1. An Interagency Model of Service Delivery- Getting It right for Children affected by parental substance misuse

2. The basis for the approach Current research indicates that intervention requires:  A clear evidence base  Early and proportionate intervention  Promotion and strengthening of the role of universal services  Accessible services  Strong multi-agency working  Intensive support to families when they need it.  Appropriate and meaningful information sharing across agencies.

3. Parental Substance Misuse – A growing problem Perth and Kinross – a proportionate and integrated approach:  Children Affected by Parental Substance Misuse (CAPSM) Group  Barnardo’s Hopscotch  Change is a Must (CIAM)

4. Co-ordinating the approach in response to risk and need Universal Services Children and Young People Affected By Parental Substance Misuse CYPs needs being met by their families, communities & universal services Children at risk of serious harm, needing specialised and acute intervention Coping Not Coping CAPSM Group CIAM Barnardo’s Hopscotch Identifying Children at an early stage, ensuring each has a named worker Providing confidential counselling, befriending, individual and group work across the spectrum of need and risk Providing parenting capacity assessments and intensive support for children at significant risk of harm

5. Children Affected by Parental Substance Misuse Group The CAPSM group was set up with a specific remit:  To help inform planning and integrated service delivery  To identify children at need or at risk as a consequence of parental substance misuse whilst promoting and strengthening the role of universal services.  To share information across agencies  To ensure children have a named worker to ensure that their needs are being met.  To make appropriate onward referrals.

6. 1-1 work with child or young person Therapeutic groupwork Befriending Confidential Counselling – Young People can self refer by text or email. Barnardo’s Hopscotch Provides direct support to children and young people 5-18 years affected by parental substance misuse as part of an inter-agency approach to the whole family, offering:

7. Outcomes Our indicators demonstrate: Improved Mental Health and Wellbeing Reduced impact of parental substance misuse on children Increased ability to report safety concerns Improved links with reliable and supportive role models Development through new experiences and interests Views and opinions acted upon

8. Change is a Must (CIAM)  Provide intensive support and assessment of families- - affected by parental substance misuse - with children from pre-birth to 8 years/ at significant risk of harm  Offers intensive Individualised, flexible programmes which are focused on: -The Child -Parental recovery -Family interaction -Improving Health for parents and children -An Adult Attachment approach -Safeguarding children Overall aims are to:  Evaluate and cascade learning of best practice  Improve methods and time-scales for decision making CIAM is a 2 year pilot project with Children’s, Health and Drug and Alcohol services brought together in a multi-agency team to

9. Outcomes  Swift decision-making  Improved Health Outcomes for all children  Improved Educational Outcomes  Improved parental/carer availability  Improved health and reduced substance use  Positive Recovery journeys. An Action Research Model is incorporated into the work and a specific Msc research project was undertaken which for 9 Families,10 Children, 2 unborn babies,15 parents demonstrated:

10. Alcohol and Drugs Partnership Community Health Partnership Early Years Strategies GOPR GIRFEC Universal Services Health Education Hopscotch Children in Need Children with complex needs Change is a Must Adult Drug & Alcohol Services Enhanced Health Visiting Service Focused Education Provision – eg Nurture Groups Children and Families Social Work Community Link Workers CHILD

11. Transferability and Sustainability Policy & Planning Service Design Monitoring & Evaluation Service User Involvement Reporting Framework Performance Management

12. Contact Details Laura Falconer, Children’s Services Manager, Barnardos Hopscotch Tel: 01738 472270 Email: Laura.Falconer@barnardos.org.uk Julie Baker, Senior Practitioner, Change is a Must Tel: 01738 472260 Email: JBaker@pkc.gov.uk