"eprintid","rev_number","eprint_status","userid","importid","source","dir","datestamp","lastmod","status_changed","type","succeeds","commentary","metadata_visibility","contact_email","latitude","longitude","relation_type","relation_uri","item_issues_id","item_issues_type","item_issues_description","item_issues_timestamp","item_issues_status","item_issues_reported_by","item_issues_resolved_by","item_issues_comment","item_issues_count","sword_depositor","sword_slug","creators_name.family","creators_name.given","creators_name.lineage","creators_name.honourific","creators_id","browse_creators","contributors_type","contributors_name.family","contributors_name.given","contributors_name.lineage","contributors_name.honourific","contributors_id","corp_creators","title","ispublished","subjects","divisions","full_text_status","research_status","monograph_type","pres_type","keywords","research_method_note","note","suggestions","abstract","date","date_type","series","browse_by","rel_username_id","rel_username","rel_userid","username_browse_by","publication","volume","numeric_volume","number","publisher","place_of_pub","pagerange","pages","event_title","event_location","event_dates","event_type","id_number","patent_applicant","institution","department","thesis_type","refereed","publication_type","intervention_type","drug_type","isbn","issn","nsid","table_name","edition","item_source","date_start","date_end","organisations_organisation","organisations_role","accession_number","accession_comment","accession_status","copyright_holder","copyright_permission","copyright_granted","copyright_renewal","copyright_fee","toc_html","body_html","call_number","date_received","date_ordered","season_month","issue_title","book_title","editors_name.family","editors_name.given","editors_name.lineage","editors_name.honourific","editors_id","official_url","related_url_url","related_url_type","referencetext","funders","projects","output_media","exhibitors_name.family","exhibitors_name.given","exhibitors_name.lineage","exhibitors_name.honourific","exhibitors_id","num_pieces","composition_type","producers_name.family","producers_name.given","producers_name.lineage","producers_name.honourific","producers_id","conductors_name.family","conductors_name.given","conductors_name.lineage","conductors_name.honourific","conductors_id","lyricists_name.family","lyricists_name.given","lyricists_name.lineage","lyricists_name.honourific","lyricists_id","accompaniment","data_type","pedagogic_type","completion_time","task_purpose","skill_areas","copyright_holders","learning_level","research_dissemination","research_quantitative","research_qualitative","request_form","visible_until","doc_order_by","jv_volume","jv_pub","vol_subject_list","vol_subject_list_words","vol_subject_list_geo_words","vol_subject_list_words_last","vol_subject_list_geo_words_last","ace_words","sticky","home_hide"
"27794","16","archive","5",,,"disk0/00/02/77/94","2017-08-28 10:25:58","2017-08-28 10:25:58","2017-08-28 10:25:58","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Adfam","When parents take drugs.","pub","LG14-10","","public",,,,,,,,"This booklet is intended for use by anyone talking with young people about a parent or carer’s drug or alcohol use, to help them understand and come to terms with their situation. Professionals – such as teachers, youth workers and health workers – who may come into contact with young people who they know, or suspect, are affected by the drug and/ or alcohol use of one, or both, of their parents may find it particularly useful. It is intended to be a tool by which a young person can be encouraged to discuss their life and their feelings and be reassured that there are people who can help with their situation. It should not be seen as an assessment tool - nor as a substitute for professional intervention – but as a source of support for the young person. Each page contains scenarios or prompts to help direct the young person to think about some of the issues they are facing, whilst the boxes across the bottom contain information and suggestions to help the adult reader facilitate the discussion.

Section 1 – For adults
•	How to use this booklet
•	What are drugs
•	Effects on young people
•	What a young person might be going through
•	Assessing the risks
•	What the law says
•	The United Nations Convention on the
•	Rights of the Child
•	Resources

Section 2 – for 4-10 year olds
•	All about drugs
•	I feel...
•	What’s going on?
•	I feel better
•	Mum and dad
•	My life
•	My future

Section 3 – for 11-15 year olds
•	All about drugs
•	I feel ****!
•	What’s going on?
•	Feeling better
•	What mum and dad might be going through
•	My life
•	My future","2017-08",,,"Adfam",,"","",,,,,,"Adfam","London",,"23 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","alcohol",,,,,,"Adfam",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG14-10 , LG14-10-2 , LG18-12-2-6 , LG18-2 , TT2 , TT8-2 , TW2-10-4 , TW2-8 , VH4-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of grandparent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of grandparent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Drug or health care worker --  Social worker --  Child of drugs and alcohol user --  Parent","Europe  -  United Kingdom","Adfam Adfam","0","yes"
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27794",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779","16","archive","5",,,"disk0/00/02/77/79","2017-08-22 07:55:38","2017-09-08 08:21:14","2017-08-22 07:55:38","article",,,"show",,,,"","","","","","","","","","",,,,"Lange","Shannon","","","","Lange:Shannon::","",,,,,"","","Global prevalence of fetal alcohol spectrum disorder among children and youth: a systematic review and meta-analysis.","pub","AD12-6","","none",,,,,,,,"Question:  What is the prevalence of fetal alcohol spectrum disorder among children and youth in the general population?

Findings:  In this meta-analysis of 24 unique studies and 1416 unique children and youth with fetal alcohol spectrum disorder, approximately 8 of 1000 in the general population had fetal alcohol spectrum disorder, and 1 of every 13 pregnant women who consumed alcohol during pregnancy delivered a child with fetal alcohol spectrum disorder. The prevalence of fetal alcohol spectrum disorder was found to be notably higher among special populations. South Africa was estimated to have the highest prevalence of FASD at 111.1 per 1000 population (95% CI, 71.1-158.4 per 1000 population), followed by Croatia at 53.3 per 1000 population (95% CI, 30.9-81.2 per 1000 population) and Ireland at 47.5 per 1000 population (95% CI, 28.0-73.6 per 1000 population).

Meaning:  The prevalence of fetal alcohol spectrum disorder among children and youth in the general population exceeds 1% in 76 countries, which underscores the need for universal prevention initiatives targeting maternal alcohol consumption, screening protocols, and improved access to diagnostic services, especially in special populations.","2017-08","published",,"Lange Shannon",,"","",,"JAMA Pediatrics","Early online",,,,,,,,,,,"doi:10.1001/jamapediatrics.2017.1919",,,,,"TRUE","","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://jamanetwork.com/journals/jamapediatrics/fullarticle/2649225","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","Early online","JAMA Pediatrics","AD12-6 , AM , BB , ED4-12 , GJ , GJ2-16-2-4-6 , TA12 , TW2-10-4 , VA2 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Alcohol -- E Concepts in biomedical areas > Pregnancy -- G Health and disease > Disorder by cause > Developmental disorder -- G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- T Demographic characteristics > Child -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > International aspects -- VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Drugs and alcohol effects and consequences --  Alcohol --  Pregnancy --  Disorder by cause  -  Developmental disorder --  Disorder by cause  -  Developmental disorder  -  Foetal (fetal) alcohol syndrome --  Child --  Child of drugs and alcohol user","International aspects --  Europe  -  Ireland","Lange Shannon , Probst Charlotte , Gmel Gerrit","0","no"
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Probst","Charlotte","","",,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gmel","Gerrit","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ2-16-2-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27779",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362","25","archive","5",,,"disk0/00/02/73/62","2017-05-30 07:18:31","2017-05-30 07:18:31","2017-05-30 07:18:31","monograph",,,"show",,,,"","","","","","","","","","",,,,"Shannon","Geoffrey","","","","Shannon:Geoffrey::","",,,,,"","","Audit of the exercise by An Garda Síochána of the provisions of Section 12 of the Child Care Act 1991.","pub","LC2-4","","public",,"government_publication",,,,,,"In this audit, the Garda respondents’ accounts of contemporary policing in Ireland highlights the increasingly diverse and demanding roles expected of members of An Garda Síochána, of which child protection is now firmly a part.

Chapter 1: Introduction p.1 
Chapter 2: The system p.14 
Chapter 3: Review and analysis of pulse p.37 
3.7 Grounds upon which section 12 was invoked p.61 
3.7.1 Suspicion or concern that child is being abused or neglected p.63 
3.7.2 Concern for child welfare (public safety) p.65 
3.7.3 Suspected emotional abuse p.66 
3.7.4 Suspected neglect p.66 
3.7.5 Suspected physical abuse p.68 
3.7.6 Suspected sexual abuse p.69
3.7.7 Child a danger to self/others p.70 
3.7.8 Child under influence of drugs/alcohol p.71 
3.7.9 Domestic violence p.71 
3.7.10 Mental health issues within child p.72 
3.7.11 Mental health issues within parent(s) p.73 
3.7.12 Active substance abuse within parents leading to abuse or neglect p.75 
3.7.13 Other p.79 
3.7.14 No known reason for invocation of section 12 p.82

Chapter 4: Questionnaires reviewed p.112
Chapter 5: Interviews and focus groups reviewed p.154
Chapter 6: General discussion, conclusions and recommendations p.241","2017-05",,,"Shannon Geoffrey",,"","",,,,,,"An Garda Siochana","Dublin",,"346 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LC2-4 , LG14-10-2 , LG18-12 , LG18-12-2 , LG18-12-4 , LG18-2 , MM , MM26 , MM6-6 , MO4-6-2 , MV , TA12 , TA14 , TW2-10-4 , VH4-2","L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- MM-MO Crime and law > Crime and violence -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)  -- MM-MO Crime and law > Criminality > Youth (juvenile) offending -- MM-MO Crime and law > Justice system > Law enforcement agency > Police (Garda) -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Interpersonal interaction and group dynamics  -  Social support --  Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Crime and violence --  Crime and violence  -  Crime against persons (assault / abuse / intimidation)  --  Criminality  -  Youth (juvenile) offending --  Justice system  -  Law enforcement agency  -  Police (Garda) --  Social services --  Child --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user","Europe  -  Ireland","Shannon Geoffrey","0","no"
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27362",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620","11","archive","1684",,,"disk0/00/02/76/20","2017-07-19 14:11:36","2017-07-19 14:11:36","2017-07-19 14:11:36","article",,,"show",,,,"","","","","","","","","","",,,,"Laslett","Anne-Marie","","","","Laslett:Anne-Marie::","",,,,,"","","A multi-country study of harms to children because of others' drinking.","pub","AA2-4","","none",,,,,,,,"OBJECTIVE
This study aims to ascertain and compare the prevalence and correlates of alcohol-related harms to children cross-nationally.

METHOD
National and regional sample surveys of randomly selected households included 7,848 carers (4,223 women) from eight countries (Australia, Chile, Ireland, Lao People's Democratic Republic [PDR], Nigeria, Sri Lanka, Thailand, and Vietnam). Country response rates ranged from 35% to 99%. Face-to-face or telephone surveys asking about harm from others' drinking to children ages 0-17 years were conducted, including four specific harms: that because of others' drinking in the past year children had been (a) physically hurt, (b) verbally abused, (c) exposed to domestic violence, or (d) left unsupervised.

RESULTS
The prevalence of alcohol-related harms to children varied from a low of 4% in Lao PDR to 14% in Vietnam. Alcohol-related harms to children were reported by a substantial minority of families in most countries, with only Lao PDR and Nigeria reporting significantly lower levels of harm. Alcohol-related harms to children were dispersed sociodemographically and were concentrated in families with heavy drinkers.

CONCLUSIONS
Family-level drinking patterns were consistently identified as correlates of harm to children because of others' drinking, whereas sociodemographic factors showed few obvious correlations.","2017-03","published",,"Laslett Anne-Marie",,"","",,"Journal of Studies on Alcohol and Drugs","78","2","2",,,"195-202",,,,,,,,,,,"TRUE","","","",,"1938-4114",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.jsad.com/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_in_all_cases",,"1","78","Journal of Studies on Alcohol and Drugs","AA2-4 , GC16 , LG , TW2-10-4 , VA2 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- L Social psychology and related concepts > Marital relations > Family and kinship -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > International aspects -- VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Drugs and alcohol disorder  -  Alcohol use --  Marital relations  -  Family and kinship --  Child of drugs and alcohol user","International aspects --  Europe  -  Ireland","Laslett Anne-Marie , Rankin Georgia , Waleewong Orratai , Callinan Sarah , Hoang Hanh T M , Florenzano Ramon , Hettige Siri , Obot Isidore , Siengsounthone Latsamy , Ibanga Akanidomo , Hope Ann , Landberg Jonas , Vu Hanh T M , Thamarangsi Thaksaphon , Rek","0","yes"
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Rankin","Georgia","","",,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Waleewong","Orratai","","",,,,,,,,,,,,"LG",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Callinan","Sarah","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hoang","Hanh T M","","",,,,,,,,,,,,"VA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Florenzano","Ramon","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hettige","Siri","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Obot","Isidore","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Siengsounthone","Latsamy","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ibanga","Akanidomo","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hope","Ann","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Landberg","Jonas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Vu","Hanh T M","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Thamarangsi","Thaksaphon","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Rekve","Dag","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27620",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Room","Robin","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27113","17","archive","5",,,"disk0/00/02/71/13","2017-04-04 07:38:15","2017-04-04 07:40:04","2017-04-04 07:38:15","guideline",,,"show",,,,"","","","","","","","","","",,,,"Pryce","Robert","","","","Pryce:Robert::","",,,,,"","","Estimates of alcohol dependence in England, including estimates of children living in a household with an adult with alcohol dependence. Prevalence, trends, and amenability to treatment.","pub","AA2","","public",,,,,,,,"Estimates include:
• national and local authority estimates of the number of alcohol dependent adults in need of specialist assessment and treatment
• the number of alcohol dependent adults who have children living in the household at a national level
• the number of children living in a household with an adult with alcohol dependence  at a national level","2017-03",,,"Pryce Robert",,"","",,,,,,"Public Health England","London",,"63 p.",,,,,,,,,,,"report","aod_disorder","alcohol",,,,,,,,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Supplementary tables with local authority data on alcohol dependence are available <a href=""http://www.nta.nhs.uk/uploads/alcohol-estimates-supplementary-tables.xls"" target=""_self"">here</a>.</p>",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AA2 , BB , GC16-6 , JP10 , LG2-6 , TW2-10-4 , TW2-8 , VH4-4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use -- B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent","VA Geographic area > Europe > United Kingdom > England","Prevalence of drugs and alcohol use --  Alcohol --  Drugs and alcohol disorder  -  Alcohol use  -  Alcohol dependence --  Treatment and maintenance  -  treatment factors --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child of drugs and alcohol user --  Parent","Europe  -  United Kingdom  -  England","Pryce Robert , Buykx Penny , Gray Laura , Stone Tony , Drummond Colin , Brennan Alan","0","yes"
"27113",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Buykx","Penny","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27113",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gray","Laura","","",,,,,,,,,,,,"GC16-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27113",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Stone","Tony","","",,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27113",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Drummond","Colin","","",,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27113",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brennan","Alan","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27113",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27113",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927","16","archive","5",,,"disk0/00/02/69/27","2017-03-01 09:30:29","2017-03-01 09:30:29","2017-03-01 09:30:29","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","","Collaborative care proceedings help keep London families together.","pub","AH18","","public",,,,,,,,"Five-year follow-up of London families finds better outcomes among those in the Family Drug and Alcohol Court than ordinary care proceedings.

Key points from summary and commentary
•	A five-year follow-up of a London Family Drug and Alcohol Court for women with substance use problems and their children.
•	This alternative approach to ordinary care proceedings produced better outcomes relating to substance use, family reunification, and family stability.
•	Parents viewed the process as fair, respectful, and empowering, which contrasted with ordinary proceedings where parents felt they had no voice and did not understand the process.","2017-02-27",,,"Drug and Alcohol Findings",,"","",,"Drug and Alcohol Findings Bulletin","27 February 2017",,,"Drug and Alcohol Findings","London",,,,,,,,,,,,,"","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Drug and Alcohol Findings",,,"","","","","","","","","","",,,,,,,,,,,,,"","http://findings.org.uk/PHP/dl.php?file=Harwin_J_5.txt&s=eb","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","27 February 2017","Drug and Alcohol Findings Bulletin","AH18 , HZ26 , LG14-10 , MO4 , MO4-8-6-2 , MV14 , T10-4 , TW2-10-4 , VH4-4","A Drugs and alcohol use, abuse, and dependence > Natural history of drugs and alcohol use > Drugs and alcohol recovery -- HJ Treatment method > Treatment outcome -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- MM-MO Crime and law > Justice system -- MM-MO Crime and law > Justice system > Court system > Drug court -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- T Demographic characteristics > Woman (women / female) -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Natural history of drugs and alcohol use  -  Drugs and alcohol recovery --  Treatment outcome --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Justice system --  Justice system  -  Court system  -  Drug court --  Social services  -  Services for family and children --  Woman (women / female) --  Child of drugs and alcohol user","Europe  -  United Kingdom",,"0","yes"
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4-8-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26927",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26705","14","archive","5",,,"disk0/00/02/67/05","2017-02-02 14:25:50","2017-02-02 14:25:50","2017-02-02 14:25:50","article",,,"show",,,,"","","","","","","","","","",,,,"Dillon","Lucy","","","","Dillon:Lucy::","",,,,,"","","Young people’s views of substance use and parenting.","pub","FR16-6-4-2","","public",,,,,,,,,"2017-01",,,"Dillon Lucy",,"","",,"Drugnet Ireland","Issue 60, Winter 2017",,,"Health Research Board",,"13",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"<p style=""margin: 1em 0px;"">The findings of a qualitative study that sets out to explore young people’s perceptions of the mechanisms by which family processes protect or place youth at risk of substance use have been published. McLaughlin <i>et al.</i>’s1 work was carried out with a view to informing family-based interventions preventing drug use. They held nine focus groups with a total sample of 62 participants aged between 13 and 17 years of age. Participants were post-primary school pupils from across Northern Ireland. While schools were selected from areas with a range of multiple deprivation measure rankings, data were not collected on individual pupil’s socioeconomic status or personal experience of substance misuse. Therefore, the findings were based on hypothetical situations rather than participants’ personal experiences. This limitation was explicitly acknowledged by the authors. Nonetheless, the findings included some useful insights that can be used to inform intervention development. </p>
<p style=""margin: 1em 0px;"">The authors identified three main themes in their analysis of young people’s views of how family processes can protect or increase the risk of engaging in drug use: parent‒child attachment; parenting style; and, parent and sibling substance use. In their discussion, McLaughlin <i>et al</i>. identified a number of messages for parenting interventions. These include:</p>
<ul>
<li style=""color: #000000;"">Parenting programmes should emphasise ways to support positive attachments between parent and child. Programmes could educate parents on the importance of spending ‘quality time’ with their children and support them in improving their skills for communicating with their children.</li>
<li style=""color: #000000;"">They should teach authoritative parenting styles and parental monitoring, ensuring participants have the skills to implement these at home.</li>
<li style=""color: #000000;"">They should provide parents with the skills necessary to deal with the discovery or disclosure of substance use. These skills should include understanding effective discipline methods and dealing with any conflicts that might arise.</li>
<li style=""color: #000000;"">They should generally take account of gender differences and the role they might play in parents’ ways of communicating with young people and dealing with any substance use that may occur. The authors identified a particular need to work with fathers.</li>
<li style=""color: #000000;"">They should educate parents about the effects of parental substance use on their children, while also targeting young people whose parents were substance users with a school-based programme. (Perceptions of the effects of parental substance use on their children were divided; in some cases, it was perceived to have a protective effect, while in others it increased the risk of use.)</li>
</ul>
<p style=""margin: 1em 0px;"">The authors concluded that parenting programmes have a role to play in supporting families to develop the skills necessary to protect their young people from harm associated with substance use. </p>
<p style=""margin: 1em 0px;"">1              McLaughlin A, Campbell A and McColgan M (2016) Adolescent substance use in the context of the family: a qualitative study of young people’s views on parent‒child attachments, parenting style and parental substance use.<i> Substance Use &amp; Misuse</i>, (51) 14: 1846‒1855. <a href=""/26088/"" target=""_blank"">http://www.drugsandalcohol.ie/26088/</a></p>",,,,,"Issue 60, Winter 2017",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 60, Winter 2017","Drugnet Ireland","FR16-6-4-2 , LG18-12-2 , LG18-2 , TA12 , TA14 , TW2-10-4 , TW2-8 , VH4-2","F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol > Attitude toward drugs and alcohol addict or user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent","VA Geographic area > Europe > Ireland","Attitude and behaviour  -  Attitude toward drugs and alcohol  -  Attitude toward drugs and alcohol addict or user --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user --  Parent","Europe  -  Ireland","Dillon Lucy","0","yes"
"26705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500","19","archive","5",,,"disk0/00/02/75/00","2017-07-04 07:47:38","2017-07-04 07:47:38","2017-07-04 07:47:38","guideline",,,"show",,,,"","","","","","","","","","",,,,"Aynsley","Agnes","","","","Aynsley:Agnes::","",,,,,"","Addaction","Childhood adversity, substance misuse and young people’s mental health.","pub","FS38-6-2","","public",,,,,,,,"Substance misuse is just one form of risk-taking behaviour, and can be a sign that young people are dealing with adversity, trauma, and/or experimenting with their identities. Adverse Childhood Experiences (ACEs) are events that have a traumatic and lasting effect on the mental health of young people.

Children who experience four or more adversities, are twice as likely to binge drink, and eleven times more likely to go on to use crack cocaine or heroin","2017",,,"Aynsley Agnes",,"","",,,,,,"Addaction","London",,"16 p.",,,,,,,,,,,"report","aod_disorder","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"FS38-6-2 , GA2-4 , JA6-6 , LC2-4 , LG18-2 , TA12 , TA14 , TW2-10-4 , VH4-4-2","F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour -- G Health and disease > State of health > Mental health -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom > England","Specific attitude and behaviour  -  risk-taking behaviour --  State of health  -  Mental health --  Risk and protective factors  -  risk factors --  Interpersonal interaction and group dynamics  -  Social support --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user","Europe  -  United Kingdom  -  England","Aynsley Agnes , Bradley Rick , Buchanan Linssay , Burrows Naomi , Bush Marc , Addaction Addaction , Youngminds Youngminds","0","yes"
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bradley","Rick","","",,,,,,,,,"Youngminds",,,"GA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention","cannabis",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Buchanan","Linssay","","",,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction","cocaine",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Burrows","Naomi","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention","opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bush","Marc","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27500",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25731","14","archive","1684",,,"disk0/00/02/57/31","2016-06-24 14:44:26","2017-03-09 12:41:05","2016-06-24 14:44:26","article",,,"show",,,,"","","","","","","","","","",,,,"Comiskey","Catherine","","","","Comiskey:Catherine::","",,,,,"","","Parents who use drugs: the well-being of parent and child dyads among people receiving harm reduction interventions for opiate use.","pub","BL","","none",,,,,,,,,"2017","published",,"Comiskey Catherine",,"","",,"Journal of Substance Use","22","2","2","Informa healthcare",,"206-210",,,,,,,,,,,"TRUE","","","",,"ISSN 1465-9891 print/ISSN 1475-9942 online",,,,,,,"","","","","available","","","","","",,"<div class=""paragraph"">Background: This article provides baseline measurement of health outcomes for parent and child dyads among people receiving interventions for opiate use. </div>
<div class=""paragraph"">
<div class=""paragraph"">
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Method: A cohort study was implemented among 171 participants with 235 children in three urban sites in Ireland in 2010/11. Adult and child outcomes were measured using the Short Form 12, the Becks Depression and Anxiety Inventories, the Strength and Difficulties Questionnaire and the Kidscreen 27. </p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Results: Over 60% of adult participants grew up in a household with at least one person who used substances. The main substance used was alcohol followed by heroin. A correlation was found between increasing adult anxiety and growing up in a home with a person using substances . Children of current parents had more difficulties with emotional and conduct problems, as compared to international norms. Correlations existed between current parental depression and anxiety and child conduct disorder. </p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Conclusions: Parents who use drugs are part of the so-called “sandwich generation”. Monitoring and evaluation of interventions that address outcomes across generations of parental and child dyads are lacking.</p>
</div>
</div>",,,,,,,,,,,"",,"http://www.tandfonline.com/doi/full/10.1080/14659891.2016.1177616","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_in_all_cases",,"1","22","Journal of Substance Use","BL , JG , LG18-2 , TL4 , TW2-10-4 , VH4-2","B Drugs and alcohol substances > Opioids (opiates) -- J Health care, prevention and rehabilitation > Prevention approach -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Drug user -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Opioids (opiates) --  Prevention approach --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Drug user --  Child of drugs and alcohol user","Europe  -  Ireland","Comiskey Catherine , Milnes Jennie , Daly Maeve","0","no"
"25731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Milnes","Jennie","","",,,,,,,,,,,,"JG",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Daly","Maeve","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25731",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780","16","archive","5",,,"disk0/00/02/67/80","2017-02-10 08:44:41","2017-02-10 08:44:42","2017-02-10 08:44:41","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Mentor","Kinship care: children cared for by family and friends.","pub","LG14-10-2","","public",,,,,,,,"Across Scotland, thousands of grandparents, aunts and uncles, siblings and family friends look after children because their parents are unable to do so. They are known as ‘kinship carers’. If you are looking after a child in these circumstances, you are a kinship carer and this guide is for you.

Mentor produced the first ever Kinship Care Guide in 2009, and we are now onto our third edition. The new guide, produced in partnership with the Scottish Government, incorporates the recent legislative changes from the Children and Young People (Scotland) Act 2014. The guide has been produced with input from kinship carers and professionals and is a definitive guide to responsibilities, legal rights, financial rights and support for kinship carers in Scotland.","2017",,,"Mentor",,"","",,,,,,"Mentor","Edinburgh",,"140 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Mentor",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG14-10-2 , LG18-12 , LG18-12-2 , LG18-12-2-6 , LG18-2 , TA12 , TW2-10-4 , TW2-8 , VH4410","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of grandparent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent","VA Geographic area > Europe > United Kingdom > Scotland","Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of grandparent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Child of drugs and alcohol user --  Parent","Europe  -  United Kingdom  -  Scotland","Mentor Mentor","0","yes"
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26780",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27576","14","archive","5",,,"disk0/00/02/75/76","2017-07-13 11:38:44","2017-07-13 11:38:44","2017-07-13 11:38:44","monograph",,,"show",,,,"","","","","","","","","","",,,,"O'Farrell","IB","","","","O'Farrell:IB::","",,,,,"","","Perinatal mortality in Ireland. Annual report 2015.",,"ED4-12","","public",,"annual_report",,,,,,"‌Perinatal mortality refers to the death of babies in the weeks before or after birth. Perinatal mortality includes stillbirths (babies born with no signs of life after 24 weeks of pregnancy or weighing at least 500 grams) and the deaths of babies within 28 days of being born.  Perinatal mortality is an important indicator of the quality of obstetric and neonatal care.  Measurement of the outcome of care is central to the development of safe and high quality healthcare services.  In recent years, the National Perinatal Epidemiology Centre (NPEC) has worked with colleagues  in developing an in-depth clinical audit of perinatal mortality

Smoking and substance use - page 27","2017",,,"O'Farrell IB",,"","",,,,,,"National Perinatal Epidemiology Centre","Cork",,"88 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"ED4-12 , PB6-12-2 , T10-4-2 , TW2-10-4 , VH4-2","E Concepts in biomedical areas > Pregnancy -- P Demography, epidemiology, and history > Population dynamics > Drugs and alcohol related mortality / death -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Pregnancy --  Population dynamics  -  Drugs and alcohol related mortality / death --  Pregnant woman --  Child of drugs and alcohol user","Europe  -  Ireland","O'Farrell IB , Manning E , Corcoran P , McKernan J , Meaney S , Drummond L , de Foubert P , Greene RA","0","yes"
"27576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Manning","E","","",,,,,,,,,,,,"PB6-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corcoran","P","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McKernan","J","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Meaney","S","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Drummond","L","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"de Foubert","P","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27576",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Greene","RA","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26532","15","archive","5",,,"disk0/00/02/65/32","2016-12-16 09:58:51","2016-12-16 09:58:51","2016-12-16 09:58:51","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Local Government Association","Healthy futures:  supporting and promoting the health needs of looked after children.","pub","JG10-2-4","","public",,,,,,,,"Children can come into our care for a variety of reasons. It may be as a result of neglect or abuse or illness or death in the family. Whatever the reason, it can have a traumatic impact that can last for years. It may be apparent early, or not manifest itself until later – but it is the cause of a much higher rate of emotional and mental health needs than amongst children as a whole. Looked after children and young people also have higher rates of poor physical health, sometimes the consequence of the disruption in their lives. Unless properly identified and supported, these increased needs can contribute greatly to a range of worse outcomes than can persist well into adult life.

Through commissioning of public health services, local councils should ensure they have clear referral pathways into specialist substance misuse services for those young people who are assessed as requiring structured drug and alcohol interventions.","2016-12",,,"Local Government Association",,"","",,,,,,"Local Government Association","London",,"24 p.",,,,,,,,,,,"report","aod_prevention","alcohol_drugs_in_general",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JG10-2-4 , LC2-4 , LG18-12 , MV , TA12 , TT8-2 , TW2-10-4 , VH4-4","J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Prevention approach  -  Family-focused prevention --  Interpersonal interaction and group dynamics  -  Social support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Social services --  Child --  Social worker --  Child of drugs and alcohol user","Europe  -  United Kingdom","Local Government Association Local Government Association","0","yes"
"26532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26532",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27622","12","archive","5",,,"disk0/00/02/76/22","2017-07-19 14:53:45","2017-07-19 14:53:45","2017-07-19 14:53:45","guideline",,,"show",,,,"","","","","","","","","","",,,,"Meng","Xiangfei","","","","Meng:Xiangfei::","",,,,,"","","Gender moderates the relationship between childhood abuse and internalizing and substance use disorders later in life: a cross-sectional analysis.","pub","JA6-6","","none",,,,,,,,"BACKGROUND: Although some studies examined the moderating role of gender in the relationship between childhood maltreatment and mental disorders later in life, a number of them examined the effects of only one or two types of maltreatment on an individual mental disorder, for instance, depression, substance use. It is of considerable clinical and theoretical importance to have in-depth understanding what roles of different types of childhood abuse play out in a wide range of mental disorders among women and men using well accepted instruments measuring abuse and mental disorders. The present study aimed to examine this issue using a large nationally representative population sample to explore the gender effect of different types of childhood abuse in mental disorders, and assess the moderating role of gender in the abuse-mental disorder relationship.

METHODS: Using data from the Canadian Community Health Survey 2012: Mental Health we sought to answer this question. Respondents with information on childhood maltreatment prior to age 16 were selected (N = 23, 395).

RESULTS: We found: i) strong associations between childhood abuse frequency and gender; ii) significant differences between men and women in terms of mental disorders; iii) strong associations between childhood abuse and mental disorders; and, iv) gender moderated the role of childhood abuse history on adulthood mental disorders. Females with a history of sexual abuse and/or exposure to interpersonal violence were at a greater risk of alcohol abuse or dependence later in life.

CONCLUSIONS: Intervention should occur as early as possible, and should help female victims of childhood sexual abuse and/or exposure to interpersonal violence, and their families to build more constructive ways to effectively reduce the negative affects of these experiences. Recognition of the moderating role of gender on the relationship between childhood abuse history and mental disorders later in life may aid clinicians and researchers in providing optimal health services.","2016-11-15","published",,"Biomed Central",,"","",,"BMC Psychiatry","16","1","1","BioMed Central",,"401",,,,,,,,,,,,"","aod_use_harm_reduction","alcohol",,"1471-244X",,,,"Biomed Central",,,"","","","","","","","","","",,,,,,,,,,,,,"","https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5111209/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","16","BMC Psychiatry","JA6-6 , MM16-2-2 , MM26 , TA12 , TA14 , TE2 , TW2-10-4","J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- MM-MO Crime and law > Crime and violence > Drugs and alcohol related violence -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)  -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Gender differences -- T Demographic characteristics > Child of drugs and alcohol user",,"Risk and protective factors  -  risk factors --  Crime and violence  -  Drugs and alcohol related violence --  Crime and violence  -  Crime against persons (assault / abuse / intimidation)  --  Child --  Adolescent / youth (teenager / young person) --  Gender differences --  Child of drugs and alcohol user",,"Meng Xiangfei , D'Arcy Carl","0","yes"
"27622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"D'Arcy","Carl","","",,,,,,,,,,,,"MM16-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention","alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TE2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27622",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26235","12","archive","5",,,"disk0/00/02/62/35","2016-10-13 10:39:21","2016-10-13 10:39:21","2016-10-13 10:39:21","article",,,"show",,,,"","","","","","","","","","",,,,"Grehan","Martin","","","","Grehan:Martin::","",,,,,"","","Factors influencing reunification between NDTC service users and their children in care.","pub","LG18-12","","public",,,,,,,,,"2016-10",,,"Grehan Martin",,"","",,"Drugnet Ireland","Issue 59, Autumn 2016",,,"Health Research Board",,"14-15",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;"">Social workers from the National Drug Treatment Centre (NDTC) recently examined the issue of care admissions of children of parents attending the NDTC.1 They outline how it is well recognised internationally that misuse of drugs by parents can have detrimental effects on child welfare, including a higher risk to the child of addiction in later life.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Previous studies in the Irish context are limited in number, but a number of studies have shown a high proportion of children taken into care among cohorts of drug users and homeless individuals in Dublin. The Health Service Executive (HSE) reported in 2011 that the primary reason for admission to care of 12% of children was a family member with drug or alcohol misuse. The authors also note how other studies show that drug-using parents can be motivated to provide adequate care for their children, and highlight how a combination of other factors, such as poverty, homelessness, mental health issues, and lack of family and social supports contribute to children being admitted to care.</p>
<p style=""margin: 0cm 0cm 0pt;"">The authors note that a primary focus of social work is maintaining family unity. Where children are admitted into care, maximising the chances of reunification is key to addressing this issue. The study consisted of two parts. Firstly, the authors retrospectively analysed data on child admissions to care for service users of the NDTC for the period 2001–2010. The NDTC cares for an average of 550 problem opiate users. Variables recorded included whether or not the placement in care was within the extended parental family; admissions shortly after birth; and whether or not the children remained in care after one year.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Secondly, the authors asked the social work team at the NDTC to identify factors that they felt contributed to reunification within the first 12 months. Service users who had their children returned within 12 months were also asked to identify the factors that assisted reunification. This was done through providing participants with a list of seven factors chosen by the authors and allowing the participants to prioritise the factors from 1 to 7.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Arrangements where children were being cared for informally within the extended family were not recorded nor were reunifications after 12 months. The authors note that these kinds of reunifications were anecdotally accepted to be low in number. The authors also point out that reunification within 12 months is not a guarantee of future family stability, and that readmissions to care do occur.</p>
<p> Results</p>
<p style=""margin: 0cm 0cm 0pt;"">Over the period 2001–2010, 142 children of service users were admitted to care. Sixty-one (43%) admissions to care came under section 36 of the Child Care Act 1991. This Act allows for children to be placed in care with a relative or family friend, assuming some initial criteria have been met. This can be done voluntarily or by court order. Interestingly, the national figures from 2011 indicate 29% of admissions to care were under section 36. While noting the potentially positive benefits of children being cared for by family members or friends, the authors warn that evidence suggests issues with these scenarios include reluctance to allow social work involvement, low levels of support offered, and carers sharing a similar background to parents.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The authors report that 46 of the 142 children were admitted to care shortly after birth. They take into account some anecdotal factors that appear associated with these early admissions to care, including illicit drug use during the pregnancy, the child exhibiting withdrawal symptoms after birth, and chaotic behaviours of the service user (e.g. address changes, not meeting appointments, etc.). The authors note the harm of separation at this early point, and how it is important to maintain frequent appropriate access to enhance the chances of reunification.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Of the 142 children taken into care during the period, 120 had not been reunified with their parent(s) 12 months later. This means that only 21 children (14.7%) had been returned to the care of their parent(s) after 12 months. This is contrasted with 34% of children taken into care nationally in 2011 being reunified within 12 months.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The social work team at the NDTC identified progress in treatment as the main factor resulting in reunifications. Only six parents were interviewed for the study, with four identifying maintaining bond/contact with children in care as the main factor in their reunifications. A full list of factors is provided in Table 1.</p>
<p style=""margin: 0cm 0cm 0pt;""> <img src=""/fckeditor_UPLOADS/59_NDTC_Table1.jpg"" height=""401"" width=""377"" /></p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The authors note that specialist interventions in the US (independent recovery coaching) and the UK (court-appointed multidisciplinary team) have been shown to raise the rate of reunification in cases like these. In Ireland, Ashleigh House, part of Coolmine Therapeutic Community, is the only residential service in Ireland for women requiring treatment and their children. Women can either live with their children or have weekend access, or work towards access, depending on their circumstances.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The authors express the hope that interventions like these could improve reunification rates and help meet the key principle of family reunion. They also highlight the need for enhanced contact between parents and children in care, believing it could increase the rate of reunification.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;"">1 McGivern A and McDonnell C (2015) Vulnerable families and drug use: examining care admissions of children of parents attending an Irish drug treatment facility.<i> Irish Social Worker, </i>Spring: 17‒23. <a href=""/24712"" target=""_blank"">http://www.drugsandalcohol.ie/24712</a></p>",,,,,"Issue 59, Autumn 2016",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 59, Autumn 2016","Drugnet Ireland","LG18-12 , LG18-2 , TA12 , TA14 , TW2-10-4 , VH4-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user","Europe  -  Ireland","Grehan Martin","0","yes"
"26235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26235",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26332","12","archive","5",,,"disk0/00/02/63/32","2016-11-01 08:31:23","2016-11-01 08:31:23","2016-11-01 08:31:23","guideline",,,"show",,,,"","","","","","","","","","",,,,"McBride","Nyanda","","","","McBride:Nyanda::","",,,,,"","","Fathers and alcohol. Implications for preconception, pregnancy, infant and childhood health outcomes.","pub","AD12-6","","none",,,,,,,,"Alcohol consumption during preconception and pregnancy is generally considered to be the prospective mother’s responsibility, with many current international alcohol policy guidelines recommending the reduction or non-use of alcohol by pregnant women. However, research suggests that decisions about alcohol use can often be influenced by others, in particular the prospective father.","2016-10","published",,"McBride Nyanda",,"","",,"Drug and Alcohol Research Connections",,"October 2016","October 2016","NDARC, NDRI, NCETA","Sydney",,,,,,,,,,,,,"","aod_disorder","alcohol",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://connections.edu.au/researchfocus/fathers-and-alcohol-implications-preconception-pregnancy-infant-and-childhood-health","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Drug and Alcohol Research Connections","AD12-6 , AM , BB , ED4-12 , TW2-10-4 , TW2-8-10 , VK2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Alcohol -- E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Father","VA Geographic area > Australia and Oceania > Australia","Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Drugs and alcohol effects and consequences --  Alcohol --  Pregnancy --  Child of drugs and alcohol user --  Father","Australia and Oceania  -  Australia","McBride Nyanda , Johnson Sophia","0","yes"
"26332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Johnson","Sophia","","",,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26332",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25951","12","archive","1684",,,"disk0/00/02/59/51","2016-08-09 11:24:04","2016-11-02 09:54:15","2016-08-09 11:24:04","article",,,"show",,,,"","","","","","","","","","",,,,"Comiskey","Catherine M","","","","Comiskey:Catherine M::","",,,,,"","","Parenthood, child care, and heroin use: outcomes after three years.","pub","AA2-4","","none",,,,,,,,"BACKGROUND: Internationally there is a lack of measurement on the impact of childcare on people who use drugs.

OBJECTIVES: The aim of this article was to longitudinally measure drug use, familial and social status and criminal involvement between parents and nonparents who use heroin and have children in their care.

METHODS: From 2003 to 2006, 404 participants were recruited to the Research Outcome Study in Ireland Evaluating Drug Treatment Effectiveness (ROSIE) as part of a longitudinal cohort study design. Participants completed the Maudsley Addiction Profile and 88% (n = 356) completed interviews at the 3-year period. One way between groups ANOVA with post hoc tests and backward, stepwise multiple regression were employed for analysis.

RESULTS: At follow-up, parents who had children in their care used heroin (p = .004), illicit methadone (p ≤ .001) and cocaine (p = .024) on fewer days than those who had no children, or those who had children but did not have children in their care. These differences were not observed at intake. Living with someone at intake who used drugs was found to be significantly associated with increased heroin (p ≤ .001), benzodiazepine (p = .039), and tobacco (p = .030) use at 3 years. Furthermore, a change in childcare status to caring for a child was associated with increased cannabis use (p = .025). Conclusion/Importance: While caring for children was associated with reduced heroin use at 3 years, living with a person who used at intake removed this effect, thus indicating that while individual based addiction theories reflected observed outcomes, social network connectedness was more influential.","2016-08","published",,"Comiskey Catherine M",,"","",,"Substance Use & Misuse","51","12","12","Taylor & Francis",,"1600-1609",,,,,,,,,,,"TRUE","","","",,"1532-2491",,,,,,,"","","","","available","","","","","",,,,,,,,,,,,,"",,"http://www.tandfonline.com/loi/isum20#.V6m88Hn2ZeU","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_in_all_cases",,"1","51","Substance Use  Misuse","AA2-4 , BL2 , LG18-2 , TW2-10-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- B Drugs and alcohol substances > Opioids (opiates) > Heroin -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Opioids (opiates)  -  Heroin --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child of drugs and alcohol user","Europe  -  Ireland","Comiskey Catherine M , Hyland John , Hyland Pauline","0","no"
"25951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hyland","John","","",,,,,,,,,,,,"BL2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hyland","Pauline","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25951",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676","17","archive","5",,,"disk0/00/02/66/76","2017-01-17 12:53:20","2017-01-17 12:53:21","2017-01-17 12:53:20","article",,,"show",,,,"","","","","","","","","","",,,,"Kühn","Simone","","","","Kühn:Simone::","",,,,,"","","From mother to child: orbitofrontal cortex gyrification and changes of drinking behaviour during adolescence.","pub","AD12-6","","none",,,,,,,,"Adolescence is a common time for initiation of alcohol use and alcohol use disorders. Importantly, the neuro-anatomical foundation for later alcohol-related problems may already manifest pre-natally, particularly due to smoking and alcohol consumption during pregnancy. In this context, cortical gyrification is an interesting marker of neuronal development but has not been investigated as a risk factor for adolescent alcohol use. On magnetic resonance imaging scans of 595 14-year-old adolescents from the IMAGEN sample, we computed whole-brain mean curvature indices to predict change in alcohol-related problems over the following 2 years. Change of alcohol use-related problems was significantly predicted from mean curvature in left orbitofrontal cortex (OFC). Less gyrification of OFC was associated with an increase in alcohol use-related problems over the next 2 years. Moreover, lower gyrification in left OFC was related to pre-natal alcohol exposure, whereas maternal smoking during pregnancy had no effect. 

Current alcohol use-related problems of the biological mother had no effect on offsprings' OFC gyrification or drinking behaviour. The data support the idea that alcohol consumption during pregnancy mediates the development of neuro-anatomical phenotypes, which in turn constitute a risk factor for increasing problems due to alcohol consumption in a vulnerable stage of life. Maternal smoking during pregnancy or current maternal alcohol/nicotine consumption had no significant effect. The OFC mediates behaviours known to be disturbed in addiction, namely impulse control and reward processing. The results stress the importance of pre-natal alcohol exposure for later increases in alcohol use-related problems, mediated by structural brain characteristics.","2016-05","published",,"Kühn Simone",,"","",,"Addiction Biology","21","3","3","Wiley",,"700-8",,,,,,,,,,,"TRUE","","","",,"1369-1600",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://onlinelibrary.wiley.com/doi/10.1111/adb.12240/abstract;jsessionid=CF90A89D6B43AF6E3076E0BB9B670052.f03t01","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","21","Addiction Biology","AD12-6 , AM , BB , EA , ED4-12 , GJ , T10-4-2 , TA14 , TW2-10-4 , VH","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Alcohol -- E Concepts in biomedical areas > General life processes (physiology) -- E Concepts in biomedical areas > Pregnancy -- G Health and disease > Disorder by cause > Developmental disorder -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe","Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Drugs and alcohol effects and consequences --  Alcohol --  General life processes (physiology) --  Pregnancy --  Disorder by cause  -  Developmental disorder --  Pregnant woman --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user","Europe","Kühn Simone , Witt Charlotte , Banaschewski Tobias , Barbot Alexis , Barker Gareth J , Büchel Christian , Conrod Patricia J , Flor Herta , Garavan Hugh , Ittermann Bernd , Mann Karl , Martinot Jean-Luc , Paus Tomas , Rietschel Marcella , Smolka Michael N ","0","yes"
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Witt","Charlotte","","",,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Banaschewski","Tobias","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Barbot","Alexis","","",,,,,,,,,,,,"EA",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Barker","Gareth J","","",,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Büchel","Christian","","",,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Conrod","Patricia J","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Flor","Herta","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Garavan","Hugh","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ittermann","Bernd","","",,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mann","Karl","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Martinot","Jean-Luc","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Paus","Tomas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Rietschel","Marcella","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Smolka","Michael N","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ströhle","Andreas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brühl","Rüdiger","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Schumann","Gunter","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Heinz","Andreas","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26676",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gallinat","Jürgen","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25440","12","archive","5",,,"disk0/00/02/54/40","2016-04-27 09:20:33","2016-04-27 09:20:33","2016-04-27 09:20:33","guideline",,,"show",,,,"","","","","","","","","","",,,,"Gunn","JKL","","","","Gunn:JKL::","",,,,,"","","Prenatal exposure to cannabis and maternal and child health outcomes: a systematic review and meta-analysis.","pub","B6","","none",,,,,,,,,"2016-04",,,"BMJ Open",,"","",,"BMJ Open","6","e009986","e009986","BMJ Publishing",,,,,,,,"doi:10.1136/bmjopen-2015-009986",,,,,,"review","aod_disorder","cannabis",,"2044-6055",,,,"BMJ Open",,,"","","","","","","","","","",,"<p id=""p-2""><strong>Objective</strong> To assess the effects of use of cannabis during pregnancy on maternal and fetal outcomes.</p>
<div class=""subsection"" id=""sec-2"">
<p id=""p-3""><strong>Data sources</strong> 7 electronic databases were searched from inception to 1 April 2014. Studies that investigated the effects of use of cannabis during pregnancy on maternal and fetal outcomes were included.</p>
</div>
<div class=""subsection"" id=""sec-3"">
<p id=""p-4""><strong>Study selection</strong> Case–control studies, cross-sectional and cohort studies were included.</p>
</div>
<div class=""subsection"" id=""sec-4"">
<p id=""p-5""><strong>Data extraction and synthesis</strong> Data synthesis was undertaken via systematic review and meta-analysis of available evidence. All review stages were conducted independently by 2 reviewers.</p>
</div>
<div class=""subsection"" id=""sec-5"">
<p id=""p-6""><strong>Main outcomes and measures</strong> Maternal, fetal and neonatal outcomes up to 6 weeks postpartum after exposure to cannabis. Meta-analyses were conducted on variables that had 3 or more studies that measured an outcome in a consistent manner. Outcomes for which meta-analyses were conducted included: anaemia, birth weight, low birth weight, neonatal length, placement in the neonatal intensive care unit, gestational age, head circumference and preterm birth.</p>
</div>
<div class=""subsection"" id=""sec-6"">
<p id=""p-7""><strong>Results</strong> 24 studies were included in the review. Results of the meta-analysis demonstrated that women who used cannabis during pregnancy had an increase in the odds of anaemia (pooled OR (pOR)=1.36: 95% CI 1.10 to 1.69) compared with women who did not use cannabis during pregnancy. Infants exposed to cannabis in utero had a decrease in birth weight (low birth weight pOR=1.77: 95% CI 1.04 to 3.01; pooled mean difference (pMD) for birth weight=109.42 g: 38.72 to 180.12) compared with infants whose mothers did not use cannabis during pregnancy. Infants exposed to cannabis in utero were also more likely to need placement in the neonatal intensive care unit compared with infants whose mothers did not use cannabis during pregnancy (pOR=2.02: 1.27 to 3.21).</p>
</div>
<div class=""subsection"" id=""sec-7"">
<p id=""p-8""><strong>Conclusions and relevance</strong> Use of cannabis during pregnancy may increase adverse outcomes for women and their neonates. As use of cannabis gains social acceptance, pregnant women and their medical providers could benefit from health education on potential adverse effects of use of cannabis during pregnancy.</p>
</div>",,,,,,,,,,,"","http://bmjopen.bmj.com/content/6/4/e009986.short?rss%253D1","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","6","BMJ Open","B6 , ED4-12 , GJ , T10-4-2 , TW2-10-4 , TW2-8-8","B Drugs and alcohol substances > Cannabis / Marijuana -- E Concepts in biomedical areas > Pregnancy -- G Health and disease > Disorder by cause > Developmental disorder -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Mother",,"Cannabis / Marijuana --  Pregnancy --  Disorder by cause  -  Developmental disorder --  Pregnant woman --  Child of drugs and alcohol user --  Mother",,"Gunn JKL , Rosales CB , Center KE , Nunez A , Gibson SJ , Christ C , Ehiri JE","0","yes"
"25440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Rosales","CB","","",,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Center","KE","","",,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nunez","A","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gibson","SJ","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Christ","C","","",,,,,,,,,,,,"TW2-8-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25440",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ehiri","JE","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25146","11","archive","5",,,"disk0/00/02/51/46","2016-02-05 14:13:43","2016-03-03 10:30:23","2016-02-05 14:13:43","article",,,"show",,,,"","","","","","","","","","",,,,"Grehan","Martin","","","","Grehan:Martin::","",,,,,"","","Grandparents caring full-time for grandchildren owing to parental drug use.","pub","LG18-12","","public",,,,,,,,,"2016-01",,,"Grehan Martin",,"","",,"Drugnet Ireland","Issue 56, Winter 2016",,,"Health Research Board",,"17-18",,,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;"">No research had been done in Ireland on the issue of grandparents caring full-time for their grandchildren in situations where parents are substance abusers before the study described here was undertaken.1 Intending their research to be an initial contribution, the authors of this study sought to examine: </p>
<ul>
<li style=""color: black;"">How do grandparents assume the caring role for their grandchildren?</li>
<li style=""color: black;"">What do grandparents identify as the positive aspects of occupying this role, as well as its associated stresses and strains?</li>
<li style=""color: black;"">How satisfied or dissatisfied are grandparent carers with the support they receive from the child protection service and, to a lesser extent, from addiction treatment services? </li>
</ul>
<p style=""margin: 0cm 0cm 0pt;"">Participants were recruited through the National Family Support Network (NFSN), the national co-ordination body for a network of locally-based family support groups. To be included in the study the grandparents had to have been providing full-time care to grandchildren for at least 6 months, and to have taken on the caring role because of the parent’s drug use. Eleven participants (nine individuals, one couple) came forward, and 10 semi-structured interviews were conducted using a qualitative approach. After 10 interviews the authors decided that saturation point had been reached and any additional participants were unlikely to reveal new information. As the first author was an employee of NSFN, a number of robust measures were implemented to reduce bias, including involving a researcher who was not a NFSN employee.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The main themes and sub-themes that emerged from the interviews were: </p>
<ul>
<li style=""color: #000000;"">the decision to care</li>
<li style=""color: #000000;"">the challenges of being grandparent carers
<ul>
<ul>
<li style=""color: #000000;"">health and behavioural needs of grandchildren</li>
<li style=""color: #000000;"">financial difficulties</li>
<li style=""color: #000000;"">relationships with the family</li>
<li style=""color: #000000;"">physical and mental health problems</li>
</ul>
</ul>
</li>
<li style=""color: #000000;"">support from social and health services
<ul>
<li style=""color: #000000;"">the child protection system</li>
<li style=""color: #000000;"">addiction services</li>
<li style=""color: #000000;"">financial payments from statutory bodies.</li>
</ul>
</li>
</ul>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">This article will focus on two themes – the decision to care, and the grandparents’ experiences of interacting with addiction services.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Decision to care</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Most grandparents became carers because of a sense of responsibility, to keep their grandchildren out of non-relative foster care, or to ensure that the children received an adequate level of care that they were not receiving from their own parents.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt 36pt;""><i>The HSE…gave me a phone call one morning from </i>[sic] <i>work, and when I came home they had the two children in my sitting room with a carrier bag; and it was take them for three months or they were going into care….it was a shock.</i></p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Addiction services</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Participants in the study had mixed views on the addiction services they had encountered during their time as carers. Centralised treatment facilities and residential centres were viewed much more negatively than local addiction services. Some participants held the view that addiction services were unwelcoming to relatives, and that the services were reluctant to challenge their children regarding their negligence as parents. Some of the participants had funded several residential treatment stays for their child:</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 34.05pt 0pt 36pt;""><i>We paid for private rehab … you name it she has been in it. It must been 14 rehabs. One of them, we re-mortgaged our house for €10,000 and sent her to Liverpool. She walked out after a week.</i></p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">On a more positive note, family support services, which were normally located in community-based addiction services, were accessed by eight of the participants and were highly valued by those who accessed them. Grandparents learned about concepts of addiction for the first time, although this was often in an unstructured manner. ‘Enabling’ was the concept most mentioned by participants. Having learned about it, many grandparents began to refuse requests from their child for monetary or other forms of assistance. The authors noted that grandparents did not perceive the introduction of the concept of enabling as placing primary blame on them for their children’s drug use.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">A related theme to emerge from the study was the relationship between child protection services and addiction services. The authors noted in the introduction to the report that in Ireland there is an absence of integrated responses to addiction and child protection issues. This issue was highlighted by the participants, with specific complaints about the lack of expertise of child protection social workers in relation to addiction.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Conclusions</b></p>
<p style=""margin: 0cm 0cm 0pt;"">The authors concluded that the participants faced several hardships in their role as carers. These included mental health difficulties, refusal of support from statutory bodies, and difficulty accessing statutory payments and the associated financial difficulties. The authors suggested that many of these difficulties could be addressed without any further research. More cooperation between child protection and addiction services, including the capacity of non-specialist social service and health professionals to deal with addiction issues, could help alleviate the difficulties faced by grandparents. </p>
<p style=""margin: 0cm 0cm 0pt;""></p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">1 <a href=""/view/people/O=27Leary=3AMegan=3A=3A.html"" target=""_blank"">O'Leary M</a> and <a href=""/view/people/Butler=3AShane=3A=3A.html"" target=""_blank"">Butler S</a> (2015) Caring for grandchildren in kinship care: what difficulties face Irish grandparents with drug-dependent children? <i>Journal of Social Work Practice in the Addictions</i> (15): 352–372. <a href=""/24949/"" target=""_blank"">http://www.drugsandalcohol.ie/24949/</a></p>",,,,,"Issue 56, Winter 2016",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 56, Winter 2016","Drugnet Ireland","LG18-12 , LG18-12-2-6 , TW2-10-4 , VH4-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of grandparent -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of grandparent --  Child of drugs and alcohol user","Europe  -  Ireland","Grehan Martin","0","yes"
"25146",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25146",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25146",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218","19","archive","5",,,"disk0/00/02/52/18","2016-02-23 10:08:54","2016-02-23 11:46:10","2016-02-23 10:08:54","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Ireland. Department of Health","Creating a better future together. National Maternity Strategy 2016-2026.","pub","AA2","","public",,"government_publication",,,,,,,"2016-01",,,"Ireland. Department of Health",,"","",,,,,,"Department of Health","Dublin",,"133 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;""><b>(P.60) 3.7 ALCOHOL</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Evidence suggests that high levels of alcohol consumption during pregnancy are associated with miscarriage, low birth-weight and child developmental problems; however the evidence is inconclusive on the risks of light alcohol consumption. Foetal Alcohol Spectrum Disorder (FASD) is a term used to describe the full range of permanent birth defects caused by prenatal exposure to alcohol. FASD is difficult to diagnose as there are many features that need to be present along with a history of prenatal alcohol intake.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><i>Growing up in Ireland </i>has found that Irish women were significantly less likely to report drinking during pregnancy, but, if they did consume alcohol, they were likely to drink more heavily than their UK counterparts. As outlined in Chapter 2, almost 20% of women reported consuming at least one alcoholic drink during pregnancy. A HRB-funded <a href=""/20527/"" target=""_blank"">study </a>reported significantly higher rates, where 65-80% of women surveyed in the UK and Ireland drank at some point during their pregnancy. The study reported that 60% of participants drank during the first 3 months of pregnancy – 19% occasional alcohol consumption, 25% low alcohol consumption, 11% moderate alcohol consumption, and 5% heavy alcohol consumption.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">As evidenced in the <a href=""/23285/"" target=""_blank""><i>Growing Up in Ireland</i> study</a>, drinking patterns can continue into pregnancy, particularly in the early stages, where pregnancy is not known and/or pregnancy has not been planned. Abstinence from alcohol was less likely among older women with higher levels of education, social class and income; however their pattern of consumption tended to be more moderate than that of younger women with lower levels of income and education. Younger and less educated women were more likely to consume more alcohol earlier in the pregnancy, before reducing their consumption levels in the second and third trimesters. All non-Irish citizenship groups were found to have a lower probability of consuming alcohol than women with Irish citizenship. Only 3.7% of women stopped drinking alcohol during the course of their pregnancy. The health of the mother was also found to influence alcohol consumption. Issues such as stress and depression/anxiety increased the probability of alcohol consumption by 60% and 32% respectively. Conversely, experiencing persistent nausea and vomiting reduced the probability by 27%.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Women are generally asked about their alcohol intake at their first antenatal visit. They are advised to avoid alcohol during pregnancy as there is no safe minimal intake. Women identified as drinking to excess are referred to the social work department for support and advice, and where appropriate, are referred to their GP and other support services. The importance of early identification is essential as ongoing excessive alcohol may have implications for the safety and welfare of the baby and older children. The medical social worker has a key role in co-ordinating support and care for these women and in referring any child welfare and protection services to the <i>Child and Family Agency</i>.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">A <a href=""/20520/"" target=""_blank"">Pocket Guide <i>Alcohol and Pregnancy </i></a>is readily available throughout the health services. The guide is a result of collaboration between the HSE, the Public Health Agency in Northern Ireland and the Western and Southern Health and Social Care Trusts, with funding secured through the European Union’s INTERREG IVA programme by the cross border health services partnership, Co-operation and Working Together.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The Department of Health recommends that pregnant women abstain from drinking alcohol. It is intended to bring forward legislation to provide for health warning labelling on alcohol products in relation to consuming alcohol during pregnancy. This is welcomed by the Strategy. While it is recognised that efforts are being made to protect the health and wellbeing of both mothers and their babies from the harms of alcohol, the <i>National Women &amp; Infants Health Programme </i>should further develop a consistent approach to informing women about the risks of alcohol consumption during pregnancy. All maternity units should provide appropriate supports to women to help them reduce alcohol consumption. In addition maternity hospitals/units should facilitate increased awareness of FASD amongst healthcare professionals and strengthen their methods of detecting alcohol abuse and supporting women to reduce their intake.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><strong>(P.61) 3.8 DRUGS</strong></p>
<p style=""margin: 0cm 0cm 0pt;"">Limited information is available on the extent of drug misuse during pregnancy in Ireland. One <a href=""/23761/"" target=""_blank"">study </a>in the Coombe Women &amp; Infants University Hospital showed that 4% of women who registered for care, reported using drugs during pregnancy. Of the women who recorded use of drugs, the most common cited drug was methadone, which suggests previous engagement with available services in an attempt to cease the practice. The impact on the baby of the mother’s drug abuse prior to birth, is not always immediately apparent, and sometimes the full harm is not evident until later. The HSE identifies potential negative outcomes of misuse of drugs during pregnancy as increased stress and impulsiveness later in life (cannabis), heart defects and learning difficulties (cocaine) and withdrawal symptoms (opiates) (www.drugs.ie). Women who take drugs are at an increased risk of having babies with low birth weights. There is also risk for the baby associated with the use of infected needles.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Women with drug issues have been found to be a particularly vulnerable group due to a lack of engagement with the maternity services and a tendency to under report the level of their drug use. Extensive support from a medical social worker, both for the mother and for her baby, is necessary to ensure engagement with necessary maternity, neonatal, postnatal and social care services. Three Drug Liaison Midwives are employed by the HSE addiction service, each linked to one of the Dublin Maternity Hospitals. The National Women &amp; Infants Health Programme should examine the need to provide Drug Liaison Midwives and specialist medical social workers in all maternity networks.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The Drug Liaison Midwives provide a link between the maternity service and the drug treatment service. The role of the Drug Liaison Midwife is to case manage pregnant, drug dependent women, providing education and support during their pregnancy. Information is also provided on the possible effects of drug use in pregnancy - a booklet “<a href=""/16462/"" target=""_blank"">Substance Misuse in Pregnancy</a>” has been developed. In addition, women are supported to access priority drug treatment and admission to residential inpatient drug treatment centres. One mother and child residential treatment service is available in Dublin, provided by Coolmine Therapeutic Community.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">It is important that maternity services work in partnership with drug services and the Child and Family Agency to support parents with substance abuse issues and to identify potential ongoing harm for babies and older children. Involvement with maternity services provides an opportunity for women to reduce their drug dependence and improve their social circumstances.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The Department of Health is working on the development of a new National Drugs Strategy for the period post 2016. The intention over the coming months is to lay the groundwork for a concise and focused policy, placing a clear emphasis on the practical implementation of actions. An examination of the approach to drugs policy and practice in other jurisdictions will also help to identify any additional evidence-based approaches which might be considered in an Irish context.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""> </p>",,,,,,,,,,,"",,"http://health.gov.ie/blog/publications/national-maternity-strategy-creating-a-better-future-together-2016-2026/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AA2 , ED4-12 , GJ2-16-2-4-6 , JS , T10-4-2 , TA12 , TW2-10-4 , TW2-8-8 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use -- E Concepts in biomedical areas > Pregnancy -- G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Mother","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use --  Pregnancy --  Disorder by cause  -  Developmental disorder  -  Foetal (fetal) alcohol syndrome --  Health care delivery --  Pregnant woman --  Child --  Child of drugs and alcohol user --  Mother","Europe  -  Ireland","Ireland. Department of Health Ireland. Department of Health","0","no"
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ2-16-2-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25218",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26734","14","archive","1684",,,"disk0/00/02/67/34","2017-01-31 12:45:24","2017-01-31 12:45:24","2017-01-31 12:45:24","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Coombe Women and Infants University Hospital","Coombe Women and Infants University Hospital annual clinical report 2014.","pub","ED4-12","","public",,,,,,,,,"2016","published",,"Coombe Women and Infants University Hospital",,"","",,,,,,"Coombe Women and Infants University Hospital","Dublin",,"214 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>Addiction p. 78</p>
<ul>
<li>64 women linked with the DLM and attended the ancillary clinic in the CWIUH in 2014.</li>
<li>41 women delivered 41 live babies in the CWIUH who were linked with the DLM.</li>
<li>12% of babies born preterm (less than 37 weeks gestation)</li>
<li>20 babies were admitted to ICU/HDU/SCBU and of these 15 babies needed pharmacological treatment for Neonatal Abstinence Syndrome (NAS).</li>
<li>The mean stay in the baby unit was 29 days, ranging from 1 to 48 days. The mean length of stay in the baby unit for babies who received pharmacological treatment for NAS was 32 days, ranging from 18 to 48 days.</li>
</ul>
<p>As with previous years, the majority of women linked with the DLM were booked in early to the CWIUH, received adequate antenatal care and the majority of women had a positive neonatal outcome. While heroin continues to be the primary substance used, cocaine and benzodiazepines continue to be a problem. There were 6 women looking for treatment for opiate abuse during their pregnancy.</p>",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"ED4-12 , T10-4-2 , TW2-10-4 , TW2-8-8 , VH4-2-5","E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Mother","VA Geographic area > Europe > Ireland > Dublin","Pregnancy --  Pregnant woman --  Child of drugs and alcohol user --  Mother","Europe  -  Ireland  -  Dublin","Coombe Women and Infants University Hospital Coombe Women and Infants University Hospital","0","yes"
"26734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26734",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27575","15","archive","5",,,"disk0/00/02/75/75","2017-07-13 11:27:26","2017-07-13 11:27:26","2017-07-13 11:27:26","monograph",,,"show",,,,"","","","","","","","","","",,,,"Corcoran","P","","","","Corcoran:P::","",,,,,"","","Perinatal mortality in Ireland. Annual report 2014.","pub","ED4-12","","public",,"annual_report",,,,,,"‌Perinatal mortality refers to the death of babies in the weeks before or after birth. Perinatal mortality includes stillbirths (babies born with no signs of life after 24 weeks of pregnancy or weighing at least 500 grams) and the deaths of babies within 28 days of being born.  Perinatal mortality is an important indicator of the quality of obstetric and neonatal care.  Measurement of the outcome of care is central to the development of safe and high quality healthcare services.  In recent years, the National Perinatal Epidemiology Centre (NPEC) has worked with colleagues  in developing an in-depth clinical audit of perinatal mortality.

Smoking and substance use - page 29","2016","published",,"Corcoran P",,"","",,,,,,"National Perinatal Epidemiology Centre","Cork",,"86 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"ED4-12 , GJ , PB6-12-2 , T10-4-2 , TW2-10-4 , VH4-2","E Concepts in biomedical areas > Pregnancy -- G Health and disease > Disorder by cause > Developmental disorder -- P Demography, epidemiology, and history > Population dynamics > Drugs and alcohol related mortality / death -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Pregnancy --  Disorder by cause  -  Developmental disorder --  Population dynamics  -  Drugs and alcohol related mortality / death --  Pregnant woman --  Child of drugs and alcohol user","Europe  -  Ireland","Corcoran P , Manning E , O'Farrell IB , McKernan J , Meaney S , Drummond L , de Foubert P , Greene RA","0","yes"
"27575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Manning","E","","",,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Farrell","IB","","",,,,,,,,,,,,"PB6-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McKernan","J","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Meaney","S","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Drummond","L","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"de Foubert","P","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27575",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Greene","RA","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865","12","archive","5",,,"disk0/00/02/58/65","2016-07-26 11:03:45","2016-07-26 11:03:45","2016-07-26 11:03:45","article",,,"show",,,,"","","","","","","","","","",,,,"MacDonald","Kai","","","","MacDonald:Kai::","",,,,,"","","Minimization of childhood maltreatment is common and consequential: results from a large, multinational sample using the childhood trauma questionnaire.","pub","JA6-6","","none",,,,,,,,"Childhood maltreatment has diverse, lifelong impact on morbidity and mortality. The Childhood Trauma Questionnaire (CTQ) is one of the most commonly used scales to assess and quantify these experiences and their impact. Curiously, despite very widespread use of the CTQ, scores on its Minimization-Denial (MD) subscale-originally designed to assess a positive response bias-are rarely reported. Hence, little is known about this measure. If response biases are either common or consequential, current practices of ignoring the MD scale deserve revision. 

Therewith, we designed a study to investigate 3 aspects of minimization, as defined by the CTQ's MD scale: 1) its prevalence; 2) its latent structure; and finally 3) whether minimization moderates the CTQ's discriminative validity in terms of distinguishing between psychiatric patients and community volunteers. Archival, item-level CTQ data from 24 multinational samples were combined for a total of 19,652 participants. Analyses indicated: 1) minimization is common; 2) minimization functions as a continuous construct; and 3) high MD scores attenuate the ability of the CTQ to distinguish between psychiatric patients and community volunteers. 

Overall, results suggest that a minimizing response bias-as detected by the MD subscale-has a small but significant moderating effect on the CTQ's discriminative validity. Results also may suggest that some prior analyses of maltreatment rates or the effects of early maltreatment that have used the CTQ may have underestimated its incidence and impact. We caution researchers and clinicians about the widespread practice of using the CTQ without the MD or collecting MD data but failing to assess and control for its effects on outcomes or dependent variables.","2016","published",,"MacDonald Kai",,"","",,"PloS one","11","1","1","PLOS",,"e0146058",,,,,,,,,,,"TRUE","","","",,"1932-6203",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0146058","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","11","PloS one","JA6-6 , LG18-2 , MM , MM26 , MV , TA12 , TT8-2 , TW2-10-4","J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- MM-MO Crime and law > Crime and violence -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)  -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user",,"Risk and protective factors  -  risk factors --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Crime and violence --  Crime and violence  -  Crime against persons (assault / abuse / intimidation)  --  Social services --  Child --  Social worker --  Child of drugs and alcohol user",,"MacDonald Kai , Thomas Michael L , Sciolla Andres F , Schneider Beacher , Pappas Katherine , Bleijenberg Gijs , Bohus Martin , Bekh Bradley , Carpenter Linda , Carr Alan , Dannlowski Udo , Dorahy Martin , Fahlke Claudia , Finzi-Dottan Ricky , Karu Tobi , ","0","yes"
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Thomas","Michael L","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sciolla","Andres F","","",,,,,,,,,,,,"MM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Schneider","Beacher","","",,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Pappas","Katherine","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bleijenberg","Gijs","","",,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bohus","Martin","","",,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bekh","Bradley","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Carpenter","Linda","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Carr","Alan","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Dannlowski","Udo","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Dorahy","Martin","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fahlke","Claudia","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Finzi-Dottan","Ricky","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Karu","Tobi","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gerdner","Arne","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Glaesmer","Heide","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Grabe","Hans Jörgen","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Heins","Marianne","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kenny","Dianna T","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kim","Daeho","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Knoop","Hans","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lobbestael","Jill","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lochner","Christine","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lauritzen","Grethe","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Ravndal","Edle","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Riggs","Shelley","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sar","Vedat","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Schäfer","Ingo","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Schlosser","Nicole","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Schwandt","Melanie L","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Stein","Murray B","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Subic-Wrana","Claudia","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Vogel","Mark","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25865",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wingenfeld","Katja","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466","21","archive","5",,,"disk0/00/02/64/66","2016-12-02 10:27:34","2016-12-02 10:28:59","2016-12-02 10:27:34","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Western Region Drug and Alcohol Task Force","Family support handbook. Information for families affected by someone’s drug and alcohol use.","pub","LG14-10","","public",,,,,,,,"This book was put together by practitioners working in the area of drug and alcohol support and is based on recommendations from family members that had previously sought information and support.

Table of contents
•	Introduction p.3
•	Information about drugs p.5
•	Most commonly used drugs p.7
•	Signs and symptoms of drug use p.17
•	The nature and phases of drug use p.18
•	What is dependency/addiction? P.19
•	Understanding change p.21
•	Health issues arising from substance use p.23
•	Substance use and mental health p.25
•	Overdose risks p.26
•	Methadone p.28
•	Drugs and the law p.29
•	Legal aid p.34
•	Drugs and the family p.37
•	Self-care p.43
•	What is mindfulness and meditation? P.46
•	Social work and child welfare p.49
•	Help for grandparents and other carers p.50
•	Care options p.52
•	Bereavement p.55
•	Drug related intimidation p.57
•	Crime & prison p.59
•	Information on support services available p.61","2016",,,"Murray Mary",,"","",,,,,,"Western Region Drug and Alcohol Task Force","Galway",,"68 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,"Murray","Mary","","","",,"http://www.wrdatf.ie/index.php","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG14-10 , LG14-10-2 , LG18-12 , LG18-12-2-6 , LG2-6 , LK4-18-10 , MV14 , TW2-10-4 , VH4-2 , VH4-2-15 , VH4-2-18 , VH4-2-6","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of grandparent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- L Social psychology and related concepts > Life event > Change or event related to family or friend > Death of family member or close friend -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe > Ireland > Mayo -- VA Geographic area > Europe > Ireland > Roscommon -- VA Geographic area > Europe > Ireland > Galway","Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of grandparent --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Life event  -  Change or event related to family or friend  -  Death of family member or close friend --  Social services  -  Services for family and children --  Child of drugs and alcohol user","Europe  -  Ireland --  Europe  -  Ireland  -  Mayo --  Europe  -  Ireland  -  Roscommon --  Europe  -  Ireland  -  Galway","Murray Mary , Western Region Drug and Alcohol Task Force Western Region Drug and Alcohol Task Force","0","no"
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LK4-18-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26466",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24850","17","archive","5",,,"disk0/00/02/48/50","2015-11-25 08:43:37","2015-11-25 08:43:37","2015-11-25 08:43:37","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","ADFAM","Medications in drug treatment: tackling the risks to children - one year on.","pub","BL","","public",,,,,,,,"Our research has revealed that far more children than previously thought are dying and being hospitalised after ingesting medications prescribed to treat their parents’ drug addiction. The report builds on Adfam’s previous work on this topic, looking at progress made in the last year, providing updated statistics and information, and giving recommendations to practitioners and policymakers on how to reduce risk and the incidence of these tragic occurrences.

Our research found that in the ten years to 2013, at least 110 children and teenagers aged 18 and under in the UK died from the toxic effects of opioid substitution therapy (OST) medications used primarily to help people overcome heroin addiction. In this time, at least 328 children in England were hospitalised and diagnosed with methadone poisoning. Of the 73 deaths in England and Wales, only seven resulted in Serious Case Reviews.

Since Adfam first reported on this tragic phenomenon in 2014, these cases have continued to occur, with at least three new Serious Case Reviews in the last year. Whilst in many cases children consumed the medications accidentally, some were deliberately given them by their parents in a misguided attempt to help soothe or send them to sleep. The mortality statistics also show the majority of fatal poisonings involve older, rather than younger children – but little is known about how or why these incidents occur.","2015-11","published",,"Adfam",,"","",,,,,,"Adfam","London",,"64 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Adfam",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.adfam.org.uk/professionals/latest_information_and_events/news/632","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"BL , BL2-1 , HK2-10-2-2-2 , JP10 , TW2-10-4 , VH4-4","B Drugs and alcohol substances > Opioids (opiates) -- B Drugs and alcohol substances > Opioids (opiates) > Methadone -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- J Health care, prevention and rehabilitation > Treatment and maintenance > treatment factors -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Opioids (opiates) --  Opioids (opiates)  -  Methadone --  Drugs and alcohol disorder treatment method  -  Drugs and alcohol replacement method (substitution)  -  Methadone maintenance --  Treatment and maintenance  -  treatment factors --  Child of drugs and alcohol user","Europe  -  United Kingdom","ADFAM ADFAM","0","yes"
"24850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL2-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"opioid",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24850",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898","17","archive","5",,,"disk0/00/02/48/98","2015-12-07 10:37:21","2015-12-07 10:37:21","2015-12-07 10:37:21","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Tusla Child and Family Agency","Assessment, consultation and therapy service annual report 2014 and service plan 2015.","pub","MM6-6","","public",,"annual_report",,,,,,"ACTS is a national specialist clinical service which provides multidisciplinary consultation, assessment and focused interventions to young people who have high risk behaviours associated with complex clinical needs. ACTS also supports other professionals in their ongoing work with young people and their families.

This includes:
• On-site therapeutic services to young people in secure settings in Ireland (Special Care and the Children Detention Schools);
• Ongoing support when young people return to community settings to help them to reengage with mainstream services, as appropriate;
• Support through some of the difficult transitions in young people’s lives;
• Consultation in the community for young people at significant risk of placement in secure settings.

ACTS provides multidisciplinary interventions supported by evidence based research literature; clinically informed practice based evidence; best international practice and in accordance with relevant legislation, policy and guidelines. The aim of the service is to facilitate the provision of more therapeutic environments in the national Special Care Units and Children Detention Schools and to work in partnership with others to improve outcomes for the most vulnerable young people in Ireland.

This document outlines the purpose and vision of this service as well as a set of core values. Together these inform the strategic focus of the service and form the basis for service development priorities for 2015.","2015-11",,,"Tusla Child and Family Agency",,"","",,,,,,"Tusla","Dublin",,"32 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.tusla.ie/publications","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MM6-6 , MO4-14 , MV14 , MV14-4 , TA12 , TA14 , TT2 , TT8-2 , TW2-10-4 , VH4-2","MM-MO Crime and law > Criminality > Juvenile delinquency (youth offending) -- MM-MO Crime and law > Justice system > Community anti-crime or legal assistance programme -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Criminality  -  Juvenile delinquency (youth offending) --  Justice system  -  Community anti-crime or legal assistance programme --  Social services  -  Services for family and children --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child --  Adolescent / youth (teenager / young person) --  Drug or health care worker --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","Tusla Child and Family Agency Tusla Child and Family Agency","0","no"
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24898",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067","17","archive","5",,,"disk0/00/02/60/67","2016-09-09 09:10:12","2016-09-09 09:10:12","2016-09-09 09:10:12","guideline",,,"show",,,,"","","","","","","","","","",,,,"Williams","Janet F","","","","Williams:Janet F::","",,,,,"","","Fetal Alcohol Spectrum Disorders. Clinical report: Guidance for the clinician in rendering pediatric care.","pub","BB","","none",,,,,,,,"Prenatal exposure to alcohol can damage the developing fetus and is the leading preventable cause of birth defects and intellectual and neurodevelopmental disabilities. In 1973, fetal alcohol syndrome was first described as a specific cluster of birth defects resulting from alcohol exposure in utero. Subsequently, research unequivocally revealed that prenatal alcohol exposure causes a broad range of adverse developmental effects. 

Fetal alcohol spectrum disorder (FASD) is the general term that encompasses the range of adverse effects associated with prenatal alcohol exposure. The diagnostic criteria for fetal alcohol syndrome are specific, and comprehensive efforts are ongoing to establish definitive criteria for diagnosing the other FASDs. 

A large and growing body of research has led to evidence-based FASD education of professionals and the public, broader prevention initiatives, and recommended treatment approaches based on the following premises:
▪ Alcohol-related birth defects and developmental disabilities are completely preventable when pregnant women abstain from alcohol use.
▪ Neurocognitive and behavioral problems resulting from prenatal alcohol exposure are lifelong.
▪ Early recognition, diagnosis, and therapy for any condition along the FASD continuum can result in improved outcomes.
▪ During pregnancy:
◦no amount of alcohol intake should be considered safe;
◦there is no safe trimester to drink alcohol;
◦all forms of alcohol, such as beer, wine, and liquor, pose similar risk; and 
◦binge drinking poses dose-related risk to the developing fetus.","2015-11","published",,"Williams Janet F",,"","",,"Pediatrics","136","5","5","American Academy of Pediatrics",,,"14 p.",,,,,"DOI: 10.1542/peds.2015-3113",,,,,,"report","aod_disorder","alcohol",,"1098-4275",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://pediatrics.aappublications.org/content/early/2015/10/13/peds.2015-3113","http://pediatrics.aappublications.org/content/pediatrics/early/2015/10/13/peds.2015-3113.full.pdf","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","136","Pediatrics","BB , ED4-12 , GA2 , GJ2-16-2-4-6 , JM , JS , T10-4-2 , TT2-12 , TW2-10-4 , VD","B Drugs and alcohol substances > Alcohol -- E Concepts in biomedical areas > Pregnancy -- G Health and disease > State of health -- G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- J Health care, prevention and rehabilitation > Patient care management -- J Health care, prevention and rehabilitation > Health care delivery -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Doctor -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > United States","Alcohol --  Pregnancy --  State of health --  Disorder by cause  -  Developmental disorder  -  Foetal (fetal) alcohol syndrome --  Patient care management --  Health care delivery --  Pregnant woman --  Doctor --  Child of drugs and alcohol user","United States","Williams Janet F , Smith Vincent C","0","yes"
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Smith","Vincent C","","",,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ2-16-2-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26067",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712","14","archive","5",,,"disk0/00/02/47/12","2015-10-29 11:54:17","2015-10-29 11:54:17","2015-10-29 11:54:17","article",,,"show",,,,"","","","","","","","","","",,,,"McGivern","Aidan","","","","McGivern:Aidan::","",,,,,"","","Vulnerable families and drug use: examining care admissions of children of parents attending an Irish drug treatment facility.","pub","HZ26","","none",,,,,,,,"Harmful substance use has a detrimental effect on parenting and child welfare agencies consistently confirm such usage as a primary factor in initial referral. This article examines the circumstances of child admissions to care over a nine year period, from families where one or both parents attend a centralized drug treatment services. A recurrent theme during the study period was low rates of family reunifications within a twelve month period. Furthermore, we identified factors which in the view of natural parents and the service social work team have contributed significantly when families have been reunited.","2015-10","published",,"McGivern Aidan",,"","",,"The Irish Social Worker","Spring",,,"Irish Association of Social Workers",,"17-23",,,,,,,,,,,,"","","",,"0332-4683",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_in_all_cases",,"1","Spring","The Irish Social Worker","HZ26 , LC2-4 , LG14-10 , LG18-12 , LG18-2 , LG2-6 , MV14 , TT8-2 , TW2-10-4 , VH4-2","HJ Treatment method > Treatment outcome -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Treatment outcome --  Interpersonal interaction and group dynamics  -  Social support --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Social services  -  Services for family and children --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","McGivern Aidan , McDonnell Chloe","0","yes"
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McDonnell","Chloe","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24712",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24470","16","archive","1684",,,"disk0/00/02/44/70","2015-09-03 11:16:48","2015-09-03 11:16:48","2015-09-03 11:16:48","guideline",,,"show",,,,"","","","","","","","","","",,,,"McEvoy","Olivia","","","","McEvoy:Olivia::","",,,,,"","","A practical guide to including seldom-heard children and young people in decision making.","pub","JA8-4","","public",,,,,,,,,"2015-09","published",,"McEvoy Olivia",,"","",,,,,,"Government Publications","Dublin",,"204 p.",,,,,,,,,,,"guideline","education_and_training","alcohol_drugs_in_general",,"ISBN 978-1-4064-2875-9",,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JA8-4 , MP14-10 , TA14 , TT2 , TT6 , TT8-2 , TW2-10-4 , VH4-2","J Health care, prevention and rehabilitation > Risk and needs assessment > Needs assessment -- MP-MR Policy, planning, economics, work and social services > Political process > Advocacy -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Risk and needs assessment  -  Needs assessment --  Political process  -  Advocacy --  Adolescent / youth (teenager / young person) --  Drug or health care worker --  Prevention worker --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","McEvoy Olivia","0","yes"
"24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24470",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23681","13","archive","5",,,"disk0/00/02/36/81","2015-04-01 07:28:12","2015-04-01 15:42:41","2015-04-01 07:28:12","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Child Care Law Reporting Project","Child Care Law Reporting Project: case histories 2015 volume 1.","pub","LG18-12","","none",,"other",,,,,,"The Child Care Law Reporting Project was established to examine and report on child care proceedings in the courts.

In this volume we focus on a special category of child care cases, those involving children who must be cared for in a secure unit in order to receive the therapy they need. These are children with severe problems, who require to be detained for their own protection. They may be suicidal or self-harming, or engaging in such anti-social behaviour as to be a threat to others. Because they have not be convicted on any criminal offence, the power to detain them is only vested in the High Court, and their detention must be regularly and frequently reviewed to verify that it is still required, so they come before this court on a regular basis, on what is known as the “Minors’ List”, heard every Thursday.

As in previous volumes, a number of cases involved the children of parents who were abusing drugs, alcohol or both. Some had been in care themselves. These included a case where an infant was found in a car on a cold night with two adults who were about to smoke heroin, and where the child had a gash to his neck he said was caused by his father.","2015-04","published",,"Child Care Law Reporting Project",,"","",,,,,,"Child Care Law Reporting Project","Dublin",,,,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"<ol>
<li><a href=""http://www.childlawproject.ie/publications/bed-in-secure-care-created-for-at-risk-minor-following-several-hearings/"" target=""_blank"">Bed in secure care created for at-risk minor following several hearings</a></li>
<li><a href=""http://www.childlawproject.ie/publications/no-secure-place-for-boys-town-teenager-returned-to-ireland/"" target=""_blank"">No secure place for Boys Town teenager returned to Ireland </a></li>
<li><a href=""http://www.childlawproject.ie/publications/three-teenagers-attempted-self-harm-while-under-review-in-high-court/"" target=""_blank"">Three teenagers attempted self-harm while under review in High Court</a></li>
<li><a href=""http://www.childlawproject.ie/publications/high-court-hears-boy-cannot-return-to-ireland-because-of-lack-of-services/"" target=""_blank"">High Court hears boy cannot return to Ireland because of lack of services</a></li>
<li><a href=""http://www.childlawproject.ie/publications/care-order-until-18-for-child-whose-father-offered-to-abuse-her-online/"" target=""_blank"">Care Order until 18 for child whose father offered to abuse her online</a></li>
<li><a href=""http://www.childlawproject.ie/publications/high-court-rules-infant-must-return-to-parents-jurisdiction-for-care-proceedings/"" target=""_blank"">High Court rules infant must return to parents’ jurisdiction for care proceedings</a></li>
<li><a href=""http://www.childlawproject.ie/publications/high-court-accepts-transfer-of-infant-to-ireland/"" target=""_blank"">High Court accepts transfer of infant to Ireland</a></li>
<li><a href=""http://www.childlawproject.ie/publications/interim-care-order-renewed-pending-high-court-application/"" target=""_blank"">Interim Care Order renewed pending High Court application</a></li>
<li><a href=""http://www.childlawproject.ie/publications/supervision-order-for-baby-discharged-after-a-year/"" target=""_blank"">Supervision Order for baby discharged after a year</a></li>
<li><a href=""http://www.childlawproject.ie/publications/social-worker-can-apply-for-naturalisation-for-non-national-girl/"" target=""_blank"">Social worker can apply for naturalisation for non-national girl</a></li>
<li><a href=""http://www.childlawproject.ie/publications/interim-care-order-for-baby-found-at-night-in-car/"" target=""_blank"">Interim Care Order for baby found at night in car</a></li>
<li><a href=""http://www.childlawproject.ie/publications/full-care-orders-for-three-children-following-shorter-orders/"" target=""_blank"">Full Care Orders for three children following shorter orders</a></li>
<li><a href=""http://www.childlawproject.ie/publications/fears-for-child-leaving-care/"" target=""_blank"">Fears for child leaving care</a></li>
<li><a href=""http://www.childlawproject.ie/publications/care-order-granted-for-child-of-drug-addicts/"" target=""_blank"">Care Order granted for child of drug addicts</a></li>
<li><a href=""http://www.childlawproject.ie/publications/care-order-for-mother-with-mental-age-of-a-ten-year-old/"" target=""_blank"">Care order for mother with mental age of a ten year old</a></li>
<li><a href=""http://www.childlawproject.ie/publications/care-orders-for-children-whose-parents-could-not-be-located/"" target=""_blank"">Care Orders for children whose parents could not be located</a></li>
<li><a href=""http://www.childlawproject.ie/publications/written-judgment-outlines-proportionate-basis-for-orders/"" target=""_blank"">Written judgement outlines proportionate basis for orders</a></li>
<li><a href=""http://www.childlawproject.ie/publications/increased-access-for-grandmother/"" target=""_blank"">Increased access for grandmother</a></li>
<li><a href=""http://www.childlawproject.ie/publications/judge-to-speak-to-girl-who-kept-absconding-from-care/"" target=""_blank"">Judge to speak to girl who kept absconding from care</a></li>
<li><a href=""http://www.childlawproject.ie/publications/Care%20Orders%20granted%20for%20children"" target=""_blank"">Care Orders granted for children in relatives’ care</a></li>
<li><a href=""http://www.childlawproject.ie/publications/supervision-order-granted-for-two-children-amid-concerns-about-school/"" target=""_blank"">Supervision Order granted for two children amid concerns about school</a></li>
<li><a href=""http://www.childlawproject.ie/publications/serious-concern-for-absconding-teenager-whose-mother-died/"" target=""_blank"">Serious concern for absconding teenager whose mother died</a></li>
<li><a href=""http://www.childlawproject.ie/publications/access-reduced-for-mother-of-very-troubled-little-boy/"" target=""_blank"">Access reduced for mother of “very troubled little boy”</a></li>
<li><a href=""http://www.childlawproject.ie/publications/interim-care-order-to-permit-psychiatric-assessment-in-another-jurisdiction/"" target=""_blank"">Interim Care Order to permit psychiatric assessment in another jurisdiction</a></li>
<li><a href=""http://www.childlawproject.ie/publications/reasons-for-care-orders-for-african-children-given-after-40-day-hearing/"" target=""_blank"">Reasons for Care Orders for African children given after 40-day hearing</a></li>
<li><a href=""http://www.childlawproject.ie/publications/orders-granted-for-teenage-african-girl/"" target=""_blank"">Orders granted for teenage African girl</a></li>
<li><a href=""http://www.childlawproject.ie/publications/foster-parents-denied-funding-for-treatment/"" target=""_blank"">Foster parents denied funding for treatment</a></li>
<li><a href=""http://www.childlawproject.ie/publications/care-extended-for-baby-of-former-child-in-care/"" target=""_blank"">Care extended for baby of former child in care</a></li>
<li><a href=""http://www.childlawproject.ie/publications/solicitors-for-young-people-in-care-present-their-cases/"" target=""_blank"">Solicitors for young people in care present their cases</a></li>
<li><a href=""http://www.childlawproject.ie/publications/pre-christmas-applications-in-district-court-list/"" target=""_blank"">Pre-Christmas applications in District Court list</a></li>
</ol>",,,,,,,,,,,"","http://www.childlawproject.ie/publications/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , MV , TA12 , TT8-2 , TW2-10-4 , VH4-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Social services --  Child --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","Child Care Law Reporting Project Child Care Law Reporting Project","0","no"
"23681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23761","12","archive","5",,,"disk0/00/02/37/61","2015-04-13 09:36:00","2015-04-13 09:36:00","2015-04-13 09:36:00","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Coombe Women and Infants University Hospital","Coombe Women and Infants University Hospital annual clinical report 2013.","pub","ED4-12","","public",,"annual_report",,,,,,"A total of 8554 mothers attended the Coombe Hospital in 2013, 7986 mothers delivered 8170 infants.

Some figures (p.15):
•	12.8% were current smokers; this was the lowest percentage over 7 years (highest in 2007:17.3%); 
•	1.4% were consuming alcohol at the time of booking (showing a steady decline over the last 4 years; 3.5% in 2010); 
•	0.7% were taking illicit drugs or methadone (range over 7 years: 0.6% - 1.2%); 
•	8.7% had a history of previous drug use (the highest in 7 years)

See also pdf p.63","2015-04","published",,"Coombe Women and Infants University Hospital",,"","",,,,,,"Coombe Women and Infants University Hospital","Dublin",,"p.257",,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"ED4-12 , T10-4-2 , TW2-10-4 , TW2-8-8 , VH4-2-5","E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Mother","VA Geographic area > Europe > Ireland > Dublin","Pregnancy --  Pregnant woman --  Child of drugs and alcohol user --  Mother","Europe  -  Ireland  -  Dublin","Coombe Women and Infants University Hospital Coombe Women and Infants University Hospital","0","no"
"23761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692","15","archive","5",,,"disk0/00/02/36/92","2015-04-01 10:13:35","2015-04-01 10:13:35","2015-04-01 10:13:35","article",,,"show",,,,"","","","","","","","","","",,,,"Keane","Martin","","","mkeane@hrb.ie","Keane:Martin::","",,,,,"","","Adolescents and parental substance misuse.","pub","BB","","public",,,,,,,,,"2015-03",,,"Keane Martin",,"","",,"Drugnet Ireland","Issue 53, Spring 2015",,,"Health Research Board",,"10-11",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;"">Keeley and colleagues1 recently published the results of their analysis of data collected in 26 schools in Cork and Kerry from a cohort of 2,716 adolescents aged 15–17 years. The data were collected using the ‘Lifestyle and Coping Questionnaire’ designed specifically for the Child and Adolescent Self-harm in Europe (CASE) study, which contains questions on a number of psychological domains including drug and alcohol use. Two questions were added to the standard questionnaire regarding parental substance misuse: ‘Has your mother had problems with alcohol/drugs?’ and ‘Has your father had problems with alcohol/drugs?’</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Alcohol and drug use among adolescents </b></p>
<p style=""margin: 0cm 0cm 0pt;"">Eighty-three per cent of respondents (n=2,242) reported having consumed alcohol at least once, with no significant difference between boys and girls. Fifty per cent reported consuming 1–5 alcohol drinks in a typical week; 37% reported being really drunk on 1–3 occasions in the past month and 31% recalled being really drunk 1–3 times in the past year. Interestingly, and despite the high overall lifetime prevalence of 83%, over half the cohort (56.6%) reported that they had never been really drunk in the past month and just over a third (35%) had never been really drunk in the past year.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Less than a third of the cohort (31%) reported using an illicit drug at least once; less than a quarter (23.3%) in the last month and less than a third (32.9%) in the last year. Cannabis was the illicit drug most commonly used by both boys and girls; 93% of those who had used an illicit drug in the last month reported having used cannabis.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Substance misuse by parents and by their children</b></p>
<p style=""margin: 0cm 0cm 0pt;"">The authors reported an association between parental substance misuse and adolescent substance misuse. The magnitude of the risk was marginally higher if the parent misusing substances was the mother, and higher again if both parents were misusing substances. The association between parental substance misuse and an increased risk of adolescent substance misuse remains after adjusting for a number of other variables. However, it must be noted that from a relatively large cohort of adolescents, only 3.5% reported that their mother misused substances and 1.4% reported that both parents misused substances. Indeed, almost 89.6% of the cohort reported that their parents did not misuse substances.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The authors acknowledged the limitations of the study. The two questions on parental substance misuse did not distinguish between drugs and alcohol misuse and did not establish if the misuse was on-going or not. They went  on to say, ‘Despite these limitations, the paper adds information on the role parental misuse might have on young people’s risk of developing addiction in an Irish context…’ (p. 7).</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""><b>Discussion</b></p>
<p style=""margin: 0cm 0cm 0pt;"">This study showed that alcohol consumption on at least one occasion among this cohort of 15–17-year-olds was the norm. However, the frequency and level of alcohol consumption varied considerably. The study also showed  that among the same cohort, the use of illicit drugs was not the norm, with over two thirds reporting not using illicit drugs.  Among the third who did report using illicit drugs, the vast majority (93.8%) used cannabis.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">It is important that young people are presented with data from research studies as part of prevention interventions. For example, the work of Keeley and colleagues described in this article could be used to challenge the perceptions among young adolescents that ‘all young people are drug users’. Keeley and colleagues showed that the vast majority of their large cohort did not use illicit drugs. Challenges to the perception that substance use is the norm among others can be delivered as part of the Social Norms programme.3</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<ol>
<li style=""color: #000000;"">Keeley HS, Mongwa T and Corcoran P (2015) The association between parental and adolescent substance misuse: findings from the Irish CASE study <i>Irish Journal of Psychological Medicine</i>, early online <a href=""/23244/"" target=""_blank"">http://www.drugsandalcohol.ie/23244/</a> </li>
<li style=""color: #000000;"">Murphy KD, Byrne S, Sahm LJ, Lambert S and McCarthy S (2014) Use of addiction treatment services by Irish youth: does place of residence matter? <i>Rural and Remote Health</i> (14): 2735 <a href=""/22461/"" target=""_blank"">http://www.drugsandalcohol.ie/22461/</a></li>
<li style=""color: #000000; font-size: 10pt; margin-top: 0cm; margin-bottom: 0pt;"">Keane M (2011) The social norms approach to tackling substance use <i>Drugnet Ireland</i> (38): 16–17 <a href=""/15646/"" target=""_blank"">http://www.drugsandalcohol.ie/15646/</a></li>
</ol>",,,,,"Issue 53, Spring 2015",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 53, Spring 2015","Drugnet Ireland","BB , JB2 , LG16-4 , LG18-12-2 , TA14 , TW2-10-4 , TW2-8 , VH4-2-3 , VH4-2-7","B Drugs and alcohol substances > Alcohol -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- L Social psychology and related concepts > Marital relations > Family and kinship > Family environment > Parental attitude -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent","VA Geographic area > Europe > Ireland > Cork -- VA Geographic area > Europe > Ireland > Kerry","Alcohol --  Drugs and alcohol prevention --  Marital relations  -  Family and kinship  -  Family environment  -  Parental attitude --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user --  Parent","Europe  -  Ireland  -  Cork --  Europe  -  Ireland  -  Kerry","Keane Martin","0","yes"
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-3",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23692",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-7",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244","16","archive","5",,,"disk0/00/02/32/44","2015-01-06 09:05:07","2015-08-07 14:13:22","2015-01-06 09:05:07","article",,,"show",,,,"","","","","","","","","","",,,,"Keeley","Helen S","","","","Keeley:Helen S::","",,,,,"","","The association between parental and adolescent substance misuse: findings from the Irish CASE study.","pub","LG16","","none",,,,,,,,"Background: Self-report data from 2716 adolescents aged 15–17 years old in Irish schools were analysed to consider the association between psycho-social factors and the presence of adolescent substance and alcohol abuse, with an emphasis on family circumstances.

Methods: Data were collected using the ‘Lifestyle and Coping Questionnaire’ which includes questions about lifestyle, coping, problems, alcohol and drug use, deliberate self-harm, depression, anxiety, impulsivity and self-esteem. Two additional questions were added to the standard questionnaire regarding parental substance misuse.

Results: Adolescent substance abuse was more common in boys; parental substance misuse increased the risk of adolescent abuse of alcohol and drugs; the increased risk was marginally higher if the parental substance abuse was maternal rather than paternal; the increased risk was higher if the parental substance abuse affected both rather than one of the parents, especially regarding adolescent drug abuse; the magnitude of the increased risk was similar for boys and girls. Parental substance misuse increased the risk of adolescent substance abuse even after adjusting for other family problems and the adolescent’s psychological characteristics.

Conclusions: This study indicates that parental substance misuse affects the development of both alcohol and drug misuse in adolescent children independent of other family problems and the psychological characteristics of the adolescent. A wider perspective is needed, including societal and family issues, especially parental behaviour, when attempting to reduce risk of adolescent addiction. The impact on children of parental substance misuse also needs consideration in clinical contexts.","2015-01","published",,"Keeley Helen S",,"","",,"Irish Journal of Psychological Medicine","32","Special issue 01 youth mental health","Special issue 01 youth mental health","Cambridge",,"107-116",,,,,,"DOI: http://dx.doi.org/10.1017/ipm.2014.87",,,,,,"","","",,"0790-9667",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=9497506&fileId=S0790966714000871&utm_source=First_View&utm_medium=Email&utm_campaign=IPM","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","32","Irish Journal of Psychological Medicine","LG16 , LG18-12-2 , LG18-2 , TA14 , TW2-10-4 , TW2-8 , TW2-8-10 , TW2-8-8 , VH4-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family environment -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent -- T Demographic characteristics > Father -- T Demographic characteristics > Mother","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family environment --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user --  Parent --  Father --  Mother","Europe  -  Ireland","Keeley Helen S , Mongwa T , Corcoran P","0","no"
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mongwa","T","","",,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corcoran","P","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23244",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23243","14","archive","5",,,"disk0/00/02/32/43","2015-01-05 09:11:51","2015-01-05 09:13:31","2015-01-05 09:11:51","monograph",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Child Care Law Reporting Project","Child Care Law Reporting Project: Case histories 2014 volume 4.","pub","MO","","none",,"other",,,,,,"We publish here our fourth and final volume of case reports for 2014. These include both lengthy and complex cases and accounts of single days in District Courts hearing child care applications, when over a dozen cases, including reviews of existing orders, are often heard in one afternoon. They bring to 101 the number of such reports published in 2014.

The cases again show a wide variation in the reasons why the Child and Family Agency seeks orders protecting children, either by taking them into State care or with Supervision Orders. These range from drug or alcohol addiction on the part of parents, leading to neglect, to serious behavioural or health problems on the part of the children.","2015","published",,"Child Care Law Reporting Project",,"","",,,,,,"Child Care Law Reporting Project","Dublin",,,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.childlawproject.ie/publications/","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MO , MV , TA12 , TA14 , TT8-2 , TW2-10-4 , VH4-2","MM-MO Crime and law > Law enforcement and the justice system -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Law enforcement and the justice system --  Social services --  Child --  Adolescent / youth (teenager / young person) --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","Child Care Law Reporting Project Child Care Law Reporting Project","0","no"
"23243",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23243",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23243",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23243",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23243",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23243",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251","20","archive","5",,,"disk0/00/02/52/51","2016-03-02 09:39:50","2016-03-02 09:39:50","2016-03-02 09:39:50","guideline",,,"show",,,,"","","","","","","","","","",,,,"Laslett","Anne-Marie","","","","Laslett:Anne-Marie::","",,,,,"","","The hidden harm: alcohol’s impact on children and families.","pub","AA2-4","","public",,,,,,,,,"2015",,,"Foundation for Alcohol Research and Education",,"","",,,,,,"Foundation for Alcohol Research and Education","Canberra",,"128 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol",,"978-0-9924978-4-2",,,,"Foundation for Alcohol Research and Education",,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;""><b>Summary</b></p>
<p style=""margin: 0cm 0cm 0pt;"">Funded by FARE and undertaken by the <a href=""http://www.capr.edu.au/"" target=""_blank"">Centre for Alcohol Policy Research</a> (CAPR), <i>The hidden harm: Alcohol’s impact on children and families</i>, reveals the full extent of alcohol-related family and domestic violence in Australia. The 2015 study examined the prevalence and effects of heavy drinking on families and children, and the extent to which they persisted or changed over time. It paints a concerning picture of the prevalence of alcohol-related family and domestic violence in Australia, shedding new light on a hidden dimension of alcohol harms that occurs largely behind closed doors.</p>
<p style=""margin: 0cm 0cm 0pt;""><b> </b></p>
<p style=""margin: 0cm 0cm 0pt;""><b>Key findings</b></p>
<p style=""margin: 0cm 0cm 0pt;""><i>The hidden harm</i> draws on two national surveys of alcohol’s harm to others, service system data and qualitative interviews with families, providing for the first time a detailed and valuable insight into the magnitude of the problem and the large numbers of Australian children who are being put at risk.</p>
<ul style=""margin-top: 0cm;"">
<li style=""margin: 0cm 0cm 0pt; color: #555555;"">In 2011 there were 29,684 police-reported incidents of alcohol-related domestic violence in Australia, and that’s just in the four states and territories where this data is available.</li>
<li style=""margin: 0cm 0cm 0pt; color: #555555;"">Children are being verbally abused, left in unsupervised or unsafe situations, physically hurt or exposed to domestic violence because of others’ drinking. Many were also witnessing verbal or physical conflict, drinking or inappropriate behaviour.</li>
<li style=""margin: 0cm 0cm 0pt; color: #555555;"">Over a million children (22 per cent of all Australian children) are estimated to be affected in some way by the drinking of others (2008). 142,582 children were substantially affected (2008), and more than 10,000 Australian children are in the child protection system because of a carers drinking (2006-07).</li>
</ul>",,,,,,,,,,,"",,"http://www.fare.org.au/2015/02/the-hidden-harm-alcohols-impact-on-children-and-families/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AA2-4 , AD12-6 , AM , BB , LG18-12 , LG18-2 , LG2 , MM16-2-2 , MM26 , TW2-10-4 , VK2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Alcohol -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol -- MM-MO Crime and law > Crime and violence > Drugs and alcohol related violence -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)  -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Australia and Oceania > Australia","Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Drugs and alcohol effects and consequences --  Alcohol --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol --  Crime and violence  -  Drugs and alcohol related violence --  Crime and violence  -  Crime against persons (assault / abuse / intimidation)  --  Child of drugs and alcohol user","Australia and Oceania  -  Australia","Laslett Anne-Marie , Mugavin Janette , Jiang Heng , Manton Elizabeth , Callinan Sarah , MacLean Sarah , Room Robin","0","yes"
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mugavin","Janette","","",,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jiang","Heng","","",,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Manton","Elizabeth","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Callinan","Sarah","","",,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MacLean","Sarah","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Room","Robin","","",,,,,,,,,,,,"LG2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM16-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"25251",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785","19","archive","5",,,"disk0/00/02/47/85","2015-11-10 09:39:05","2015-11-10 09:39:05","2015-11-10 09:39:05","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","International HIV/AIDS Alliance","Step by step toolkit. Preparing for work with children and young people who inject drugs.","pub","JB2-4","","public",,,,,,,,"Globally, the protection and care of children and young people who inject drugs receives little attention. It is a controversial and often misunderstood issue and one that is severely underfunded. Global research presents shocking figures and evidence of restrictive laws preventing young people from accessing harm reduction. Rarely are services developed with children under 18 in mind, and organisations often lack capacity to attend to this highly vulnerable group. Young people also report experiencing significant barriers to accessing harm reduction services when they are under 18 due to a number of factors, including staff attitudes and organisational policies and practices.

This tool is a product of a partnership between Harm Reduction International (HRI), Youth Rise, International HIV/AIDS Alliance and Save the Children and was developed in response to HRI research on injecting drug use among under 18s globally that highlighted gaps in the response for this group.

This resource is intended for harm reduction service providers with limited experience of working with children and young people who inject drugs. It sets out a process that you can go through quickly, with little cost, to prepare for work with children and young people who are under 18. It is designed to help your organisation and staff to feel safe in commencing this work, and to support you in thinking through the challenging situations and decisions that you face. In some cases, it may lead you to decide that you are not yet ready to go ahead with this work.","2015","published",,"Harm Reduction International",,"","",,,,,,"International HIV/AIDS Alliance","London",,"52 p.",,,,,,,,,,,"report","aod_use_harm_reduction","opioid",,,,,,"Harm Reduction International",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://www.ihra.net/contents/1660","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JB2-4 , JF8 , MQ6 , MQ6-2 , TA12 , TA14 , TL4-10-4 , TT2 , TT6 , TT8-2 , VH4-4","J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Intravenous / injecting drug user -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker","VA Geographic area > Europe > United Kingdom","Drugs and alcohol prevention  -  Drugs and alcohol use harm reduction --  Prevention by sponsor or setting  -  Community-based prevention --  Organisational development --  Organisational development  -  Workforce / staff skills and training --  Child --  Adolescent / youth (teenager / young person) --  Intravenous / injecting drug user --  Drug or health care worker --  Prevention worker --  Social worker","Europe  -  United Kingdom","International HIV/AIDS Alliance International HIV/AIDS Alliance , Harm Reduction International Harm Reduction International , Save the Children Save the Children , Youth RISE Youth RISE","0","yes"
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Harm Reduction International",,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Save the Children",,,"MQ6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"rehabilitation",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Youth RISE",,,"MQ6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24785",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24830","15","archive","1684",,,"disk0/00/02/48/30","2015-11-18 14:07:26","2015-11-18 14:07:26","2015-11-18 14:07:26","guideline",,,"show",,,,"","","","","","","","","","",,,,"Manning","Joanna","","","","Manning:Joanna::","",,,,,"","","Help me understand.","pub","LG18-2","","public",,,,,,,,,"2015","published",,"Manning Joanna",,"","",,,,,,"The Children's Society","London",,,,,,,,,,,,,"manual","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>A booklet to help children, young people and workers talk about an adult’s alcohol and drug treatment.</p>",,,,,,,,,,,"",,"http://www.childrenssociety.org.uk/","web",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-2 , TT2 , TT6 , TT8-2 , TW2-10-4 , VH4-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Drug or health care worker --  Prevention worker --  Social worker --  Child of drugs and alcohol user","Europe  -  United Kingdom","Manning Joanna , Horst Caroline","0","yes"
"24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Horst","Caroline","","",,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24830",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24949","14","archive","1684",,,"disk0/00/02/49/49","2015-12-18 13:54:49","2016-11-09 14:52:55","2015-12-18 13:54:49","article",,,"show",,,,"","","","","","","","","","",,,,"O'Leary","Megan","","","","O'Leary:Megan::","",,,,,"","","Caring for grandchildren in kinship care: what difficulties face Irish grandparents with drug-dependent children?","pub","AA2-4","","none",,,,,,,,,"2015","published",,"O'Leary Megan",,"","",,"Journal of Social Work Practice in the Addictions","15","4","4","Taylor & Francis",,"352-372",,,,,,"DOI: 10.1080/1533256X.2015.1090999",,,,,"TRUE","","","",,"1533-256X print/1533-2578 online",,,,,,,"","","","","available","","","","","",,"<p>This article presents the findings of a small qualitative study of the experience of Irish grandparents providing full-time care for grandchildren whose birth parents were drug-dependent. In addition to the stresses and strains directly associated with caregiving of this kind, grandparents also reported considerable dissatisfaction with the support they received from statutory health and social service systems. In particular, they were critical of the attitudes of child protection social workers who, it was suggested, believed that grandparent carers in these circumstances did not need or deserve formal support.</p>",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","15","Journal of Social Work Practice in the Addictions","AA2-4 , LG , LG18-12-2-6 , LG18-2 , MV , TT8-2 , TW2-10-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- L Social psychology and related concepts > Marital relations > Family and kinship -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of grandparent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Marital relations  -  Family and kinship --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of grandparent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Social services --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","O'Leary Megan , Butler Shane","0","no"
"24949",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Butler","Shane","","",,,,,,,,,,,,"LG",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24949",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24949",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24949",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24949",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24949",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24949",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24246","19","archive","5",,,"disk0/00/02/42/46","2015-07-08 07:12:04","2017-01-13 14:31:48","2015-07-08 07:12:04","article",,,"show",,,,"","","","","","","","","","",,,,"O'Reilly","Lisa","","","","O'Reilly:Lisa::","",,,,,"","","The voice of the child in social work assessments: age-appropriate communication with children.","pub","JG26_2_4_2","","none",,,,,,,,"This article describes a child-centred method for engaging with children involved in the child protection and welfare system. One of the primary arguments underpinning this research is that social workers need to be skilled communicators to engage with children about deeply personal and painful issues. 

There is a wide range of research that maintains play is the language of children and the most effective way to learn about children is through their play. Considering this, the overarching aim of this study was to investigate the role of play skills in supporting communication between children and social workers during child protection and welfare assessments. The data collection was designed to establish the thoughts and/or experiences of participants in relation to a Play Skills Training (PST) programme designed by the authors. The key findings of the study reveal that the majority of social work participants rate the use of play skills in social work assessments as a key factor to effective engagement with children. Of particular importance, these messages address how social work services can ensure in a child-centred manner that the voice of children is heard and represented in all assessments of their well-being and future care options.","2015",,,"O'Reilly Lisa",,"","",,"British Journal of Social Work","46","5","5","Oxford University Press",,"1191-1207",,,,,,"doi:10.1093/bjsw/bcv040",,,,,"TRUE","","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.tusla.ie/uploads/content/Age_Appropriate_Communication_with_Children.pdf","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","46","British Journal of Social Work","JG26_2_4_2 , NA , TA12 , TA14 , TT8-2 , TW2-10-4 , VH4-2","J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use -- N Communication, information and education > Communication -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Identification and screening  -  Identification and screening for drugs and alcohol use --  Communication --  Child --  Adolescent / youth (teenager / young person) --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","O'Reilly Lisa , Dolan Pat","0","yes"
"24246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Dolan","Pat","","",,,,,,,,,,,,"NA",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24246",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23863","13","archive","5",,,"disk0/00/02/38/63","2015-04-29 07:50:31","2015-09-15 14:29:22","2015-04-29 07:50:31","article",,,"show",,,,"","","","","","","","","","",,,,"Sinnott","Carol","","","","Sinnott:Carol::","",,,,,"","","Psychosocial complexity in multimorbidity: the legacy of adverse childhood experiences.","pub","AM","","none",,,,,,,,"Background. To effectively meet the health care needs of multimorbid patients, the most important psychosocial factors associated with multimorbidity must be discerned. Our aim was to examine the association between self-reported adverse childhood experiences (ACEs) and multimorbidity and the contribution of other social, behavioural and psychological factors to this relationship. 

Methods. We analysed cross-sectional data from the Mitchelstown study, a population-based cohort recruited from a large primary care centre. ACE was measured by self-report using the Centre for Disease Control ACE questionnaire. A 10-item questionnaire categorizes ACE into three groups that relate to: abuse (emotional, physical or sexual), neglect (emotional or physical) and household dysfunction (domestic abuse, parents divorced, parents in prison, parental addiction or parental mental illness).

Results. Of 2047 participants, 45.3% (n = 927) reported multimorbidity. ACE was reported by 28.4% (n = 248) of multimorbid participants, 21% (n = 113) of single chronic disease participants and 16% (n = 83) of those without chronic disease.  

Conclusions. Multimorbidity is independently associated with a history of ACEs. These findings demonstrate the psychosocial complexity associated with multimorbidity and should be used to inform health care provision in this patient cohort.","2015","published",,"Sinnott Carol",,"","",,"Family Practice","32","3","3","Oxford",,"269-275",,,,,,"doi: 10.1093/fampra/cmv016",,,,,"TRUE","","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://fampra.oxfordjournals.org/content/early/2015/04/21/fampra.cmv016.full?keytype=ref&ijkey=gzd12Q8WDsvoiOB","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","32","Family Practice","AM , GA2 , LG18-12 , LG18-2 , TA12 , TW2-10-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- G Health and disease > State of health -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Drugs and alcohol effects and consequences --  State of health --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Child of drugs and alcohol user","Europe  -  Ireland","Sinnott Carol , McHugh Sheena , Fitzgerald Anthony P , Bradley Colin , Kearney Patricia M","0","no"
"23863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McHugh","Sheena","","",,,,,,,,,,,,"GA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fitzgerald","Anthony P","","",,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bradley","Colin","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kearney","Patricia M","","",,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074","17","archive","5",,,"disk0/00/02/40/74","2015-06-10 09:34:29","2015-06-10 09:42:52","2015-06-10 09:34:29","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Alcohol and Drug Education and Prevention Information Service","Involving families affected by substance use in alcohol and drug education.","pub","JG10-2-4","","public",,,,,,,,"Using visitors to enhance alcohol and drug education sessions is a common approach taken by many schools, with teachers feeling that people with direct experience can bring a valuable ‘real life’ element to lessons. Similarly, good practice guidance states that external contributors represent a key source of advice and support for schools in the delivery of alcohol and drug education. But whilst visitors can bring benefits if used properly, a lack of care and attention to good practice can result in sessions having limited, or even negative, outcomes.

Although this document contains relevant learning on how schools can use any sort of visitor to enhance alcohol and drug education, it focuses particularly on contributions from families affected by substance use: for example, a parent whose child experienced problems with drugs or alcohol.

This resource aims to:
•Help schools and families to accrue benefits and avoid mistakes in collaborating to deliver alcohol and drug education
•Ensure approaches are based on available evidence and good practice
•Make sessions as beneficial as possible for pupils, families and teachers.","2014-11",,,"Mentor ADEPSIS",,"","",,,,,,"Mentor ADEPSIS","London",,"19 p.",,,,,,,,,,,"report","aod_prevention","alcohol_drugs_in_general",,,,,,"Mentor ADEPSIS",,,"","","","","","","","","","",,"<p>See also <a href=""http://mentor-adepis.org/family-life-in-shaping-knowledge-alcohol/"" target=""_blank"">The Proximity Effect: The Role of Family Life in Shaping Children’s Knowledge about Alcohol and its Social and Health Implications </a>is a presentation that Professor Gill Valentine gave at the <a href=""http://www.alcoholandfamiliesalliance.org/"" target=""_blank"">Alcohol and Families Alliance</a> meeting held in February 2015.</p>",,,,,,,,,,,"",,"http://mentor-adepis.org/involving-families-affected-substance-use-alcohol-drug-education/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JG10-2-4 , JG10-4 , LG18-12 , LG18-12-2 , LG2-6 , MV14 , NF16-2 , TW2-10-4 , VH4-4","J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- J Health care, prevention and rehabilitation > Prevention approach > Prevention through information and education -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- N Communication, information and education > Education by subject > AOD education -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Prevention approach  -  Family-focused prevention --  Prevention approach  -  Prevention through information and education --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Social services  -  Services for family and children --  Education by subject  -  AOD education --  Child of drugs and alcohol user","Europe  -  United Kingdom","Alcohol and Drug Education and Prevention Information Service Alcohol and Drug Education and Prevention Information Service","0","yes"
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24074",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863","19","archive","5",,,"disk0/00/02/28/63","2014-10-28 16:30:44","2014-10-29 08:49:45","2014-10-28 16:30:44","monograph",,,"show",,,,"","","","","","","","","","",,,,"Coulter","Carol","","","","Coulter:Carol::","",,,,,"","","Child Care Law Reporting Project: second interim report.","pub","LC2-4","","public",,"other",,,,,,"This is the second Interim Report of the Child Care Law Reporting Project, updating the overview of the reports published on the website and publishing the results of the data collected since the first Interim Report, that is, between September 2013 and mid-July 2014.  During that time we attended child care proceedings in 29 courts, presided over by different judges. We recorded data from 486 cases, involving 864 children. We published four further volumes of reports on child care proceedings, bringing to 160 the total number of reports on the website. 

The first Interim Report, which can be found on www.childlawproject.ie, outlined the legislative framework and background to the project, so this is not necessary again. The third and final report of this phase of the project, based on our first three years’ work, will be published next year and will contain conclusions and recommendations drawn from all the reports published and the data collected in that time.

Our methodology is based on attendance at child care proceedings, reporting the main cases heard and collecting data on all cases dealt with in court, including those disposed of briefly. It does not include structured interviews with participants – judges, social workers, parents, etc. While we have had a number of informal discussions with members of the judiciary, the legal representatives of both the Child and Family Agency and parents, guardians ad litem and others, they do not form part of the reports and nothing discussed in any informal setting is published in any form. Rather they inform the context in which the reports are written and the data is analysed.

Therefore the essential work of the project is attending court, writing reports for the Publications section of the website and collecting data on data sheets which is then analysed and published in these reports. That can be found in Appendix II of this report, and we publish a commentary on these results in Chapter I. The main issues that emerge from the reported cases are examined in Chapter 2. We publish some interim observations and suggestions for improvements in child care proceedings in Chapter 3, but our final recommendations will not come until next year. 

We used the Courts Service statistics for child care applications as a guide in the allocation of our reporting resources to courts, seeking to report from them according to the volume they dealt with. We are also grateful to the Child and Family Agency for providing us with the statistics of Arthur Cox Consultancy Services on the applications obtained by solicitors acting for the CFA around the country, which provided a second source for the volumes of cases dealt with according to geographical area. Both of these sources showed that approximately one third of all applications were sought and obtained in Dublin. However, the statistics from Arthur Cox, and other data from the Child and Family Agency, are based on former HSE regions, which do not accord with District Court areas. This makes direct comparisons difficult outside of Dublin. 

Our statistics in our first year of operation, which covered the eight months from December 2012 until July 2013, were heavily weighted in favour of Dublin, the location of 80 per cent of the cases we attended. We sought to correct this in the current year, and we succeeded, with Dublin accounting for only 34.8 per cent of this year’s cases. The remaining 65.2 per cent of cases were spread over 29 District Courts and 35 judges, including a number of “moveable” judges, who are not tied to a specific District. We are therefore satisfied that this year’s statistics are more representative of national trends than last year’s....","2014-10","published",,"Coulter Carol",,"","",,,,,,"Child Care Law Reporting Project","Dublin",,"74 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childlawproject.ie/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LC2-4 , LG14-10-2 , LG18-12-2 , MO4-8 , MV , TA12 , TA14 , TT8-2 , TW2-10-4 , VH4-2","L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- MM-MO Crime and law > Justice system > Court system -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Interpersonal interaction and group dynamics  -  Social support --  Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Justice system  -  Court system --  Social services --  Child --  Adolescent / youth (teenager / young person) --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","Coulter Carol","0","no"
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MO4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22923","13","archive","5",,,"disk0/00/02/29/23","2014-11-06 12:11:38","2014-11-06 12:11:38","2014-11-06 12:11:38","article",,,"show",,,,"","","","","","","","","","",,,,"Curtin","Margaret","","","","Curtin:Margaret::","",,,,,"","","Supporting children in families experiencing mental health difficulties.","pub","JQ6-8","","public",,,,,,,,,"2014-10",,,"Curtin Margaret",,"","",,"Drugnet Ireland","Issue 51, Autumn 2014",,,"Health Research Board",,"21-22",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","","","","","","",,"<p>In June 2014 Barnardos published a report outlining the experiences of children of parents with mental health difficulties, reviewing current levels of support and making recommendations for enhancing services.1  The report reviews the relevant literature and draws on discussions with parents, carers and professionals in the mental health area. </p>
<p>The report emphasises that parental mental health difficulties alone present little risk of harm to children but that a lack of appropriate supports can compromise a child’s ability to cope. However, parental mental health difficulties are often associated with other risk factors such as poverty or addiction, which can have a huge impact on family life.  As a result, a child’s social, emotional and cognitive development can be adversely affected.  Children are affected by their parents’ mood and can become anxious and unsettled, particularly if the situation has not been explained to them by a supportive adult in an age-appropriate way.  Moreover, many children take on an unrecognised caring role in the family. </p>
<p>Entrenched societal attitudes and discrimination mean that parents are often reluctant to ask for help as they fear that their capacity to parent their children will be questioned. Moreover, the current, predominantly medical, approach to mental health leads to a reliance on medication and does not adequately address broader family support needs.  As a result, parents and children can feel isolated and the root cause of the distress can be overlooked.  Side-effects of medication can further compound problems, for example when parents who are taking benzodiazepines or other medication experience drowsiness and slowed reactions which compromise their ability to respond to their children’s needs. </p>
<p>The report calls for a holistic approach to supporting families facing complex challenges, whereby each family member is heard and their needs considered. Barnardos believe that the present family, health and child support systems need to move from a traditional approach of working in isolation to an integrated inter-agency working model which recognises patients as parents and sees parents and children in a family context, i.e. a family model approach.  Key recommendations include:</p>
<ul>
<li>challenge mental health prejudice and discrimination,</li>
<li>adopt a family model approach,</li>
<li>talk to children,</li>
<li>expedite the roll-out of community-based services, and</li>
<li>consult with parents affected by poor mental health.</li>
</ul>
<p>1 Barnardos (2014) <i>Patients. parents. people. Towards integrated supports and services for families experiencing mental health difficulties</i>. Dublin: Barnardos. <a href=""/22129"" target=""_blank"">www.drugsandalcohol.ie/22129</a></p>",,,,,"Issue 51, Autumn 2014",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 51, Autumn 2014","Drugnet Ireland","JQ6-8 , LG14-10 , LG18-12 , TA12 , TT8-2 , TW2-10-4 , VH4-2","J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Child -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Care by type of problem  -  Mental health care --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Child --  Social worker --  Child of drugs and alcohol user","Europe  -  Ireland","Curtin Margaret","0","yes"
"22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22923",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21684","23","archive","5",,,"disk0/00/02/16/84","2014-04-03 08:10:03","2014-04-03 08:12:04","2014-04-03 08:10:02","article",,,"show",,,,"","","","","","","","","","","0",,,"Lyons","Suzi","","","","Lyons:Suzi::","",,,,,"","","Stakeholder consultation on Hidden Harm.","pub","LG18-12-2","","public",,,,,,,,,"2014-04","published",,"Lyons Suzi",,"","",,"Drugnet Ireland","Issue 49, Spring 2014",,,"Health Research Board",,"15-16",,,,,,,,,,,"FALSE","","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">‘Hidden harm’ (HH) is the term now most often used to describe the experience of children living with, and affected by, problem alcohol and other drug use by parents. The term conveys the two key features of that experience: these children are frequently not known to health or social services, and they are exposed to harm, often through physical or emotional neglect.<sup>1,2,3</sup> Experience from other countries has shown that despite evidence to show the negative impact of HH, there is lack of policies on how to effectively address HH. The other two main areas where HH is of concern are domestic violence and parental mental health disorders.</span>&#160;</p>    <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">In June 2013 a project management steering group on hidden harm was established, led by the National Social Inclusion Office, Mental Health and Addiction Services North West, and the new Child and Family Agency. </span></div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">The group has already identified two national practice sites, Donegal and the Midlands, to begin HH practice working, with the initial focus on the needs of children and families where there is parental problem alcohol and/or other drug use.&#160;The overall aim is to raise awareness and to work with children affected by HH but also to develop a HH protocol to ensure the welfare and protection of children through interagency working aimed at early identification and support.</span></div>  <div>&#160;</div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">As part of this process, a </span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">stakeholder consultation meeting took place on 28 January 2014 in Sligo. The aim of this consultation was to learn from the experience and practice of those currently working in the area, including health, social work, and drugs and alcohol services across the two national practice sites, in order to inform the </span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">strategy for HH nationally</span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;""> and also to contribute to the </span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">current policy and practice debate in this sensitive and difficult area. </span></div>  <div><b>&#160;</b></div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">The objectives of the consultation were to:</span></div><div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">  <div style=""margin-left:18.0pt;text-indent:-18.0pt;""><span style=""font-size:12.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""Times New Roman&quot;,&quot;serif&quot;;Times New Roman&quot;;"">promote open dialogue on appropriate responses to children and families whose lives are affected by drug and alcohol use;</span></div>  <div style=""margin-left:18.0pt;text-indent:-18.0pt;""><span style=""font-size:12.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""Times New Roman&quot;,&quot;serif&quot;;Times New Roman&quot;;"">gain a baseline understanding of awareness pertaining to HH among practitioners;</span></div>  <div style=""margin-left:18.0pt;text-indent:-18.0pt;""><span style=""font-size:12.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""Times New Roman&quot;,&quot;serif&quot;;Times New Roman&quot;;"">draw on the views and experiences of stakeholders;</span></div>  <div style=""margin-left:18.0pt;text-indent:-18.0pt;""><span style=""font-size:12.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""Times New Roman&quot;,&quot;serif&quot;;Times New Roman&quot;;"">inform the current practice debate on HH;</span></div>  <div style=""margin-left:18.0pt;text-indent:-18.0pt;""><span style=""font-size:12.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""Times New Roman&quot;,&quot;serif&quot;;Times New Roman&quot;;"">identify current practice in responding to HH; </span></div>  <div style=""margin-left:18.0pt;text-indent:-18.0pt;""><span style=""font-size:12.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""Times New Roman&quot;,&quot;serif&quot;;Times New Roman&quot;;"">identify practice issues that may pose a barrier to addressing HH; and</span></div>  <div style=""margin-left:18.0pt;
text-indent:-18.0pt;""><span style=""font-size:12.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""Times New Roman&quot;,&quot;serif&quot;;Times New Roman&quot;;"">inform the development of a national practice guide for addressing HH. </span></div>  </span></div>  <div style=""text-indent:-18.0pt;""><span style=""font-size:10.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160; <br /></span></span></div><div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">The meeting was opened by Ms Marion Rackard, National Social Inclusion Office, followed by a welcoming address from the chair, Mr Fred McBride, newly appointed chief operations officer of the newly created Child and Family Agency. He spoke about three key objectives for the HH process: a clear policy direction; joint integrated protocols; and political ownership of the parameters of risk management.&#160;Then Mr Joe Doyle, National Social Inclusion Office, gave a comprehensive overview of the background to the national policy documents which had led to this initiative.&#160;This was followed by a presentation by Dr Aisling Gillen of the Child and Family Agency in which she explained the rationale behind the focus on HH. She outlined the key elements built into the HH steering group action plan, including supporting practitioners and partnerships for cohesive working relationships; the need to develop national practice guidelines on addressing problem parental alcohol and other drug use; and the need to develop a framework for delivering on HH inclusive of a national strategy, protocol, suggested performance measures and monitoring processes.&#160;</span></div>    <div>&#160;</div><div><img width=""174"" height=""135"" src=""/fckeditor_UPLOADS/image/Drugnet%2049/Stakeholder%20consultation%20on%20HH%20-%20photo.jpg"" alt="""" /></div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">Dr Joy Barlow OBE (pictured) gave a powerful presentation about the Scottish experience, including mistakes made and lessons learnt. She spoke about the importance of early identification of children at risk, the need to estimate numbers, the importance of staff training and development, and partnership. She also noted that, based on the Scottish experience, Ireland now had an opportunity to act given the priority problem alcohol use now has.&#160;She stated that the 2011 report <i>Hidden realities</i> provides baseline data on the number of children affected by parental alcohol use.<sup>4</sup> </span></div>  <div>&#160;</div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">Presentations by speakers from Northern Ireland followed, from Ms Cathy Mullan and Mr Davis Turkington, both from the HH Public Health Agency, and Ms Cathy Comiskey, child and family liaison practitioner. They gave very useful, interesting and practical accounts of how they had worked through the process of developing a protocol, setting out roles and responsibilities, implementing policies and how this all works in reality.<sup>5,6</sup> Videos and powerpoint presentations delivered on the day are available at <a href=""http://www.drugs.ie/features"">http://www.drugs.ie/features</a>. </span></div>  <div>&#160;</div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">This was followed by a facilitated structured round-table discussion among those attending the meeting, addressing a series of questions, the outcome of which will inform the ongoing process.</span></div>  <div>&#160;</div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">There are two more consultations planned to feed into this process: </span></div>  <div style=""text-indent:-18.0pt;""><span style=""font-size:10.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">Phase 2: Views of families </span></div>  <div style=""text-indent:-18.0pt;""><span style=""font-size:10.0pt;"">·<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">Phase 3: Views of commissioners, managers, practitioners and researchers working in health, social work, and drugs and alcohol services and other relevant departments, e.g. justice</span></div>  <div>&#160;</div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">The </span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">Substance Misuse and Child Welfare Special Interest Group in </span><span style=""font-size:
10.0pt;Arial&quot;,&quot;sans-serif&quot;"">Northern Ireland is a forum for those interested in this area, and is now open to all practitioners both North and South.&#160;The aim of the group is to:</span></div>  <div style=""margin-left:36.0pt;text-indent:-18.0pt;""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">•<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">share and discuss the implications of research findings;</span></div>  <div style=""margin-left:36.0pt;text-indent:-18.0pt;""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">•<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">disseminate developments in policy and practice;</span></div>  <div style=""margin-left:36.0pt;text-indent:-18.0pt;""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">•<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">promote the evidence base informing policy and practice developments; and</span></div>  <div style=""margin-left:36.0pt;text-indent:-18.0pt;""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">•<span style=""font:7.0pt &quot;Times New Roman&quot;"">&#160;&#160;&#160;&#160;&#160;&#160; </span></span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">network and share resources.</span></div>  <div>&#160;</div>  <div><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">Members will receive regular updates through a Listserv mailing list and seminars will be organised.&#160;To become an email member contact David Hayes at </span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">d.hayes@qub.ac.uk.</span><br />&#160;</div><div style=""margin-left:11.35pt;text-indent:-11.35pt""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;color:black;"">1. Advisory Council on the Misuse of Drugs (2003) <i>Hidden harm: responding to the needs of children of problem drug users</i>. London: </span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;color:black"">Advisory Council on the Misuse of Drugs.</span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;""> <a href=""http://www.drugsandalcohol.ie/5456/"">www.drugsandalcohol.ie/5456</a></span></div>  <div style=""margin-left:11.35pt;text-indent:-11.35pt""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;"">2. Scottish Executive (2004) <i>Hidden harm: Scottish Executive response to the report of the inquiry by the Advisory Council on the Misuse of Drugs</i>. Edinburgh: Scottish Executive.</span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;""> <a href=""https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/120619/0012816.pdf"">www.gov.uk/government/uploads/system/uploads/attachment_data/file/120619/0012816.pdf</a></span></div>  <div style=""margin-left:11.35pt;text-indent:-11.35pt""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">3. The Council of Australian Governments (2009) <i>Protecting children is everyone’s business: national framework for protecting Australia’s children (2009–2020</i>). Canberra: Commonwealth of Australia. <a href=""http://www.communities.qld.gov.au/resources/childsafety/child-protection/national-framework.pdf"">www.communities.qld.gov.au/resources/childsafety/child-protection/national-framework.pdf</a></span></div>  <div style=""margin-left:11.35pt;text-indent:-11.35pt""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;;color:black;"">4. Hope A (2011) <i>Hidden realities: children's exposure to risks from parental drinking in Ireland</i>. Letterkenny: North West Alcohol Forum.</span><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;""><a href=""http://www.drugsandalcohol.ie/16250/"">www.drugsandalcohol.ie/16250</a></span></div>  <div style=""margin-left:11.35pt;text-indent:-11.35pt""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">5. Public Health Agency, Health and Social Care Board (2009) <i>Hidden harm action plan: responding to the needs of children born to and living with parental alcohol and drug misuse in Northern Ireland.</i> Belfast: Department of Health, Social Services and Public Safety. <a href=""http://www.drugsandalcohol.ie/15570/"">www.drugsandalcohol.ie/15570</a></span></div>  <div style=""margin-left:11.35pt;text-indent:-11.35pt""><span style=""font-size:10.0pt;Arial&quot;,&quot;sans-serif&quot;"">6. Public Health Agency, Health and Social Care Board (2013) <i>Regional Joint Service Agreement – Hidden Harm protocol. </i>Belfast: Public Health Agency, Health and Social Care Board.</span>&#160;</div><p>&#160;</p>",,,,,"Issue 49, Spring 2014",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 49, Spring 2014","Drugnet Ireland","LG18-12-2 , LG18-12-4 , VH4-2 , MV14 , TW2-10-4 , LG2-6 , TA12 , JB2-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Social services  -  Services for family and children --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Drugs and alcohol prevention  -  Drugs and alcohol use harm reduction","Europe  -  Ireland","Lyons Suzi","0","yes"
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"21684",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21684",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21684",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21684",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
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Visually representing everything NICE has said on a particular topic, the pathways enable you to see at a glance all of NICE's recommendations on a specific clinical or health topic. 

There are sections on:
•	Working with vulnerable and disadvantaged children and young people
•	Preventing alcohol-use disorders
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"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AN8-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2-8-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18912",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590","32","archive","1684",,,"disk0/00/02/15/90","2014-03-24 12:07:49","2014-03-24 13:32:16","2014-03-24 12:07:48","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Hope","Ann","","","","Hope:Ann::","",,,,,"","","Alcohol’s harm to others in Ireland.","pub","MM26","","public",,"other",,,,,,"In Ireland, the burden of alcohol related harm is often experienced by those around the drinker, be they family member, friend, co-worker or innocent ‘bystander’. Alcohol’s harm to others (AH2O) undermines public safety and is experienced in every community. The negative effects from other people’s drinking are visible in the public domain and can range from the nuisance factor, feeling unsafe in public places to the violent attack by an intoxicated drinker. Physical assaults and driving a car while under the influence of alcohol can contribute to injuries, accidents, disabilities and death of innocent people. Although not often publically visible, alcohol’s harm to others within the family can have very serious consequences for the safety and well-being of family members, with children being the most vulnerable. 

The World Health Organisation (WHO), in its Global Strategy to reduce the harmful use of alcohol, called for special attention to be given to reducing harm to people other than the drinker and to populations that are at particular risk (WHO 2010). This report examines alcohol’s harm to others in three Irish settings – the general population, in the workplace and children in families. The information is based on self reported responses in the national drinking surveys of 2006 and 2010, funded by the Health Service Executive.","2014-03","published",,"Hope Ann",,"","",,,,,,"Health Service Executive","Dublin",,"31 p.",,,,,,,,,,,"","","",,,,,,,,,"","","5160","","available","","","","","",,"<p>&#160;</p>","BB, JB4.6.2, VH4.2",,,,,,,,,,"",,"http://www.hse.ie/alcoholresources","web",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MM26 , VH4-2 , TW2-10-4 , BB , LG2-6 , MM2-2 , JB2-4 , AN8-4-4 , LN34 , GC16 , GA4 , LG18","MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)  -- T Demographic characteristics > Child of drugs and alcohol user -- B Drugs and alcohol substances > Alcohol -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- MM-MO Crime and law > Crime > Drugs and alcohol related crime -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol related societal (social) problems > Drinking and driving -- L Social psychology and related concepts > Social context > Workplace context -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- G Health and disease > Public health -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations","VA Geographic area > Europe > Ireland","Crime and violence  -  Crime against persons (assault / abuse / intimidation)  --  Child of drugs and alcohol user --  Alcohol --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Crime  -  Drugs and alcohol related crime --  Drugs and alcohol prevention  -  Drugs and alcohol use harm reduction --  Drugs and alcohol related societal (social) problems  -  Drinking and driving --  Social context  -  Workplace context --  Drugs and alcohol disorder  -  Alcohol use --  Public health --  Marital relations  -  Family and kinship  -  Family relations","Europe  -  Ireland","Hope Ann","0","no"
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AN8-4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GA4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"21590",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22495","12","archive","1684",,,"disk0/00/02/24/95","2014-08-15 13:27:31","2014-12-23 11:59:17","2014-08-15 13:27:31","article",,,"show",,,,"","","","","","","","","","",,,,"Barrett","Alan","","","","Barrett:Alan::","",,,,,"","","Childhood sexual abuse and later-life economic consequences.","pub","AA2-4","","none",,,,,,,,"Control variables for childhood adversity other than sexual abuse such as parental alcohol or substance abuse were included. Respondents were asked questions relating to problem drinking.","2014","published",,"Barrett Alan",,"","",,"Journal of Behavioral and Experimental Economics","53",,,"Science Direct",,"10-16",,,,,,,,,,,"TRUE","","","",,,,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://www.esri.ie/publications/latest_publications/view/index.xml?id=4067","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","53","Journal of Behavioral and Experimental Economics","AA2-4 , LG18 , MM26 , TA12 , TW2-10-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)  -- T Demographic characteristics > Child -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Marital relations  -  Family and kinship  -  Family relations --  Crime and violence  -  Crime against persons (assault / abuse / intimidation)  --  Child --  Child of drugs and alcohol user","Europe  -  Ireland","Barrett Alan , Kamiya Yumiko , O’Sullivan Vincent","0","no"
"22495",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kamiya","Yumiko","","",,,,,,,,,,,,"LG18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22495",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O’Sullivan","Vincent","","",,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22495",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22495",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22495",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22248","13","archive","1684",,,"disk0/00/02/22/48","2014-07-04 13:29:24","2014-07-04 15:31:20","2014-07-04 13:29:24","article",,,"show",,,,"","","","","","","","","","",,,,"Latham","Linda","","","","Latham:Linda::","",,,,,"","","Alcohol misuse and the family.","pub","AD12-6","","none",,,,,,,,"Nurses are ideally placed to spot the signs of alcohol abuse and should be prepared to open a conversation about the issue with family members.

Starting a conversation about alcohol misuse, whether it be with a spouse, a family or with friends, is a culturally awkward endeavour in Ireland. Despite the fact that Irish society tolerates a high level of alcohol consumption, it is a conversation that should be encouraged well before children start experimenting with alcohol.

This conversation should be initiated tentatively by nurses, whether at work, in the community or in their own homes. Some estimates suggest that nurses misuse drugs and alcohol at nearly the same rate (10-15%) as the rest of the population. The American Nurses Association estimates that 6-8% of nurses use alcohol or drugs to an extent that is sufficient to impair professional performance. It may be very uncomfortable for us to consider that a nurse can be high functioning and high achieving though suffering from a substance-use disorder such as alcoholism. Therefore, it makes sense that the conversation starts with us.....","2014","published",,"Latham Linda",,"","",,"World of Irish Nursing & Midwifery","22","5","5","Medmedia Group",,"55-56",,,,,,,,,,,"FALSE","","","",,"1393-8088",,,,,,,"","","","","available","","","","","",,,,,,,,,,,,,"","http://www.inmo.ie/7914","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","22","World of Irish Nursing  Midwifery","AD12-6 , HZ2-2-2 , LG2 , TT2-14 , TW2-10-4 , VH4-2","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- HJ Treatment method > Psychosocial treatment method > Individual therapy > Brief intervention -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol -- T Demographic characteristics > Nurse -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Psychosocial treatment method  -  Individual therapy  -  Brief intervention --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol --  Nurse --  Child of drugs and alcohol user","Europe  -  Ireland","Latham Linda","0","no"
"22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22248",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22652","13","archive","1684",,,"disk0/00/02/26/52","2014-09-16 12:17:14","2014-09-16 12:17:14","2014-09-16 12:17:14","monograph",,,"show",,,,"","","","","","","","","","",,,,"Manning","E","","","","Manning:E::","",,,,,"","","Perinatal mortality in Ireland annual report 2012.","pub","BD","","public",,"annual_report",,,,,,"Smoking and substance abuse page 23.","2014","published",,"Manning E",,"","",,,,,,"National Perinatal Epidemiology Centre","Cork",,"72 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"BD , GC16 , GC2 , PB6-12-2 , TW2-10-4 , VH4-2","B Drugs and alcohol substances > Tobacco (cigarette smoking) -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- G Health and disease > Drugs and alcohol disorder > Drug use -- P Demography, epidemiology, and history > Population dynamics > Drugs and alcohol related mortality / death -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Tobacco (cigarette smoking) --  Drugs and alcohol disorder  -  Alcohol use --  Drugs and alcohol disorder  -  Drug use --  Population dynamics  -  Drugs and alcohol related mortality / death --  Child of drugs and alcohol user","Europe  -  Ireland","Manning E , Corcoran Paul , Meaney S , Greene Richard A","0","yes"
"22652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corcoran","Paul","","",,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Meaney","S","","",,,,,,,,,,,,"GC2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Greene","Richard A","","",,,,,,,,,,,,"PB6-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22652",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681","17","archive","5",,,"disk0/00/02/76/81","2017-07-27 08:07:48","2017-07-27 08:07:48","2017-07-27 08:07:48","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","National Drug and Alcohol Research Centre","Supporting pregnant women who use alcohol or other drugs - a guide for primary health care professionals.",,"ED4-12","","public",,,,,,,,,"2014","published",,"NDARC",,"","",,,,,,"National Drug and Alcohol Research Centre","Sydney",,"32 p.",,,,,,,,,,,"guideline","aod_use_harm_reduction","alcohol",,,,,,"NDARC",,,"","","","","","","","","","",,"<p style=""margin: 0cm 0cm 0pt;"">To prevent poor pregnancy outcomes, including conditions like Fetal Alcohol Spectrum Disorders, we must do more to provide treatment to pregnant women with problematic substance use. There is clear evidence that heavy and frequent use of alcohol or other drugs and associated lifestyle factors contribute to significant harm during pregnancy.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Health care professionals can make a substantial difference to the health of women and their babies by identifying and supporting women who use alcohol or other drugs during pregnancy. This Guide is intended for a range of primary health  care professionals including GPs, midwives, nurses, practice nurses, Aboriginal health care workers and sexual health workers. It is applicable to a wide range of health care settings. In any health care setting where pregnant women are seen, they should be asked, without judgement, about their alcohol, tobacco and other drug use and provided with access to appropriate treatment and support.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Evidence shows that well-coordinated and comprehensive support with early access to antenatal care and specialist alcohol or drug treatment can reduce harm and improve outcomes for pregnant women who have problematic alcohol and drug use, and their babies. </p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">Women can also benefit from preconception counselling to address problematic substance use prior to pregnancy. All women with problematic alcohol or drug use should be provided with advice about contraception.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">The clinical information in this Guide is largely drawn from NSW Clinical Guidelines for the Management of Substance Use during Pregnancy, Birth and the Postnatal Period, which is the latest clinical guidance for management of drug and alcohol use in pregnancy in Australia. Health professionals should also consult relevant State legislation, policy and clinical guidelines. This Guide also draws on a range of evidence from Australian and international studies about the best strategies to reduce the harms to women and children from alcohol and drug use in pregnancy.</p>
<p style=""margin: 0cm 0cm 0pt;""> </p>
<p style=""margin: 0cm 0cm 0pt;"">See also, 3 short videos on the NDARC website page</p>
<ul>
<li style=""color: #000000;""><a href=""https://vimeo.com/220402213"" target=""_blank"" rel=""noopener noreferrer"">Supporting pregnant women who use alcohol or other drugs: Barriers to care</a></li>
<li style=""color: #000000;""><a href=""https://vimeo.com/221361380"" target=""_blank"" rel=""noopener noreferrer"">Supporting pregnant women who use alcohol or other drugs: Care and treatment</a></li>
<li style=""color: #000000;""><a href=""https://vimeo.com/222143235"" target=""_blank"" rel=""noopener noreferrer"">Supporting pregnant women who use alcohol or other drugs: Specific drugs</a></li>
</ul>",,,,,,,,,,,"","https://ndarc.med.unsw.edu.au/resource/supporting-pregnant-women-who-use-alcohol-or-other-drugs-guide-primary-health-care","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"ED4-12 , GJ , GJ2-16-2-4-6 , LG14-10-2 , T10-4-2 , TT2 , TT2-14 , TT8-2 , TW2-10-4 , VK2","E Concepts in biomedical areas > Pregnancy -- G Health and disease > Disorder by cause > Developmental disorder -- G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Nurse -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Australia and Oceania > Australia","Pregnancy --  Disorder by cause  -  Developmental disorder --  Disorder by cause  -  Developmental disorder  -  Foetal (fetal) alcohol syndrome --  Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Pregnant woman --  Drug or health care worker --  Nurse --  Social worker --  Child of drugs and alcohol user","Australia and Oceania  -  Australia","National Drug and Alcohol Research Centre National Drug and Alcohol Research Centre","0","yes"
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"alcohol_drugs_in_general",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ2-16-2-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2-14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"27681",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394","18","archive","5",,,"disk0/00/02/23/94","2014-07-28 09:20:16","2014-07-28 09:20:16","2014-07-28 09:20:16","guideline",,,"show",,,,"","","","","","","","","","",,,,"Hutchinson","Delyse M","","","","Hutchinson:Delyse M::","",,,,,"","","The impact of alcohol use disorders on family life: a review of the empirical literature.","pub","AM","","public",,,,,,,,"This report aimed to review the empirical literature on the impact of parental alcohol use disorders on family life. The report focused specifically on harms inflicted by the problematic consumption of alcohol on members of the family, particularly spouses and children, and on the functioning of the family unit as a whole. 

The key objectives of this report were to (a) improve understanding of the nature and extent of the impacts, (b) provide specific directions for future research, and (c) identify salient factors to be incorporated in national health policies, and prevention and treatment initiatives that aim to reduce the burden of alcohol use disorders in Australia.","2014","published",,"NDARC",,"","",,,,,,"National Drug and Alcohol Research Centre","Sydney",,"110 p.",,,,,"NDARC technical report number: 325",,,,,,"review","aod_use_harm_reduction","alcohol",,"978-0-7334-3392-4",,,,"NDARC",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"AM , AN , BB , GC16 , GD2 , LG18-12 , LG18-12-2 , LG2-6 , TW2-10-4 , VK2","A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol related societal (social) problems -- B Drugs and alcohol substances > Alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Australia and Oceania > Australia","Drugs and alcohol effects and consequences --  Drugs and alcohol related societal (social) problems --  Alcohol --  Drugs and alcohol disorder  -  Alcohol use --  Drugs and alcohol related disorder  -  Drugs and alcohol related mental disorder --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child of drugs and alcohol user","Australia and Oceania  -  Australia","Hutchinson Delyse M , Mattick Richard P , Braunstein Danya , Maloney Elizabeth , Wilson Judy","0","yes"
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mattick","Richard P","","",,,,,,,,,,,,"AN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Braunstein","Danya","","",,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Maloney","Elizabeth","","",,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Wilson","Judy","","",,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22394",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937","33","archive","1684",,,"disk0/00/01/89/37","2012-12-10 10:50:12","2015-09-04 09:57:03","2012-12-10 10:50:12","article",,,"show",,,,"","","","","","","","","","","0",,,"Cleary","Brian J","","","","Cleary:Brian J::","",,,,,"","","Methadone dosing and prescribed medication use in a prospective cohort of opioid-dependent pregnant women.","pub","ED4-12","","none",,,,,,,,"This study aimed to i) describe methadone dosing before, during and after pregnancy, ii) to compare the incidence of neonatal abstinence syndrome (NAS) between those with dose decreases and those with steady or increasing doses and iii) to describe prescribed medication use among opioid dependent pregnant women.","2013-12","published",,"Cleary Brian J",,"","",,"Addiction","108","4","4","Wiley-Blackwell",,"762-770",,,,,,"10.1111/add.12078",,,,,,"","","",,"1360-0443",,,,,,,"","","","","available","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","108","Addiction","ED4-12 , TW2-10-4 , T10-4-2 , GJ2_16_2_2_2 , HK2-10-2-2-2 , AM","E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Pregnant woman -- G Health and disease > Disorder by cause > Developmental disorder > neonatal abstinence syndrome -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences",,"Pregnancy --  Child of drugs and alcohol user --  Pregnant woman --  Disorder by cause  -  Developmental disorder  -  neonatal abstinence syndrome --  Drugs and alcohol disorder treatment method  -  Drugs and alcohol replacement method (substitution)  -  Methadone maintenance --  Drugs and alcohol effects and consequences",,"Cleary Brian J , Reynolds K , Eogan Maeve , O'Connell MP , Fahey T , Gallagher Paul J , Clarke T , White Martin J , McDermott C , O'Sullivan A , Carmody Deirdre , Gleeson J , Murphy Deidre J","0","no"
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Reynolds","K","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Eogan","Maeve","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Connell","MP","","",,,,,,,,,,,,"GJ2_16_2_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fahey","T","","",,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gallagher","Paul J","","",,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Clarke","T","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"White","Martin J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McDermott","C","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Sullivan","A","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Carmody","Deirdre","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gleeson","J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18937",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Murphy","Deidre J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890","27","archive","5",,,"disk0/00/02/08/90","2013-11-12 08:53:11","2013-11-12 08:53:11","2013-11-12 08:53:11","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Adfam","Identifying and supporting children affected by parental substance use. Resource for schools.","pub","LN36","","public",,,,,,,,"How can schools identify and support pupils affected by parental substance misuse?

This resource has been developed for the UK Alcohol and Drug Education and Prevention Information Service (ADEPIS) by Adfam, the national umbrella organisation for those working with and for families affected by drugs and alcohol, and is intended to be a useful tool to help schools in safeguarding their pupils.

ADEPIS is a project funded by the UK Department for Education which aims to provide good practice and evidence-based examples, and useful resources for the delivery of effective drug and alcohol education in schools.","2013-11","published",,"Adfam",,"","",,,,,,"Adfam","London",,"11 p.",,,,,,,,,,,"guideline","aod_prevention","alcohol_drugs_in_general",,,,,,"Adfam",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LN36 , TN , TW2-10-4 , LG18-2 , TA12 , TN2-4-2 , NF24-2-2 , JF10-10 , VH4-4 , LG14-10","L Social psychology and related concepts > Social context > School context -- T Demographic characteristics > Student (secondary level) -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- T Demographic characteristics > Student (primary level) -- N Communication, information and education > Educational environment (school / college) > Drugs and alcohol use in the educational environment > School drugs and alcohol policy -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > United Kingdom","Social context  -  School context --  Student (secondary level) --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Student (primary level) --  Educational environment (school / college)  -  Drugs and alcohol use in the educational environment  -  School drugs and alcohol policy --  Prevention by sponsor or setting  -  School-based prevention --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  United Kingdom","Adfam Adfam","0","yes"
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF24-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF10-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20890",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20856","16","archive","5",,,"disk0/00/02/08/56","2013-11-06 09:32:55","2013-11-06 09:32:55","2013-11-06 09:32:55","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Coulter","Carol","","","","Coulter:Carol::","",,,,,"","","Child Care Law Reporting Project: interim report.","pub","MV","","public",,"other",,,,,,"Introduction: Background to the Project 1
Chapter 1: Setting up the project 6
Chapter 2: Cases reported on the website 11
Chapter 3: Data analysis 17
Chapter 4: Interim observations 24
Appendix 1: Glossary 33
Appendix 2: Tables 35","2013-11","published",,"Coulter Carol",,"","",,,,,,"Child Care Law Reporting Project","Dublin",,"75 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childlawproject.ie/publications/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MV , VH4-2 , TW2-10-4 , TT8-2 , TA12","MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child","VA Geographic area > Europe > Ireland","Social services --  Child of drugs and alcohol user --  Social worker --  Child","Europe  -  Ireland","Coulter Carol","0","no"
"20856",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20856",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20856",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20856",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072","20","archive","5",,,"disk0/00/02/40/72","2015-06-10 09:17:59","2015-06-10 09:18:00","2015-06-10 09:17:59","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Adfam","Identifying and supporting children affected by parental substance misuse – Resource for schools.","pub","LC2-4","","public",,,,,,,,"How can schools identify and support pupils affected by parental substance misuse?
This resource has been developed for the Alcohol and Drug Education and Prevention Information Service (ADEPIS) by Adfam, the national umbrella organisation for those working with and for families affected by drugs and alcohol, and is intended to be a useful tool to help schools in safeguarding their pupils.

The purpose of this resource:
When schools and teachers think about ‘drugs’, they may often initially focus on incidents on school grounds and how to respond to them, students at risk of using substances, or perhaps about drug education.

However, substance use can impact the lives of young people in many ways, especially if they are affected by problematic drug or alcohol use in their own homes. This resource aims to summarise the key issues for children affected by parental substance use, and how schools can consider supporting them.

It is aimed primarily at school governors and headteachers, but will also be relevant to members of staff with particular pastoral care duties, including school nurses, Education Welfare Officers, and anyone identified as a Designated Senior Person (DSP) for child protection in schools.

Key messages:
•	Parental substance use is not a problem that schools can ‘solve’ alone, nor is it an issue they should turn a blind eye to
•	Schools have both the responsibility and the ability to support  children affected by parental substance use
•	Safeguarding is a matter of child welfare, not drug and alcohol expertise
•	Existing structures/policies cover most of this work already, but added focus is needed","2013-11","published",,"Mentor ADEPSIS",,"","",,,,,,"Mentor ADEPSIS","London",,"11 p.",,,,,,,,,,,"report","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"Mentor ADEPSIS",,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://mentor-adepis.org/identifying-supporting-children-affected-parental-substance-use-resource-schools/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LC2-4 , LG14-10 , LG18-2 , LN36 , NF24-2-2 , TA14 , TN , TN2-4-2 , TT2 , TT6 , TT8-2 , TW2-10-4 , VH4-4","L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Social context > School context -- N Communication, information and education > Educational environment (school / college) > Drugs and alcohol use in the educational environment > School drugs and alcohol policy -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Student (secondary level) -- T Demographic characteristics > Student (primary level) -- T Demographic characteristics > Drug or health care worker -- T Demographic characteristics > Prevention worker -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Interpersonal interaction and group dynamics  -  Social support --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Social context  -  School context --  Educational environment (school / college)  -  Drugs and alcohol use in the educational environment  -  School drugs and alcohol policy --  Adolescent / youth (teenager / young person) --  Student (secondary level) --  Student (primary level) --  Drug or health care worker --  Prevention worker --  Social worker --  Child of drugs and alcohol user","Europe  -  United Kingdom","Adfam Adfam","0","yes"
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"crime_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LN36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF24-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TN2-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"24072",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226","37","archive","5",,,"disk0/00/02/02/26","2013-07-15 09:13:26","2014-11-03 09:39:30","2013-07-15 09:13:26","monograph",,,"show",,,,"","","","","","","","","","","0",,,"McElvaney","Rosaleen","","","","McElvaney:Rosaleen::","",,,,,"","","Someone to care: the mental health needs of children and young people in the care and youth justice system.","pub","GA2-4","","public",,"other",,,,,,"This report hears from eight young adults who have been through the care system and yet show remarkable resilience. They are taking steps to move forward in their lives and have a valuable contribution to make. If we can put in place the right mental health supports for children in the care and youth justice system, we will be building better futures not just for them, but for society as a whole. We will have worked to use our new understanding of their needs to build a transformed future. The lives of our children, all of our children, will ultimately be the better for that.

This report marks what the Coalition hopes will be the beginning of a process. It clearly identifies the need for a coherent and comprehensive national strategy addressing the mental health needs of young people in care and in the youth justice system. The mental health needs of these children and young people should, crucially, be central to any new policy and service developments which are currently underway in the reform of children’s services. 

At the heart of this process must be the young people themselves. As experts by experience, they must be involved in the planning, development and delivery of the system. Amnesty International Ireland’s 2011 polling revealed a high level of confidence in children’s ability to make decisions for themselves and in their trustworthiness. Nearly all respondents (86%) agreed it was important children have their opinions taken into account in significant decisions that affect them, while 67% agreed that children are trustworthy when voicing their opinions on decisions that will affect them. We must start listening.","2013-07","published",,"McElvaney Rosaleen",,"","",,,,,,"Children's Mental Health Coalition","Dublin",,"208 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childrensmentalhealth.ie/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"GA2-4 , LG18-12-4 , MM6-6 , TA14 , MV , JQ6-8 , LC2-4 , VH4-2 , MV14-4 , TT8-2 , TA12","G Health and disease > State of health > Mental health -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MM-MO Crime and law > Criminality > Juvenile delinquency (youth offending) -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- MP-MR Policy, planning, economics, work and social services > Social services -- J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child","VA Geographic area > Europe > Ireland","State of health  -  Mental health --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Criminality  -  Juvenile delinquency (youth offending) --  Adolescent / youth (teenager / young person) --  Social services --  Care by type of problem  -  Mental health care --  Interpersonal interaction and group dynamics  -  Social support --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Social worker --  Child","Europe  -  Ireland","McElvaney Rosaleen , Tatlow-Golden Mimi , Webb Roisin , Lawlor Eilis , Merriman Brian","0","no"
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Tatlow-Golden","Mimi","","",,,,,,,,,,,,"LG18-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Webb","Roisin","","",,,,,,,,,,,,"MM6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lawlor","Eilis","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Merriman","Brian","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JQ6-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20226",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20130","23","archive","5",,,"disk0/00/02/01/30","2013-07-02 09:01:20","2015-06-03 08:29:41","2013-07-02 09:01:20","article",,,"show",,,,"","","","","","","","","","","0",,,"Pike","Brigid","","","","Pike:Brigid::","",,,,,"","","How are the children?","pub","TA14","","public",,,,,,,,,"2013-07","published",,"Pike Brigid",,"","",,"Drugnet Ireland","Issue 46, Summer 2013",,,"Health Research Board",,"8-10",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>In recent months three reports on the state of Ireland’s children, including assessments of their use of tobacco, alcohol and illicit drugs, have been published. The statistical analyses, undertaken by UNICEF and by the Department of Children and Youth Affairs, report that overall levels of substance use have declined over the past decade. However, the annual review by a group of non-governmental organisations of the government’s progress in implementing policy suggests that further effort is needed to deliver on policy commitments in relation to alcohol policy and the effects of alcohol on children.</p>
<p><img style=""width: 103px; height: 109px;"" src=""/fckeditor_UPLOADS/image/Drugnet%20from%20issue%2046/Cover%201%20-%20How%20are%20the%20children.jpg"" /></p>
<div><b>Irish children compared to those in other countries, 2009/2010</b></div>
<div>UNICEF’s Office of Research has published a comparative overview of child well-being in developed countries, including Ireland.1 Drawing on statistical data relating to 2009–2010, the report ranks Ireland 10th out of 29 countries. Well-being is based on an aggregate of five separate dimensions, on some of which Ireland scores very well and on others not so well: material well-being (17th), health and safety (15th), education (17th), behaviours and risks (7th) and housing end environment (2nd). The ‘risk’ dimension comprises four indicators – smoking, alcohol and cannabis use, and teenage fertility rate.</div>
<div> </div>
<div>Regarding risk behaviours, the following three graphs from the UNICEF report indicate that smoking and cannabis use, and getting drunk, among young people in Ireland, as in most other developed countries, have all declined.</div>
<p><img style=""width: 759px; height: 347px;"" src=""/fckeditor_UPLOADS/image/Drugnet%20from%20issue%2046/Fig%207_3a%20%20-%20for%20How%20are%20the%20children.jpg"" /></p>
<p><img style=""width: 775px; height: 826px;"" src=""/fckeditor_UPLOADS/image/Drugnet%20from%20issue%2046/Fig%207_3b%20&amp;%20Fig%207_3c%20-%20for%20How%20are%20the%20children.jpg"" /></p>
<p><b><img style=""width: 90px; height: 93px;"" src=""/fckeditor_UPLOADS/image/Drugnet%20from%20issue%2046/Cover%202%20-%20How%20are%20the%20children.jpg"" /></b><br /><strong>State of the Nation’s Children, 2012 </strong><br />Released in March 2013, this fourth biennial <i>State of the Nation’s Children</i> report,2 published by the Department of Children and Youth Affairs, presents data in four sections:<br />1.     Socio-demographics – the child population, child mortality, family structure, parental education level, Traveller children, foreign national children, children with a disability and children as carers. <br />2.     Children’s relationships ­– with their parents and peers, including levels of reported bullying and children’s friendships.<br />3.     Children’s outcomes – relating to health, education, and social, emotional and behavioural outcomes, including smoking, alcohol and cannabis use. <br />4.     Formal and informal supports – including school, housing, antenatal care, immunisation and economic.  </p>
<div><b><img style=""width: 83px; height: 81px;"" src=""/fckeditor_UPLOADS/image/Drugnet%20from%20issue%2046/Cover%203%20-%20How%20are%20the%20children.jpg"" /></b></div>
<div>
<div>Data on smoking and alcohol and cannabis use were derived from <i>The Irish health behaviour in school-aged children (HBSC) study 2010</i>, and the results compared with the data from previous iterations of the HBSC.3 The report highlighted the decrease in the use of all three substances by children aged 10–17 in Ireland:</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">o The percentage who reported never having smoked increased from 50.8% in 1998 to 73.5% in 2010.</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">o The percentage who reported never having had an alcoholic drink increased from approximately 40% in 2002 to 54% in 2010.</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">o The percentage who reported having taken cannabis at least once in their lifetime decreased from 15.7% in 2006 to 10.5% in 2010.</div>
<div> </div>
<div>The report points out that Traveller children and children with a disability and/or chronic illness were less likely than other children to report having never smoked cigarettes or drunk alcohol. They were also more likely, along with immigrant children, to report having taken cannabis at least once in their lifetime.</div>
<div> </div>
<div>With regard to age, gender and social class, the report notes that older children and boys were less likely to report never having smoked cigarettes, had an alcoholic drink or taken cannabis. Children from lower social class categories were similarly less likely to report never having smoked cigarettes or taken cannabis. However, the percentages of children never having had an alcoholic drink were broadly similar across all social class categories.</div>
</div>
<div> </div>
<div><img style=""width: 85px; height: 83px;"" src=""/fckeditor_UPLOADS/image/Drugnet%20from%20issue%2046/Cover%204%20-%20How%20are%20the%20children.jpg"" /></div>
<div><b>Is government keeping its promises to children? </b></div>
<div>The Children’s Rights Alliance (CRA) has published its fifth annual report on the state of the nation’s children.5 The report assesses the government’s performance in honouring its promises to the over one million children living in Ireland. Awarding ‘Ds’ for each of the first three years, 2008­–2010, the CRA gave the government a ‘C+’ in 2011, reflecting ‘the Government’s commitment to children’s rights, evidenced in the appointment of a Minister for Children and Youth Affairs with full cabinet status; the creation of a new Department of Children and Youth Affairs; and the commitment to hold a referendum on children’s rights’. In the latest report, for 2012, the CRA has given an overall ‘C’ grade, reflecting ‘a satisfactory attempt to date, though children remain wanting’.</div>
<div> </div>
<div>Notwithstanding the improvement in the overall rating, under the subheading ‘Right to Health’, the report gives the government a ‘D’ for progress in 2012 in relation to alcohol, drugs and smoking, pronouncing progress ‘unsatisfactory’. The report states that despite the commitment that every government department, agency or task force responsible for implementing elements of the <i>National Addiction Strategy </i>would be required to account to the minister for their budget annually and to demonstrate progress on achieving targets, a National Addiction Strategy has not been published and ‘is not expected until 2016’. The report goes on to comment that ‘there is no Government policy on tackling alcohol misuse; no Government decision has been made on recommendations of the Steering Group’. It calls for the following actions in 2013:</div>
<div> <strong>·</strong>         Urgently adopt a national strategy to tackle alcohol misuse and ensure it is coherent with the Interim National Drugs Strategy 2009–2016. The strategy should have a clear focus on the impact of alcohol and drugs on children, including to reduce children’s access to alcohol and drugs; curb the widespread availability of cheap alcohol; restrict the promotion of alcohol; raise awareness of the potential harmful effects of alcohol and drugs and develop youth appropriate addiction treatment services. It must also address harmful parental drinking and its impact on children. The Strategy must be accompanied by a clear plan, with targets, timeframes and accountability structures.</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;""><strong>·</strong>         Introduce a legislative ban to protect children from alcohol marketing.</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;""><strong>· </strong>        Sustain investment in non-alcohol and drug free spaces for young people.</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;""><strong>· </strong>       Enact the Protection of Children’s Health from Tobacco Smoke Bill 2012.
<div> </div>
</div>
<div style=""text-indent: -11.35pt; margin: 0cm 0cm 0pt 11.35pt;"">1. UNICEF (2013) <i>Child well-being in rich countries: a comparative overview</i>. Innocenti Report Card 11. Florence: UNICEF Office of Research. <a href=""/19663"" target=""_blank"">www.drugsandalcohol.ie/19663</a></div>
<div style=""text-indent: -11.35pt; margin: 0cm 0cm 0pt 11.35pt;"">2. Office of the Minister for Children and Youth Affairs (2012) <i>State of the nation's children report: Ireland 2012</i>. Dublin: Stationery Office. <a href=""/19449"" target=""_blank"">www.drugsandalcohol.ie/19449</a></div>
<div style=""text-indent: -11.35pt; margin: 0cm 0cm 0pt 11.35pt;"">3. Kelly C, Gavin A, Molcho M and NicGabhainn S (2012) <i>The Irish health behaviour in school-aged children study 2010</i>. Dublin: Department of Health and National University of Ireland, Galway.  <a href=""/17360"" target=""_blank"">www.drugsandalcohol.ie/17360</a> .</div>
<div style=""text-indent: -11.35pt; margin: 0cm 0cm 0pt 11.35pt;"">For a detailed account of the HBSC 2010 data relating to alcohol and cannabis use, see Long J (2012) Alcohol and cannabis use among school-aged children in Ireland. <i>Drugnet Ireland</i>, (42): 1–2.    <a href=""/17680"" target=""_blank"">www.drugsandalcohol.ie/17680</a></div>
<div style=""text-indent: -11.35pt; margin: 0cm 0cm 0pt 11.35pt;"">4.Children's Rights Alliance (2013) <i>Report card 2012</i>. Dublin: Children's Rights Alliance. <a href=""/19332"" target=""_blank"">www.drugsandalcohol.ie/19332</a></div>",,,,,"Issue 46, Summer 2013",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 46, Summer 2013","Drugnet Ireland","TA14 , VH4-2 , LG14-10 , TW2-10-4 , LG18-2 , LG2-6 , TA12","T Demographic characteristics > Adolescent / youth (teenager / young person) -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child","VA Geographic area > Europe > Ireland","Adolescent / youth (teenager / young person) --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child","Europe  -  Ireland","Pike Brigid","0","yes"
"20130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20130",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17577","19","archive","1684",,,"disk0/00/01/75/77","2012-05-15 11:33:59","2012-12-21 11:11:49","2012-05-15 11:33:59","article",,,"show",,,,"","","","","","","","","","","0",,,"Comiskey","Catherine","","","","Comiskey:Catherine::","",,,,,"","","A 3 year national longitudinal study comparing drug treatment outcomes for opioid users with and without children in their custodial care at intake.","pub","VH4-2","","none",,,,,,,,"The aim of this research was to measure the longitudinal effects of having children in a client's custodial care, on opioid treatment outcomes. A 3 year national, longitudinal study was implemented. Outcomes were measured using the Maudsley Addiction Profile, 404 clients (75% male) were recruited and 97% were located at 3 years. At 1 year significantly fewer of those with children in their care were using heroin, benzodiazepines and cannabis but having children in a client's care at intake was a significant and positive predictor of using other opioids at 1 year. Analysis also revealed that there was a significant reduction in the proportion using alcohol in the last 90 days and in the mean days alcohol was used among those with no children in their care.

Results demonstrate that having children in a client's care improves outcomes for heroin use but also suggest the possible use of substitution substances.","2013",,,"Comiskey Catherine",,"","",,"Journal of Substance Abuse Treatment","44","1","1","Elsevier",,"90-96",,,,,,"doi:10.1016/j.jsat.2012.04.002",,,,,,"","","",,"1873-6483",,,,,,,"","","","","not_in_collection","","","","","",,"<p>&#160;</p>",,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","44","Journal of Substance Abuse Treatment","VH4-2 , HK2-10-2-2 , BL2 , TW2-10-4 , TW2-8 , BL , TL4","HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) -- B Drugs and alcohol substances > Opioids (opiates) > Heroin -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent -- B Drugs and alcohol substances > Opioids (opiates) -- T Demographic characteristics > Drug user","VA Geographic area > Europe > Ireland","Drugs and alcohol disorder treatment method  -  Drugs and alcohol replacement method (substitution) --  Opioids (opiates)  -  Heroin --  Child of drugs and alcohol user --  Parent --  Opioids (opiates) --  Drug user","Europe  -  Ireland","Comiskey Catherine","0","no"
"17577",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17577",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17577",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17577",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17577",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17577",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20188","28","archive","1684",,,"disk0/00/02/01/88","2013-07-09 12:49:15","2014-04-09 22:07:05","2013-07-09 12:49:15","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Institute of Obstetricians and Gynaecologists","Methadone prescribing and administration in pregnancy.","pub","ED4-12","","public",,"other",,,,,,"The purpose of this guideline is to promote the safe and effective prescribing and administration of methadone in antenatal and postnatal opioid-dependent women. These guidelines are intended for healthcare professionals, particularly those in training, who are working in HSE-funded obstetric and gynaecological services. They are designed to guide clinical judgement but not replace it. In individual cases a healthcare professional may, after careful consideration, decide not to follow a guideline if it is deemed to be in the best interests of the woman.","2013","published",,"Institute of Obstetricians and Gynaecologists",,"","",,,,,,"Health Service Executive","Dublin",,"24 p.",,,,,,,,,,,"guideline","aod_disorder_treatment_method","opioid",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.hse.ie/eng/about/Who/clinical/natclinprog/obsandgynaeprogramme/obsgyneguide.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"ED4-12 , VH4-2 , T10-4-2 , TW2-10-4 , BL2-1 , HK2-10-2-2-2 , AM","E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user -- B Drugs and alcohol substances > Opioids (opiates) > Methadone -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > Ireland","Pregnancy --  Pregnant woman --  Child of drugs and alcohol user --  Opioids (opiates)  -  Methadone --  Drugs and alcohol disorder treatment method  -  Drugs and alcohol replacement method (substitution)  -  Methadone maintenance --  Drugs and alcohol effects and consequences","Europe  -  Ireland","Institute of Obstetricians and Gynaecologists Institute of Obstetricians and Gynaecologists , Royal college of Physicians of Ireland Royal college of Physicians of Ireland , Health Service Executive Health Service Executive","0","no"
"20188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Royal college of Physicians of Ireland",,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Health Service Executive",,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BL2-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20188",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822","29","archive","1684",,,"disk0/00/01/98/22","2013-05-09 12:59:49","2017-02-08 16:18:32","2013-05-09 12:59:49","article",,,"show",,,,"","","","","","","","","","","0",,,"Lambert","J","","","","Lambert:J::","",,,,,"","","Universal antenatal screening for Hepatitis C.","pub","HC","","none",,,,,,,,"The aims of this study were to pilot universal antenatal HCV screening and to determine the true seroprevalence of HCV infection in an unselected antenatal population. A risk assessment questionnaire for HCV infection was applied to all women booking for antenatal care over a 1-year period. In addition the prevalence of anti-HCV antibody positive serology in this population was determined. Over the course of the year, 9121 women booked for antenatal care at the Rotunda and 8976 women agreed to take part in the study, representing an uptake of 98.4%. 78 (0.9%) women were diagnosed as anti-HCV positive, the majority of whom were Irish (60.3%) or from Eastern Europe (24.4%). 73% of anti-HCV positive women reported one or more known risk factor with tattooing and a history of drug abuse the most commonly reported. 27% (n=21) of anti-HCV positive women had no identifiable risk factors. Due to selective screening, seroprevalence of HCV is impossible to accurately calculate. However the universal screening applied here and the high uptake of testing has allowed the prevalence of anti-HCV among our antenatal population to be calculated at 0.9%. A significant proportion (27%) of anti-HCV positive women in this study reported no epidemiological risk factors at the time of booking and so were identified only as a result of universal screening. This provides persuasive evidence for the inclusion of HCV testing with routine antenatal screening or at a minimum highlights the need for ongoing review of selective screening criteria.","2013",,,"Lambert J",,"","",,"Irish Medical Journal","106","5","5","Irish Medical Organisation",,"136-139",,,,,,,,,,,,"","","",,"0332-3102",,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.imj.ie//ViewArticleDetails.aspx?ArticleID=11144","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","106","Irish Medical Journal","HC , GH16-12-6-6 , TW2-8-8 , TL4-10-4 , VH4-2 , ED4-12 , TW2-10-4 , AM","HA Screening, identification, and diagnostic method > Medical screening and diagnostic method -- G Health and disease > Disorder by cause > Communicable disease > Hepatitis C -- T Demographic characteristics > Mother -- T Demographic characteristics > Intravenous / injecting drug user -- E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Child of drugs and alcohol user -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > Ireland","Medical screening and diagnostic method --  Disorder by cause  -  Communicable disease  -  Hepatitis C --  Mother --  Intravenous / injecting drug user --  Pregnancy --  Child of drugs and alcohol user --  Drugs and alcohol effects and consequences","Europe  -  Ireland","Lambert J , Jackson V , Coulter-Smith S , Brennan M , Geary Michael , Kelleher TB , O'Reilly M , Grundy K , Sammon M , Cafferkey MT","0","no"
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jackson","V","","",,,,,,,,,,,,"GH16-12-6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Coulter-Smith","S","","",,,,,,,,,,,,"TW2-8-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brennan","M","","",,,,,,,,,,,,"TL4-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Geary","Michael","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kelleher","TB","","",,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Reilly","M","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Grundy","K","","",,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Sammon","M","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19822",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cafferkey","MT","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191","27","archive","1684",,,"disk0/00/02/01/91","2013-07-10 11:04:36","2014-04-09 22:07:06","2013-07-10 11:04:36","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Mayock","Paula","","","","Mayock:Paula::","",,,,,"","","Young people's homeless and housing pathways: key findings from a 6-year qualitative longitudinal study.","pub","TA14","","public",,"other",,,,,,"This report documents key findings from a qualitative longitudinal study of homeless young people in Dublin city. The study was initiated in 2004 and has involved three waves of data collection over a 6-year period.

The first phase of the research was funded by the Office of the Minister for Children (OMC) – now the Department of Children and Youth Affairs (DCYA) – under the National Children’s Research Programme. At baseline, biographical interviews were conducted with 40 homeless young people during late 2004 and early 2005. Summary findings of this phase of the research were published in December 2006 by the Office of the Minister for Children(Mayock and Vekić, 2006) and the full findings were subsequently published in a book entitled Lives in Crisis: Homeless Young People in Dublin (Mayock and O’Sullivan, 2007).

In 2006, the Homeless Agency and Health Service Executive granted funding to embark on a second phase of research that involved tracking and re-interviewing the young people who enlisted in the study at baseline. This work was undertaken during 2005-2006 and the findings were published in 2008 by the Homeless Agency as Young People’s Homeless Pathways (Mayock et al, 2008).

A third phase was initiated following a period of approximately 3 years, during 2009-2010, and this wave of data collection was jointly funded by the DCYA and the Homeless Agency – now the Dublin Region Homeless Executive (DRHE). 

The chapters introduce the background and methodological approach to the study and document findings related to the homeless and housing pathways of the study’s young people over the 6-year period of the study. Much attention is given to the ‘routes’ taken by young people into, through and out of homelessness. It is important to note that this report does not document all aspects of the study’s findings and does not claim to present a complete account of the lives and experiences of the study’s young people.","2013",,,"Mayock Paula",,"","",,,,,,"Government Publications","Dublin",,"84 p.",,,,,,,,,,,"","","","978-1-4064-2774-5",,,,,,,,"","","","","not_in_collection","","","","","",,,,,,,,,,,,,"","http://www.dcya.gov.ie/viewdoc.asp?fn=/documents/Child_Welfare_Protection/Homelessness_Strategy/YPHomelessHousingPath.pdf","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"TA14 , VH4-2 , MK10-6 , TU8-10 , TW2-10-4 , MM16-2-2 , LR10-2 , LG18-2 , MK10-6-1","T Demographic characteristics > Adolescent / youth (teenager / young person) -- MA-ML Social science, culture and community > Social condition > Homelessness -- T Demographic characteristics > Homeless person -- T Demographic characteristics > Child of drugs and alcohol user -- MM-MO Crime and law > Crime and violence > Drugs and alcohol related violence -- L Social psychology and related concepts > Physical context or place > Housing > Public housing -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- MA-ML Social science, culture and community > Social condition > Homelessness > Homeless services","VA Geographic area > Europe > Ireland","Adolescent / youth (teenager / young person) --  Social condition  -  Homelessness --  Homeless person --  Child of drugs and alcohol user --  Crime and violence  -  Drugs and alcohol related violence --  Physical context or place  -  Housing  -  Public housing --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Social condition  -  Homelessness  -  Homeless services","Europe  -  Ireland","Mayock Paula , Corr Mary Louise","0","no"
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corr","Mary Louise","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MK10-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TU8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM16-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LR10-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20191",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MK10-6-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22324","14","archive","5",,,"disk0/00/02/23/24","2014-07-17 10:49:57","2014-07-17 10:49:57","2014-07-17 10:49:57","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","United Kingdom. Department for Education.","Working together to safeguard children. A guide to inter-agency working to safeguard and promote the welfare of children.","pub","MQ6","","public",,,,,,,,"This guidance covers: 
•	the legislative requirements and expectations on individual services to safeguard and promote the welfare of children in the United Kingdom; and 
•	a clear framework for Local Safeguarding Children Boards (LSCBs) to monitor the effectiveness of local services.

Key principles 
Effective safeguarding arrangements in every local area should be underpinned by two key principles: 
•	safeguarding is everyone’s responsibility: for services to be effective each professional and organisation should play their full part; and 
•	a child-centred approach: for services to be effective they should be based on a clear understanding of the needs and views of children.","2013",,,"gov.uk",,"","",,,,,,"Department for Education","London",,"97 p.",,,,,,,,,,,"guideline","aod_prevention","alcohol_drugs_in_general",,,,,,"gov.uk",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"https://www.gov.uk/government/policies/supporting-social-workers-to-provide-help-and-protection-to-children","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MQ6 , MV , TA12 , TA14 , TT8-2 , TW2-10-4 , VH4-4","MP-MR Policy, planning, economics, work and social services > Organisational development -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > United Kingdom","Organisational development --  Social services --  Child --  Adolescent / youth (teenager / young person) --  Social worker --  Child of drugs and alcohol user","Europe  -  United Kingdom","United Kingdom. Department for Education. United Kingdom. Department for Education.","0","yes"
"22324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22324",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965","34","archive","5",,,"disk0/00/01/89/65","2012-12-11 09:38:48","2014-04-09 22:04:50","2012-12-11 09:38:48","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","British Association of Social Workers","Children, families & alcohol use. Essential information for social workers.","pub","MV","","public",,,,,,,,"This guide aims to support Social Workers in their practice with people who use alcohol and who have families. While it focuses on preventing alcohol-related harm to children, harm to other dependents is an increasing area of concern for social work. This guide may be relevant to other social care and health professionals. Information in this pocket guide should be supplemented by other learning and reading. 

Contents:
3 Alcohol & families: Key messages
4 Parental alcohol problems
5 Impact on parenting
6 Impact on children
7 Alcohol & Reproductive health
8 Protective factors
9 Resilience factors
10 Impact on family
11 Assessment: key questions & messages
12 Assessment challenges
13 Social work intervention
14 Specialist treatment
15 Resources
16 Local contact information","2012-12","published",,"Alcohol Policy UK",,"","",,,,,,"British Association of Social Workers","Birmingham",,"16 p.",,,,,"A BASW pocket guide",,,,,,"guideline","aod_prevention","alcohol",,,,,,"Alcohol Policy UK",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MV , LG18-12 , LC2-4 , JG10-2-4 , TW2-10-4 , TT8-2 , BB , LG2-6 , LG18-2 , TA12 , VH4-4 , GC16 , LG14-10","MP-MR Policy, planning, economics, work and social services > Social services -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Social worker -- B Drugs and alcohol substances > Alcohol -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > United Kingdom","Social services --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Interpersonal interaction and group dynamics  -  Social support --  Prevention approach  -  Family-focused prevention --  Child of drugs and alcohol user --  Social worker --  Alcohol --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Drugs and alcohol disorder  -  Alcohol use --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  United Kingdom","British Association of Social Workers British Association of Social Workers","0","yes"
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18965",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968","33","archive","5",,,"disk0/00/01/89/68","2012-12-11 10:08:53","2014-04-09 22:04:51","2012-12-11 10:08:53","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Birdwell","Jonathan","","","","Birdwell:Jonathan::","",,,,,"","","Feeling the effects.","pub","LG18-12","","public",,"other",,,,"Demos is a think-tank focused on power and politics. Our unique approach challenges the traditional, 'ivory tower' model of policymaking by giving a voice to people and communities. We work together with the groups and individuals who are the focus of our research, including them in citizens’ juries, deliberative workshops, focus groups and ethnographic research.
 
Through our high quality and socially responsible research, Demos has established itself as the leading independent think tank in British politics. Our work is driven by the goal of a society populated by free, capable, secure and powerful citizens.",,"In Under the Influence, Demos research found that parenting style has a significant impact on children’s drinking behaviour as teenagers and later in life as adults. ‘Tough love’ parenting – a parenting style that combines warmth with consistent discipline – is the best protection against young people drinking hazardously. In this report we go further to consider the impact of parental drinking behaviour on parenting style. Based on original quantitative analysis as well as in-depth interviews with 50 alcohol-affected families, our findings suggest that the more a parent drinks, the less likely they are to be a ‘tough love’ parent. 
 
Parenting can be stressful, and the majority of parents drink alcohol responsibly. But parents need to be aware of the impact their parenting style and how drinking excessively can effect this. This report argues for targeted information awareness campaigns aimed at parents to help them consider their parenting style and the impact of alcohol on parenting ability. The report also recommends that ‘family-based’ interventions should put more emphasis on parenting advice, to ensure that those struggling with alcohol misuse can still be effective parents.","2012-12","published",,"Birdwell Jonathan",,"","",,,,,,"DEMOS","London",,"112 p.",,,,,,,,,,,"","","","978-1-909037-28-1",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.demos.co.uk/publications/feelingtheeffects/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , JG10-2-4 , TW2-10-4 , LG2-6 , TW2-8 , LG18-2 , LG18-12-2 , VH4-4 , HZ2-6 , LG14-10 , AD12-16-4-2 , MP18-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- HJ Treatment method > Psychosocial treatment method > Family or marital therapy -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption > Binge drinking -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Prevention approach  -  Family-focused prevention --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Psychosocial treatment method  -  Family or marital therapy --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption  -  Binge drinking --  Policy  -  Policy on drugs and alcohol","Europe  -  United Kingdom","Birdwell Jonathan , Vandore Emma , Hahn Bryanna","0","yes"
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Vandore","Emma","","",,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Hahn","Bryanna","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD12-16-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18968",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19206","20","archive","4",,,"disk0/00/01/92/06","2013-01-25 10:40:52","2015-09-17 08:46:24","2013-01-25 10:40:52","article",,,"show",,,,"","","","","","","","","","","0",,,"Hepper","Peter J","","","","Hepper:Peter J::","",,,,,"","","Fetal brain function in response to maternal alcohol consumption: early evidence of damage.","pub","GJ2-16-2-4-6","","none",,,,,,,,"Background
Studies of the adverse neurobehavioral effects of maternal alcohol consumption on the fetus have been largely confined to the postnatal period, after exposure to alcohol has finished. This study explored the brain function of the fetus, at the time of exposure to alcohol, to examine its effect on information processing and stability of performance. 

Methods
Five groups of fetuses, defined by maternal alcohol consumption patterns, were examined: control (no alcohol); moderate (5 to 10 units/wk either drunk evenly across the week or as a binge, in 2 to 3 days); heavy (20+ units/wk drunk evenly or as a binge). Fetal habituation performance was examined on 3 occasions, separated by 7 days, beginning at 35 weeks of gestation. The number of trials required to habituate on each test session and the difference in performance across test sessions were recorded. 

Results
Fetuses exposed to heavy binge drinking required significantly more trials to habituate and exhibited a greater variability in performance across all test sessions than the other groups. Maternal drinking, either heavily but evenly or moderately as a binge, resulted in poorer habituation, and moderate binge drinking resulted in greater variability compared with no, or even, drinking. 

Conclusions
Decreased information processing, reflected by poorer habituation, and increased variability in performance may reflect the initial manifestations of structural damage caused by alcohol to the brain. These results will lead to a greater understanding of the effects of alcohol on the fetus's brain, enable the antenatal identification of fetal alcohol spectrum disorders, and lead to the early implementation of better management strategies.","2012-12","published",,"Hepper Peter J",,"","",,"Alcoholism Clinical and Experimental Research","36","12","12","Wiley-Blackwell",,"2168-75",,,,,,,,,,,"TRUE","","","",,"1530-0277",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"","http://eu.wiley.com/WileyCDA/WileyTitle/productCd-ACER.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","36","Alcoholism Clinical and Experimental Research","GJ2-16-2-4-6 , AA2-4 , VH4-4-8 , T10-4-2 , BB , TW2-10-4","G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- T Demographic characteristics > Pregnant woman -- B Drugs and alcohol substances > Alcohol -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Northern Ireland","Disorder by cause  -  Developmental disorder  -  Foetal (fetal) alcohol syndrome --  Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Pregnant woman --  Alcohol --  Child of drugs and alcohol user","Europe  -  Northern Ireland","Hepper Peter J , Dorman James C , Lynch Catherine","0","no"
"19206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Dorman","James C","","",,,,,,,,,,,,"AA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Lynch","Catherine","","",,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"19206",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225","32","archive","5",,,"disk0/00/02/02/25","2013-07-15 08:57:01","2013-07-15 08:57:28","2013-07-15 08:57:01","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Coen","Liam","","","","Coen:Liam::","",,,,,"","","Mol an Óige/Family Preservation: final evaluation report.","pub","LG18-12","","public",,"other",,,,,,"In 2007, HSE West Child and Family Services in Mayo and Roscommon introduced a new way of working with children and Families. Known as Mol an Óige, this new way of working was modelled on an approach developed and operated by Boys Town USA. Three distinct parts were adopted from the American organisation: the In-Home Family Preservation service; the Treatment Foster Care service; and the Common Sense Parenting programme. As part of this new arrangement, Child and Family Services in both counties asked the UNESCO Child and Family Research Centre to evaluate the In-Home Family Preservation and Treatment Foster Care services. This document is an Executive Summary of the final evaluation report of the former, the In-Home Family Preservation Service. 

In-home family preservation service: programme description and context:
The Mol an Óige Family Preservation Model (‘Mol an Óige’) is predominantly a teaching model aimed at working in a strengths and outcome-orientated way to meet the varying needs of children and families in different settings. Owing its origins to both ecological and multi-systemic treatment models, Mol an Óige as delivered in Roscommon and Mayo was introduced by the HSE and Boys Town USA to services in both counties in 2007. The model draws on behavioural approaches to addressing issues within a nested context of individual, family, peer, school and community domains. The emphasis is on developing practical skills in families through building relationships, teaching, creating a positive family environment, and promoting self-determination. It is designed for families where there is a risk of an out-of-home placement or where such a placement has already occurred. It can also be used to prevent serious problems from occurring in children’s and families’ lives. 

The Model has three phases: Initiation and Relationship Building; Implementation; and Phasing Out. The support provided by each worker to families occurs within a structured process of pre and post intervention assessment, outcome-orientated family plans, supervision, observation, fidelity monitoring, and file auditing.","2012-11","published",,"Coen Liam",,"","",,,,,,"UNESCO Child and Family Research Centre, NUI, Galway; HSE West (Mayo and Roscommon) Child and Family Services","Galway",,"239 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childandfamilyresearch.ie/publications/policy-practice","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , MV14-4 , JG10-2-4 , TW2-8 , LG18-2 , LG2-6 , VH4-2-15 , TA12 , VH4-2-18 , LG18-12-2 , LG14-10 , MV14 , LG16-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children -- L Social psychology and related concepts > Marital relations > Family and kinship > Family environment > Family background","VA Geographic area > Europe > Ireland > Mayo -- VA Geographic area > Europe > Ireland > Roscommon","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Prevention approach  -  Family-focused prevention --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Social services  -  Services for family and children --  Marital relations  -  Family and kinship  -  Family environment  -  Family background","Europe  -  Ireland  -  Mayo --  Europe  -  Ireland  -  Roscommon","Coen Liam , Canavan John , Brennan Mark","0","no"
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Canavan","John","","",,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brennan","Mark","","",,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20225",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705","36","archive","5",,,"disk0/00/01/87/05","2012-11-01 08:19:39","2012-11-01 08:19:39","2012-11-01 08:19:39","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","European Monitoring Centre for Drugs and Drug Addiction","Pregnancy, childcare and the family: key issues for Europe’s response to drugs.","pub","LG18-12-4","","public",,"other",,,,,,"This Selected issue gives a broad overview on the extent of, and available responses to, the problems of pregnant drug users and families that are affected by drug use. In the first part of the report, a description of the available data on the extent of drug use during pregnancy and associated risks is followed by a review of responses to drug use among pregnant women across Europe. The second part of the publication focuses on children living in the care of drug users. Here, a review of the risks related to drug use in the family sets the scene for European overviews of responses targeting drug-using parents and responses aimed at the children of drug users. The policy and legal frameworks concerning the two situations are described, both for pregnant drug users and drug-using parents and their children.

Table of contents:
•	Introductory note and acknowledgements
•	Introduction
•	Pregnant drug users
•	Drug users living with children
•	Conclusions
•	References","2012-10",,,"European Monitoring Centre for Drugs and Drug Addiction",,"","",,,,,,"Publications Office of the European Union","Luxembourg",,"32 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , LG18-12 , ED4-12 , VH4-2 , JG10-2-4 , T10-4-2 , TW2-10-4 , LG18-2 , LG2-6 , TW2-8 , TA12 , LG18-12-2 , LG14-10 , HZ2-6 , VH","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- E Concepts in biomedical areas > Pregnancy -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Parent -- T Demographic characteristics > Child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- HJ Treatment method > Psychosocial treatment method > Family or marital therapy","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Pregnancy --  Prevention approach  -  Family-focused prevention --  Pregnant woman --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Parent --  Child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Psychosocial treatment method  -  Family or marital therapy","Europe  -  Ireland --  Europe","European Monitoring Centre for Drugs and Drug Addiction European Monitoring Centre for Drugs and Drug Addiction","0","no"
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18705",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464","26","archive","5",,,"disk0/00/01/84/64","2012-10-03 13:44:37","2015-06-03 08:49:29","2012-10-03 13:44:37","article",,,"show",,,,"","","","","","","","","","","0",,,"Keane","Martin","","","mkeane@hrb.ie","Keane:Martin::","",,,,,"","","The views of children and young people in state care.","pub","LG18-12-4","","public",,,,,,,,,"2012-10","published",,"Keane Martin",,"","",,"Drugnet Ireland","Issue 43, Autumn 2012",,,"Health Research Board",,"16",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>The Department of Children and Youth Affairs (DCYA) recently published a report detailing a consultation process with 211 children and young people in state care; participants ranged in age from 8 to 23 years.1 Fifteen consultations were undertaken in Cork, Dublin, Galway and Sligo. The young participants came from the following state care settings: prison and detention centres (43), residential disability care (10), foster care (58), aftercare (17), residential care (48), separated children seeking asylum (34) and young people under section 5 of the Child Care Act (1). The report provides a useful insight into the main issues that concern young people in care, the difficulties they experience in expressing these concerns through current structures and their ideas on how such concerns can be articulated in the future.  </p>
<div><b>Alcohol and drugs</b></div>
<div>According to the DCYA, the role played by alcohol and drugs in the lives of some of the participants was a recurring theme throughout the consultations. This theme emerged primarily from consultations with participants in St Patrick’s Institution (36) and in detention centres (7). Many of the participants spoke about using alcohol and/or drugs as a means of ‘escaping’ from the traumatic experiences in their lives and few indicated any intention to stop using substances in the future. Many also recalled the adverse role that alcohol and drugs played in the lives of their parents, which had contributed largely to their being placed in state care in the first instance. The adverse experience of parental alcohol and drug use was also highlighted by the 58 children aged 8–12 who were in foster care.</div>
<div> </div>
<div><b>Views on social workers</b></div>
<div>The majority of participants from all care settings expressed predominantly negative attitudes to and experiences of social workers, with older participants tending to be more critical than their younger counterparts. Overall, participants did not feel that social workers listened to them or acted in a manner that took account of their views. They also talked about social workers being constantly unavailable to meet with them, aside from instances when the young people were being disciplined or moving to another placement; they did acknowledge that social workers can be overburdened with caseloads of work.</div>
<div> </div>
<div><b>Views on care plan reviews</b></div>
<div>The vast majority of participants from all care settings were highly critical of the care plan review process and did not see the review as an opportunity to have their concerns taken seriously; they described the atmosphere of the review as intimidating due to the large number of officials present. </div>
<div> </div>
<div><b>Elements of disruption</b></div>
<div>Participants from most care settings voiced great concern at the constant movement between care placements they were forced to endure, with many citing this concern as a further destabilising factor in their lives. Some participants recalled having to move between 20 and 30 times, which meant constantly moving between institutions, families, houses and schools. This meant losing contact with established networks of friends and with siblings, which greatly troubled the young people. They also complained about the constant moving of staff, such as key workers and/or social workers, which added to their unsettling experiences and further instability.</div>
<div> </div>
<div><b>The birth family</b></div>
<div>The vast majority of participants across all care settings deemed it important to have access to their birth family, with participants in foster care and residential care especially favouring this option. Some participants expressed a preference to be consulted on this issue and not to have the decision to meet with their family foisted on them.</div>
<div> </div>
<div><b>Confidentiality and privacy</b></div>
<div>Many of the young participants from all care settings expressed concern at the lack of privacy they experienced, they were critical of the constant observation they were under and the level of record-keeping that constantly documented their behaviours. Participants were also concerned at the lack of confidentiality they experienced citing the numerous adults and agencies that had access to, and appeared to willingly share, information that was specific to the young people.</div>
<div> </div>
<div><b>Concerns specific to young people in residential/detention settings</b></div>
<div>Participants from residential care and prison and detention settings expressed a range of views on their interaction with staff in these settings. Most young people viewed the role of the relationship between themselves and members of staff as potentially supportive; however, not all agreed that their experience of these relationships was positive. Where staff members were supportive and respectful to young people, this was acknowledged and appreciated and the young people benefited greatly from such experiences. On the other hand, there were many instances of participants citing negative encounters with members of staff, and such occurrences appeared to have a lasting negative impact on these young people.</div>
<div> </div>
<div><b>Concerns specific to young people in foster care</b></div>
<div>One of the main concerns of young people in foster care was the need to be treated as an equal in the foster family. Many felt that they were not treated by the foster family in the same way as the birth children. Examples of being treated differently included being sent to residential respite care while the birth children were taken on holiday. Participants also questioned why they had to be removed from the foster family when they turned 18, particularly if they felt happy and settled there. According to the DCYA, when with this did occur ‘many young people felt that they had merely been a transaction in a business arrangement’ (p.85).</div>
<div><b> </b></div>
<div><b>Conclusion</b></div>
<div>A general consensus emerged from the consultations that young people in care would like more meaningful consultation on key decisions that impact on their lives; few believed that the current structures of the care plan review process or the input of social workers were adequate forums for such meaningful consultation. The report recommends that both the care plan review system and aspects of the social worker service for young people in care be re-examined. Support mechanisms, including a dedicated telephone line, a ‘mentor’ system and counselling services for young people in care, are also recommended. These recommendations are grounded in the concerns and experiences of young people in care as articulated in the consultations reported on above. In this regard, the report recommends that ‘the agencies responsible for children in the care of the state must listen to the voices of the consultation participants and, more importantly, heed their recommendations’ (p.3).</div>
<div>
<div> </div>
  </div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 36pt;"">1.     Department of Children and Youth Affairs (2011) <i>Listen to our voices: hearing children and young people living in the care of the state</i>. Dublin: Stationery Office. <a href=""/15654/"" target=""_blank"">www.drugsandalcohol.ie/15654</a></div>",,,,,"Issue 43, Autumn 2012",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 43, Autumn 2012","Drugnet Ireland","LG18-12-4 , MV , TA14 , FS , VH4-2 , TW2-10-4 , TT8-2 , TA12 , FR","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- F Concepts in psychology > Specific attitude and behaviour -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child -- F Concepts in psychology > Attitude and behaviour","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Social services --  Adolescent / youth (teenager / young person) --  Specific attitude and behaviour --  Child of drugs and alcohol user --  Social worker --  Child --  Attitude and behaviour","Europe  -  Ireland","Keane Martin","0","yes"
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18464",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356","33","archive","5",,,"disk0/00/01/83/56","2012-09-11 15:09:51","2012-09-11 15:09:51","2012-09-11 15:09:50","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Adamson","Jon","","","","Adamson:Jon::","",,,,,"","","Silent voices. Supporting children and young people affected by parental alcohol misuse.","pub","LG18-12-4","","public",,,,,,,,"Main table of contents:
•	Summary of Key Messages and Recommendations 	 
•	Section One: Background 	 
•	Section Two: Methodology 	 
•	Section Three: Consultation with children and young people 	 
•	Section Four: Review Findings 	 
•	Research Question One: What is known about the experiences of children and families where there is parental alcohol misuse and to what extent is this informed by the views of children and young people themselves? 	 
•	Research Question Two: What are the key wider issues associated with PAM (e.g. unemployment, domestic abuse, mental health) and how do they relate to risk/protective factors for children and families? 	 
•	Research Question Three: What is known about protective factors and processes in this population and how they can minimise risk/negative outcomes? 	 
•	Research Question Four: What is known about services, and their delivery, and the impact/benefit of such services for children (and families) where there is PAM and to what extent is this informed by the views of children and young people themselves? 	 
•	Research Question Five: What is the current policy context for children and families where there is PAM and how might it be improved? 	 
•	Research Question Six: Thinking about questions 1 to 5 above, what are the gaps in our knowledge about children affected by PAM and services for these children?","2012-09","published",,"Adamson Jon",,"","",,,,,,"The Office of the Children’s Commissioner","London",,"114 p.",,,,,,,,,,,"review","aod_use_harm_reduction","alcohol",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-12-4 , MV , TA14 , AA2-4 , LC2-4 , BB , TW2-10-4 , LG18-2 , TA12 , VH4-4-2 , JA6","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- B Drugs and alcohol substances > Alcohol -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Risk and protective factors","VA Geographic area > Europe > United Kingdom > England","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Social services --  Adolescent / youth (teenager / young person) --  Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Interpersonal interaction and group dynamics  -  Social support --  Alcohol --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Risk and protective factors","Europe  -  United Kingdom  -  England","Adamson Jon , Templeton Lorna","0","no"
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Templeton","Lorna","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18356",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369","36","archive","5",,,"disk0/00/01/83/69","2012-09-14 08:11:55","2012-11-23 09:53:42","2012-09-14 08:11:54","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Adfam","Between a rock and a hard place. How parents deal with children who use substances and perpetrate abuse. Project report.","pub","LG18-12-4","","public",,"other",,,,,,"Previous research commissioned by Adfam and AVA found that the problem of child to parent violence (CPV) was under recognised and under supported by services. It found that many groups which offered support for families affected by drugs and alcohol came into contact with parents who reported high levels of violence from their drug or alcohol using children which in many ways was similar to what is widely considered domestic violence under the definition of intimate partner violence (IPV).

This stage of the project consisted of facilitating nine focus groups throughout England with 88 parents affected by CPV. In these focus groups parents were consulted on to their experiences of CPV – what form it took, when they first realised what was happening, which services they turned to first, and which services were the best in providing support. The focus groups were conducted in a safe and confidential manner by an experienced facilitator, with Adfam and AVA providing a confidentiality protocol and a consent form for parents taking part. The second stage of the project will provide training for family support groups and a series of briefings on CPV.

Conclusions and recommendations:
•	There are parents who are affected by violence and abuse from their substance using children, often to a severe degree, who feel they have little or no recourse to help from services.
•	The policy and service frameworks that exist are failing to meet the needs of parents experiencing CPV. CPV does not currently fit neatly into any governmental policy nor into the strategic vision of service provision for victims of domestic violence. This is partly due to the current governmental definition of domestic violence which explicitly defines it as occurring between only those aged 18 or over. This clearly does not capture the experiences of all the parents in this project, many of whom were affected by CPV perpetrated by children aged under 18.
•	Increased recognition of CPV (and an accompanying modification of the governmental definition) should be implemented to bring about a sustained improvement in the support offered to parents. Part of this recognition is dependent on bridging the gap and increasing dialogue between the family, substance use and domestic violence sectors over where the issue sits and what each sector can contribute.
•	With family support groups clearly recognised by parents as the most effective method of help for families suffering CPV efforts must be made to support them, increase their capacity to screen for CPV and offer appropriate sign-posting to domestic violence services and others. For groups to offer sustained support to parents they need to be properly resourced. They are often small, and run by passionate people who are experts of their own experience, but operate on small budgets. Large or complex tendering processes can be very demanding in terms of time, and efforts should be made to make these processes accessible and open to all providers, including small voluntary and community sector services.
•	There is a lack of perpetrator programmes for those aged under 21 years old. The current conceptual framework around domestic violence and perpetrator programmes assumes the perpetrator has a level of experience in adult relationships. Clearly many perpetrators of CPV have very different characteristics and therefore need a different type of programme to work on addressing the violence they perpetrate.","2012-09","published",,"Adfam",,"","",,,,,,"Adfam and Against Violence and Abuse","London",,"41 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , LG18-12 , MM16-2-2 , TW2-8 , LG18-2 , LG2-6 , TA12 , AN , LG18-12-2 , VH4-4 , TL4-6 , AD","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MM-MO Crime and law > Crime and violence > Drugs and alcohol related violence -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol related societal (social) problems -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- T Demographic characteristics > Young drug user -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Crime and violence  -  Drugs and alcohol related violence --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Drugs and alcohol related societal (social) problems --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Young drug user --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour","Europe  -  United Kingdom","Adfam Adfam , Against Violence and Abuse Against Violence and Abuse","0","no"
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Against Violence and Abuse",,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM16-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AN",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TL4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18369",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776","32","archive","5",,,"disk0/00/01/77/76","2012-06-20 14:29:07","2012-07-20 14:16:20","2012-06-20 14:29:07","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Health Service Executive","Review of adequacy for HSE children and families services 2010.","pub","LG18-12","","public",,"annual_report",,,,,,"The Review of Adequacy is not an end in itself; rather it is a process of review and reflection upon how services might be improved. In recent years a number of reports have highlighted the need for structural reform and more consistency in the way in which services are delivered. Meeting this challenge was a priority throughout 2010 and into 2011. The Government decision, late in 2010, to appoint a National Director for Children and Families Services reflected the commitment to address these issues in a meaningful way. Despite the financial constraints additional staff were recruited in key areas during the year. Greater emphasis was also placed on the efficient management of resources and on the management of performance.

•	The first and second sections of this report provide a foreword and executive summary.
•	The third section provides an introduction which sets out the statutory provisions governing the Review of Adequacy 2010.
•	The fourth section addresses strategic change, governance and structure. It provides an overview of budget and expenditure, the structure of service provision and performance management arrangements.
•	Section five provides an analysis of indicators of need. Ireland’s growing child population is highlighted. Other demographic factors are considered, such as poverty, lone parent families and ethnicity.
•	Section six deals with family support services. There is an emphasis on the development of Children’s Services Committees as a means of integrating family support services across a range of key stakeholders. Welfare reports to social work departments continued to outnumber reports concerning child protection.
•	In section seven trends in child protection services are analysed. Figures show a year-on-year increase in the number of reports being made. Neglect remained the consistently the most prominent reason for a child protection report to be made. Planned service improvements continued to be rolled out in the light of the Ryan Report (Commission of the Inquiry into Child Abuse 2009), report of the OCO on Children First (OCO 2010) and the Roscommon Child Care Inquiry report (Roscommon Child Care Inquiry Team 2010).
•	Section seven describes alternative care services. The numbers of children in care has increased by 13.7% since 2006 from 5,247 to 5,965. However, the rate of children in care remains lower than those in neighbouring countries. Admissions to care were slightly down on the previous year. By the end of December the percentage of children in care with an allocated social worker exceeded 93%. 
•	In section eight services for education, training, research and policy are examined. During the year a National Advisory Group was established to provide advice on these internal services.
•	Finally section nine draws broad overall conclusions

Table 12: Primary reason for welfare concern following initial assessment (2010) (PAGE 20)
Child Problems 30.2%
•	Child with emotional/behavioural problems 14.7%
•	Child abusing drugs/alcohol 2.0%
•	Child involved in crime 0.3%
•	Child pregnancy 0.5%
•	Physical Illness/disability in child 0.3%
•	Mental health problem/intellectual disability in child 1.3%
•	Other 11.0%
Family Problems 69.8%
•	Parent unable to cope 8.4%
•	Family member abusing drugs/alcohol 15.9%
•	Family member involved in crime 0.5%
•	Domestic violence 4.6%
•	Physical illness/disability in other family member 1.1%
•	Mental health problem/intellectual disability in other family member 5.8%
•	Family difficulty re: housing/finance 4.7%
•	Parent separation/absence/other disharmony in home 13.6%
•	Other 15.2%","2012-04","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Dublin",,"89 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , MV , TA14 , VH4-2 , JG10-2-4 , TW2-10-4 , LG2-6 , LG18-2 , TA12 , JS , JU10 , LG14-10 , MV14","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Health care delivery -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Social services --  Adolescent / youth (teenager / young person) --  Prevention approach  -  Family-focused prevention --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Health care delivery --  Health care administration  -  Health care quality control --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Social services  -  Services for family and children","Europe  -  Ireland","Health Service Executive Health Service Executive","0","yes"
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JS",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17776",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289","23","archive","5",,,"disk0/00/01/72/89","2012-04-13 08:41:19","2012-04-13 08:41:19","2012-04-13 08:41:19","article",,,"show",,,,"","","","","","","","","","","0",,,"Pike","Brigid","","","","Pike:Brigid::","",,,,,"","","In brief.","pub","ML8-2","","public",,,,,,,,,"2012-04","published",,"Pike Brigid",,"","",,"Drugnet Ireland","Issue 41, Spring 2012",,,"Health Research Board",,"25",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p><font size=""2"">In April 2011 the<b> National Review Panel&#160;</b>set up to undertake reviews in accordance with <b><i>Guidance for the HSE on for the review of serious deaths including deaths of children in care </i></b>completed its first annual report, for March to December 2010. During this period, 22 cases of death were notified and eight serious incidents. Of the 22 deaths reported, four were drug overdoses. </font><a href=""http://www.hse.ie/eng/services/Publications/services/Children/natreviewpanelannualreport2010.pdf""><font color=""#0000ff"" size=""2"">http://www.hse.ie/eng/services/Publications/services/Children/natreviewpanelannualreport2010.pdf</font></a><font size=""2"">&#160;</font></p><div><font size=""2"">On 6 September 2011 the <b>European Parliament</b> adopted a resolution on an <b>EU homelessness strategy (B7-0475/2011)</b> in which, among other things, it urged member states to make progress towards the goal of ending street homelessness by 2015; called for the development of an ambitious, integrated EU strategy, underpinned by national and regional strategies, with the long-term aim of ending homelessness within the broader social inclusion framework; called for a framework, agreed by the European Commission and member states, for monitoring the development of national and regional homelessness strategies, as a central element of the EU homelessness strategy and for this monitoring framework to address the progress of the member states towards ending street homelessness and ending long-term homelessness. </font><a href=""http://www.europarl.europa.eu/sides/getDoc.do?type=MOTION&amp;reference=B7-2011-0475&amp;language=EN""><font color=""#0000ff"" size=""2"">http://www.europarl.europa.eu/sides/getDoc.do?type=MOTION&amp;reference=B7-2011-0475&amp;language=EN</font></a><a href=""http://www.feantsa.org/code/en/hp.asp""><font color=""#0000ff"" size=""2"">http://www.feantsa.org/code/en/hp.asp</font></a></div><div>&#160;</div><div><font size=""2"">On 20 September 2011 places on the <b>Community Employment scheme </b>that are ring-fenced for people being rehabilitated from drugswere the subject of a written Parliamentary Question, to which the Minister for Social Protection, Joan Burton TD, responded: ‘These 1,000 community employment places are ring-fenced for persons undergoing rehabilitation from drug addiction. Specific criteria exist for these places and the eligibility for participation. These were revised and agreed with the sector in 2010/2011. Further work is under way in the context of the National Drug Rehabilitation Implementation Committee to review the allocation of these places and ensure that appropriate referral protocols are in place. Participants can be in specific drug response projects or may be in ‘mainstream’ community employment projects. It is my intention to ensure the continuation of such projects subject to the overall budgetary constraints for the community employment programme.’ &#160;</font><a href=""http://debates.oireachtas.ie/dail/2011/09/20/00177.asp""><font color=""#0000ff"" size=""2"">http://debates.oireachtas.ie/dail/2011/09/20/00177.asp</font></a></div><div>&#160;</div><div><font size=""2"">Between 10 and 12 October 2011 the <b>Civil Society Forum on Drugs</b>, organised by the European Commission, met for the 6th year in succession in Brussels. The main objective of the meeting was to make recommendations to feed into the debate around the new EU Drugs Strategy. The European Commission has accorded the Civil Society Forum on Drugs the status of a European Commission ‘expert group’, i.e. a consultative entity that provides advice and expertise to the Commission and its services. </font><a href=""http://ec.europa.eu/justice/anti-drugs/civil-society/index_en.htm""><font color=""#0000ff"" size=""2"">http://ec.europa.eu/justice/anti-drugs/civil-society/index_en.htm</font></a></div><div>&#160;</div><div><font size=""2"">On 12 October 2011 the <b>European Centre for Disease Prevention and Control (ECDC) </b>and the <b>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) </b>co-published<b> <i>Prevention and control of infectious diseases among people who inject drugs</i></b>. It outlines seven interventions to reduce and prevent infectious diseases among people who inject drugs, ranging from the supply of injection equipment, testing and vaccination to the treatment of infections and drug dependence.&#160;The ECDC–EMCDDAjoint publication is published together with a ‘Guidance in brief’ summary and with two technical reports providing a full assessment of the evidence. </font><a href=""http://www.ecdc.europa.eu/""><font color=""#0000ff"" size=""2"">www.ecdc.europa.eu</font></a><span><font size=""2"">&#160; </font></span><a href=""http://www.emcdda.europa.eu/""><font color=""#0000ff"" size=""2"">www.emcdda.europa.eu</font></a></div><div><b>&#160;</b></div><div><font size=""2"">On 16 November 2011 the <b><i>National Drugs Strategy 2009–2016</i></b> was the subject of a ‘topical issue debate’ in Dáil Éireann, in the course of which Minister for Health, Dr James Reilly TD, stated: ‘</font><a name=""N18""><font size=""2"">The Government is committed to dealing with the scourge of drugs in our community</font></a><font size=""2"">. … Of course, the war on drugs will continue, with the involvement of law-enforcement and customs officers. We will endeavour to have more effective treatments. I am not happy with the numbers of people who come off methadone and I am reviewing that situation. I certainly want it reflected in any new contracts given to doctors who are treating people currently on methadone.’ </font><a href=""http://debates.oireachtas.ie/dail/2011/11/16/00031.asp""><font color=""#0000ff"" size=""2"">http://debates.oireachtas.ie/dail/2011/11/16/00031.asp</font></a></div><div><b>&#160;</b></div><div><font size=""2"">On 17 November 2011 the <b>Global Initiative for Drug Policy Reform</b> was launched at the House of Lords in London. It brings together countries interested in reform, countries who have successfully implemented alternative drug control strategies, and the Global Commission on Drug Policy, in order to discuss new evidence and reports commissioned by the Beckley Foundation, towards the goal of reforming global drug policy, including amendments to the UN Conventions. </font><a href=""http://www.reformdrugpolicy.com/""><font color=""#0000ff"" size=""2"">www.reformdrugpolicy.com</font></a></div><div><b>&#160;</b></div><div><font size=""2"">On 22 November 2011 <b><i>Growing up in Northern Ireland</i></b> by Sheena McGrellis was published. It examines the lives of 18 young people growing up in (and sometimes leaving) Northern Ireland between 1990 and 2010. The stories of two young women, Cynthia and Adele, among others, show how they experienced and negotiated various types and levels of risk. Living in areas where paramilitaries continued to exercise a level of control even after the ceasefires, and where sectarian attitudes were openly displayed, affected the life journeys of both young women. A growing drugs culture and a culture of binge drinking, fuelled by the energy of an expanding night-time economy, compounded the perception, and reality, of risk for many in this generation of young people. </font></div><div><a href=""http://www.jrf.org.uk/publications/growing-up-northern-ireland""><font color=""#0000ff"" size=""2"">www.jrf.org.uk/publications/growing-up-northern-ireland </font></a><br /><br />&#160;</div><div><font size=""2"">On 15 December 2011, <b>local and regional drugs task forces</b> were the subject of a written Parliamentary Question from Catherine Byrne TD, to which the Minister of State at the Department of Health, Róisín Shortall TD, replied: ‘With a view to strengthening their effectiveness, I have initiated a review of Drugs Task Forces and the National Drugs Strategy structures under which they operate. In this regard, I have consulted with the key stakeholders on the future direction and role of Drugs Task Forces and this will inform the development of reforms in this area. The recommendations of a Steering Group on a National Substance Misuse Strategy will be published in the New Year. Proposals in regard to a Strategy are likely to be considered by Government in the Spring and any consequences for Drugs Task Forces arising from these will be considered at thatstage.’&#160;<a href=""http://debates.oireachtas.ie/dail/2011/12/15/00259.asp""><font color=""#0000ff"">http://debates.oireachtas.ie/dail/2011/12/15/00259.asp</font></a></font></div><div>&#160;</div><div><i><span style=""color: windowtext; text-decoration: none; text-underline: none""><font size=""2"">(</font></span></i><font size=""2"">Compiled by Brigid Pike)</font></div>",,,,,"Issue 41, Spring 2012",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 41, Spring 2012","Drugnet Ireland","ML8-2 , MV , VH4-4-8 , VH4-2 , JP24-4-1 , TW2-10-4 , VH , MP18-2 , MU6-4","MA-ML Social science, culture and community > Community action > Community involvement > AOD task forces -- MP-MR Policy, planning, economics, work and social services > Social services -- J Health care, prevention and rehabilitation > Rehabilitation > Vocational rehabilitation (employment / occupation) -- T Demographic characteristics > Child of drugs and alcohol user -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol -- MP-MR Policy, planning, economics, work and social services > Labour and work > Employment and unemployment","VA Geographic area > Europe > Northern Ireland -- VA Geographic area > Europe > Ireland -- VA Geographic area > Europe","Community action  -  Community involvement  -  AOD task forces --  Social services --  Rehabilitation  -  Vocational rehabilitation (employment / occupation) --  Child of drugs and alcohol user --  Policy  -  Policy on drugs and alcohol --  Labour and work  -  Employment and unemployment","Europe  -  Northern Ireland --  Europe  -  Ireland --  Europe","Pike Brigid","0","yes"
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JP24-4-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17289",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MU6-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014","28","archive","5",,,"disk0/00/01/70/14","2012-02-21 09:26:58","2015-08-06 13:19:15","2012-02-21 09:26:58","article",,,"show",,,,"","","","","","","","","","","0",,,"Cleary","Brian J","","","","Cleary:Brian J::","",,,,,"","","Methadone and perinatal outcomes – a prospective cohort study.","pub","ED4-12","","none",,,,,,,,"Aims: Methadone use in pregnancy has been associated with adverse perinatal outcomes and neonatal abstinence syndrome (NAS). This study aimed to examine perinatal outcomes and NAS in relation to i)concomitant drug use and ii)methadone dose.

Design: Prospective cohort study.
Setting: Two tertiary care maternity hospitals.

Participants: 117 pregnant women on methadone maintenance treatment recruited between July 2009 and July 2010.

Measurements: Information on concomitant drug use was recorded with the Addiction Severity Index. Perinatal outcomes included preterm birth (<37 weeks’ gestation), small for gestational age (<10th centile) and neonatal unit admission. NAS outcomes included: incidence of medically treated NAS, peak Finnegan score, cumulative dose of NAS treatment and duration of hospitalisation.

Findings: Of the 114 liveborn infants 11 (9.6%) were born preterm, 49 (42.9%) were small for gestational age, 56 (49.1%) had a neonatal unit admission and 29 (25.4%) were medically treated for NAS. Neonates exposed to methadone only had a shorter hospitalisation than those exposed to methadone and concomitant drugs (median 5.0 days versus 6.0 days, p = 0.03). Neonates exposed to methadone doses ≥80mg required higher cumulative doses of morphine treatment for NAS (median 13.2 mg versus 19.3mg, p = 0.03). The incidence and duration of NAS did not differ between the two dosage groups.

Conclusion: The incidence and duration of the neonatal abstinence syndrome is not associated with material methadone dose, but maternal opiate, benzodiazepine or cocaine use is associated with longer neonatal hospitalisation.","2012-02","published",,"Cleary Brian J",,"","",,"Addiction","107","8","8","Wiley-Blackwell",,"1482-1492",,,,,,"DOI: 10.1111/j.1360-0443.2012.03844.x",,,,,,"","","",,"1360-0443",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2012.03844.x/abstract","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","107","Addiction","ED4-12 , VH4-2 , T10-4-2 , BL2-1 , TW2-10-4 , GJ2_16_2_2_2 , EE20-4 , HK2-10-2-2-2","E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Pregnant woman -- B Drugs and alcohol substances > Opioids (opiates) > Methadone -- T Demographic characteristics > Child of drugs and alcohol user -- G Health and disease > Disorder by cause > Developmental disorder > neonatal abstinence syndrome -- E Concepts in biomedical areas > Pregnancy > Reproductive effects of drugs and alcohol use -- HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance","VA Geographic area > Europe > Ireland","Pregnancy --  Pregnant woman --  Opioids (opiates)  -  Methadone --  Child of drugs and alcohol user --  Disorder by cause  -  Developmental disorder  -  neonatal abstinence syndrome --  Pregnancy  -  Reproductive effects of drugs and alcohol use --  Drugs and alcohol disorder treatment method  -  Drugs and alcohol replacement method (substitution)  -  Methadone maintenance","Europe  -  Ireland","Cleary Brian J , Eogan Maeve , O’Connell MP , Fahey Tom , White Martin J , McDermott C , O'Sullivan A , Carmody Deirdre , Gleeson J , Murphy Deidre J","0","no"
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Eogan","Maeve","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O’Connell","MP","","",,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fahey","Tom","","",,,,,,,,,,,,"BL2-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"White","Martin J","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"McDermott","C","","",,,,,,,,,,,,"GJ2_16_2_2_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Sullivan","A","","",,,,,,,,,,,,"EE20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Carmody","Deirdre","","",,,,,,,,,,,,"HK2-10-2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gleeson","J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17014",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Murphy","Deidre J","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17367","25","archive","1684",,,"disk0/00/01/73/67","2012-04-17 10:35:00","2012-08-22 08:29:04","2012-04-17 10:35:00","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","","Leading for outcomes children and young people.","pub","LG18-12","","public",,"other",,,,,,"Leading for Outcomes is a series of guides that provide support and training materials to help lead the social services workforce to focus on the outcomes important to people.","2012",,,"Institute for Research and Innovation in Social Services",,"","",,,,,,"Institute for Research and Innovation in Social Services","Glasgow",,"63 p.",,,,,,,,,,,"guideline","rehabilitation","alcohol_drugs_in_general",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.iriss.org.uk/download-leading-outcomes-children-and-young-people","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-12 , VH4410 , TA14 , HZ , TW2-10-4 , LG14-10 , LG18-2 , TA12","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- HJ Treatment method > Psychosocial treatment method -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child","VA Geographic area > Europe > United Kingdom > Scotland","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Adolescent / youth (teenager / young person) --  Psychosocial treatment method --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child","Europe  -  United Kingdom  -  Scotland",,"0","no"
"17367",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17367",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17367",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17367",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17367",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17367",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17367",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18802","20","archive","1684",,,"disk0/00/01/88/02","2012-11-19 13:02:04","2012-11-19 16:41:42","2012-11-19 13:02:03","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Martyn","Michelle","","","","Martyn:Michelle::","",,,,,"","","""Picking up the pieces"": The rights and needs of children and families affected by imprisonment.","pub","MO4-12-2","","public",,"other",,,,,,"This IPRT research report details the rights, needs and experiences of families and children of prisoners. It follows extensive consultations with children, families, support services and relevant agencies. 

The report makes key recommendations, directed at:
 •Government
 •An Garda Síochána
 •Courts and Courts Service
 •Irish Prison Service
 •Media
 •Department of Education
 •State and Academic Institutions","2012",,,"Martyn Michelle",,"","",,,,,,"Irish Penal Reform Trust","Dublin",,"52 p.",,,,,,,,,,,"","","","978-0-9573037-4-4",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.iprt.ie/contents/2450","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MO4-12-2 , VH4-2 , TW2-10-4 , LG18-2 , LG18 , TU8-8-4","MM-MO Crime and law > Justice system > Correctional system and facility > Prison -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations -- T Demographic characteristics > Prison Inmate (prisoner)","VA Geographic area > Europe > Ireland","Justice system  -  Correctional system and facility  -  Prison --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family relations --  Prison Inmate (prisoner)","Europe  -  Ireland","Martyn Michelle","0","no"
"18802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18802",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TU8-8-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761","25","archive","5",,,"disk0/00/01/87/61","2012-11-13 08:57:43","2012-11-13 08:57:43","2012-11-13 08:57:43","article",,,"show",,,,"","","","","","","","","","","0",,,"McCrory","Cathal","","","","McCrory:Cathal::","",,,,,"","","Prenatal exposure to maternal smoking and childhood behavioural problems: a quasi-experimental approach.","pub","ED4-12","","none",,,,,,,,"This retrospective cross-sectional paper examines the relationship between maternal smoking during pregnancy and children’s behavioural problems at 9 years of age independent of a wide range of possible confounders. 

The final sample comprised 7,505 nine-year-old school children participating in the first wave of the Growing Up in Ireland study. The children were selected through the Irish national school system using a 2-stage sampling method and were representative of the nine-year population. Information on maternal smoking during pregnancy was obtained retrospectively at 9 years of age via parental recall and children’s behavioural problems were assessed using the Strengths and Difficulties Questionnaire across separate parent and teacher-report instruments. 

A quasi-experimental approach using propensity score matching was used to create treatment (smoking) and control (non-smoking) groups which did not differ significantly in their propensity to smoke in terms of 16 observed characteristics. After matching on the propensity score, children whose mothers smoked during pregnancy were 3.5 % (p < 0.001) and 3.4 % (p < 0.001) more likely to score in the problematic range on the SDQ total difficulties index according to parent and teacher-report respectively. Maternal smoking during pregnancy was more strongly associated with externalising than internalising behavioural problems. 

Analysis of the dose–response relationship showed that the differential between matched treatment and control groups increased with level of maternal smoking. Given that smoking is a modifiable risk factor, the promotion of successful cessation in pregnancy may prevent potentially adverse long-term consequences.","2012","published",,"McCrory Cathal",,"","",,"Journal of Child and Adolescent Psychiatry","40","8","8","Springer",,"1277-1288",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>&#160;</p>",,,,,,,,,,,"","http://link.springer.com/article/10.1007%2Fs10802-012-9640-9","http://www.drugsandalcohol.ie/18760/","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","40","Journal of Child and Adolescent Psychiatry","ED4-12 , VH4-2 , TW2-10-4 , T10-4-2 , GJ , LG2-6 , TA12 , EE20-4 , AM , BD","E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Pregnant woman -- G Health and disease > Disorder by cause > Developmental disorder -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- E Concepts in biomedical areas > Pregnancy > Reproductive effects of drugs and alcohol use -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- B Drugs and alcohol substances > Tobacco (cigarette smoking)","VA Geographic area > Europe > Ireland","Pregnancy --  Child of drugs and alcohol user --  Pregnant woman --  Disorder by cause  -  Developmental disorder --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Pregnancy  -  Reproductive effects of drugs and alcohol use --  Drugs and alcohol effects and consequences --  Tobacco (cigarette smoking)","Europe  -  Ireland","McCrory Cathal , Layte Richard","0","yes"
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Layte","Richard","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"EE20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18761",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"BD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16886","21","archive","5",,,"disk0/00/01/68/86","2012-02-03 16:41:51","2012-02-03 16:41:51","2012-02-03 16:41:51","article",,,"show",,,,"","","","","","","","","","","0",,,"Mongan","Deirdre","","","dmongan@hrb.ie","Mongan:Deirdre::","",,,,,"","","Children’s exposure to risks from parental drinking.","pub","VH4-2","","public",,,,,,,,,"2012","published",,"Mongan Deirdre",,"","",,"Drugnet Ireland","Issue 40, Winter 2011",,,"Health Research Board",,"26",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>&#160;<font size=""2"">A recent report, <i>Hidden realities: children’s exposure to risks from parental drinking in Ireland</i>,<sup>1</sup>&#160;examined the impact of hazardous and harmful use of alcohol on children, in particular in the north west of Ireland.&#160;This was done by analysing general population surveys and agency records, and interviewing family support services.</font>&#160;</p><div><b><font size=""2"">Main findings</font></b></div><div><i><font size=""2"">General population survey</font></i></div><div><font size=""2"">The National Drinking Surveys of 2006 and 2010 were combined for this analysis, which gave a total sample of 2,011 adults aged 18 years and over.&#160;Over half of all adult drinkers who had children living in their household engaged in regular hazardous drinking (defined as consuming the equivalent of four pints of beer or one bottle of wine or seven spirits in one sitting at least once a month).&#160;When these figures are applied to the national population, approximately 271,000 children aged under 15 years are exposed to risk from hazardous drinking by parents.&#160;One in seven (14%) adults reported that they had experienced family problems as a result of someone else’s drinking, which equates to approximately 449,000 families negatively affected by alcohol.&#160;Family problems were reported more often by women, those under 35 years and those in the lower social class.</font></div><div>&#160;</div><div><font size=""2"">The 2010 survey also contained questions that measured children’s exposure to neglect or abuse because of someone else’s drinking.&#160;These questions were asked of respondents who had parental or guardianship responsibility.&#160;One in ten adults reported that children for whom they had parental responsibility had, as a result of someone else’s drinking, experienced one or more of the following harms: verbal abuse, physical abuse, witnessing violence in the home, or being left in unsafe situations.&#160;Harms were reported more often by parents who engaged in regular hazardous drinking and by those in the lower social class.&#160;</font></div><div>&#160;</div><div><i><font size=""2"">National Drug Treatment Reporting System</font></i></div><div><font size=""2"">For the period 2007–2009, 3,234 cases living in the north west entered treatment for problem substance use, of whom 2,417 reported that alcohol was their only problem substance.&#160;Of these 2,417 cases, 29% were living in households with children.</font></div><div>&#160;</div><div><i><font size=""2"">Donegal community alcohol survey</font></i></div><div><font size=""2"">A community alcohol survey was completed by 554 participants across six communities in Co Donegal. The level of awareness of risk to children as a result of someone else’s drinking varied from 12% to 57%.&#160;In five of the six communities, awareness of children being verbally abused as a result of someone else’s drinking was the highest ranked risk; this was followed by awareness of children being left in an unsupervised or unsafe situation.</font></div><div>&#160;</div><div><i><font size=""2"">National child protection data results</font></i></div><div><font size=""2"">National data reported by the HSE for 2006–2008 showed an increase in the number of reports received by social work departments in relation to child protection issues, from 21,040 reports in 2006 to 24,688 in 2008.&#160;The National Child Care minimum dataset for 2008 recorded the principal reason reported for child welfare concerns. &#160;For 15% the principal reason was a family member abusing drugs/alcohol, and for 3% the principal reason was the child abusing drugs.&#160;In Co Donegal 24% of child welfare concerns were due to a family member abusing drugs/alcohol, while the corresponding figure for Sligo/Leitrim/West Cavan was 16%.</font></div><div>&#160;</div><div><i><font size=""2"">RAISE data</font></i></div><div><font size=""2"">RAISE is a case management IT system used by social workers.&#160;Analysis of these data revealed that alcohol abuse was mentioned in over a third (36%) of child protection cases in Co Donegal.</font></div><div>&#160;</div><div><i><font size=""2"">Focus groups with frontline staff working in family services</font></i></div><div><font size=""2"">Focus groups were conducted in Donegal and Sligo and included social workers, youth workers, addiction counsellors and community support services (NGOs).&#160;For most of the frontline staff an intervention with families regarding alcohol problems only occurred when the problems had reached a crisis point.&#160;Some of the burdens borne by children as a result of parental alcohol abuse included role reversal, whereby children took responsibility for household tasks and caring for their parents, and keeping the alcohol problem secret.&#160;These burdens can have considerable negative effects on a child’s schooling and social life.&#160;</font></div><div>&#160;</div><div><b><font size=""2"">Conclusion</font></b></div><div><font size=""2"">The results of this study indicate that children in Ireland and the North West are exposed to considerable risks as a result of someone else’s drinking and there is a need to reduce the level of hazardous drinking among adults in Ireland.&#160;The author concludes that ‘effective family support services are needed that actively address family alcohol problems through prevention and early intervention, as well as the more specialised treatment services as part of an integrated strategy to tackle family alcohol problems, which impact on the welfare of children’. </font></div><div>&#160;</div><div style=""text-indent: -11.35pt; margin: 0cm 0cm 0pt 11.35pt""><a name=""_ENREF_1""><font size=""2"">1.<span> Hope A (2011) <i>Hidden realities: children’s exposure to risks from parental drinking in Ireland</i>. &#160;Letterkenny: North West Alcohol Forum Ltd. </span></font></a><a href=""http://www.drugsandalcohol.ie/16250""><font size=""2"">http://www.drugsandalcohol.ie/16250</font></a></div>",,,,,"Issue 40, Winter 2011",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 40, Winter 2011","Drugnet Ireland","VH4-2 , TW2-10-4 , JA6-6 , LG18-2 , TW2-8 , LG18-12-2","T Demographic characteristics > Child of drugs and alcohol user -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent","VA Geographic area > Europe > Ireland","Child of drugs and alcohol user --  Risk and protective factors  -  risk factors --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent","Europe  -  Ireland","Mongan Deirdre","0","yes"
"16886",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16886",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16886",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16886",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16886",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26066","14","archive","5",,,"disk0/00/02/60/66","2016-09-09 08:54:46","2016-09-09 08:57:22","2016-09-09 08:54:46","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","","Fetal Alcohol Spectrum Disorders.","pub","BB","","none",,,,,,,,,"2012","published",,"NIAAA",,"","",,"Alcohol Research & Health","34","1","1","National Institute on Alcohol Abuse and Alcoholism","Bethesda, MD",,,,,,,,,,,,,"","aod_disorder","alcohol",,,,,,"NIAAA",,,"","","","","","","","","","",,"<p class=""outdent01""><strong>1  </strong><a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/1-3.htm"" target=""_blank""><strong>In This Issue</strong></a><strong> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/1-3.pdf"" target=""_blank"">[PDF]</a></strong></p>
<p class=""outdent01""><strong>4  </strong><a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/4-14.htm"" target=""_blank""><strong>Fetal Alcohol Spectrum Disorders: Research Challenges and Opportunities</strong></a><strong> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/4-14.pdf"" target=""_blank"">[PDF]</a></strong><br /> Kenneth R. Warren, Ph.D.; Brenda G. Hewitt; and Jennifer D. Thomas, Ph.D.</p>
<p class=""outdent01""><strong>15  </strong><a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/15-26.htm"" target=""_blank""><strong>Maternal Risk Factors for Fetal Alcohol Spectrum Disorders: Not As Simple As It Might Seem</strong></a><strong> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/15-26.pdf"" target=""_blank"">[PDF]</a></strong><br /> Philip A. May, Ph.D., and J. Phillip Gossage, Ph.D.</p>
<p class=""outdent01""><strong>27  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/27-28.htm"" target=""_blank"">Combination Drug Use and Risk for Fetal Harm</a> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/27-28.pdf"" target=""_blank"">[PDF]</a></strong> <br /> Wei-Jung A. Chen, Ph.D., and Susan E. Maier, Ph.D.</p>
<p class=""outdent01""><strong>29  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/29-37.htm"" target=""_blank"">Focus On: Epigenetics and Fetal Alcohol Spectrum Disorder</a> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/29-37.pdf"" target=""_blank"">[PDF]</a></strong> <br /> Michael S. Kobor, Ph.D., and Joanne Weinberg, Ph.D.</p>
<p class=""outdent01""><strong>38  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/38-41.htm"" target=""_blank"">Understanding the Effects of Prenatal Alcohol Exposure Using Three-Dimensional Facial Imaging</a></strong> <strong><a href=""http://pubs.niaaa.nih.gov/publications/arh341/38-41.pdf"" target=""_blank"">[PDF]</a></strong><br /> Leah Wetherill, M.S., and Tatiana Foroud, Ph.D.</p>
<p class=""outdent01""><strong>42  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/42-50.htm"" target=""_blank"">Discriminating the Effects of Prenatal Alcohol Exposure From Other Behavioral and Learning Disorders</a></strong> <strong><a href=""http://pubs.niaaa.nih.gov/publications/arh341/42-50.pdf"" target=""_blank"">[PDF]</a></strong><br /> Claire D. Coles, Ph.D.</p>
<p class=""outdent01""><strong>51  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/51-55.htm"" target=""_blank"">The Quest for a Neurobehavioral Profile of Heavy Prenatal Alcohol Exposure</a></strong> <strong><a href=""http://pubs.niaaa.nih.gov/publications/arh341/51-55.pdf"" target=""_blank"">[PDF]</a></strong><br /> Sarah N. Mattson, Ph.D., and Edward P. Riley, Ph.D.</p>
<p class=""outdent01""><strong>56  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/56-63.htm"" target=""_blank"">Focus On: Biomarkers of Fetal Alcohol Exposure and Fetal Alcohol Effects</a> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/56-63.pdf"" target=""_blank"">[PDF]</a></strong><br /> Ludmila N. Bakhireva, M.D., Ph.D., M.P.H., and Daniel D. Savage, Ph.D.</p>
<p class=""outdent01""><strong>64  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/64-75.htm"" target=""_blank"">Behavioral Interventions for Children and Adolescents With Fetal Alcohol Spectrum Disorders</a> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/64-75.pdf"" target=""_blank"">[PDF]</a></strong><br /> Blair Paley, Ph.D., and Mary J. O’Connor, Ph.D.</p>
<p class=""outdent01""><strong>76  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/76-85.htm"" target=""_blank"">Fetal Alcohol Spectrum Disorders: Experimental Treatments and Strategies for Intervention</a> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/76-85.pdf"" target=""_blank"">[PDF]</a></strong><br /> Nirelia M. Idrus, Ph.D., and Jennifer D. Thomas, Ph.D.</p>
<p class=""outdent01""><strong>86  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/86-91.htm"" target=""_blank"">Prenatal Alcohol Exposure and Miscarriage, Stillbirth, Preterm Delivery, and Sudden Infant Death Syndrome</a></strong> <strong><a href=""http://pubs.niaaa.nih.gov/publications/arh341/86-91.pdf"" target=""_blank"">[PDF]</a></strong><br /> Beth A. Bailey, Ph.D., and Robert J. Sokol, M.D.</p>
<p class=""outdent01""><strong>92  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/92-98.htm"" target=""_blank"">Focus On: The Use of Animal Models for the Study of Fetal Alcohol Spectrum Disorders</a> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/92-98.pdf"" target=""_blank"">[PDF]</a></strong><br /> Shannon E. Wilson, D.V.M., Ph.D, and Timothy A. Cudd, D.V.M., Ph.D.</p>
<p class=""outdent01""><strong>SPECIAL SECTION: Update on Brain Pathology</strong></p>
<p class=""outdent01""><strong>99  <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/99-105.htm"" target=""_blank"">Focus On: Magnetic Resonance–Based Studies of Fetal Alcohol Spectrum Disorders in Animal Models</a> <a href=""http://pubs.niaaa.nih.gov/publications/arh341/99-105.pdf"" target=""_blank"">[PDF]</a></strong><br /> Shonagh K. O’Leary-Moore, Ph.D.; Scott E. Parnell, Ph.D.; Elizabeth A. Godin, Ph.D.; and Kathleen K. Sulik, Ph.D.</p>
<p class=""outdent01""><strong>106 <strong><a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/106-120.htm"" target=""_blank""> Focus On: Neurotransmitter Systems </a></strong><a href=""http://pubs.niaaa.nih.gov/publications/arh341/106-120.pdf"" target=""_blank"">[PDF]</a></strong><br /> C. Fernando Valenzuela, M.D., Ph.D.; Michael P. Puglia; and Stefano Zucca, M.Sc.</p>
<p class=""outdent01""><strong>121 <a class=""plainLink"" href=""http://pubs.niaaa.nih.gov/publications/arh341/121-131.htm"" target=""_blank""> Focus On: Structural and Functional Brain Abnormalities in Fetal Alcohol Spectrum Disorders </a><a href=""http://pubs.niaaa.nih.gov/publications/arh341/121-132.pdf"" target=""_blank"">[PDF]</a></strong><br /> S. Christopher Nuñez, Ph.D.; Florence Roussotte; and Elizabeth R. Sowell, Ph.D.</p>",,,,,,,,,,,"","http://pubs.niaaa.nih.gov/publications/arh341/toc34_1.htm","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","34","Alcohol Research  Health","BB , ED4-12 , EE20-4 , GJ2-16-2-4-6 , JB2-4 , T10-4-2 , TW2-10-4 , VD","B Drugs and alcohol substances > Alcohol -- E Concepts in biomedical areas > Pregnancy -- E Concepts in biomedical areas > Pregnancy > Reproductive effects of drugs and alcohol use -- G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention > Drugs and alcohol use harm reduction -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > United States","Alcohol --  Pregnancy --  Pregnancy  -  Reproductive effects of drugs and alcohol use --  Disorder by cause  -  Developmental disorder  -  Foetal (fetal) alcohol syndrome --  Drugs and alcohol prevention  -  Drugs and alcohol use harm reduction --  Pregnant woman --  Child of drugs and alcohol user","United States",,"0","yes"
"26066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_prevention",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"EE20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GJ2-16-2-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"26066",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119","25","archive","5",,,"disk0/00/02/01/19","2013-07-02 06:17:26","2013-07-02 06:17:26","2013-07-02 06:17:26","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Peyton","Lynne","","","","Peyton:Lynne::","",,,,,"","","A review of practice and audit of the management of cases of neglect. Report on the findings of the pilot phase of the National Audit of Neglect.","pub","LG18-12-4","","public",,"government_publication",,,,,,"This report represents the findings of 3 pilot exercises to independently review practice and audit the management of cases of neglect in Ireland, in preparation for a National Audit of Neglect as recommended by the Roscommon Child Care Case Inquiry (October 2010). Each of the 3 Local Health Offices (LHO) chosen for the pilots had a case which was subject to an Inquiry because the children had experienced chronic neglect. In 2 of these families a child had died and in Roscommon, several children suffered severe and sustained neglect over a period of years.

In total almost 100 cases involving more than 300 children were considered by the Reviewer and where appropriate recommendations were made to better safeguard the young people involved. The findings add to the knowledge base of characteristics of neglectful families demonstrating the significance of alcohol abuse and to a lesser extent drug misuse among neglecting parents. The circumstances of children was often a matter of concern to the entire range of involved disciplines including public health nurses, school teachers, psychologists, speech and language therapists, and to those who were providing a range of family support services.

Increased awareness due particularly to Children First training, has led to an increase in child neglect referrals to social work departments in recent years. However across the 3 Pilot areas there was evidence that the thresholds for allocation of cases to Social Workers was often too high and that generally children who had allegedly been physically or sexually abused were more likely to receive services than those who experienced neglect and emotional abuse. Consequently there was evidence that many neglected children were not receiving a service and in two areas there was a substantial waiting list.","2012","published",,"Peyton Lynne",,"","",,,,,,"Health Service Executive","Dublin",,"156 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , MV , VH4-2 , TW2-10-4 , TT8-2 , JA6-6 , LG2-6 , TA12 , LG14-10 , LG16-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Social worker -- J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family environment > Family background","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Social services --  Child of drugs and alcohol user --  Social worker --  Risk and protective factors  -  risk factors --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family environment  -  Family background","Europe  -  Ireland","Peyton Lynne","0","no"
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"20119",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG16-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16889","22","archive","5",,,"disk0/00/01/68/89","2012-02-03 16:41:21","2016-02-26 13:04:38","2012-02-03 16:41:21","article",,,"show",,,,"","","","","","","","","","","0",,,"Pike","Brigid","","","","Pike:Brigid::","",,,,,"","","Prioritising children in drug policy and practice.","pub","LG18-12-4","","public",,,,,,,,,"2012","published",,"Pike Brigid",,"","",,"Drugnet Ireland","Issue 40, Winter 2011",,,"Health Research Board",,"28-29",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>The needs of children of drug-using parents are attracting attention from policy makers and service providers both here in Ireland and in Europe.<b> </b></p>
<div style=""line-height: normal;""><b>Barnardos and the Family Support Agency</b></div>
<div style=""line-height: normal;"">On 10 October 2011 Barnardos and the FSA launched <i>Parenting positively – coping with a parent’s problem drug or alcohol use</i>, a new resource for children, teenagers and their parents to support them in understanding and dealing with difficulties that can result from a parent’s problem drug or alcohol use: it not only gives parents an insight as to how their behaviour, or that of their partners, is affecting the child, but also helps the child to understand what is happening and what they can do to help themselves.</div>
<div style=""line-height: normal;""> </div>
<div style=""line-height: normal;"">The resource comprises three booklets – one for children aged 6–12, one for parents of children aged 6–12, and one for parents of teenagers. The booklets are written in a question and answer format, with contributions from children and parents who have experienced the impact of alcohol and drugs on their family. Teenagers are catered for with an online resource available at <a href=""http://www.barnardos.ie/teenhelp"" target=""_blank"">www.barnardos.ie/teenhelp</a>. The Parenting Positively series of booklets, of which this resourceis the latest, are available free to download from <a href=""http://www.barnardos.ie/"" target=""_blank"">www.barnardos.ie</a> . </div>
<div style=""line-height: normal;""> </div>
<div style=""line-height: normal;""><b>National Advisory Committee on Drugs, Health Service Executive and Alcohol Action Ireland</b></div>
<div style=""line-height: normal;"">On 18 October 2011 the NACD, HSE and Alcohol Action Ireland hosted a one-day seminar, attended by policy makers and service providers, at which a report, <i>Parental substance misuse: addressing its impact on children</i>, was launched. Having reviewed all the major international research on the impact of parental substance misuse on children, author Dr Justine Horgan, senior researcher with the NACD, reports that children of substance misusers are more likely to experience problems with mental health, social skills, academic achievement and substance use.</div>
<div style=""line-height: normal;""> </div>
<div style=""line-height: normal;"">Horgan identifies five priority areas for policy makers, service providers and researchers to consider:</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">1.       <i>Consequences of parental substance misuse for child development</i>: substance misuse during pregnancy can have harmful effects on the baby.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">2.       <i>Consequences for parenting and family life</i>: the stress owing to parental substance misuse combined with the increased likelihood of the child being in care and/or suffering homelessness, results in these children being at a high risk of emotional isolation and/or social marginalisation.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">3.       <i>Impact on child outcomes</i>: for many affected children, the effect continues into their adult lives; for some, the impact can be multifaceted and persist not only into adult life but even into the lives of the next generation.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">4.       <i>Response to parental substance misuse</i>: more integrated working between addiction services, children’s services and medical professionals is needed to help reduce the negative impact of parental drug and alcohol misuse on children and the wider family.</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 10pt 18pt;"">5.       <i>Future research and data needs</i>: five research areas are identified that would help to fill gaps in Ireland’s research, statistics and information regarding children of parents who misuse drugs.</div>
<div style=""line-height: normal;"">Key recommendations include:</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">·         Additional research and data collection to properly estimate the number of children whose parents have substance misuse problems.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">·         The HSE <i>Children First</i> guidelines to be used by all services and organisations working regularly with children who experience parental substance misuse and with their parents.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">·         Assess the extent to which adult alcohol and drug treatment services are supporting parenting and liaise with child support and other relevant services.</div>
<div style=""text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">·         Assess the extent to which professional education and training in areas such as youth work, psychology, addiction support, guidance, counselling and childcare can address children affected by parental substance misuse.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">·         Educate women on the adverse effects of consuming alcohol and drugs during pregnancy and train medical professionals so that they can raise awareness among their patients of the risks of consuming these substances.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">·         Consider appropriate interventions and ways of working for primary health care staff who are involved in the early stages of children’s lives such as public health nurses, GPs and community mothers.</div>
<div style=""line-height: normal;""> </div>
<div style=""line-height: normal;"">Speaking at the seminar, Norah Gibbons, chair of Alcohol Action Ireland and director of advocacy at Barnardos, called for the following:</div>
<div style=""line-height: normal;""> </div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">1.       Invest in prevention and early intervention services by increasing collaboration between organisations and functions, and increasing awareness and understanding among service providers of the needs of children and families damaged by parental alcohol problems. Develop joint local protocols between addiction services, health and social services, adult and children’s services, in both the voluntary and statutory sectors.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">2.       Make services more holistic, i.e. a ‘whole family’ approach, such as that provided by Northern Ireland’s 'Hidden Harm Action Plan' for children living with parental substance misuse.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">3.       Provide services and supports directly to children, for example through self-referral services, helplines, in-school counselling, therapeutic support or emergency accommodation.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">4.       Ensure organisations are clear about their responsibilities under <i>Children First</i> by putting the guidelines on a legislative basis. Drug and alcohol services have a crucial role to play here, in terms of identifying parents who are need of support with their parenting and caring responsibilities and providing appropriate treatment, guidance and referral.</div>
<div style=""line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 18pt;"">5.       Amend the Constitution to enshrine children’s rights.</div>
<div style=""line-height: normal;""><b> </b></div>
<div style=""border: windowtext 1pt solid; padding: 1pt 4pt 1pt 4pt;"">
<div style=""line-height: normal; padding: 0cm;"">What will you do differently/how will you act to prioritise children in your organisation?</div>
<div style=""line-height: normal; padding: 0cm;"">What does your organisation do to ensure that children are seen and heard?</div>
<div style=""line-height: normal; padding: 0cm;"">What will your organisation do differently?</div>
<div style=""text-align: right; line-height: normal; padding: 0cm;"" align=""right""><i>Norah Gibbons</i></div>
</div>
<div style=""line-height: normal;""> </div>
<div style=""line-height: normal;""><b>European Monitoring Centre for Drugs and Drug Addiction</b></div>
<div style=""line-height: normal;"">Earlier this year the EMCDDA invited the national focal points in each of the 27 member states of the EU to report on drug-using parents and their children within their country – the current situation and the risks and harms, the legislative and policy framework, and the nature of responses. A summary report is expected to be published during 2012.</div>",,,,,"Issue 40, Winter 2011",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 40, Winter 2011","Drugnet Ireland","LG18-12-4 , LG18-12 , VH4-2 , MP14-10 , TW2-10-4 , TA12 , MP18-2 , VH","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MP-MR Policy, planning, economics, work and social services > Political process > Advocacy -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Child -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Political process  -  Advocacy --  Child of drugs and alcohol user --  Child --  Policy  -  Policy on drugs and alcohol","Europe  -  Ireland --  Europe","Pike Brigid","0","yes"
"16889",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16889",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16889",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16889",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16889",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16889",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16889",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735","40","archive","5",,,"disk0/00/01/87/35","2012-11-07 09:01:10","2012-11-07 09:01:59","2012-11-07 09:01:10","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Maschinot","Beth","","","",,"",,,,,"","","Supporting infants, toddlers, and families impacted by caregiver mental health problems, substance abuse, and trauma. A community action guide.","pub","GA2-4","","public",,,,,,,,"Introduction 
•	Section 1: What’s so important about birth to 5? 
•	Section 2: Threats to resilience 
•	Section 3: Building a sturdy foundation for children: protective factors that promote resilience 
•	Section 4: A strategic framework for action 
•	Section 5: Moving forward 

References 
Appendix A: Resource list 
Appendix B: Screening tools 
Appendix C: Assessing the problem 
Appendix D: Conducting focus groups 
Appendix E: Strategies for coalition building

This guide was developed in the United States and is organized in sections designed for practical use. 
In Section 1, we focus on the importance of early development, highlighting recent findings about how the brain develops. In Section 2, we look at the newest and best research on how toxic stress can harm brain development. We focus particularly on toxic stress that can occur in families struggling with mental health problems, substance abuse, and a history of trauma. Use this information when you are developing or making the case for a new outreach effort, a new program, or a new law or advocacy effort. 

In Section 3, we look at how to build a sturdy foundation for the very young children in our communities, starting by supporting interactions between children and their closest caregivers, and then expanding to a wider sphere. Here the emphasis is on building supports and coping capacities in the families and in the people and service providers surrounding the child. This section can be used as a springboard to goal-setting and planning when you’ve gathered community partners. 

Section 4 provides you with a six-step road map for action: 
1. Assess how far along your community is in building resources and structures that contribute to the well-being of families; 
2. Assess your community’s capacity for supporting family well-being; 
3. Build partnerships and coalitions among existing community groups; 
4. Outline a strategic plan; 
5. Provide guides and tips for implementation; and 
6. Evaluate your efforts to better understand your impact and continually improve your strategies. 

Section 4 is designed to be a guide for identifying doable strategies. Although the process may seem complex, each of the steps can be used one at a time to increase your chances for success—whether you are embarking on outreach efforts or working to create larger programs or structures.","2012","published",,"SAMHSA, US",,"","",,,,,,"Substance Abuse and Mental Health Services Administration","Rockville, MD",,"92 p.",,,,,"DHHS Publication No. SMA-12-4726",,,,,,"guideline","rehabilitation","alcohol_drugs_in_general",,,,,,"SAMHSA, US",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2-4 , LG18-12 , ED4-12 , LC2-4 , TW2-10-4 , T10-4-2 , LG18-2 , TA12 , JF8 , ML4 , GD2 , NF20-4 , VD , LG14-10 , FE10-4-6","G Health and disease > State of health > Mental health -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- E Concepts in biomedical areas > Pregnancy -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Pregnant woman -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Community-based prevention -- MA-ML Social science, culture and community > Community action > Community involvement -- G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder -- N Communication, information and education > Education and training > affective and interpersonal education > skills building -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > United States","State of health  -  Mental health --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Pregnancy --  Interpersonal interaction and group dynamics  -  Social support --  Child of drugs and alcohol user --  Pregnant woman --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Prevention by sponsor or setting  -  Community-based prevention --  Community action  -  Community involvement --  Drugs and alcohol related disorder  -  Drugs and alcohol related mental disorder --  Education and training  -  affective and interpersonal education  -  skills building --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Skills  -  Coping skills","United States","Maschinot Beth , Cohen Julie","0","yes"
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cohen","Julie","","",,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"screening",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JF8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ML4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GD2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"NF20-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18735",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18721","23","archive","5",,,"disk0/00/01/87/21","2012-11-02 11:24:00","2015-12-22 14:45:30","2012-11-02 11:24:00","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Turnbull","Catherine","","","",,"",,,,,"","","Home visits during pregnancy and after birth for women with an alcohol or drug problem.","pub","LG14-10-2","","none",,,,,,,,"Objective: To determine the effects of home visits during pregnancy and/or after birth for women with a drug or alcohol problem.

Studies using random or quasi-random allocation of pregnant or postpartum women with a drug or alcohol problem to home visits. Trials enrolling high-risk women of whom more than 50% were reported to use drugs or alcohol were also eligible.

Conclusion: There is insufficient evidence to recommend the routine use of home visits for pregnant or postpartum women with a drug or alcohol problem. Further large, high-quality trials are needed.","2012","published",,"The Cochrane Library",,"","",,"Cochrane Database of Systematic Reviews",,"1","1","John Wiley & Sons, Ltd","London",,,,,,,"Art. No.: CD004456. DOI: 10.1002/14651858.CD004456.pub3.",,,,,,"review","aod_disorder_treatment_method","alcohol_drugs_in_general",,"ISSN: 1469-493X",,,,"The Cochrane Library",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004456.pub3/abstract","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3","unspecified","Cochrane Database of Systematic Reviews","LG14-10-2 , AA2-4 , HZ26 , ED4-12 , TW2-10-4 , T10-4-2 , TW2-8 , JT8_8_2","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- HJ Treatment method > Treatment outcome -- E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Pregnant woman -- T Demographic characteristics > Parent -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)",,"Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Treatment outcome --  Pregnancy --  Child of drugs and alcohol user --  Pregnant woman --  Parent --  Health care programme or facility  -  Community-based treatment (primary care)",,"Turnbull Catherine , Osborn David A","0","yes"
"18721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Osborn","David A","","",,,,,,,,,,,,"AA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"T10-4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18721",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16766","21","archive","5",,,"disk0/00/01/67/66","2012-01-16 13:32:04","2012-09-25 14:30:06","2012-01-16 13:32:04","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","National Advisory Committee on Drugs","A family affair? Supporting children living with
parental substance misuse. A report of a national conference held in November 2011.","pub","LG14-10-2","","public",,"other",,,,,,"This conference originated from the findings of a literature review carried out by Dr. Justine Horgan, Senior Researcher National Advisory Committee on Drugs on the impact of parental substance misuse on children. The main finding of this review was that parental substance misuse can, and does, negatively impact on the health, development and welfare of children including both abuse and neglect. As children’s welfare and protection is a major governmental and societal priority, this conference was timely and the invitation by the NACD to the HSE and Alcohol Action Ireland to become co-sponsors of the conference ensured the widest possible dissemination of the findings.

The organisers welcomed the presence of two Ministers who were fully supportive of the aims of the conference. The presence of senior managers from the HSE Addiction and Children and Families Services was also key to the recognition of this as a conjoint managerial responsibility.

This was the first national conference addressing the impact of parental substance misuse on children and the first combined gathering of staff working in addiction, child welfare and protection services from the community, statutory and voluntary sectors. Such a large gathering enabled the sharing of observations and experiences and an exchange of views on the challenges involved in early intervention and interagency work in the context of diminishing resources.

The conference also highlighted the importance of public policy with local implementation supported by adequate resources. One such policy, the Hidden Harm strategy in Northern Ireland, highlights the need, as a main objective of policy and practice, to reduce the harm to children from parental substance misuse.

This strategy also recognises that effective treatment of the parent can have major benefits for the child and that by working together, services can take many practical steps to protect and improve the health and well-being of affected children.

Furthermore, recognition that problems affecting children will only decrease when the number of people with harmful drinking patterns and problem drug use diminishes is of critical importance as are the relevant strategies aimed at implementing such reductions.

Points from the Hidden Harm strategy are re-iterated by the following key findings from our national conference as follows:
1. All services, including child, family and adult services need to view the welfare of the child as paramount. Agencies need to work together, taking a child-centred approach, supporting the whole family to meet their child’s needs.
2. Adult drug and alcohol services have a duty to consider and assess how the adult’s behaviour may be affecting the children in their care
3. Invest in prevention and early intervention services
4. Provide services and supports directly to children
5. Ensure organisations are clear about their responsibilities under Children First. Putting Children First on a legislative basis would ensure that organisations have a duty to work together in the interests of the child.
6. Policies that reduce substance misuse consumption levels can reduce the level of harm to children living with parental substance misuse problems.

This conference provided a forum to respond to a literature review which clearly identifies that parental substance misuse is a most serious challenge to child welfare and child protection in modern Ireland.

The challenge now is to recognise this issue as current, even though largely invisible and to take the necessary steps to implement the policies and measures required to safeguard and protect children now and for future generations.","2011-12","published",,"National Advisory Committee on Drugs",,"","",,,,,,"National Advisory Committee on Drugs","Dublin",,"27 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.nacd.ie/index.php/publications.html","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG14-10-2 , LG18-12 , LC2-4 , VH4-2 , TW2-10-4 , LG18-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Interpersonal interaction and group dynamics  -  Social support --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations","Europe  -  Ireland","National Advisory Committee on Drugs National Advisory Committee on Drugs , Alcohol Action Ireland Alcohol Action Ireland , HSE Social Inclusion Department HSE Social Inclusion Department","0","no"
"16766",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Alcohol Action Ireland",,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16766",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HSE Social Inclusion Department",,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16766",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16766",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16766",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17880","22","archive","5",,,"disk0/00/01/78/80","2012-06-29 12:38:28","2014-04-09 22:02:45","2012-06-29 12:38:28","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Diggins","Marie","","","",,"",,,,,"","","Think child, think parent, think family: a guide to parental mental health and child welfare.","pub","JQ6-8","","public",,,,,,,,"The following recommendations are for adult mental health, child and adolescent mental health and children services in all sectors

Signposting and improving access to services 
Organisations should develop a multi-agency communications strategy to tackle the stigma and fears that parents and children have about approaching and receiving services. This should be a priority to enable families to get the support they need as soon as possible and should focus on promoting good mental health and wellbeing for all family members. 

Screening 
Ensure screening and referral systems and practice routinely and reliably identify and record information about which adults with mental health problems are parents, and which children have parents with mental health problems. This means developing systems and tools in collaboration with parents and young people, to ensure the right questions are asked and the data is recorded for future use. 

Assessment
All organisations need to adapt existing assessment and recording processes to take account of the whole family and train staff in their use. This means developing and implementing 'family' threshold criteria for access to services to take into account the individual and combined needs of parents, carers and children. Strategies for the management of joint cases should be recorded where the situation is complex or there is a high risk of poor outcomes for children and parents.

Planning care 
Care planning needs to be flexible enough to meet the needs of each individual family member as well as the family as a whole, and staff should aim to increase resilience and reduce stressors. Allocating an individual budget could provide this flexibility. Increasing every family member's understanding of a parent's mental health problem can strengthen their ability to cope.

Providing care 
Commissioners and providers of care should ensure that they can meet the full spectrum of needs, including the practical priorities of parents with mental health problems and their children. This means developing non-traditional and creative ways of delivering services as a way of targeting families and improving access.

Reviewing care plans
Reviews should consider changes in family circumstances over time, include both individual and family goals, and involve children and carers in the process.

Strategic approach
Multi-agency, senior-level commitment is required and we recommend that a 'Think Family Strategy' is developed to implement this guidance and that parents, children and carers are involved in all stages of development.

Workforce development 
Investment is needed in training and staff development for adult and children's front-line managers and practitioners to support the changes recommended in this guide about how to 'think child, think parent, think family' and work across service interfaces.

Putting it into practice
Combining the authority of senior managers and the dynamism of the voluntary sector and users is the most effective way of supporting staff seeking to put whole-family approaches into practice.  Embedding the messages into induction, training, supervision and performance management can help promote the work, and altering assessment and recording tools, can prompt people to Think Family.","2011-12","published",,"Social Care Institute for Excellence",,"","",,,,,,"Social Care Institute for Excellence","London",,"100 p.",,,,,,,,,,,"manual","aod_prevention","alcohol_drugs_in_general",,,,,,"Social Care Institute for Excellence",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JQ6-8 , LG18-12 , VH4-4 , TW2-10-4 , LG18-2 , TW2-8 , TA12","J Health care, prevention and rehabilitation > Care by type of problem > Mental health care -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- T Demographic characteristics > Child","VA Geographic area > Europe > United Kingdom","Care by type of problem  -  Mental health care --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Child","Europe  -  United Kingdom","Diggins Marie","0","yes"
"17880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17880",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16432","21","archive","5",,,"disk0/00/01/64/32","2011-11-28 10:20:41","2014-04-09 22:00:03","2011-11-28 10:20:41","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Ireland. Department of Children and Youth Affairs","National strategy for research and data on children’s lives 2011—2016.","pub","VH4-2","","public",,"other",,,,,,"This research and data strategy is published in fulfilment of a commitment given in the social partnership agreement Towards 2016 for the development and publication of a National Data Strategy on Children’s Lives (Department of the Taoiseach, 2006a). The strategy has been developed in the context of substantial investment in the creation and transfer of knowledge for the purpose of improving citizen’s lives. This has resulted in a growing knowledge base across many different areas and in Ireland, as elsewhere, has led to increased support and concern for evidence-informed policy and practice.

The initial intention in developing this strategy was to focus on data only, particularly on official and other statistical holdings, as has been the case with strategies developed by other Government departments. This strategy goes beyond this type of approach and both aligns and mobilises key issues of relevance to both research and data around children’s lives. In doing so, it provides a framework for improving understandings of children’s lives across all sectors, including policy-makers, service providers, researchers, children, families and communities. The inclusion of both data and research is an explicit recognition of the importance of achieving a comprehensive understanding of children’s lives. Although there is much overlap between research and data, in general, agendas have evolved separately from each other and issues arising are usually addressed in different fora and through individual strategic developments.

The recent Government decision to create a Department of Children and Youth Affairs, which incorporates a number of policy areas on children and youth people (such as early childhood care and education, youth justice, child protection and welfare, children and young people’s participation, research on children and young people, youth work and cross-cutting initiatives for children), provides an important infrastructure through which evidence can be at the centre of policy and practice around children’s lives.

This strategy, through its Action Plan (see Chapter 5), will play an important part in informing policy and practice developments by facilitating the creation, synthesis and transfer of the best available knowledge in the area for the purpose of ensuring children’s lives benefit from research and data. While the Department of Children and Youth Affairs is responsible for certain actions in the strategy and will have an oversight role in relation to the overall action plan, individual Government departments or other organisations that have agreed to carry out specific actions in this strategy will be responsible for delivering on these. 

An understanding of the effects of policy decisions, supports and interventions, as well as the factors in and impact of changes and transitions at various points in the lifecycle, is critical in informing decisions aimed at improving outcomes. This is particularly the case with children, where significant changes in their growth, development and outcomes take place within a relatively short period of time. Much progress has been made in understanding children’s lives in Ireland. Further strategic development, however, can assist in:
•	providing leadership in the area of research and data on children’s lives;
•	facilitating a comprehensive approach to understanding the lives of all children, with a particular focus on the lives of children with additional needs;
•	identifying priority areas, minimising duplication of effort and maximising value for money;
•	coordinating research and data developments of relevance to children’s lives;
•	systematically building research, evaluation and utilisation capacity.

Overview 
Why a Research and Data Strategy on Children’s Lives? 
•	Development of strategy 
•	Aim and objectives of strategy 

1. Context for a National Strategy for Research and Data on Children’s Lives 
•	Investment and policy development in research 
•	Research governance developments 
•	Investment and policy development in data 
•	National investment in children’s research 
•	National Children’s Research Programme 
•	Commissioned research programme 
•	Capacity-building programme 
•	A programme to develop the infrastructure around data and research on children’s lives 
•	Knowledge transfer around children’s lives 
•	Early Intervention Programme 
•	Summary 

2. Development of National Strategy for Research and Data on Children’s Lives 
•	Children’s outcomes 
•	Process of development 
•	Identification of potential gaps 
•	Review of recommendations in national policy 
•	Consultations 
•	Analysis of inputs 
•	Analysis of information gaps and availability 
•	Consultation on draft actions 
•	Bilateral discussions with stakeholders 
•	Summary 

3. Information Gaps, Sources and Priorities 
•	Outcome Area 1: Children will be healthy, both physically and mentally 
•	Outcome Area 2: Children will be supported in active learning 
•	Outcome Area 3: Children will be safe from accidental and intentional harm, and secure in the immediate and wider physical environment 
•	Outcome Area 4: Children will be economically secure 
•	Outcome Area 5: Children will be part of positive networks of family, friends, neighbours and the community, and included and participating in society 

4. Cross-cutting issues influencing National Strategy for Research and Data on Children’s Lives 
Development of a national strategic approach to improving information around children’s lives 
•	Improvement of administrative data systems 
•	Build capacity across all areas of research and data development 
•	Support evidence-informed policy and practice 
•	Summary 

5. Action Plan 
•	Implementation and oversight 
•	Action Plan 
References 

Appendices
Appendix 1: DCYA National Children’s Research Programme — Commissioned Research 
Appendix 2: DCYA National Children’s Research Programme — Scholarship Programme 
Appendix 3: Review of national policy documents to inform National Strategy for Research and Data on Children’s Lives 
Appendix 4: Online Consultation Questionnaire 
Appendix 5: Respondents to Online Consultation 
Appendix 6: Inventory of data sources 
Appendix 7: Consultations conducted with children and young people under the OMCYA/DCYA Participation Programme 
Appendix 8: National Statistics Board’s (2004) Best Practice Guidelines for the development of a data strategy 
Appendix 9: Research and Data Strategy Steering Group Membership","2011-11","published",,"Ireland. Department of Children and Youth Affairs",,"","",,,,,,"Government Publications","Dublin",,"112 p.",,,,,,,,,,,"","","","978-1-4064-2613-7",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"VH4-2 , RB , TW2-10-4 , MQ8-2 , JA2 , TA12","R Research > Research organization and management -- T Demographic characteristics > Child of drugs and alcohol user -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation > Programme planning (strategy) -- J Health care, prevention and rehabilitation > Health services, drugs and alcohol research -- T Demographic characteristics > Child","VA Geographic area > Europe > Ireland","Research organization and management --  Child of drugs and alcohol user --  Programme planning, implementation, and evaluation  -  Programme planning (strategy) --  Health services, drugs and alcohol research --  Child","Europe  -  Ireland","Ireland. Department of Children and Youth Affairs Ireland. Department of Children and Youth Affairs","0","no"
"16432",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"RB",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16432",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16432",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16432",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16432",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471","29","archive","5",,,"disk0/00/01/64/71","2011-12-05 09:37:24","2012-07-20 14:17:27","2011-12-05 09:37:24","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Taplin","Stephanie","","","","Taplin:Stephanie::","",,,,,"","","Child protection and mothers in substance abuse treatment.","pub","TW2-8-8","","public",,"other",,,,,,"This report presents the major findings from the three-year Australian, Child Protection and Mothers in Substance Abuse Treatment study.

Parental substance use has received particular attention as a child protection concern in recent years, but it is an area in which there has been little research and in which a number of research questions remain unanswered. Evidence has shown that parental substance misuse is associated with high rates of child maltreatment, but substance use by a parent does not necessarily mean that they are abusing or neglecting their children. Research from overseas has also found that families in which alcohol or other drug use is present are more likely to come to the attention of child protection services, more likely to be re-reported, more likely to have children removed from their care, and more likely to have them remain in out-of-home care (OOHC) for long periods of time, than are families with the same characteristics but no substance use. A small number of overseas studies have also found that, among substance-using mothers, factors other than the severity of substance use are associated with child protection involvement. The applicability of these overseas studies to the child protection system in Australia is, however, unknown.

This study provides an enhanced understanding of parenting issues and child protection involvement among women with a history of illicit drug use in Australia.

Methods: Women with at least one child aged under 16 years were recruited through nine public and private opioid treatment clinics across Sydney. One hundred and seventy-one women were interviewed between May 2009 and May 2010. Their drug treatment and child protection records were also used as a source of information where they consented.

Major findings: Just over one-third of the women were involved with child protection services at the time of interview, with one-third of their children (n = 99) in OOHC.

Women who were involved with child protection were compared with those who were not to determine the factors associated with child protection involvement. Logistic regression analysis revealed that those variables which significantly increased the likelihood of being involved with child protection (while controlling for the other variables) were: (1) having a greater number of children, (2) being on psychiatric medication, and (3) having less than daily contact with their own parents. Although women who had a more extensive substance use history were more likely to be involved with child protection (when no other factors were taken into account), this association was no longer significant in the logistic regression model.

Other findings: Consistent with previous research on this population, these women were highly disadvantaged, having little formal education (median 10 years), tending to be single (32.4% married or de facto), on government benefits (87.1%), experiencing financial problems (80.6%) and living in public housing (58.3%). The women had extensive substance use and drug and alcohol treatment histories, again consistent with previous research. A significant number also had mental health problems (54.2% had been recently diagnosed with a psychiatric illness), had a history of criminal involvement (41.9% had prison history) and had some type of physical or sexual abuse as a child (64.5% reported this), with sexual abuse the most common (55.4%). Recent domestic violence was less common (18.0% had recently taken out an apprehended violence order).

Since starting on the New South Wales Opioid Treatment Program (OTP), the women reported improvements in a number of areas, again consistent with previous research. Reductions in substance use, criminal involvement, number of problem areas and time spent with illicit drug-using friends (along with improvements in parenting ability, financial situation and sources of support) were reported by the women since starting on the OTP. Heroin use reduced markedly, both in the number reporting any heroin use in the past month (from 88.3% to 21.6%) and in the number of times used (27.6 to 5.6 days per month). Despite these improvements, women involved with child protection stayed no longer on the OTP than women who were not.

Women generally chose to enter the OTP, and many did so for child-related reasons. Women who were currently involved with child protection services reported receiving more services through the program than did the women who were not involved, the services most commonly received being counselling, legal assistance and childcare. Women who were being treated through public programs were more likely to have a caseworker than women at private programs.

Most of the women were young when they had their first child, the median age being 21 years, much lower than the median age of first-time mothers across Australia (28 years). More than one-third (39%) were teenagers when they had their first child. Surprisingly, 38% of the women in the study started using opioids after they had had their first child.

The women mostly gave birth to two children. One in five of their children were reported to have major health or behavioural problems, and these children were much more likely to be in OOHC.

Many of the women were single (41.8% were not in a relationship) and most were either the only adult living in their household (46.8%) or lived alone (11.7%). They were more likely to spend time with family than with anyone else and particularly relied on their family for help with their children. Support from their parents was particularly important to these women.

Most lived in public housing (58.3%) and they appear to be less trusting of neighbours and feel less safe in their community than do other women, even those living in disadvantaged areas.

The majority of the 99 children in OOHC at the time of interview were in kinship or relative care, generally living with their grandparents. Younger children were more likely to be in care than were older children. Many of the children in care (42%) had been removed from their mother at birth and placed in OOHC, and this was even more likely among the younger children (73% of those under five years of age had been removed at birth). Children placed in foster care had less contact with their mother than those living with relatives and were more likely to have supervised contact visits.

Another 57 children were not living with their mother because of Family Court orders or informal arrangements for family to care for their children.

Around one-third of the women (31.7%) reported having undertaken a parenting course, with those involved with child protection (most of whom had children in care) significantly more likely to have done so. Although half the women acknowledged that their parenting was adversely affected by their substance use, many also reported that they went to great lengths to keep their children unaware of their substance use and/or their being in pharmacological treatment.

Half the women (52.1%) said that their substance use had affected their ability to parent their children, while slightly less than half (45.5%) said that it had not. Where substance use had not affected their parenting, women reported that they had always prioritised their children’s needs and only used substances when the children were being cared for by family.

Discussion: The results of this study are important for the child protection field. They show that, rather than severity of substance use being associated with mothers’ involvement with the child protection system, other factors are of greater importance. Of particular interest was the finding that having greater social support, particularly from parents, significantly reduced the likelihood of being involved with the child protection system. Women made great improvements while on their treatment program, particularly in relation to reduced substance use.

In terms of policy and practice implications, this study supports the call by overseas researchers to intervene earlier with girls who have been abused themselves prior to the escalation of problems associated with abuse, such as mental health problems and substance misuse, and prior to them becoming mothers. The provision of targeted women-only services is essential for girls in such circumstances, and for most women in opioid pharmacological treatment, in order to help them deal with their mental health problems and to enhance parenting, coping skills and social supports. It is important that such services are provided if we are to reduce the high rates of intergenerational abuse, trauma and disadvantage among these women and their children.","2011-11","published",,"Taplin Stephanie",,"","",,,,,,"National Drug and Alcohol Research Centre","Sydney",,"82 p.",,,,,"NDARC technical report no. 320",,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://ndarc.med.unsw.edu.au/resource/child-protection-and-mothers-substance-abuse-treatment","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"TW2-8-8 , MV , MV14-4 , TW2-10-4 , VK2 , LG18-2 , TW2-8 , LG18-12-2 , LG14-10","T Demographic characteristics > Mother -- MP-MR Policy, planning, economics, work and social services > Social services -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Australia and Oceania > Australia","Mother --  Social services --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Australia and Oceania  -  Australia","Taplin Stephanie , Mattick Richard P","0","no"
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Mattick","Richard P","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VK2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16471",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16888","32","archive","5",,,"disk0/00/01/68/88","2012-02-03 16:41:33","2016-02-26 13:13:50","2012-02-03 16:41:33","article",,,"show",,,,"","","","","","","","","","","0",,,"Lyons","Suzi","","","","Lyons:Suzi::","",,,,,"","","A family affair? Seminar on parental substance misuse.","pub","VH4-2","","public",,,,,,,,,"2011-01","published",,"Lyons Suzi",,"","",,"Drugnet Ireland","Issue 40, Winter 2011",,,"Health Research Board",,"27",,,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,"<p>Minister of State Róisín Shortall gave the opening address at the seminar ‘Parental substance misuse: addressing its impact on children’ on 18 October.1 The event was jointly hosted by the National Advisory Committee on Drugs (NACD), the Social Inclusion Unit of the Health Service Executive and Alcohol Action Ireland.  </p>
<div>Minister Shortall congratulated the authors of the report, commenting on its timely focus on young people who were at risk because of their parents’ substance misuse. ‘The real challenge is to break this cycle. The fact that substance misuse in one generation can have impacts that cascade into the lives of those following illustrates the level of importance that we must place on targeted measures aimed at breaking the cycle and safeguarding the next generation.’ As well as acknowledging the substance misuser’s need to focus on recovery and a life without drugs, the Minister also spoke about recognising children in their own right and consulting them on issues that affect their lives. She also spoke about problem alcohol use as an important public health issue, the need to reduce the amount of alcohol consumed in the country, and the development of a National Substance Misuse Strategy.</div>
<div> </div>
<div>Dr Justine Horgan, senior researcher at the NACD and author of the report <i>Parental substance misuse: addressing its impact on children,</i>2 presented some of the key messages from her review of the literature (see article 'Prioritising children in drug policy and practice' in this issue for a summary of that report).</div>
<div> </div>
<div>This was followed by some lively round table discussions where the seminar participants were asked to identify important themes around ‘what works in providing support, and the challenges in providing support, to children living with parental substance misuse’. A summary of the discussions will be provided by the NACD but a flavour of the responses is given here. Some of the themes identified for what works were early intervention, interagency work, listening to children and specific training in addiction. Some of the themes around challenges were: getting the child’s voice heard, issues of fathers, funding and poor perception of services by the families.</div>
<div> </div>
<div>Norah Gibbons (chair of Alcohol Action Ireland and director of advocacy at Barnardos) spoke about prioritising children in policy and practice.3 She spoke eloquently about the very real impact of parental substance misuse on children. In some cases the child has to become ‘the parent’, looking after younger siblings, worrying about the adult parent, children who were often ‘leading lives of quiet desperation’. Finally, she supported the need for a constitutional amendment to ensure children’s rights in this country.4</div>
<div> </div>
<div>There were four parallel workshops in the afternoon: Learning for service responses – Ballyfermot Star;5 North West Alcohol Forum – The Families Matter Programme;6 Building knowledge and skills for better outcomes for children – the role of <i>Children First</i>;7 and Hidden Harm Action Plan, a partnership approach for better outcomes for children living with parental drug and alcohol misuse.8 </div>
<div> </div>
<div>Paul Barron, assistant secretary at the Department of Health, chaired the final session.  Another of the other key speakers was Mary Forrest, clinical director of CrossCare Teen Counselling, who spoke particularly about teenagers. She outlined some of the changes she had seen in her work, remarking that although teenagers now were more willing to seek counselling, funding for services was being reduced. She said that there was now greater awareness of the negative impact of parental substance misuse on children, which was a positive sign, and she welcomed the development of the new combined substance misuse strategy.</div>
<div> </div>
<div>Phil Garland, assistant national director of HSE Children and Family Services also spoke in the afternoon. He welcomed the seminar as an opportunity for policy makers and front line staff to consider the issues around this problem. He stated that there needed to be collaboration on all levels, between agencies, to support children whose parents have a substance misuse problem ‘and to increase the effectiveness of frontline child protection and addiction services with collaborative interventions based on measurable change outcomes’.</div>
<div>Frances Fitzgerald TD, Minster for Children and Youth Affairs, gave the closing address at the seminar. She spoke about the importance of interagency work for all those involved with children at national, regional and local level and how the new Department of Children will play a key role in supporting this process.</div>
<div> </div>
<div> </div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">1.   For video coverage of the speakers at the conference see <a href=""http://www.drugs.ie/multimedia"" target=""_blank"">www.drugs.ie/multimedia</a></div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">2.   Horgan J (2011) <i>Parental substance misuse: addressing its impact on children. A review of the literature. </i>Dublin: NACD. Available on-line only, at <a href=""/16114/"" target=""_blank"">http://www.drugsandalcohol.ie/16114/</a></div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">3.   A transcript of Ms Gibbons’s presentation is available at <a href=""http://www.nacda.ie/index.php/publications/33-norah-gibbons-conference-parental-drinking.html"" target=""_blank"">http://www.nacda.ie/index.php/publications/33-norah-gibbons-conference-parental-drinking.html</a></div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">4.   For further information see <a href=""http://www.barnardos.ie/what-we-do/campaign-and-lobby/childrens-rights.html"" target=""_blank"">www.barnardos.ie/what-we-do/campaign-and-lobby/childrens-rights.html</a></div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">5.   <a href=""http://www.nacda.ie/index.php/publications/35-sunniva-finlay-presentation-nacd-seminar-a-family-affair.html"" target=""_blank"">http://www.nacda.ie/index.php/publications/35-sunniva-finlay-presentation-nacd-seminar-a-family-affair.html</a></div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">6.   <a href=""http://www.nacda.ie/index.php/publications/34-strengthening-families-programme.html"" target=""_blank"">http://www.nacda.ie/index.php/publications/34-strengthening-families-programme.html</a></div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">7.  <a href=""http://www.nacda.ie/index.php/publications/32-building-knowledge-and-skills-for-better-outcomes-for-children-the-role-of-children-first-2011.html"" target=""_blank"">http://www.nacda.ie/index.php/publications/32-building-knowledge-and-skills-for-better-outcomes-for-children-the-role-of-children-first-2011.html</a></div>
<div style=""text-indent: -14.2pt; margin: 0cm 0cm 0pt 14.2pt;"">8.   <a href=""http://www.nacda.ie/index.php/publications/30-response-to-hidden-harm-in-northern-ireland-presentation.html"" target=""_blank"">http://www.nacda.ie/index.php/publications/30-response-to-hidden-harm-in-northern-ireland-presentation.html</a></div>
<p><img src=""/fckeditor_UPLOADS/image/A%20family%20affair%20-%20Seminar%20on%20parental%20substance%20misuse.jpg"" height=""229"" width=""437"" /></p>
<p>Pictured at the NACD conference (l to r): Fiona Ryan, Director of Alcohol Action Ireland; Dr Des Corrigan, NACD; Minister of State Róisín Shortall; and Dr Justine Horgan, NACD (Photo: Conor Healy)</p>",,,,,"Issue 40, Winter 2011",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 40, Winter 2011","Drugnet Ireland","VH4-2 , JG10-2-4 , TW2-10-4 , TW2-8 , LG2-6 , LG18-2 , LG18-12-2 , LG14-10","J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > Ireland","Prevention approach  -  Family-focused prevention --  Child of drugs and alcohol user --  Parent --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  Ireland","Lyons Suzi","0","yes"
"16888",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16888",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16888",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16888",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16888",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16888",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16888",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18387","18","archive","5",,,"disk0/00/01/83/87","2012-09-14 12:18:20","2012-09-14 12:18:20","2012-09-14 12:18:20","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Adfam","Working with grandparents raising their grandchildren
due to parental substance use.","pub","LG18-12","","public",,,,,,,,"This guide offers advice and suggestions to support service providers to deliver effective services to grandparents who are carers for their grandchildren due to parental substance misuse.

Within this project grandparents with a range of circumstances participated in consultations and focus groups, including full time carers of grandchildren, part time or informal carers, those currently fighting for access to grandchildren, former carers whose grandchildren have returned to their parents’ care, widowed grandparent carers, divorced grandparents, and couples.

Contents:
•	Introduction 
•	The barriers and challenges faced by grandparents: 
1. Practical guidance 
2. Relationship support 
3. Health and quality of life 
•	What grandparents want and need from support services 
•	Overcoming the obstacles: making your service accessible 
•	Safeguarding children 
•	The experience of a grandparent carer: an in-depth case study","2011","published",,"Adfam",,"","",,,,,,"Adfam","London",,"36 p.",,,,,,,,,,,"guideline","rehabilitation","alcohol_drugs_in_general",,,,,,"Adfam",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.adfam.org.uk/publications/resources_for_professionals","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-12 , LG18-12-2-6 , VH4-4 , LG14-10 , TW2-10-4 , LG2-6","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of grandparent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of grandparent --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems","Europe  -  United Kingdom","Adfam Adfam","0","yes"
"18387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18387",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16070","18","archive","1684",,,"disk0/00/01/60/70","2011-10-11 08:41:03","2014-04-09 21:59:26","2011-10-11 08:41:03","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Barnardos","Parenting positively - coping with a parent’s problem drug or alcohol use - for children aged 6 to 12.","pub","VH4-2","","public",,"other",,,,,,"Parenting Positively is a series by the Family Support Agency and Barnardos that provides information and guidance to parents. 

The series covers teenage well-being as well as the complex life issues of death, separation, bullying, parental drug or alcohol problems and domestic abuse. The booklets outline teenager’s understanding of the particular issue and how you can support them through this difficult time. 

Each booklet also gives further resources that you can follow up for more information and help on the issue covered.","2011","published",,"Barnardos",,"","",,,,,,"Barnardos","Dublin",,"21 p.",,,,,,,"Barnardos",,,,"","","",,,,,,,,,"","","4980","","available","","","","","",,,"AN6, TW2.8, VH4.2",,,,,,,,,,"","http://www.barnardos.ie/information-centre/publications/free-publications/parenting-positively-coping-with-a-parents-problem-drug-or-alcohol-use-for-children-aged-6-to-12.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"VH4-2 , TW2-10-4 , AM","T Demographic characteristics > Child of drugs and alcohol user -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > Ireland","Child of drugs and alcohol user --  Drugs and alcohol effects and consequences","Europe  -  Ireland","Barnardos Barnardos","0","no"
"16070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16070",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16068","21","archive","1684",,,"disk0/00/01/60/68","2011-10-11 08:16:17","2014-04-09 21:59:25","2011-10-11 08:16:17","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Barnardos","Parenting positively - coping with a parent’s problem drug or alcohol use - for parents of children between 6 and 12.","pub","AA2-4","","public",,"other",,,,,,"Parenting Positively is a series by the Family Support Agency and Barnardos that provides information and guidance to parents. 

The series covers teenage well-being as well as the complex life issues of death, separation, bullying, parental drug or alcohol problems and domestic abuse. The booklets outline teenager’s understanding of the particular issue and how you can support them through this difficult time. 

Each booklet also gives further resources that you can follow up for more information and help on the issue covered.","2011","published",,"Barnardos",,"","",,,,,,"Barnardos","Dublin",,"21 P.",,,,,,,"Barnardos",,,,"","","",,,,,,,,,"","","4981","","available","","","","","",,,"AN6, TW2.8, VH4.2",,,,,,,,,,"","http://www.barnardos.ie/information-centre/publications/free-publications/parenting-positively-coping-with-a-parents-problem-drug-or-alcohol-use-for-parents-of-children-between-6-and-12.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"AA2-4 , VH4-2 , TW2-10-4 , AM","A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- T Demographic characteristics > Child of drugs and alcohol user -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > Ireland","Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Child of drugs and alcohol user --  Drugs and alcohol effects and consequences","Europe  -  Ireland","Barnardos Barnardos","0","no"
"16068",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16068",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16068",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16069","19","archive","1684",,,"disk0/00/01/60/69","2011-10-11 08:36:05","2014-04-09 21:59:25","2011-10-11 08:36:05","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Barnardos","Parenting positively - helping teenagers to cope with a parent’s problem drug or alcohol use.","pub","TA14","","public",,"other",,,,,,"Parenting Positively is a series by the Family Support Agency and Barnardos that provides information and guidance to parents. 

The series covers teenage well-being as well as the complex life issues of death, separation, bullying, parental drug or alcohol problems and domestic abuse. The booklets outline teenager’s understanding of the particular issue and how you can support them through this difficult time. 

Each booklet also gives further resources that you can follow up for more information and help on the issue covered.","2011","published",,"Barnardos",,"","",,,,,,"Barnardos","Dublin",,"40 p.",,,,,,,"Barnardos",,,,"","","",,,,,,,,,"","","4982","","available","","","","","",,,"AN6, TW2.8, VH4.2",,,,,,,,,,"","http://www.barnardos.ie/information-centre/publications/free-publications/parenting-positively-helping-teenagers-to-cope-with-a-parents-problem-drug-or-alcohol-use.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"TA14 , VH4-2 , TW2-10-4 , AM","T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences","VA Geographic area > Europe > Ireland","Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user --  Drugs and alcohol effects and consequences","Europe  -  Ireland","Barnardos Barnardos","0","no"
"16069",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16069",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16069",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22427","15","archive","5",,,"disk0/00/02/24/27","2014-08-05 07:55:41","2014-08-05 07:55:41","2014-08-05 07:55:41","guideline",,,"show",,,,"","","","","","","","","","",,,,,,,,"",,"",,,,,"","Northern Ireland. Department of Health, Social Services and Public Safety","A guide to understanding the effects of parental mental health on children and the family.","pub","GA2-4","","public",,"other",,,,,,"The Reform Implementation Team was established by the then Minister for Health, Social Services and Public Safety to drive forward a change agenda for child protection services in Northern Ireland, based on a Care Pathway approach. A key area of responsibility is the development, piloting and implementation of a single assessment framework, including risk assessment and mental health needs component, for Children in Need across Northern Ireland (UNOCINI). 

This document looks strengthening the recognition and understanding of mental health needs, and raise awareness of interrelated issues. The document looks some issues in the areas of: infant mental health, adult mental health, and addictions and substance misuse.","2011",,,"DHSSP",,"","",,,,,,"Department of Health, Social Services and Public Safety","Belfast",,"13 p.",,,,,,,,,,,"guideline","aod_disorder","alcohol_drugs_in_general",,,,,,"DHSSP",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"GA2-4 , LG14-10 , LG18-12-2 , LG18-2 , TW2-10-4 , VH4-4-8","G Health and disease > State of health > Mental health -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Northern Ireland","State of health  -  Mental health --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child of drugs and alcohol user","Europe  -  Northern Ireland","Northern Ireland. Department of Health, Social Services and Public Safety Northern Ireland. Department of Health, Social Services and Public Safety","0","yes"
"22427",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22427",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22427",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22427",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"22427",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15632","20","archive","5",,,"disk0/00/01/56/32","2011-07-28 14:46:24","2014-10-17 11:43:21","2011-07-28 14:46:24","article",,,"show",,,,"","","","","","","","","","","0",,,"Gillen","Eamonn","","","","Gillen:Eamonn::","",,,,,"","","What’s Working for Children conference.","pub","LG14-10-2","","public",,,,,,,,,"2011","published",,"Gillen Eamonn",,"","",,"Drugnet Ireland","Issue 38, Summer 2011",,,"Health Research Board",,"5-6",,,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,"<p>A recent conference focusing on intervention and prevention for children, youth and their families, highlighted current research and evaluation of evidence-based programmes conducted over the last 10 years. <i>What’s Working for Children</i>, organised by Archways in conjunction with the Office of the Minister for Children and Youth Affairs and Atlantic Philanthropies, took place in Dublin in May. Barnardos and other organisations working directly and indirectly with disadvantaged children also supported the conference. Experts in evidence-based practice from the US, the UK and Ireland presented the positive outcomes for children and families from well-implemented programmes and demonstrated the cost effectiveness of these programmes to government. </p>
<div>Over 300 delegates from the community, voluntary and statutory sectors, including representatives of drugs task forces and other agencies working with children, youth and families, attended the conference.</div>
<div>Minister for Children and Youth Affairs Frances Fitzgerald delivered the opening address. She spoke about the government’s commitment to children and youth in Ireland, illustrated by the decision to appoint a full cabinet minister and to amalgamate functions relating to children into a single department. She also endorsed the value of evidence-based programmes which she said was a priority of government.</div>
<div>Dr Steve Aos, Director of the Washington State Institute for Public Policy, spoke about the economic value to be gained from implementing evidence-based early intervention programmes. The benefits include reductions in child welfare interventions and in crime levels.  Cheryl Hopkins of Birmingham City Council outlined the portfolio of evidence-based programmes that form part of their ‘Brighter Futures’ strategy to improve the lives of children and young people in Birmingham. The council has allocated an investment of £41.7m over 15 years to evidence-based programmes and she anticipates a considerable return from this investment in terms of better outcomes for children and youth, and reduced costs in other areas such as child welfare and criminal justice. Dr Karen Blase of the University of North Carolina shared her expertise in relation to fidelity in implementing evidence-based programmes – ensuring that programmes are implemented as they are intended so that they achieve the expected results.</div>
<div>In addition to informative keynote presentations and engaging panel question and answer sessions, there were 12 practice-based seminars which showcased evidence-based programmes throughout Ireland, including the Triple P programme in Longford/Westmeath, Start Strong in Ballymun and Incredible Years in Limerick. Several drugs task forces support projects based on the Strengthening Families Programme. There was a presentation on one of these projects, the Mate-Tricks Programme, in the Tallaght West Childhood Initiative seminar. (Further information, including video recordings, speaker’s presentations and a summary conference report, is available from <a href=""http://www.whatsworkingforchildren.org/"" target=""_blank"">www.whatsworkingforchildren.org</a>.)</div>
<div><i>We would like to thank Eamonn Gillen and Aoife Stack of Dún Laoghaire Rathdown Local Drugs Task Force, with input from Helen Cahill, for preparing this report of the conference.</i></div>
<p><img src=""/fckeditor_UPLOADS/image/What's%20working%20for%20children%20-%20logo.jpg"" /></p>",,,,,"Issue 38, Summer 2011",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 38, Summer 2011","Drugnet Ireland","LG14-10-2 , VH4-2 , LC2-4 , TW2-10-4 , TA12","L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support > Parental support -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Child","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family structure  -  Family support  -  Parental support --  Interpersonal interaction and group dynamics  -  Social support --  Child of drugs and alcohol user --  Child","Europe  -  Ireland","Gillen Eamonn , Stack Aoife , Cahill Helen","0","no"
"15632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Stack","Aoife","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cahill","Helen","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15632",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972","33","archive","5",,,"disk0/00/01/59/72","2011-09-23 09:05:57","2014-04-09 21:59:15","2011-09-23 09:05:57","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Harris","Elaine","","","","Harris:Elaine::","",,,,,"","","Growing up in Ireland - The findings of the qualitative study with the 9-year-olds and their parents.","pub","LG18-12-4","","public",,"other",,,,,,"The qualitative studies which are part of Growing Up in Ireland involve interviews with sub-samples of 122 children and their parents. They are designed to complement the quantitative studies of 8,570 nineyear-olds and 11,100 nine-month-olds. This is the first report on the qualitative study with the nine-yearolds.

The broad aim of the Growing up in Ireland study is to examine factors which contribute to or undermine the well-being of children in contemporary Ireland. The output from the study is expected to contribute to the formulation of effective policies and design of services which address issues pertinent to the lives of children and their families. The study is closely aligned to the National Children‟s Strategy (2000) which identifies as one of its principal aims that children‟s lives will be better understood, and will benefit from evaluation, research, and information on their needs and rights and on the effectiveness of services.","2011","published",,"Harris Elaine",,"","",,,,,,"Department of Children and Youth Affairs","Dublin",,"262 p.",,,,,"Qualitative research report number 1",,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.growingup.ie/index.php?id=62","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , LG18-12 , TA14 , VH4-2 , TW2-10-4 , LG18-2 , TA12 , LG18-12-2 , AD","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour","Europe  -  Ireland","Harris Elaine , Doyle Erika , Greene Sheila","0","no"
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Doyle","Erika","","",,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Greene","Sheila","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15972",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812","46","archive","1684",,,"disk0/00/01/68/12","2012-01-23 14:47:54","2012-12-17 11:38:53","2012-01-23 14:47:54","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"","Connolly:Johnny::","",,,,,"","Health Research Board","2011 National Report (2010 data) to the EMCDDA by the Reitox National Focal Point. Ireland: new developments, trends and in-depth information on selected issues.","pub","JT8_10_4","","public",,"annual_report",,,,,,"Table of contents
1. Drug policy: legislation, strategies and economic analysis
2. Drug Use in the General Population and Specific Targeted Groups
3. Prevention
4. Problem drug use
5. Drug-Related Treatment: treatment demand and treatment availability
6. Health Correlates and Consequences 
7. Responses to Health Correlates and Consequences
8. Social Correlates and Social Reintegration
9. Drug-related crime, prevention of drug-related crime and prison
10. Drug markets

Selected issues
 Drug related health policies and services in prison

 Drugs users with children (addicted parents, parenting, child care and related issues)","2011","published",,"Health Research Board",,"","",,,,,,"Health Research Board","Dublin",,"190 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"JT8_10_4 , TA14 , JC4-4 , VH4-2 , TW2-10-4 , JA2 , MK10-6-1 , LG18-12-2 , JB2 , VH , MP18-2 , AM , AA2 , MM2-2-2","J Health care, prevention and rehabilitation > Health care programme or facility > Prison-based health service -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- J Health care, prevention and rehabilitation > Basic prevention categories > Targeted prevention -- T Demographic characteristics > Child of drugs and alcohol user -- J Health care, prevention and rehabilitation > Health services, drugs and alcohol research -- MA-ML Social science, culture and community > Social condition > Homelessness > Homeless services -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- J Health care, prevention and rehabilitation > Drugs and alcohol prevention -- MP-MR Policy, planning, economics, work and social services > Policy > Policy on drugs and alcohol -- A Drugs and alcohol use, abuse, and dependence > Drugs and alcohol effects and consequences -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use -- MM-MO Crime and law > Crime > Drugs and alcohol related crime > Crime associated with drugs and alcohol production and distribution","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe","Health care programme or facility  -  Prison-based health service --  Adolescent / youth (teenager / young person) --  Basic prevention categories  -  Targeted prevention --  Child of drugs and alcohol user --  Health services, drugs and alcohol research --  Social condition  -  Homelessness  -  Homeless services --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Drugs and alcohol prevention --  Policy  -  Policy on drugs and alcohol --  Drugs and alcohol effects and consequences --  Prevalence of drugs and alcohol use --  Crime  -  Drugs and alcohol related crime  -  Crime associated with drugs and alcohol production and distribution","Europe  -  Ireland --  Europe","Health Research Board Health Research Board , Irish Focal Point Irish Focal Point","0","no"
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Irish Focal Point",,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JC4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MK10-6-1",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JB2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MP18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AM",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16812",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM2-2-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15966","27","archive","1684",,,"disk0/00/01/59/66","2011-09-22 14:20:11","2014-04-09 21:59:14","2011-09-22 14:20:11","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Health Service Executive","Child protection and welfare practice handbook.","pub","MO4-6-2","","public",,"other",,,,,,"The Handbook, which is based on the protocols as set out in Children First Guidance 2011 and the collective wisdom and best practice of experts and front line staff, will support the vital work of social workers and other relevant practitioners in dealing with child protection and welfare cases.

Examples of neglect:
Homelessness can be considered neglect when the inability by a parent or carer to provide shelter is the result of not managing their finances appropriately and there is evidence that the money has been spent not on rent but on drugs or alcohol, or the family had been engaged in anti-social behaviour leading to eviction.

Emotional neglect is more difficult to assess than other types of neglect, but it is the general opinion that it can have more severe and longlasting effects than physical neglect. It often occurs with other forms of neglect or abuse, which may be easier to identify, and includes:

Permitted drug or alcohol abuse – the encouragement or permission by the caregiver of drug or alcohol use by the child.","2011","published",,"Health Service Executive",,"","",,,,,,"Health Service Executive","Kildare",,"200 p.",,,,,,,,,,,"","","",,,,,,,,,"","","4979","","available","","","","","",,,"MV14.10, VH4.2",,,,,,,,,,"","http://www.hse.ie/eng/services/newscentre/childprotectionandwelfarepracticehandbooklaunched.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MO4-6-2 , MV , MM2 , TT8-2 , TW2-10-4 , LG18-2 , TA12 , MV14","MM-MO Crime and law > Justice system > Law enforcement agency > Police (Garda) -- MP-MR Policy, planning, economics, work and social services > Social services -- MM-MO Crime and law > Crime -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children",,"Justice system  -  Law enforcement agency  -  Police (Garda) --  Social services --  Crime --  Social worker --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Social services  -  Services for family and children",,"Health Service Executive Health Service Executive","0","no"
"15966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MM2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15966",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250","38","archive","5",,,"disk0/00/01/62/50","2011-11-08 15:46:27","2016-03-01 16:24:09","2011-11-08 15:46:27","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Hope","Ann","","","","Hope:Ann::","",,,,,"","","Hidden realities: children's exposure to risks from parental drinking in Ireland.","pub","LG18-12-4","","public",,"other",,,,,,"This family and alcohol research study was developed by NWAF Ltd in partnership with existing structures within the NW Regional Drugs Task Force area.  

The findings of this research will provide valuable new evidence on the extent of the problem, establish baseline measures against which future activities can be measured and help inform the development of appropriate support family mechanisms in the North West area and also nationally.

Contents
1. North West Alcohol Forum Ltd 
2. Aim of the research project p.1 
2.1 Background 
2.2 Aim of the research project 
2.3 Conceptual base of study 
3. Review of Literature p.3
4. Research Design p.5
4.1 Methodology 
4.2 Data sources 
4.3 Framework for analysis 
5. Results p.9
5.1 Adults as role models- risky drinking patterns Ireland 
5.2 Children’s exposure to risk within families 
5.3 Community awareness of risk to children 
5.4 Children’s experience of neglect and abuse 
5.5 Child abuse and the involvement of alcohol 
5.5.1 National Protection Data Results 
5.5.2 RAISE data 
5.5.3 Hospitalisations for child abuse in the North West 
6. Views of frontline staff working in Family Support Services p.29
6.1 Binge Drinking - the drinking norm in Ireland 
6.2 Youth doing what they see 
6.3 Parental responsibility for youth drinking 
6.4 Parental alcohol problems 
6.5 Parental drinking - consequences for children 
6.6 Intervention – when? 
6.7 Ways of working with families 
6.8 The meaning of Binge Drinking 
7. Family support services p.33
7.1 Strengthening Families Programme - Donegal 
7.2 Springboard Resource House Project - Sligo 
8. Summary and Conclusions p.35
9. Recommendations p.40","2011","published",,"Hope Ann",,"","",,,,,,"North West Alcohol Forum","Letterkenny",,"47 p.",,,,,,,,,,,"","","","978-0-9570670-0-4",,,,,,,,"","","4986","","available","","","","","",,,"AN6, TW2.10, VH4.2",,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , MV , AA2-4 , VH4-2 , MV14-4 , TW2-10-4 , VH4-2-19 , LG18-2 , TW2-8 , JG10-12 , VH4-2-4 , LG18-12-2 , MC12 , GC16","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MP-MR Policy, planning, economics, work and social services > Social services -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Problem drugs and alcohol use -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children) -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- MA-ML Social science, culture and community > Sociocultural aspects of AOD use > Sociocultural drugs and alcohol use -- G Health and disease > Drugs and alcohol disorder > Alcohol use","VA Geographic area > Europe > Ireland -- VA Geographic area > Europe > Ireland > Sligo -- VA Geographic area > Europe > Ireland > Donegal","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Social services --  Prevalence of drugs and alcohol use  -  Problem drugs and alcohol use --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Prevention approach  -  Early intervention (young children) --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Sociocultural aspects of AOD use  -  Sociocultural drugs and alcohol use --  Drugs and alcohol disorder  -  Alcohol use","Europe  -  Ireland --  Europe  -  Ireland  -  Sligo --  Europe  -  Ireland  -  Donegal","Hope Ann","0","no"
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4996",,"available",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AA2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MC12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16250",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16115","27","archive","5",,,"disk0/00/01/61/15","2011-10-18 09:49:37","2016-03-01 16:26:14","2011-10-18 09:49:37","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Horgan","Justine","","","","Horgan:Justine::","",,,,,"","National Advisory Committee on Drugs","Parental substance misuse: addressing its impact on children: Key messages and recommendations from a review of the literature.","pub","LG18-12-4","","public",,"government_publication",,,,,,"This literature review, Parental Substance Misuse: Addressing its Impact on Children was prepared as part of the 2010/11 Work Programme of the National Advisory Committee on Drugs, and in the context of Action 55 of the National Drugs Strategy..

Its key messages and recommendations, summarised here, are also relevant to other policy initiatives, particularly the National Children’s Strategy and the forthcoming National Data and Research Strategy on Children’s Lives and the forthcoming National Substance Misuse Strategy.","2011","published",,"Horgan Justine",,"","",,,,,,"Stationery Office","Dublin",,"16 p.",,,,,,,,,,,"","","","978-1-4064-2608-3",,,,,,,,"","","4978","","available","","","","","",,,"AN6, TW2.10, VH 4.4",,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , VH4-2 , TW2-10-4 , LG2-6 , LG18-2 , TW2-8 , LG18-12-2 , LG14-10","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  Ireland","Horgan Justine , National Advisory Committee on Drugs National Advisory Committee on Drugs","0","no"
"16115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16115",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16114","22","archive","5",,,"disk0/00/01/61/14","2011-10-18 09:49:23","2016-03-01 16:27:25","2011-10-18 09:49:23","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Horgan","Justine","","","","Horgan:Justine::","",,,,,"","National Advisory Committee on Drugs","Parental substance misuse: addressing its impact on children: a review of the literature.","pub","LG18-12-2","","public",,"government_publication",,,,,,"This new report focuses on the needs of children whose parents are problematic substance misusers. It was prepared at the request of the NACD by our Senior Researcher Dr Justine Horgan who is to be congratulated on the quality of her review and analysis of the Irish and international literature on what is known about the impact of parental use of a range of drugs on their children.

The report looks, not only at the biological impact of drug use during pregnancy and breast feeding, but even more importantly highlighting the psychosocial impact on children when their parents misuse drugs including alcohol.

The report draws attention to gaps in our knowledge of the true extent and impact of that drug misuse in Ireland. A number of key messages are identified in this study: 
•	International evidence underlines that parental drug and alcohol misuse has negative consequences for child development, parenting and family life
•	Common principles and standards to support work with parental substance and alcohol misusers should underpin services working to safeguard the development of their children
•	The national Children First guidelines should be used by organizations working regularly with children who experience parental substance misuse and with their parents
•	Health promotion and public information messages that target parents and the impact of their drug and alcohol use on their children need to also promote support services and interventions.

The report also sets out a range of measures which need to be taken on board in order to redress the gaps in our knowledge of what is happening to the children of drug users in Ireland at this time, emphasising five essential research activities.","2011","published",,"Horgan Justine",,"","",,,,,,"Stationery Office","Dublin",,"92 p.",,,,,,,,,,,"","","","978-1-4064-2608-3",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-2 , VH4-2 , LG14-10 , TW2-10-4 , TW2-8 , LG18-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Child of drugs and alcohol user --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations","Europe  -  Ireland","Horgan Justine , National Advisory Committee on Drugs National Advisory Committee on Drugs","0","no"
"16114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17368","28","archive","1684",,,"disk0/00/01/73/68","2012-04-17 10:57:08","2014-04-09 22:01:43","2012-04-17 10:57:08","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Institute for Research and Innovation in Social Services","Leading for outcomes parental substance misuse.","pub","LG18-12-2","","public",,,,,,,,"Leading for outcomes: a guide, offers general evidence-informed advice and support in leading this approach within the context of adult services. IRISS has also produced several companion guides that complement and add to the content in the main volume. This guide builds on the exercises in the main guide and focuses specifically on the field of parental substance misuse.","2011",,,"Institute for Research and Innovation in Social Services",,"","",,,,,,"Institute for Research and Innovation in Social Services","Glasgow",,"54 p.",,,,,,,,,,,"guideline","rehabilitation","alcohol_drugs_in_general",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.iriss.org.uk/resources/leading-outcomes-parental-substance-misuse","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-12-2 , VH4410 , HZ , TW2-10-4 , LG14-10 , LG18-2 , TW2-8 , LG18","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- HJ Treatment method > Psychosocial treatment method -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations","VA Geographic area > Europe > United Kingdom > Scotland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Psychosocial treatment method --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Marital relations  -  Family and kinship  -  Family relations","Europe  -  United Kingdom  -  Scotland","Institute for Research and Innovation in Social Services Institute for Research and Innovation in Social Services","0","no"
"17368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4410",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"17368",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15522","31","archive","5",,,"disk0/00/01/55/22","2011-07-15 14:25:27","2014-04-09 21:58:13","2011-07-15 14:25:27","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Ireland. Department of Children and Youth Affairs","Children First: National guidance for the protection and welfare of children.","pub","MV","","public",,"government_publication",,,,,,"Children First is National Guidance that promotes the protection of children from abuse and neglect. It states what organisations need to do to keep children safe, and what different bodies, and the general public  should do if they are  concerned about a child’s safety and welfare. The Guidance sets out specific protocols for HSE social workers, Gardaí and other front line staff in dealing with suspected abuse and neglect.
 
Minister Fitzgerald acknowledged and commended all those who work so hard to make sure that every child they interact with is cared for, cherished, supported and protected.  She said “These are the practitioners in the professional and voluntary sectors, medical professionals, Gardai, youth workers, teachers, and coaches all over Ireland who already passionately employ best practice in child protection. These people already implement Children First in full, understand their duties and do not need legislation to keep children safe.”
 
Unfortunately, this is not always the case and referring to the publication of the Cloyne report earlier in the week and other reports already published, Minister Fitzgerald said their publication “cumulatively shine a light on horrific episodes from our past; and indeed from our very recent past; where as a state and society we failed in our moral duty to cherish and protect our nation’s children. My role as Minster is to seek that never again will these evils be countenanced.”
 
Minister Fitzgerald referred to non compliance with child protection guidelines in the past, particularly where compliance was on a voluntary basis.  She indicated her intention to bring forward legislation to require, for the first time, statutory compliance with Children First. The legislation will provide that all organisations will have a duty to comply with Children First, to share relevant information and to cooperate with other relevant services in the best interest of the child. The legislation will provide for a strong system of inspection and oversight and the need to provide demonstrable evidence that the guidance is being implemented correctly across all sectors.
 
Children First was first published in 1999. The principle and substance of this document (2011) are unchanged. The Guidance has been updated to reflect new policy, legislation and organisation – the establishment of the HSE, HIQA, and the Department of Children and Youth Affairs. It incorporates lessons from investigations, reviews and inspections over the past decade. This document reflects the growing awareness of the impact of ongoing neglect on children in its guidance.  It also includes bullying as a feature of abuse. Its publication was a commitment in the Programme for Government.
 
Minister Fitzgerald also said “I want the message to go out that it is absolutely critical that if somebody has, on good faith, reasonable concerns over the abuse or neglect child then those concerns must be reported to the relevant authorities and to this end statutory reporting requirements will be addressed as one aspect of the proposed new Children First legislation.”","2011","published",,"Ireland. Department of Children and Youth Affairs",,"","",,,,,,"Government Publications","Dublin",,"108 p.",,,,,,,,,,,"","","","978-1-4064-2589-5",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.dcya.gov.ie/viewdoc.asp?DocID=1589","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MV , LG18-12 , LC2-4 , MV14-4 , TW2-10-4 , TA12 , JG10-12 , LG14-10","MP-MR Policy, planning, economics, work and social services > Social services -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children) -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support",,"Social services --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Interpersonal interaction and group dynamics  -  Social support --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Child --  Prevention approach  -  Early intervention (young children) --  Marital relations  -  Family and kinship  -  Family structure  -  Family support",,"Ireland. Department of Children and Youth Affairs Ireland. Department of Children and Youth Affairs","0","no"
"15522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15522",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15409","25","archive","5",,,"disk0/00/01/54/09","2011-07-01 08:21:42","2014-04-09 21:57:59","2011-07-01 08:21:42","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Irish Association of Social Workers","A call for change: discussion document. Children and families social workers make their voices heard.","pub","MV","","public",,"other",,,,,,"A Call for Change’ was developed and compiled by frontline social workers and calls for comprehensive, meaningful change in the child protection and welfare system in Ireland to promote and protect the welfare of children. Quotes from frontline social workers within the document illustrate their experiences of a system failing children and families. Ten clear areas of change are outlined, which frontline social workers identified as needed in the current system, and a range of solutions are put forward to address the issues.

Ineke Durville, President of the IASW, said that ‘frontline social workers in child protection and welfare in Ireland speak out in this document about the gaps and inconsistencies in the service being provided to vulnerable children in the community, in the care of the Health Service Executive and after leaving its care. Although it’s impossible to ensure all children can be safe, it’s vital there is change to prevent children continuing to remain unnecessarily at risk’.

The message from social workers in ‘A Call for Change’ is that there are ways that services to children and families can be improved. “Social workers”, Ineke Durville said, “are at the front line every day and have in-depth professional knowledge and experience in this field and want to be at the centre of positive change”. ‘A Call for Change’ argues that these changes need to be based on best practice informed by research and social work theory.

In response to the publication of the Ryan Report in 2010, the then Taoiseach Brian Cowen committed the state to making Ireland a model of how to treat children. ‘A Call for Change’ says that is now time to deliver on this commitment.

Also at the conference the noted social work academics, Professor Brid Featherstone and Professor Sue White, as well as David Wastell, professor of information systems, will give presentations on related topics.","2011","published",,"Irish Association of Social Workers",,"","",,,,,,"Irish Association of Social Workers","Dublin",,"28 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,,,,,,,,,,,,"",,"http://www.iasw.ie/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MV , VH4-2 , JG10-2-4 , TT8-2 , TW2-10-4 , LG2-6 , LG14-10 , MV14","MP-MR Policy, planning, economics, work and social services > Social services -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Social worker -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children","VA Geographic area > Europe > Ireland","Social services --  Prevention approach  -  Family-focused prevention --  Social worker --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Social services  -  Services for family and children","Europe  -  Ireland","Irish Association of Social Workers Irish Association of Social Workers","0","no"
"15409",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15409",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15409",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15409",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15409",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15409",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15409",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116","27","archive","5",,,"disk0/00/01/81/16","2012-07-20 10:48:54","2014-04-09 22:03:09","2012-07-20 10:48:54","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Landy","Fergal","","","","Landy:Fergal::","",,,,,"","","North Dublin Differential Response Model. early implementation report.","pub","MV","","public",,"other",,,,"Prepared by the Child and Family Research Centre, NUI Galway for the Health Service Executive",,"The North Dublin Differential Response Model (DRM) was developed in the aftermath of a seminar held by the then Children‟s Act Advisory Board in May 2008. This seminar involved a series of presentations, including presentations on the Minnesota differential response model and a presentation on the Foyle Trust „New Beginnings‟ model. Following this seminar a series of meetings and communications took place which led to the decision to pilot the differential response model in North Dublin.  

This report is the first of three reports that will be produced on the pilot of the DRM in North Dublin. There will also be an interim and final report.  At an overall level, the evaluation has two aims: first, to describe the development of the model and its implementation; and second, to establish whether the intended outcomes from the implementation of the model have been achieved.

This report contains an introduction with background to the project, the methodological approach and the structure of this report. Chapter 2 contains some brief information on the Minnesota approach and detailed information on the design and development of the North Dublin DRM. Chapter 3 sets out the findings including data from the baseline survey on staff‟s expectations for the project and successes, challenges and improvements that relate to organisational issues, the model itself, practice developments and partnership between agencies. Chapter 4 includes an update on measures taken to address early challenges as well as a set of areas identified by the evaluators as requiring ongoing attention for the development of the project.","2011","published",,"Landy Fergal",,"","",,,,,,"Child and Family Research Centre","Galway",,"61 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childandfamilyresearch.ie/publications/policy-practice","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MV , LG18-12 , VH4-2-5 , JG10-2-4 , TW2-10-4 , LG2-6 , TA12 , JG10-12 , MQ8-10 , LG14-10","MP-MR Policy, planning, economics, work and social services > Social services -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children) -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation > Programme evaluation -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > Ireland > Dublin","Social services --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Prevention approach  -  Family-focused prevention --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Prevention approach  -  Early intervention (young children) --  Programme planning, implementation, and evaluation  -  Programme evaluation --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  Ireland  -  Dublin","Landy Fergal , Forkan Cormac , Canavan John","0","yes"
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Forkan","Cormac","","",,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Canavan","John","","",,,,,,,,,,,,"VH4-2-5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18116",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15654","29","archive","5",,,"disk0/00/01/56/54","2011-07-27 14:11:08","2015-12-22 09:55:26","2011-07-27 14:11:07","monograph",,,"show",,,,"","","","","","","","","","","0",,,"McEvoy","Olivia","","","","McEvoy:Olivia::","",,,,,"","Ireland. Department of Children and Youth Affairs","Listen to our voices. Hearing children and young people living in the care of the State.","pub","LG18-12-4","","public",,"government_publication",,,,,,"During 2010, the Office of the Minister for Children and Youth Affairs (OMCYA) conducted a consultation process with children living in the care of the State. The project was called Listen to our voices! Hearing children and young people living in the care of the State.

In the Report of the Commission to Inquire into Child Abuse (2009), Justice Ryan recommends that ‘children in care should be able to communicate without fear’. The Government’s Implementation Plan, brought out in response to the recommendations in the Ryan Report, committed the OMCYA to conducting a consultation process with children in the care of the State and to publishing the findings. 

The objectives of the consultation process were to seek the views of children and young people in the care of the State, in detention and in residential services for children with a disability on the issues that matter to them, to explore existing mechanisms for children and young people to express their views and to make recommendations on future structures to be established for children and young people’s voices to be heard. Advised and assisted by an Oversight Committee that included the HSE and a number of organisations that work with children and young people living in the care of the State, the OMCYA also worked with a Youth Advisory Group to help establish and support the consultation process.

The key questions posed to ascertain the views of young people in care were:
•	What are the most important issues for young people in care?
•	What services and supports are in place for young people in care and, of those, what works well and what does not work well?
•	What recommendations do young people have on the way the systems and supports should work and on ways that young people in care should have their voices heard?

The aims and objectives of the consultations were:
•	to seek the views of children and young people in the care of the State on the issues that really matter to them and on which they would like to be heard;
•	to explore existing mechanisms for children and young people to express their views;
•	to make recommendations on future structures to be established for children and young people to express their views.

A significant challenge in organising the consultations was accessing young people in care, especially in foster care. It must be noted that, despite a number of strong interventions by senior HSE personnel in support of the consultation process, a very disappointing number of children in foster care were informed about the consultations. Due to the absence of a comprehensive database of young people in care, the only mechanism for contacting such young people was via their social workers. Since not every young person is receptive to information coming from their social worker, alternative routes had to be found to contact young people directly and encourage them to participate. A number of non-statutory agencies, working with and advocating for young people in care, were enlisted and assisted in the promotion of the consultations and the recruitment of young people. Thus, following an arduous recruitment process, a total of 211 children and young people took part in the consultations between January and July 2010. Young participants included those in the care of the State living in foster care (some long-term) and residential centres, children and young people detained in St. Patrick’s Institution and in detention schools, and children and young people in residential units because of a disability. Young people who had recently left the care system also participated in the consultations.

The difficulty in accessing children and young people in foster care resulted in a disproportionate number of young people in residential care and detention facilities taking part in the consultations. However, as this was a consultation process and not a research study, the views of all the children and young people who took part are valid and add strong value to the provision of a better understanding of the care experience for children and young people.

Fifteen consultations were held in Cork, Dublin, Galway and Sligo. A separate parallel process for young people with moderate to severe disabilities was also conducted, with consultations taking place in Dublin, Meath and Galway.

The consultations were run in an informal, open and safe manner. Creative methodologies were devised to cater for the diverse cohorts of participants so that they could be empowered to express their views, depending on their level of ability and interest. The participants were very open and articulate in expressing their views on a myriad of issues pertaining to care. Despite their diversity, there was a remarkable consistency in the common themes and issues identified during the consultations as important to the participants. Among these themes and issues were:
•	the complexity and importance of regular access to birth parents and siblings; 
•	being treated as ‘one of the family’ in foster care;
•	the importance of assessment and vetting of foster families, as well as their compulsory training;
•	the lack of information available to young people in care, particularly on aftercare services, which are not consistent in all locations;
•	the impact of disruption and multiplicity of placements experienced by young people;
•	the importance of having even one person or agency who will listen and ‘be there’ to support a young person in care;
•	issues about confidentiality, privacy, constant record-keeping and the difficulties in gaining consent for relatively normal activities.

The strongest criticisms coming from participants concerned social work services and care plan reviews.

Having identified their key concerns and issues, the young participants made recommendations on how to improve the lives of children in the care of the State and how to ensure that their voices are heard. These included:
•	a review of social work services, which would ideally lead to social workers having  more manageable caseloads and more time to better engage with the young people on that caseload;
•	a re-examination of care plan reviews, which would result in a system that would better allow young people to express themselves in a less intimidating environment and have an input on decisions impacting their lives in care;
•	improved assessment and vetting of foster families;
•	compulsory training for foster families;
•	increased information on a variety of issues, such as the care system itself, organisations that support young people in care and aftercare services;
•	availability of counselling.

When asked about the mechanisms available to them to ‘express their views’ or what allowed them to ‘have their voice heard’, it was apparent that this notion was alien to many participants. They reported that they are rarely asked for their views or feedback, and that the current mechanisms in place to seek those views are not working for them. This report recommends that the existing structures designed to ensure the voice of the child is heard are reviewed and that a culture of participation is developed in which young people are consulted on the key decisions that affect their lives on an ongoing basis.

Despite struggling with the possibilities of what it might mean to ‘have your voice heard’, the participants formulated a number of very practical key recommendations on future structures to better enable young people to express their views and have their voices heard. These recommendations included:
•	an official ‘forum’ made up of young people from a variety of care settings, which would work towards positive change for young people in care;
•	regular peer support meetings of young people in care at regional level;
•	a dedicated support telephone line;
•	a ‘mentor’ for each young person in care.

The young people in detention schools and in St. Patrick’s Institution also identified a number of issues of importance to them. These included the significant role that alcohol and drugs play in their lives, as well as the lack of freedom, privacy, facilities and services available to them in detention settings. The lack of respect from staff was also of considerable concern to young people in detention. These participants also made recommendations for the future of young people in detention settings, almost all of which pertained to their practical needs, such as improved facilities, freedom and privacy. However, in relation to having their voices heard, they suggested: 
•	being treated like human beings (St. Patrick’s Institution) and being respected by staff;
•	having a representative group to bring the views of young people to management;
•	having someone to talk to who does not work in the detention setting;
•	having a visit from the Minister for Children and Youth Affairs to discuss relevant issues.

The report concludes that the agencies responsible for children in the care of the State must listen to the voices of the consultation participants and, more importantly, heed their recommendations.","2011","published",,"McEvoy Olivia",,"","",,,,,,"Government Publications","Dublin",,"120 p.",,,,,,,,,,,"","","","978-1-4064-2596-3",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.dcya.gov.ie/viewdoc.asp?CatID=13&mn=&StartDate=1+January+2011","author",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , MV , VH4-2 , LC2-4 , MV14-4 , TW2-10-4 , TA12 , JG10-12","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MP-MR Policy, planning, economics, work and social services > Social services -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children)","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Social services --  Interpersonal interaction and group dynamics  -  Social support --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Child --  Prevention approach  -  Early intervention (young children)","Europe  -  Ireland","McEvoy Olivia , Smith Martine , Ireland. Department of Children and Youth Affairs Ireland. Department of Children and Youth Affairs","0","no"
"15654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Smith","Martine","","",,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15654",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15231","16","archive","1684",,,"disk0/00/01/52/31","2011-06-03 09:04:12","2011-11-16 16:40:43","2011-06-03 09:04:12","article",,,"show",,,,"","","","","","","","","","","0",,,"McNicholas","Fiona","","","","McNicholas:Fiona::","",,,,,"","","Looked after children in Dublin and their mental health needs.","pub","MV","","none",,,,,,,,"Children in care in Ireland have increased by 27% in the last decade. This population is recognized to be among the most vulnerable. This study aims to describe their placement histories, service use and mental health needs. Data was obtained on 174 children (56.5% of eligible sample) with a mean age of 10.83 (SD = 5.04). 114 (65.5%) were in care for three years or more. 29 (16.7%) did not have a SW and 49 (37.7%) had no GP. 50 (28.7%) were attending CAMHS. Long term care, frequent placement changes and residential setting were significantly related with poorer outcomes and increased MH contact. Given the increase in numbers in care and the overall decrease in resource allocation to health and social care, individual care planning and prioritizing of resources are essential.","2011",,,"McNicholas Fiona",,"","",,"Irish Medical Journal","104","4","4","Irish Medical Organisation",,"105-108",,,,,,,,,,,,"","","",,"0332-3102",,,,,,,"","","","","","","","","","",,"<p>&#160;</p>",,,,,,,,,,,"","http://www.imj.ie//ViewArticleDetails.aspx?ArticleID=6266","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","do_not_display",,"1","104","Irish Medical Journal","MV , VH4-2-5 , TW2-10-4 , LG14-10 , JG10-12","MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children)","VA Geographic area > Europe > Ireland > Dublin","Social services --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Prevention approach  -  Early intervention (young children)","Europe  -  Ireland  -  Dublin","McNicholas Fiona , O'Connor N , Bandyopadhyay G , Doyle P , O'Donovan A , Belton M","0","no"
"15231",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Connor","N","","",,,,,,,,,,,,"VH4-2-5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15231",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bandyopadhyay","G","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15231",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Doyle","P","","",,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15231",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"O'Donovan","A","","",,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15231",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Belton","M","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16120","19","archive","5",,,"disk0/00/01/61/20","2011-10-18 14:57:54","2012-07-20 14:21:47","2011-10-18 14:57:54","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","National Review Panel for Serious Incidents & Child Deaths","National review panel annual report 2010.","pub","MV","","public",,"other",,,,,,"In 2010 the Health Information and Quality Authority (HIQA) issued Guidance for the Health Service Executive for the Review of Serious Incidents including Deaths of Children in Care.  This Guidance prescribes that the HSE establish a National Review Panel.

The work of the Review Panel is overseen by independent chairperson, Prof. Helen Buckley, Ph.D., School of Social Work and Social Policy, Trinity College Dublin. This is to ensure that the Panel can produce reports that are entirely objective and independent of the HSE.

Click the link above to access other reports:
•	National Review Panel Overview of Local Reviews submitted.pdf (size 74.9 KB) 
•	Review undertaken in respect of the death of a young person known to the child protection system: Executive Summary C.pdf (size 8.2 MB) 
•	Review undertaken in respect of the death of a child known to the child protection system: Baby G.pdf (size 988.9 KB) 
•	Review undertaken in respect of the death of a child known to the child protection system: Baby M.pdf (size 439.2 KB) 
•	National Review Panel Desk Top Review Q.pdf (size 7.4 MB) 
•	Review undertaken in respect of a serious involving a child known to the child protection system: W.pdf (size 300.8 KB) 
•	Review undertaken in respect of a serious incident to a young person who was in receipt of after care services from the HSE: Executive Summary.pdf (size 274.7 KB)","2011","published",,"National Review Panel for Serious Incidents & Child Deaths",,"","",,,,,,"Health Service Executive","Kildare",,"15 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.hse.ie/eng/services/Publications/services/Children/nationalreviewpanelreports.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MV , LG18-12 , VH4-2 , PB6-12-2 , MV14-4 , TW2-10-4","MP-MR Policy, planning, economics, work and social services > Social services -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- P Demography, epidemiology, and history > Population dynamics > Drugs and alcohol related mortality / death -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Social services --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Population dynamics  -  Drugs and alcohol related mortality / death --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user","Europe  -  Ireland","National Review Panel for Serious Incidents & Child Deaths National Review Panel for Serious Incidents & Child Deaths","0","no"
"16120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"PB6-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16120",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15227","26","archive","5",,,"disk0/00/01/52/27","2011-06-02 07:25:31","2014-04-09 21:57:37","2011-06-02 07:25:31","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","","Supporting information for the development of joint local protocols between drug and alcohol partnerships, children and family services.","pub","JU10","","public",,,,,,,,"The purpose of this document is to support local partnerships to develop joint local protocols between the drug and alcohol partnerships and children and family services. The supporting information further develops the previously published ‘Joint guidance on development of local protocols between drug and alcohol treatment services and local safeguarding and family services'.","2011","published",,"National Treatment Agency (UK)",,"","",,,,,,"National Treatment Agency for Substance Misuse","London",,,,,,,,,,,,,"guideline","aod_use_harm_reduction","alcohol_drugs_in_general",,,,,,"National Treatment Agency (UK)",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.nta.nhs.uk/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"JU10 , LG18-12 , VH4-4 , TW2-10-4 , LG14-10 , LG18-2 , JG10-12 , JT8_8_2","J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children) -- J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)","VA Geographic area > Europe > United Kingdom","Health care administration  -  Health care quality control --  Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Prevention approach  -  Early intervention (young children) --  Health care programme or facility  -  Community-based treatment (primary care)","Europe  -  United Kingdom",,"0","no"
"15227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"15227",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JT8_8_2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14689","21","archive","5",,,"disk0/00/01/46/89","2011-02-16 09:29:09","2014-10-16 10:11:13","2011-02-16 09:29:09","article",,,"show",,,,"","","","","","","","","","","0",,,"Pike","Brigid","","","","Pike:Brigid::","",,,,,"","","Growing up in Ireland: infants and their families.","pub","LN","","public",,,,,,,,,"2011","published",,"Pike Brigid",,"","",,"Drugnet Ireland","Issue 36, Winter 2010",,,"Health Research Board",,"7-8",,,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,"<p>The first comprehensive set of results from the infant cohort in the Growing Up in Ireland study were published in November 2010.1 The report provides a picture of the life of infants in Ireland today, across the main domainsof their development, with a view to furthering understanding of the broad spectrum of theirexperiences and circumstances.2 </p>
<div>A nationally representative sample of 11,100 infants born between December 2007 and May 2008 and their familieswas randomly selected from the Child Benefit Register maintained by theDepartment of Social Protection. The sample response was 65% of all families approached and 69% of valid contacts made in the course offieldwork.</div>
<div> </div>
<div>The first round of data collection took place between September 2008 andApril 2009, when the children had reached the age of nine months. The main informants were the adults identified as the primary and secondary caregivers of the study child, who all completed detailed questionnaires. In the course of the household interview, the interviewer recorded the length, weight and head circumference of the study child as well as the height and weight of the primary and secondary caregivers. In addition, families were asked to provide contact information in respect of non-resident parents and other regular caregivers, where the latter delivered at least eight hours of care per week. The contact details were used to administer (by post) a short self-completion questionnaire.</div>
<div> </div>
<div>Data were collected with regard to:</div>
<div>o    circumstances surrounding the pregnancy,</div>
<div>o    the child’s health from birth onwards,</div>
<div>o    the child’s routines, such as sleeping and feeding patterns, the child’s temperament and cognitive and physical development,</div>
<div>o    childcare,</div>
<div>o    parenting and support for parents in bringing up their child, and</div>
<div>o    relationships between the mother and the world outside her home, both in the workplace and in her local community.</div>
<div> </div>
<div>In order to examine how children’s lives vary in different socio-demographic contexts, data were examined in relation to a relatively common set of variables, including family social class, family income, family type and mother’s highest level of educational attainment.</div>
<div> </div>
<div><b>Smoking and drinking during pregnancy</b></div>
<div>The research showed that most mothers refrained from smoking or drinking during their pregnancies. The findings also suggested that smokers may find it more difficult to give up cigarettes than drinkers find it to abstain from alcohol.</div>
<div> </div>
<div>Just under one in five (18%) mothers had smoked at some stage during their pregnancy, with this being quite strongly related to level of educational attainment. The study reported that there was strong evidence to indicate that much higher percentages of those with lower levels of education smoked at some stage during pregnancy (40% among those with lower secondary level or below, compared to 6% among graduate mothers). It was also noted that mothers with lower levels of education were less likely to have changed their behaviour to avoid smoking during pregnancy than those with higher levels of education.</div>
<div> </div>
<div>A total of 20% of mothers had consumed alcohol at some stage during pregnancy. In contrast to smoking in pregnancy, the highest prevalence of alcohol consumption was found among more advantaged mothers. However, further analysis of the data showed that, although the mothers with lowest levels of education were the most likely to abstain from alcohol entirely during pregnancy, those who did drink consumed more units of alcohol each week than more highly educated mothers.</div>
<div> </div>
<div>As the Growing Up in Ireland studyfollows this infant cohort it will be possible to examine the longer-term impact of both smoking and drinking – and different levels of consumption of these substances – on child outcomes. Data have also been collected on the consumption of prescribed medications and illegal substances during pregnancy.</div>
<div><b> </b></div>
<div><b>Quality of the neighbourhood in which mothers lived</b></div>
<div>The mothers of infants were asked to rate four items relating to the quality of the neighbourhood in which they lived on a four-point scale from <i>very common </i>to <i>not at all common</i>. The items were:</div>
<div> </div>
<div>• rubbish and litter lying about,</div>
<div>• homes and gardens in bad condition,</div>
<div>• vandalism and deliberate damage to property,</div>
<div>• people being drunk or taking drugs in public.</div>
<div> </div>
<div>Rubbish and litter lying about was perceived to be the most pervasive neighbourhood problem, with 22% of mothers reporting this as being <i>very </i>or <i>fairly common</i>. The authors reported a strong relationship between family income and the other three neighbourhood characteristics, and also geographic location. For example, a total of 18% of families in the lowest income quintile agreed that people being drunk or taking drugs in public was <i>very </i>or <i>fairly common</i>. This compared with 6% among families in the highest income group. Mothers of nine-month-old infants in urban areas were at least twice as likely as their rural counterparts to report ‘homes and gardens in bad condition’, ‘vandalism and deliberate damage to property’ and ‘people being drunk or taking drugs in public’ as <i>very </i>or <i>fairly common</i>. </div>
<div><i> </i></div>
<div><b><i>1. Williams J, </i>Green S, McNally S, Murray A and Quail A (2010) <i>Growing up in Ireland – national longitudinal study of children: the infants and their families</i>. Dublin: Stationery Office.</b></div>
<div>2. The National Longitudinal Study of Childrentracks the development of two groups of almost 20,000 children. Taking place over seven years, the study is following the progress of a child cohort of 8,500 children interviewed at nine and 13 years, and an infant cohort of 11,000 children interviewed at nine months and three years. The main aim of the study is to paint a picture of children in Ireland and how they are developing in the current social, economic and cultural environment. This information will be used to assist in policy formation and in the provision of services. The Department of Health and Children is funding the study through the Office of the Minister for Children and Youth Affairs in association with the Department of Social Protection and the Central Statistics Office. The Office of the Minister for Children and Youth Affairs is overseeing and managing the study, which is being carried out by a consortium of researchers led by the Economic and Social Research Institute (ESRI) and Trinity College Dublin.</div>",,,,,"Issue 36, Winter 2010",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 36, Winter 2010","Drugnet Ireland","LN , VH4-2 , ED4-12 , TW2-10-4 , LG18-2 , TA12","L Social psychology and related concepts > Social context -- E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child","VA Geographic area > Europe > Ireland","Social context --  Pregnancy --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child","Europe  -  Ireland","Pike Brigid","0","no"
"14689",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14689",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14689",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14689",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14689",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077","26","archive","5",,,"disk0/00/01/60/77","2011-10-13 09:29:23","2014-07-31 11:11:13","2011-10-13 09:29:23","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Social Care Institute for Excellence","eLearning: Parental substance misuse.","pub","MV","","none",,,,,,,,"The Social Care Institute for Excellence’s (SCIE) Parental substance misuse elearning resource is designed to support social workers responsible for ‘children in need’ when working with families where a parent or parents are misusing drugs or alcohol.  

These elearning resources provide audio, video and interactive technology to assist in exploring parental substance misuse, its effects on children and parenting capacity and the implications for social work practitioners. 

The modules are presented in an accessible and engaging way. They look at: 
•defining and recognising substance misuse
•the effects on people 
•health and treatment options
•relationships with families. 

Components:
•Understanding substance misuse:
An introduction to the different types of substances commonly misused and the effects that these may have on the people taking them.

•Understanding the impact on children:
Explores how parenting capacity may be compromised and how children may be affected by parental substance misuse.

•Implications for children’s social work practice:
Explores the implications that parental substance misuse has for social work practice and to recognise when an assessment is needed.","2011","published",,"Social Care Institute for Excellence",,"","",,,,,,"Social Care Institute for Excellence","London",,,,,,,,,,,,,"other","aod_disorder","alcohol_drugs_in_general",,,,,,"Social Care Institute for Excellence",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.scie.org.uk/publications/elearning/parentalsubstancemisuse/index.asp","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MV , TA14 , TW2-10-4 , TT8-2 , LG18-2 , TW2-8 , TA12 , LG18-12-2 , VH4-4","MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user -- T Demographic characteristics > Social worker -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- T Demographic characteristics > Child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent","VA Geographic area > Europe > United Kingdom","Social services --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user --  Social worker --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent","Europe  -  United Kingdom","Social Care Institute for Excellence Social Care Institute for Excellence","0","no"
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_disorder_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TT8-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"education_and_training",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"psychosocial_treatment_method",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"16077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448","10","archive","5",,,"disk0/00/02/34/48","2015-02-17 14:13:37","2015-04-02 11:33:53","2015-02-17 14:13:37","article",,,"show",,,,"","","","","","","","","","",,,,"Carr","Alan","","","","Carr:Alan::","",,,,,"","","Adult adjustment of survivors of institutional child abuse in Ireland.","pub","JA6-6","","none",,,,,,,,"OBJECTIVE
To document the adult adjustment of survivors of childhood institutional abuse.

METHOD
Two hundred and forty-seven adult survivors of institutional abuse with a mean age of 60 were interviewed with a protocol that included the Childhood Trauma Questionnaire, modules from the Structured Clinical Interview for Axis I Disorders of DSM IV and the Structured Clinical Interview for DSM IV Personality Disorders, the Trauma Symptom Inventory, and the Experiences in Close Relationships Inventory.

RESULTS
The prevalence of psychological disorders among adult survivors of institutional abuse was over 80% and far higher than in the normal population, with anxiety, mood and substance use disorders being the most prevalent diagnoses. Survivors also had high rates of trauma symptoms and insecure adult attachment styles, and these were higher for those who had experienced both institutional and intrafamilial abuse.

CONCLUSIONS
There was an association between the experience of institutional abuse in childhood and the prevalence of adult mental health problems, particularly anxiety, mood and substance use disorders.

PRACTICE IMPLICATIONS
Policies, practices and procedures should be regularly reviewed and revised to maximize protection of young people in institutional care. Evidence-based psychological treatment should be made available to adult survivors of institutional abuse.","2010-07","published",,"Carr Alan",,"","",,"Child Abuse & Neglect","34","7","7","Elsevier",,"477-89",,,,,,,,,,,"TRUE","","","",,"1873-7757",,,,,,,"","","","","","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","","display_if_logged_in",,"1","34","Child Abuse  Neglect","JA6-6 , MM26 , TA14 , TW2-10-4 , VH4-2","J Health care, prevention and rehabilitation > Risk and protective factors > risk factors -- MM-MO Crime and law > Crime and violence > Crime against persons (assault / abuse / intimidation)  -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Risk and protective factors  -  risk factors --  Crime and violence  -  Crime against persons (assault / abuse / intimidation)  --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user","Europe  -  Ireland","Carr Alan , Dooley Barbara , Fitzpatrick Mark , Flanagan Edel , Flanagan-Howard Roisin , Tierney Kevin , White Megan , Daly Margaret , Egan Jonathan","0","yes"
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Dooley","Barbara","","",,,,,,,,,,,,"MM26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Fitzpatrick","Mark","","",,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Flanagan","Edel","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Flanagan-Howard","Roisin","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Tierney","Kevin","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"White","Megan","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Daly","Margaret","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"23448",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Egan","Jonathan","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13131","21","archive","5",,,"disk0/00/01/31/31","2010-05-28 09:43:35","2014-04-09 21:53:34","2010-05-28 09:43:35","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Olszewski","Deborah","","","","Olszewski:Deborah::","",,,,,"","European Monitoring Centre for Drugs and Drug Addiction","Thematic paper. Children's voices. Experiences and perceptions of European children on drug and alcohol issues.","pub","LG18-12","","public",,"other",,,,,,"The purpose of this paper is to give meaning and insight into some of the key drug and alcohol issues that affect children from the perspectives of the children themselves. It is not to estimate the relative magnitude of a specific drug or alcohol problem or the numbers of children affected by it. Each section of this paper is preceded by one or two key statistics and whilst the quotations that follow may highlight a need to develop more robust and detailed statistics on a key issue, the overriding objective is to give the children a voice.

Table of contents
•	Introduction
•	Living with parents with drug or alcohol problems
•	Children looked after by relatives, foster carers and institutions
•	Children’s experiences and perceptions of alcohol and drug consumption
•	Children’s perceptions about alcohol and drug interventions
•	Conclusions
•	Acknowledgements
•	References
•	Quotation sources","2010-05-28","published",,"Olszewski Deborah",,"","",,,,,,"The Publications Office of the European Union","Luxembourg:",,"38 p.",,,,,,,,,,,"","","","978-92-9168-420-5",,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.emcdda.europa.eu/publications/thematic-papers/childrens-voices","author",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , FR16 , TW2-10-4 , LG18-2 , VH , TA12","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child","VA Geographic area > Europe","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Attitude and behaviour  -  Attitude toward drugs and alcohol --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child","Europe","Olszewski Deborah , Burkhart Gregor , Bo Alessandra , European Monitoring Centre for Drugs and Drug Addiction European Monitoring Centre for Drugs and Drug Addiction","0","no"
"13131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Burkhart","Gregor","","",,,,,,,,,,,,"FR16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Bo","Alessandra","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13131",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13021","22","archive","5",,,"disk0/00/01/30/21","2010-04-20 13:26:14","2014-10-22 10:36:24","2010-04-20 13:26:14","article",,,"show",,,,"","","","","","","","","","","0",,,"Pike","Brigid","","","","Pike:Brigid::","",,,,,"","","Exposure to illicit drug use and alcoholism among 9-year-old Irish children.","pub","GC16-6","","public",,,,,,,,,"2010-04-19","published",,"Pike Brigid",,"","",,"Drugnet Ireland","Issue 33, Spring 2010",,,"Health Research Board",,,,,,,,,,,,,,"","","",,,,,,,,,"","","","","","","","","","",,"<p>On 7 December 2009 the Minister for Children and Youth Affairs, Barry Andrews TD, launched the first major report from Growing Up in Ireland, the national longitudinal study of children, tracking the lives of over 8,500 nine-year-olds. The data were collected between September 2007 and June2008.1  </p>
<div>The nine-year-old cohort was selected through the primary school network. A random sample of schools was drawn and, subject to the school’s participation, age-eligible children in those schools and their families were invited to participate. The study included a wide range of perspectives, with information being recorded from parents, teachers, principals and carers, and the ‘study child’ himself or herself. Aspects explored included the children’s living situations; experiences of family life; state of health; use of health care services; emotional health and wellbeing; education; peer relationships; activities; and neighbourhood and community settings.</div>
<div> </div>
<div>With regard to the children’s experiences of stressful life, their mothers were presented with a list of 13 potentially stressful events and asked to report which ones, if any, their child had experienced. Just over 78% of children were reported to have experienced some form of stressful life event; 4% had experienced drug taking/alcoholism in their immediate family. As the following table shows, in comparison with children from two-parent families, children from single-parent families were more likely to have experienced drug taking/alcoholism in their immediate family.</div>
<p><img src=""/fckeditor_UPLOADS/image/Drugnet%2033-12.jpg"" /></p>
<p>With regard to the quality of their neighbourhood environments, the mothers were asked to rate four items on a four-point scale from <i>very common </i>to <i>not at all common.</i> Overall, rubbish and litter lying about appeared to be the most pervasive problem, with mothers of 34% of nine-year-olds reporting this as being <i>very common </i>or <i>fairly common </i>in their local area. This was followed by people being drunk or taking drugs in public (15%), vandalism and deliberate damage to property (15%) and homes and gardens in bad condition (10%). There was a strong relationship between family social class and perceived quality of the local area, with those in the lower social class categories being much more likely to report unfavourable physical conditions in their neighbourhood. For example, those in the semi-skilled/unskilled manual category were more likely than those in the professional/managerial group to report that people being drunk or taking drugs in public was <i>very common </i>or <i>fairly common </i>(22% compared to 9%). The researchers also found a difference between urban and rural residents in terms of the quality of the neighbourhood environment, with respondents in urban areas being roughly twice as likely as their rural counterparts to report that people being drunk or taking drugs in public was <i>very </i>or <i>fairly </i>common.<b> </b></p>
<div>The next wave of this longitudinal study is due to be conducted when the children in the cohort study reach the age of 13.  </div>
<div>
<p> </p>
</div>
<p>1. Williams J, Greene S, Doyle E, Harris E, Layte R, McCoy S <i>et al</i>. (2009) <i>Growing up in Ireland: national longitudinal study. The lives of 9-year-olds, child cohort. </i>Report 1. Dublin: Stationery Office.</p>
<p> </p>",,,,,"Issue 33, Spring 2010",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 33, Spring 2010","Drugnet Ireland","GC16-6 , VH4-2 , TW2-10-4 , LG2-6 , TA12 , LG16","G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family environment","VA Geographic area > Europe > Ireland","Drugs and alcohol disorder  -  Alcohol use  -  Alcohol dependence --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Marital relations  -  Family and kinship  -  Family environment","Europe  -  Ireland","Pike Brigid","0","no"
"13021",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13021",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13021",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13021",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13021",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14123","23","archive","5",,,"disk0/00/01/41/23","2010-11-01 15:32:33","2014-04-09 21:55:32","2010-11-01 15:32:33","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Alcohol Action Ireland","Keeping it in the family survey 2009. Parental drinking among 18-40 year olds: prevalence and impact.","pub","LG18-12-2","","public",,"other",,,,,,"Frequent fear, often feeling unsafe and witnessing alcohol-related parental conflict were childhood realities for 71,000 to 90,000 children growing up in Ireland. Alcohol Action Ireland commissioned a leading market research firm to carry out the first ever prevalence survey on the impact of parental alcohol problems on children growing up in families in Ireland.

It is important for all of us to remember that this was a survey of adults but there are thousands of children in Ireland today for whom this is their current life. You can find a copy of the survey results below along with expert presentations from consutlant child and adolescent psychiatrist Dr. Sarah Buckley and substance misuse in the family expert Wendy Robinson.

Our research is not intended to be an end but a start to recognising, understanding and meeting these children’s needs.","2010","published",,"Alcohol Action Ireland",,"","",,,,,,"Alcohol Action Ireland","Dublin",,"6 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,,,,,,,,,,,,"",,"http://alcoholireland.ie/?page_id=923","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-2 , VH4-2 , TW2-10-4 , GC16 , AD12-6 , TW2-8 , LG18-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- T Demographic characteristics > Child of drugs and alcohol user -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- T Demographic characteristics > Parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Child of drugs and alcohol user --  Drugs and alcohol disorder  -  Alcohol use --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Parent --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations","Europe  -  Ireland","Alcohol Action Ireland Alcohol Action Ireland","0","no"
"14123",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14123",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14123",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14123",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14123",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14123",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14437","23","archive","5",,,"disk0/00/01/44/37","2010-12-17 12:54:13","2014-04-09 21:56:07","2010-12-17 12:54:13","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Buckley","Helen","","","","Buckley:Helen::","",,,,,"","","Report of an audit of child protection research in Ireland 1990-2009.","pub","MV","","public",,"other",,,,,,"Findings:
A total of 190 research documents were identified in line with the criteria agreed between the researchers and the CAAB, and are included in the audit. The key findings from the analysis of the audit are as follows:
•	Research identified in the audit has tended to focus on child protection and the child protection system generally, as well as sexual abuse. This research has primarily been undertaken by clinicians and academics, and spans across sectors.
•	Over half, (110 or 58%) of the research falls under the heading of policy/practice reviews/analysis. This is further reflected in the fact that the research most commonly focused on operating procedures, followed by practice issues and the policy framework, both in studies with a single focus and those with multiple foci.
•	The most common type of publication was peer reviewed article (74 or 39%), with commissioned research accounting for just 7% (13). This is in line with the findings that 68% (128) of commissioning/publishing bodies and 74% (139) of research bodies were in the academic sector.
•	The research published and/or commissioned by the statutory sector follows the pattern found in the audit generally, with the most common type of study being policy/practice review/analysis (27 or 48%) and the most common focus being operating procedures (22 or 39%).
•	Information sources rarely incorporated primary research with children, with only 14 studies (8%) citing direct contact with children and young people. Information on children was more commonly gathered from case files, professionals and family members.
•	The topics covered in the identified research were very wide-ranging but closely related to the primary subject area (type of abuse) and the sector in which the research was located.

One conclusion stated that: 
There is a shortage of child protection-focused research on the factors that cause and perpetuate child abuse, such as homelessness, addiction, parental mental illness and domestic violence. The need for material on these areas is demonstrated by the nature and scale of reports to the child protection system and the removal of some children from their families into out of home care as a result of the above mentioned adversities.","2010","published",,"Buckley Helen",,"","",,,,,,"Children's Act Advisory Board","Dublin",,"68 p.",,,,,"CAAB research report no. 7",,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.caab.ie/Publications/Research-Reports.aspx","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"MV , LC2-4 , VH4-2 , MV14-4 , TW2-10-4 , JA2 , LG14-10","MP-MR Policy, planning, economics, work and social services > Social services -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- J Health care, prevention and rehabilitation > Health services, drugs and alcohol research -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > Ireland","Social services --  Interpersonal interaction and group dynamics  -  Social support --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Health services, drugs and alcohol research --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  Ireland","Buckley Helen , Corrigan Carmel , Kerrins Liz","0","no"
"14437",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Corrigan","Carmel","","",,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14437",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kerrins","Liz","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14437",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14437",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14437",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14437",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142","27","archive","5",,,"disk0/00/01/41/42","2010-11-03 07:46:45","2011-11-16 16:37:32","2010-11-03 07:46:45","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Eadie","Douglas","","","","Eadie:Douglas::","",,,,,"","","Pre-teens learning about alcohol: drinking and family contexts.","pub","LG18-12","","public",,"other",,,,,,"Childhood experiences are crucial to forming future drinking habits. Much emphasis has been placed on understanding the impact of problem drinking within the family, yet much less is known about how children learn about alcohol in so-called 'ordinary families'. This UK study found that:
•	Children in the 7-12 age bracket have a fairly sophisticated knowledge of alcohol and its effects;
•	The home is an important source of learning about alcohol and young children anticipate modelling their future behaviour on parents' drinking styles; and
•	Parents often have limited belief in their ability to teach children to drink responsibly, in the face of external pressures.","2010","published",,"Eadie Douglas",,"","",,,,,,"Joseph Rowntree Foundation","London",,"88 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.jrf.org.uk/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , TW2-10-4 , AD12-6 , LG18-2 , TW2-8 , TA12 , VH4-4 , GC16 , LG16-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Child of drugs and alcohol user -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- T Demographic characteristics > Child -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- L Social psychology and related concepts > Marital relations > Family and kinship > Family environment > Parental attitude","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Child of drugs and alcohol user --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Child --  Drugs and alcohol disorder  -  Alcohol use --  Marital relations  -  Family and kinship  -  Family environment  -  Parental attitude","Europe  -  United Kingdom","Eadie Douglas , MacAskill Susan , Brooks Oona , Heim Derek , Forsyth Alasdair , Punch Sam","0","no"
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MacAskill","Susan","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brooks","Oona","","",,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Heim","Derek","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Forsyth","Alasdair","","",,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Punch","Sam","","",,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14142",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13992","18","archive","5",,,"disk0/00/01/39/92","2010-10-14 07:07:05","2014-04-09 21:55:13","2010-10-14 07:07:05","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Fives","Allyn","","","","Fives:Allyn::","",,,,,"","","Study of young carers in the Irish population. Executive summary.","pub","LG18-12-4","","public",,"other",,,,,,"The term ""young carers"" refers to children and young people under the age of 18 whose lives are affected in some significant way by the care needs of another family or household member and who provide care, or help to provide care, to that person. Traditionally, the focus of carerorientated policy has been on adult carers. However, in the past 15 years there has been growing awareness of and interest in young carers. A number of key issues have emerged in the literature on young carers: - the definition of a young carer; - the impacts, both positive and negative, of caring on a child or young person; - the invisibility of young carers and mechanisms that can be used to identify them; - the services that are or should be provided to young carers.

With regard to methodological limitations, the research team failed to recruit and interview children and young people of parents with drug and alcohol addictions. It is, therefore, likely that the final sample does not include the most vulnerable categories of young carers. Given that the young participants were recruited on the basis of their parent’s or guardian’s consent, however, it was thought that the parents of vulnerable children would be less likely to volunteer information about their family life or to encourage outside interest in their family.","2010","published",,"Fives Allyn",,"","",,,,,,"Office of the Minister for Children and Youth Affairs","Dublin",,"28 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,,,,,,,,,,,,"",,"http://www.omc.gov.ie/viewdoc.asp?Docid=1312&CatID=13&mn=&StartDate=1+January+2010","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-4 , VH4-2 , MV14-4 , TW2-10-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user","Europe  -  Ireland","Fives Allyn , Kennan Danielle , Canavan John , Brady Bernadine , Cairns David","0","no"
"13992",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kennan","Danielle","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13992",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Canavan","John","","",,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13992",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brady","Bernadine","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13992",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cairns","David","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14077","20","archive","5",,,"disk0/00/01/40/77","2010-10-26 08:04:26","2014-04-09 21:55:25","2010-10-26 08:04:26","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Fives","Allyn","","","","Fives:Allyn::","",,,,,"","","Study of young carers in the Irish population. Full report.","pub","LG18-12-2","","public",,"government_publication",,,,,,"The term ‘young carers’ refers to children and young people under the age of 18 whose lives are affected in some significant way by the care needs of another family or household member, and who provide care, or help to provide care, to that person.

Traditionally, the focus of carer-orientated policy has been on adult carers. However, in the last 15 years there has been growing awareness of and interest in young carers. Research on this topic has greatly expanded and policy-makers and service providers are increasingly acknowledging the need for a specific policy response to address the needs of young carers and to provide support to them.

The health problems of those with care needs, being cared for by young carers, included:
•	behavioural or learning difficulty;
•	combined intellectual and physical disability;
•	physical illness;
•	mental illness;
•	drug or alcohol addiction;
•	sensory impairment","2010","published",,"Fives Allyn",,"","",,,,,,"Office of the Minister for Children and Youth Affairs","Dublin",,"135 p.",,,,,"The national children’s strategy research series",,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.omc.gov.ie/viewdoc.asp?DocID=120","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-2 , LG18-12-4 , VH4-2 , TW2-10-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of child -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of child --  Child of drugs and alcohol user","Europe  -  Ireland","Fives Allyn , Kennan Danielle , Canavan John , Brady Bernadine , Cairns David","0","no"
"14077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Kennan","Danielle","","",,,,,,,,,,,,"LG18-12-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Canavan","John","","",,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Brady","Bernadine","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14077",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Cairns","David","","",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13863","20","archive","1684",,,"disk0/00/01/38/63","2010-09-13 08:48:34","2015-12-22 15:10:22","2010-09-13 08:48:34","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Harwin","Judith","","","","Harwin:Judith::","",,,,,"","","Children affected by Parental Alcohol Problems.","pub","TW2-8-8","","public",,"other",,,,"An ENCARE 5 Project funded by the European Union",,"This study aims to review and identify the main approaches adopted by EU Partners in addressing the issue of children affected by parental alcohol problems (ChAPAPs), drawing specifically on research, policy, practice and service development. 

This is a particularly timely study as the EU Commission is placing more emphasis on member states to protect young people and children, and the unborn child, from alcohol related harm across Europe. Many EU partners are also in the process of developing and/or updating national alcohol strategies.

The above report is complemented by the following reports on all elements of the ChAPAPs project 2007-2010 (See above URL)

•Recommendations for Policy Development
•Good Practices Manual
•Evaluation of Direct Preventative Interventions with Children of Alcoholics
•Key Figures on Health Conditions and Policy Regarding Child Health and Alcohol Consumption
•Economic Impact of Alcohol Consumption
•Capacity Building Toolkit
•ChAPAPs Literature Overview","2010","published",,"Harwin Judith",,"","",,,,,,"Brunel University","Middlesex",,"532 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://alcoholireland.ie/?page_id=195","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"TW2-8-8 , GJ2-16-2-4-6 , ED4-12 , TW2-10-4 , VH","T Demographic characteristics > Mother -- G Health and disease > Disorder by cause > Developmental disorder > Foetal (fetal) alcohol syndrome -- E Concepts in biomedical areas > Pregnancy -- T Demographic characteristics > Child of drugs and alcohol user","VA Geographic area > Europe","Mother --  Disorder by cause  -  Developmental disorder  -  Foetal (fetal) alcohol syndrome --  Pregnancy --  Child of drugs and alcohol user","Europe","Harwin Judith , Madge Nicola , Heath Sally","0","no"
"13863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Madge","Nicola","","",,,,,,,,,,,,"GJ2-16-2-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Heath","Sally","","",,,,,,,,,,,,"ED4-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13863",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344","25","archive","5",,,"disk0/00/01/43/44","2010-12-06 08:36:43","2011-11-16 16:38:08","2010-12-06 08:36:43","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","Irish Society for the Prevention of Cruelty to Children","If they're getting loaded, why can't I?","pub","LG18-12","","public",,"other",,,,,,"The ISPCC consulted with just under 10,000 12-18 year olds in Ireland, the focus of which was attitudes towards alcohol use.  

The report shows that 1 in 10 Irish children feel that their life is significantly affected by their parents alcohol use, and that 45% of 12-18 year olds are regularly drinking to excess.  In their own words, Irish children relay the stark reality of alcohol mis-use in the home.","2010","published",,"Irish Society for the Prevention of Cruelty to Children",,"","",,,,,,"Irish Society for the Prevention of Cruelty to Children",,,"64 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.ispcc.ie/Media/Current-News/NCC-Report-launched.aspx","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , TA14 , VH4-2 , TW2-10-4 , LG18-2 , TA12 , FR16 , JA6 , FS38-6-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Child -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol -- J Health care, prevention and rehabilitation > Risk and protective factors -- F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour","VA Geographic area > Europe > Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Adolescent / youth (teenager / young person) --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Child --  Attitude and behaviour  -  Attitude toward drugs and alcohol --  Risk and protective factors --  Specific attitude and behaviour  -  risk-taking behaviour","Europe  -  Ireland","Irish Society for the Prevention of Cruelty to Children Irish Society for the Prevention of Cruelty to Children","0","no"
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JA6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14344",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FS38-6-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114","28","archive","5",,,"disk0/00/01/81/14","2012-07-20 10:25:45","2014-04-09 22:03:08","2012-07-20 10:25:45","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Landy","Fergal","","","","Landy:Fergal::","",,,,,"","","A formative evaluation of Jobstown Alternative Response Model.","pub","LG18-12","","public",,"other",,,,"This report was commissioned by Barnardos on behalf of South Dublin Children’s Services Committee.",,"Following an introductory chapter, Chapter 2 provides the context and rationale for the ARM, by outlining the policy and legislative context, the theoretical context, the local context and the ARM model as applied in Jobstown. Chapter 3 presents the findings on the stakeholders‘ perspectives of the Jobstown ARM. Chapter 4 offers a discussion of the findings in light of the theory discussed in Chapter 2, while Chapter 5 provides a set of conclusions and recommendations.

•	The differential response model (DRM), also known as the alternative response model (ARM), could be viewed as a specific attempt to reconcile the inherent tensions between child protection and family support. 
•	The DRM/ARM ensures low- and moderate-risk cases are provided with a comprehensive family assessment and are offered timely services without a formal determination or substantiation of child abuse or neglect; only high-risk cases receive the traditional investigative response. 
•	The DRM/ARM can be viewed as a step towards a closer relationship between the statutory-based social work resources and the non-government sector, as well as providing more comprehensive outcomes-focused provision.

The Jobstown ARM arose in the context of the work plan of SDCSC. Key local managers attended a seminar held by the Children‘s Act Advisory Board on the differential response model in 2008. A study visit to the New Beginnings Project in Foyle Trust in Derry also took place. An inter-agency committee was brought together, and a model was developed that sought to capitalise on the strengths of the differential response model as well as operationalising the Agenda for Children‘s Services.","2010","published",,"Landy Fergal",,"","",,,,,,"Child and Family Research Centre","Galway",,"123 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.childandfamilyresearch.ie/publications/policy-practice","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , JG10-2-4 , VH4-2-5 , TW2-10-4 , LG2-6 , TA12 , RF2 , MQ8-10 , HZ2-6 , LG14-10","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems -- T Demographic characteristics > Child -- R Research > Research and evaluation -- MP-MR Policy, planning, economics, work and social services > Programme planning, implementation, and evaluation > Programme evaluation -- HJ Treatment method > Psychosocial treatment method > Family or marital therapy -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > Ireland > Dublin","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Prevention approach  -  Family-focused prevention --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems --  Child --  Research and evaluation --  Programme planning, implementation, and evaluation  -  Programme evaluation --  Psychosocial treatment method  -  Family or marital therapy --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  Ireland  -  Dublin","Landy Fergal , Canavan John","0","yes"
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Canavan","John","","",,,,,,,,,,,,"JG10-2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-2-5",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"RF2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MQ8-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"HZ2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"18114",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14051","23","archive","5",,,"disk0/00/01/40/51","2010-10-19 08:28:08","2011-11-16 16:37:14","2010-10-19 08:28:08","guideline",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","National Institute for Health and Clinical Excellence","Promoting the quality of life of looked-after children and young people.","pub","MV","","public",,,,,,,,"The guidance is for all those who have a role in promoting the quality of life (that is, the physical health, and social, educational and emotional wellbeing) of looked-after children and young people. This includes directors of children’s services, directors of public health, people who commission and provide health and social care services, social workers, carers (including foster carers), healthcare workers, staff in independent and voluntary agencies, schools, colleges and universities, and organisations that train professionals and inspect services.
The guidance may also be of interest to looked-after children and young people, their families, prospective adopters and other members of the public.

The focus of the guidance is on how organisations, professionals and carers can work together to help looked-after children and young people reach their full potential and enjoy the same opportunities in life as their peers.

The recommendations cover local strategy and commissioning, multi-agency working, care planning and placements, and timely access to appropriate health and mental health services. In particular, they aim to:
•	promote stable placements and nurturing relationships
•	support the full range of placements, including with family and friends
•	encourage educational achievement
•	support the transition to independent living
•	meet the particular needs of looked-after children and young people, including those from black and minority ethnic backgrounds, unaccompanied asylum seekers, and those who have disabilities
•	places looked-after children and young people at the heart of decision making.","2010","published",,"NICE",,"","",,,,,,"National Institute for Health and Clinical Excellence","London",,"169 p.",,,,,"NICE public health guidance 28",,,,,,"report","aod_prevention","alcohol_drugs_in_general",,,,,,"NICE",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://guidance.nice.org.uk/PH28","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"MV , TA14 , LC2-4 , MV14-4 , VH4-4 , TW2-10-4 , LG14-10","MP-MR Policy, planning, economics, work and social services > Social services -- T Demographic characteristics > Adolescent / youth (teenager / young person) -- L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support","VA Geographic area > Europe > United Kingdom","Social services --  Adolescent / youth (teenager / young person) --  Interpersonal interaction and group dynamics  -  Social support --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family structure  -  Family support","Europe  -  United Kingdom","National Institute for Health and Clinical Excellence National Institute for Health and Clinical Excellence , Social Care Institute for Excellence  Social Care Institute for Excellence","0","no"
"14051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Social Care Institute for Excellence",,,"TA14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LC2-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14051",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13691","21","archive","5",,,"disk0/00/01/36/91","2010-08-16 13:13:22","2014-04-09 21:54:41","2010-08-16 13:13:22","monograph",,,"show",,,,"","","","","","","","","","","0",,,,,,,"",,"",,,,,"","NSPCC","Children talking to ChildLine about parental alcohol and drug misuse.","pub","LG18-12-2","","public",,"other",,,,,,"ChildLine Casenotes is a series of reports based on analysis of calls to ChildLine, a free confidential helpline for children and young people in the UK provided by the NSPCC.

This report is based on detailed analysis of calls to ChildLine from April 2008 to March 2009.

Key findings 
•	Children who were counselled by ChildLine about their parents’ alcohol and drug misuse often also talked about their experiences of physical abuse, family relationship problems, neglect and sexual abuse. 
•	Children talked about being worried, frightened and confused by their parents’ alcohol and drug misuse. 
•	Children often took on a caring role and saw it as their responsibility to solve their parents’ alcohol and drug misuse problems. 
•	Almost twice the number of children were counselled by ChildLine about their parents’ alcohol misuse than about drug misuse. 
•	Children who were cared for by habitual alcohol or drug users could be inducted to rely on alcohol and drugs in order to cope with life’s challenges.","2010","published",,"NSPCC",,"","",,,,,,"NSPCC","London",,"33 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"","http://www.nspcc.org.uk/Inform/publications/casenotes/parental_alcohol_drug_misuse_wda78113.html","","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12-2 , VH4-4 , TW2-10-4 , LG14-10 , LG18-2","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations","Europe  -  United Kingdom","NSPCC NSPCC","0","no"
"13691",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13691",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13691",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13691",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13286","17","archive","5",,,"disk0/00/01/32/86","2010-07-01 14:02:44","2014-10-23 09:52:49","2010-07-01 14:02:44","article",,,"show",,,,"","","","","","","","","","","0",,,"Pike","Brigid","","","","Pike:Brigid::","",,,,,"","","Children talk about living with problem drug and alcohol use.","pub","LG18-12","","public",,,,,,,,"‘She knew not to go near me in the morning ’til I had my foil, then ‘mummy would play’. In the mornings the sickness was the worst … I’d just be telling her to get away. Once I had the gear [drugs] into me I’d be the best mother on the earth.’ 

These words were spoken by a mother of a four-year-old girl interviewed as part of a research study in Ireland published last year. It is quoted in a new EMCDDA thematic paper on European children’s experiences and perceptions of drug and alcohol issues, published to mark International Children’s Day on 1 June.1 
 
The purpose of the paper is to enhance drug policies and interventions for children and young people by highlighting children’s and young people’s perspectives and their needs. Comprising quotations selected from research studies and governmental and non-governmental reports in 14 EU countries, including Ireland, the thematic paper gives voice to four main issues:

o	living with harmful parental drinking or drug taking (neglect, violence, abuse, stigma or shame),
o	being separated from parents and looked after by relatives, foster carers or institutions,
o	experiences and perceptions of alcohol and drug consumption, and
o	experiences and perceptions of interventions to address alcohol and drug consumption. 

The authors consulted three Irish sources2  and used quotations from them to highlight issues associated with living with parents engaging in harmful substance use, and children’s and young people’s own experience of substance use. For example, an Irish child care worker is quoted on the effect of living with a parent engaging in harmful substance use:

‘They become adults very young; they’re like the carer to their parent. They actually know, you can see it in them, that they know when their parent isn’t well … it seems to be a constant worry.’ 

Looking back, a young Irish woman who had been abused by a member of her extended family during her childhood recalled her teenage years: 

‘I turned 15 that January, I just went wild then you know after that like. I did have problems at home … Like when I was growing up, that would have been the start of it, but then I just used to go wild you know with the problems and the issues that I did have, I’d end up going drinking and taking drugs, you know, and not having any, no self-respect or anything for myself.’
 
In concluding the report, the authors make several observations:
o	given the complexity and diversity of children’s experiences, correspondingly flexible and holistic interventions need to be developed; 
o	more qualitative drug and alcohol research is needed if Europe is to understand the real needs of children and young people and to implement fully the United Nations Convention on the Rights of the Child (UNCRC); 
o	large numbers of parents with alcohol problems may generate more problems overall for children in the EU than the smaller number of children affected by parents with illicit drug problems;
o	the quotations highlight children’s extreme vulnerability, and yet also their desire and capacity to ‘cope’ with difficulties and to make rational judgements about their own situation based on objective information and personal experience; 
o	while quality care and other drug and alcohol interventions are needed to grant children in the EU their right to ‘harmonious development and protection from harmful influences’, abuse, neglect and exploitation, the root cause for many children facing both drug and alcohol problems are poverty and social exclusion.

1. Olszewski D, Burkhart G and Bo A (2010) Children’s voices: experiences and perceptions of European children on drug and alcohol issues. Thematic paper. Luxembourg: The Publications Office of the European Union. Available at www.emcdda.europa.eu 
2. The three Irish research studies used in the EMCDDA thematic paper were Bates T, Illback RJ, Scanlan F and Carroll L (2009) Somewhere to turn to, someone to talk to. Dublin: Headstrong – The National Centre for Youth Mental Health; Mayock P (2000) Choosers or losers: influences on young people’s choices about drugs in inner-city Dublin. Dublin: Children’s Research Centre, TCD; Mayock P and Carr N (2008) Not just homelessness … A study of ‘out of home’ young people in Cork city. Dublin: Children’s Research Centre, TCD. These three research reports are available at www.drugsandalcohol.ie","2010","published",,"Pike Brigid",,"","",,"Drugnet Ireland","Issue 34, Summer 2010",,,"Health Research Board",,"1-2",,,,,,,,,,,,"","","",,,,,,,,,"","","","","available","","","","","",,,,,,,"Issue 34, Summer 2010",,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"1","Issue 34, Summer 2010","Drugnet Ireland","LG18-12 , TW2-10-4 , LG18-2 , VH","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations","VA Geographic area > Europe","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations","Europe","Pike Brigid","0","no"
"13286",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13286",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"13286",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055","30","archive","5",,,"disk0/00/01/40/55","2010-10-19 09:03:17","2014-04-09 21:55:22","2010-10-19 09:03:17","guideline",,,"show",,,,"","","","","","","","","","","0",,,"Bostock","Lisa","","","",,"",,,,,"","","Promoting resilience in fostered children and young people.","pub","LG18-12","","public",,,,,,,,"This guide looks at how childcare professionals can make a difference to young people's experiences of foster care. Professionals play an important role by supporting caring relationships, ensuring that school is a positive experience, and promoting the self-esteem of children and young people in the foster care system.
 
This guide unpacks the concept of resilience and provides helpful hints for practice as well as access to further resources. It is aimed at the qualifying and newly qualified childcare professional and outlines why they matter in the life of a foster child. 

Positive relationships, at any age in the life span, can help improve poor self-image. People who take an interest, who listen, who care and love people, make others feel better. They bolster self-esteem.","2010","published",,"Social Care Institute for Excellence",,"","",,,,,,"Social Care Institute for Excellence","London",,"42 p.",,,,,,,,,,,"report","aod_prevention","alcohol_drugs_in_general",,,,,,"Social Care Institute for Excellence",,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.scie.org.uk/publications/guides/guide06/index.asp","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"3",,,"LG18-12 , MV , MV14-4 , TW2-10-4 , JG10-12 , TA12 , JU10 , VH4-4 , FE10-4-6","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- MP-MR Policy, planning, economics, work and social services > Social services -- MP-MR Policy, planning, economics, work and social services > Social services > Services for family and children > Services for children of drugs and alcohol users -- T Demographic characteristics > Child of drugs and alcohol user -- J Health care, prevention and rehabilitation > Prevention approach > Early intervention (young children) -- T Demographic characteristics > Child -- J Health care, prevention and rehabilitation > Health care administration > Health care quality control -- F Concepts in psychology > Skills > Coping skills","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Social services --  Social services  -  Services for family and children  -  Services for children of drugs and alcohol users --  Child of drugs and alcohol user --  Prevention approach  -  Early intervention (young children) --  Child --  Health care administration  -  Health care quality control --  Skills  -  Coping skills","Europe  -  United Kingdom","Bostock Lisa","0","no"
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"aod_use_harm_reduction",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"http://www.c4eo.org.uk/themes/vulnerablechildren/",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"MV14-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JG10-12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"JU10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14055",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FE10-4-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141","34","archive","5",,,"disk0/00/01/41/41","2010-11-03 07:39:06","2011-11-16 16:37:32","2010-11-03 07:39:06","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Valentine","Gill","","","","Valentine:Gill::","",,,,,"","","Alcohol consumption and family life.","pub","LG18-12","","public",,"other",,,,,,"This UK study examined how parents teach young children (aged 5 to 12) about alcohol. It explored parental attitudes towards alcohol, and family drinking practices, using a national survey and in-depth case studies. It found that: 
•	Parents are the most important influence on young children's attitudes to alcohol; 
•	Parents are largely successful at conveying the social pleasures and risks of drinking at home and the message that alcohol should be consumed in moderation;
•	There are gaps in what children learn from home such as the health consequences of drinking and the potential risks of drinking outside the home.","2010","published",,"Valentine Gill",,"","",,,,,,"Joseph Rowntree Foundation","London",,"60 p.",,,,,,,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"http://www.jrf.org.uk/","pub",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , TW2-10-4 , LG18-2 , TW2-8 , AD12-6 , TA12 , LG18-12-2 , FR16 , VH4-4 , GC16 , LG16-4","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- T Demographic characteristics > Parent -- A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption -- T Demographic characteristics > Child -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent -- F Concepts in psychology > Attitude and behaviour > Attitude toward drugs and alcohol -- G Health and disease > Drugs and alcohol disorder > Alcohol use -- L Social psychology and related concepts > Marital relations > Family and kinship > Family environment > Parental attitude","VA Geographic area > Europe > United Kingdom","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Parent --  Prevalence of drugs and alcohol use  -  Drugs and alcohol use behaviour  -  Alcohol consumption --  Child --  Marital relations  -  Family and kinship  -  Family relations  -  Family role  -  Role of parent --  Attitude and behaviour  -  Attitude toward drugs and alcohol --  Drugs and alcohol disorder  -  Alcohol use --  Marital relations  -  Family and kinship  -  Family environment  -  Parental attitude","Europe  -  United Kingdom","Valentine Gill , Jayne Mark , Gould Myles , Keenan Julia","0","no"
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Jayne","Mark","","",,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Gould","Myles","","",,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Keenan","Julia","","",,,,,,,,,,,,"TW2-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"AD12-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TA12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-12-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"FR16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"VH4-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"GC16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14141",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG16-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14348","26","archive","5",,,"disk0/00/01/43/48","2010-12-06 10:30:24","2017-02-13 13:28:26","2010-12-06 10:30:24","monograph",,,"show",,,,"","","","","","","","","","","0",,,"Webb","Anne Marie","","","","Webb:Anne Marie::","",,,,,"","","Hidden harm: addictions in the family.","pub","LG18-12","","public",,"other",,,,,,"Substance misuse impacts across communities in Northern Ireland and the term ‘hidden harm’ is commonly used to describe parental/carer substance misuse and its effect on children and other family members. A family-focused approach recognising the interdependency of individual family members and considering the welfare of children is increasingly highlighted at government policy level.

Having previously co-delivered an event to raise awareness about substance misuse in families (Behind Closed Doors, 2008), Barnardo’s NI jointly hosted a further ‘hidden harm’ conference in March 2010, entitled Addictions in the Family. This interactive event in partnership with the Department of Health, Social Services and Public Safety (DHSSPS) and the Public Health Agency (PHA) presented current policy and practice developments, including implementation of the Regional Hidden Harm Action Plan (PHA/HSCB, 2009). 

A range of leading policymakers, researchers and practitioners addressed 150 delegates working across sectors in areas where parental substance misuse impacts on children and families. Throughout the day a series of themed group discussions also explored:
•	how collective ownership of the Hidden Harm Action Plan can be achieved
•	what best helps support children and young people in ‘hidden harm’ families
•	how addiction services and agencies can be supported to adopt a more family-focused approach.

Barnardo’s practice experience and the key issues highlighted at the conference have informed this briefing and its recommendations for policy and practice.","2010","published",,"Webb Anne Marie",,"","",,,,,,"Barnardo's Northern Ireland","Belfast",,"6 p.",,,,,"Policy and practice briefing no 13",,,,,,"","","",,,,,,,,,"","","","","electronic_only","","","","","",,,,,,,,,,,,,"",,"","",,"","",,,,,,"",,,,,,,"",,,,,"",,,,,"","",,,,,"","",,"","","",,,"2",,,"LG18-12 , VH4-4-8 , LG14-10 , TW2-10-4 , LG18-2 , LG2-6","L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role -- L Social psychology and related concepts > Marital relations > Family and kinship > Family structure > Family support -- T Demographic characteristics > Child of drugs and alcohol user -- L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations -- L Social psychology and related concepts > Marital relations > Family and kinship > Family and drugs and alcohol > Drugs and alcohol related family problems","VA Geographic area > Europe > Northern Ireland","Marital relations  -  Family and kinship  -  Family relations  -  Family role --  Marital relations  -  Family and kinship  -  Family structure  -  Family support --  Child of drugs and alcohol user --  Marital relations  -  Family and kinship  -  Family relations  -  Parent-child relations --  Marital relations  -  Family and kinship  -  Family and drugs and alcohol  -  Drugs and alcohol related family problems","Europe  -  Northern Ireland","Webb Anne Marie , Nellis Brendan","0","no"
"14348",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"Nellis","Brendan","","",,,,,,,,,,,,"VH4-4-8",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14348",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG14-10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14348",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"TW2-10-4",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14348",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG18-2",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"14348",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"LG2-6",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
