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Arizona's Meth _ Kids Initiative

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					Impact of Substance Abuse on Children
       “Community Response”




      Prepared for the Arizona Annual Substance Abuse Conference
                             Phoenix, Arizona
                              April 29th, 2009
      Learning Objectives
• Clearly define drug endangerment of
  children.
• Discuss case examples of drug
  endangerment.
• Understand Arizona reporting laws and
  role of CPS
• Discuss community response and creation
  of DEC Teams
INTRO VIDEO
   Victims of
Substance Abuse
    What is a drug endangered child?
• A child experiencing neglect, physical,
  emotional or sexual abuse that is attributed to
  illicit drug use, drug trafficking (or sales), or
  drug manufacture by caregivers.
       Children at Risk

85% of states identify substance abuse as
one of the major problems in homes with
suspected maltreatment of children.




            Source: Childwelfare.gov
Primary Reasons for Child Abuse


      #3. Poverty
      #2. Better Reporting
      #1. Substance Abuse




   Source: National Center on Addiction and Substance Abuse
             The Big Picture
• One-third of abused children will one day
  abuse their own children.
• Two-thirds of adults in drug treatment were
  abused as children.
• $94 billion dollars is spent each year to treat
  mental health and medical needs associated
  with child maltreatment.
         Family Cycle of Addiction


   Children of addicted parents are the highest
     risk group of children to become alcohol
    and drug abusers due to both genetic and
            family environment factors.



Kumpfer, K.L. (1999). Outcome measures of interventions in the study of children of substance-abusing
                          parents. Pediatrics. Supplement. 103 (5): 1128-1144
      Psychosocial Risks for
 Children of substance abusers…..
• Increased violent parental behavior
  toward children

• Severe neglect

• Increased sexual abuse

• Emotional Abuse

• Lack of regard for safety
                    History
•   Prenatal Drug Exposure/Medical Complications
•   Developmental Delays
•   Attachment Disorders
•   Abuse – Physical / Sexual/ Emotional/ Neglect
•   Violence – Domestic/Community
•   Chaotic Home Environment/Multiple Homes
•   Role Reversal: “Parentified Child”
•   Previous law enforcement/CPS involvement
        Emotional Abuse

•   Lack of Encouragement
•   Lack of Support
•   Lack of Discipline
•   Lack of Guidance
      EMOTIONAL & SOCIAL
  CONSEQUENCES FOR CHILDREN

• DELINQUENCY    • ISOLATION
• LEARNING       • POOR PEER
  PROBLEMS         RELATIONSHIPS
• CRIMINAL       • POVERTY
  BEHAVIOR       • ADDICTIONS
• HOMELESSNESS   • POOR ANGER
• SHAME            MGMT
• ATTACHMENT     • CHAOTIC
  DISORDERS        LIFESTYLE
       Psychosocial Factors
   related to High Risk Behavior

• Child has difficulty with relationships
• Child has personal characteristics which get them into
  negative situations
• Child has a history of negative life experiences
• Child has a relationship to drugs and/or alcohol
• Child has been exposed to psycho-social
  environmental toxins
• Child has conveyed threats of violence
           Additional Impact
•   Life Long Health Problems
•   Drug and Alcohol Abuse
•   School “Drop outs”
•   Financial Dependency
•   Future Felons
•   5x greater chance of being incarcerated
     What‟s inside of a drug house
• Drugs (accidental     • Sexual abuse
  overdose of kids)     • Emotional abuse
• Syringes              • Domestic violence
• Hazardous chemicals   • Inappropriate sleeping
• Danger of fire          conditions
                        • Lack of medical/dental
• Danger of explosion
                          treatment
• Glass smoking pipes   • Pornographic material
• Accessible weapons    • Lack of food, support,
• Booby traps             discipline,
• Toxic fumes             encouragement,
• Physical abuse          guidance, grooming,
                          and supervision
Dangers Related to Drug Use
Kitchen Counter on Microwave
 Theories of Endangerment
• Dealing out of a house when children are present at the
  location.
• Showing up at a “Drug Deal” with children in the vehicle.
• Holding a baby while selling dope.
• Storing the drugs in the stroller with baby.
• Smoking Meth while children are present.
• Food contaminated with Drugs/Chemicals
• Accessibility: weapons, drugs, residue….
• Children being provided drugs
• Children testing positive for drugs when detained by CPS
• Children helping to sell drugs/stand guard, etc.
          Effects on Children
• Ingestion of the raw drug or residue

• Inhalation of the smoke in a home with
  multiple users

• Absorption through the skin
  HAZARDOUS LIFESTYLES: Users often live a lifestyle
    “incompatible with a proper regard for human life”




• THIS WAS FOUND ON THE FLOOR LOADED
VIOLENCE/PHYSICAL ABUSE
                  Neglect
• Parent engages in conduct that renders the
  parent incapable of caring for immediate or
  ongoing needs of the child.
• Includes but is not limited to incapacity to
  parent due to alcohol or other drug abuse.
• Continuously fails to provide care and
  protection for the child.
• Does not provide for medical needs, clothing,
  or shelter for child.
              Physical Neglect
• Lack of Essential Food
• Inappropriate Sleeping
  Conditions
• Lack of Medical / Dental
  Treatment
• Lack of Supervision
• Lack of Grooming
          Examples of Neglect
• Child has frequent cases of head lice which are
  never adequately treated.
• Child abandoned for periods of time while
  parents use drugs.
• Child left with unsafe caregivers.
• Child not provided with food, clothing, or a
  clean home.
• Drug paraphernalia litters the home.
• The child acts like a “little adult”.
LITTLE ADULTS VIDEO
Neglect

2-year-old boy
found in filthy
home with
large quantity
of meth,
parent under
the influence
     Neglected or abused children are:

          •50% more likely to be arrested as
          juveniles

          •40% more likely to be arrested for a
          violent crime as adults

          •33% more likely to become
          substance abusers

Source: US Department of Justice
         Emotional Issues
• Post-Traumatic Stress Disorder

• Attachment Disorders

• Lower Self Esteem

• Mistrust/Fear

• Guilt/Shame
   Characteristic Concerns of Children
       from Families of Addiction
• Feel responsible for parent‟s substance abuse and
  other problems in the family
• Equate parental substance use with not being loved
• Feel angry with non-using parent
• Fear the addicted parent will get hurt or die
• Embarrassed by the parent‟s behavior
• Never know what to expect
• Sometimes want their parents to use
      Emotional & Social
       Consequences
•   Delinquency            •   Isolation
•   School Problems        •   Poor Peer Relations
•   School Absenteeism     •   Unemployment
•   Criminal Behavior      •   Poverty
•   Homelessness           •   Addictions
•   Shame                  •   Poor Anger Mgmt.
•   Attachment Disorders   •   Chaotic Lifestyle
    Educational Challenges

•   Learning disabilities
•   Repeated grades
•   Preoccupation and/or tired
•   Poor School Attendance
•   Frequent change of schools
Determinants Affecting the Child’s Future

• The child‟s support system

• The mental and physical health of the child

• The child‟s „meaning making‟, „religion‟ or cultural beliefs

• Caregiver‟s understanding of the child‟s history & hope for the future

• Public Policy & community response

• Us - the professional systems that become part of the child‟s life
    Identification of Victims--Reporting

•    Neighbor
•    School Staff
•    Extended Family
•    Friend of Victim
•    Anonymous Reporter
        Who Must Report Abuse?
•   Social workers
•   Teachers and other school personnel
•   Physicians and health care workers
•   Mental health professionals
•   Childcare providers
•   Medical examiner/Coroner
•   Law enforcement officers
           Child Protection Team
           Multi-disciplinary Team
•   Social Services
•   CPS worker
•   physician
•   Law enforcement
•   Behavioral Health (mental health)
•   School representative
•   prosecutor
                     Response to Child Abuse/Neglect
                       Report from community
                       Report from community

                      Report to various agencies

                 Report to PD
                 Report to PD          Report to CPS
                                       Report to CPS    CPT referral
                                                        CPT referral

DEC forensic eval,       Medical evaluation?           Ancillary services
    toxicology       Emergent         Non emergent        as needed


         Emergency room                        Physician


                       DEC comprehensive   Schedule evaluation
                         med evaluation
Multi-Discipline Child Protective Team

 • Review all referrals and active cases of child
   abuse, child neglect, and child sexual abuse
 • Identify resources for family/victim
 • Make recommendations for a plan of action
 • Provide periodic review for all cases
           Prevention
• Keep kids busy in healthy activities
• Adults in their lives (mentoring)

  – INFORMATION CAN NOT BE A
    STAND ALONE STRATEGY
     • Violence Education
    Mentoring Programs

57,000 mentored youth surveyed:
98.4% stayed in school
85.25% did not use drugs
97.9% did not become a teen parent

98.2% did not join a gang
 Who Benefits From Relationships?

•Secretarieswith nice bosses have less heart
disease than secretaries with non-nice bosses
•Lonely  people are twice as likely to die of heart
attack than those with social support
Who Benefits From Relationships?

  •Students with social support perform
  better on academic examinations.

  •Young   people with social support are
  less likely to use drugs.
    Community Mission

To break the cycle of “child
abuse” caused by those
who manufacture, sell and
use drugs.
“Children See” Video
         Contact Information




Rich Rosky, Coordinator
HIDTA Southwest Meth & Pharmaceutical Crimes Initiative
(602)664-5623
Southwest_meth@yahoo.com

				
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posted:7/5/2011
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