%0 Report %A Alcohol Action Ireland, %B %C Dublin %D 2017 %F ndc:28047 %I Alcohol Action Ireland %T Ireland thinks. %U http://www.drugsandalcohol.ie/28047/ %0 Report %A Cork Simon Community, %B %D 2017 %F ndc:27968 %I Cork Simon Community %T ACEs at Cork Simon: exploring the connection between early trauma and later negative life events among Cork Simon service users. %U http://www.drugsandalcohol.ie/27968/ %X Cork Simon Community works with some of the most vulnerable and marginalised people. We operate a ‘low threshold’ service, meaning we accept and support people with multiple needs, chronic addictions and challenging behaviours. As a consequence we often work with people excluded from other services - people who have no-where else to turn. We work in solidarity with men and women over the age of 18 and each year support about 1,200 people on their pathway back to independent or supported living. Our door is always open and we support people for as long as they need us. ACE stands for Adverse Childhood Experiences. These traumatic events, experienced before the age of 18, have been shown to have long-term negative impacts on health and well-being. Children are especially sensitive to repeated trauma because their brains and bodies are just developing. High doses of adversity during childhood have been found to alter brain development as well as the immune system, with serious implications for later physical, mental and social health. ACE scores range from 0 to 10 and are assessed through a simple 10 question survey, with each question representing an area of trauma. Answering yes to a question counts as one ACE. 5 of the 10 types of childhood trauma measured through the ACE questionnaire are personal and five relate to other family members %Z Extracted and elaborated information from Cork Simon Community: Moving towards trauma informed care. a model of research and practice. By Dr. Sharon Lambert & Graham Gill-Emerson. 2017. %0 Generic %A Foster, Jon %A Bryant, Lucy %A Brown, Katherine %C London %D 2017 %F ndc:28013 %I Institute of Alcohol Studies, Alcohol and Families Alliance, and Alcohol Focus Scotland %T “Like sugar for adults” - the effect of non-dependent parental drinking on children & families. %U http://www.drugsandalcohol.ie/28013/ %0 Report %@ Report 5 %A Smyth, Emer %B %C Dublin %D 2017 %F ndc:28021 %I Stationery Office %T Growing up in Ireland: National longitudinal study of children. Off to a good start? Primary school experiences and the transition to second-level education. %U http://www.drugsandalcohol.ie/28021/ %X Primary schools can influence young people’s later engagement with education in a number of ways. First, having a positive experience of primary school and good relations with teachers can enhance children’s engagement with school and thus provide a firm foundation for later engagement. Secondly, having a positive experience of school subjects such as Irish and Maths at primary level is likely to influence young people’s attitudes to these subjects in the longer term. Thirdly, acquiring key skills in the form of literacy and numeracy provides the bedrock for later engagement with the second-level curriculum. The analyses presented in this report show that all of these factors came into play in shaping young people’s engagement with school at the age of 13. Having had conduct difficulties at age nine was associated with the nature of interaction with teachers four years later. However, teacher-student interaction was more strongly related to current levels of misbehaviour, suggesting some changes in the nature of student behaviour over the transition period. The frequency of positive interaction with teachers was associated with fewer transition difficulties among young people, while frequent negative interaction was related to transition difficulties among the most disadvantaged groups. The study findings point to the importance of both primary and second-level experiences in shaping student perspectives and outcomes. Thus, even taking account of the profile of students, the individual primary and second-level school attended shape the nature of the transition and of skill development among young people. %0 Report %9 Annual Report %A Tusla Child and Family Agency, %B %C Dublin %D 2017 %F ndc:27918 %I Tusla %T Tusla annual report 2016. %U http://www.drugsandalcohol.ie/27918/ %X The Tusla – Child and Family Agency was first established on the 1st January 2014 as the dedicated State Agency responsible for improving wellbeing and outcomes for children. Tusla’s remit includes a range of broad-based and targeted services, as follows: • Child protection and welfare services, including family support services. • Family Resource Centres and associated national programmes. • Early Years services regulation and inspection. • Educational welfare responsibilities, including statutory education welfare services, the ‘School Completion Programme’ and the ‘Home School Community Liaison Scheme’. • Alternative Care Services, including foster care, residential care, special care and aftercare • Registration and inspection of non-statutory children’s residential centres. • Domestic, sexual and gender-based violence services. • Services related to the psychological welfare of children. • Assessment, consultation, therapy and treatment services (ACTS). • Adoption services, including information and tracing. This annual report is the second published under our Corporate Plan 2015-2017 which provides the overarching policy guidance and performance framework and a commitment by Tusla, to ensure that its priorities and outcomes for children and families are fully integrated with national priorities through its annual business planning process. Whilst 2016 presented ongoing challenges for the Agency, the 2016 annual report provides an overview of progress and achievements and highlights include: • A 19% reduction, from December 2015, in the number of cases awaiting an allocated social worker, and a 20% reduction in the number of high priority cases awaiting allocation. • The establishment of 75 child and family support networks as part of the prevention, partnership and family support programme. • There were 432 new registrations/notifications of early years services representing a three-fold increase on 2015. • Expanded educational welfare services worked with 3,751 new individual children in the academic year 2015/2016. • The Tusla feedback and complaints policy ‘Tell Us’ went live in late 2016 %0 Generic %A Adfam, %C London %D 2017 %F ndc:27794 %I Adfam %T When parents take drugs. %U http://www.drugsandalcohol.ie/27794/ %X 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 %0 Journal Article %A Lange, Shannon %A Probst, Charlotte %A Gmel, Gerrit %D 2017 %F ndc:27779 %I n/a %J JAMA Pediatrics %T Global prevalence of fetal alcohol spectrum disorder among children and youth: a systematic review and meta-analysis. %U http://www.drugsandalcohol.ie/27779/ %V Early online %X 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. %0 Generic %A United Kingdom. Home Office, %C London %D 2017 %F ndc:27554 %I Home Office %T Criminal exploitation of children and vulnerable adults: County Lines guidance. %U http://www.drugsandalcohol.ie/27554/ %X County lines is the UK police term for urban gangs supplying drugs to suburban areas and market and coastal towns using dedicated mobile phone lines or “deal lines”. It involves child criminal exploitation (CCE) as gangs use children and vulnerable people to move drugs and money. Gangs establish a base in the market location, typically by taking over the homes of local vulnerable adults by force or coercion in a practice referred to as ‘cuckooing’. County lines is a major, cross-cutting issue involving drugs, violence, gangs, safeguarding, criminal and sexual exploitation, modern slavery, and missing persons; and the response to tackle it involves the police, the National Crime Agency, a wide range of Government departments, local government agencies and VCS (voluntary and community sector) organisations. County lines activity and the associated violence, drug dealing and exploitation has a devastating impact on young people, vulnerable adults and local communities. This guidance is intended to explain the nature of this harm to enable practitioners to recognize its signs and respond appropriately so that potential victims get the support and help they need. %0 Report %A Early Learning Initiative, National College of Ireland, %B %C Dublin %D 2017 %F ndc:27391 %I National College of Ireland %T Building hope for a brighter future. Working with children and young people in Dublin’s North East Inner City to restore relationships and bring about lasting change in their communities. %U http://www.drugsandalcohol.ie/27391/ %0 Generic %A Unicef Office of Research, %C Innocenti, Florence %D 2017 %F ndc:27430 %I Unicef Office of Research %T Building the future: children and the sustainable development goals in rich countries, Innocenti report card 14 %U http://www.drugsandalcohol.ie/27430/ %0 Report %A Keane, Eimear %A Gavin, Aoife %A Perry, Catherine %A Molcho, Michal %A Kelly, Colette %A Nic Gabhainn, Saoirse %B %C Dublin %D 2017 %F ndc:27365 %I Department of Health and National University of Ireland, Galway %T Trends in health behaviours, health outcomes and contextual factors between 1998-2014: findings from the Irish health behaviour in school-aged children study. %U http://www.drugsandalcohol.ie/27365/ %X This report provides us with a very important picture of the trends in the health behaviours of school-aged children. It describes the self-reported health status for children in Ireland over time in relation to key indicators: health behaviours (eg smoking, alcohol, dieting fruit consumption, tooth brushing), health outcomes (eg feeling low, injuries, life satisfaction) and contexts of children’s lives (family, school, peers and locality). The various surveys that have taken place every four years from 1998 to 2014 mean that policymakers and researchers have access to key data to inform policy and service development. The data is also a key factor in designing policy for the prevention of poor health behaviours and for the promotion of healthy ones. This Trends Report helps policy-makers to future-proof the direction of national population health policy. The Health Behaviour in School-aged Children (HBSC) Ireland study has been gathering and analysing data from school-aged children aged between 10 and 17 years over a period of 16 years. To date HBSC Ireland has collected data from 49,268 school-aged children. The most recent data collection occurred in 2014; it was the 5th national survey cycle of the study. The report is divided into three sections: health behaviours, health outcomes and contexts of children’s lives. %0 Report %9 Government Publication %A Shannon, Geoffrey %B %C Dublin %D 2017 %F ndc:27362 %I An Garda Siochana %T Audit of the exercise by An Garda Síochána of the provisions of Section 12 of the Child Care Act 1991. %U http://www.drugsandalcohol.ie/27362/ %X 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 %0 Generic %A Sumnall, Harry %A Percy, Andrew %A Cole, Jon C %A Murphy, Lynn %A Foxcroft, David %C Southampton %D 2017 %F ndc:27520 %I National Institute for Health Research %N 2 %T Steps towards alcohol misuse prevention programme (STAMPP): a school and community based cluster randomised controlled trial. %U http://www.drugsandalcohol.ie/27520/ %V 5 %X BACKGROUND: Alcohol use in young people remains a public health concern, with adverse impacts on outcomes such as health, well-being, education and relationships. OBJECTIVES: To assess the effectiveness and cost-effectiveness of a combined classroom curriculum and parental intervention on self-reported alcohol use [heavy episodic drinking (HED)] and alcohol-related harms (indicators such as getting into fights after drinking, poorer school performance and trouble with friends and family). DESIGN: A two-arm, cluster randomised controlled trial with schools as the unit of randomisation. SETTING: A total of 105 post-primary schools in Northern Ireland (NI) and Glasgow/Inverclyde Educational Authority areas. PARTICIPANTS: A total of 12,738 male and female secondary school students (intervention delivered when students were in school year 9 in NI or S2 in Scotland in the academic year 2012–13 and aged 12–13 years) were randomised. Randomisation and baseline (T0) surveys took place when children were in school year 8 or S1. Schools were randomised (1 : 1) by an independent statistician to the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) or to education as normal (EAN). All schools were stratified by free school meal provision. Schools in NI were also stratified by school type (male/female/coeducational). INTERVENTIONS: STAMPP combined a school-based alcohol harm reduction curriculum [an adapted version of the School Health and Alcohol Harm Reduction Project (SHAHRP)] and a brief parental intervention designed to support parents in setting family rules around drinking. The classroom component comprised two phases delivered over 2 years, and the parental component comprised a standardised presentation delivered by a trained facilitator at specially arranged parent evenings on school premises. This was followed up a few weeks later by an information leaflet mailed to all intervention pupils’ parents highlighting the main points of the evening. MAIN OUTCOME MEASURES: (1) Self-reported HED (defined as self-reported consumption of ≥ 6 units in a single episode in the previous 30 days for male students and ≥ 4.5 units for female students) assessed at 33 months from baseline (T3); and (2) the number of self-reported harms (harms caused by own drinking) assessed at T3. DATA SOURCES: Self-completed pupil questionnaires. RESULTS: At final follow-up (T3), data were available for 5160 intervention and 5073 control pupils for the HED outcome, and for 5234 intervention and 5146 control pupils for the self-reported harms outcome. The intervention reduced self-reported HED compared with EAN (p < 0.001), but did not reduce self-reported harms associated with own drinking. The odds ratio for the intervention effect on HED was 0.596 (standard error 0.0596, 95% confidence interval 0.490 to 0.725). The mean cost of delivery per school was £818 and the mean cost per individual was £15. There were no clear cost savings in terms of service utilisation associated with the intervention. The process evaluation showed that the classroom component engaged and was enjoyed by pupils, and was valued by teachers. Schools, students, intervention trainers and delivery staff (teachers) were not blind to study condition. Data collection was undertaken by a team of researchers that included the trial manager and research assistants, some of whom were not blinded to study condition. Data analysis of primary and secondary outcomes was undertaken by the trial statistician, who was blinded to the study condition. LIMITATIONS: Although the classroom component was largely delivered as intended, there was very low attendance at the parent/carer event; however, all intervention pupils’ parents/carers received an intervention leaflet. CONCLUSIONS: The results of this trial provide some support for the effectiveness and cost-effectiveness of STAMPP in reducing heavy episodic (binge) drinking, but not in reducing self-reported alcohol-related harms, in young people over a 33-month follow-up period. As there was low uptake of the parental component, it is uncertain whether or not the intervention effect was accounted for by the classroom component alone. %0 Journal Article %@ 1938-4114 %A Laslett, Anne-Marie %A Rankin, Georgia %A Waleewong, Orratai %A Callinan, Sarah %A Hoang, Hanh T M %A Florenzano, Ramon %A Hettige, Siri %A Obot, Isidore %A Siengsounthone, Latsamy %A Ibanga, Akanidomo %A Hope, Ann %A Landberg, Jonas %A Vu, Hanh T M %A Thamarangsi, Thaksaphon %A Rekve, Dag %A Room, Robin %D 2017 %F ndc:27620 %I n/a %J Journal of Studies on Alcohol and Drugs %N 2 %P 195-202 %T A multi-country study of harms to children because of others' drinking. %U http://www.drugsandalcohol.ie/27620/ %V 78 %X 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. %0 Generic %A Mentor ADEPSIS, %C London %D 2017 %F ndc:27553 %I Mentor ADEPSIS %T School-based alcohol and drug education and prevention – what works? %U http://www.drugsandalcohol.ie/27553/ %X This briefing paper intends to equip and guide those working in educational settings when considering which alcohol and drug education and prevention programme they should run. It outlines some approaches that evidence shows work and cautions on some that don’t. The briefing paper aims to enable educators to make a more informed decision when selecting an approach that will ensure maximum impact and ensure young people receive the most appropriate education and prevention programme that will enable them to build their resilience to risks. %0 Generic %A Pryce, Robert %A Buykx, Penny %A Gray, Laura %A Stone, Tony %A Drummond, Colin %A Brennan, Alan %C London %D 2017 %F ndc:27113 %I Public Health England %T 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. %U http://www.drugsandalcohol.ie/27113/ %X 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 %0 Generic %C London %D 2017 %F ndc:26927 %I Drug and Alcohol Findings %T Collaborative care proceedings help keep London families together. %U http://www.drugsandalcohol.ie/26927/ %V 27 February 2017 %X 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. %0 Report %A Burke, Lorraine %A Gavin, Aoife %B %C Galway %D 2017 %F ndc:26939 %I Health Promotion Research Centre, NUI Galway %T Short report HBSC Ireland 2014: young people’s drinking in the North Dublin area. %U http://www.drugsandalcohol.ie/26939/ %X The Health Behaviour in School-aged Children (HBSC) study is a cross-national research study conducted in collaboration with the World Health Organisation (WHO) Regional Office for Europe and runs on a four-year cycle. In 2014, Ireland participated for the fifth time in the HBSC study (www.nuigalway.ie/hbsc). The overall aims of the HBSC study are to gain new insight into, and increase our understanding of young people’s health and well-being, health behaviours and their social context. HBSC collects data on key indicators of health, health attitudes, and health behaviours, as well as the context of health for young people. The study is a school-based survey with information collected from students through self-completion questionnaires in classrooms. HBSC Ireland 2014 was funded by the Department of Health. The most recent HBSC Ireland study was conducted in 2014 and included 13,611 school children from 3rd class in primary school to 5th year in post-primary school. Overall, 42.2% boys and 57.8% girls participated. Collectively, 230 primary and post-primary schools across Ireland participated in this study. This short report provides a descriptive analysis of the HBSC 2014 survey data comparing school children aged 10-17 years from North County Dublin to the rest of the sample regarding family and peer support, happiness, exercise and physical activity, food and dietary behaviour, school participation, bullying, neighbourhood, risk behaviours (alcohol consumption, smoking, cannabis use)and sexual activity. %0 Report %9 Annual Report %A Children's Rights Alliance, %B %C Dublin %D 2017 %F ndc:26883 %I Children's Rights Alliance %T Children's Rights Alliance report card 2017. %U http://www.drugsandalcohol.ie/26883/ %X This is the ninth edition of our annual Report Card series, launched in 2009. Report Card 2017 is the first edition of the new series since the publication of 'A Programme for Partnership Government in May 2016 following the General Election. With the new Government comes a new set of commitments to be examined in the Report Card. The Government is awarded an overall 'D+' grade in Report Card 2017, reflecting a barely acceptable performance to date with little or no positive impact on children. However, it must be remembered that this Government has only been in power since May 2016. While the highest grade in Report Card 2017 is a 'B' for Subsidised and School-Age Childcare, the lowest grades have been awarded for Child and Family Homelessness and Traveller and Roma Children, both receiving an 'E'. The Children's Rights Alliance acknowledges the important groundwork that has been carried out in a number of areas but it is clear that much more must be done. We look forward to seeing greater progress over the coming year. The Report Card is a research tool aimed at improving the lives of all children in Ireland. We would like to thank our partners in helping to produce Report Card 2017 including Community Foundation of Ireland, the Katharine Howard Foundation, Pobal, The Department of Housing, Planning, Community and Local Government and the Irish Youth Foundation. Contents: Key Facts and Statistics 5 Introduction 6 1. Right to an Adequate Standard of Living 9 2. Rights in Early Childhood 27 3. Right to Education 47 4. Right to Equality 67 5. Rights in the Family Environment and Alternative Care 87 6. Right to Health 107 %0 Report %A Perry, Catherine %A Keane, Eimear %A Gavin, Aoife %A Nic Gabhainn, Saoirse %B %C Galway %D 2017 %F ndc:26940 %I Health Promotion Research Centre, NUI Galway %T HBSC Ireland 2014: alcohol and cannabis use in school-children in Ireland (updated). %U http://www.drugsandalcohol.ie/26940/ %X The Health Behaviour in School-aged Children (HBSC) study is a cross-national research study conducted in collaboration with the World Health Organisation (WHO) Regional Office for Europe and runs on a four-year cycle. In 2014, Ireland participated for the fifth time in the HBSC study (www.nuigalway.ie/hbsc). The overall aims of the HBSC study are to gain new insight into, and increase our understanding of young people’s health and well-being, health behaviours and their social context. HBSC collects data on key indicators of health, health attitudes, and health behaviours, as well as the context of health for young people. The study is a school-based survey with information collected from students through self-completion questionnaires in classrooms. HBSC Ireland 2014 was funded by the Department of Health. The most recent HBSC Ireland study was conducted in 2014 and included 13,611 school-children from 3rd class in primary school to 5th year in post-primary school. Collectively, 230 primary and post-primary schools across Ireland participated in this study. The methods employed comply with the International HBSC protocol and are detailed in the national report from the 2014 survey see http://www.nuigalway.ie/hbsc/hbsc_2014.html. This short report presents a brief analysis of alcohol and cannabis intake among Irish school-children, aged 13-17, across the country broken down by age and gender. Overall, data from 7,320 school-children aged 13-17 were analysed. %0 Generic %A The Virtual Expert Network on Alcohol Marketing, %C Glasgow %D 2017 %F ndc:26921 %I Alcohol Focus Scotland %T Promoting good health from childhood. Reducing the impact of alcohol marketing on children in Scotland. %U http://www.drugsandalcohol.ie/26921/ %X This report has been developed by a virtual expert group on alcohol marketing, established following discussions at the Global Alcohol Policy Conference held in Edinburgh in October 2015. The group was tasked by the then Minister for Public Health, Maureen Watt MSP, to consider the top policy options for a range of areas within advertising and sponsorship, taking into account how such policies might be implemented in Scotland. Executive Summary p.4 1. Introduction p.9 2. Promoting good health from childhood p.12 3. Nature, extent and reach of contemporary alcohol marketing p.15 4. The influence of alcohol marketing on children and young people p.20 5. Failure of self-regulation of alcohol marketing p.24 6. The way forward: Putting children first p.27 7. Recommendations p.32 • Appendix One: Membership of Virtual Network p.37 • Appendix Two: Support for action to protect children from alcohol marketing p.38 • Appendix Three: Examples of statutory restrictions on alcohol marketing in other European countries p.39 • References p.42 %0 Journal Article %A Dillon, Lucy %D 2017 %F ndc:26705 %I Health Research Board %J Drugnet Ireland %P 13 %T Young people’s views of substance use and parenting. %U http://www.drugsandalcohol.ie/26705/ %V Issue 60, Winter 2017 %0 Generic %A Downey, Marion %C Sydney %D 2017 %F ndc:26628 %I National Drug and Alcohol Research Centre %T Giving children alcohol doubles their chances of still drinking a year later, a UNSW study of teens and parents finds. %U http://www.drugsandalcohol.ie/26628/ %X Children and teens who are given alcohol by their parents are much more likely to be drinking full serves of alcohol by age 15 or 16, but less likely to binge drink, according to a UNSW study which followed nearly 2,000 children and their parents over four years from Year 7 onwards. Lead author of the study published in the British Journal Psychological Medicine, University of New South Wales Professor Richard Mattick, a Principal NHMRC Research Fellow at the National Drug and Alcohol Research Centre, said the study was prompted by widespread interest in the ‘European model’ of introducing children to alcohol, whereby children are offered sips of alcohol by their parents from a young age, a practise some people believe to be protective of later harmful drinking.................... %0 Generic %A Andell, Paul %A Pitts, John %C Suffolk %D 2017 %F ndc:27822 %I University of Suffolk %T Preventing the violent and sexual victimisation of vulnerable gang-involved and gang-affected children and young people in Ipswich. %U http://www.drugsandalcohol.ie/27822/ %X The response to gangs and county lines in Suffolk before 2017 p.4 The research brief and definitions p.8 The research methodology p.9 The emergence of gangs and gang violence in Ipswich p.10 Ends, gang conflict and social media p.14 Girls, young women and gangs in Ipswich p.15 The evolution of local drug markets p.17 Gangs and drug markets in Ipswich today p.19 Accommodating ‘looked after’ young people p.23 A view from the street p.24 Developing a strategy: p.30 Conclusions and way forward: p.54 References p.58 Appendix I: Drug treatment and arrest data p.62 Appendix II: Demand reduction for heroin p.67 Appendix III: Key features of gang desistance programmes p.68 Appendix IV: Network analysis p.70 %0 Generic %A Aynsley, Agnes %A Bradley, Rick %A Buchanan, Linssay %A Burrows, Naomi %A Bush, Marc %A Addaction, %A Youngminds, %C London %D 2017 %F ndc:27500 %I Addaction %T Childhood adversity, substance misuse and young people’s mental health. %U http://www.drugsandalcohol.ie/27500/ %X 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 %0 Journal Article %@ ISSN 1465-9891 print/ISSN 1475-9942 online %A Comiskey, Catherine %A Milnes, Jennie %A Daly, Maeve %D 2017 %F ndc:25731 %I Informa healthcare %J Journal of Substance Use %N 2 %P 206-210 %T Parents who use drugs: the well-being of parent and child dyads among people receiving harm reduction interventions for opiate use. %U http://www.drugsandalcohol.ie/25731/ %V 22 %0 Generic %A Faber, Timor %A Kumar, Arun %A Mackenbach, Johan P %A Millett, Christopher %A Basu, Sanjay %A Sheikh, Aziz %A Been, Jasper V %D 2017 %F ndc:27830 %I Elsevier %N 9 %T Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis. %U http://www.drugsandalcohol.ie/27830/ %V 2 %0 Generic %A Mentor, %C Edinburgh %D 2017 %F ndc:26780 %I Mentor %T Kinship care: children cared for by family and friends. %U http://www.drugsandalcohol.ie/26780/ %X 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. %0 Report %9 Annual Report %A O'Farrell, IB %A Manning, E %A Corcoran, P %A McKernan, J %A Meaney, S %A Drummond, L %A de Foubert, P %A Greene, RA %B %C Cork %D 2017 %F ndc:27576 %I National Perinatal Epidemiology Centre %T Perinatal mortality in Ireland. Annual report 2015. %U http://www.drugsandalcohol.ie/27576/ %X ‌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 %0 Report %9 Annual Report %A Irish Youth Justice Service, %B %C Dublin %D 2016 %F ndc:26531 %I Department of Justice and Equality %T Tackling youth crime. Youth justice action plan 2014-2018: progress report 2014/2015. %U http://www.drugsandalcohol.ie/26531/ %0 Generic %A Local Government Association, %C London %D 2016 %F ndc:26532 %I Local Government Association %T Healthy futures: supporting and promoting the health needs of looked after children. %U http://www.drugsandalcohol.ie/26532/ %X 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. %0 Journal Article %@ 1471-244X %A Bennardi, Marco %A McMahon, Elaine %A Corcoran, Paul %A Griffin, Eve %A Arensman, Ella %D 2016 %F ndc:27940 %I BioMed Central %J BMC Psychiatry %N 1 %P 421 %T Risk of repeated self-harm and associated factors in children, adolescents and young adults. %U http://www.drugsandalcohol.ie/27940/ %V 16 %X BACKGROUND Repeated self-harm represents the single strongest risk factor for suicide. To date no study with full national coverage has examined the pattern of hospital repeated presentations due to self-harm among young people. METHODS Data on consecutive self-harm presentations were obtained from the National Self-Harm Registry Ireland. Socio-demographic and behavioural characteristics of individuals aged 10-29 years who presented with self-harm to emergency departments in Ireland (2007-2014) were analysed. Risk of long-term repetition was assessed using survival analysis and time differences between the order of presentations using generalised estimating equation analysis. RESULTS The total sample comprised 28,700 individuals involving 42,642 presentations. Intentional drug overdose was the most prevalent method (57.9%). Repetition of self-harm occurred in 19.2% of individuals during the first year following a first presentation, of whom the majority (62.7%) engaged in one repeated act. Overall, the risk of repeated self-harm was similar between males and females. However, in the 20-24-year-old age group males were at higher risk than females. Those who used self-cutting were at higher risk for repetition than those who used intentional drug overdose, particularly among females. Age was associated with repetition only among females, in particular adolescents (15-19 years old) were at higher risk than young emerging adults (20-24 years old). Repeated self-harm risk increased significantly with the number of previous self-harm episodes. Time differences between first self-harm presentations were detected. Time between second and third presentation increased compared to time between first and second presentation among low frequency repeaters (patients with 3 presentations only within 1 year following a first presentation). The same time period decreased among high frequency repeaters (patients with at least 4 to more than 30 presentations). CONCLUSION Young people with the highest risk for repeated self-harm were 15-19-year-old females and 20-24-year-old males. Self-cutting was the method associated with the highest risk of self-harm repetition. Time between first self-harm presentations represents an indicator of subsequent repetition. To prevent risk of repeated self-harm in young people, all individuals presenting at emergency departments due to self-harm should be provided with a risk assessment including psychosocial characteristics, history of self-harm and time between first presentations. %0 Generic %A Meng, Xiangfei %A D'Arcy, Carl %D 2016 %F ndc:27622 %I BioMed Central %N 1 %P 401 %T Gender moderates the relationship between childhood abuse and internalizing and substance use disorders later in life: a cross-sectional analysis. %U http://www.drugsandalcohol.ie/27622/ %V 16 %X 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. %0 Report %A Economic and Social Research Institute, Trinity College Dublin, %B %C Dublin %D 2016 %F ndc:26344 %I Economic and Social Research Institute %T Growing up in Ireland. Key findings: child cohort at 17/18 years. No. 4: risky health behaviours and sexual activity. %U http://www.drugsandalcohol.ie/26344/ %0 Journal Article %A Grehan, Martin %D 2016 %F ndc:26235 %I Health Research Board %J Drugnet Ireland %P 14-15 %T Factors influencing reunification between NDTC service users and their children in care. %U http://www.drugsandalcohol.ie/26235/ %V Issue 59, Autumn 2016 %0 Generic %A McBride, Nyanda %A Johnson, Sophia %C Sydney %D 2016 %F ndc:26332 %I NDARC, NDRI, NCETA %N October 2016 %T Fathers and alcohol. Implications for preconception, pregnancy, infant and childhood health outcomes. %U http://www.drugsandalcohol.ie/26332/ %X 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. %0 Generic %A Mentor ADEPSIS, %C London %D 2016 %F ndc:26314 %I Mentor %T Preventing children and young people’s mental health and substance use problems. %U http://www.drugsandalcohol.ie/26314/ %X This briefing paper is part of a series produced by Mentor ADEPIS on alcohol and drug education and prevention, for teachers and practitioners. It intends to provide teachers, educators and the wider school workforce with practical guidelines on how to prevent children and young people from developing mental health problems as a result of alcohol and drug misuse. %0 Report %9 Annual Report %A Tusla Child and Family Agency, %B %C Dublin %D 2016 %F ndc:26330 %I Tusla %T Tusla annual report 2015. %U http://www.drugsandalcohol.ie/26330/ %X The Child and Family Agency is now two years in operation after it was first established on 1 January 2014 as the dedicated State agency responsible for improving wellbeing and outcomes for children. The Agency was set up through merging Children and Family Services of the Health Service Executive (HSE), the National Educational Welfare Board and the Family Support Agency. Tusla’s remit includes a range of broad-based and targeted services, as follows: • Child Protection and Welfare Services, including Family Support Services; • Family Resource Centres and associated national programmes; • Early Years services regulation and inspection; • Educational welfare responsibilities, including statutory Education Welfare Services, the School Completion Programme and the Home School Community Liaison Scheme; • Alternative Care Services, including foster care, residential care, special care and aftercare; • Registration and inspection of non-statutory children’s residential centres; • Domestic, sexual and gender-based violence services; • Services related to the psychological welfare of children; • Assessment, consultation, therapy and treatment services (ACTS); • Adoption services, including information and tracing. %0 Report %A Economic and Social Research Institute, %B %C Dublin %D 2016 %E Williams, James %E Nixon, Elizabeth %E Smyth, Emer %E Watson, Dorothy %F ndc:26255 %I Oak Tree Press %T Cherishing all the children equally? Ireland 100 years on from the Easter Rising. %U http://www.drugsandalcohol.ie/26255/ %X Cherishing all the children equally? brings together contributions from a range of disciplines to shed light on the processes of child development and to investigate how that development is influenced by a variety of demographic, family and socio-economic factors. Making extensive use of research and data that have emerged over recent years from the Growing Up in Ireland longitudinal study of children, the book considers whether or not all children can participate fully and equitably in contemporary Irish society. It asks whether or not we do, in fact, cherish all our children equally in modern Ireland, regardless of their family circumstances, health or ethnic background. Tables of contents: 1. Introduction 2. Changing perceptions and experiences of childhood, 1916-2016 3. Children and families, then & now 4. Is family structure a source of inequality in children’s lives? 5. Parental investment & child development 6. Inequalities in access to early care and education in Ireland 7. Inequalities from the start? children’s integration into primary school 8. Insights into the prevalence of special educational needs 9. The experiences of migrant children in Ireland 10. Social variation in child health & development: a life-course approach 11. Child access to GP services in Ireland: do user fees matter? 12. Anti-social behaviour at age 13 13. Child economic vulnerability dynamics in the recession 14. Concluding observations %0 Journal Article %@ 1532-2491 %A Comiskey, Catherine M %A Hyland, John %A Hyland, Pauline %D 2016 %F ndc:25951 %I Taylor & Francis %J Substance Use & Misuse %N 12 %P 1600-1609 %T Parenthood, child care, and heroin use: outcomes after three years. %U http://www.drugsandalcohol.ie/25951/ %V 51 %X 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. %0 Report %9 Annual Report %A National Review Panel, %B %C Dublin %D 2016 %F ndc:25992 %I Tusla %T Composite review report on the deaths of five young people who were known to child protection services. %U http://www.drugsandalcohol.ie/25992/ %0 Generic %A Barlow, Jane %A Bergman, Hanna %A Horkor, Hege %A Wei, Yinghui %A Bennett, Cathy %C London %D 2016 %F ndc:25924 %I John Wiley & Sons, Ltd %N 8 %T Group-based parent training programmes for improving emotional and behavioural adjustment in young children. %U http://www.drugsandalcohol.ie/25924/ %0 Report %9 Annual Report %A Irish Society for the Prevention of Cruelty to Children, %B %C Dublin %D 2016 %F ndc:25850 %I Irish Society for the Prevention of Cruelty to Children %T Helping children to be children. Annual report and accounts 2015. %U http://www.drugsandalcohol.ie/25850/ %X The ISPCC’s Childhood Support Service experienced a huge demand and worked with 439 children throughout 2015. One of the primary reasons for referral to the service was issues arising for children as a result of parental separation, with the processes surrounding this emerging as a source of anxiety for children. The system of mediation, the courts process and legal process and the lack of the voice of the child in this system were all issues which came through in the service’s one to-one work with children. ISPCC Chief Executive Grainia Long stated: “As the national child protection charity, we monitor carefully the issues that arise for children accessing our support services. Among many other issues affecting children accessing our services – including early sexualisation, drugs and alcohol, bullying and cyber safety – a growing concern for our childhood support workers is the impact on children of issues arising from parental separation. While relationship breakdown is difficult on everyone, there are ways in which changes to the legal system could reduce the impact on children. “The family courts system, custody and access processes and even mediation process are not child-centered, the voice of the child is often not heard in these situations and children’s emotional well-being can be affected. There is no early stage intervention, and so referrals often occur late in the process when cases are at extreme stages. There is a clear need to address the deficiencies in process, in the support systems available and in the courts systems that do not enable the voice of the child to be heard in these situations.” %0 Report %A Doyle, Orla %A Early Childhood Research Team, UCD Geary Institute, %B %C Dublin %D 2016 %F ndc:25708 %I Preparing for Life %T Promoting school readiness and improving child health: learning from the evaluation of the preparing for life home visiting programme. %U http://www.drugsandalcohol.ie/25708/ %X This briefing document outlines the findings from two studies which form part of the independent evaluation of the Preparing for Life home visiting programme. It also highlights how the programme addresses key health and education issues facing policy makers today. The first study is the Children’s Profile at School Entry (CPSE) study which measured the school readiness of children entering primary school in the Preparing for Life (PFL) catchment area since 2008. This study enables a comparison of the school readiness skills of the children in the high and low treatment groups who took part in the PFL programme, as well as comparing these children to the general population in the catchment area. The second study is the Children’s Health study which was carried out in conjunction with Temple Street Children’s University Hospital. This study gathered extensive hospital utilisation and health related data on the children taking part in the PFL home visiting programme. %0 Report %B %C Denmark %D 2016 %E Inchley, Jo %E Currie, Dorothy %E Young, Taryn %E Samdal, Oddrun %E Torsheim, Torbjørn %E Augustson, Lise %E Mathison, Frida %E Aleman-Diaz, Aixa %E Molcho, Michal %E Weber, Martin %E Barnekow, Vivian %F ndc:25512 %I World Health Organization Regional Office for Europe %T Health behaviour in school-aged children (HBSC) study: international report from the 2013/2014 survey. %U http://www.drugsandalcohol.ie/25512/ %0 Journal Article %@ 1369-1600 %A Kühn, Simone %A Witt, Charlotte %A Banaschewski, Tobias %A Barbot, Alexis %A Barker, Gareth J %A Büchel, Christian %A Conrod, Patricia J %A Flor, Herta %A Garavan, Hugh %A Ittermann, Bernd %A Mann, Karl %A Martinot, Jean-Luc %A Paus, Tomas %A Rietschel, Marcella %A Smolka, Michael N %A Ströhle, Andreas %A Brühl, Rüdiger %A Schumann, Gunter %A Heinz, Andreas %A Gallinat, Jürgen %D 2016 %F ndc:26676 %I Wiley %J Addiction Biology %N 3 %P 700-8 %T From mother to child: orbitofrontal cortex gyrification and changes of drinking behaviour during adolescence. %U http://www.drugsandalcohol.ie/26676/ %V 21 %X 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. %0 Generic %A Gunn, JKL %A Rosales, CB %A Center, KE %A Nunez, A %A Gibson, SJ %A Christ, C %A Ehiri, JE %D 2016 %F ndc:25440 %I BMJ Publishing %N e009986 %T Prenatal exposure to cannabis and maternal and child health outcomes: a systematic review and meta-analysis. %U http://www.drugsandalcohol.ie/25440/ %V 6 %0 Generic %A UNICEF Office of Research, %C Florencd %D 2016 %F ndc:25392 %I UNICEF Office of Research – Innocenti %T Fairness for children: a league table of inequality in child well-being in rich countries, Innocenti report card 13. %U http://www.drugsandalcohol.ie/25392/ %X This Report Card presents an overview of inequalities in child well-being in 41 countries of the European Union (EU) and the Organisation for Economic Co-operation and Development (OECD). It focuses on ‘bottom-end inequality’ – the gap between children at the bottom and those in the middle – and addresses the question ‘how far behind are children being allowed to fall?’ in income, education, health and life satisfaction. Across the OECD, he risks of poverty have been shifting from the elderly towards youth since the 1980s. These developments accentuate the need to monitor the well-being of the most disadvantaged children, but income inequality also has far-reaching consequences for society, harming educational attainment, key health outcomes and even economic growth. A concern with fairness and social justice requires us to consider whether some members of society are being left so far behind that it unfairly affects their lives both now and in the future. This Report Card asks the same underlying question as Report Card 9, which focused on inequality in child well-being, but uses the most recent data available and includes more countries. %0 Generic %A Kelly, Yvonne %A Goisis, Alice %A Sacker, Amanda %A Cable, Noriko %A Watt, Richard G %A Britton, Annie %D 2016 %F ndc:27676 %I BioMed Central %N 169 %P 169 %T What influences 11-year-olds to drink? Findings from the Millennium Cohort Study. %U http://www.drugsandalcohol.ie/27676/ %V 16 %X BACKGROUND: Drinking in youth is linked to other risky behaviours, educational failure and premature death. Prior research has examined drinking in mid and late teenagers, but little is known about the factors that influence drinking at the beginning of adolescence. Objectives were: 1. to assess associations of parental and friends' drinking with reported drinking among 11 year olds; 2. to investigate the roles of perceptions of harm, expectancies towards alcohol, parental supervision and family relationships on reported drinking among 11 year olds. METHODS: Analysis of data from the UK Millennium Cohort Study on 10498 11-year-olds. The outcome measure was having drank an alcoholic drink, self-reported by cohort members. RESULTS: 13.6 % of 11 year olds reported having drank. Estimates reported are odds ratios and 95 % confidence intervals. Cohort members whose mothers drank were more likely to drink (light/moderate = 1.6, 1.3 to 2.0, heavy/binge = 1.8, 1.4 to 2.3). Cohort members whose fathers drank were also more likely to drink but these estimates lost statistical significance when covariates were adjusted for (light/moderate = 1.3, 0.9 to 1.9, heavy/binge = 1.3, 0.9 to 1.9). Having friends who drank was strongly associated with cohort member drinking (4.8, 3.9 to 5.9). Associated with reduced odds of cohort member drinking were: heightened perception of harm from 1-2 drinks daily (some = 0.9, 0.7 to 1.1, great = 0.6, 0.5 to 0.7); and negative expectancies towards alcohol (0.5, 0.4 to 0.7). Associated with increased odds of cohort member drinking were: positive expectancies towards alcohol (1.9, 1.4 to 2.5); not being supervised on weekends and weekdays (often = 1.2, 1.0 to 1.4); frequent battles of will (1.3, 1.1 to 1.5); and not being happy with family (1.2, 1.0 to 1.5). CONCLUSIONS: Examining drinking at this point in the lifecourse has potentially important public health implications as around one in seven 11 year olds have drank, although the vast majority are yet to explore alcohol. Findings support interventions working at multiple levels that incorporate family and peer factors to help shape choices around risky behaviours including drinking. %0 Report %9 Annual Report %A Children's Rights Alliance, %B %C Dublin %D 2016 %F ndc:25297 %I Children's Rights Alliance %T Children's Rights Alliance report card 2016. %U http://www.drugsandalcohol.ie/25297/ %X The Children's Rights Alliance Annual Report Card, now in its eighth edition, scrutinises the Government on its key commitments to children in the Programme for Government. For the fourth year in a row, the Government is awarded an overall ‘C’ Grade, as assessed and graded by our independent panel of experts, and reflecting a number of positive developments. However, there are also a number of key areas within which the government has continued to fail the most marginalised groups and these need to be urgently addressed. One ‘A’ grade appears in Report Card 2016, namely the section on ‘Inequalities in Family Life’. This is as a result of much-needed, comprehensive family law reform during 2015. The Chapter on Education fared well: ‘School Buildings’ received an ‘A-’ and ‘Child Literacy’ gained a ‘B+’. The Right to Protection from Abuse and Neglect also did well receiving an overall ‘B’ grade. These were all dragged down by poor grades for ‘Child Poverty’ awarded an ‘E-’ grade and ‘Child and Youth Homelessness’ which dropped to an ‘F’. The situation for ‘Traveller and Roma Children’ and ‘Migrant Children’ only slightly improved, receiving an ‘E-’ and a ‘D-’ respectively. P.63 Alcohol, Smoking and Drugs ‘Alcohol, Smoking and Drugs’ gets a ‘B’ grade in Report Card 2016, an increase from the ‘C-’ awarded in Report Card 2015. 2015 saw the long awaited publication of the Public Health Alcohol Bill 2015, the successful passage of the Public Health (Standardised Packaging of Tobacco) Act 2015 and a commitment to develop a new Drugs Strategy in 2016. %0 Generic %A WHO Regional Office for Europe, %C Copenhagan %D 2016 %F ndc:25306 %I WHO Regional Office for Europe %T Growing up unequal: gender and socioeconomic differences in young people's health and well-being. %U http://www.drugsandalcohol.ie/25306/ %X The report releases data from 42 countries on a range of new topics, such as peer relationships and family support, the school environment, migration, cyber-bullying and serious injury, with the more traditional data on alcohol and tobacco consumption, mental health and nutrition-related behaviour. The report provides data on gender differences and behaviour change in the 11–15-year age group, years that mark a period of increased autonomy that can influence how health and health-related behaviour develops and continues into adulthood. The report highlights socioeconomic differences and variations between countries and regions. It identifies opportunities for policy interventions, as the findings underline the importance of the wider social context and the effect it can have on young people's health. %0 Journal Article %A Grehan, Martin %D 2016 %F ndc:25146 %I Health Research Board %J Drugnet Ireland %P 17-18 %T Grandparents caring full-time for grandchildren owing to parental drug use. %U http://www.drugsandalcohol.ie/25146/ %V Issue 56, Winter 2016 %0 Report %9 Government Publication %A Ireland. Department of Health, %B %C Dublin %D 2016 %F ndc:25218 %I Department of Health %T Creating a better future together. National Maternity Strategy 2016-2026. %U http://www.drugsandalcohol.ie/25218/ %0 Journal Article %A Mongan, Deirdre %D 2016 %F ndc:25144 %I Health Research Board %J Drugnet Ireland %P 14-16 %T Health behaviour in school-aged children, 2014. %U http://www.drugsandalcohol.ie/25144/ %V Issue 56, Winter 2016 %0 Report %A Coombe Women and Infants University Hospital, %B %C Dublin %D 2016 %F ndc:26734 %I Coombe Women and Infants University Hospital %T Coombe Women and Infants University Hospital annual clinical report 2014. %U http://www.drugsandalcohol.ie/26734/ %0 Report %9 Annual Report %A Corcoran, P %A Manning, E %A O'Farrell, IB %A McKernan, J %A Meaney, S %A Drummond, L %A de Foubert, P %A Greene, RA %B %C Cork %D 2016 %F ndc:27575 %I National Perinatal Epidemiology Centre %T Perinatal mortality in Ireland. Annual report 2014. %U http://www.drugsandalcohol.ie/27575/ %X ‌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 %0 Journal Article %@ 1932-6203 %A MacDonald, Kai %A Thomas, Michael L %A Sciolla, Andres F %A Schneider, Beacher %A Pappas, Katherine %A Bleijenberg, Gijs %A Bohus, Martin %A Bekh, Bradley %A Carpenter, Linda %A Carr, Alan %A Dannlowski, Udo %A Dorahy, Martin %A Fahlke, Claudia %A Finzi-Dottan, Ricky %A Karu, Tobi %A Gerdner, Arne %A Glaesmer, Heide %A Grabe, Hans Jörgen %A Heins, Marianne %A Kenny, Dianna T %A Kim, Daeho %A Knoop, Hans %A Lobbestael, Jill %A Lochner, Christine %A Lauritzen, Grethe %A Ravndal, Edle %A Riggs, Shelley %A Sar, Vedat %A Schäfer, Ingo %A Schlosser, Nicole %A Schwandt, Melanie L %A Stein, Murray B %A Subic-Wrana, Claudia %A Vogel, Mark %A Wingenfeld, Katja %D 2016 %F ndc:25865 %I PLOS %J PloS one %N 1 %P e0146058 %T Minimization of childhood maltreatment is common and consequential: results from a large, multinational sample using the childhood trauma questionnaire. %U http://www.drugsandalcohol.ie/25865/ %V 11 %X 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. %0 Journal Article %@ 1360-0443 %A McCann, Mark %A Perra, Oliver %A McLaughlin, Aisling %A McCartan, Claire %A Higgins, Kathryn %D 2016 %F ndc:25206 %I Wiley-Blackwell %J Addiction %N 5 %P 843-853 %T Assessing elements of a family approach to reduce adolescent drinking frequency: parent-adolescent relationship, knowledge management, and keeping secrets. %U http://www.drugsandalcohol.ie/25206/ %V 111 %X AIMS: To estimate 1) the associations between parent-adolescent relationship, parental knowledge and subsequent adolescent drinking frequency and 2) the influence of alcohol use on parental knowledge. DESIGN: Path analysis of school based cohort study with annual surveys SETTING: Post primary schools from urban and intermediate/rural areas in Northern Ireland PARTICIPANTS: 4,937 post primary school students aged around 11 years in 2000 followed until around age 16 in 2005. MEASUREMENTS: Pupil reported measures of: frequency of alcohol use; parental-child relationship quality; sub-dimensions of parental monitoring: parental control, parental solicitation, child disclosure and child secrecy. FINDINGS: Higher levels of parental control (Ordinal logistic OR 0.86 95% CI 0.78, 0.95) and lower levels of child secrecy (OR 0.83 95% CI 0.75 0.92) were associated with less frequent alcohol use subsequently. Parental solicitation and parent-child relationship quality were not associated with drinking frequency. Weekly alcohol drinking was associated with higher subsequent secrecy (Beta -0.42 95% CI -0.53, -0.32) and lower parental control (Beta -0.15 95% CI -0.26, -0.04). Secrecy was more strongly predictive of alcohol use at younger compared with older ages (P=0.02), and alcohol use was less strongly associated with parental control among families with poorer relationships (P=0.04). CONCLUSIONS: Adolescent alcohol use appears to increase as parental control decreases and child secrecy increases. Greater parental control is associated with less frequent adolescent drinking subsequently, while parent-child attachment and parental solicitation have little influence on alcohol use. %0 Journal Article %@ 1532-2491 %A McLaughlin, Aisling %A Campbell, Anne %A McColgan, Mary %D 2016 %F ndc:26088 %I Informa healthcare %J Substance Use & Misuse %N 14 %P 1846-1855 %T 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. %U http://www.drugsandalcohol.ie/26088/ %V 51 %X BACKGROUND Adolescent substance use can place youth at risk of a range of poor outcomes. Few studies have attempted to explore in-depth young people's perceptions of how familial processes and dynamics influence adolescent substance use. OBJECTIVES This article aimed to explore risk and protective factors for youth substance use within the context of the family with a view to informing family based interventions. METHODS Nine focus groups supplemented with participatory techniques were facilitated with a purposive sample of sixty-two young people (age 13-17 years) from post-primary schools across Northern Ireland. The data were transcribed verbatim and analyzed using thematic analysis. RESULTS Three themes emerged from the data: (1) parent-child attachments, (2) parenting style, and (3) parental and sibling substance misuse. Parent-child attachment was identified as an important factor in protecting adolescents from substance use in addition to effective parenting particularly an authoritative style supplemented with parental monitoring and strong parent-child communication to encourage child disclosure. Family substance use was considered to impact on children's substance use if exposed at an early age and the harms associated with parental substance misuse were discussed in detail. Both parent and child gender differences were cross-cutting themes. CONCLUSION Parenting programmes (tailored to mothers and fathers) may benefit young people via components on authoritative styles, parental monitoring, communication, nurturing attachments and parent-child conflict. Youth living with more complex issues, e.g., parental substance misuse, may benefit from programmes delivered beyond the family environment, e.g., school based settings. %0 Report %A Western Region Drug and Alcohol Task Force, %B %C Galway %D 2016 %E Murray, Mary %F ndc:26466 %I Western Region Drug and Alcohol Task Force %T Family support handbook. Information for families affected by someone’s drug and alcohol use. %U http://www.drugsandalcohol.ie/26466/ %X 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 %0 Report %A Gavin, Aoife %A Keane, Eimear %A Callaghan, Mary %A Molcho, Michal %A Kelly, Colette %A Nic Gabhainn, Saoirse %B %C Dublin %D 2015 %F ndc:24909 %I Department of Health and National University of Ireland, Galway %T The Irish Health Behaviour in School-aged Children (HBSC) study 2014. %U http://www.drugsandalcohol.ie/24909/ %X The Health Behaviours in School Children (HBSC) survey 2014 shows that overall health levels are good. There are encouraging findings on consumption of fruit and vegetables, teeth cleaning, and a drop in smoking levels and consumption of sweets and soft drinks. However, many children said they find it easy to get cigarettes, too many children are going to bed hungry, and there are concerns about levels of cyber bullying. A total of 13,611 pupils were surveyed with questions on topics like general health, food and dietary behaviour, exercise and physical activity, self-care, smoking, use of alcohol and other substances, bullying including cyber bullying, and sexual health behaviours. Some of the key findings in the main survey include: • Reported levels of fruit and vegetable consumption have increased. • Consumption of sweets and soft drinks has decreased from 2010. • Reported levels of physical activity remained stable between 2010 and 2014. • The overall proportion of children who reported being in a physical fight has decreased from 2010. More girls and older children report being victims of cyber bullying. • There was an overall decrease in reported levels of smoking and drunkenness and an increase in levels of never drinking between 2010 and 2014. Many children reported that it is easy to buy cigarettes or get someone else to buy cigarettes for them in most shops in the area where they live and go to school. • There are still worrying levels of children going to bed hungry and skipping breakfast being reported. • More girls, older children and children from higher social classes reported brushing their teeth daily or more frequently. • 20% of children do not wear seat belts. • The percentage of 15-17 year olds who report that they have ever had sex has increased from 23% in 2010 to 27% in 2014. One key finding Substance Use: This covers tobacco, alcohol and cannabis use. There was an overall decrease in reported levels of smoking and drunkenness and an increase in levels of never drinking between 2010 and 2014. Smoking, alcohol use and cannabis use were more commonly reported among boys and older children. Exposure to second hand smoke was common at home and in the family car. Many children reported that it is easy to buy cigarettes (33% of boys, 26% of girls) or get someone else to buy cigarettes for them in most shops in the area where they live and go to school (58% of boys, 59% of girls). %0 Report %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2015 %F ndc:24943 %I Government Publications %T State of the nation's children report: Ireland 2014. %U http://www.drugsandalcohol.ie/24943/ %0 Generic %A ADFAM, %C London %D 2015 %F ndc:24850 %I Adfam %T Medications in drug treatment: tackling the risks to children - one year on. %U http://www.drugsandalcohol.ie/24850/ %X 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. %0 Report %9 Annual Report %A Tusla Child and Family Agency, %B %C Dublin %D 2015 %F ndc:24898 %I Tusla %T Assessment, consultation and therapy service annual report 2014 and service plan 2015. %U http://www.drugsandalcohol.ie/24898/ %X 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. %0 Generic %A Williams, Janet F %A Smith, Vincent C %D 2015 %F ndc:26067 %I American Academy of Pediatrics %N 5 %T Fetal Alcohol Spectrum Disorders. Clinical report: Guidance for the clinician in rendering pediatric care. %U http://www.drugsandalcohol.ie/26067/ %V 136 %X 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. %0 Report %9 Government Publication %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2015 %F ndc:24612 %I Government Publications %T National strategy on children and young people’s participation in decision-making, 2015 – 2020. %U http://www.drugsandalcohol.ie/24612/ %X The goal of this first National Strategy on Children and Young People’s Participation in Decision-making is to ensure that children and young people will have a voice in their individual and collective everyday lives across the five national outcome areas. The strategy is primarily aimed at children and young people under the age of 18, but also embraces the voice of young people in the transition to adulthood up to the age of 24. The strategy is guided and influenced by the United Nations Convention on the Rights of the Child (UNCRC) and the EU Charter of Fundamental Rights. The strategy focuses on the everyday lives of children and young people and the places and spaces in which they are entitled to have a voice in decisions that affect their lives. Accordingly, the strategy identifies the following objectives and priority areas for action: 1. Children and young people will have a voice in decisions made in their local communities. 2. Children and young people will have a voice in decision-making in early education, schools and the wider formal and non-formal education systems. 3. Children and young people will have a voice in decisions that affect their health and well-being, including on the health and social services delivered to them. 4. Children and young people will have a voice in the Courts and legal system. The strategy contains a series of additional objectives, which include: 5. Promoting effective leadership to champion and promote participation of children and young people. 6. Development of education and training for professionals working with and on behalf of children and young people. 7. Mainstreaming the participation of children and young people in the development of policy, legislation and research. Underlying all objectives in this strategy are the following key fundamentals: • recognition that children and young people have a right to participate in decisions that affect their lives; • ensuring the protection and welfare of children and young people in accordance with Children First: National Guidance for the Protection and Welfare of Children4; • improving and establishing mechanisms to ensure the participation of seldom-heard and vulnerable children and young people in decision-making; • collection of data, monitoring and evaluation of children and young people’s participation initiatives. %0 Report %9 Government Publication %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2015 %F ndc:24606 %I Government Publications %T National youth strategy 2015-2020. %U http://www.drugsandalcohol.ie/24606/ %X The aim of the National Youth Strategy is to enable all young people to realise their maximum potential, by respecting their rights and hearing their voices, while protecting and supporting them as they transition from childhood to adulthood. Principles The following principles are central to the National Youth Strategy and its implementation: Young people and those who support them: 1. Young people are valued in their own right, and recognised as integral to society. 2. Young people are acknowledged as key drivers in achieving their cognitive, emotional, social, economic and cultural development. 3. Parents, families, other significant adults and communities are recognised as playing a critical role in the development and progression of young people. Professionals and volunteers working with young people: 4. Professionals and volunteers who work with young people are respected, valued and appropriately supported in their work. 5. Those providing services for young people act in the best interests of young people, and respect and uphold young people’s rights. Policies and practices: 6. An equality perspective is integrated into all policy and practice. Service development and delivery: 7 Government and other stakeholders work collaboratively, with vertical and horizontal communication and cooperation, to achieve more effective services and supports for young people. 8. Services for young people are open, accessible, resourced and provide additional support in response to particular needs. 9. Services for young people are quality assured, outcomes focused and informed by evidence. %0 Journal Article %@ 0332-4683 %A McGivern, Aidan %A McDonnell, Chloe %D 2015 %F ndc:24712 %I Irish Association of Social Workers %J The Irish Social Worker %P 17-23 %T Vulnerable families and drug use: examining care admissions of children of parents attending an Irish drug treatment facility. %U http://www.drugsandalcohol.ie/24712/ %V Spring %X 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. %0 Generic %A McEvoy, Olivia %C Dublin %D 2015 %F ndc:24470 %I Government Publications %T A practical guide to including seldom-heard children and young people in decision making. %U http://www.drugsandalcohol.ie/24470/ %0 Generic %A United Nations Office on Drugs and Crime, %C Vienna %D 2015 %F ndc:19481 %I United Nations Office on Drugs and Crime %T International standards on drug use prevention. %U http://www.drugsandalcohol.ie/19481/ %X Prevention strategies based on scientific evidence working with families, schools, and communities can ensure that children and youth, especially the most marginalized and poor, grow and stay healthy and safe into adulthood and old age. For every dollar spent on prevention, at least ten can be saved in future health, social and crime costs. These global International Standards summarize the currently available scientific evidence, describing interventions and policies that have been found to result in positive prevention outcomes and their characteristics. Concurrently, the global International Standards identify the major components and features of an effective national drug prevention system. It is our hope that the International Standards will assist policy makers worldwide to develop programmes, policies and systems that are a truly effective investment in the future of children, youth, families and communities. This work builds on and recognizes the work of many other organizations (e.g. EMCDDA, CCSA, CICAD, Mentor, NIDA, WHO) which have previously developed standards and guidelines on various aspects of drug prevention. [For appendices, click on website link above] %Z Minor editorial amendments have been made to this publication, however the content remains the same as the earlier version, first published in 2013. %0 Report %A Health Service Executive, %B %C Dublin %D 2015 %F ndc:24172 %I Health Service Executive %T Child and adolescent mental health services standard operating procedure. %U http://www.drugsandalcohol.ie/24172/ %0 Generic %A Mentor International, %C London %D 2015 %F ndc:24107 %I Mentor %T Drug prevention for parents. %U http://www.drugsandalcohol.ie/24107/ %X This guide is divided into three sections to provide parents with tips to raise happy and healthy kids in their home, the school and the community: 1) HOME: Helping you to teach your children to develop good behaviours and social skills to promote a healthy lifestyle and reduce the likelihood of them abusing substances. Focusing in particular on: • Building your child’s resilience • Establishing good communication • Monitoring your child’s behaviour • Healthy relationships • Knowing the facts on alcohol and other drugs 2) Helping you ensure your child is connected to SCHOOL 3) Helping you ensure your child is connected to your COMMUNITY %0 Report %9 Other %A O'Dwyer, Patricia %A Cahalane, Sheila %A Pelican-Kelly, Susanne %B %C Cork %D 2015 %F ndc:24247 %I Child and Family Agency South Lee Cork %T Evaluation of the contribution of the child protection public health nurse to inter-professional working in child protection. An integrated health and social care model of child protection. %U http://www.drugsandalcohol.ie/24247/ %0 Report %9 Other %A Child Care Law Reporting Project, %B %C Dublin %D 2015 %F ndc:23681 %I Child Care Law Reporting Project %T Child Care Law Reporting Project: case histories 2015 volume 1. %U http://www.drugsandalcohol.ie/23681/ %X 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. %0 Report %9 Annual Report %A Coombe Women and Infants University Hospital, %B %C Dublin %D 2015 %F ndc:23761 %I Coombe Women and Infants University Hospital %T Coombe Women and Infants University Hospital annual clinical report 2013. %U http://www.drugsandalcohol.ie/23761/ %X 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 %0 Report %9 Other %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2015 %F ndc:23762 %I Department of Children and Youth Affairs %T High-policy statement on supporting parents and families. %U http://www.drugsandalcohol.ie/23762/ %X The High-Level Policy Statement on Supporting Parents and Families aims to drive greater connectivity, effectiveness and efficiency between services to children and their families that are provided directly by the State or with its support. The Department has been assisted in developing the Policy Statement by the UNESCO Child and Family Research Centre of NUI Galway. Publication of the Statement was among the commitments contained in Better Outcomes, Brighter Futures: the National Policy Framework for Children & Young People 2014-2020. The Statement draws on available research evidence and sets out high-level policy messages concerning the following: • the crucial importance of parental and family relationships to child development outcomes; • the adoption of a strengths-based approach to supporting the coping capacity of parents and families; • the importance of informal support networks (e.g. extended family, community); • the multiplicity of challenges that some children, their parents and families may face; • the need to re-orient service planning and delivery from a mainly crisis or late intervention approach to one more focused on prevention or early intervention; • the need to have available a continuum of supports that include universal and targeted supports; • the necessity for adopting a strengthened ‘whole-of-government’ responsibility and response in this area; • the maintenance and development of strong partnerships between State agencies and non-governmental organisations; • the requirement to systematically build on the existing evidence base relating to what works best in parenting and family support, to inform further service development. • the central involvement of children and parents in the design, delivery and evaluation of family support services. %0 Report %9 Other %A Kennan, Danielle %A Redmond, Sue %A Devaney, Carmel %A Landy, Fergal %A Canavan, John %A Gillen, Aisling %A Tusla Child and Family Agency, %B %C Dublin %D 2015 %F ndc:24329 %I Tusla %T Toward the development of a participation strategy on children and young people. National guidance & local implementation. %U http://www.drugsandalcohol.ie/24329/ %X A modern public service places the service user at the heart of decision-making, service planning and provision. Thus, it is the remit of Tusla – Child and Family Agency to engage with children, families and communities on the design and quality of services provided to them. To this end, the Agency is committed to developing a Participation Strategy for Children and Young People and the present document provides the background towards informing such a strategy. The aim is to ensure that every time a decision is taken that directly affects a child or young person (or children and young people collectively), their views are taken into consideration in the decision-making process. %0 Journal Article %A Keane, Martin %D 2015 %F ndc:23692 %I Health Research Board %J Drugnet Ireland %P 10-11 %T Adolescents and parental substance misuse. %U http://www.drugsandalcohol.ie/23692/ %V Issue 53, Spring 2015 %0 Generic %A Alcohol and Drug Education and Prevention Information Service, %C London %D 2015 %F ndc:24075 %I Mentor ADEPSIS %T Building resilience and character in young people. Alcohol and drug prevention briefing paper. %U http://www.drugsandalcohol.ie/24075/ %X Building resilience in children and young people is one of the key principles of good education, and a necessary requirement in facilitating personal growth, whilst enabling children and young people to successfully navigate life and life challenges. This briefing paper looks at resilience in the context of universal educational settings (both formal and informal). By giving definitions of key terms to provide a better understanding, it will then explore ways in which these can be contextualised and translated into practice. %0 Report %9 Other %A Alcohol Concern, %B %C London %D 2015 %F ndc:23385 %I Alcohol Concern %T Children’s recognition of alcohol marketing. Alcohol marketing briefing. %U http://www.drugsandalcohol.ie/23385/ %X Children as young as 10 years old are highly familiar with alcohol brands and televised alcohol advertising. The study shows football clubs and tournaments are strongly associated with the beer brands that sponsor them, particularly by boys. Existing advertising codes for alcohol are designed to prevent targeting of under-18s, but children appear to be consuming high volumes of alcohol marketing nevertheless. More effective controls may be needed to ensure alcohol marketing messages only reach adult audiences. %0 Report %9 Annual Report %A Children's Rights Alliance, %B %C Dublin %D 2015 %F ndc:23480 %I Children's Rights Alliance %T Children’s Rights Alliance Report card 2015. %U http://www.drugsandalcohol.ie/23480/ %0 Journal Article %@ 0969-4900 %A Dunney, Clare %A Muldoon, Kathryn %A Murphy, Deirdre J %D 2015 %F ndc:23565 %I MA Healthcare %J British Journal of Midwifery %N 2 %P 126-134 %T Alcohol consumption in pregnancy and its implications for breastfeeding. %U http://www.drugsandalcohol.ie/23565/ %V 23 %0 Report %9 Other %A Tusla Child and Family Agency, %B %C Dublin %D 2015 %F ndc:23497 %I Tusla %T Tusla Child and Family Agency corporate plan 2015-2017. %U http://www.drugsandalcohol.ie/23497/ %X Introduction The formation of Tusla in January 2014 offers an excellent opportunity to establish and progress modern and appropriate services for children and families in Ireland. This is the Agency’s first Corporate Plan, spanning the period 2015-2017, and sets out how it plans to achieve this, as well as identifying the pathway to longer term outcomes beyond the lifetime of this plan. Stakeholder consultation To inform the planning process, Tusla engaged and consulted with a wide range of stakeholders in order to better understand the various challenges, issues and requirements involved. In a consultation process with over 450 people, a number of key themes emerged and these have helped to shape the development of this Corporate Plan. They were: 1. National agency and children’s champion • Stakeholders would like Tusla to be a truly national agency and children’s ‘champion’. 2. Shaping the system • Tusla has an important role to play in helping to shape the system and to coordinate a collective response to service requirements. 3. Staff capacity • A crucial task for Tusla in the formative years is to build the capacity and capability of staff members who directly deliver the services and touch the lives of children and families. 4. Quality of service and experience • Tusla should provide services that make life better, safer and happier for the children and young people who need Tusla in their lives and to do so sensitively, consistently and responsively. 5. Engagement and co-production • Stakeholders welcomed the opportunity to engage with Tusla and would like to see this process being continued in order to build relationships and mutual respect as a basis for productive working relationships. 6. Internal unity and effectiveness • External stakeholders working with Tusla emphasised the need for internal coherence and, in particular, the provision of reliable information, consistent application of protocols and clarity about roles and responsibilities. %0 Journal Article %@ 0790-9667 %A Keeley, Helen S %A Mongwa, T %A Corcoran, P %D 2015 %F ndc:23244 %I Cambridge %J Irish Journal of Psychological Medicine %N Special issue 01 youth mental health %P 107-116 %T The association between parental and adolescent substance misuse: findings from the Irish CASE study. %U http://www.drugsandalcohol.ie/23244/ %V 32 %X 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. %0 Report %A Behaviour & Attitudes, %B %C Dublin %D 2015 %F ndc:26980 %I Drinkaware %T Parents, children and alcohol: are they having the conversation? %U http://www.drugsandalcohol.ie/26980/ %X Research objectives: • To clarify if parents fully understand the risks associated with children drinking alcohol. • To establish if parents are having conversations with their children about drinking and what the core elements of this conversation may be. • To ascertain if parents are accessing information prior to having this conversation and if so who they consider to be trusted sources. • To record what further supports parents would benefit from in this area. • To establish if parents consider that their drinking habits have any influence on their children’s potential future drinking habits. %Z Drinkaware is a not-for-profit agency funded by the alcohol industry and retail sector. %0 Report %9 Other %A Child Care Law Reporting Project, %B %C Dublin %D 2015 %F ndc:23243 %I Child Care Law Reporting Project %T Child Care Law Reporting Project: Case histories 2014 volume 4. %U http://www.drugsandalcohol.ie/23243/ %X 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. %0 Generic %A Laslett, Anne-Marie %A Mugavin, Janette %A Jiang, Heng %A Manton, Elizabeth %A Callinan, Sarah %A MacLean, Sarah %A Room, Robin %C Canberra %D 2015 %F ndc:25251 %I Foundation for Alcohol Research and Education %T The hidden harm: alcohol’s impact on children and families. %U http://www.drugsandalcohol.ie/25251/ %0 Generic %A International HIV/AIDS Alliance, %A Harm Reduction International, %A Save the Children, %A Youth RISE, %C London %D 2015 %F ndc:24785 %I International HIV/AIDS Alliance %T Step by step toolkit. Preparing for work with children and young people who inject drugs. %U http://www.drugsandalcohol.ie/24785/ %X 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. %0 Generic %A Manning, Joanna %A Horst, Caroline %C London %D 2015 %F ndc:24830 %I The Children's Society %T Help me understand. %U http://www.drugsandalcohol.ie/24830/ %0 Journal Article %@ 0332-3102 %A Moore, C %A Crowley, E %A Doyle, J %A Okafor, I %A McNamara, R %A Deiratany, S %A Nicholson, AJ %D 2015 %F ndc:23425 %I Irish Medical Organisation %J Irish Medical Journal %N 2 %T New hazards in paediatric poisoning presentations %U http://www.drugsandalcohol.ie/23425/ %V 108 %0 Journal Article %@ 1533-256X print/1533-2578 online %A O'Leary, Megan %A Butler, Shane %D 2015 %F ndc:24949 %I Taylor & Francis %J Journal of Social Work Practice in the Addictions %N 4 %P 352-372 %T Caring for grandchildren in kinship care: what difficulties face Irish grandparents with drug-dependent children? %U http://www.drugsandalcohol.ie/24949/ %V 15 %0 Journal Article %A O'Reilly, Lisa %A Dolan, Pat %D 2015 %F ndc:24246 %I Oxford University Press %J British Journal of Social Work %N 5 %P 1191-1207 %T The voice of the child in social work assessments: age-appropriate communication with children. %U http://www.drugsandalcohol.ie/24246/ %V 46 %X 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. %0 Journal Article %@ 2044-6055 %A O'Sullivan, K %A Reulbach, U %A Boland, F %A Motterlini, N %A Kelly, D %A Bennett, K %A Fahey, T %D 2015 %F ndc:24105 %I n/a %J BMJ Open %N 6 %P e007070 %T Benzodiazepine prescribing in children under 15 years of age receiving free medical care on the General Medical Services scheme in Ireland. %U http://www.drugsandalcohol.ie/24105/ %V 5 %X OBJECTIVE To examine the prevalence and secular trends in benzodiazepine (BZD) prescribing in the Irish paediatric population. In addition, we examine coprescribing of antiepileptic, antipsychotic, antidepressant and psychostimulants in children receiving BZD drugs and compare BZD prescribing in Ireland to that in other European countries. SETTING Data were obtained from the Irish General Medical Services (GMS) scheme pharmacy claims database from the Health Service Executive (HSE)-Primary Care Reimbursement Services (PCRS). PARTICIPANTS Children aged 0-15 years, on the HSE-PCRS database between January 2002 and December 2011, were included. PRIMARY AND SECONDARY OUTCOME MEASURES Prescribing rates were reported over time (2002-2011) and duration (≤ or >90 days). Age (0-4, 5-11, 12-15) and gender trends were established. Rates of concomitant prescriptions for antiepileptic, antipsychotics, antidepressants and psychostimulants were reported. European prescribing data were retrieved from the literature. RESULTS Rates decreased from 2002 (8.56/1000 GMS population: 95% CI 8.20 to 8.92) to 2011 (5.33/1000 GMS population: 95% CI 5.10 to 5.55). Of those children currently receiving a BZD prescription, 6% were prescribed BZD for >90 days. Rates were higher for boys in the 0-4 and 5-11 age ranges, whereas for girls they were higher in the 12-15 age groups. A substantial proportion of children receiving BZD drugs are also prescribed antiepileptic (27%), antidepressant (11%), antipsychotic (5%) and psychostimulant (2%) medicines. Prescribing rates follow a similar pattern to that in other European countries. CONCLUSIONS While BZD prescribing trends have decreased in recent years, this study shows that a significant proportion of the GMS children population are being prescribed BZD in the long term. This study highlights the need for guidelines for BZD prescribing in children in terms of clinical indication and responsibility, coprescribing, dosage and duration of treatment. %0 Journal Article %A Sinnott, Carol %A McHugh, Sheena %A Fitzgerald, Anthony P %A Bradley, Colin %A Kearney, Patricia M %D 2015 %F ndc:23863 %I Oxford %J Family Practice %N 3 %P 269-275 %T Psychosocial complexity in multimorbidity: the legacy of adverse childhood experiences. %U http://www.drugsandalcohol.ie/23863/ %V 32 %X 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. %0 Report %9 Annual Report %A Tusla Child and Family Agency, %B %C Dublin %D 2015 %F ndc:24897 %I Tusla %T Tusla annual report 2014. %U http://www.drugsandalcohol.ie/24897/ %X Following the enactment of the Child and Family Agency Act 2013, the Agency was established on 1st January 2014 and is responsible for improving wellbeing and outcomes for children. It represents the most comprehensive reform of services for the development, welfare and protection of children and the support of families ever undertaken in Ireland. %0 Generic %A Alcohol and Drug Education and Prevention Information Service, %C London %D 2014 %F ndc:24074 %I Mentor ADEPSIS %T Involving families affected by substance use in alcohol and drug education. %U http://www.drugsandalcohol.ie/24074/ %X 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. %0 Report %9 Other %A Watson, Dorothy %A Maitre, Bertrand %A Whelan, Christopher T %A Williams, James %B %C Dublin %D 2014 %F ndc:23037 %I Department of Children and Youth Affairs %T Dynamics of child economic vulnerability and socio-emotional development: an analysis of the first two waves of the growing up in Ireland study. %U http://www.drugsandalcohol.ie/23037/ %X This research report draws on the longitudinal Growing Up in Ireland study to examine change over time in the economic vulnerability of families and its consequences for the socio-emotional development of children. Economic vulnerability refers to an increased risk of multidimensional material disadvantage, involving a distinctive profile in relation to low income, household joblessness and economic stress. Socio-emotional development is measured using the Strengths and Difficulties Questionnaire (SDQ). As well as examining the risk factors for economic vulnerability and socio-emotional problems, the report examines the factors associated with improved outcomes for children, enhancing their resilience. The report addresses the following research questions: 1. How did the economic vulnerability of families change as Ireland moved from boom to recession? 2. Which families are most at risk of economic vulnerability? Does this differ between the ’98 Cohort and the ’08 Cohort? 3. What is the relationship between family economic vulnerability and the child’s socio-emotional well-being? Does the relationship differ depending on whether the economic vulnerability is persistent or transient? 4. Are there factors which appear to protect children from the impact of economic vulnerability on socio-emotional development? %0 Report %9 Other %A Coulter, Carol %B %C Dublin %D 2014 %F ndc:22863 %I Child Care Law Reporting Project %T Child Care Law Reporting Project: second interim report. %U http://www.drugsandalcohol.ie/22863/ %X 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.... %0 Journal Article %A Curtin, Margaret %D 2014 %F ndc:22923 %I Health Research Board %J Drugnet Ireland %P 21-22 %T Supporting children in families experiencing mental health difficulties. %U http://www.drugsandalcohol.ie/22923/ %V Issue 51, Autumn 2014 %0 Journal Article %A Keane, Martin %D 2014 %F ndc:22906 %I Health Research Board %J Drugnet Ireland %P 5-6 %T National policy framework for children and young people. %U http://www.drugsandalcohol.ie/22906/ %V Issue 51, Autumn 2014 %0 Generic %A Alcohol and Drug Education and Prevention Information Service, %C London %D 2014 %F ndc:24069 %I Mentor ADEPSIS %T Early intervention and prevention. %U http://www.drugsandalcohol.ie/24069/ %X This briefing paper is aimed at informing teachers and practitioners involved in the delivery of alcohol and drug education and prevention. In the paper we set out the importance of Early Intervention as a preventative measure that offers children and young people the necessary social and emotional skills to help them make more positive and informed life choices. %0 Generic %A Institute of Health Equity, %C London %D 2014 %F ndc:22757 %I Public Health England %T Building children and young people’s resilience in schools. %U http://www.drugsandalcohol.ie/22757/ %X Summary 1. Resilience is the capacity to bounce back from adversity. Protective factors increase resilience, whereas risk factors increase vulnerability. Resilient individuals, families and communities are more able to deal with difficulties and adversities than those with less resilience. 2. Those who are resilient do well despite adversity, although it does not imply that those who are resilient are unharmed – they often have poorer outcomes than those who have low-risk background but less resilience. This applies to health outcomes and affects success in a range of areas of life across the life course. Evidence shows that resilience could contribute to healthy behaviours, higher qualifications and skills, better employment, better mental well-being, and a quicker or more successful recovery from illness. 3. Resilience is not an innate feature of some people’s personalities. Resilience and adversity are distributed unequally across the population, and are related to broader socio-economic inequalities which have common causes – the inequities in power, money and resources that shape the conditions in which people live and their opportunities, experiences and relationships. 4. Those who face the most adversity are least likely to have the resources necessary to build resilience. This ‘double burden’ means that inequalities in resilience are likely to contribute to health inequalities. 5. Schools have a key opportunity to build resilience among children and young people, and there is a range of ways in which local authorities can support and encourage schools to take action. 6. Actions to increase resilience can be targeted at different levels - they can aim to increase achievements of pupils; to support them through transitions and encourage healthy behaviours; to promote better interpersonal relationships between people – particularly parents or carers and children; and to create more supportive, cohesive schools that support both pupils and the wider community. %0 Generic %A McNeish, Di %A Scott, Sara %C London %D 2014 %F ndc:22462 %I DMSS Research %T Women and girls at risk. Evidence across the life course. %U http://www.drugsandalcohol.ie/22462/ %X The purpose of this review is to inform a new cross-sector strategic alliance focused on women and girls with complex needs. It reviews the evidence base for the underlying hypotheses of the initiative: • There are groups of women and girls with similar clusters of extreme vulnerabilities in very damaging circumstances and systems. • For some women the trajectories towards these highly damaging outcomes appear to be driven by unaddressed or unresolved trauma (defined broadly to include abuse, neglect, exploitation and disrupted attachment). Other risk factors, such as personality type, genetics and family history, may also play a role. • Girls may begin to exhibit the behavioural manifestations of this early experience in different ways from boys in adolescence (which is also when service responses begin to differ). • Some women have been failed as children and as adults by the services meant to protect them, to support their resilience and to assist their recovery. • There are opportunities to address these issues and support women and girls by taking a ‘life course’ approach, looking holistically at a structural, social and cultural context. The review is based on a search of a broad range of evidence sources including: published research, theoretical literature, data available on UK government websites and ‘grey literature’ such as organisational reports and websites. The parameters of the search strategy have been literature published in the English language since 2000, supplemented by a selective review of significant literature since 1980 (identified primarily through citations).The review has explored available research and other sources of data on the characteristics and risk factors of women or adolescent girls who experience negative outcomes, including those: • In contact with the criminal justice system as adults or young women • Experiencing homelessness • Involved in prostitution or sexual exploitation • Experiencing severe mental health problems • With serious drugs and/or alcohol problems. We consider the relationship between these outcomes and the prevalence or accumulation of negative and abusive experiences across the life course, including physical abuse, sexual abuse, neglect, disrupted or poor attachments, domestic violence, negative school experiences and being in care, highlighting differential impacts by gender. We also review the available evidence on the characteristics of interventions that succeed in interrupting these pathways, and increase resilience and the possibility of recovery at different points of the life course, for example drug and alcohol and mental health interventions, education and training, maternity and parenting provision, and housing and criminal justice responses. %0 Journal Article %@ 1661-8564 %A Houghton, Frank %A Scott, Lisa %A Houghton, Sharon %A Lewis, Christopher Alan %D 2014 %F ndc:22057 %I Springer Basel %J International Journal of Public Health %N 5 %P 829-832 %T Children's awareness of alcohol sponsorship of sport in Ireland: Munster Rugby and the 2008 European Rugby Cup. %U http://www.drugsandalcohol.ie/22057/ %V 59 %X Objectives Examined children's awareness of sport sponsorship in Ireland, focussing on the 2008 European Rugby Cup win by Munster Rugby. Methods Following the Munster Rugby win in 2008, a cross-sectional sample of 1,175 children (7-13 years) in 11 National Schools in Ireland were asked which company sponsored "the cup that Munster won" and were then asked to name the product made by that company. Results Significantly higher level of awareness of the sponsor by children in Munster (69.9 %) to those outside Munster (21.5 %). No significant difference in the level of awareness of their product (alcohol) by location (inside Munster 75.9 %, outside Munster 83.6 %). Conclusions These findings support the view for an immediate introduction of legislation banning the sponsorship of sport. %0 Report %9 Other %A Barnardos, %B %C Dublin %D 2014 %F ndc:22129 %I Barnardos %T Patients. parents. people. Towards integrated supports and services for families experiencing mental health difficulties. %U http://www.drugsandalcohol.ie/22129/ %X In recent years pressures on parents have increased, with austerity budgets cutting child support payments and increasing costs. Barnardos has more than 40 services across the country and staff are reporting that poor mental health among parents is increasing in prevalence. Barnardos staff are also finding that when a parent experiences a mental health difficulty and they are not adequately supported or are receiving inappropriate treatment, their children can be affected. These reports prompted Barnardos to examine the issue of mental health specifically in relation to parents to try and identify ways in which approaches and supports can be improved. In the majority of cases Barnardos encounters, parents are experiencing feelings of anxiety, stress and hopelessness. There is a proven link between poverty and poor mental health and often the parent’s life circumstances are at the root of these feelings and exacerbating them. Staff also found that very few parents have adequate support for their mental health difficulty. It is not possible to generalise the effects of parental mental health difficulties on families as it can depend on the severity and duration of the difficulty. In addition, other factors are frequently present such as poverty, addiction, overcrowding in housing, bereavement and domestic violence, all of which can have a huge impact on family life. It is important to note research has indicated that parental mental health difficulties alone present little risk of significant harm to children1. But the absence of supports for both parents and children can compromise the child’s ability to cope. This can result in children’s social and emotional development and their educational attainment being adversely affected. The impact can include inconsistency in parenting capacity, resulting in poor routines and sometimes patchy school attendance, lack of boundaries and children presenting with poor hygiene and / or hungry. Key Recommendations: Challenge mental health prejudice and discrimination: While some efforts are already being undertaken, more needs to be done to challenge public perceptions and promote the message that mental health difficulties can affect anyone and people can and do recover, given the right supports. In particular, parents must know they can access support without judgement on their parenting capacity. Adopt a family model approach: Promote policies and improve practice across adult and children’s systems that consider the needs of the whole family instead of seeing their service users in isolation. This would be a shift from the current siloed system, towards more holistic user focused services. Far greater intra and interagency co-ordination between inpatient mental health services and primary care services and between community mental health teams and primary care services are desperately needed. Likewise improved information sharing involving community based services is required. Practical changes to improving service delivery across adult mental health and children’s services interface can include co-ordinating workforce development training, having common questions about family life in screening and assessment templates, and considering whole family needs in care plans and identifying crossover with different agencies needed to implement the plan. Talk to children: Children living with a parent experiencing mental health difficulties need to be informed and reassured in an age appropriate manner about what is happening to their parent and what to expect. All professionals working with the parent must understand the importance of talking to the children and be skilled accordingly. Likewise parents should be given the appropriate support so they can talk to their children about what they are experiencing and reassure them in an age appropriate manner. Expedite the roll out of community based services: The ongoing delays in recruitment and service provision for fully staffed, multi-disciplinary community services as outlined in A Vision for Change are unacceptable. Their widespread availability will help challenge the dominance of the medical model and act as a preventative factor stemming some problems from escalating. Consult with parents affected by poor mental health: Identify parents’ preferred community based services that would make a positive difference to their lives and to their children. These services could include peer support groups (for parents and children), counselling services and family support services. The widespread availability of such practical supports would ease pressure on parents and reassure them they are not alone and can seek support without fear their parenting ability is being judged. %0 Report %9 Other %A Department of Children and Youth Affairs, %B %C Dublin %D 2014 %F ndc:21773 %I Stationery Office %T Better outcomes brighter futures. The national policy framework for children & young people 2014 - 2020. %U http://www.drugsandalcohol.ie/21773/ %0 Journal Article %A Lyons, Suzi %D 2014 %F ndc:21684 %I Health Research Board %J Drugnet Ireland %P 15-16 %T Stakeholder consultation on Hidden Harm. %U http://www.drugsandalcohol.ie/21684/ %V Issue 49, Spring 2014 %0 Generic %A National Institute for Health and Clinical Excellence, %C London %D 2014 %F ndc:18912 %I National Institute for Health and Clinical Excellence %T Reducing substance misuse among vulnerable children and young people overview. %U http://www.drugsandalcohol.ie/18912/ %X NICE Pathways is an online tool for health and social care professionals that brings together all related NICE guidance and associated products in a set of interactive topic-based diagrams. 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 • Smoking prevention and cessation in schools %0 Report %9 Annual Report %A Pobal, %B %C Dublin %D 2014 %F ndc:21825 %I Department of Children and Youth Affairs %T Comhairle na nÓg report. Annual report 2013. %U http://www.drugsandalcohol.ie/21825/ %X Comhairle Na nÓg is a forum for structured input into decision-making by children and young people in the development of local services and policies; it is supported and resourced by relevant statutory and voluntary organisations in the county/city. The Comhairle Na nÓg Development Fund is designed to assist local authorities to support the development and improvement of Comhairle Na nÓg as: • a firmly embedded structure and key consultative/participative forum for children and young people in each local authority area CDB area; • An effective mechanism for children and young people to improve their own lives in partnership with adult stakeholders. %0 Generic %A Patnode, Carrie D %A O’Connor, Elizabeth %A Rowland, Maya %A Burda, Brittany %A Perdue, Leslie %A Whitlock, Evelyn P %C Rockville, MD %D 2014 %F ndc:25003 %I Agency for Healthcare Research and Quality %T Primary care behavioral interventions to prevent or reduce illicit drug and nonmedical pharmaceutical use in children and adolescents: a systematic evidence review for the U.S. preventive services task force. %U http://www.drugsandalcohol.ie/25003/ %0 Report %9 Other %A Hope, Ann %B %C Dublin %D 2014 %F ndc:21590 %I Health Service Executive %T Alcohol’s harm to others in Ireland. %U http://www.drugsandalcohol.ie/21590/ %X 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. %0 Report %9 Annual Report %A Children's Rights Alliance, %B %C Dublin %D 2014 %F ndc:21442 %I Children's Rights Alliance %T Report card 2014. %U http://www.drugsandalcohol.ie/21442/ %0 Journal Article %A Keane, Martin %D 2014 %F ndc:21217 %I Health Research Board %J Drugnet Ireland %P 19-20 %T Child and Adolescent Mental Health Service: report for 2011/2012. %U http://www.drugsandalcohol.ie/21217/ %V Issue 48, Winter 2013 %0 Journal Article %A Barrett, Alan %A Kamiya, Yumiko %A O’Sullivan, Vincent %D 2014 %F ndc:22495 %I Science Direct %J Journal of Behavioral and Experimental Economics %P 10-16 %T Childhood sexual abuse and later-life economic consequences. %U http://www.drugsandalcohol.ie/22495/ %V 53 %X 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. %0 Report %A Department of Children and Youth Affairs, %B %C Dublin %D 2014 %F ndc:26205 %I Government Publications %T State of the Nation’s Children: Ireland 2014. %U http://www.drugsandalcohol.ie/26205/ %0 Report %9 Annual Report %@ Innocenti report card 12 %A Fanjul, Gonzalo %A UNICEF Office of Research, %B %C Florence %D 2014 %F ndc:22859 %I UNICEF Office of Research %T Children of the recession. The impact of the economic crisis on child well-being in rich countries. %U http://www.drugsandalcohol.ie/22859/ %X The data and observations in this Innocenti Report Card reveal a strong and multifaceted relationship between the impact of the Great Recession on national economies and a decline in children’s well-being since 2008. Children are suffering most, and will bear the consequences longest, in countries where the recession has hit hardest. For each country, the extent and character of the crisis’s impact on children has been shaped by the depth of the recession, pre-existing economic conditions, the strength of the social safety net and, most importantly, policy responses. Remarkably, amid this unprecedented social crisis, many countries have managed to limit – or even reduce – child poverty. It was by no means inevitable, then, that children would be the most enduring victims of the recession. %0 Journal Article %@ 1464-3502 %A Hope, Ann %D 2014 %F ndc:21446 %I n/a %J Alcohol and Alcoholism %N 2 %P 126-127 %T ‘Lead us not into temptation’: adolescence and alcohol policy in Europe. %U http://www.drugsandalcohol.ie/21446/ %V 49 %X Although the World Health Organization and the European Community recognize harm to children and young people due to alcohol—whether their own or someone else’s drinking effective policies to reduce harm are not widely followed. The alcohol beverage industry’s drive to use social networking systems blurs the line between user-generated and industry marketing materials, such that young people are more frequently and at a younger age, potentially exposed to the promotion of alcoholic drinks. This contravenes recommendations arising out of the emerging scientific literature that delaying the onset of drinking and reducing the prevalence of heavy session drinking are likely to promote a healthier next generation. %0 Report %9 Other %A Irish Youth Justice Service, %B %C Dublin %D 2014 %F ndc:21336 %I Department of Justice and Equality %T Tackling youth crime – youth justice action plan, 2014-2018. %U http://www.drugsandalcohol.ie/21336/ %X A small, but significant number of young people in Ireland every year require targeted, strategic attention because their behaviour has led to their involvement in the youth justice system. These young people have been given specific attention through the implementation of the National Youth Justice Strategy, 2008-2010 and are the focus of this Action Plan. Twelve years is the age of criminal responsibility (or 10/11 years where a child has committed a serious offence1) and a ‘child’ is defined as a person under the age of 18 years under the Children Act 2001. The terms ‘youth’ and ‘young person’ are interchangeably used to describe a person who meets this legal definition. Youth crime constitutes up to 15% of all crime (excluding road traffic offences). The typical offending that young people become involved in (e.g. public order crime, alcohol and drug misuse) is often distressing for members of the public and while we know that youth crime will always be a concern, we also now know from hard data that the vast majority of young people grow out of crime. Since the first National Youth Justice Strategy commenced in 2008, the number of children detained by the Courts annually on criminal conviction has consistently dropped; the operational costs of detention have reduced by over 30%; the capital costs and space required in the new national detention facilities being built at Oberstown are approximately 50% of what was estimated in 2008; and youth crime has decreased. %0 Journal Article %@ 1393-8088 %A Latham, Linda %D 2014 %F ndc:22248 %I Medmedia Group %J World of Irish Nursing & Midwifery %N 5 %P 55-56 %T Alcohol misuse and the family. %U http://www.drugsandalcohol.ie/22248/ %V 22 %X 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..... %0 Report %9 Other %@ ISBN 978-1-909100-98-5 %A Mackay, M %A Vincenten, J %B %C Birmingham %D 2014 %F ndc:21574 %I European Child Safety Alliance %T National action to address child intentional injury - 2014. Europe summary. %U http://www.drugsandalcohol.ie/21574/ %X The report describes the prevalence of intentional injuries to children in the European Union, including maltreatment, peer to peer violence and self-directed violence, and examines the level of uptake of national level policies to address intentional child injuries in over 25 Member States. This is the first time that national actions to address child intentional injury are being comprehensively assessed and reported on in the EU. Within the report are individual country policy profiles for each of the participating Member States: Austria, Belgium (Flanders only), Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain and Sweden and the United Kingdom (England and Scotland only). %0 Report %9 Annual Report %A Manning, E %A Corcoran, Paul %A Meaney, S %A Greene, Richard A %B %C Cork %D 2014 %F ndc:22652 %I National Perinatal Epidemiology Centre %T Perinatal mortality in Ireland annual report 2012. %U http://www.drugsandalcohol.ie/22652/ %X Smoking and substance abuse page 23. %0 Generic %A National Drug and Alcohol Research Centre, %C Sydney %D 2014 %F ndc:27681 %I National Drug and Alcohol Research Centre %T Supporting pregnant women who use alcohol or other drugs - a guide for primary health care professionals. %U http://www.drugsandalcohol.ie/27681/ %0 Generic %A Hutchinson, Delyse M %A Mattick, Richard P %A Braunstein, Danya %A Maloney, Elizabeth %A Wilson, Judy %C Sydney %D 2014 %F ndc:22394 %I National Drug and Alcohol Research Centre %T The impact of alcohol use disorders on family life: a review of the empirical literature. %U http://www.drugsandalcohol.ie/22394/ %X 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. %0 Generic %A Rochford, S %A Doherty, N %A Owens, S %C Dublin %D 2014 %F ndc:24411 %I Centre for Effective Services %T Prevention and early intervention in children and young people’s services: ten years of learning. %U http://www.drugsandalcohol.ie/24411/ %0 Journal Article %@ 1360-0443 %A Cleary, Brian J %A Reynolds, K %A Eogan, Maeve %A O'Connell, MP %A Fahey, T %A Gallagher, Paul J %A Clarke, T %A White, Martin J %A McDermott, C %A O'Sullivan, A %A Carmody, Deirdre %A Gleeson, J %A Murphy, Deidre J %D 2013 %F ndc:18937 %I Wiley-Blackwell %J Addiction %N 4 %P 762-770 %T Methadone dosing and prescribed medication use in a prospective cohort of opioid-dependent pregnant women. %U http://www.drugsandalcohol.ie/18937/ %V 108 %X 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. %0 Generic %A Adfam, %C London %D 2013 %F ndc:20890 %I Adfam %T Identifying and supporting children affected by parental substance use. Resource for schools. %U http://www.drugsandalcohol.ie/20890/ %X 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. %0 Report %9 Other %A Coulter, Carol %B %C Dublin %D 2013 %F ndc:20856 %I Child Care Law Reporting Project %T Child Care Law Reporting Project: interim report. %U http://www.drugsandalcohol.ie/20856/ %X 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 %0 Generic %A Adfam, %C London %D 2013 %F ndc:24072 %I Mentor ADEPSIS %T Identifying and supporting children affected by parental substance misuse – Resource for schools. %U http://www.drugsandalcohol.ie/24072/ %X 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 %0 Journal Article %A Cassidy, Tanya %D 2013 %F ndc:20694 %I Health Service Executive %J Health Matters %N 3 %P 96-97 %T Alcohol and breastfeeding: reviewing the evidence. %U http://www.drugsandalcohol.ie/20694/ %V 9 %X Rates of breastfeeding in Ireland have increased by 7% in the past few years, but figures from 2012 show that just 56% of mothers initiate breastfeeding in Ireland compared to over 90 per cent in Scandinavia and more than 80% in the UK. Given the postive health benefits of breastfeeding for both mother and child, a commonly asked question is whether or not mothers should drink alcohol when they are breastfeeding. Dr Tanya Cassidy won a Health Research Board Cochrane Fellowship to examine this important issue and investigate what evidence is available on the subject of alcohol consumption. %0 Journal Article %A Pike, Brigid %D 2013 %F ndc:20740 %I Health Research Board %J Drugnet Ireland %P 18-19 %T Drugs, alcohol and children’s lives – strategy to improve our understanding. %U http://www.drugsandalcohol.ie/20740/ %V Issue 47, Autumn 2013 %0 Report %9 Other %A Rape Crisis Network Ireland, %B %C Dublin %D 2013 %F ndc:20683 %I Rape Crisis Network Ireland %T Hearing child survivors of sexual violence:Towards a national response. %U http://www.drugsandalcohol.ie/20683/ %X As children are among the most vulnerable in society, through their dependence on adults and limited access to resources they are often incapable or face considerable difficulty communicating needs and having those needs met. This report seeks to identify those needs more clearly in relation to sexual violence and provide information about child sexual violence learned from child survivors who access services. This information can be used by adults and statutory actors to respond to and support vulnerable children. %0 Report %9 Other %A Gavin, Aoife %A Molcho, Michal %A Kelly, Colette %A Nic Gabhainn, Saoirse %B %C Dublin %D 2013 %F ndc:20575 %I Department of Health and National University of Ireland, Galway %T The HBSC Ireland trends report 1998–2010: Child health behaviours, outcomes and contexts. %U http://www.drugsandalcohol.ie/20575/ %X The Health Behaviour in School-aged Children (HBSC) trends report presents findings on indicators of children’s health and well-being between 1998 and 2010. The report is divided into three main sections: health behaviours; health outcomes and contexts of children’s lives. In general, this report presents findings that highlight positive changes to children’s lives across each of these three areas. Health Behaviours Overall, there are encouraging trends in relation to both health risk behaviours and positive health behaviours. There is an overall significant decrease in the percentage of young people who are engaging in risky health behaviours, specifically substance use. However, particular attention should be given to girls and those from lower social classes who are consistently more likely to report engagement in these behaviours. %0 Report %9 Other %A The Angelus Foundation, %A Adfam, %A Club Drugs Clinic, Chelsea and Westminster Hospital, %B %C London %D 2013 %F ndc:20398 %I The Angelus Foundation; Adfam; Club Drugs Clinic, Chelsea and Westminster Hospital %T Talking to your children about legal highs and club drugs: A parent's handbook. %U http://www.drugsandalcohol.ie/20398/ %X Chapter 1 – What exactly are club drugs and legal highs? Chapter 2 – How did legal highs become so popular? Chapter 3 – What do legal highs contain? Chapter 4 – Know your Substances Chapter 5 -- Legal Highs, the limits of the law and police action Chapter 6 – What you can do as a parent Chapter 7 – Talking Consequences Chapter 8 -- Talking to your children about legal highs %0 Report %9 Government Publication %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2013 %F ndc:20177 %I Department of Children and Youth Affairs %T National Strategy for Research and Data on Children’s Lives 2011 — 2016. Implementation report: action plan update 2012. %U http://www.drugsandalcohol.ie/20177/ %X This is the first Implementation Report of the National Strategy for Research and Data on Children's Lives, 2011-2016, presenting the progress made on the implementation of the agreed actions in the strategy. Published in November 2011, the strategy was prepared by the Research Unit of the Department of Children and Youth Affairs and sets out a strategic direction and comprehensive action plan for research and data on children's lives in Ireland. %0 Journal Article %A Keane, Martin %D 2013 %F ndc:20133 %I Health Research Board %J Drugnet Ireland %P 12-13 %T Young people appeal for a more inclusive society. %U http://www.drugsandalcohol.ie/20133/ %V Issue 46, Summer 2013 %0 Report %9 Other %A McElvaney, Rosaleen %A Tatlow-Golden, Mimi %A Webb, Roisin %A Lawlor, Eilis %A Merriman, Brian %B %C Dublin %D 2013 %F ndc:20226 %I Children's Mental Health Coalition %T Someone to care: the mental health needs of children and young people in the care and youth justice system. %U http://www.drugsandalcohol.ie/20226/ %X 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. %0 Journal Article %A Pike, Brigid %D 2013 %F ndc:20130 %I Health Research Board %J Drugnet Ireland %P 8-10 %T How are the children? %U http://www.drugsandalcohol.ie/20130/ %V Issue 46, Summer 2013 %0 Generic %A Ofcom, %C London %D 2013 %F ndc:19916 %I Ofcom %T Children’s and young people’s exposure to alcohol advertising 2007 to 2011. %U http://www.drugsandalcohol.ie/19916/ %X This report sets out the findings of analysis examining trends in young people’s exposure to television advertising of alcoholic products between 2007 and 2011. The analysis looks at trends among children aged 4-15 (including sub-groups of 4-9 and 10-15 year olds) and adults aged 16-24 (including the sub-group 16-17 year olds1). The report looks at how the amount of advertising seen by these demographic groups has changed and considers this in the context of changes in viewing habits and the volume of advertising shown on commercial television channels. %0 Generic %A Higgins, Kathryn %A McCann, Mark %A McLaughlin, Aisling %A McCartan, Claire %A Perra, Oliver %C London %D 2013 %F ndc:20038 %I Alcohol research UK %T Investigating parental monitoring, school and family influences on adolescent alcohol use. %U http://www.drugsandalcohol.ie/20038/ %X This study aims to: • test different causal hypotheses explaining the longitudinal relationship between parental monitoring and alcohol use trajectories • test the role of peer- and school-level factors in influencing individual drinking trajectories and monitoring • investigate how patterns of monitoring dimensions (e.g. parental control and child disclosure) and their association with alcohol use change when considering other factors To achieve these aims, this study was divided into a number of sections; path analysis investigating how parental monitoring and alcohol use are related; multilevel modelling, investigating how alcohol use, and parental monitoring varies between different schools, and finally; structural equation models to assess the direct and indirect associations between monitoring and other important family characteristics. Key findings • Children whose parents exert greater control over their free time activities tend to drink less frequently. Early control has a lasting influence on alcohol use • Higher rates of drinking in early adolescence leads to reduced levels of parent-controlled boundaries and limits at home • Being in a school with a higher proportion of frequent drinkers is a risk factor for frequent drinking • Girls who attend single-sex post-primary schools tend to drink more than pupils attending co-educational schools or male-only schools %0 Report %9 Other %A UNICEF Office of Research, %B %C Florence %D 2013 %F ndc:19663 %I UNICEF Office of Research %T Child well-being in rich countries: a comparative overview, Innocenti report card 11. %U http://www.drugsandalcohol.ie/19663/ %X Part 1 presents a league table of child well-being in 29 of the world’s advanced economies. Part 2 looks at what children say about their own well-being (including a league table of children’s life satisfaction). Part 3 examines changes in child well-being in advanced economies over the first decade of the 2000s, looking at each country’s progress in educational achievement, teenage birth rates, childhood obesity levels, the prevalence of bullying, and the use of tobacco, alcohol and drugs. P.51 Findings Cigarettes » The percentage of children and young people who smoke cigarettes has fallen in all 21 countries for which comparable data are available (with the exception of Greece and Sweden where rates were low at the beginning of the decade and have remained stable). » The biggest falls over the decade were recorded in Germany, Norway, Portugal and the United Kingdom – all of which more than halved the proportion of young people who report smoking cigarettes. Alcohol » More than three-quarters of the 21 countries also saw declines in alcohol use by young people – as measured by the proportion of 11-, 13- and 15-yearolds who report having been drunk on at least two occasions. » The biggest falls were again recorded in Germany (where the alcohol abuse rate fell from 18% to under 12%) and in the United Kingdom (which saw a decline from 30% to just under 20%). » Despite the declining overall trend, the children and young people of three countries – the Czech Republic, Denmark and Finland – still have alcohol abuse rates of over 20%. » The biggest rise in alcohol abuse by young people was seen in the Czech Republic (rising from 15% to 22%). Cannabis » 17 out of 20 countries reported a fall in cannabis use. » The biggest percentage point falls were achieved in Canada, Germany, Switzerland and the United Kingdom. » Canada still has the highest level of cannabis use among young people, despite reducing its usage rate from 40% in 2001/2002 to 28% in 2009/2010. » Germany has more than halved cannabis use among young people over the decade (from 19% to 9%). » Starting from a higher level, the United Kingdom has also halved cannabis use among young people (from 34% to 17%). » Switzerland has cut cannabis use among young people by more than a third (from 38% to 24%). P.49 Figure 7.3a Changes between 2001/2002 and 2009/2010 in the percentage of young people aged 11, 13 and 15 who reported smoking at least once a week P.50 Figure 7.3b Changes between 2001/2002 and 2009/2010 in the percentage of young people aged 11, 13 and 15 who reported having been drunk on more than two occasions P.50 Figure 7.3c Changes between 2001/2002 and 2009/2010 in the percentage of young people aged 11, 13 and 15 who reported having used cannabis in the last 12 months %0 Report %9 Other %A Drugs Policy Working Group, Irish Youth Justice Service, %B %C Dublin %D 2013 %F ndc:20917 %I Irish Youth Justice Service %T Drugs, alcohol & substance use/misuse: policy for children detention schools. %U http://www.drugsandalcohol.ie/20917/ %X Substance misuse is the use of any drug or substance which can potentially lead to injury of the individual and/or society. This policy sets out, in writing, the framework within which the Children Detention Schools manage issues relating to substance use/misuse. It reflects the ethos of the Children Detention Schools and addresses procedures concerning usage of alcohol, tobacco and drugs/other substances by young people and the management of incidents relating to these substances. Section 1. Objectives – drugs, alcohol and substance use/misuse policy Section 2. Health, welfare and rehabilitation Section 3. Education, training and information in relation to substance use/misuse Section 4. Programmes of care for children Section 5. Searches and drugs testing Section 6. Obligations and authority of schools in relation to illicit substances Section 7. Review of policy Section 8. Acknowledgment Section 9. Definitions [Other policies are available at the link above] %0 Journal Article %@ 1873-6483 %A Comiskey, Catherine %D 2013 %F ndc:17577 %I Elsevier %J Journal of Substance Abuse Treatment %N 1 %P 90-96 %T A 3 year national longitudinal study comparing drug treatment outcomes for opioid users with and without children in their custodial care at intake. %U http://www.drugsandalcohol.ie/17577/ %V 44 %X 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. %0 Report %9 Government Publication %A Denyer, Sean %A Sheehan, Aisling %A Bowser, Avery %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2013 %F ndc:20203 %I Stationery Office %T Every child a home: a review of the implementation of the youth homelessness strategy. %U http://www.drugsandalcohol.ie/20203/ %X This report presents the findings of a high-level review of the implementation of the Youth Homelessness Strategy. The purpose of the review is to establish the extent to which the strategy has been successful, to identify blockages and challenges to its implementation, and to make recommendations on a new implementation framework. %0 Journal Article %@ 0332-3102 %A Garvey, AA %A Hawkes, CP %A Kelly, M %D 2013 %F ndc:19821 %I Irish Medical Organisation %J Irish Medical Journal %N 5 %T Parental patterns of use of over the counter analgesics In children. %U http://www.drugsandalcohol.ie/19821/ %V 106 %X Over-The-Counter Analgesics (OTCA) account for over a fifth of Irish pharmacy sales. Little is known about patterns of use, specifically in children. This study investigated parents’ use of OTCAs in children. A questionnaire exploring use of OTCAs and knowledge of side-effects was distributed to guardians of children attending three GP surgeries in South of Ireland from June-September 2010. The questionnaire was completed by 183 parents (response rate 95%). Many respondents (n=121, 66.1%) were using analgesics when not required or using an inappropriate analgesic for a child’s symptom. Private patients demonstrated better use (n=31, 40%) than those with Medical Cards (n=18, 22.5%) (p=0.016). Identification of potential side-effects was poor, with drowsiness (n=88, 49%), rash (n=39, 22%) and nausea (n=32, 18%) listed as potential side-effects. Inappropriate use of OTCAs is prevalent in Irish children. Parents need more information and guidance on their use. %0 Generic %9 Other %A Institute of Obstetricians and Gynaecologists, %A Royal college of Physicians of Ireland, %A Health Service Executive, %C Dublin %D 2013 %F ndc:20188 %I Health Service Executive %T Methadone prescribing and administration in pregnancy. %U http://www.drugsandalcohol.ie/20188/ %X 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. %0 Report %9 Other %A Kearns, Noreen %A Reddy, John %A Canavan, John %B %C Dublin %D 2013 %F ndc:20432 %I Childhood Development Initiative %T Evaluation of the Community Safety Initiative of the Childhood Development Initiative. %U http://www.drugsandalcohol.ie/20432/ %X In September 2008, the Childhood Development Initiative (CDI) began the 3-year process of implementing the Community Safety Initiative (CSI) in Tallaght West, Co. Dublin. Through supporting local resident interaction and promoting collaborative responses to addressing local safety issues, the CSI seeks to improve people’s perceptions of safety, improve neighbour relations and promote a safe and healthy environment for children and families. The overall aims of the initiative (CDI, 2012) are: • to improve safety and to promote pro-social behaviour across Tallaght West; • to improve community awareness and participation in local activities and services; • to encourage wide community engagement in maintaining a safe environment. This report is the final output of the 3-year evaluation (2008-2011) of the CSI by the Child and Family Research Centre, National University of Ireland, Galway. It builds on the research from three phases of data collection in order to present a comprehensive assessment of the development and implementation of the CSI. Specifically, the report evaluates the achievement of the overall aims of the CSI in this period in order to answer the evaluation’s overall research questions, which are: 1. How is the CSI being implemented and what is the value of the logic underpinning the initiative? 2. Were there any changes in (1) perceptions of safety and (2) safety and/or crime prevention within the four target areas of Tallaght West? 3. If yes, what role (if any) did CSI activities play in influencing change (e.g. increasing community engagement and enhancing a ‘sense of belonging’ among community members) in the four areas? 4. What are the outcomes for children, parents and the wider community? %0 Report %9 Other %A Kinlen, Louise %B %C Galway %D 2013 %F ndc:21606 %I Western Region Drugs Task Force %T Western Region Drugs Task Force multi-agency parents initiative: programme evaluation. %U http://www.drugsandalcohol.ie/21606/ %X This report presents the findings of an external evaluation of the Western Region Drugs Task Force Multi-agency Parents Initiative. The initiative commenced in Galway, in 2009 as a multi-agency and multi-disciplinary response to substance misuse education for parents within a school’s context. It arose as a response to requests from schools to various agencies to provide one-off talks. The initiative developed as a multi-agency programme, co-ordinated by the WRDTF and involving An Garda Síochána, the HSE (Drug Service/Health Promotion) and the Department of Education (SPHE Regional Manager). Secondary schools in Galway, Mayo and Roscommon were invited to take part, and, to date, 81 schools have participated. It involves an initial one-night introductory evening at which presentations are made by the four agencies, followed by a three-night parenting course. Key findings: 1. The schools who participated were very satisfied with the planning, content and delivery of the training in their schools. Whilst a few expressed some difficulties with recruiting parents, they were generally pleased with the attendance and spoke very positively about how the course was perceived among parents. 2. Through an analysis of the parents’ questionnaires, satisfaction levels were also very high among participants, with a strong appreciation expressed for the dedication of the trainers and hearing the perspectives of the various agencies. Some suggestions for improvement included: - More emphasis on similar training/topics for young people within school or in a similar format as the parents programme - Some felt the three-night course was too long - Many suggested other topics that could have been included, some of which are outside the remit of a substance misuse training programme 3. The interviews with stakeholders involved in the delivery of the initiative also spoke positively about their engagement in the programme and particularly welcomed the multi-agency aspect of it. They felt it offered a more holistic and integrated response and was very strong as a preventative initiative. Some issues identified included: - The linkages with the implementation of the SPHE curriculum within schools and the involvement of young people was identified by some as requiring strengthening - The objective of supporting schools in developing a substance misuse policy is one that appears to have been the most challenging. - The organisation of the initiative in such large geographical areas and including various agencies posed some logistical challenges . Some felt that pre-planning and organisation took up too much time and others felt that there was not sufficient work put into pre-planning. It was also suggested that more time could be spent on planning of content and approach. %0 Journal Article %@ 0332-3102 %A Lambert, J %A Jackson, V %A Coulter-Smith, S %A Brennan, M %A Geary, Michael %A Kelleher, TB %A O'Reilly, M %A Grundy, K %A Sammon, M %A Cafferkey, MT %D 2013 %F ndc:19822 %I Irish Medical Organisation %J Irish Medical Journal %N 5 %P 136-139 %T Universal antenatal screening for Hepatitis C. %U http://www.drugsandalcohol.ie/19822/ %V 106 %X 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. %0 Report %9 Other %A Mayock, Paula %A Corr, Mary Louise %B %C Dublin %D 2013 %F ndc:20191 %I Government Publications %T Young people's homeless and housing pathways: key findings from a 6-year qualitative longitudinal study. %U http://www.drugsandalcohol.ie/20191/ %X 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. %0 Report %9 Other %A McAvoy, Helen %A Kabir, Zubair %A Reulbach, U %A McDaid, Olga %A Metcalfe, Owen %A Clancy, Luke %B %C Dublin %D 2013 %F ndc:20953 %I Institute of Public Health in Ireland and TobaccoFree Research Institute Ireland. %T A tobacco free future. An all-Ireland report on tobacco, inequalities and childhood. %U http://www.drugsandalcohol.ie/20953/ %X Children growing up in disadvantaged circumstances face a number of threats to their health and development. Protecting children from the burden of tobacco related harm from both active and passive smoking is a priority action in enhancing population health and reducing health inequalities. Population health strategies on the island of Ireland are increasingly focussing on addressing the root causes of health inequality through social determinants of health approaches and through focussing on early childhood as a key period for intervention. At the same time, governments in both jurisdictions are working to enhance their approaches to effective tobacco control. The World Health Organization considers that there are three key ‘windows of exposure’ in terms of tobacco-related harm in childhood – in the womb (associated with active or passive smoking by the mother), directly through children taking up smoking and through exposure to second hand smoke (SHS) in indoor and outdoor environments. This report presents findings on these three windows of exposure based on a range of data sources in the Republic of Ireland and Northern Ireland. The central aim of the report is to contribute to knowledge on the exposure of children to the harmful effects of tobacco smoke at various stages of their development. The findings of the report can support policy makers and service providers in their efforts to make tobacco-free childhoods a reality on the island of Ireland. %0 Generic %A National Institute for Health and Care Excellence, %C London %D 2013 %F ndc:22428 %I National Institute for Health and Care Excellence %T Quality standard for the health and wellbeing of looked-after children and young people. %U http://www.drugsandalcohol.ie/22428/ %X This UK quality standard defines best practice for the health and wellbeing of looked-after children and young people. NICE quality standards describe high-priority areas for quality improvement in a defined care or service area. This quality standard covers the health and wellbeing of looked-after children and young people from birth to 18 years and care leavers (including young people planning to leave care or under leaving care provisions). It applies to all settings and services working with and caring for looked-after children and young people, and care leavers, including where they live. NICE has produced a tailored resource for looked-after children and young people. This resource is aimed specifically at corporate parents and includes key messages from each of the quality statements, key resources, further information and practical tools all of which are relevant to this audience. The resource also contains links to relevant OFSTED judgements. The resource has been co-produced by in the UK by the NICE Collaborating Centre for Social Care and key people in the social care sector. %0 Report %9 Government Publication %A National Review Panel for Serious Incidents & Child Deaths, %B %C Kildare %D 2013 %F ndc:20906 %I Health Service Executive %T National review panel annual report 2012. %U http://www.drugsandalcohol.ie/20906/ %X 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. %0 Generic %A United Kingdom. Department for Education., %C London %D 2013 %F ndc:22324 %I Department for Education %T Working together to safeguard children. A guide to inter-agency working to safeguard and promote the welfare of children. %U http://www.drugsandalcohol.ie/22324/ %X 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. %0 Generic %A British Association of Social Workers, %C Birmingham %D 2012 %F ndc:18965 %I British Association of Social Workers %T Children, families & alcohol use. Essential information for social workers. %U http://www.drugsandalcohol.ie/18965/ %X 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 %0 Generic %A British Association of Social Workers, %C Birmingham %D 2012 %F ndc:18967 %I British Association of Social Workers %T Young people & alcohol. Essential information for social workers. %U http://www.drugsandalcohol.ie/18967/ %X This guide seeks to support Social Workers in their practice with young people who drink alcohol and whose use of alcohol is excessive or problematic. It will also be relevant for other social and health care professionals. The information in the guide should be supplemented by further reading and learning. Contents: 3 Reasons young people drink 4 Understanding the pressures 5 Education & awareness 6 Risks & safety planning 7 Working with parents/carers 8 Stages of alcohol use & suggested interventions 10 Assessment: principles 11 Assessment: practice 13 Intervention 15 Resources 16 Local contact information %0 Report %9 Other %A Birdwell, Jonathan %A Vandore, Emma %A Hahn, Bryanna %B %C London %D 2012 %F ndc:18968 %I DEMOS %T Feeling the effects. %U http://www.drugsandalcohol.ie/18968/ %X 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. %Z 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. %0 Report %9 Other %A Cullen, Barry %B %C Dublin %D 2012 %F ndc:18904 %I Blue Drum and the Family Support Agency %T Happy parent initiative: (HP1) a review report. %U http://www.drugsandalcohol.ie/18904/ %X Blue Drum was set up in 2001. It is a specialist community arts body funded by the Family Support Agency to nurture local arts and cultural work in Family Resource Centres. It is a not-for-profit company with a voluntary board, with 3 staff employed part-time and 13 other practitioners contracted to a two year EU Culture Programme research study. The Blue Drum Happy Parent Initiative (HPI) is designed as a single experiential workshop for participating parents attending Family Resource Centres (FRC). Operationally HPI is delivered as an FRC-level support to FRCs, but it was also delivered, in some instances at regional, inter-FRCs level. HPI arose as an attempt to insert an arts-based intervention in support of existing programmes and actions undertaken by FRCs within the context of their own strategic plans and developments. Report contents: • Blue Drum • Family Support Agency and Family Resource Centres • Happy Parent Initiative - background, outline and design • Workshop description • Implementation • Review • Discussion • Conclusion [For a video on this initiative and slide show on the report see related URL links below] %0 Journal Article %@ 1530-0277 %A Hepper, Peter J %A Dorman, James C %A Lynch, Catherine %D 2012 %F ndc:19206 %I Wiley-Blackwell %J Alcoholism Clinical and Experimental Research %N 12 %P 2168-75 %T Fetal brain function in response to maternal alcohol consumption: early evidence of damage. %U http://www.drugsandalcohol.ie/19206/ %V 36 %X 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. %0 Report %9 Other %A Coen, Liam %A Canavan, John %A Brennan, Mark %B %C Galway %D 2012 %F ndc:20225 %I UNESCO Child and Family Research Centre, NUI, Galway; HSE West (Mayo and Roscommon) Child and Family Services %T Mol an Óige/Family Preservation: final evaluation report. %U http://www.drugsandalcohol.ie/20225/ %X 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. %0 Report %9 Government Publication %A Economic and Social Research Institute, %A Trinity College Dublin, %B %C Dublin %D 2012 %F ndc:18860 %I Department of Children and Youth Affairs %T Growing up in Ireland. Key findings: 13-year-olds. No. 4. The lives of 13-year-olds: their relationships, feelings and behaviours. %U http://www.drugsandalcohol.ie/18860/ %X This Key Finding reports on data from the second wave of interviews with Growing Up in Ireland’s Child Cohort. The 8,568 children and their families were first interviewed when the children were 9 years old, and then at age 13 years, when 7,400 were reinterviewed between August 2011 and February 2012. The findings show that the children are generally getting on very well with their parent(s). There appear to be some differences, however, in their interactions with their mothers and fathers. More children said they spent time talking to their mother (70%) than to their father (60%). In contrast, a higher percentage spent time doing fun things with their father (72%) than with their mother (63%). Substantial proportions of both boys and girls had discussed sex and relationships with their parents – 42% of boys and 51% of girls. In general, 13-year-olds had a positive self-image. Boys had a more positive self-image than girls. An exception to this was the higher self-image that girls had in terms of their behaviour, indicating less problematic behaviours among girls than boys. A very large majority (91%) of 13-year-olds had never smoked a cigarette, 7% had smoked at some point but not in the last year and 2% said they currently smoked. Similarly, a large majority (85%) had never taken alcohol. A small percentage (0.6%) of 13-year-olds recorded that they drank alcohol once a month or more. %0 Journal Article %A McCrory, Cathal %A Layte, Richard %D 2012 %F ndc:18760 %I Economic and Social Research Institute %J ESRI Research Bulletin %N 1 %T Maternal smoking during pregnancy and child well-being: a burning issue. %U http://www.drugsandalcohol.ie/18760/ %V 4 %X The Growing Up in Ireland study allow us to examine whether smoking conveys an increased risk for behavioral problems when we take account of these social factors. Importantly, the study collected information on the mother’s level of smoking in pregnancy and this provides us with an important additional tool with which to corroborate the causal relationship between exposure to cigarette smoke in the womb and behavioral problems at age 9. If the strength of the relationship between smoking and behavioral problems increases with the level of maternal smoking, this is more persuasive than a simple association. In a paper recently published in the Journal of Abnormal Child Psychology, Cathal McCrory and Richard Layte (McCrory & Layte 2012) did just this. They showed that the risk of the child being reported by his/her teacher as having conduct, attention or hyperactivity problems at age 9 was significantly related to whether the mother smoked during pregnancy and, moreover, that the risk increased with the number of cigarettes smoked during pregnancy. %0 Report %9 Other %A European Monitoring Centre for Drugs and Drug Addiction, %B %C Luxembourg %D 2012 %F ndc:18705 %I Publications Office of the European Union %T Pregnancy, childcare and the family: key issues for Europe’s response to drugs. %U http://www.drugsandalcohol.ie/18705/ %X 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 %0 Journal Article %A Keane, Martin %D 2012 %F ndc:18464 %I Health Research Board %J Drugnet Ireland %P 16 %T The views of children and young people in state care. %U http://www.drugsandalcohol.ie/18464/ %V Issue 43, Autumn 2012 %0 Journal Article %A Lyons, Suzi %D 2012 %F ndc:18462 %I Health Research Board %J Drugnet Ireland %P 13 %T Parental responsibilities and drug treatment outcomes. %U http://www.drugsandalcohol.ie/18462/ %V Issue 43, Autumn 2012 %0 Journal Article %A Pike, Brigid %D 2012 %F ndc:18461 %I Health Research Board %J Drugnet Ireland %P 12-13 %T Deaths among children and young people in state care, after care or known to the HSE. %U http://www.drugsandalcohol.ie/18461/ %V Issue 43, Autumn 2012 %0 Generic %A Adamson, Jon %A Templeton, Lorna %C London %D 2012 %F ndc:18356 %I The Office of the Children’s Commissioner %T Silent voices. Supporting children and young people affected by parental alcohol misuse. %U http://www.drugsandalcohol.ie/18356/ %X 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? %0 Report %9 Other %A Adfam, %A Against Violence and Abuse, %B %C London %D 2012 %F ndc:18369 %I Adfam and Against Violence and Abuse %T Between a rock and a hard place. How parents deal with children who use substances and perpetrate abuse. Project report. %U http://www.drugsandalcohol.ie/18369/ %X 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. %0 Report %9 Government Publication %A Central Statistics Office, %B %C Dublin %D 2012 %F ndc:18336 %I Stationery Office %T Survey on income and living conditions (SILC). Thematic report on children 2004-2010. %U http://www.drugsandalcohol.ie/18336/ %X Annual SILC data has previously been published from 2004 to 2010 on income, poverty and deprivation rates. Further analysis of this data has now been carried out to specifically look at the circumstances of children, those aged less than 18 years. In the majority of tables, the analysis is presented for all persons living in households with children, compared with persons living in households without children. Some tables in this report also compare age groups of the overall population. Also contained in this publication is a further breakdown of income, which details child-related social transfers separately. Summary of main findings • In 2010, the average income (ie equivalised gross weekly disposable income) of individuals living in households with children was €482.83, down 8.8% on the 2009 figure of €529.20. This compares with an income for those living in households without children of €575.15 in 2010, down 2.1% on the 2009 figure of €587.32. See table 1b. • In 2010 the at risk of poverty rate for those living in households with children was 18.7% compared with the rate of 11.8% for those in households without children. A similar pattern is evident between these two household types across all years. See table 2a. • Excluding family allowances from the analysis for 2010 would increase the at risk of poverty rate for persons living in households with children from 18.7% to 38.6%. This shows the effect that such family related social transfers had in shielding individuals from poverty in households with children. See table 2a. • Among children, the highest at risk of poverty rate in all years occured in the 12-17 age band. This rate was 26.1% in 2010 compared with a rate of 19.2% for 6-11 year olds and a rate of 12.0% for children in the 0-5 year old band. See table 2b. • The level of enforced deprivation (lacking two or more basic items) for individuals living in households with children was 28.2% in 2010 compared with a level of 14.6% for those living in households without children. See table 3a. • In all years the rate of consistent poverty was higher for individuals living in households with children than for those living in households without children (8.0% compared with 3.8% respectively in 2010). See table 4a. %0 Report %9 Other %A Winpenny, Eleanor %A Patil, Sunil %A Elliot, Marc %A Villalba van Dijk, Lidia %A Hinrichs, Saba %A Marteau, Theresa %A Nolte, Ellen %B %C Cambridge %D 2012 %F ndc:19554 %I Rand Europe %T Assessment of young people’s exposure to alcohol marketing in audiovisual and online media. %U http://www.drugsandalcohol.ie/19554/ %X Alcohol use among young people, and adolescents in particular, is an increasing concern in Europe. Children and adolescents have greater vulnerability to alcohol than adults and there is increasing evidence of the impact of drinking on young people’s health, both short and long term, including the increased likelihood of being in a risky situation when drunk. There are many factors that may encourage alcohol use among young people, and alcohol marketing has been identified as one potential influence. Evidence strongly suggests that alcohol advertising will increase the likelihood that adolescents will start to drink alcohol at a young age and may increase alcohol use among those who already consume alcohol. It is against this background that the European Commission Health and Consumer Directorate-General (DG SANCO), by way of the EAHC, has commissioned RAND Europe to carry out an assessment of young people’s exposure to alcohol marketing through television and online media. The overall aim of the work presented in this report was to use novel approaches to measure alcohol advertisement exposure among young people in Europe through audiovisual and online media. Our analyses used a range of methods. First, to assess young people’s exposure to alcohol marketing in television, we used commercially available data on television audiences (‘viewership’) and on alcohol advertising in the UK, the Netherlands and Germany. We applied descriptive statistics and regression analysis to estimate the exposure of young people to alcohol advertising compared with that of adults. Second, we analysed alcohol advertising portrayals of a sample of alcohol adverts broadcast in each of the three countries to better understand the extent to which advertisements are using elements that have been identified as appealing to young people. In a third step, we assessed the extent to which alcohol portrayals in these adverts adhere to national statutory or voluntary codes on (alcohol) advertising in each country, and with policies developed by alcohol manufacturers themselves. Fourth, we explored exposure to alcohol marketing in online media, here focusing on the UK. We examined data on online media channels accessed by young people, described the main types of social media marketing messages for alcoholic beverages, and assessed the use of age gates to restrict content to those over the legal drinking age. %0 Report %9 Other %A Health Information and Quality Authority, %B %C Cork %D 2012 %F ndc:18165 %I Health Information and Quality Authority %T National standards for the protection and welfare of children. For Health Service Executive children and family services. %U http://www.drugsandalcohol.ie/18165/ %X The National Standards for the Protection and Welfare of Children have been developed by the Health Information and Quality Authority (the Authority) to support continuous improvements in the care and protection of children in receipt of HSE child protection and welfare services. These outcome-based Standards provide a framework for the development of child-centred services in Ireland that protect children and promote their welfare. The Health Act 2007 establishes a statutory function for the setting of standards by the Authority. The Standards are designed to follow a child’s journey within the child protection system to ensure that his/her safety and welfare is being protected. Along that journey children will need to be supported through the provision of accessible information, access to services, screening of referrals, assessment to ensure that appropriate services are made available, and the taking of timely action to protect children at risk of harm. This is underpinned by child-focused planning and review and monitoring processes. It requires a systematic approach involving good leadership, interagency cooperation, skilled and experienced staff, and the effective management and deployment of resources – with the child always at the centre of everything that is done. The Standards: Theme 1: Child-centred Services Theme 2: Safe and Effective Services Theme 3: Leadership, Governance and Management Theme 4: Use of Resources Theme 5: Workforce Theme 6: Use of Information %0 Report %9 Other %A Shannon, Geoffrey %B %C Dublin %D 2012 %F ndc:18164 %I Department of Children and Youth Affairs %T Fifth report of the Special Rapporteur on Child Protection. A report submitted to the Oireachtas. %U http://www.drugsandalcohol.ie/18164/ %X Section 1: Child Protection and Developments in International Law Section 2: Child Protection Developments in the United Kingdom Section 3: Criminal Justice System Section 4: A Re-Evaluation of Mandatory Reporting and Other Miscellaneous Issues %0 Journal Article %@ 1462-2815 %A Van Hout, Marie Claire %A Bingham, Tim %D 2012 %F ndc:18241 %I Community Practitioners' & Health Visitors' Association %J Community Practitioner %N 7 %P 30-33 %T Mothers' experiences of their children's detoxification in the home: results from a pilot study. %U http://www.drugsandalcohol.ie/18241/ %V 85 %X Detoxification from alcohol and/or drugs and the achievement of abstinence without formal treatment is often preferred using community-based supports from local GPs and family. Family members are often involved in the sourcing of information on detoxification and treatment options, user advocacy and provision of remedial supports while detoxifying within the family home. The aim of the research was to describe and explore family experiences of self-detoxification processes from the perspectives of mothers in the Mid West of Ireland. A convenience sample of adult mothers who had experienced their child detoxifying in the home (n=9) were interviewed. The findings illustrated varied personal definitions of detoxification. Addiction stigma and costly experiences of treatment and after care pathways facilitated home detoxification attempts. A lack of GP advice, support and information around safe home detoxification was observed to contribute to information and support seeking from friends, family and community members with home detoxification experience. Self-medication of both licit and illicit substances while detoxifying, and relapse cycles were common. The research highlights the need for inclusive health and social supports provided by GPs, community nurses, RGNs and district nurses for families and individuals detoxifying in the home setting. %0 Report %9 Other %A Shannon, Geoffrey %A Gibbons, Norah %B %C Dublin %D 2012 %F ndc:17774 %I Government Publications %T Report of the Independent Child Death Review Group 2000-2010. %U http://www.drugsandalcohol.ie/17774/ %X The report, authored by Dr. Geoffrey Shannon and Norah Gibbons, gives details of the 196 children who died over the period 2000-10, both of natural and unnatural causes. The children in the report include children who were in the care of the state at the time of their death, young adults who were in aftercare and other children who were not in care but were known to the HSE. Speaking at the publication of the report, Minister Fitzgerald said; “Before this Government took office; there was conflicting data about the numbers of children who died in state care. The lack of transparency and the lack of accountability, shocked. It was utterly unacceptable that the state could not even tell how many children had died in state care. The Minister stated that this report now gives clarity on this vital issue. There were 112 children who died of unnatural causes; 17 of whom were in care, 27 of whom were in receipt of aftercare and 68 of whom were not in care, but were in some way known to the HSE child and family services. The children and young adults in this report died from a range of causes. Some died from a range of illnesses, 4 died of accidental drowning; 5 died in house fires; 17 died from road traffic accidents; 16 were unlawfully killed; and at least 28 died by suicide. The Minister stated: “I wish to extend my deepest sympathy, and that of the state, to all those touched by a loss in this report. No parent should expect to lose a child. I do not expect today’s report to bring closure. Indeed, I am sure it will, for many, bring fresh pain. But this work shines a light on a dark, often unexamined and tragic corner of Irish life. The authors have done a professional and painstaking job in making real and understandable the lives and deaths of children who are no longer with us.” Responding to the report the Minister stated: “The findings of this report are deeply disturbing. We read of children and young people and families, often vulnerable, often in crisis, who needed support. We read of services often willing, but fragmented and not comprehensive in their response. The question must arise how, after a period of such unprecedented economic prosperity, we were left with a child protection service in need of such reform. “If ever evidence was required of the scale of the challenge which this Government and I have had to face into, then this report is it. If ever evidence was required of why we need an utterly reformed system of state care and intervention, then this report is it. And if ever evidence was required of the need to take child protection away from the HSE, wherein up until recently, it was lost, and to set up a new agency; the Child and Family Support Agency, then this report is it. The report highlighted system failings in the Irish child protections services including • Poor risk assessment • Poor co-ordination between services • Poor flows of information • Limited access to specialist assessment and therapeutic services • Limited interagency work for children and families with complex needs. • A lack of early intervention and family support services responding proportionately to the needs of children at risk and families in crisis. Commenting on these failings Minister Fitzgerald stated: “if the system had done a better job, outcomes for some of these children might well have been very different. The key to a successful child protection service is early intervention. This concept must become part of our national psyche. Parachuting in a service at a late stage is not the most efficient or effective way to help the child, or to help the family. Responding to the report Minister Fitzgerald stated that “the current government reform programme is an essential response to this report, in particular the establishment of the Child and Family Support Agency led by CEO Designate Gordon Jeyes. Already, under Gordon’s leadership we are seeing implementation of a ‘change agenda’ in children and families services which will continue and be accelerated under the new agency; and will be further informed by the recommendations of this report. Key element of the ‘change agenda’ in children and families services include: • A service delivery model that will address a multi-agency, albeit differentiated, approach to managing the child welfare and protection system; • A nationwide consistency of approach in practice and implementation of Children First and child welfare and protection services generally; • Use of standardised definitions, criteria and thresholds for reporting and referrals including prioritisation of cases; • Greater reliance on real-time data on social work referrals and alternative care collated through HSE performance management indicators and the ongoing development of the National Child Care Information System; • Improved resource allocation responsive to changing needs; • Clearer management and budgetary accountability; • Better workforce planning, training and induction of new staff.” The Minister added: “The Task Force which I established in September 2011 to advise on the new Agency, will present its final report by the end of this month and I look forward to addressing its recommendations relating to vision, governance and scope-of-services, such that the Agency is established and up-and-running next January 2013.” In the report the authors remark that “a key issue to be emphasised is the vulnerability of these children”. The Minister responded stating: “Many of these individuals had extremely complex needs. There is no doubt that children in these circumstances sometimes have little to draw on, in terms of their own resilience, and limited positive experiences to allow them to cope with even the ordinary challenges they subsequently had to deal with. “The role of alcohol and drugs in Irish society plays heavily in the lives and deaths of many of the children and young people in this report, highlighting in the most serious way, our national problems with alcohol and drug abuse. I am committed to working with Minister Roisin Shortall and the relevant agencies on progressing a fresh new approach to identifying and addressing the hidden harm posed by substance misuse. Responding to the report Minister Fitzgerald also announced a number of other measures. The Minister accepted the essential criteria set out in the Report on developing an independent child death review structure and confirmed that she will be making an announcement on this in September. The Minister announced that HIQA will next month publish new National Standards for the Protection and Welfare of Children which will lay-out a new standards-led approach to enforcing a new culture of quality, effectiveness and accountability in Ireland’s child protection services. The Minister also commented on the concerns raised on aftercare in this report: “Young people with a need for aftercare should; and must, receive the support they require when they leave care. I believe the law needs to be strengthened in this regard, and with advice from the Attorney General, I will be proposing legislative change later this year, in the bill to establish the Child and Family Support Agency.” The Minister confirmed that along with Gordon Jeyes she is working to extend access to 24 hour social work assistance: “Child protection crises arise 24-7. So why should child protections services operate any differently?” The Minister concluded saying: “today is an especially difficult day for the families of the children in this report. We cannot change things for their children. However, I hope it is clear that already a great many changes have been put in train for other children because of what happened. I hope it is clear that this Government is committed to transparency and honesty about the challenges in getting children’s services right. Child protection remains a high priority on our agenda and changes at every level – policy, law, structures and individual practitioner - have happened and will continue to happen; and will make a difference for the future.” %0 Generic %A Barlow, Jane %A Smailagic, Nadja %A Huband, Nick %A Roloff, Verena %A Bennett, Cathy %C Coventry %D 2012 %F ndc:18691 %I The Campbell Collaboration %N 15 %T Group-based parent training programmes for improving parental psychosocial health. %U http://www.drugsandalcohol.ie/18691/ %V 8 %X Parental psychosocial health can have a significant effect on the parent-child relationship, with consequences for the later psychological health of the child. Some parenting programmes aim to improve aspects of parental wellbeing and this review specifically looked at whether group-based parenting programmes are effective in improving any aspects of parental psychosocial health (for example, anxiety, depression, guilt, confidence). We searched electronic databases for randomised controlled trials in which participants had been allocated to an experimental or a control group, and which reported results from at least one scientifically standardised measure of parental psychosocial health. We included a total of 48 studies that involved 4937 participants and covered three types of programme: behavioural, cognitive-behavioural and multimodal. Overall, the results suggested statistically significant improvements in the short-term for parental depression, anxiety, stress, anger, guilt, confidence and satisfaction with the partner relationship. However, only stress and confidence continued to be statistically significant at six month follow-up, and none were significant at one year. There was no evidence of effectiveness for self-esteem at any time point. None of the studies reported aggression or adverse outcomes. Only four studies reported the outcomes for fathers separately. These limited data showed a statistically significant short-term improvement in paternal stress but did not show whether the parenting programmes were helpful in terms of improving depressive symptoms, confidence or partner satisfaction. This review shows evidence of the short-term benefits of parenting programmes on depression, anxiety, stress, anger, guilt, confidence and satisfaction with the partner relationship. The findings suggest that further input may be needed to support parents to maintain these benefits. However, more research is needed that explicitly addresses the benefits for fathers, and that provides evidence of the comparative effectiveness of different types of programme and identifies the mechanisms involved in bringing about change. %0 Journal Article %@ 0332-3102 %A Donnelly, J %A Bimpeh, Y %A Trace, F %A Waters, A %A Nicholson, AJ %D 2012 %F ndc:17445 %I Irish Medical Organisation %J Irish Medical Journal %N 4 %P 108-110 %T Progress in reducing road-related deaths and injuries in Irish children. %U http://www.drugsandalcohol.ie/17445/ %V 105 %X The aim was to study road-related injuries and fatalities in under 15 year olds in two time periods (1996-2000 and 2004-2008 inclusive) to assess whether progress has been made via cross-sectoral efforts to reduce this injury toll in Ireland. For pedestrian and car-related accidents, police assistance is required and at the time a detailed CT 68 form is completed by the attending officer and sent to the Road Safety Authority for analysis. Details re the severity of injury, light and road conditions and safety measures such as seat belt or car restraint use, seat position and helmet use if a cyclist were recorded. Injuries were sub-classified as fatalities, serious (detained in hospital, fractures, severe head injury, severe internal injuries or shock requiring treatment) or minor. All data for the two time periods was entered onto an SPSS database. A concerted national campaign re road safety media campaign allied to random breath testing, penalty points for driving offences, on the spot fines for speeding and far greater police enforcement took place between the two time frames and continues to this day. When looked at as most likely estimates of death ratios the results were found to be statistically significant with an overall p value of <0.0001 CI [ 0.39, 0.69]. When broken down into specific age ranges all were significant apart from the 0-3 age range with a p value of 0.69 CI [0.26, 1.1]. The most significant changes were found in the 7-9 years, 10-12 and 13-15 year age ranges with p values of < 0.0001, 0.0002 and 0.0007 respectively. When results were compared between the two cohorts, car occupant fatalities between both groups dropped by 36%. Pedestrian injuries dropped from 1719 to 1232, pedestrian fatalities decreased by almost 50% as did serious pedestrian injuries from 261 down to 129. Cyclist fatalities saw the most significant fall (76%) with a dramatic reduction in cyclist injuries from 25 down to 6 (63%). The 13-15 year old age group had the highest mortality and morbidity in both cohorts. Documented restraint use was less than 70% in both cohorts. A national road safety campaign, greater police enforcement and a cultural change has seen road –related injuries in children drop very significantly (by 50%) over the two time periods and this campaign should continue. %0 Report %9 Annual Report %A Health Service Executive, %B %C Dublin %D 2012 %F ndc:17776 %I Health Service Executive %T Review of adequacy for HSE children and families services 2010. %U http://www.drugsandalcohol.ie/17776/ %X 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% %0 Journal Article %A Pike, Brigid %D 2012 %F ndc:17289 %I Health Research Board %J Drugnet Ireland %P 25 %T In brief. %U http://www.drugsandalcohol.ie/17289/ %V Issue 41, Spring 2012 %0 Report %9 Other %A Watson, Dorothy %A Maitre, Bertrand %A Whelan, Christopher T %B %C Dublin %D 2012 %F ndc:17458 %I Department of Social Protection and The Economic and Social Research Institute %T Understanding childhood deprivation in Ireland. %U http://www.drugsandalcohol.ie/17458/ %X In Ireland, as in many European countries, the rate of poverty and deprivation is higher for children than it is for adults. This is important, not only because of a concern with the well-being of children but also because childhood deprivation can have long-term negative consequences that persist into adulthood. This report examines childhood deprivation in Ireland in 2009 in the context of this concern for the current well-being of children and their future prospects. The goal of this report is to address five questions: 1. How much child-specific deprivation is there in Ireland and what form does it take? 2. What are the main risk factors for child-specific deprivation? 3. How well do the national measures of basic deprivation and consistent poverty identify children who are deprived? 4. How do the risk factors for child-specific deprivation differ from the risk factors for basic household-level deprivation? 5. What are the implications for policy? %0 Generic %A The Drug Education Forum, %C London %D 2012 %F ndc:17233 %I The Drug Education Forum %T Engaging parents in drug education in schools and in the community. %U http://www.drugsandalcohol.ie/17233/ %X Parents have a strong influence over their children's decisions regarding drugs and alcohol, perhaps more than they realise. This paper describes some of the ways in which schools and other services can help parents deal with these issues, from simple information, to combining classroom work with their engagement with parents, to supporting parenting courses. %0 Report %9 Other %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2012 %F ndc:17223 %I Department of Children and Youth Affairs %T Department of Children and Youth Affairs statement of strategy 2011-2014. %U http://www.drugsandalcohol.ie/17223/ %X 1. Context • Children and young people in Ireland • The Department of Children and Youth Affairs – Its Mission, Mandate and Structure • Operating environment 2. Strategic Objectives, Values and Critical Success Factors • Strategic objectives • Values • Critical success factors 3. Making things better for children and young people in Ireland – The challenge of implementation 4. Building internal capacity • Leadership and communication • Governance and accountability • Policy evaluation, review and development • Legislative skills • Next steps – Monitoring progress References Appendices • Appendix 1: Objectives, activities and outputs, 2011-2014 • Appendix 2: List of transfer of functions orders • Appendix 3: DCYA organisation chart • Appendix 4: Agencies directly funded by DCYA • Appendix 5: Submissions received • Appendix 6: Programme for Government %0 Journal Article %@ 1360-0443 %A Cleary, Brian J %A Eogan, Maeve %A O’Connell, MP %A Fahey, Tom %A White, Martin J %A McDermott, C %A O'Sullivan, A %A Carmody, Deirdre %A Gleeson, J %A Murphy, Deidre J %D 2012 %F ndc:17014 %I Wiley-Blackwell %J Addiction %N 8 %P 1482-1492 %T Methadone and perinatal outcomes – a prospective cohort study. %U http://www.drugsandalcohol.ie/17014/ %V 107 %X 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. %0 Report %9 Other %A McCoy, Selina %A Quail, Amanda %A Smyth, Emer %B %C Dublin %D 2012 %F ndc:16867 %I Department of Children and Youth Affairs %T Growing up in Ireland National Longitudinal Study of Children. Influences on 9-year-olds’ learning: home, school and community. Child cohort. %U http://www.drugsandalcohol.ie/16867/ %X Growing Up in Ireland – ‘Influences on 9-Year-Olds’ Learning: Home, School and Community’ examines the ways in which children’s recreation outside school can influence their educational achievement. It places children’s activities in the context of their home, school and neighbourhood, highlighting important issues for policy development. The findings are based on data from the first round of interviews with 8,500 nine-year-old children as well as interviews with their parents, teachers and principals. Interviewing took place from September 2007 to June 2008. As part of the study the children took the Drumcondra assessment test in reading and maths, a test widely used in primary schools. Now that they have turned 13 years of age these children, and their families, are currently taking part in a follow-up interview. (A full download of the report and the executive summary can be found by clicking here) Key findings include: • Nine-year-old children fall into five distinct groups on the basis of their activities outside school: 1. Cultural Activities (25%): Those who are very involved in cultural activities, such as music and drama lessons/clubs and reading for pleasure 2. Sports & Computer Games (20%): Those who spend a lot of time playing sports and computer games 3. Social Networkers (18%): Those who use computers a lot, especially for keeping in touch with friends 4. Busy Lives (15%): Those who spend time on a very wide range of structured activities, leading ‘busy lives’ 5. TV & Sports (23%): Those who spend their spare time in mainly unstructured activities, such as watching TV and spending time with friends, and rarely use ICT. • The main difference in children’s out-of-school activities centres on ICT use. The majority (73%) of nine-year-olds use computers for fun/games, 42% use them for learning (outside school), 22% for music/movies and 17% for social networking. • This contrasts with computer use in school. The vast majority of nine year olds have access to computers in school - access was higher among those in single-sex and Gaeltacht schools, and among those being taught in multi-grade settings or by a male teacher. • Over 40% of nine-year-olds do not have internet access at school and over a fifth hardly ever use ICT in class. The use of ICT in classroom learning was greater in private schools, designated disadvantaged schools and Gaeltacht schools, and in urban areas. • There are clear differences in school performance according to the types of activities in which children engage. Children who take part in cultural activities and in social networking have higher levels of reading and mathematics performance than others. However, being involved in too many activities cancels out some of the educational benefits. • The lowest levels of educational achievement are found among those who mainly engage in unstructured activities (such as watching TV) and who do not use ICT. • There are clear gender differences in children’s recreation. Girls are more likely to be involved in cultural activities and to use social media to keep in touch with friends. Boys are more involved in playing sports and computer games. • Out-of-school activities are also influenced by the schools children attend. Nine year olds attending gaelscoileanna are more likely to be involved in cultural activities and watch less TV than other children. Children who use the internet in school are more likely to use computers outside school. • Children from middle-class and highly educated families are more involved in cultural activities than those from the most disadvantaged families (one-in-three compared to less than one in 10). Because many of these activities need to be paid for, low income may be an obstacle to participation for some children. This is a significant finding since these activities have been found to enhance school engagement and academic performance. • Children’s activities vary depending on the neighbourhood they live in. Nine out of 10 mothers feel it is safe for their child to play outside during the day while over half (57%) say there are recreational facilities appropriate to a 9 year old in their local area. Children are more involved in structured cultural activities where there are local recreational facilities. (Parents who feel there are no safe places to play locally are also more likely to send their children to structured cultural activities. %0 Generic %A Davis, Fabian A. %A McDonald, Lynn %A Axford, Nick %C Leicester %D 2012 %F ndc:18569 %I British Psychological Society %T Technique is not enough. A framework for ensuring that evidence-based parenting programmes are socially inclusive. %U http://www.drugsandalcohol.ie/18569/ %X Although evidence-based parenting programmes work, and governments are adopting them as universal child mental health measures, practitioners have found that without adapting programmes to be socially inclusive, they do not attract and retain parents who face a range of social hurdles. The TINE framework describes how programme developers can invest in local parents and practitioners so their parenting programme can become an integral part of education and social care. Genuine co-production between programme developers and local parents, working alongside teachers, health and social care practitioners, can drive effective inclusion. TINE challenges developers to identify the essential ingredients from their current parenting programmes and to clarify what can be adapted to meet local parents' socio-cultural needs, whilst avoiding adaptations that dilute effectiveness. The document evolved from joint work with families and teachers from an existing programme in an alliance including community health, psychologists, family therapists, social workers and children's rights professionals. The framework is illustrated with examples from 11 UN recommended programmes. %0 Report %9 Government Publication %A Brooks, Anne-Marie %A Geraghty, Ruth %A Fitzgerald, Sarah %A Roche, Gillian %B %C Dublin %D 2012 %F ndc:18288 %I Department of Children and Youth Affairs %T Inventory of data sources on children's lives. %U http://www.drugsandalcohol.ie/18288/ %0 Report %9 Other %A Children's Rights Alliance, %B %C Dublin %D 2012 %F ndc:16821 %I Children's Rights Alliance %T Report card 2012. %U http://www.drugsandalcohol.ie/16821/ %X With a new Government in place, Report Card 2012 varies from previous editions and has been reformulated to accommodate commitments from the new Programme for Government. Unlike previous editions, which examined the implementation of key promises throughout one calendar year, Report Card 2012 assesses progress from March to December 2011. The process itself has not changed; we continue to offer relevant officials an opportunity to provide information on progress and to verify grades with our External Assessment Panel. GRADING 6 EDUCATION 8 1.1 EARLY CHILDHOOD CARE AND EDUCATION 10 1.2 CHILD LITERACY 13 1.3 CHILDREN WITH SPECIAL EDUCATIONAL NEEDS 16 1.4 SCHOOL BUILDINGS 19 HEALTH 22 2.1 PRIMARY CARE 24 2.2 MENTAL HEALTH 26 2.3 ALCOHOL AND DRUGS 30 2.4 CHILDREN’S HOSPITAL 33 MATERIAL WELLBEING36 3.1 CHILD POVERTY 38 3.2 AREA BASED APPROACH TO TACKLING CHILD POVERTY 41 3.3 CHILDREN AND THE SOCIAL WELFARE SYSTEM 43 SAFEGUARDINGCHILDHOOD46 4.1 CHILD AND FAMILY SUPPORT AGENCY 48 4.2 RYAN REPORT IMPLEMENTATION PLAN 51 4.3 YOUTH HOMELESSNESS 54 4.4 CHILDREN IN DETENTION 56 REALISING CHILDREN’SRIGHTS60 5.1 CHILDREN’S RIGHTS REFERENDUM 62 5.2 PATRONAGE AND PLURALISM IN EDUCATION 65 5.3 TRAVELLER CHILDREN 67 5.4 MIGRANT CHILDREN 70 SUMMARY OF IMMEDIATE ACTIONS %0 Report %A Department of Children and Youth Affairs, %B %C Dublin %D 2012 %F ndc:26206 %I Government Publications %T State of the Nation’s Children: Ireland 2012. %U http://www.drugsandalcohol.ie/26206/ %0 Journal Article %A Halpenny, Ann Marie %D 2012 %F ndc:19812 %I n/a %J Irish Journal of Applied Social Studies %N 1 %P 88-98 %T Parenting and family Support for families 'at risk' - implications from child abuse reports. %U http://www.drugsandalcohol.ie/19812/ %V 12 %X The importance of family experiences on children’s development and wellbeing has been widely documented. Yet, recent reports generated by inquiries into child abuse and neglect in the Irish context raise disturbing questions with regard to how the severe maltreatment of children can occur within the family context. It is imperative that the messages generated from these inquiries can effectively inform policy and practice in terms of protecting children from harm and providing support to families at-risk. The present paper draws together key issues for parenting and family support for families ‘at risk’ based on the Roscommon and Monageer inquiries with a view to gaining insight into key issues which need to be addressed in terms of protecting children from harm and providing support for parents experiencing adversity. A number of implications arising from these reports are outlined and discussed. Specifically, the need to amplify the focus on support for parenting in the context of poverty and substance abuse is highlighted with a particular emphasis on developing sensitive screening and assessment for parents who may be difficult to engage with due to chronic mental health issues. The importance of accessing the voice of children within the provision of family support is also underlined in these findings. A key recommendation from these reports is that the needs, wishes and feelings of each child must be considered as well as the totality of the family situation. Moreover, the need for staff in child welfare and protection services to have access to ongoing training and professional development to meet the complex and changing needs of the children and families they are working with is also highlighted. Specifically, ongoing training for frontline staff in understanding the effects of drug and alcohol dependency, and, in particular, the effects on parenting and parent-child relationships is underscored in findings from these reports. %0 Report %9 Annual Report %A Health Service Executive, %B %C Kildare %D 2012 %F ndc:18890 %I Health Service Executive %T Fourth annual child & adolescent mental health service report 2011 – 2012. %U http://www.drugsandalcohol.ie/18890/ %X Executive Summary Section 1 Introduction 1.1 Children in the population 1.2 Prevalence of childhood psychiatric disorders 1.3 Child and adolescent mental health services (CAMHS 1.4 Department of Health & Children Policy - Vision for Change (2006) 1.5 Community child and adolescent mental health teams Section 2 Workforce 2.1 Staffing of child and adolescent mental health services 2.2 Community child and adolescent mental health teams Section 3 Access to community CAMHS teams 3.1 Numbers waiting to be seen 3.2 New cases seen by community CAMHS teams October 2010 to September 2011 3.3 Breakdown of new cases (New vs. Re-referred cases) 3.4 Waiting times for new cases seen 3.5 Community CAMHS caseload 3.6 Community CAMHS caseload per clinical whole time equivalent (WTE) 3.7 Cases discharged Section 4 Audit of clinical activity November 2010 4.1 Source of referral 4.2 Case profile 4.3 Number of appointments offered 4.4 Location of appointments 4.5 Clinical inputs 4.6 Age profile of cases seen 4.7 Ethnicity 4.8 Children in the care of the HSE or in contact with social services 4.9 Primary presentation 4.10 Suicidal ideation / deliberate self harm 4.11 Gender profile of cases and primary presentations 4.12 Length of treatment 4.13 Day services 4.14 Paediatric hospital liaison services Section 5 Inpatient child and adolescent mental health services 5.1 Inpatient servies child and adolescent mental health services. 5.2 Admission of children and adolescents to inpatient units 5.3 Age and gender of admissions (2010) 5.4 Diagnostic categories 5.5 Duration of admission 5.6 Involuntary admissions 5.7 Development of inpatient services Section 6 Community child and adolescent mental health service infrastructure 6.1 Accommodation provided for CAMHS teams 6.2 Suitability of premises 6.3 Difficulties encountered with premises 6.4 Infrastructure developments Section 7 Demands on community CAMHS 7.1 Services for young people of 16 and 17 years of age 7.2 Capacity of CAMHS teams to respond to demand 7.3 Provision of dedicated ADHD clinics by community CAMHS teams 7.4 Referral protocols and referral forms Section 8 Deliberate self harm in children aged from 10 to 17 years 8.1 The National Registry of Deliberate Self Harm 8.2 Hospital presentations of children. 8.3 Deliberate self harm by HSE regions 8.4 Episodes by time of occurance 8.5 Method of self harm 8.6 Drugs used in overdose 8.7 Recommended next care 8.8 Repetition of deliberate self harm Section 9 Supporting the development of child and adolescent mental health services 9.1 Monitoring Progress and Evaluating Outcomes Appendix Service initiatives and developments %0 Generic %9 Other %C Glasgow %D 2012 %F ndc:17367 %I Institute for Research and Innovation in Social Services %T Leading for outcomes children and young people. %U http://www.drugsandalcohol.ie/17367/ %X 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. %0 Report %9 Other %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2012 %F ndc:18754 %I Government Publications %T Life as a child and young person in Ireland: National consulation. %U http://www.drugsandalcohol.ie/18754/ %X This report, Life as a Child and Young Person in Ireland: Report of a National Consultation, documents the views of 66,705 children and young people. This national consultation was conducted to inform development of the Children and Young People’s Policy Framework by the Department of Children and Youth Affairs, which will set out the key policy objectives for the next five years. During 2010, the Department of Children and Youth Affairs (DCYA) (formerly the Office of the Minister for Children and Youth Affairs, OMCYA) developed the concept and methodology for a children and young people’s consultation. It was agreed that children and young people in every school and Youthreach centre in the country would be invited to complete short questionnaires containing three open questions. The questions for the primary school children were devised at a consultation with 7-12 year-olds conducted by the OMCYA in November 2010. The three questions devised by children for the primary school children were: 1. What’s the best thing about being a child in Ireland? 2. What’s the worst thing about being a child in Ireland? 3. What one thing would you change in Ireland for children to be happy? Questions for young people were formulated by the OMCYA’s Children and Young People’s Forum (CYPF) in 2010. The CYPF consists of 35 young people, aged 12-18, from all parts of the country. They are nominated to the CYPF through Comhairle na nÓg and organisations representing seldom-heard children/young people. The three questions for second-level young people were: 1. What do you think is good about being a young person living in Ireland? 2. What do you dislike about being a young person in Ireland? 3. If you were leader of the country, what one thing would you change for young people? %0 Report %9 Government Publication %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2012 %F ndc:18121 %I Stationery Office %T Report on the Taskforce on the Child and Family Support Agency. %U http://www.drugsandalcohol.ie/18121/ %X Numerous investigation reports have documented how fragmented services have failed to meet the needs of children. It is crucial that certain services for children are now realigned from across a number of agencies into a single comprehensive, integrated and accountable agency for children and families, the Child and Family Support Agency (CFSA). The Task Force’s vision for the Child and Family Support Agency is that it will, under the direction of the Department of Children and Youth Affairs, provide leadership to relevant statutory and non-statutory agencies, to ensure that the conditions needed for children’s well-being and development are fulfilled. The Task Force’s ‘vision for a quality Irish childhood’ is relevant to and intended to encompass all organisations, agencies and sectors that provide services to children, young people and their families. Key reforms to be progressed by the Agency include: • The creation of multidisciplinary local teams. • The streamlining of local services under one local manager. • The establishment of a single, consistent mechanism for assessment, referrals and tracking supported by a new child protection notification system. %0 Report %9 Other %A Martyn, Michelle %B %C Dublin %D 2012 %F ndc:18802 %I Irish Penal Reform Trust %T "Picking up the pieces": The rights and needs of children and families affected by imprisonment. %U http://www.drugsandalcohol.ie/18802/ %X 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 %0 Journal Article %A McCrory, Cathal %A Layte, Richard %D 2012 %F ndc:18761 %I Springer %J Journal of Child and Adolescent Psychiatry %N 8 %P 1277-1288 %T Prenatal exposure to maternal smoking and childhood behavioural problems: a quasi-experimental approach. %U http://www.drugsandalcohol.ie/18761/ %V 40 %X 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. %0 Journal Article %A Mongan, Deirdre %D 2012 %F ndc:16886 %I Health Research Board %J Drugnet Ireland %P 26 %T Children’s exposure to risks from parental drinking. %U http://www.drugsandalcohol.ie/16886/ %V Issue 40, Winter 2011 %0 Generic %C Bethesda, MD %D 2012 %F ndc:26066 %I National Institute on Alcohol Abuse and Alcoholism %N 1 %T Fetal Alcohol Spectrum Disorders. %U http://www.drugsandalcohol.ie/26066/ %V 34 %0 Report %9 Government Publication %A Nixon, Elizabeth %B %C Dublin %D 2012 %F ndc:17116 %I Government Publications %T Growing up in Ireland National Longitudinal Study of Children. How families matter for social and emotional outcomes of 9-year-old children. %U http://www.drugsandalcohol.ie/17116/ %X This report is concerned with how families matter for the social and emotional outcomes of nine-year-olds in the Growing Up in Ireland study. The analysis considers how these outcomes relate to the characteristics of both the child and the child’s family. Data were collected from teachers and mothers on children’s social, emotional and behavioural problems using the Strengths and Difficulties Questionnaire (SDQ). Data on child characteristics, the quality of the parent-child relationship, parental depression, and marital satisfaction were gathered from mothers and fathers, while children reported on mothers’ and fathers’ parenting styles. Data on family structure and income levels were also included in the analysis. The findings presented are based on tests of associations among variables and interpretation requires caution about inferring causality to these relationships. The findings indicate that the majority of nine-year-olds are developing well without any significant social, emotional or behavioural problems. However, based on mother and teacher reports, approximately 15% to 20% of children were classified as displaying significant levels of difficulty. Girls were more likely than boys to have problems of an emotional nature, while boys were more likely than girls to have problems of a behavioural nature, and to display more difficulties overall. Having a chronic illness or a learning and development difficulty (as reported by mothers) was associated with higher levels of social and emotional problems. Children with temperaments characterised by higher levels of emotionality and lower levels of sociability also displayed more negative outcomes. Together, these findings indicate that certain inherent characteristics render some children more vulnerable than others to poor social and emotional outcomes. Parenting styles and the quality of mother-child and father-child relationships were also associated with social and emotional outcomes. Children whose parents used an authoritarian parenting style (characterised by low levels of responsiveness and high levels of control) had more difficulty, as did children whose parents were neglectful (low responsiveness and low control). In addition, high levels of mother-child and father-child conflict were associated with elevated levels of difficulty, while low levels of closeness in the mother-child relationship were important for girls’ but not boys’ social and emotional outcomes. Father-child closeness was not associated with children’s social and emotional outcomes. %0 Report %9 Government Publication %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2012 %F ndc:19449 %I Government Publications %T State of the nation's children report: Ireland 2012. %U http://www.drugsandalcohol.ie/19449/ %X This is Ireland's fourth biennial State of the Nation's Children report. These reports, which provide the most up-to-date data on all indicators in the National Set of Child Well-Being Indicators, aim to: chart the well-being of children in Ireland; track changes over time; benchmark progress in Ireland relative to other countries; highlight policy issues arising. %0 Report %9 Other %@ Report 2 %A O’Connor, Una %A Kinlen, Louise %A Horgan, Goretti %A McCord, John %A Keenaghan, Celia %B %C Galway %D 2012 %F ndc:18119 %I Children and Youth Programme %T Understanding policy development and implementation for children and young people. %U http://www.drugsandalcohol.ie/18119/ %X This Foundation Report is the second in a Special Report Series addressing the rights and well-being of children and youth in Ireland and Northern Ireland. The Report corresponds with three key UNESCO aims: to strengthen awareness of human rights; to act as a catalyst for regional and national action in human rights; and to foster co-operation with a range of stakeholders and networks working with, or on behalf of, children and youth. The focus of this second Foundation Report from the Children and Youth Programme (CYP) is based on a series of consultations undertaken with key stakeholders from the policy, statutory and non-statutory sectors in Ireland and Northern Ireland, where the twin processes of policy development and implementation were identified as recurrent concerns (CYP Foundation Report 1, 2011). Arguably, if child-centred policy is developed and implemented well the rights and well-being of children and young people should be protected. However, as governmental responses to the economic decline demonstrate almost daily, the extent to which these rights are protected has become increasingly precarious, often impacting on the well-being of the most marginalised and vulnerable groups1. %Z Published by the Children and Youth Programme with support from The Atlantic Philanthropies %0 Report %9 Government Publication %A Peyton, Lynne %B %C Dublin %D 2012 %F ndc:20119 %I Health Service Executive %T 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. %U http://www.drugsandalcohol.ie/20119/ %X 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. %0 Journal Article %A Pike, Brigid %D 2012 %F ndc:16889 %I Health Research Board %J Drugnet Ireland %P 28-29 %T Prioritising children in drug policy and practice. %U http://www.drugsandalcohol.ie/16889/ %V Issue 40, Winter 2011 %0 Generic %A Maschinot, Beth %A Cohen, Julie %C Rockville, MD %D 2012 %F ndc:18735 %I Substance Abuse and Mental Health Services Administration %T Supporting infants, toddlers, and families impacted by caregiver mental health problems, substance abuse, and trauma. A community action guide. %U http://www.drugsandalcohol.ie/18735/ %X 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. %0 Journal Article %A Stoolmiller, Mike %A Wills, Thomas A %A McClure, Auden C %A Tanski, Susanne E %A Worth, Keilah A %A Gerrard, Meg %A Sargent, James D %D 2012 %F ndc:17016 %I BMJ Publishing %J BMJ Open %N 1: e000543 %T Comparing media and family predictors of alcohol use: a cohort study of US adolescents. %U http://www.drugsandalcohol.ie/17016/ %V 2 %X Objective: To compare media/marketing exposures and family factors in predicting adolescent alcohol use. Design: Cohort study. Setting: Confidential telephone survey of adolescents in their homes. Participants: Representative sample of 6522 US adolescents, aged 10–14 years at baseline and surveyed four times over 2 years. Primary: outcome measure Time to alcohol onset and progression to binge drinking were assessed with two survival models. Predictors were movie alcohol exposure (MAE), ownership of alcohol-branded merchandise and characteristics of the family (parental alcohol use, home availability of alcohol and parenting). Covariates included sociodemographics, peer drinking and personality factors. Results: Over the study period, the prevalence of adolescent ever use and binge drinking increased from 11% to 25% and from 4% to 13%, respectively. At baseline, the median estimated MAE from a population of 532 movies was 4.5 h and 11% owned alcohol-branded merchandise at time 2. Parental alcohol use (greater than or equal to weekly) was reported by 23% and 29% of adolescents could obtain alcohol from home. Peer drinking, MAE, alcohol-branded merchandise, age and rebelliousness were associated with both alcohol onset and progression to binge drinking. The adjusted hazard ratios for alcohol onset and binge drinking transition for high versus low MAE exposure were 2.13 (95% CI 1.76 to 2.57) and 1.63 (1.20 to 2.21), respectively, and MAE accounted for 28% and 20% of these transitions, respectively. Characteristics of the family were associated with alcohol onset but not with progression. Conclusion: The results suggest that family focused interventions would have a larger impact on alcohol onset while limiting media and marketing exposure could help prevent both onset and progression. %0 Generic %A Furlong, Mairead %A McGilloway, Sinead %A Bywater, T %A Hutchings, J %A Smith, SM %A Donnelly, M %D 2012 %F ndc:17209 %I John Wiley & Sons, Ltd %N 2 %T Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. %U http://www.drugsandalcohol.ie/17209/ %X To assess the effectiveness and cost-effectiveness of behavioural and cognitive-behavioural group-based parenting programmes for improving child conduct problems, parental mental health and parenting skills. Parenting programmes that are delivered in group settings have the potential to help parents develop parenting skills that improve the behaviour of their young children. This review provides evidence that group-based parenting programmes improve childhood behaviour problems and the development of positive parenting skills in the short-term, whilst also reducing parental anxiety, stress and depression. Evidence for the longer-term effects of these programmes is unavailable. These group-based parenting programmes achieve good results at a cost of approximately $2500 (£1712 or €2217) per family. These costs are modest when compared with the long-term social, educational and legal costs associated with childhood conduct problems. %0 Generic %A Turnbull, Catherine %A Osborn, David A %C London %D 2012 %F ndc:18721 %I John Wiley & Sons, Ltd %N 1 %T Home visits during pregnancy and after birth for women with an alcohol or drug problem. %U http://www.drugsandalcohol.ie/18721/ %X 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. %0 Report %9 Other %A National Advisory Committee on Drugs, %A Alcohol Action Ireland, %A HSE Social Inclusion Department, %B %C Dublin %D 2011 %F ndc:16766 %I National Advisory Committee on Drugs %T A family affair? Supporting children living with parental substance misuse. A report of a national conference held in November 2011. %U http://www.drugsandalcohol.ie/16766/ %X 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. %0 Generic %A Diggins, Marie %C London %D 2011 %F ndc:17880 %I Social Care Institute for Excellence %T Think child, think parent, think family: a guide to parental mental health and child welfare. %U http://www.drugsandalcohol.ie/17880/ %X 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. %0 Report %9 Government Publication %A Growing Up in Ireland, %B %C Dublin %D 2011 %F ndc:16458 %I Department of Children and Youth Affairs %T Growing up in Ireland. Key findings: infant cohort (at 3 years). %U http://www.drugsandalcohol.ie/16458/ %X The latest results from the study paint a picture of how these families are faring across a range of areas in their lives including their health, family life and financial and economic circumstances. In general the findings show that three-year-olds in Ireland are in good health with a few notable public health and related issues (including overweight and obesity), there is overall stability in family structures over the short term and that the recession has had a substantial effect on families with young children over the last number of years. These are the first longitudinal findings from the study. The first wave of fieldwork with the families of the Infant Cohort included approximately 11,100 nine-month-olds, their parents and carers. Interviews began in September 2008 and were completed in March 2009. Interviews for the second round of interviews with this cohort took place between January and August 2011. A total of 90% of the original sample of nine-month-olds were successfully re-interviewed. (A full download of the results released today, presented in three briefing documents can be found by clicking here. Key findings include: Health • Most of the children were described as being in good health; 75% were rated as very healthy and a further 23% were rated as healthy, but a few minor problems. Girls were more likely to be reported as very healthy (78%) compared with boys (72%). • One in four or almost one quarter of three-year-old children were overweight (19%) or obese (6%). • Children’s weight was related to household social class. 5% of children in families in the professional/managerial group were classified as obese at three years of age compared with 9% of those in the most disadvantaged social class group. However, at least one-fifth of children in every social class were overweight. • Childrens consumption of energy-dense foods such as crisps, sweets, chips, and non-diet fizzy drinks increased as parental education fell. 63% of children whose mother had a lower secondary education or less ate at least one portion of crisps compared with 36% of those from degree-level backgrounds, although consumption of biscuits/chocolates was over 70% for both groups of children. • Two-thirds (66%) of three-year-olds had received at least one course of antibiotics in the 12 months preceding the interview. Children with a full medical card (35% of the sample) or a GP-only medical card (5% of the sample) were more likely to have received a course of antibiotics than • Children with a full medical card received a higher number of antibiotic courses on average (2.6) compared with those without a medical card (2.1). • Just under 16% of three-year-old children were reported as having at least one longstanding illness, condition or disability. The most commonly reported illness types included Asthma (5.8%), Eczema/Skin allergies (3.9%) and Food/digestive allergies (1.2%) Family Life and Childcare • While the overall distribution of family structure was stable, there have been transitions from one-parent families to two-parent families and vice-versa over the 27 months between interview – approximately 2 to 3 percent in each direction. • 50% of three year olds were in some form of non-parental childcare for eight or more hours a week. The most common form used was centre-based childcare which almost tripled between nine months and three years, from 11% to 30%. • A similar percentage of grandparents were caring for children at both nine months and three years, 12% and 11% respectively. A total of 10% of three-year-olds were being minded by a childminder, an increase of 3 percentage points from when the children were nine months of age. • Children who were in some form of non-parental childcare were spending an average of 23 hours a week in their main type of childcare. • At time of interview the vast majority of mothers reported that they had regular contact with the Study Child’s grandparents (91%). In offering support to parents, grandparents were most likely to babysit (50%), and buy clothes (40%) at least on a monthly basis. One-parent families were more likely than two-parent families to receive financial support from grandparents with just under one-third (66%) of one-parent families receiving financial support from grandparents at least once every three months. • The most frequently used discipline technique was ‘discussing or explaining why the behaviour was wrong’, with 63% of mothers saying they always did this. • 12% of mothers said they used ‘smacking’ as a form of discipline now and again and less than 1% used ‘smacking’ as a form of discipline more frequently. Over half reported that they never smacked the Study Child. Financial and Economic Circumstances • Just over half (53%) of mothers of three-year-olds worked outside the home, 38% said they were on home duties and 6% said they were unemployed. • The biggest change in terms of the work status of three-year-olds’ parents was an increase in the percentage of unemployed fathers – 6% when the child was nine months rising to almost 14% when s/he was three years of age. • 61% of families of three-year-olds reported experiencing difficulties in making ‘ends meet’. This was a substantial increase from 44% in the first round of interviews when the children were nine-months-old. • Almost two thirds (63%) of all families with three-year-olds reported that the recession had had a very significant or significant effect on them. • The most frequently recorded effects were: a reduction in wages (63%); can’t afford luxuries (54%), social welfare reduction (53%) and can’t afford/cut back on basics (32%). Growing Up in Ireland is a Government funded study tracking the development of two nationally representative cohorts of children: an Infant Cohort which was interviewed initially at nine months and subsequently at three years of age; and a Child Cohort which was interviewed initially at nine years and subsequently at 13 years of age. The study is being conducted by a consortium of researchers led by the Economic and Social Research Institute (ESRI) and Trinity College Dublin. For Further Information Please Contact: Jillian Heffernan Communications Officer, Growing Up in Ireland Tel: 01 896 3378 Mobile: 087 9016880 %0 Report %9 Other %A Health Service Executive, %B %C Kildare %D 2011 %F ndc:16459 %I Health Service Executive %T Third annual child & adolescent mental health service report 2010 – 2011. %U http://www.drugsandalcohol.ie/16459/ %X Executive Summary Section 1 Introduction 1.1 Children in the population 1.2 Prevalence of childhood psychiatric disorders 1.3 Child and adolescent mental health services (CAMHS 1.4 Department of Health & Children Policy - Vision for Change (2006) 1.5 Community child and adolescent mental health teams Section 2 Workforce 2.1 Staffing of child and adolescent mental health services 2.2 Community child and adolescent mental health teams Section 3 Access to community CAMHS teams 3.1 Numbers waiting to be seen 3.2 New cases seen by community CAMHS teams October 2010 to September 2011 3.3 Breakdown of new cases (New vs. Re-referred cases) 3.4 Waiting times for new cases seen 3.5 Community CAMHS caseload 3.6 Community CAMHS caseload per clinical whole time equivalent (WTE) 3.7 Cases discharged Section 4 Audit of clinical activity November 2010 4.1 Source of referral 4.2 Case profile 4.3 Number of appointments offered 4.4 Location of appointments 4.5 Clinical inputs 4.6 Age profile of cases seen 4.7 Ethnicity 4.8 Children in the care of the HSE or in contact with social services 4.9 Primary presentation 4.10 Suicidal ideation / deliberate self harm 4.11 Gender profile of cases and primary presentations 4.12 Length of treatment 4.13 Day services 4.14 Paediatric hospital liaison services Section 5 Inpatient child and adolescent mental health services 5.1 Inpatient servies child and adolescent mental health services. 5.2 Admission of children and adolescents to inpatient units 5.3 Age and gender of admissions (2010) 5.4 Diagnostic categories 5.5 Duration of admission 5.6 Involuntary admissions 5.7 Development of inpatient services Section 6 Community child and adolescent mental health service infrastructure 6.1 Accommodation provided for CAMHS teams 6.2 Suitability of premises 6.3 Difficulties encountered with premises 6.4 Infrastructure developments Section 7 Demands on community CAMHS 7.1 Services for young people of 16 and 17 years of age 7.2 Capacity of CAMHS teams to respond to demand 7.3 Provision of dedicated ADHD clinics by community CAMHS teams 7.4 Referral protocols and referral forms Section 8 Deliberate self harm in children aged from 10 to 17 years 8.1 The National Registry of Deliberate Self Harm 8.2 Hospital presentations of children. 8.3 Deliberate self harm by HSE regions 8.4 Episodes by time of occurance 8.5 Method of self harm 8.6 Drugs used in overdose 8.7 Recommended next care 8.8 Repetition of deliberate self harm Section 9 Supporting the development of child and adolescent mental health services 9.1 Monitoring Progress and Evaluating Outcomes Appendix Service initiatives and developments %0 Report %9 Other %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2011 %F ndc:16432 %I Government Publications %T National strategy for research and data on children’s lives 2011—2016. %U http://www.drugsandalcohol.ie/16432/ %X 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 %0 Report %9 Other %@ NDARC technical report no. 320 %A Taplin, Stephanie %A Mattick, Richard P %B %C Sydney %D 2011 %F ndc:16471 %I National Drug and Alcohol Research Centre %T Child protection and mothers in substance abuse treatment. %U http://www.drugsandalcohol.ie/16471/ %X 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. %0 Journal Article %A Lyons, Suzi %D 2011 %F ndc:16888 %I Health Research Board %J Drugnet Ireland %P 27 %T A family affair? Seminar on parental substance misuse. %U http://www.drugsandalcohol.ie/16888/ %V Issue 40, Winter 2011 %0 Generic %A Adfam, %C London %D 2011 %F ndc:18387 %I Adfam %T Working with grandparents raising their grandchildren due to parental substance use. %U http://www.drugsandalcohol.ie/18387/ %X 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 %0 Journal Article %@ 1749-3676 %A Apantaku-Olajide, Tunde %A Smyth, Bobby P %A Gibbons, Pat %D 2011 %F ndc:16260 %I Maney Publishing %J International Psychiatry %N 3 %P 71-74 %T Naturalistic study of crisis referrals to an Irish community adult mental health service. %U http://www.drugsandalcohol.ie/16260/ %V 8 %X There is no agreed definition of a mental health crisis; however, a useful one is ‘a situation where mental health has deteriorated to an extent that the user is likely to be at risk of harm to self or others and is in need of urgent intensive specialist support and treatment’ (Minghella et al, 1998). Community-based care is the primary model of specialist mental healthcare in Ireland (Government of Ireland, 2006a). When clinically indicated, a patient with mental health crisis is referred to the community mental health team (CMHT) for an urgent assessment. %0 Report %9 Other %A Barnardos, %B %C Dublin %D 2011 %F ndc:16070 %I Barnardos %T Parenting positively - coping with a parent’s problem drug or alcohol use - for children aged 6 to 12. %U http://www.drugsandalcohol.ie/16070/ %X 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. %0 Report %9 Other %A Barnardos, %B %C Dublin %D 2011 %F ndc:16068 %I Barnardos %T Parenting positively - coping with a parent’s problem drug or alcohol use - for parents of children between 6 and 12. %U http://www.drugsandalcohol.ie/16068/ %X 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. %0 Report %9 Other %A Barnardos, %B %C Dublin %D 2011 %F ndc:16069 %I Barnardos %T Parenting positively - helping teenagers to cope with a parent’s problem drug or alcohol use. %U http://www.drugsandalcohol.ie/16069/ %X 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. %0 Report %9 Other %A Bremnar, Pamela %A Burnett, Jamie %A Nunney, Fay %A Ravat, Mohammed %A Mistral, Willm %B %C London %D 2011 %F ndc:15327 %I Joseph Rowntree Foundation %T Young people, alcohol and influences. %U http://www.drugsandalcohol.ie/15327/ %X This report presents the findings from a major study of young people and their relationship with alcohol, and explores the wide range of influences on their drinking. This study differs from other research: it develops evidence of how different domains of influence work together, understanding their relative importance in tackling different patterns of drinking among different groups. The study involved a survey of 5,700 teenagers aged 13–14 (Year 9) and 15–16 (Year 11) in schools in England and data was statistically modelled to highlight the strongest influences on and predictors of young people’s drinking. The report examines circumstances surrounding young people's first time drinking, their current drinking patterns (including levels of consumption), and their experiences of drunkenness; and develops our understanding of what really influences young people's drinking patterns by identifying the domains and indicators that have the strongest relationship with their behaviour. %0 Report %9 Other %A Children's Rights Alliance, %B %C Dublin %D 2011 %F ndc:15464 %I Children's Rights Alliance %T Ten years on: did the National Children’s Strategy deliver on its promises? %U http://www.drugsandalcohol.ie/15464/ %X The National Children’s Strategy: Our Children – Their Lives, a 10 year strategy that has driven children’s policy in Ireland since 2000, comes to an end in December 2010. This review, undertaken by the Children’s Rights Alliance in collaboration with our members,1 looks back at the ten years of the Strategy and assesses whether it has delivered on its objectives. The review is intended to be reflective: it does not provide recommendations for the next National Children’s Strategy, expected later in 2011, but rather provides the space to assess and reflect on the ten years just past. The review is the first phase of the Alliance’s work on the National Children’s Strategy, the second phase will provide member organisations with an opportunity to comment on what they would like to see included in a second strategy. The Alliance will play an active role in the National Children’s Advisory Council with the aim of influencing the development of recommendations for the second strategy. We believe that the second national children’s strategy should build on the achievements of the National Children’s Strategy: Our Children – Their Lives, but also learn from its shortcomings and take active steps to address them. This review is an important opportunity to collectively reflect on the achievements and failures of the past ten years. Since 2000, much progress has been made and children have become more visible in Irish policy, however much remains to be done to make Ireland one of the best places in the world to be a child. It is hoped that this review will help provide the foundation for the development of the second strategy. %0 Generic %9 Other %A Northern Ireland. Department of Health, Social Services and Public Safety, %C Belfast %D 2011 %F ndc:22427 %I Department of Health, Social Services and Public Safety %T A guide to understanding the effects of parental mental health on children and the family. %U http://www.drugsandalcohol.ie/22427/ %X 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. %0 Generic %A Statham, June %C Dublin %D 2011 %F ndc:16074 %I Government Publications %T A review of international evidence on interagency working, to inform the development of children’s services committees in Ireland. %U http://www.drugsandalcohol.ie/16074/ %X The primary aim of this review is to contribute to the evidence base for developing CSCs in Ireland. It therefore focuses on specific aspects of interagency working that have already been adopted by existing CSCs or are being considered by the DCYA, and within that on models of particular interest, rather than attempting to provide a comprehensive overview of interagency working in general. Specific aims are: 1. to provide a high-level summary of the impact of interagency working on outcomes for children and young people; 2. to undertake a more in-depth analysis of the international evidence for a number of specific approaches to or aspects of interagency working. The following four areas were selected in consultation with the commissioner of the study: -joint planning structures; -methods and tools for joint needs assessment; -the differential/alternative response approach to child welfare; -systems to support information sharing between agencies. 3. to identify key barriers and facilitators to successful interagency working and to implementing each of the above approaches. %0 Journal Article %A Gillen, Eamonn %A Stack, Aoife %A Cahill, Helen %D 2011 %F ndc:15632 %I Health Research Board %J Drugnet Ireland %P 5-6 %T What’s Working for Children conference. %U http://www.drugsandalcohol.ie/15632/ %V Issue 38, Summer 2011 %0 Report %9 Other %@ Qualitative research report number 1 %A Harris, Elaine %A Doyle, Erika %A Greene, Sheila %B %C Dublin %D 2011 %F ndc:15972 %I Department of Children and Youth Affairs %T Growing up in Ireland - The findings of the qualitative study with the 9-year-olds and their parents. %U http://www.drugsandalcohol.ie/15972/ %X 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. %0 Report %9 Annual Report %A Health Research Board, %A Irish Focal Point, %B %C Dublin %D 2011 %F ndc:16812 %I Health Research Board %T 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. %U http://www.drugsandalcohol.ie/16812/ %X 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) %0 Report %9 Other %A Health Service Executive, %B %C Kildare %D 2011 %F ndc:15966 %I Health Service Executive %T Child protection and welfare practice handbook. %U http://www.drugsandalcohol.ie/15966/ %X 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. %0 Report %9 Other %A Hope, Ann %B %C Letterkenny %D 2011 %F ndc:16250 %I North West Alcohol Forum %T Hidden realities: children's exposure to risks from parental drinking in Ireland. %U http://www.drugsandalcohol.ie/16250/ %X 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 %0 Report %9 Government Publication %A Horgan, Justine %A National Advisory Committee on Drugs, %B %C Dublin %D 2011 %F ndc:16115 %I Stationery Office %T Parental substance misuse: addressing its impact on children: Key messages and recommendations from a review of the literature. %U http://www.drugsandalcohol.ie/16115/ %X 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. %0 Report %9 Government Publication %A Horgan, Justine %A National Advisory Committee on Drugs, %B %C Dublin %D 2011 %F ndc:16114 %I Stationery Office %T Parental substance misuse: addressing its impact on children: a review of the literature. %U http://www.drugsandalcohol.ie/16114/ %X 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. %0 Generic %A Institute for Research and Innovation in Social Services, %C Glasgow %D 2011 %F ndc:17368 %I Institute for Research and Innovation in Social Services %T Leading for outcomes parental substance misuse. %U http://www.drugsandalcohol.ie/17368/ %X 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. %0 Report %9 Government Publication %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2011 %F ndc:15522 %I Government Publications %T Children First: National guidance for the protection and welfare of children. %U http://www.drugsandalcohol.ie/15522/ %X 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.” %0 Report %9 Other %A Irish Association of Social Workers, %B %C Dublin %D 2011 %F ndc:15409 %I Irish Association of Social Workers %T A call for change: discussion document. Children and families social workers make their voices heard. %U http://www.drugsandalcohol.ie/15409/ %X 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. %0 Report %9 Other %@ Report 1 %A Kennan, Danielle %A Keenaghan, Celia %A O'Connor, Una %A Kinlen, Louise %A McCord, John %B %C Galway %D 2011 %F ndc:18117 %I Children and Youth Programme %T A rights–based approach to monitoring children and young people’s well–being. %U http://www.drugsandalcohol.ie/18117/ %X This Foundation Report is the first in a Special Report Series addressing the well-being of children and youth in Ireland and Northern Ireland. The Report corresponds with three key UNESCO aims: to strengthen awareness of human rights; to act as a catalyst for regional and national action in human rights; and to foster co-operation with a range of stakeholders and networks working with, or on behalf of, children and youth. This Foundation Report, whilst focusing on Ireland and Northern Ireland, reflects the UNESCO (United Nations Educational, Scientific and Cultural Organisation) position that rights and well-being are a global concern and the extent to which they are realised affects the lives of all children and young people. The Report integrates the position of UNESCO on rights and well-being2 into current thinking and practice in Ireland and Northern Ireland in responding to the lessons of the past and shaping a society where a happy childhood is a norm and not an aspiration. The specific purpose of the Report is to contribute to a shared understanding of a human rights-based approach to monitoring children and young people’s well-being. %Z Published by the Children and Youth Programme with support from The Atlantic Philanthropies %0 Report %9 Other %A Landy, Fergal %A Forkan, Cormac %A Canavan, John %B %C Galway %D 2011 %F ndc:18116 %I Child and Family Research Centre %T North Dublin Differential Response Model. early implementation report. %U http://www.drugsandalcohol.ie/18116/ %X 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. %Z Prepared by the Child and Family Research Centre, NUI Galway for the Health Service Executive %0 Report %9 Other %A Livingstone, Sonia %A Haddon, Leslie %A Gorzig, Anke %A Olafsson, Kjartan %B %C LSE, London %D 2011 %F ndc:14650 %I EU Kids Online %T Risks and safety on the internet: the perspective of European children. Full findings. %U http://www.drugsandalcohol.ie/14650/ %X This report, based on the final dataset of the EU Kids Online survey of 9-16 year olds and their parents for all 25 countries, presents the final full findings for EU Kids Online Deliverable D4: Core findings to the European Commission Safer Internet Programme. The most common risky activity reported by children online is communicating with new people not met face-to-face. The second most common risk is exposure to potentially harmful user-generated content. 21% of 11-16 year olds have been exposed to one or more types of potentially harmful usergenerated content: hate (12%), pro-anorexia (10%), self-harm (7%), drug-taking (7%) or suicide (5%). %0 Report %9 Government Publication %A McEvoy, Olivia %A Smith, Martine %A Ireland. Department of Children and Youth Affairs, %B %C Dublin %D 2011 %F ndc:15654 %I Government Publications %T Listen to our voices. Hearing children and young people living in the care of the State. %U http://www.drugsandalcohol.ie/15654/ %X 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. %0 Journal Article %@ 0332-3102 %A McNicholas, Fiona %A O'Connor, N %A Bandyopadhyay, G %A Doyle, P %A O'Donovan, A %A Belton, M %D 2011 %F ndc:15231 %I Irish Medical Organisation %J Irish Medical Journal %N 4 %P 105-108 %T Looked after children in Dublin and their mental health needs. %U http://www.drugsandalcohol.ie/15231/ %V 104 %X 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. %0 Report %9 Other %A Millar, Michelle A %B %C Galway %D 2011 %F ndc:18118 %I UNESCO Child and Family Research Centre %T ‘Making a difference’ – an independent evaluation of the Incredible Years Programme in pre-schools in Galway city. %U http://www.drugsandalcohol.ie/18118/ %X The focus of this report is the implementation of the Incredible Years Programme (IYP) in Galway City. The report explores the process of developing the Incredible Years Programme in Galway City with a particular focus on the evaluation of the implementation and outcomes of the Dina in the Classroom (Pre-School) Programme. The IYP is designed to promote social and emotional competencies in children aged 3-10 years. The IYP which was developed in the University of Washington, Seattle by Professor Carolyn Webster-Stratton contains three separate training programmes, one for parents, teachers and children. Whilst each programme is designed as a stand-alone intervention, taken together they provide a cohesive and uniform strategy to address and eliminate behavioural difficulties for children. The IYP is designed to meet the needs of children with behavioural difficulties in the widest sense of the term. This encompasses a broad spectrum of behaviours from mildly disruptive to severely destructive which can present in the home and school, particularly among younger children. Yet this can also result in anti-social activities among adolescents and young people. Behavioural difficulties have a conduct dimension characterised by aggression, defiance and destructiveness as well as an emotional dimension, which is marked by negative affect and deficits in peer relations and pro-social behaviour. %0 Report %9 Other %A National Children’s Strategy Implementation Group, %A Children’s Services Committees, %B %C Dublin %D 2011 %F ndc:14936 %I Government Publications %T Governance framework for the Working Together for Children Initiative. %U http://www.drugsandalcohol.ie/14936/ %X The Office of the Minister for Children and Youth Affairs, the National Children's Strategy Implementation Group (NCSIG ) and the Children's Services Committees (CSCs) have been leading an initiative to develop a planning model for national and local interagency working to improve outcomes for children. This is collectively known as the Working Together for Children initiative. The objective of the Working Together for Children initiative is to secure better developmental outcomes for children through more effective integration of policies and services. The purpose of this document is to articulate the governance arrangements for the Working Together for Children initiative. This Governance Framework is derived from existing policy and legislative provisions, and from the consideration given by the National Children’s Strategy Implementation Group (the national group with responsibility for driving the Working Together for Children initiative at national level) to the following documents: • Learning from experience to inform the future – Findings emerging from the initial phase of the Children’s Services Committees (Centre for Effective Services, 2010) • Draft Paper Outlining Recommendations Relating to the Governance of Children’s Services Committees (Centre for Effective Services,2010) %0 Report %9 Other %A National Review Panel for Serious Incidents & Child Deaths, %B %C Kildare %D 2011 %F ndc:16120 %I Health Service Executive %T National review panel annual report 2010. %U http://www.drugsandalcohol.ie/16120/ %X 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) %0 Generic %C London %D 2011 %F ndc:15227 %I National Treatment Agency for Substance Misuse %T Supporting information for the development of joint local protocols between drug and alcohol partnerships, children and family services. %U http://www.drugsandalcohol.ie/15227/ %X 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'. %0 Report %9 Annual Report %A Ombudsman for Children’s Office, %B %C Dublin %D 2011 %F ndc:15219 %I Ombudsman for Children’s Office %T Austin Currie launches Ombudsman for Children’s 2010 Annual report. %U http://www.drugsandalcohol.ie/15219/ %X 1,223 complaints dealt with in 2010. In-depth advice given on significant pieces of legislation. Voices of children in St Patrick’s prison harnessed to bring about change. The Ombudsman for Children, Emily Logan, said: “My 2010 annual report illustrates the need for public sector reform in relation to how the State supports children and families. Areas that I believe are of serious concern are the excessively bureaucratic approach to decision making by public administration, and the failure to ensure the implementation of national laws and policy such as the Child Care Act, 1991 and Children First – National Guidelines for the Protection and Welfare of Children. The report, which concludes the first six-year period of the Ombudsman for Children’s Office, outlines the important role the Office has played since its establishment in 2004 promoting and monitoring children’s rights, providing quality control of public services to children and offering an independent, impartial and free redress mechanism for children and families who are unhappy about how they have been treated. 1,223 complaints were dealt with by the Office in 2010. Education accounted for 38% of complaints, 37% were health related, 8% were Justice related and 5% were Housing related. Parents remain the best advocates for their children with 75% of complaints coming from family members, 10% from professionals and 4% from young people themselves. %0 Journal Article %A Pike, Brigid %D 2011 %F ndc:15634 %I Health Research Board %J Drugnet Ireland %P 6-7 %T Drug prevention in the family. %U http://www.drugsandalcohol.ie/15634/ %V Issue 38, Summer 2011 %0 Journal Article %A Pike, Brigid %D 2011 %F ndc:14689 %I Health Research Board %J Drugnet Ireland %P 7-8 %T Growing up in Ireland: infants and their families. %U http://www.drugsandalcohol.ie/14689/ %V Issue 36, Winter 2010 %0 Journal Article %A Pike, Brigid %D 2011 %F ndc:15635 %I Health Research Board %J Drugnet Ireland %P 7-8 %T State of the nation's children report: Ireland 2010. %U http://www.drugsandalcohol.ie/15635/ %V Issue 38, Summer 2011 %0 Journal Article %A Pike, Brigid %D 2011 %F ndc:15633 %I Health Research Board %J Drugnet Ireland %P 6 %T What do children want to know? %U http://www.drugsandalcohol.ie/15633/ %V Issue 38, Summer 2011 %0 Report %9 Other %@ LRC 103-2011 %A Law Reform Commission, %B %C Dublin %D 2011 %F ndc:15587 %I Law Reform Commission %T Children and the law: medical treatment. %U http://www.drugsandalcohol.ie/15587/ %X The Report forms part of the Commission’s Third Programme of Law Reform 2008-2014. In the Report, the Commission makes over 20 recommendations for reform, which are aimed at (a) clarifying existing law that 16 and 17 year olds can consent to medical treatment; (b) ensuring that mature minors (those under 16) have their views fully taken into account when they seek medical treatment; and (c) providing clarity to parents, guardians and health care professionals. The Report also includes a draft Health (Children and Consent to Health Care Treatment) Bill and Outline Scheme of a Mental Health (Amendment) Bill to implement these recommendations. Rights, responsibilities and roles of parents and young people: The Report deals with the complex interaction between the rights, responsibilities and roles of parents and young people. The Report points out that, under the Constitution and international human rights conventions, parents and guardians are presumed to be best placed to ensure that the rights of children are implemented in practice, especially in the case of very young children. As children mature towards adulthood, their capacity to exercise their rights must be recognised. The literature on early adult development points out that maturing is usually a gradual process that occurs as the young person approaches adulthood; that many factors affect this, including the young person’s life experiences (such as health and medical experiences) and wider influences from society. This gradual maturing is also recognised in the law, which sometimes sets down definitive age thresholds for specific matters (especially in the criminal law) and sometimes sets down rules based on tests of maturity and understanding (for example, in assessing whether a child or young person’s views should be taken into account in child care or adoption proceedings). The Commission has taken this into account in the Report. Main recommendations in the Report: Among the recommendations in the Report are: 1. 16 and 17 year olds: the Commission recommends that 16 and 17 year olds should be presumed to have full capacity (based on a functional test that they understand the health care decision and its consequences) to consent to, and refuse, health care and medical treatment. This includes: advice, over-the-counter medicine, surgery, access to contraception and mental health services. (Note: section 23 of the Non-Fatal Offences Against the Person Act 1997 already states that consent given by a 16 and 17 year old to medical treatment is a defence in any criminal prosecution for assault against a medical professional). 2. Those under 16: the Commission recommends that those under 16 should not be presumed competent to consent to, or refuse, medical treatment; but that, in exceptional circumstances they may be able to give their consent or refusal, based on an assessment of their maturity, and a presumption that their parents or guardians will usually be involved. 3. The assessment of whether a person under 16 is sufficiently mature to consent to or refuse medical treatment would have to take account of the following factors: (a) whether he or she has sufficient maturity to understand the information relevant to making the specific decision and to appreciate its potential consequences; (b) whether his or her views are stable and reflect his or her values and beliefs; (c) the nature, purpose and utility of the treatment; (d) the risks and benefits involved in the treatment; and (e) any other specific welfare, protection or public health considerations, such as the mandatory application of the 2011 Children First Guidelines (revised earlier this month by the Minister for Children and Youth Affairs). 4. Where any person under 18 refuses life-sustaining treatment, an application to the High Court would be required to decide on the validity of any such refusal. 5. The Commission recommends that the Mental Health Act 2001 be amended to make specific provision for people under 18: for example, that a Mental Heath Tribunal (with an age appropriate focus) rather than the District Court should review their admission and treatment. 6. The Commission recommends that a detailed statutory Code of Practice be published to provide guidance on the application of the Commission’s recommendations; and that the Minister for Children and Youth Affairs should establish a broad-based Working Group to advise on its content (membership to include representatives of parents, young people and health care professionals). %0 Report %9 Other %A Roe, Sandra %A McEvoy, Olivia %B %C Dublin %D 2011 %F ndc:16278 %I Department of Children and Youth Affairs %T An audit of children and young people’s participation in decision-making. %U http://www.drugsandalcohol.ie/16278/ %X This aim of this study was to audit children and young people’s participation in decision-making activity in both statutory and non-statutory organisations working with children and young people aged 18 years and under. Four separate online surveys were developed as part of the research process. The first was aimed at Comhairle na nÓg and other organisations that work with or on behalf of children and young people, the second at the HSE and HSE-funded services, the third at young people on Student Councils and the fourth at Student Council Liaison Teachers. Overall, organisations, services and structures that have involved children and young people in decision-making activity generally reported positive experiences, benefits and outcomes with regard to such activity. However, levels of participation activity and effectiveness varied among respondents. There was a much higher rate of participation activity among children and young people involved in Comhairle na nÓg and other organisations compared with the HSE and HSE-funded services. Four out of 5 respondents (80.3%) from Comhairle na nÓg and other organisations are currently involving children and young people in decision-making and 8.5% have done so in the past, whereas 36.2% of respondents from the HSE and HSE-funded services are currently involving children and young people in decision-making and 19.9% have done so in the past. Involvement in decision-making was typically described as informal among those from the HSE and HSE-funded services. On the other hand, involvement of children and young people in decision-making within Student Councils, Comhairle na nÓg and other organisations was more structured. The majority of Student Councils are well established and involve young people in decision-making activities on a regular basis. For example, over 8 out of 10 Student Councils (81%) had been in existence for 5 or more years and almost all (93%) meet at least once a month and over half meet more than once a month. Comhairle na nÓg and other organisations reported correspondingly high levels (93.5%) of ongoing involvement in participation activity, with over half (52.3%) having permanent youth councils or forums. Respondents from Comhairle na nÓg, other organisations, the HSE and HSE-funded services all reported an increase in participation activity in the last 3 years. The key issues that children and young people who are involved in decision-making are consulted about varied, although mental health was cited as one of the most common topics. The HSE and HSE-funded services were most likely to consult with children and young people on mental health issues, whereas Comhairle na nÓg and other organisations were most likely to consult with children and young people on issues relating to youth services, leisure and recreation, followed by mental health issues. Young people on Student Councils were most likely to be consulted by school management in relation to the development of new or existing school rules and policies. %0 Report %9 Other %A Share, Michelle %A Kerrins, Liz %A Greene, Sheila %B %C Dublin %D 2011 %F ndc:15221 %I Children's Research Centre %T Developing early years professionalism. The evaluation of the Early Learning Initiative’s professional development programme for community childcare settings in the Dublin Docklands. %U http://www.drugsandalcohol.ie/15221/ %X The National College of Ireland (NCI) plays an active partnership role in its local community, the Dublin Docklands; and a fundamental component of this active partnership is NCI’s Early Learning Initiative (ELI). ELI is a community-based educational initiative aimed at addressing educational disadvantage through the provision of an integrated programme for children, their parents and families, and educators from early years up to third level. This report, conducted by the Children’s Research Centre, Trinity College and funded by Pobal Dormant Account Funds – Flagship Projects, examines the implementation of one element of the Early Learning Initiative - Parental Involvement in Children’s Learning (PICL) training in community childcare centres in the Docklands. %0 Generic %A Barcham, Claire %A Diggins, Maria %A Mayes, Kate %A McKenna, Daphne %C London %D 2011 %F ndc:15924 %I Social Care Institute for Excellence %T E-learning: Parental mental health and families. %U http://www.drugsandalcohol.ie/15924/ %X This e-learning resource is targeted at front line and management staff involved in adult mental health and children’s services. These resources might also be useful for primary care services staff (GPs, Health Visitors, Midwives), Schools – Teachers and support staff and Children’s Centre staff. The e-learning resource can be integrated into the higher education social work curriculum either as directed or self directed study. Contents: Introducing the family model An introduction to the family model and the impacts of some common risks, stressors and protective factors. Think child, think parent and think family Explores the impact of parental mental illness on all family members. Also looks at child development stages and some common diagnoses, interventions and treatments for mental illness. Working together with parents Explores the key principles of working in partnership with parents Working together with professionals Explores the challenges facing workers in maintaining a multi-agency approach and how the Family Model can be used to strengthen professional working relationships. Care planning and review Looks at what makes an effective plan as well as considering how reviewing processes can be used to ensure changing needs are assessed and plans modified as a result. Interventions Explores screening, active signposting and early intervention, and their importance in addressing the needs of all parts of the family system. Managing complexity and leading practice Provides a range of audit tools for front line managers to gauge the readiness of their staff to implement the ‘Think Family’ guidance. It also identifies the key drivers needed by strategic managers to target action at a local level, identify the barriers to change and potential solutions. Communicating with families Explores the communication strategies that can be used to talk to parents, children and families about parental mental health issues %0 Generic %A Social Care Institute for Excellence, %C London %D 2011 %F ndc:16077 %I Social Care Institute for Excellence %T eLearning: Parental substance misuse. %U http://www.drugsandalcohol.ie/16077/ %X 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. %0 Journal Article %@ 1873-7757 %A Carr, Alan %A Dooley, Barbara %A Fitzpatrick, Mark %A Flanagan, Edel %A Flanagan-Howard, Roisin %A Tierney, Kevin %A White, Megan %A Daly, Margaret %A Egan, Jonathan %D 2010 %F ndc:23448 %I Elsevier %J Child Abuse & Neglect %N 7 %P 477-89 %T Adult adjustment of survivors of institutional child abuse in Ireland. %U http://www.drugsandalcohol.ie/23448/ %V 34 %X 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. %0 Report %9 Other %@ CAAB research report: no. 8 %A Brierley, Mark %B %C Dublin %D 2010 %F ndc:13329 %I Children's Act Advisory Board %T Tracing and tracking of children subject to a special care application. %U http://www.drugsandalcohol.ie/13329/ %X This report, for the first time, endeavours to improve our understanding of what happens to children who have been referred to special care. In setting out the parameters of the study we were particularly keen to consider the outcomes not only for those who entered special care but also to explore what happened to those children who were not considered to have met the admission criteria. This study is not an end in itself, but rather contributes significantly to the debate which needs to be held about the future shape of child care services in Ireland. We cannot assume that the current system is ‘good enough’. It is over ten years since an alternative approach to special care and high support was recommended by the group who established Rath na nÓg. It is only now that this approach is about to be advanced. But even this may not be the right way. Alongside the development of services it is critical that an ongoing process of evaluation of effectiveness is introduced. The system needs to be clear about what it expects from its different services and to establish processes to ensure that those expectations are being met consistently. %0 Report %9 Other %A Halpenny, Ann Marie %A Nixon, Elizabeth %A Watson, Dorothy %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2010 %F ndc:13311 %I Stationery Office %T Parents’ perspectives on parenting styles and disciplining children. %U http://www.drugsandalcohol.ie/13311/ %X Study overview Families represent the primary setting in which most children’s lives are shaped and determined. Central to the process of the socialisation of children are the parenting behaviours and discipline responses which children experience within family settings. Within these family contexts, children gradually internalise social standards and expectations, which facilitate, in turn, greater selfregulation skills and responsibility. Knowledge of the range of disciplinary tactics used by parents and of parental beliefs and attitudes to discipline strategies is, therefore, essential in order to promote and support effective and constructive parental discipline responses with children and young people. The present study sought to investigate the parenting styles and parental use of disciplinary strategies with children in Ireland, with a particular focus on attitudes to and uses of physical punishment. A further aim of the research was to identify parental attitudes to the legislative position in relation to physical punishment and children. The study adopted a telephone survey methodology, involving interviews with 1,353 women and men, with at least one child younger than 18 years of age, living in private households. Specifically, the following questions were addressed: • What parenting goals and expectations for their children do parents in Ireland have today? • What are parents’ perspectives on Irish society as a context for parenting and what pressures do parents experience? • What parenting styles and discipline strategies do parents use? To what extent do parents use physical punishment as a method of discipline? • Under what circumstances do parents employ certain approaches to discipline? • What are parents’ attitudes towards physical punishment? • Are parents aware of the current legislative position on physical punishment? • What are parents’ perspectives on potential legislative change? • How do child-rearing goals, parenting styles and approaches to discipline and attitudes towards physical punishment vary according to the age, gender and social class of parents and children? %0 Report %9 Government Publication %A Nixon, Elizabeth %A Halpenny, Ann Marie %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2010 %F ndc:13312 %I Stationery Office %T Children’s perspectives on parenting styles and discipline: a developmental approach. %U http://www.drugsandalcohol.ie/13312/ %X The overall aim of this study was to explore children and young people’s perspectives on parenting styles and discipline. The study was carried out against the backdrop of changing trends in Irish society, most notably, changes in family routines and relationships. Little is known in the Irish context about children’s views of different parenting styles and, in particular, about the views of children in respect of physical punishment by their parents. In line with the ethos of the National Children’s Strategy, the research involved consulting directly with children to explore their perspectives on parenting styles and discipline. A qualitative approach was adopted, involving focus group interviews with children and young people aged between 6 and 17 years. The study was carried out jointly by the School of Psychology and Children’s Research Centre, Trinity College, Dublin, and the Centre for Social and Educational Research in the Dublin Institute of Technology, and was commissioned by the Office of the Minister for Children and Youth Affairs. %0 Report %9 Other %A Olszewski, Deborah %A Burkhart, Gregor %A Bo, Alessandra %A European Monitoring Centre for Drugs and Drug Addiction, %B %C Luxembourg: %D 2010 %F ndc:13131 %I The Publications Office of the European Union %T Thematic paper. Children's voices. Experiences and perceptions of European children on drug and alcohol issues. %U http://www.drugsandalcohol.ie/13131/ %X 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 %0 Journal Article %A Pike, Brigid %D 2010 %F ndc:13021 %I Health Research Board %J Drugnet Ireland %T Exposure to illicit drug use and alcoholism among 9-year-old Irish children. %U http://www.drugsandalcohol.ie/13021/ %V Issue 33, Spring 2010 %0 Report %9 Government Publication %A Felzmann, Heike %A Sixsmith, Jane %A O’Higgins, Siobhan %A Ni Chonnachtaigh, Sorcha %A Nic Gabhainn, Saoirse %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2010 %F ndc:13318 %I Stationery Office %T Ethical review and children’s research in Ireland. %U http://www.drugsandalcohol.ie/13318/ %X A substantial increase in research into the lives of children has been experienced over the last 20 years in many countries, including Ireland. This increase is not only in the amount of research undertaken, but also in the multidisciplinary range of such research. Research with children involves working with potentially vulnerable participants, who not only require specific protection but also have the capacity for independent agency that necessitates respect from researchers. With the increase in research, there has been a related increase in awareness by the research community of the need to ensure that all research with children is carried out to the highest ethical standards. Until recently, ethical review of research was left to the discretion of the researchers, who were generally considered sufficiently trustworthy to safeguard their participants’ rights and well-being by virtue of their education and professional standing. Over the last two decades, however, it has become more common to convene Research Ethics Committees to review research proposals with the goal of ensuring that ethical requirements are fulfilled and to provide ethical oversight to researchers. This has resulted in an increase in the number of Research Ethics Committees operating worldwide, including in Ireland. In relation to children’s research, ethical review attempts to ensure that research projects have provisions in place that will enable researchers to do justice to the duties of both protection and respect of child participants. However, a variety of problematic issues have been highlighted. Research with children into the ethics of children’s research has identified tensions between balancing risk and benefit, on the one hand, and autonomy, competence and parental authority, on the other. The reliability and validity of review by Research Ethics Committee has also been brought into question: not only are requirements vastly different between countries (Hearnshaw, 2004), but there is ample evidence to show that decision-making by different Research Ethics Committees In the same country can differ significantly (Garfield, 1995), even when they are governed by the same authority (Angell et al, 2006). In order to counter this variability, it has been argued that increased regulation needs to be put in place and this has happened in some countries. %0 Journal Article %@ 0790-9667 %A McNicholas, Fiona %A O'Sullivan, Michael %A Lennon, Ruth %A Doherty, Mairin %A Adamson, Neil %D 2010 %F ndc:12952 %I Medmedia Group %J Irish Journal of Psychological Medicine %N 1 %P 11-14 %T Deliberate self-harm (DSH) out of hours presentation %U http://www.drugsandalcohol.ie/12952/ %V 27 %0 Report %9 Other %@ Innocenti Report Card 9 %A Adamson, Peter %B %C New York %D 2010 %F ndc:14338 %I UNICEF %T The children left behind: a league table of inequality in child well-being in the world's rich countries. %U http://www.drugsandalcohol.ie/14338/ %X This Report Card presents a first overview of inequalities in child well-being for 24 of the world’s richest countries. Three dimensions of inequality are examined: material well-being, education, and health. In each case and for each country, the question asked is ‘how far behind are children being allowed to fall?’ The report argues that children deserve the best possible start, that early experience can cast a long shadow, and that children are not to be held responsible for the circumstances into which they are born. In this sense the metric used - the degree of bottom-end inequality in child well-being - is a measure of the progress being made towards a fairer society. Bringing in data from the majority of OECD countries, the report attempts to show which of them are allowing children to fall behind by more than is necessary in education, health and material well-being (using the best performing countries as a minimum standard for what can be achieved). In drawing attention to the depth of disparities revealed, and in summarizing what is known about the consequences, it argues that ‘falling behind’ is a critical issue not only for millions of individual children today but for the economic and social future of their nations tomorrow. %0 Report %9 Other %A Alcohol Action Ireland, %B %C Dublin %D 2010 %F ndc:14123 %I Alcohol Action Ireland %T Keeping it in the family survey 2009. Parental drinking among 18-40 year olds: prevalence and impact. %U http://www.drugsandalcohol.ie/14123/ %X 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. %0 Report %9 Other %A Ballymun Network, %B %C Dublin %D 2010 %F ndc:17336 %I Ballymun Network %T More than the sum of its parts : an evaluation of Ballymun Network for assisting Children and young people (2005-2010). An interagency initiative for the coordination of children’s services in Ireland. Summary report. %U http://www.drugsandalcohol.ie/17336/ %X The rationale for this evaluation, as of any evaluation of public services, is simple. The provision of public services involves a tripartite relationship between the Government which commissions and funds services, the agencies paid to deliver them, and the people who use them. The quality of public services depends on the quality of these relationships, and on the existence of systems and processes to ensure that these relationships are transparently accountable, responsive to need, and effective in their outcomes. In an area like Ballymun where the level of need is extremely high, and where each agency is usually the sole provider of its service, it is even more important to establish that services are effective and properly coordinated. The report shows that Ballymun Network has achieved its objectives and has been a success in terms of helping to put in place robust systems for inter-agency cooperation. Ballymun now has good systems to facilitate inter-agency cooperation in responding to the needs of vulnerable young people. The report also shows that the Network has been a success in promoting other aspects of inter-agency cooperation including the joint delivery by agencies of programmes such as the Strengthening Families Programme, and the provision of joint training for front-line staff in both the therapeutic and legal aspects of caring. Beyond that, it has created considerable social capital in terms of creating constructive and friendly working relationships between managers and front-line workers across all agencies in the area. %0 Journal Article %A Brierley, Mark %D 2010 %F ndc:18638 %I Feantsa %J Homeless in Europe %P 7-8 %T Tracing and tracking special care in Ireland. %U http://www.drugsandalcohol.ie/18638/ %V Autumn/Winter %X Children’s social care services in Ireland are the responsibility of the national Health Services Executive(HSE), having until 2005 been the responsibility of 10 regional Health Boards. In 2001, Ireland developed a Youth Homeless Strategy and responsibility for the implementation of the Strategy resides with the HSE. %0 Report %9 Other %@ CAAB research report no. 7 %A Buckley, Helen %A Corrigan, Carmel %A Kerrins, Liz %B %C Dublin %D 2010 %F ndc:14437 %I Children's Act Advisory Board %T Report of an audit of child protection research in Ireland 1990-2009. %U http://www.drugsandalcohol.ie/14437/ %X 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. %0 Journal Article %@ 1472-6904 %A Corcoran, Paul %A Reulbach, U %A Keeley, HS %A Perry, Ivan J %A Hawton, K %A Arensman, Ella %D 2010 %F ndc:14420 %I BioMed Central %J BMC Clinical Pharmacology %N 10 %P 6 %T Use of analgesics in intentional drug overdose presentations to hospital before and after the withdrawal of distalgesic from the Irish market. %U http://www.drugsandalcohol.ie/14420/ %V 18 %X BACKGROUND: Distalgesic, the prescription-only analgesic compound of paracetamol (325 mg) and dextropropoxyphene (32.5 mg) known as co-proxamol in the UK, was withdrawn from the Irish market as of January 2006. This study aimed to evaluate the impact of the withdrawal of distalgesic in terms of intentional drug overdose (IDO) presentations to hospital emergency departments (EDs) nationally. METHODS: A total of 42,849 IDO presentations to 37 of the 40 hospitals EDs operating in Ireland in 2003-2008 were recorded according to standardised procedures. Data on sales of paracetamol-containing drugs to retail pharmacies for the period 1998-2008 were obtained from IMS Health. %0 Report %9 Other %A Eadie, Douglas %A MacAskill, Susan %A Brooks, Oona %A Heim, Derek %A Forsyth, Alasdair %A Punch, Sam %B %C London %D 2010 %F ndc:14142 %I Joseph Rowntree Foundation %T Pre-teens learning about alcohol: drinking and family contexts. %U http://www.drugsandalcohol.ie/14142/ %X 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. %0 Report %9 Other %A Fives, Allyn %A Kennan, Danielle %A Canavan, John %A Brady, Bernadine %A Cairns, David %B %C Dublin %D 2010 %F ndc:13992 %I Office of the Minister for Children and Youth Affairs %T Study of young carers in the Irish population. Executive summary. %U http://www.drugsandalcohol.ie/13992/ %X 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. %0 Report %9 Government Publication %@ The national children’s strategy research series %A Fives, Allyn %A Kennan, Danielle %A Canavan, John %A Brady, Bernadine %A Cairns, David %B %C Dublin %D 2010 %F ndc:14077 %I Office of the Minister for Children and Youth Affairs %T Study of young carers in the Irish population. Full report. %U http://www.drugsandalcohol.ie/14077/ %X 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 %0 Journal Article %@ 0033-2917 %A Harley, M %A Kelleher, I %A Clarke, Mary %A Lynch, F %A Arseneault, L %A Connor, D %A Fitzpatrick, C %A Cannon, M %D 2010 %F ndc:14418 %I British Medical Association %J Psychological Medicine %N 10 %P 1627-1634 %T Cannabis use and childhood trauma interact additively to increase the risk of psychotic symptoms in adolescence. %U http://www.drugsandalcohol.ie/14418/ %V 40 %X RESULTS: In separate analyses both cannabis use and childhood trauma were significantly associated with risk of experiencing psychotic symptoms. However, the presence of both childhood trauma and early cannabis use significantly increased the risk for psychotic symptoms beyond the risk posed by either risk factor alone, indicating that there was a greater than additive interaction between childhood trauma and cannabis use. %0 Report %9 Other %A Harwin, Judith %A Madge, Nicola %A Heath, Sally %B %C Middlesex %D 2010 %F ndc:13863 %I Brunel University %T Children affected by Parental Alcohol Problems. %U http://www.drugsandalcohol.ie/13863/ %X 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 %Z An ENCARE 5 Project funded by the European Union %0 Report %9 Other %A Irish Society for the Prevention of Cruelty to Children, %B %D 2010 %F ndc:14344 %I Irish Society for the Prevention of Cruelty to Children %T If they're getting loaded, why can't I? %U http://www.drugsandalcohol.ie/14344/ %X 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. %0 Journal Article %A Kabir, Zubair %A Manning, Patrick J %A Holohan, Jean %A Goodman, Patrick G %A Clancy, Luke %D 2010 %F ndc:17031 %I BMJ Publishing %J Archives of Disease in Childhood %N 1 %P 42-45 %T Active smoking and second-hand-smoke exposure at home among Irish children, 1995-2007. %U http://www.drugsandalcohol.ie/17031/ %V 95 %X OBJECTIVE: This study hypothesised a continual decline in current smoking prevalence over four calendar years (1995, 1998, 2002/03 and 2007) and no significant increase in second-hand-smoke (SHS) exposure levels at home after the workplace smoking ban of March 2004 (2007 versus 2002/03 survey) among Irish school children. METHODS: A modified ISAAC (International Study of Asthma and Allergies in Childhood) protocol was used. Children aged 13-14 years from randomly selected representative post-primary schools were studied: 2670 in 1995, 2273 in 1998, 2892 in 2002-2003, and 2805 in 2007. ISAAC is a cross-sectional self-administered questionnaire survey. Smoking history was self-reported. beta Coefficients (slopes) of smoking rates across the four surveys were computed. Odds ratios for smoking rates were also computed using the baseline year (1995) as the reference period. All analyses were performed using SAS software (v 9.1). RESULTS: There were significant reductions in active smoking rates between 1995 and 2007 (from 19.9% to 10.6%, respectively) resulting in 3.3% survey-to-survey reductions, with a significantly greater survey-to-survey decline among girls compared to boys (3.8% vs 2.7%, respectively). 45% of children were exposed to SHS at home in 2007. There was a statistically non-significant 2% overall decline in SHS exposure levels at home in 2007 relative to 2002/03, which was more pronounced in girls. CONCLUSIONS: The continual reduction in active smoking prevalence in children is welcome. That there was no significant increase in SHS exposure at home after the nationwide workplace smoking ban suggests that the ban did not increase smoking inside homes. %Z PMID: 19843508 %0 Journal Article %A Kabir, Zubair %A Alpert, Hillel R %A Goodman, Patrick G %A Haw, Sally %A Behm, Ilan %A Connolly, Gregory N %A Gupta, Prakash C %A Clancy, Luke %D 2010 %F ndc:20214 %I Future Medicine %J Pediatric Health %N 4 %P 391-403 %T Effect of smoke-free home and workplace policies on second-hand smoke exposure levels in children: an evidence summary. %U http://www.drugsandalcohol.ie/20214/ %V 4 %X Second-hand smoke (SHS) is a major avoidable cause of developmental and respiratory disease and premature death among children worldwide. SHS is a ‘Class A’ carcinogen, and there is no safe level of SHS exposure. Almost 700 million children worldwide are exposed daily to SHS at home. This article reviews and summarizes evidence based on available studies that report on ‘voluntary’ home smoking restrictions and their effects on SHS exposure levels in children aged 0–17 years. All potentially relevant publications within a 10-year period (January 2000–April 2010) were identified (n = 19 full-text articles) through comprehensive database searches. In general, voluntary household smoking restrictions reported a significant reduction in childhood SHS exposure ranging between 20–50% reductions, using both self-reported and biological measures. Mandated comprehensive workplace and enclosed public smoke-free policies also suggested an apparent benefit in some specific pediatric health encounters, namely, decreased preterm birth risks and reduced emergency hospital visits owing to asthma. %0 Report %9 Other %A Landy, Fergal %A Canavan, John %B %C Galway %D 2010 %F ndc:18114 %I Child and Family Research Centre %T A formative evaluation of Jobstown Alternative Response Model. %U http://www.drugsandalcohol.ie/18114/ %X 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. %Z This report was commissioned by Barnardos on behalf of South Dublin Children’s Services Committee. %0 Generic %A National Institute for Health and Clinical Excellence, %A Social Care Institute for Excellence, %C London %D 2010 %F ndc:14051 %I National Institute for Health and Clinical Excellence %T Promoting the quality of life of looked-after children and young people. %U http://www.drugsandalcohol.ie/14051/ %X 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. %0 Report %9 Other %A NSPCC, %B %C London %D 2010 %F ndc:13691 %I NSPCC %T Children talking to ChildLine about parental alcohol and drug misuse. %U http://www.drugsandalcohol.ie/13691/ %X 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. %0 Journal Article %A O'Connor, Pat %D 2010 %F ndc:18612 %I n/a %J Qualitative Research %N 2 %P 229-247 %T 'Doing boy/ girl' and global/ local elements in 10-12 year olds’ drawings and written texts. %U http://www.drugsandalcohol.ie/18612/ %V 7 %X Irish society has been undergoing very rapid change involving increasing globalisation, potentially declining localisation and changing gender roles (Tovey and Share, 2003; O’Connor, 1998 and 2,000; O’Toole, 2003). There is evidence to suggest that in this context Irish young people are using escapist mood altering drugs (particularly excessive alcohol and cannabis) to a greater extent than their European counterparts (HBSC, 2003; ESPAD, 2004). This study was concerned with looking at texts written by young people aged 10-12 years old in response to an invitation, to ‘tell their life stories’, to write a page ‘describing themselves and the Ireland that they inhabit’ ‘to provide a national data base’ ‘an invaluable archive’, with the option of using the reverse side of the sheet creatively for drawings, poems, songs, or lyrics. This paper is concerned with three issues: firstly with the relationship between the visual content of the drawings and the written texts; secondly with the relevance of a global/local dimension to understanding both; thirdly, with looking at gender variation in both of these and more broadly, at ways of ‘doing boy/girl’ (Haywood and Mac an Ghiall, 2003; Connnell, 2005). %0 Journal Article %@ 0332-3102 %A O'Shea, J %A Carolan, E %A Ni Chroinin, M %D 2010 %F ndc:17504 %I Irish Medical Organisation %J Irish Medical Journal %N 5 %T Examining the prevalence of parental smoking in children < 5 yr admitted with respiratory illnesses. %U http://www.drugsandalcohol.ie/17504/ %V 103 %X Letter to the editor. There is clear evidence that exposure to environmental tobacco smoke in early life is associated with an increased incidence of lower respiratory tract infections1 including wheezing illnesses.2,3 The prevalence of cigarette smoking in Ireland was 24% in December 2007.4 This has decreased since introduction of the smoking ban in 2004, prevalence then being 31%. However a significant number of Irish children are still regularly exposed to cigarette smoke. We wished to examine parental smoking in preschool children admitted with respiratory illness. We hypothesised that (a) more children of parents who smoke would require admission, (b) the a hand held CO monitor (PICOplus smokelyzer) may be a means of assessing parental smoking behaviour and (c) the CO monitor may be a helpful tool to aid with parental education about the dangers of smoking. %0 Report %9 Annual Report %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2010 %F ndc:17179 %I Office of the Minister for Children and Youth Affairs %T Office of the Minister for children and youth affairs annual report 2009. %U http://www.drugsandalcohol.ie/17179/ %X The year 2009 was a challenging one for the Office of the Minister for Children and Youth Affairs (OMCYA) as two major reports on the systematic past abuse of children were published in the course of the year. The Report of the Commission to Inquire into Child Abuse (known as the Ryan Report) was published in May. The Report by Commission of Investigation into Catholic Archdiocese of Dublin (known as the Murphy Report) was published in November. Both reports highlighted a litany of past abuses perpetrated against children. Following publication of the Ryan Report, the Minister for Children and Youth Affairs, Barry Andrews, TD, was tasked with producing an Implementation Plan to address each of the recommendations made in the Ryan Report. This plan was accepted by Government and published in July (OMCYA, 2009a) and in addition includes proposals considered essential to improve services to children in care, in detention and at risk. This Implementation Plan has became a major focus of the work of the OMCYA, with the Minister and his Office accepting the challenges highlighted in the Ryan and Murphy Reports as an opportunity to ensure that the lives of our most vulnerable children are protected. %0 Report %9 Government Publication %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2010 %F ndc:14487 %I Government Publications %T State of the Nation's children 2010. %U http://www.drugsandalcohol.ie/14487/ %X This is Ireland's third biennial State of the Nation's Children report. These reports, which provide the most up-to-date data on all indicators in the National Set of Child Well-Being Indicators, aim to: chart the well-being of children in Ireland; track changes over time; benchmark progress in Ireland relative to other countries; highlight policy issues arising. %0 Report %9 Other %A Ombudsman for Children’s Office, %B %C Dublin %D 2010 %F ndc:15108 %I Ombudsman for Children’s Office %T A report based on an investigation into the implementation of Children first: national guidelines for the protection and welfare of children %U http://www.drugsandalcohol.ie/15108/ %X This report is the result of an investigation into the implementation of Children First, National Guidelines for the Protection and Welfare of Children, which was published in 1999. Individual complaints to the Ombudsman for Children can highlight a deficiency in policy, practice or legislation. In this case the investigation was conducted under section 10 of the Act which provides that I can initiate an investigation of my own motion. Own motion investigations are particularly useful where, as in this case, children and families who may be affected are less likely to make a complaint. This is also the first systemic investigation carried out by the Ombudsman for Children’s Office. By definition this recognises the Ombudsman’s potential to induce broader change in the administrative system that benefits more than one individual child. Some of the conclusions in this report are positive. It is recognised that substantial efforts have been made at various times since 1999 to implement Children First. However, some of its conclusions are negative and a number of findings of unsound administration have been made. %0 Journal Article %A Pike, Brigid %D 2010 %F ndc:13286 %I Health Research Board %J Drugnet Ireland %P 1-2 %T Children talk about living with problem drug and alcohol use. %U http://www.drugsandalcohol.ie/13286/ %V Issue 34, Summer 2010 %X ‘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 %0 Journal Article %A Pike, Brigid %D 2010 %F ndc:13990 %I Health Research Board %J Drugnet Ireland %P 29 %T In brief. %U http://www.drugsandalcohol.ie/13990/ %V Issue 35, Autumn 2010 %0 Report %9 Other %A Shannon, Geoffrey %B %C Dublin %D 2010 %F ndc:15148 %I Office for the Minister for Children %T Fourth report of the Special Rapporteur on Child Protection. %U http://www.drugsandalcohol.ie/15148/ %X Despite the level of economic prosperity in Ireland for much of the past decade, the issue of homelessness has never been comprehensively addressed by our society; and now, with our recent economic decline, homelessness in Ireland is once again on the rise. Of particular concern is the level of homelessness amongst children. Children by their very nature are a vulnerable section within society and those children who find themselves homeless are particularly at risk. %0 Generic %A Bostock, Lisa %C London %D 2010 %F ndc:14055 %I Social Care Institute for Excellence %T Promoting resilience in fostered children and young people. %U http://www.drugsandalcohol.ie/14055/ %X 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. %0 Report %9 Other %A Valentine, Gill %A Jayne, Mark %A Gould, Myles %A Keenan, Julia %B %C London %D 2010 %F ndc:14141 %I Joseph Rowntree Foundation %T Alcohol consumption and family life. %U http://www.drugsandalcohol.ie/14141/ %X 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. %0 Report %9 Other %@ Policy and practice briefing no 13 %A Webb, Anne Marie %A Nellis, Brendan %B %C Belfast %D 2010 %F ndc:14348 %I Barnardo's Northern Ireland %T Hidden harm: addictions in the family. %U http://www.drugsandalcohol.ie/14348/ %X 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. %0 Report %9 Government Publication %A Williams, James %A Greene, Sheila %A McNally, Sinead %A Murray, Aisling %A Quail, Amanda %A Office of the Minister for Children and Youth Affairs, %B %C Dublin %D 2010 %F ndc:14301 %I Stationery Office %T Growing up in Ireland: National longitudinal study of children. The infants and their families. %U http://www.drugsandalcohol.ie/14301/ %X Growing Up in Ireland is a national study of children. It is the most significant of its kind ever to take place in this country and will help us to improve our understanding of all aspects of children and their development. The study will take place over seven years and follow the progress of two groups of children; 8500 nine-year-olds and 11,000 nine-month-olds. During this time we will carry out two rounds of research with each group of children. The main aim of the study is to paint a full 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 which will ensure all children will have the best possible start in life.