or inappropriate supervisionClosing doorsUnable to maintain any routines for childrenPoor cleanliness

Making future plansMood swingsRole change-starting to parentSetting boundariesPotential away from family if attending residential treatment

Making future plansMood swingsRole change-starting to parentSetting boundariesPotential away from family if attending residential treatment

Not talking about issues for fear of relapseScaredMaintenance of routines and boundaries within the homePotential to return to employment or educationPaying more attention

Not talking about issues for fear of relapseScaredMaintenance of routines and boundaries within the homePotential to return to employment or educationPaying more attention

Dip in parenting capacityPotential return to chaotic substance useGuiltBlaming children or other for lapse

Dip in parenting capacityPotential return to chaotic substance useGuiltBlaming children or other for lapse

Child seeking answersLonely/isolatedDenialYoung carers and developed self care skillsAnger/resentment/frustration

Excited but anxious about changesHopeNot believing in change

Rebellious in light of new boundariesClingy due to poor attachment Having to speak to multiple professionalsWary of changes and fear of disappointment

Enjoy time with parentWary of other substance using adultsSmile more and appear relaxedInsecurePotential to be placed back with parent at this stage-feel loss for previous carers (may be grandparents etc)Different routines

Anger and hatredDisappointmentBroken promisesChild unaware of cycle and lapse-feels world has collapsed and nothing will changeBack to beginningFear

We offer an open door service into a system of joined up support at every point of entry

Partnership working

• Child in Need

• Sure start centers

• Education

• Family Intervention support service (FIP)

• School nurses

• Child social care

• Adult treatment services

• Specialist midwifery – specialist nursing partnership

Emerging Outcomes

Improved health – Sexual health screening, contraception, BBV screening and vaccinations

Improved engagement and retention with other services

Reduction in substance use

Increase in parents employment status

Improved attendance at school

Relapsing parents seeking support to safeguard their children

Thank you

Questions & Answers

Amy@eclypse-yps.org.uk

Janine@eclypse-yps.org.uk

Resources

Useful information & resources

www.exchangesupplies.org.uk

www.alcoholconcern.org.uk

Alcoholandfamilies.org.uk/briefings/13.7.pdf