Children's Needs â Parenting Capacity - Digital Education Resource ...
Children's Needs â Parenting Capacity - Digital Education Resource ... Children's Needs â Parenting Capacity - Digital Education Resource ...
Is concern justified? Problems of definition and prevalence 41qualitative study of alcohol use by second-generation ethnic minorities. The resultssuggest that some second-generation immigrants develop similar drink patterns tothe population at large, but Muslims, with some exceptions, are mainly abstinent.Research has shown a significant positive correlation between the prevalence ofproblem drug use and deprivation (Marmot Review 2010). Social class, however,is a controversial issue when considering its impact on problem drug use. In 1987a Nottinghamshire study compared the address of problem drug users with knownindicators of social deprivation in the postal code and found a high correlationbetween the two. Also, there was a clear correlation between the growth in ‘addictsnotified to the Home Office’ and indices of deprivation such as unemployment(Unell 1987). A correlation does not always mean a ‘cause and effect’ and by the1990s the situation had altered. The 1990s demonstrated both a significant growthin problem drug use and a reduction in unemployment and growing prosperity.What has become clear is that those suffering the most deprivation, such as thehomeless, are also at high risk of drug and alcohol misuse. In a survey of drugand alcohol problems among those provided with housing by a specialist housingassociation for the homeless in Nottingham, the rates of drug and alcohol problemswere very high by any standard (Morris et al. 2004).Although alcohol consumption may be increasing, access to services is moreproblematic. Orford and colleagues found that despite growing levels of alcohol useamong second-generation migrant populations, awareness and perceived accessibilityto sources of advice remain low (Orford et al. 2004).Prevalence of parents with a drink or drug problem:child protection studiesData from child protection studies show that, in general, the reported incidence ofparental alcohol and drug misuse increases with the level of social work intervention.For example, 20% of families referred to children’s social care services were foundto have a history of drug or alcohol problems (see for example Gibbons et al. 1995;NSPCC 1997b). Other more recent research suggests a lower figure, but this mayowe more to difficulties in identifying or recording the issue than in a real drop inincidence. Cleaver and Walker with Meadows’ (2004) scrutiny of 2,248 consecutivereferrals to children’s social care found, on re-analysing their data, parental alcoholor drug misuse had been recorded in only 5.8% of referrals, and of those which wentforward to an initial assessment, parental substance misuse was affecting families in11.6% of cases. But earlier research by the author which focused on suspected childabuse found social workers identified parental substance misuse in a quarter of cases(Cleaver and Freeman 1995). This rate reflected that found in cases where childrenwere the subject of a child protection conference (Thoburn et al. 1995; Farmer andOwen 1995). This figure may still be an underestimation as Brisby and colleagues(1997) found heavy drinking or intoxication was a factor in some 60% of cases atthe child protection conference stage.
42 Children’s Needs – Parenting CapacityThe figures also vary considerably at the point when children became the subjectof a child protection plan. The Advisory Council on the Misuse of Drugs (2003)found that, on average, parental problem drug and/or alcohol use featured in aquarter of these cases. Once again, other studies suggest the incidence may be muchgreater. Forrester’s sample of 50 families on the Child Protection Register in aninner London area identified parental substance misuse as a cause for concern in52% of families (Forrester 2000). Turning Point (2006) suggests that half the childprotection cases involved alcohol misuse by parents.Hunt and colleagues’ (1999) data suggest drugs and alcohol featured in 20%of cases where children were subject to care proceedings. Separating these issuesindicates that 23% of cases subject to care proceedings included allegations of drugmisuse and 20% alcohol misuse (Brophy et al. 2003). An intensive sample of seriouscase reviews identified that a third (33%) of children were living with a parent whohad past or current drug or alcohol problems (Brandon et al. 2009). In some casesalcohol or drug misuse was closely linked to the child’s death or serious injury. ‘Drugor alcohol misuse was noted as a factor in most cases where “overlaying” was a positivecause of death’ (Brandon et al. 2009).Problem drinking or drug misuse and the type of child abuseResearch which explores parents’ problem drinking and drug misuse indicates anassociation with particular types of child abuse. For example, parental abuse ofdrugs or alcohol, or both, is found in more than half of parents who neglect theirchildren (Dunn et al. 2002).A focus on parental problem drinking also shows an association with violencewithin the family and the physical abuse of children (Famularo et al. 1992; Velleman2001; Alcohol Concern 2010). A review by the Priory Group (2006) found 66%of children raised in alcoholic families reported physical abuse of which 26% hadalso experienced sexual abuse. But which parent is doing the drinking may alsobe relevant. Although alcohol was cited in 20% of cases when children reportedphysical abuse at the hands of their father, this was not the case when mothers drankexcessively. Maternal problem drinking was more frequently linked to child neglect.‘One third of calls reporting neglect include a parent abusing drugs or alcohol. This wasmost often the mother. Alcohol was mentioned in two or three of these cases’ (NSPCC1997b, p.35).Research which explores the association between parental problem drug misuseand child abuse suggests parental drug use is generally associated with neglect andemotional abuse (Velleman 2001). Parents who experience difficulty in organisingtheir own and their children’s lives are unable to meet children’s needs for safety andbasic care, are emotionally unavailable to them and have difficulties in controllingand disciplining their children (Hogan and Higgins 2001; Cleaver et al. 2007). Thechaotic lifestyle and tendency to allow other users into the home may also placechildren at risk of harm (Brophy 2006). Famularo and colleagues (1992) foundcocaine addiction to be associated with the sexual maltreatment of children althoughnot their physical maltreatment (see also Velleman 2004).
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42 Children’s <strong>Needs</strong> – <strong>Parenting</strong> <strong>Capacity</strong>The figures also vary considerably at the point when children became the subjectof a child protection plan. The Advisory Council on the Misuse of Drugs (2003)found that, on average, parental problem drug and/or alcohol use featured in aquarter of these cases. Once again, other studies suggest the incidence may be muchgreater. Forrester’s sample of 50 families on the Child Protection Register in aninner London area identified parental substance misuse as a cause for concern in52% of families (Forrester 2000). Turning Point (2006) suggests that half the childprotection cases involved alcohol misuse by parents.Hunt and colleagues’ (1999) data suggest drugs and alcohol featured in 20%of cases where children were subject to care proceedings. Separating these issuesindicates that 23% of cases subject to care proceedings included allegations of drugmisuse and 20% alcohol misuse (Brophy et al. 2003). An intensive sample of seriouscase reviews identified that a third (33%) of children were living with a parent whohad past or current drug or alcohol problems (Brandon et al. 2009). In some casesalcohol or drug misuse was closely linked to the child’s death or serious injury. ‘Drugor alcohol misuse was noted as a factor in most cases where “overlaying” was a positivecause of death’ (Brandon et al. 2009).Problem drinking or drug misuse and the type of child abuseResearch which explores parents’ problem drinking and drug misuse indicates anassociation with particular types of child abuse. For example, parental abuse ofdrugs or alcohol, or both, is found in more than half of parents who neglect theirchildren (Dunn et al. 2002).A focus on parental problem drinking also shows an association with violencewithin the family and the physical abuse of children (Famularo et al. 1992; Velleman2001; Alcohol Concern 2010). A review by the Priory Group (2006) found 66%of children raised in alcoholic families reported physical abuse of which 26% hadalso experienced sexual abuse. But which parent is doing the drinking may alsobe relevant. Although alcohol was cited in 20% of cases when children reportedphysical abuse at the hands of their father, this was not the case when mothers drankexcessively. Maternal problem drinking was more frequently linked to child neglect.‘One third of calls reporting neglect include a parent abusing drugs or alcohol. This wasmost often the mother. Alcohol was mentioned in two or three of these cases’ (NSPCC1997b, p.35).Research which explores the association between parental problem drug misuseand child abuse suggests parental drug use is generally associated with neglect andemotional abuse (Velleman 2001). Parents who experience difficulty in organisingtheir own and their children’s lives are unable to meet children’s needs for safety andbasic care, are emotionally unavailable to them and have difficulties in controllingand disciplining their children (Hogan and Higgins 2001; Cleaver et al. 2007). Thechaotic lifestyle and tendency to allow other users into the home may also placechildren at risk of harm (Brophy 2006). Famularo and colleagues (1992) foundcocaine addiction to be associated with the sexual maltreatment of children althoughnot their physical maltreatment (see also Velleman 2004).