family inclusive practice - atdcatdc.org.au › wp-content › uploads › 2011 › 02 ›...
TRANSCRIPT
![Page 1: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/1.jpg)
Tasmania 21st-25th February
Sian Kennedy
Family Inclusive PracticeAn Introduction
![Page 2: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/2.jpg)
Overview of Session
✤ Introductions
✤ Who are Family Drug Support? & why am I here?
✤ Why include families?
✤ Practice tips & service models
✤ A case study
✤ References, useful resources & acknowledgements
![Page 3: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/3.jpg)
Family Drug Support
✤ MISSION STATEMENT
✤ To assist families throughout Australia to deal with drug issues in a way that strengthens relationships and achieves positive outcomes
✤ PHILOSOPHY
✤ Our energies are given in primarily supporting families struggling as a result of drug use. We aim to assist in any way possible to
empower families to cope with the realisation of their situation and survive intact
![Page 4: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/4.jpg)
✤ CEO - Tony Trimingham AOM
✤ Established in 1997
✤ Largely peer-based with some professional staff
✤ 24/7 support line: 1300 368 186
✤ Support meetings held in NSW, QLD, ACT & VIC
✤ Stepping Stones to Success course for families
Bridging the Divide
![Page 5: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/5.jpg)
Me? Bridging the Divide
✤ BTD funded by Department of Health & Ageing (DoHA)
✤ Increasing treatment opportunities and resources for families affected by AOD issues
✤ Providing resources for workers within the AOD Sector
✤ Increase capacity of AOD treatment services to respond to the needs of families
![Page 6: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/6.jpg)
What is family?
![Page 7: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/7.jpg)
![Page 8: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/8.jpg)
‘Family’ may be defined broadly as ‘a perceived network of individual people who may provide to you -or rely on your -care and support, and who may or may not be biologically related.
Family members may include and not be limited to: parents, children, partners, siblings, aunts, uncles, grandparents, family friends, neighbours or other community members.
Certain family members, or aspects of their care, may not be experienced as supportive, and may in fact be harmful to wellbeing. Research however emphasises the role of social connection
and family connection in the health and wellbeing of individuals therefore it is important for services charged with the mission of supporting health and wellbeing, to ensure suitable emphasis on supporting people to identify and strengthen supportive family and social
connections.
![Page 9: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/9.jpg)
What are the barriers to family
inclusive practice in your work?
![Page 10: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/10.jpg)
What are the advantages of
including family in the treatment
of clients?
![Page 11: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/11.jpg)
Family in AOD context
![Page 12: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/12.jpg)
“Evidence exists that family support is a key element in successful treatment outcomes”
Orford J. (1994) Empowering family and friends: a new approach to the secondary prevention of addiction. Drug Alcohol Review 1994; (13)
![Page 13: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/13.jpg)
why does it matter?
✤ Assists to encourage clients into treatment & helps keep them there
✤ Improves substance & mental health related outcomes
✤ Improves family functioning
✤ Reduces substance use and/0r mental health lapse/relapse
✤ Leads to reduction in harm
✤ Best practice
✤ Family members have an impact whether they are present or not
✤ Harm reduction extends beyond the immediate client
![Page 14: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/14.jpg)
Impacts of AOD use within families
✤ Increased stress for all parties
✤ Loss, guilt, shame, grief
✤ Relationship breakdown
✤ Blurring of roles & boundaries
✤ Focus entirely on substance user
✤ Social isolation
✤ Interrupted child development
✤ Blame, stigma
![Page 15: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/15.jpg)
QuickTime™ and a decompressor
are needed to see this picture.
![Page 16: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/16.jpg)
Practice tips for AOD workers
![Page 17: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/17.jpg)
![Page 18: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/18.jpg)
![Page 19: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/19.jpg)
In the same way we tailor our treatment approach according to the stage of the client, so too we are mindful of meeting the family where they are at
![Page 20: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/20.jpg)
![Page 21: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/21.jpg)
![Page 22: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/22.jpg)
✤ Being realistic about the nature of drug use
✤ Emphasis on strength, courage & resilience
✤ Focus on family system & self care
✤ Family as important to drug user
✤ Families are experts about their family member
✤ No right or wrong: families make the best decisions
they can with the resources they have
![Page 23: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/23.jpg)
Including families
✤ Intake/Assessment
✤ Process: confidentiality, navigating treatment system
✤ Family in the room
![Page 24: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/24.jpg)
![Page 25: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/25.jpg)
✤ continued
![Page 26: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/26.jpg)
![Page 27: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/27.jpg)
![Page 28: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/28.jpg)
![Page 29: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/29.jpg)
service integration
✤ Family Sensitive – considers family as a broad concept
✤ Family Centred – the family is the focus of the work
✤ Family Inclusive – focussing on the individual and incorporating the family, both directly and indirectly
✤ Copello, Velleman & Templeton, 2005
✤ Kina Family Trust, 2005
![Page 30: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/30.jpg)
![Page 31: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/31.jpg)
The family inclusive spectrum for organisations
✤ Integrated Practice
✤ Shared Care
✤ Referral to AOD Family Program
✤ Primary Consultation
✤ Secondary Consultation
✤ Socratic Questions
✤ Genograms
✤ Information about service options
✤ Recognition
✤ Awareness & Openness
![Page 32: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/32.jpg)
Feelings, Fears, Frustrations
✤ All families experience problems at times
✤ Regardless of what the issue is, these 3 Fs will emerge
✤ Having these reactions is normal
![Page 33: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/33.jpg)
Normal Feelings
✤ Anger
✤ Sadness
✤ Worry
✤ Anxiety
✤ Blame
✤ Guilt
✤ Shame
![Page 34: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/34.jpg)
Normal Fears
✤ They’ll never get better
✤ Will my family cope?
✤ What if it’s my/our fault?
✤ What if I’m not around
✤ They’re going to die
![Page 35: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/35.jpg)
Normal Frustrations
✤ Why won’t they just stop?
✤ Why won’t they change?
✤ They’re not trying
✤ Why is this happening?
![Page 36: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/36.jpg)
![Page 37: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/37.jpg)
![Page 38: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/38.jpg)
As well as focusing on
strengthening other relationships
within the family
![Page 39: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/39.jpg)
Some other thoughts
✤ Boundaries
✤ ‘I’ & ‘You’ statements
✤ Active Listening
✤ Understanding Ambivalence
✤ Negotiation
✤ Individual vs Family safety
✤ Responsible for vs responsible to
![Page 40: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/40.jpg)
Case Study...& some discussion
![Page 41: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/41.jpg)
![Page 42: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/42.jpg)
In a perfect world...?
![Page 43: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/43.jpg)
Acknowledgements
✤ Network of Alcohol & other Drugs Agencies (NADA)
✤ Eastern Drug & Alcohol Service - in particular Janice Florent & Carolyn Lee-Smith from the Family Focus Project
✤ Family Alcohol & Drug Network (FADNET)
![Page 44: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/44.jpg)
References✤ Clausen. M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs Services in the EMR, Springboard Social Planning
✤ Copello, A. & Orford, J. (2002) ‘Addiction in the family: Is it time for services to take notice of the evidence?’ Addiction, 97, 1361-1363
✤ Copello, A., Orford, J., Velleman, R., Templeton, L. & Krishnan, M. (2002) ‘Methods for reducing alcohol & drug related family harm in non-specialist settings’, Journal of Mental Health 9(3), 329-343
✤ Copello, A., Velleman, R. & Templeton, L. (2005) ‘Family interventions in the treatment of alcohol & drug problems’, Drug & Alcohol Review, 24:4, 369-385
✤ Department of Human Services, (2006), Parenting Support Tool Kit for Alcohol & Other Drug Workers’, Victorian Government Publishing Services
✤ Eastern Drug & Alcohol Service, (2010) The Family Focus Toolkit’, EDAS Family Focus Project
✤ Family Drug Support, (2010), Stepping Stones to Success Course’ FDS Bridging the Divide Project
✤ Mottaghipour, Y. & Bickerton, A. (2005), The Pyramid of Family Care: A framework for family involvement with adult mental health services, Australian e-journal for the Advancement of Mental Health, Vol 4:3, pp1-8
✤ Scott, D. (2009) Think Child, Think Family, Family Matters 2009, No. 81 pp. 38, Australian Institute of Family Studies
✤ Smith, G. & Velleman, R. (2007) ‘Family intervention for co-existing mental health & drug & alcohol problems’, in A. Baker & R. Velleman (eds) Clinical Handbook of Co-existing Mental Health & Drug & Alcohol Problems (Ch 5), London: Routledge
✤ Trifonoff, A., Duraisingham, V., Roche, A.M., & Pidd, K. (2010) Taking First Steps. What Family Sensitive Practice Means for Alcohol & Other Drug Workers: A Survey Report. Adelaide: National Centre for Education & Training on Addiction, Flinders University, Adelaide
![Page 45: Family Inclusive Practice - ATDCatdc.org.au › wp-content › uploads › 2011 › 02 › Family-Inclusive...M. (2009) Audit of Family Inclusive Practice in Alcohol & Other Drugs](https://reader035.vdocuments.net/reader035/viewer/2022081406/5f0dd1557e708231d43c3c4a/html5/thumbnails/45.jpg)
Useful links
✤ www.strongbonds.jss.org.au
✤ www.crcnsw.org.au
✤ www.siblingsupport.com.au
✤ www.edas.org.au/family_resources
✤ www.copmi.net.au
✤ www.eddiegallagher.id.au/