2.50
Hdl Handle:
http://hdl.handle.net/10143/42413
Title:
Tilbud til barn av foreldre med rusmiddelproblemer
Authors:
Solbakken, Bjørn; Lauritzen, Grethe
Citation:
SIRUS-rapport 1/2006
Additional Links:
http://www.sirus.no/internett/behandling/publication/176.html

Full metadata record

DC FieldValue Language
dc.contributor.authorSolbakken, Bjørn-
dc.contributor.authorLauritzen, Grethe-
dc.date.accessioned2008-12-16T12:51:17Z-
dc.date.available2008-12-16T12:51:17Z-
dc.date.issued2006-01-
dc.identifier.citationSIRUS-rapport 1/2006en
dc.identifier.issn1502-8178-
dc.identifier.urihttp://hdl.handle.net/10143/42413-
dc.description.abstractNORSK SAMMENDRAG: Dette er den andre delrapporten om tilbud til barn av foreldre med rusmiddelproblemer som SIRUS har skrevet på oppdrag av Barne- og familiedepartementet. Første delrapport omhandler barn innlagt sammen med foreldre i behandling (SIRUS rapport 5/2005). Bakgrunnen for delrapport 2 er behovet for økt kunnskap om hele spekteret av støtte- og behandlingstilbud i Norge for barn av rusmiddelbrukende foreldre. Rapporten konkluderer med at det er det planlagte samspillet mellom de spesifikke rusmiddeltiltakene og de generelle støtte- og behandlingstilbudene for barn, ungdom og familier som synes å fungere. Det anbefales derfor at det utarbeides en overordnet strategi for kompetanseutvikling på rusmiddelrelaterte temaer innen familier for førstelinjens sosial- og helsetjenester, barnehager, skoler og spesialisthelsetjenester. Rapporten gir bl.a. følgende faglige anbefalinger: * Intensivert innsats overfor gravide misbrukere for å forebygge rusmiddelrelaterte skader i svangerskap og forankret ansvar for tett oppfølging av barna frem til skolealder. * De gruppebaserte tilbudene utviklet for barn i skolealder samles i et nettverk for erfaringsutveksling og fagutvikling. * Ivaretakelse av barna må innarbeides i behandlingstiltakene for rusmiddelmisbrukere. Tiltakene må få ansvar for at barnas situasjon blir utredet og ivaretatt. * Samle erfaringskompetanse og teoretisk kompetanse i tidsavgrensete nettverk. * Utvikle et forskernettverk for å koordinere ny evaluering og forskning med allerede pågående studier i feltet.en
dc.description.abstractENGLISH SUMMARY: The objective of the second report is to increase knowledge about the entire array of initiatives developed in Norway for support and/or treatment of children of substance abusers. Comprehensive questionnaires were sent to all of the country’s maternal and child health centres, municipal child care and social welfare offices, the special pedagogic and psychological health service linked to the school system, child/adolescent and adult mental health units, treatment facilities for substance abusers and to relevant voluntary organisations. The recipients were asked to report specific initiatives to children of substance abusers. We have material from 821 responses, amounting to about a 50 % return. In addition to the questionnaires, we have conducted research in the field to track down initiatives for children and the description appears to include the most implemented initiatives. This report divides the target group into four sub-groups on the basis of whether the substance abuse of the parents is known, and whether the child shows signs of maladjustment or dysfunction. Various measures for helping the children will be mobilised in connection with children in these four groups. Among primary care responses, the maternal and child health centres stand out with extra emphasis on helping pregnant substance abusers and parents and their children aged two or under. These centres also offer help, often on a group basis, to school-age children. Counselling groups are usually developed for children aged 7 to 16. The groups are rooted to primary health care and to child and adolescent mental health units. Among treatment facilities for substance abuse patients, 22 % inform of having specific initiatives for children. There are two major types of initiatives in inpatient treatment units: (1) Children are admitted together with their parents (Report I); (2) Children are included in treatment of the family and/or offered help as involved members of the family. Volunteer organisations offer certain specific measures for assisting this target group, primarily in the category of counselling. The report covers themes such as recruitment of children to initiatives and follow-ups of children and families through a process of support and treatment. Serious domestic substance abuse is often the result of a complexity of problems, in which psycho-social strains and economic difficulties play a heavy part. Thus there is a need for broad interdisciplinary efforts to approach the children’s and families’ difficulties and in many cases this must be a long-term effort. Our studies coincide with Danish experiences in recent years. Main recommendations: - An intensive effort should be aimed toward pregnant substance abusers to prevent substance-related prenatal damage. A clearly defined responsibility is needed for close follow-ups of children and to assess their care in preschool years. Various models are suggested. - School is a challenging and important arena for children growing up with special burdens. We recommend that group-based initiatives developed for school-age children be organised in a single network to promote exchange of experience and increase professionalism. We also propose that family therapeutic intervention initiatives are included to evaluate group-based initiatives as interventions in families and network structures. - To a greater extent, awareness about children and providing for their needs must comprise treatment initiatives for substance abusers. All patients starting treatment should routinely be asked questions about children (number, age, living situation and their care). - We need a comprehensive strategy for developing knowledge and recommend the establishment of a research network attending to cumulative and comparative research efforts.-
dc.language.isonoen
dc.publisherSIRUSen
dc.relation.ispartofseriesSIRUS-rapporten
dc.relation.ispartofseries2006/1en
dc.relation.urlhttp://www.sirus.no/internett/behandling/publication/176.htmlen
dc.subjectVDP::Samfunnsvitenskap: 200en
dc.subject.meshSubstance-Related Disordersen
dc.subject.meshChild of Impaired Parentsen
dc.subject.meshSocial Worken
dc.subject.meshRehabilitationen
dc.subject.meshChild Welfareen
dc.subject.meshPrimary Preventionen
dc.subject.meshChilden
dc.subject.meshNorwayen
dc.titleTilbud til barn av foreldre med rusmiddelproblemerno
dc.typepeer revieweden
dc.typeReporten
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