Alcohol, Drugs and Smoking

1. Alcohol

Foster carers should ensure that young people are educated about alcohol. It is accepted that the more that young people know, the more likely they are to make good decisions about how to deal with smoking, drinking and the inappropriate use of drugs. It is good to talk about this subject so that you can give out the right messages and information.

Changing the way that people behave with alcohol and drugs is partly dependent on persuasion so it is really important that channels of communication are kept open. This does not mean that you approve of what the young person might be doing.

Children should never be given alcohol by foster carers. However, there might be special or festive occasions when carers should think about whether this should be mentioned to the child’s social worker in advance and what the child's parents might think about this. They might for example have a religious or cultural reason that should be considered or alcohol might have been a negative feature of their home life. Any decision to give a child alcohol must be agreed with parent and carers and be clear in the child's care plan.

1.1 What to do if a Child is Drunk

Where you suspect that a child/young person has had alcohol, depending on how much they think they have drunk, you may need to:

• Offer fluids - water, squash;
• Monitoring and check the child/young person - 10 minutes, 30 minutes, hourly, etc. especially if they go to sleep;
• Contacting health professionals for advice i.e. G.P.
• Consider hospital treatment.

You should never ignore a child/young person who appears drunk or under the influence of another substance. Make sure that:

• If a young person has drunk alcohol it is recorded;
• You are clear about a young person's religious or cultural beliefs as they may forbid the use of alcohol;
• The young person is aware of the possible conflict between taking prescribed medication and drinking alcohol;
• You are aware of the amount of alcohol in your home to ensure you know when it is being drunk;
• You understand that young people may have had bad experiences of people getting drunk and so may become anxious if you drink.

1.2 The Legal Position and Alcohol

See: GOV.UK website.

2. Drugs and Substance Misuse

Foster carers do not need to know everything about drugs and substances to respond appropriately and competently to young people that they are caring for.

All young people can be tempted to experiment with drugs, no matter where they come from or their background. Some children and young people will be in foster care because of substance misuse in their family and this may inform how they feel about drugs and their knowledge.

Substances are any substances, whether restricted or prohibited, which may have a harmful effect upon a child, such as:

Aerosols, Gas, Glue, Magic Mushrooms (Amanita), Petrol, Solvents and Amphetamines, Barbiturates, Cannabis, Cocaine, Hallucinogens, Nitrous Oxide (NOS) Hashish and Heroin. This can also include alcohol, cigarettes and tobacco.

It also includes psychoactive substances which can cause a very similar range of problems to the drugs which they mimic, including a risk of dependence developing with repeated use. Some appear to be more dangerous even than the traditional drugs they mimic.

See also:

• Frank - New Psychoactive Substances;
• Frank - Drugs A-Z;
• Frank regarding drugs and the law.

It is often difficult to tell if a young person is using drugs, particularly when a child/ young person first takes drugs or only takes them occasionally.

Some possible indications of drug abuse are:

• Sudden changes of mood;
• Irritability;
• Loss of appetite;
• Increased appetite - possible want sweet things more;
• Drowsiness or sleepiness;
• Evidence of telling lies;
• Unexplained loss of money or belongings;
• Unusual smells, stains or marks on the body, clothes or around the house.

Many of these signs are easily confused with normal growing up. It is vital that you do not make it a taboo subject but perhaps use opportunities such as stories in the media and on TV to start conversations.

It is important not to jump to the wrong conclusion, but speak to the child's social worker or your Supervising Social Worker if you are concerned. Further specialist training is available on drug and alcohol misuse and there are people who specialise in working with young people on these issues. Access to these services should be done in conjunction with the child's social worker. You could be held responsible for any illegal drugs that are kept in your home so having clear boundaries about drug use is important.

Young people often have access to a range of domestic products that are harmful and potentially fatal to them when inhaled. You need to be vigilant with young people around aerosol products, nail varnish, corrective fluid, glues etc.

Training is also provided by the fostering service; speak to your Supervising Social Worker.

3. Smoking (including e-cigarettes)

Not all young people will smoke and some may have a period of just trying it but they can quite quickly become hooked on cigarettes. This guidance applies to the use of tobacco as well as e-cigarettes.

Some children/young people placed with you may already have a smoking habit. You should support and encourage young people to reduce or stop smoking. You can get support from the Looked After Children's Nurse or the young person's GP.

Remember:

• It is against the law for retailers to sell cigarettes/cigarette papers, tobacco, electronic cigarettes (e-cigarettes) or e-liquids to someone under 18;
• Rules about when, where and by who is allowed to smoke should be clear;
• To be a positive role model to children/young people;
• To raise awareness of the effects of smoking and tobacco use and how to live a healthy lifestyle.

Your role is to:

• Consider your own health, your family and fostered children. If you are offered smoking cessation support, you have a duty to consider taking up the service;
• Be mindful that your behaviour provides a role model for the children in your care and consider the effect of smoking on children;
• Never buy cigarettes or materials used for smoking for children/young people in your care and cigarettes must never be used as a reward for good behaviour;
• Put in place household rules about smoking, making these clear to young people (appropriate age) placed with you;
• It is illegal to smoke in your car when carrying someone who is under 18 (see GOV.UK, Smoking in vehicles). This applies when people have the windows down or the sunroof open, or are sitting in the open doorway of a car.

The rules don't apply to e-cigarettes (vaping) or a convertible car with the roof completely down. However as the effects of this are unknown, the fostering service views this in the same way as smoking and would recommend you do not do this with children present.

4. Resources

Change Grow Live Barnet

Change Grow Live Barnet is the local service for adults and young people who are experiencing issues with drugs or alcohol.

The service is free and open to all Barnet residents as well as their families and carers. Any professional, such as a housing support worker, social worker or a nurse, can make a referral or you can get in touch yourself. You can call Change Grow Live Barnet on 0300 303 2866.

There is also a free online chat service which is open on Tuesday's and Wednesday's between 12 noon and 3pm.

You can visit the service in person at:

Ground Floor
Dennis Scott Unit
Edgware Community Hospital
Burnt Oak Broadway
Edgware
HA8 0AD

For general enquiries, email: Barnet.info@cgl.org.uk

Please be advised that this email address should not be used to send confidential information. Should any confidential information need to be sent, please use the secure email: barnet.info@cgl.cjsm.net

You will be able to talk to one of the duty team practitioners who will help you decide which service best meets your needs. The team will then work with you to create a care plan, which will be reviewed regularly.

The services will offer amongst other things:

• Harm reduction advice;
• Access to substitute medication;
• Referrals to residential and community detoxes and residential rehab;
• Counselling;
• Group work
• Employment, Education and Training support;
• A range of health and wellbeing services including support to stop smoking, blood borne virus assessment/vaccination/treatment, health checks;
• Support for friends, families and carers;
• Education and information for professionals including GP’s and other health professionals;
• Support and in-reach for schools;
• Outreach and community engagement;
• Dual diagnosis support via co-location with community mental health teams;
• Support for parents who use drugs or alcohol, including co-location with children’s centers and family services.

Get advice on your alcohol intake with Drinkcoach Barnet

If you would like information and advice about your alcohol intake, why not take the free online alcohol test at Drinkcoach. Provide details of your alcohol intake, and receive advice about your drinking.

You can also speak with an experienced alcohol specialist via Skype online coaching sessions, a convenient and confidential way to discuss your drinking and receive expert guidance. Bookings can be made at a time that suits you, including evenings and weekends. No waiting lists, no travel time, with sessions happening in a place that suits you.

Alternatively, you can contact your GP practice for further support.

Further information and support

One You - Drink Free Days App

Making better choices today can have a big impact on your health. One You is here to help you get healthier and feel better with free tips, tools and support. One You can help you make small, practical changes that fit in with your life. The Drink Free Days app on this website can help you track your alcohol intake on the days you drink and the days you don’t.

Drinkaware

For facts, advice and tools for tracking your alcohol intake visit the Drinkaware website.

Adfam

Adfam works to improve the lives of families affected by drug and alcohol use.

FRANK

Find out everything you need to know about drugs, their effects and the law. Talk to Frank for facts, support and advice on drugs and alcohol.

NHS Live well

NHS Live Well has information on the effects of drugs.