behaviour and carer does Carer uses drugs and Carer misuses drugs not recognise the impact alcohol, but ensures and/or alcohol, and is on the child. that this does not not aware of impact on impact on child. child. Carer misuses drugs and alcohol and does not ensure that this has no impact on the child. This impacts on safety and wellbeing. Carer hostile to advice about this. LOVE AND CARE: Substance misuse 1) Child focused 2) Adult focused 3) Needs 4) needs are Child’s Child’s care giving. care giving. are not considered. secondary to adults. Alcohol and drugs are The carer maintains The carer believes it is The carer holds the child stored safely, if in the boundaries and routines normal for children to be responsible for their use home. but these are changed exposed to regular & blames their continual and/or adapted to alcohol and substance use on the child. The carer models low accommodate use at use. consumption or does not times. The carer significantly drink or use in front of the The carer lacks minimises and is hostile child. The use The carer understands awareness of the impact to advice around their carer’s does not impact on the importance of their substance use has use or refuses to the child in terms of hygiene, emotional and on their child and is acknowledge concerns. emotional physical care of their inconsistent in their carer’s availability and provides child and arranges for engagement with The carer involves the consistency of care or additional support when specialist agencies. child in their using they have physical ability unable to fully provide behaviour (i.e. asking to care or respond to the for the child. The use leads to the child to get the carer’s
Carer uses drugs and alcohol, but ensures that this does not impact on child. Carer misuses drugs and/or alcohol, and is not aware of impact on child. behaviour and carer does not recognise the impact on the child. Carer misuses drugs and alcohol and does not ensure that this has no impact on the child. This impacts on safety and wellbeing. Carer hostile to advice about this. LOVE AND CARE: Substance misuse 1) Child focused care giving. 2) Adult focused care giving. 3) Child’s Needs are secondary to adults. 4) Child’s needs are not considered. Alcohol and drugs are stored safely, if in the home. The carer models low consumption or does not drink or use in front of the child. The carer’s use does not impact on the child in terms of carer’s emotional availability and provides consistency of care or they have physical ability to care or respond to the The carer maintains boundaries and routines but these are changed and/or adapted to accommodate use at times. The carer understands the importance of hygiene, emotional and physical care of their child and arranges for additional support when unable to fully provide for the child. The carer believes it is normal for children to be exposed to regular alcohol and substance use. The carer lacks awareness of the impact their substance use has on their child and is inconsistent in their engagement with specialist agencies. The carer’s use leads to The carer holds the child responsible for their use & blames their continual use on the child. The carer significantly minimises and is hostile to advice around their use or refuses to acknowledge concerns. The carer involves the child in their using behaviour (i.e. asking the child to get the