Eclypse - lifeline project

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Eclypse - lifeline project

• Safeguarding and family interventions

Janine Day Service Manager Amy Wilson Family
Team Senior practitioner
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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

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Manchester Safeguarding Children Board (MSCB) Sub
groups
MSCB Executive
Workforce development Sub-Group
Safeguarding Practice Improvement Group
Child Death and Critical Incident Panel
Policy Procedure Sub-Group
Communication Subgroup
Child Death Overview Panel
6 District Safeguarding practice Fora
Multi agency training pool
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Lifeline Eclypse....

• Eclypse is Lifeline Manchesters 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

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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

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• Safeguarding families in practice

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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)

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What are we assessing for within a strengths
based model

• Parallel assessments 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

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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

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Attachment Cycle
Child Experiences need or discomfort
Secure attachment
Child Relaxes trust develops
Protests, signals for help
Adult responds, soothes, makes eye contact,
satisfies need
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Attachment Cycle
Child experiences need or discomfort
Child gives up, no trust, rage develops
Protest signals for help or cries
Disturbed attachment cycle
Parent does not respond or responds with anger or
resentment
Parent does not respond or responds inconsistently
Child protests even loader
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Not wanting to change Defensive Chaotic Substance
use Risk Behaviours Isolation from family/friends
Lapse may involve a one off use or full relapse
into previous levels of substance use and risk
taking behaviours. Higher potential for overdose
Denial Potential for neglect/abuse of child and
Domestic Abuse Poor or inappropriate
supervision Closing doors Unable to maintain any
routines for children Poor cleanliness
Dip in parenting capacity Potential return to
chaotic substance use Guilt Blaming children or
other for lapse
Child seeking answers Lonely/isolated Denial Young
carers and developed self care
skills Anger/resentment/frustration
Anger and hatred Disappointment Broken
promises Child unaware of cycle and lapse-feels
world has collapsed and nothing will change Back
to beginning Fear
Starting to think about change Realisation of
negative effects Ambivalent
Projecting fantasy onto children Promises Some
denial Lack of confidence
Maintaining the change Potential changes to
environment Relapse prevention work
Excited but anxious about changes Hope Not
believing in change
Accessing support Planning and executing
change Accessing detox/rehab or treatment
Not talking about issues for fear of
relapse Scared Maintenance of routines and
boundaries within the home Potential to return to
employment or education Paying more attention
Making future plans Mood swings Role
change-starting to parent Setting
boundaries Potential away from family if
attending residential treatment
Enjoy time with parent Wary of other substance
using adults Smile more and appear
relaxed Insecure Potential to be placed back
with parent at this stage-feel loss for previous
carers (may be grandparents etc) Different
routines
Rebellious in light of new boundaries Clingy due
to poor attachment Having to speak to multiple
professionals Wary of changes and fear of
disappointment
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Lifelines services in Manchester
We offer an open door service into a system of
joined up support at every point of entry

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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

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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

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Thank you

• Questions Answers
• Amy_at_eclypse-yps.org.uk
• Janine_at_eclypse-yps.org.uk

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Resources

• Useful information resources
• www.exchangesupplies.org.uk
• www.alcoholconcern.org.uk
• Alcoholandfamilies.org.uk/briefings/13.7.pdf