News February 2019 Newsletter FREE WEBINAR: Compassionate Pragmatism: An Integrative Approach To Treating Problematic Substance Use Wednesday. 27.02.19Time: 7pm We are delighted to offer this presentation by Andrew Tatarsky Ph.D., Founder and Director, Center for Optimal Living, NYC; a comprehensive psychotherapy and professional training center based on Integrative Harm Reduction Psychotherapy. Andrew is a clinical psychologist who has devoted his career to developing a comprehensive psychobiosocial understanding of the broad spectrum of addiction problems that do not necessarily require abstinence. His integrative harm reduction psychotherapy approach to treatment has compassion at its centre. He will discuss harm reduction across the range of risk behaviours associated with problematic use of substances and high-risk behaviours. This webinar has now passed but you can view the recording here. Latest webinars for Premium Members There are two webinars in the next few weeks as part of our Premium Membership CPD programme. Our interactive webinars are proving to be very popular as members can either listen live at the advertised time or on “catch-up” later. Certificates are issued as well as a list of the 15 hours of CPD provided over the course of a year. Not yet a Premium Member? Join now. Remember, FDAP members receive complimentary access. HOMELESSNESS; ALCOHOL AND OTHER DRUGS PROBLEMS Monday: 25.02.19Time: 7 pm Anna Hiley, CEO & GPwSI, Inclusion Healthcare Social Enterprise CIC will take us through some of the issues when working with people with alcohol and other drug problems who are homeless. This webinar provides 1 hour CPD. This webinar has now passed but is available to watch via our Premium Membership. OPIOID SUBSTITUTION TREATMENT GOOD PRACTICE PROGRAMME Thursday: 28.03.19Time: 10:00 AM - 11:00 AM Presenter: Pete Burkinshaw, Alcohol and Drug Treatment and Recovery Lead, Alcohol, Drugs, Tobacco and Justice Division Public Health England . PHE's new programme to support services to improve the quality of treatment so that people understand how their treatment works, comply with it and stick with it. That way they should get more from it and increase their chances of recovery. This programme will include a focus on using psychosocial interventions to support changes in behaviour. There is already a lot of good practice in this country, and the programme will aim to harness and build on that. This webinar provides 1 hour CPD. If you wish to register to attend this webinar, please click here to request the link. Recorded webinar PREMIUM MEMBERS WEBINAR: OST TITRATION IN PRISONS This webinar focuses on issues regarding OST titration in prisons and secure environments, and includes case studies. Presenters Dr Joss Bray, Clinical Lead for Drug and Alcohol Treatment in the North East Prisons for Spectrum CIC. Dr Jake Hard, HMP Eastwood Park and HMP Leyhill, Hanham Health surgery.Chair of the RCGP Secure Environments Group.Watch this webinar. Please note: You must have Premium Membership. Premium Members get quarterly Clinical Updates of recent research relevant to the field. Here is a taster: Clinical Update A randomized controlled trial and economic evaluation of the parents under pressure program for parents in substance abuse treatment.Barlow J., Sembi S., Parsons H., Kim S., Petrou S., Harnett P. & Dawe S. (2019) Drug and Alcohol Dependence, 194: 184-194. doi: 10.1016/j.drugalcdep.2018.08.044. Is an intensive parenting programme effective at reducing child abuse potential in parents engaged in community drug and alcohol services? This multi-center randomized controlled trial compared an intensive one-to-one parenting programme (Parents under Pressure, PuP) for primary caregivers of children under 2.5, engaged with community substance misuse services, with treatment as usual (TAU) in the UK. A sample of 100 parents was randomized to receive PuP (n=48) or TAU (n=52). Outcomes were measured at baseline, 6 and 12 months. The primary outcome of child abuse potential, measured using the Brief Child Abuse Potential Inventory (BCAP), was significantly improved in parents receiving PuP while those in TAU showed a deterioration. Significant reliable change was observed in 30.6% of the PuP group compared with 10.3% of the TAU group, and deterioration in 3% compared to 18%. Secondary outcomes assessed parental emotional regulation, psychopathology, and parenting stress using a range of measures. Intent-to-treat analysis found a significant improvement in emotional regulation for parents receiving PuP compared to TAU, and there was a trend towards a significant improvement in depression, anxiety, and stress. No statistically significant improvement in parenting stress was found. Probability of cost-effectiveness was approximately 51.8%-98.0%, depending on the cost-effectiveness threshold used. Commentary: There is a vast amount of evidence to suggest that the quality of the caregiving relationship is impacted by parental substance misuse. We also know that adverse outcomes, as a result of a poor parent-child relationship impacting on the developing neurological and attachment systems, emerge early in the child’s life and can persist into adulthood. Families with complex needs, such as parental substance misuse and psychiatric disorders, are the primary client group of child protection systems across the world, so it is important that targeted interventions are developed to prevent child maltreatment and its associated lifelong harms. The PuP extends its focus beyond parenting skills to address the factors underlying poor parenting, such as emotional dysregulation, socioeconomic challenges, and psychopathology. It utilises an individualised modular approach drawing from attachment theory, behavioural parenting skills, and adult psychopathology, and incorporates mindfulness-based strategies. This trial shows that PuP can be effective in reducing self-reported child abuse potential, when delivered by frontline practitioners in a community setting to a heterogeneous sample of parents. One potential limitation of the study is that the majority of parents included (96%) were mothers. As the study focused on treatment for primary caregivers engaging in substance misuse treatment, perhaps this highlights that there is an absence of fathers engaging with substance misuse services who have a primary caregiver role. Or perhaps more can be done to identify and engage fathers with SUDs in parenting programmes. This limitation also raises important questions, such as whether or not this programme is effective for fathers, and if there are other settings where PuP, or similar programmes, can be implemented for men. Parents with SUDs come into contact with a wide variety of services – criminal justice, primary and secondary health, social care – so it is vital that policy response to this issue is not fragmented and uncoordinated, and that that parenting programmes are available to this high-risk group in a variety of settings. The provision of such programmes should be considered when designing substance misuse services. Likewise, antenatal care providers should receive training to deliver substance misuse interventions and work collaboratively with substance misuse services to engage patients when parental substance misuse is identified. Jobs OPPORTUNITES AT REVOCO RECRUITMENTRevoco Recruitment is part of the Revoco Healthcare Group - a leading provider in bespoke addiction and mental health services worldwide. South East Asia counsellor Live in therapists Europe UK treatment centre counsellor News ADDICTION IS NOT A SPECTATOR SPORTElizabeth Burton-Phillips' book Mum Can You Lend Me Twenty Quid? about her twin sons' addictions and the effect it had on her family has been translated into several languages. A theatre production and workshop featuring professional actors and based on the book has received excellent reviews. For more information about the play visit the DrugFam website or write to Sophie Tickle on [email protected].