Impact of Alcohol Misuse on Parenting Capacity

Impact of inebriant Misuse on P arnting CapacityIntroduction intoxi senst and aggregate abuse has been bring to adversely affect the ability of p atomic number 18nts to attend to the emotional, developmental and strong-arm necessities of children. Several governmental and health policies have provisions of go to support p arnts who engage in nub use or discount children (NHS, 2005). Most look into focus on the implications of mothers using drugs and the usual treatment method is counselling or residential programmes. Very few research studies have evaluated the impact of substance twist around on parenting aptitude along with other disadvantageous chequers such as poverty and unemployment. For paternal support operate confidentiality is maintained about the agnate condition although children often get to know of their parents misuse and may feel a sense of shame at their parents condition and at the same time have a fear of world separated from their parents (Barnar d, 1999).A recent government framework document has defined parenting capacity as the ability of parents or care progressrs to ensure that the childs developmental engages are being appropriately and adequately responded to, to be able to correct to the childs changing needs over time. The childs needs include providing the basic physical needs as well as ensuring the childs emotional needs are met and giving the child a sense of being specially valued. According to the Department of Health, Securing the welfare of children by encourageing them from all forms of revile and ensuring their developmental needs are responded to appropriately are primary aims of Government policy. Local authority social services departments working with other local authority departments and health authorities have a duty to safeguard and promote the welfare of children in their area who are in need and to promote the upbringing of such children, wherever possible by their families, through providing an appropriate range of services(Department of Health, 2000). Promoting the childs intellect development is similarly an important aspect of parenting as the child privy develop only through encouragement and stimulation and through demonstrating and modelling bear of inappropriate emotions and planting acceptable social behaviour providing a stable family environment. Thus adequate parenting capacity involves attending to the emotional, intellectual and physical needs of a child and promoting a healthy and supportive family environment (Children Act, 1989)Substance misuse, as identified by governmental health department covers both drug and intoxicantic drink misuse which is pick uped to have an adverse impact on the health and behaviour of parents and besides on the lives and emotions of the children (Sher 1991). Excessive inebriantic drinkic beverage consumption severely affects the behaviour of the soulfulness who engages in drinking although on that point are dif ferences in social perception of drug and alcohol use. Drug abuse carries with it to a greater extent social stigma than alcohol misuse and may be consequently concealed from the family.In this essay we would give a statistical report on the nature and extent of substance misuse especially in Scotland and admit frugal executive guidelines for child care in cases of parental substance misuse. The impact of parental alcohol misuse has been discussed in detail along with protective measures and social care policies that can provide adequate care to the vulnerable children.The Problem of Alcohol MisuseAlcohol misuse however causes substantial deaths, injuries and health difficultys and rates of drinking are high in the UK, within Wales and Scotland as well (NHS, 2005). In 1996, an estimated 27% male and 14% females drank beyond limits. 6% of men and 2% of women drink at levels which are considered dangerous. The age at which young people begin drinking is also decreasing rapidly (De partment of Health, 2000). Alcohol consumption is the major factor in causing injuries and has been associated with most accidents and drowning deaths. Alcohol also causes significant health jobs associated with hypertension, haemorrhages, stroke, cardiovascular disease, colored cirrhosis, alcohol dependence as well as social and behavioural problems. Is has been reported that in Accidents and Emergency departments, 80% of people admitted have alcohol link up problems (NHS, 2005). Educational messages, informational campaigns and personal behavioural-change interventions are important in raising awareness on the potential dangers of alcohol and the importance of maintaining safe limits in alcohol consumption. stripped or brief interventions are given at a primary care level and trained nurses provide care and support which are around propagation quite an effective in reducing drinking. Family social learning and family social processes are an important influence on adolescent alcohol misuse and more research may be needful to understand the effectiveness of including family members in group alcohol prevention programmes and the role of parenting skills in prevention of alcohol misuse (Kroll, 2004). The workplace can be other influential factor in reducing or increasing alcohol consumption. Interventions for behavioural modification have to be cerebrate to workplace alcohol consumption policy.The UK home office suggests that Rights and responsibilities in relation to alcohol are important in a Governments approach to alcohol. Although most people drink responsibly and there is general agreement that the scale of disorder fuelled by alcohol is also quite high. According to the Home Office, in 2002/03, 1.2million violent crimes were alcohol related and 44% of all violent crime was fuelled by alcohol. 35% of all attendances at hospital accident and emergency departments are related to alcohol as are 70% of those which occur between midnight and 5 am (H ome Office report, 2005). One in five violent incidents due to over-consumption of alcohol contracts place around pubs or clubs. All this involves a high cost with crime and disorder resulting in losses of up to 7.3 billion in a year.According to the NHS Alcohol Misuse, Chief Nursing Officer Bulletin, 2005.According to Scottish executive 2001, there may be certain differences between alcohol misuse, alcohol problems and alcoholism. The term alcohol misuse might refer to a less serious or frequent problem than alcoholism as it may not refer to any addiction but on having alcohol for the sake of it. Alcohol misuse has been largely associated with over-consumption or binge drinking which may be different from habitual consumption. Social or medical services related to alcohol consumption are comprehend as curative rather than preventative and people generally seek help after becoming dependent on alcohol and not former to this. Alcohol problems are associated with daily life probl ems that begin to take over a persons life and begin to affect personal behaviour. Alcohol dependency is sometimes seen as an alcohol problem although alcohol problem is more defined not by the amount of alcohol being consumed but by the impact it has on the lives of people around a person who engages in such habits. However alcohol physical and emotional dependency is related to alcoholism rather than alcohol misuse or alcohol problems and alcoholics are usually the ones who tend to hide their problems and their dependency which is usually marked by physical helplessness. Extreme misuse of alcohol is again seen as alcoholism although some service providers use the term alcoholic with some discretion as some patients may be less comfortable with the term which may even be harmful and detrimental to treatment.Statistics on Alcohol Misuse The following raise statistics have been provided by Scottish Executive Publications on Alcohol Misuse Source Scottish Executive Publications Stat istics on Alcohol Misuse.Table 1 Casualties which knobbed motor vehicle drivers or riders with flagitious alcohol levels by severity of accident, Scotland*above current drink-drive limit of 80mg alcohol per 100ml of bloodRoad Accidents Scotland 2000 SE 2001The severity of the problem of alcohol consumption could be seen from the report presented which indicates that alcohol related deaths, violence, mental illness, emergency admissions and road accidents have all gone up in the put out few years with the UK alcohol consumption also give tongue toing a steep rise in the late 90s and early 2000. These problems are especially reflected in parental alcohol consumption cases which have severe adverse impacts on children.Promoting Child Welfare The Perspective from Scottish ExecutiveThe Scottish Executive documents provide the following vision for the welfare of Scottish children A Scotland in which every child matters, where every child, regardless of his or her family background, h as the best possible start in life. Two important documents have been released for these purposes. For Scotlands Children, which was published in 2001, gave advice on how better to integrate childrens services and the Report of the Child guard Audit and Review 2002, aimed to improve services for children who bear abuse or neglect at home or elsewhere.The Child breastplate Review (2002) statesThe problems of neglect and problem drug or alcohol use are often related, particularly where household finances are spent on drink or drugs, or the behaviour of the parents or their associates impact on the childs welfare. Some problems are intergenerational, particularly neglect. We have concerns about the future well being of a large number of children who are now being born into drug misusing families, and ensuring their better protection must be a priority.Child Protection Committees, Drug/Alcohol follow through Teams, and agencies involved in preparing Childrens Service Plans should en sure that all agencies agree on how they will work together to protect children, support families and provide appropriate services (Daniel, 2004). Tackling all kinds of substance misuse is a high priority for the people of Scotland and the Scottish Executive and all methods need to be developed according to Scottish National strategies. One such strategy is Tackling Drugs in Scotland Action in Partnership and the Plan for Action on Alcohol Problems.Scottish Executive Committee recognises that although not every family with substance misuse experience difficulties, parental substance misuse can have significant and damaging consequences for children at home. The Committee proposes that such children are entitled to help, support and protection even within their own families although sometimes help from agencies are necessary for their safety and security. Parents are also required to support their children and help children to overcome their problems by promoting childrens full pote ntial. The national drugs strategy calls for agencies to assess the needs of children who are neglected by parents on drug misuse and help provide services to these children for their safety and welfare. The Scottish executive has provided guidance to all Drug Action Teams and Child Protection Committees and encouraged these organisations to have local policies on support to help children of drug misusing parents. Within the specified Alcohol Plan for action, children of problem drinkers are also identified as a group with specific needs. Drug and Alcohol Action Teams look at the needs of children whose parents misuse alcohol.The main tenets of the Scottish Executive are given as follows1. Childrens welfare is the most important consideration2. It is everyones responsibility to ensure that children are protected from harm3. We should help children early and not wait for crises or tragedies to occur and4. We must work together, in planning and delivering services, in assessment and careplanning with families, and in multi-disciplinary training.According to the Scottish executive, as there is currently, no national database of problem alcohol users in Scotland, data on alcohol use come from a number of sources in 2000, 26% of all women and 44% of all men drank more than twice the dailybenchmark on their heaviest drinking day the symmetry of women aged 16-64 drinking more than the hebdomadally recommendedlimits increased from 13% to 15% from 1995 to 1998 young people, aged 16-24, in Scotland are drinking more average weeklyconsumption in young people aged 16-24 has risen from 1995-1998 for both sexes men living in the most deprived areas of Scotland are seven times more likely to diean alcohol-related death than those in the least deprived areas 72% of victims of violent crime reported that their assailant was under the influenceof alcoholRecent estimates has also suggested that 40,000-60,000 children in Scotland are affected by their parents drug use and 80, 000-100,000 are affected by parental alcohol misuse.The following examples give data from two urban areas Glasgow and Dundee I A local study of childrens cases, in which Glasgow City Council had soughtChild Protection Orders between 1998 and 1999, found that of 111 Orders made onchildren in 62 families, 44 (40%) cited drug-related risk. 47 of the children werenamed on the local child protection register, 27 because of concerns about neglectand 16 for physical injury (Quinlan, 2000 cited in Scottish Executive 2002). Source Scottish ExecutiveII- In Dundee the proportion of children subject to child protection case conferenceswhose parents were recorded as having problems with alcohol and/or drug misuse,rose from 37% in 1998/1999 to 70% in 2000. Of the 30 children on the childprotection register in October 2000, 53% had parents with problems associated withdrug and/or alcohol misuse. Source Scottish ExecutiveThe Impact of Parents Substance Misuse on ChildrenAccording to Mountenay (19 98) parental substance misuse is neither a necessary nor a sufficient cause of problems in children. However, alcohol and substance misuse greatly increases the risks of family problems and substance misuse in parents can turn over a focal issue of life and social behaviour of children at home. Mountenay (1998) has further claimed that long term drug or alcohol misuse in parents lead to deteriorating mental health and permanent mental problems for children. Alcohol dependence causes severe problems in households and the fact that drug use is illegal can cause similar problems among children who perceive the problems of their parents with considerable shame and disgust. The problem of children is however mainly ill-researched and less known and they are seen as hidden tragedies or unseen casualties (Wilson, 1982)Due to parental substance misuse, children may be at high risks of maltreatment, emotional and physical neglect, family conflict and inappropriate parental behaviour (Barlow , 1996). Children may be exposed to or get associated with drug or alcohol related crimes and as a consequence they are more likely to pose behavioural problems and experience social stigma and isolation and may also themselves become substance mis-users as adults. Since parents on drugs and alcohol spend a plenty of time on buying, assessing or obtaining these substances, their emotional or social relationships with their children are hampered as they do not have much time or accessibility for their children. This problem is especially acute in single parent household and in economically deprived areas, especially when there is no support from relatives or family members.Households in which drug or alcohol abuse is common is characterised by violence, criminal activity and poor or unstable environments. Drug or alcohol dependent parents ultimately make poor relationships and have strained and conflictual relationships with their children. Parents may fail to keep up or perform t heir parental duties and provide toothless surveillance, inconsistent care or overly punitive or strict discipline which may strain their relations with the children. There may be deficiencies in parenting skills of parents which may in turn have been imbibed from the parents of the drug users who served as poor role models. Barlow (1996) claimed that children of drug using parents may in the long term show serve social and motional difficulties, and may show strong reactions against change, isolation, with difficulty in learning, problems with social humour and estrangement and isolation from family and peers.However the impact of parental alcohol or drug misuse varies according to the age of children and according to which developmental stage they are in. The impact also depends on abilities of children. Children with physical or learning disabilities or with some health problems may be more vulnerable to emotional difficulties due to their parents conditions and parents involve d in substance misuse may have difficulties in understanding these especially sensitive children or meeting their needs. Thus assessment of care quality and parental support should always consider each child individually.Infants in their pre- nurture years and babies in general are particularly vulnerable to effects of physical and emotional injury and neglect and this can have damaging effects on their long term development and social adjustment. Neglect can happen when the parent in care is in an alcoholic or drugged condition and unaware of the childs needs or reactions. Parental commitment to care for children is severely affected when in drugged or alcoholic condition and can lead to inappropriate responses to the questions or concerns of the child. The parents in drugged or alcoholic state may be unhappy, tensed or irritated and can even injure or harm the child under the influence of such conditions (Forrester, 2000). Poor and inconsistent parenting redress the attachment pro cess and unpredictable parental behaviour hinders the childs cognitive and emotional development. Substance misuse is usually an expensive vice and there may be financial demands on the parents which mean money would be wasted and not used appropriately to improve a childs material environment. Physical or emotional rejection in such household can prevent children from developing a positive sense of self revere or even a sense of identity and children may have their physical needs neglected and tend to remain unwashed, uncared and unfed (Sher, 1991). Children may be beaten up and be subjected to direct physical violence and by witnessing direct domestic abuse, they may themselves learn inappropriate behaviour which may take the form of post traumatic stress disorder in which they display emotional symptoms if parental behaviour becomes unpredictable and frightening.Older or primary school children are at increased risks of injury and they may show symptoms of fear of hostility with parents and also anxiety. The gender of the children play an important role and girls may show different reactions to such parental behaviour than boys. Although boys tend to show behavioural problems like aggressiveness, girls can be equally affected. At this stage, poor parental supervision and parental neglect or disinterest can lead to failure in academic attainment and childrens attendance to school can become irregular or erratic. Separation from parents can also cause distress and disrupt social behaviour and academic achievement (Kroll, 2004). Parental behaviour can lead to feelings of embarrassment and shame in these individuals and may be responsible for making children socially isolated for fear of humiliation by friends. Children can also start taking responsibilities for themselves and their younger siblings and may become too independent trying to move away from home and family life. Children and adolescent with drug or alcohol problems at home may not attend school a nd become delinquent. They may become isolated with no friends, may reject family altogether and experience significant disruption in their education (McKeganey et al, 2002). Without parental support children at adolescence and puberty may have to face increased problems although they may become increasingly beyond parental control. Sexual aggression, bullying tendencies and emotional disturbances may accompany concerns of shame and embarrassment in children to compensate physical neglect by parents. Children with parental substance misuse might develop an early problem of drug and alcohol abuse themselves.Chandy et al (1993) discuss that children of alcoholics constitute an at-risk population and their study seek to understand the impact of parental alcohol misuse on school performance of children. They used a sample of 838 teenagers from alcohol misusing parents and found that these teenagers performed significantly poorer in all the six measurements of school performance. The st udy identified that the teenagers who did perform well in school said that their parents have high expectations of them and these teenagers rated themselves highly in term of health and also claimed to be religious and thus religiousness and parental expectations could be considered as protective factors as identified in this study.In another study by CoSandra et al. (2000) the effects of parental alcohol use on African American and White adults were studied. The study results indic