TY - GEN CY - London ID - ndc27794 UR - http://www.drugsandalcohol.ie/27794/ Y1 - 2017/08// N2 - 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 PB - Adfam TI - When parents take drugs. AV - public EP - 23 p. ER - TY - JOUR ID - ndc27779 UR - http://www.drugsandalcohol.ie/27779/ A1 - Lange, Shannon A1 - Probst, Charlotte A1 - Gmel, Gerrit TI - Global prevalence of fetal alcohol spectrum disorder among children and youth: a systematic review and meta-analysis. Y1 - 2017/08// N2 - 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. AV - none JF - JAMA Pediatrics VL - Early online ER - TY - RPRT CY - Dublin ID - ndc27362 UR - http://www.drugsandalcohol.ie/27362/ A1 - Shannon, Geoffrey Y1 - 2017/05// N2 - 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 PB - An Garda Siochana M1 - government_publication TI - Audit of the exercise by An Garda Síochána of the provisions of Section 12 of the Child Care Act 1991. AV - public EP - 346 p. ER - TY - JOUR ID - ndc27620 UR - http://www.drugsandalcohol.ie/27620/ IS - 2 A1 - Laslett, Anne-Marie A1 - Rankin, Georgia A1 - Waleewong, Orratai A1 - Callinan, Sarah A1 - Hoang, Hanh T M A1 - Florenzano, Ramon A1 - Hettige, Siri A1 - Obot, Isidore A1 - Siengsounthone, Latsamy A1 - Ibanga, Akanidomo A1 - Hope, Ann A1 - Landberg, Jonas A1 - Vu, Hanh T M A1 - Thamarangsi, Thaksaphon A1 - Rekve, Dag A1 - Room, Robin Y1 - 2017/03// N2 - 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. JF - Journal of Studies on Alcohol and Drugs VL - 78 SN - 1938-4114 TI - A multi-country study of harms to children because of others' drinking. SP - 195 AV - none EP - 202 ER - TY - GEN CY - London ID - ndc27113 UR - http://www.drugsandalcohol.ie/27113/ A1 - Pryce, Robert A1 - Buykx, Penny A1 - Gray, Laura A1 - Stone, Tony A1 - Drummond, Colin A1 - Brennan, Alan Y1 - 2017/03// N2 - 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 PB - Public Health England TI - 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. AV - public EP - 63 p. ER - TY - GEN CY - London ID - ndc26927 UR - http://findings.org.uk/PHP/dl.php?file=Harwin_J_5.txt&s=eb TI - Collaborative care proceedings help keep London families together. Y1 - 2017/02/27/ N2 - 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. PB - Drug and Alcohol Findings AV - public ER - TY - JOUR ID - ndc26705 UR - http://www.drugsandalcohol.ie/26705/ A1 - Dillon, Lucy TI - Young people?s views of substance use and parenting. Y1 - 2017/01// PB - Health Research Board AV - public JF - Drugnet Ireland VL - Issue 60, Winter 2017 ER - TY - GEN CY - London ID - ndc27500 UR - http://www.drugsandalcohol.ie/27500/ A1 - Aynsley, Agnes A1 - Bradley, Rick A1 - Buchanan, Linssay A1 - Burrows, Naomi A1 - Bush, Marc Y1 - 2017/// N2 - 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 PB - Addaction TI - Childhood adversity, substance misuse and young people?s mental health. AV - public EP - 16 p. ER - TY - JOUR ID - ndc25731 UR - http://www.drugsandalcohol.ie/25731/ IS - 2 A1 - Comiskey, Catherine A1 - Milnes, Jennie A1 - Daly, Maeve Y1 - 2017/// PB - Informa healthcare JF - Journal of Substance Use VL - 22 SN - ISSN 1465-9891 print/ISSN 1475-9942 online TI - Parents who use drugs: the well-being of parent and child dyads among people receiving harm reduction interventions for opiate use. SP - 206 AV - none EP - 210 ER - TY - GEN CY - Edinburgh ID - ndc26780 UR - http://www.drugsandalcohol.ie/26780/ Y1 - 2017/// N2 - 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. PB - Mentor TI - Kinship care: children cared for by family and friends. AV - public EP - 140 p. ER - TY - RPRT CY - Cork ID - ndc27576 UR - http://www.drugsandalcohol.ie/27576/ A1 - O'Farrell, IB A1 - Manning, E A1 - Corcoran, P A1 - McKernan, J A1 - Meaney, S A1 - Drummond, L A1 - de Foubert, P A1 - Greene, RA Y1 - 2017/// N2 - ?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 PB - National Perinatal Epidemiology Centre M1 - annual_report TI - Perinatal mortality in Ireland. Annual report 2015. AV - public EP - 88 p. ER - TY - GEN CY - London ID - ndc26532 UR - http://www.drugsandalcohol.ie/26532/ Y1 - 2016/12// N2 - 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. PB - Local Government Association TI - Healthy futures: supporting and promoting the health needs of looked after children. AV - public EP - 24 p. ER - TY - GEN ID - ndc27622 UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5111209/ A1 - Meng, Xiangfei A1 - D'Arcy, Carl Y1 - 2016/11/15/ N2 - 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. PB - BioMed Central SN - 1471-244X TI - Gender moderates the relationship between childhood abuse and internalizing and substance use disorders later in life: a cross-sectional analysis. AV - none ER - TY - JOUR ID - ndc26235 UR - http://www.drugsandalcohol.ie/26235/ A1 - Grehan, Martin Y1 - 2016/10// PB - Health Research Board JF - Drugnet Ireland VL - Issue 59, Autumn 2016 TI - Factors influencing reunification between NDTC service users and their children in care. SP - 14 AV - public EP - 15 ER - TY - GEN CY - Sydney ID - ndc26332 UR - http://connections.edu.au/researchfocus/fathers-and-alcohol-implications-preconception-pregnancy-infant-and-childhood-health A1 - McBride, Nyanda A1 - Johnson, Sophia Y1 - 2016/10// N2 - 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. PB - NDARC, NDRI, NCETA TI - Fathers and alcohol. Implications for preconception, pregnancy, infant and childhood health outcomes. AV - none ER - TY - JOUR ID - ndc25951 UR - http://www.drugsandalcohol.ie/25951/ IS - 12 A1 - Comiskey, Catherine M A1 - Hyland, John A1 - Hyland, Pauline Y1 - 2016/08// N2 - 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. PB - Taylor & Francis JF - Substance Use & Misuse VL - 51 SN - 1532-2491 TI - Parenthood, child care, and heroin use: outcomes after three years. SP - 1600 AV - none EP - 1609 ER - TY - JOUR ID - ndc26676 UR - http://www.drugsandalcohol.ie/26676/ IS - 3 A1 - Kühn, Simone A1 - Witt, Charlotte A1 - Banaschewski, Tobias A1 - Barbot, Alexis A1 - Barker, Gareth J A1 - Büchel, Christian A1 - Conrod, Patricia J A1 - Flor, Herta A1 - Garavan, Hugh A1 - Ittermann, Bernd A1 - Mann, Karl A1 - Martinot, Jean-Luc A1 - Paus, Tomas A1 - Rietschel, Marcella A1 - Smolka, Michael N A1 - Ströhle, Andreas A1 - Brühl, Rüdiger A1 - Schumann, Gunter A1 - Heinz, Andreas A1 - Gallinat, Jürgen Y1 - 2016/05// N2 - 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. PB - Wiley JF - Addiction Biology VL - 21 SN - 1369-1600 TI - From mother to child: orbitofrontal cortex gyrification and changes of drinking behaviour during adolescence. SP - 700 AV - none EP - 8 ER - TY - GEN SN - 2044-6055 ID - ndc25440 UR - http://bmjopen.bmj.com/content/6/4/e009986.short?rss%253D1 A1 - Gunn, JKL A1 - Rosales, CB A1 - Center, KE A1 - Nunez, A A1 - Gibson, SJ A1 - Christ, C A1 - Ehiri, JE TI - Prenatal exposure to cannabis and maternal and child health outcomes: a systematic review and meta-analysis. Y1 - 2016/04// PB - BMJ Publishing AV - none ER - TY - JOUR ID - ndc25146 UR - http://www.drugsandalcohol.ie/25146/ A1 - Grehan, Martin Y1 - 2016/01// PB - Health Research Board JF - Drugnet Ireland VL - Issue 56, Winter 2016 TI - Grandparents caring full-time for grandchildren owing to parental drug use. SP - 17 AV - public EP - 18 ER - TY - RPRT CY - Dublin ID - ndc25218 UR - http://www.drugsandalcohol.ie/25218/ Y1 - 2016/01// PB - Department of Health M1 - government_publication TI - Creating a better future together. National Maternity Strategy 2016-2026. EP - 133 p. AV - public ER - TY - RPRT CY - Dublin ID - ndc26734 UR - http://www.drugsandalcohol.ie/26734/ Y1 - 2016/// PB - Coombe Women and Infants University Hospital TI - Coombe Women and Infants University Hospital annual clinical report 2014. EP - 214 p. AV - public ER - TY - RPRT CY - Cork ID - ndc27575 UR - http://www.drugsandalcohol.ie/27575/ A1 - Corcoran, P A1 - Manning, E A1 - O'Farrell, IB A1 - McKernan, J A1 - Meaney, S A1 - Drummond, L A1 - de Foubert, P A1 - Greene, RA Y1 - 2016/// N2 - ?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 PB - National Perinatal Epidemiology Centre M1 - annual_report TI - Perinatal mortality in Ireland. Annual report 2014. AV - public EP - 86 p. ER - TY - JOUR ID - ndc25865 UR - http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0146058 IS - 1 A1 - MacDonald, Kai A1 - Thomas, Michael L A1 - Sciolla, Andres F A1 - Schneider, Beacher A1 - Pappas, Katherine A1 - Bleijenberg, Gijs A1 - Bohus, Martin A1 - Bekh, Bradley A1 - Carpenter, Linda A1 - Carr, Alan A1 - Dannlowski, Udo A1 - Dorahy, Martin A1 - Fahlke, Claudia A1 - Finzi-Dottan, Ricky A1 - Karu, Tobi A1 - Gerdner, Arne A1 - Glaesmer, Heide A1 - Grabe, Hans Jörgen A1 - Heins, Marianne A1 - Kenny, Dianna T A1 - Kim, Daeho A1 - Knoop, Hans A1 - Lobbestael, Jill A1 - Lochner, Christine A1 - Lauritzen, Grethe A1 - Ravndal, Edle A1 - Riggs, Shelley A1 - Sar, Vedat A1 - Schäfer, Ingo A1 - Schlosser, Nicole A1 - Schwandt, Melanie L A1 - Stein, Murray B A1 - Subic-Wrana, Claudia A1 - Vogel, Mark A1 - Wingenfeld, Katja Y1 - 2016/// N2 - 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. PB - PLOS JF - PloS one VL - 11 SN - 1932-6203 TI - Minimization of childhood maltreatment is common and consequential: results from a large, multinational sample using the childhood trauma questionnaire. AV - none ER - TY - RPRT CY - Galway ID - ndc26466 UR - http://www.drugsandalcohol.ie/26466/ Y1 - 2016/// N2 - 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 PB - Western Region Drug and Alcohol Task Force ED - Murray, Mary TI - Family support handbook. Information for families affected by someone?s drug and alcohol use. AV - public EP - 68 p. ER - TY - GEN CY - London ID - ndc24850 UR - http://www.drugsandalcohol.ie/24850/ Y1 - 2015/11// N2 - 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. PB - Adfam TI - Medications in drug treatment: tackling the risks to children - one year on. AV - public EP - 64 p. ER - TY - RPRT CY - Dublin ID - ndc24898 UR - http://www.drugsandalcohol.ie/24898/ Y1 - 2015/11// N2 - 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. PB - Tusla M1 - annual_report TI - Assessment, consultation and therapy service annual report 2014 and service plan 2015. AV - public EP - 32 p. ER - TY - GEN ID - ndc26067 UR - http://pediatrics.aappublications.org/content/early/2015/10/13/peds.2015-3113 A1 - Williams, Janet F A1 - Smith, Vincent C Y1 - 2015/11// N2 - 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. PB - American Academy of Pediatrics SN - 1098-4275 TI - Fetal Alcohol Spectrum Disorders. Clinical report: Guidance for the clinician in rendering pediatric care. AV - none EP - 14 p. ER - TY - JOUR ID - ndc24712 UR - http://www.drugsandalcohol.ie/24712/ A1 - McGivern, Aidan A1 - McDonnell, Chloe Y1 - 2015/10// N2 - 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. PB - Irish Association of Social Workers JF - The Irish Social Worker VL - Spring SN - 0332-4683 TI - Vulnerable families and drug use: examining care admissions of children of parents attending an Irish drug treatment facility. SP - 17 AV - none EP - 23 ER - TY - GEN CY - Dublin ID - ndc24470 UR - http://www.drugsandalcohol.ie/24470/ A1 - McEvoy, Olivia Y1 - 2015/09// PB - Government Publications SN - ISBN 978-1-4064-2875-9 TI - A practical guide to including seldom-heard children and young people in decision making. AV - public EP - 204 p. ER - TY - RPRT CY - Dublin ID - ndc23681 UR - http://www.childlawproject.ie/publications/ Y1 - 2015/04// N2 - 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. PB - Child Care Law Reporting Project TI - Child Care Law Reporting Project: case histories 2015 volume 1. M1 - other AV - none ER - TY - RPRT CY - Dublin ID - ndc23761 UR - http://www.drugsandalcohol.ie/23761/ Y1 - 2015/04// N2 - 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 PB - Coombe Women and Infants University Hospital M1 - annual_report TI - Coombe Women and Infants University Hospital annual clinical report 2013. AV - public EP - p.257 ER - TY - JOUR ID - ndc23692 UR - http://www.drugsandalcohol.ie/23692/ A1 - Keane, Martin Y1 - 2015/03// PB - Health Research Board JF - Drugnet Ireland VL - Issue 53, Spring 2015 TI - Adolescents and parental substance misuse. SP - 10 AV - public EP - 11 ER - TY - JOUR ID - ndc23244 UR - http://www.drugsandalcohol.ie/23244/ IS - Special issue 01 youth mental health A1 - Keeley, Helen S A1 - Mongwa, T A1 - Corcoran, P Y1 - 2015/01// N2 - 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. PB - Cambridge JF - Irish Journal of Psychological Medicine VL - 32 SN - 0790-9667 TI - The association between parental and adolescent substance misuse: findings from the Irish CASE study. SP - 107 AV - none EP - 116 ER - TY - RPRT CY - Dublin ID - ndc23243 UR - http://www.childlawproject.ie/publications/ Y1 - 2015/// N2 - 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. PB - Child Care Law Reporting Project TI - Child Care Law Reporting Project: Case histories 2014 volume 4. M1 - other AV - none ER - TY - GEN CY - Canberra ID - ndc25251 UR - http://www.drugsandalcohol.ie/25251/ A1 - Laslett, Anne-Marie A1 - Mugavin, Janette A1 - Jiang, Heng A1 - Manton, Elizabeth A1 - Callinan, Sarah A1 - MacLean, Sarah A1 - Room, Robin Y1 - 2015/// PB - Foundation for Alcohol Research and Education SN - 978-0-9924978-4-2 TI - The hidden harm: alcohol?s impact on children and families. AV - public EP - 128 p. ER - TY - GEN CY - London ID - ndc24785 UR - http://www.drugsandalcohol.ie/24785/ Y1 - 2015/// N2 - 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. PB - International HIV/AIDS Alliance TI - Step by step toolkit. Preparing for work with children and young people who inject drugs. AV - public EP - 52 p. ER - TY - GEN CY - London ID - ndc24830 UR - http://www.drugsandalcohol.ie/24830/ A1 - Manning, Joanna A1 - Horst, Caroline TI - Help me understand. Y1 - 2015/// PB - The Children's Society AV - public ER - TY - JOUR ID - ndc24949 UR - http://www.drugsandalcohol.ie/24949/ IS - 4 A1 - O'Leary, Megan A1 - Butler, Shane Y1 - 2015/// PB - Taylor & Francis JF - Journal of Social Work Practice in the Addictions VL - 15 SN - 1533-256X print/1533-2578 online TI - Caring for grandchildren in kinship care: what difficulties face Irish grandparents with drug-dependent children? SP - 352 AV - none EP - 372 ER - TY - JOUR ID - ndc24246 UR - http://www.tusla.ie/uploads/content/Age_Appropriate_Communication_with_Children.pdf IS - 5 A1 - O'Reilly, Lisa A1 - Dolan, Pat Y1 - 2015/// N2 - 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. PB - Oxford University Press JF - British Journal of Social Work VL - 46 TI - The voice of the child in social work assessments: age-appropriate communication with children. SP - 1191 AV - none EP - 1207 ER - TY - JOUR ID - ndc23863 UR - http://fampra.oxfordjournals.org/content/early/2015/04/21/fampra.cmv016.full?keytype=ref&ijkey=gzd12Q8WDsvoiOB IS - 3 A1 - Sinnott, Carol A1 - McHugh, Sheena A1 - Fitzgerald, Anthony P A1 - Bradley, Colin A1 - Kearney, Patricia M Y1 - 2015/// N2 - 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. PB - Oxford JF - Family Practice VL - 32 TI - Psychosocial complexity in multimorbidity: the legacy of adverse childhood experiences. SP - 269 AV - none EP - 275 ER - TY - GEN CY - London ID - ndc24074 UR - http://www.drugsandalcohol.ie/24074/ Y1 - 2014/11// N2 - 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. PB - Mentor ADEPSIS TI - Involving families affected by substance use in alcohol and drug education. AV - public EP - 19 p. ER - TY - RPRT CY - Dublin ID - ndc22863 UR - http://www.drugsandalcohol.ie/22863/ A1 - Coulter, Carol Y1 - 2014/10// N2 - 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.... PB - Child Care Law Reporting Project M1 - other TI - Child Care Law Reporting Project: second interim report. AV - public EP - 74 p. ER - TY - JOUR ID - ndc22923 UR - http://www.drugsandalcohol.ie/22923/ A1 - Curtin, Margaret Y1 - 2014/10// PB - Health Research Board JF - Drugnet Ireland VL - Issue 51, Autumn 2014 TI - Supporting children in families experiencing mental health difficulties. SP - 21 AV - public EP - 22 ER - TY - JOUR ID - ndc21684 UR - http://www.drugsandalcohol.ie/21684/ A1 - Lyons, Suzi Y1 - 2014/04// PB - Health Research Board JF - Drugnet Ireland VL - Issue 49, Spring 2014 TI - Stakeholder consultation on Hidden Harm. SP - 15 AV - public EP - 16 ER - TY - GEN CY - London ID - ndc18912 UR - http://pathways.nice.org.uk/pathways/reducing-substance-misuse-among-vulnerable-children-and-young-people TI - Reducing substance misuse among vulnerable children and young people overview. Y1 - 2014/04// N2 - 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 PB - National Institute for Health and Clinical Excellence AV - none ER - TY - RPRT CY - Dublin ID - ndc21590 UR - http://www.drugsandalcohol.ie/21590/ A1 - Hope, Ann Y1 - 2014/03// N2 - 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. PB - Health Service Executive M1 - other TI - Alcohol?s harm to others in Ireland. AV - public EP - 31 p. ER - TY - JOUR ID - ndc22495 UR - http://www.esri.ie/publications/latest_publications/view/index.xml?id=4067 A1 - Barrett, Alan A1 - Kamiya, Yumiko A1 - O?Sullivan, Vincent Y1 - 2014/// N2 - 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. PB - Science Direct JF - Journal of Behavioral and Experimental Economics VL - 53 TI - Childhood sexual abuse and later-life economic consequences. SP - 10 AV - none EP - 16 ER - TY - JOUR ID - ndc22248 UR - http://www.inmo.ie/7914 IS - 5 A1 - Latham, Linda Y1 - 2014/// N2 - 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..... PB - Medmedia Group JF - World of Irish Nursing & Midwifery VL - 22 SN - 1393-8088 TI - Alcohol misuse and the family. SP - 55 AV - none EP - 56 ER - TY - RPRT CY - Cork ID - ndc22652 UR - http://www.drugsandalcohol.ie/22652/ A1 - Manning, E A1 - Corcoran, Paul A1 - Meaney, S A1 - Greene, Richard A Y1 - 2014/// N2 - Smoking and substance abuse page 23. PB - National Perinatal Epidemiology Centre M1 - annual_report TI - Perinatal mortality in Ireland annual report 2012. AV - public EP - 72 p. ER - TY - GEN CY - Sydney ID - ndc27681 UR - https://ndarc.med.unsw.edu.au/resource/supporting-pregnant-women-who-use-alcohol-or-other-drugs-guide-primary-health-care Y1 - 2014/// PB - National Drug and Alcohol Research Centre TI - Supporting pregnant women who use alcohol or other drugs - a guide for primary health care professionals. EP - 32 p. AV - public ER - TY - GEN CY - Sydney ID - ndc22394 UR - http://www.drugsandalcohol.ie/22394/ A1 - Hutchinson, Delyse M A1 - Mattick, Richard P A1 - Braunstein, Danya A1 - Maloney, Elizabeth A1 - Wilson, Judy Y1 - 2014/// N2 - 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. PB - National Drug and Alcohol Research Centre SN - 978-0-7334-3392-4 TI - The impact of alcohol use disorders on family life: a review of the empirical literature. AV - public EP - 110 p. ER - TY - JOUR ID - ndc18937 UR - http://www.drugsandalcohol.ie/18937/ IS - 4 A1 - Cleary, Brian J A1 - Reynolds, K A1 - Eogan, Maeve A1 - O'Connell, MP A1 - Fahey, T A1 - Gallagher, Paul J A1 - Clarke, T A1 - White, Martin J A1 - McDermott, C A1 - O'Sullivan, A A1 - Carmody, Deirdre A1 - Gleeson, J A1 - Murphy, Deidre J Y1 - 2013/12// N2 - 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. PB - Wiley-Blackwell JF - Addiction VL - 108 SN - 1360-0443 TI - Methadone dosing and prescribed medication use in a prospective cohort of opioid-dependent pregnant women. SP - 762 AV - none EP - 770 ER - TY - GEN CY - London ID - ndc20890 UR - http://www.drugsandalcohol.ie/20890/ Y1 - 2013/11// N2 - 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. PB - Adfam TI - Identifying and supporting children affected by parental substance use. Resource for schools. AV - public EP - 11 p. ER - TY - RPRT CY - Dublin ID - ndc20856 UR - http://www.drugsandalcohol.ie/20856/ A1 - Coulter, Carol Y1 - 2013/11// N2 - 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 PB - Child Care Law Reporting Project M1 - other TI - Child Care Law Reporting Project: interim report. AV - public EP - 75 p. ER - TY - GEN CY - London ID - ndc24072 UR - http://www.drugsandalcohol.ie/24072/ Y1 - 2013/11// N2 - 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 PB - Mentor ADEPSIS TI - Identifying and supporting children affected by parental substance misuse ? Resource for schools. AV - public EP - 11 p. ER - TY - RPRT CY - Dublin ID - ndc20226 UR - http://www.drugsandalcohol.ie/20226/ A1 - McElvaney, Rosaleen A1 - Tatlow-Golden, Mimi A1 - Webb, Roisin A1 - Lawlor, Eilis A1 - Merriman, Brian Y1 - 2013/07// N2 - 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. PB - Children's Mental Health Coalition M1 - other TI - Someone to care: the mental health needs of children and young people in the care and youth justice system. AV - public EP - 208 p. ER - TY - JOUR ID - ndc20130 UR - http://www.drugsandalcohol.ie/20130/ A1 - Pike, Brigid Y1 - 2013/07// PB - Health Research Board JF - Drugnet Ireland VL - Issue 46, Summer 2013 TI - How are the children? SP - 8 AV - public EP - 10 ER - TY - JOUR ID - ndc17577 UR - http://www.drugsandalcohol.ie/17577/ IS - 1 A1 - Comiskey, Catherine Y1 - 2013/// N2 - 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. PB - Elsevier JF - Journal of Substance Abuse Treatment VL - 44 SN - 1873-6483 TI - A 3 year national longitudinal study comparing drug treatment outcomes for opioid users with and without children in their custodial care at intake. SP - 90 AV - none EP - 96 ER - TY - GEN CY - Dublin ID - ndc20188 UR - http://www.hse.ie/eng/about/Who/clinical/natclinprog/obsandgynaeprogramme/obsgyneguide.html Y1 - 2013/// N2 - 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. PB - Health Service Executive TI - Methadone prescribing and administration in pregnancy. AV - public EP - 24 p. ER - TY - JOUR ID - ndc19822 UR - http://www.imj.ie//ViewArticleDetails.aspx?ArticleID=11144 IS - 5 A1 - Lambert, J A1 - Jackson, V A1 - Coulter-Smith, S A1 - Brennan, M A1 - Geary, Michael A1 - Kelleher, TB A1 - O'Reilly, M A1 - Grundy, K A1 - Sammon, M A1 - Cafferkey, MT Y1 - 2013/// N2 - 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. PB - Irish Medical Organisation JF - Irish Medical Journal VL - 106 SN - 0332-3102 TI - Universal antenatal screening for Hepatitis C. SP - 136 AV - none EP - 139 ER - TY - RPRT CY - Dublin ID - ndc20191 UR - http://www.dcya.gov.ie/viewdoc.asp?fn=/documents/Child_Welfare_Protection/Homelessness_Strategy/YPHomelessHousingPath.pdf A1 - Mayock, Paula A1 - Corr, Mary Louise Y1 - 2013/// N2 - 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 Veki?, 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. PB - Government Publications SN - 978-1-4064-2774-5 M1 - other TI - Young people's homeless and housing pathways: key findings from a 6-year qualitative longitudinal study. AV - public EP - 84 p. ER - TY - GEN CY - London ID - ndc22324 UR - http://www.drugsandalcohol.ie/22324/ Y1 - 2013/// N2 - 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. PB - Department for Education TI - Working together to safeguard children. A guide to inter-agency working to safeguard and promote the welfare of children. AV - public EP - 97 p. ER - TY - GEN CY - Birmingham ID - ndc18965 UR - http://www.drugsandalcohol.ie/18965/ Y1 - 2012/12// N2 - 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 PB - British Association of Social Workers TI - Children, families & alcohol use. Essential information for social workers. AV - public EP - 16 p. ER - TY - RPRT CY - London N1 - 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. ID - ndc18968 UR - http://www.drugsandalcohol.ie/18968/ A1 - Birdwell, Jonathan A1 - Vandore, Emma A1 - Hahn, Bryanna Y1 - 2012/12// N2 - 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. PB - DEMOS SN - 978-1-909037-28-1 M1 - other TI - Feeling the effects. AV - public EP - 112 p. ER - TY - JOUR ID - ndc19206 UR - http://eu.wiley.com/WileyCDA/WileyTitle/productCd-ACER.html IS - 12 A1 - Hepper, Peter J A1 - Dorman, James C A1 - Lynch, Catherine Y1 - 2012/12// N2 - 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. PB - Wiley-Blackwell JF - Alcoholism Clinical and Experimental Research VL - 36 SN - 1530-0277 TI - Fetal brain function in response to maternal alcohol consumption: early evidence of damage. SP - 2168 AV - none EP - 75 ER - TY - RPRT CY - Galway ID - ndc20225 UR - http://www.drugsandalcohol.ie/20225/ A1 - Coen, Liam A1 - Canavan, John A1 - Brennan, Mark Y1 - 2012/11// N2 - 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. PB - UNESCO Child and Family Research Centre, NUI, Galway; HSE West (Mayo and Roscommon) Child and Family Services M1 - other TI - Mol an Óige/Family Preservation: final evaluation report. AV - public EP - 239 p. ER - TY - RPRT CY - Luxembourg ID - ndc18705 UR - http://www.drugsandalcohol.ie/18705/ Y1 - 2012/10// N2 - 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 PB - Publications Office of the European Union M1 - other TI - Pregnancy, childcare and the family: key issues for Europe?s response to drugs. AV - public EP - 32 p. ER - TY - JOUR ID - ndc18464 UR - http://www.drugsandalcohol.ie/18464/ A1 - Keane, Martin TI - The views of children and young people in state care. Y1 - 2012/10// PB - Health Research Board AV - public JF - Drugnet Ireland VL - Issue 43, Autumn 2012 ER - TY - GEN CY - London ID - ndc18356 UR - http://www.drugsandalcohol.ie/18356/ A1 - Adamson, Jon A1 - Templeton, Lorna Y1 - 2012/09// N2 - 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? PB - The Office of the Children?s Commissioner TI - Silent voices. Supporting children and young people affected by parental alcohol misuse. AV - public EP - 114 p. ER - TY - RPRT CY - London ID - ndc18369 UR - http://www.drugsandalcohol.ie/18369/ Y1 - 2012/09// N2 - 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. PB - Adfam and Against Violence and Abuse M1 - other TI - Between a rock and a hard place. How parents deal with children who use substances and perpetrate abuse. Project report. AV - public EP - 41 p. ER - TY - RPRT CY - Dublin ID - ndc17776 UR - http://www.drugsandalcohol.ie/17776/ Y1 - 2012/04// N2 - 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% PB - Health Service Executive M1 - annual_report TI - Review of adequacy for HSE children and families services 2010. AV - public EP - 89 p. ER - TY - JOUR ID - ndc17289 UR - http://www.drugsandalcohol.ie/17289/ A1 - Pike, Brigid TI - In brief. Y1 - 2012/04// PB - Health Research Board AV - public JF - Drugnet Ireland VL - Issue 41, Spring 2012 ER - TY - JOUR ID - ndc17014 UR - http://www.drugsandalcohol.ie/17014/ IS - 8 A1 - Cleary, Brian J A1 - Eogan, Maeve A1 - O?Connell, MP A1 - Fahey, Tom A1 - White, Martin J A1 - McDermott, C A1 - O'Sullivan, A A1 - Carmody, Deirdre A1 - Gleeson, J A1 - Murphy, Deidre J Y1 - 2012/02// N2 - 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. PB - Wiley-Blackwell JF - Addiction VL - 107 SN - 1360-0443 TI - Methadone and perinatal outcomes ? a prospective cohort study. SP - 1482 AV - none EP - 1492 ER - TY - GEN CY - Glasgow ID - ndc17367 UR - http://www.iriss.org.uk/download-leading-outcomes-children-and-young-people Y1 - 2012/// N2 - 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. PB - Institute for Research and Innovation in Social Services TI - Leading for outcomes children and young people. AV - public EP - 63 p. ER - TY - RPRT CY - Dublin ID - ndc18802 UR - http://www.iprt.ie/contents/2450 A1 - Martyn, Michelle Y1 - 2012/// N2 - 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 PB - Irish Penal Reform Trust SN - 978-0-9573037-4-4 M1 - other TI - "Picking up the pieces": The rights and needs of children and families affected by imprisonment. AV - public EP - 52 p. ER - TY - JOUR ID - ndc18761 UR - http://link.springer.com/article/10.1007%2Fs10802-012-9640-9 IS - 8 A1 - McCrory, Cathal A1 - Layte, Richard Y1 - 2012/// N2 - 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?