Overview Local picture
What is Substance Misuse
Risks in pregnancy
ID risks
Keeping Children safe
Outcomes
Local picture Over past 5 years, 2 live birth who’s parent/s were in
treatment for alcohol misuse
1 child permanently removed from care of both parents
Worth noting however that nationally reporting of alcohol use / misuse during pregnancy is under reported by pregnant mothers
Unlikely that we see anywhere near the full picture
What is substance misuse Drug and alcohol misuse is a complex issue.
While the number of people with a serious problem is relatively small, someone's substance misuse and dependency affects everybody around.........
Dependency icd-10 • Strong desire and compulsion to take the drug
• Difficulties in controlling use of substance
• Physiological withdrawal state
• Development of tolerance
• Progressive neglect of other aspects of life
• Persistent use despite evidence of harm
Risks in pregnancy The potential for harm from the use or abuse of
substances.......is particularly acute during pregnancy and can have a severe and damaging impact on pregnancy and the health of the baby.....yet pregnancy can act as an equally strong incentive to make a positive change in behaviour and lifestyle. It is important that this is both recognised and supported by early years and health practitioners who work with pregnant women
NHS Health Scotland, Maternal and Early Years
http://www.maternal-and-early-years.org.uk/topic/pregnancy/substance-use-and-misuse-in-pregnancy
Risks.......... complications in pregnancy and labour
maternal death
miscarriage
premature birth
stillbirth
infant death
low birth weight
withdrawal symptoms in infants
physical and neurological damage to the baby
FASD
How we identify risks Self or professional referral
Some women will identify themselves
Women misusing alcohol far more difficult to identify and support
ASK......talking and listening to women is so important. Just because you have asked once, does not mean you cannot ask again.
Harm reduction All women of child bearing age:
Contraception
Education and advice
Safe drinking levels
If children in home and substance use parent/s
Referral onto social work / children and families to support understanding of risks
Policy context GIRFEC
Child Protection guidance
The Early Years Framework
The Road to recovery
Changing Scotland's relationship with alchol
New Maternity Pathway
Protecting Children and young people affected by adults with problem substance misuse
Outcomes FASD predicted to be under diagnosed as yet
Pregnancy can be motivator to significant positive change
Improving inequalities
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