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Barn innlagt sammen med foreldre som er i behandling for rusmiddelproblemer
Solbakken, Bjørn; Lauritzen, Grethe; Lund, Marte K. Ødegård
SIRUS-rapport 5/2005
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dc.contributor.authorSolbakken, Bjørn-
dc.contributor.authorLauritzen, Grethe-
dc.contributor.authorLund, Marte K. Ødegård-
dc.identifier.citationSIRUS-rapport 5/2005en
dc.description.abstractNORSK SAMMENDRAG: Dette er den første av to delrapporter om tilbud til barn av foreldre med rusmiddelproblemer som SIRUS har skrevet på oppdrag av Barne- og familiedepartementet. Denne rapporten tar for seg barn innlagt sammen med foreldre i behandling. Den andre rapporten omhandler hele spekteret av støtte- og behandlingstilbud i Norge for barn av rusmiddelbrukende foreldre (SIRUS rapport 1/2006). Det var innlagt 161 barn på 11 institusjoner som gir tilbud om innleggelse av barn sammen med foreldre i løpet av 2004; 93 % av disse var under tre år og 64 % var under ett år. Tjuefem prosent ble født under mors opphold på institusjonen. Kun to prosent av barna var over seks år. Institusjonene oppgir at de prioriterer de yngste barna, eller helst gravide kvinner så tidlig i svangerskapet som mulig. Rapporten konkluderer med at tendensen til i økende grad å prioritere behandling allerede under svangerskapet og tidligst mulig i barnas liv synes faglig velbegrunnet og kan være svært viktige forebyggende tiltak. Dilemmaene ved å inkludere barn i voksnes rusmiddelbehandling bør imidlertid ha løpende oppmerksomhet. Rapporten peker avslutningsvis på flere områder der det er behov for fagutvikling og forskning.en
dc.description.abstractENGLISH SUMMARY: The Ministry wanted SIRUS to ascertain which inpatient treatment units include admissions of children in their treatment of parents for substance abuse problems, how many children are involved, what assistance is given to the children, the kind/amount of professions working with them, routines for co-operation with welfare officials (including kindergartens/schools), how these children are followed up after their parents complete treatment and whether the institutions have evaluated their work. There was no readily accessible overview of Norwegian institutions providing admission to children along with their parents. Through various sources, nine inpatient treatment units were found that offered such assistance. Two childcare and parent-children centres that play central roles in related work were also included. Information was acquired through a questionnaire sent to these 11. In 2004 there were 161 children admitted to the institutions and 93 % of them were under the age of three, 64 % under age one. About a quarter of the children were born during their mothers’ institutional residence. For preventive reasons, priority was given to admitting children from an early age and mothers from an early pregnancy. The length of stays in treatment units varied widely. Half of the institutions reported using standard tools for making assessments of the children. Those who used such tools were more likely to report negative effects and dysfunctions among the children. However, a high frequency of functional and developmental problems appeared to be linked to prenatal and early-years exposure to substances. High professional competence prevails in most of the institutions but there is a considerable need for specific initiatives to train and instruct in observation and clarification of children’s developmental damage and relationship difficulties. The competence of external specialists in child psychiatry and child habilitation service is emphasised. The institutions report comprehensive co-operation with others in the field. The public childcare service is nearly always involved, often prior to admissions. However, it would be advisable for these juvenile authorities to follow up families even more during inpatient treatment and for a long time after release so that the children’s care can be evaluated on a regular basis. No major evaluation studies have been made by the institutions that include children along with parents undergoing treatment. A couple of minor investigations have been made and they report reaching their objectives. To evaluate the need for further research and development, the report reflects on issues such as: What is the purpose of admitting children together with parents undergoing inpatient treatment? What professional/theoretical considerations are such initiatives based on? How can treatment of parents be combined with ensurance of the children’s needs? The report points out possible areas for professional development and research: - Evaluation strategies and standards for evaluation should be considered. - Extensions of prospective follow-up investigations of children and parents are proposed. Contextual factors and prerequisites must be included in such studies, including socio-economic matters, social network, ethnicity and culturally relevant information. - Information about treatment availabilities must be improved. - A decision is recommended regarded whether children should be given independent patient status when admitted along with their parents. - A professional network should be established among all the relevant institutions - a forum for discussing dilemmas and problems linked to treatment of children with parents and initiating competence-enhancing measures. - Models for systematic follow-ups of children and parents should be developed as part of an evaluation strategy. The report includes an overview of tools that can be utilised for registration and diagnostics at the treatment units.-
dc.subjectVDP::Samfunnsvitenskap: 200en
dc.subject.meshSubstance-Related Disordersen
dc.subject.meshChild of Impaired Parentsen
dc.subject.meshSubstance Abuse Treatment Centersen
dc.subject.meshParent-Child Relationsen
dc.subject.meshChild Careen
dc.titleBarn innlagt sammen med foreldre som er i behandling for rusmiddelproblemerno
dc.typepeer revieweden
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