Working with Parental Substance Misuse: Dilemmas for Practice

Correspondence to Dr Brynna Kroll, Department of Social Work, University of Exeter, Richards Building, St. Luke’s Campus, Heavitree Road, Exeter EX1 2LU, UK. E-mail: brynna.kroll{at}plymouth.ac.uk Summary The impact of parental substance misuse on child welfare isnow being increasingly recognized. Drug and alcohol problemsfeature in a substantial proportion of families where thereare child-care concerns and raise issues about engagement, confidentiality,assessment and inter-agency practice. This article exploressome of the dilemmas faced by social welfare professionals whowork with substance misusing parents. Based on a qualitativeanalysis of 40 semi-structured interviews with a wide rangeof practitioners from both adult focused and child and familysettings, in both the voluntary and statutory sector, a varietyof emerging themes will be discussed and linked to those fromother studies. The problems of working with denial, the tensionscreated by different agency objectives and protocols and theway in which children can often fall through gaps in serviceswill be highlighted, as will the way in which some professionalshave sought to resolve the dilemmas they encounter. This willthen be used as a basis for beginning to look at constructiveways forward in relation to training, interprofessional andinter-agency communication and service delivery.