Understanding Birth Parent Addiction And the Impact on the Children in Your Home 1
• Ground Rules & Introductions: Intro • OCWTP Guidelines • “Who are you & What would you like to get from this training session?” 2
Course Outline • Group Guidelines & Intros • Brainology 101 • Progression of Addiction • Communication • Visitation • Birthparent challenges • Foster child challenges • More communication 3
Intro (9:00AM - 9:45AM) Who am I? Who are you? 4
Substance use prevents a parent from being a good caregiver. Do you think “use” compromises caregiving? Or just “addiction”? � The addict brain is compromised and as a result; The addict cannot keep themselves safe. Problem Problem Cannot adequately insure their children’s safety Risk-taking Health jeopardy Illegal industry is sketchy, erratic and often dangerous. 5 4
Foster Families are challenged when a child comes from these chaotic environments. When addiction is the norm Often abuse Neglect The most important example can be: Providing consistent structure Problem Problem Healthy boundaries Important for both the foster child and the birth-family 6 4
� Understanding addiction can help foster parents be compassionate Problem Problem without being co- dependent. 7 4
Goals Upon completing this training, participants will: � Substance use changes the brain � Limbic systems � Reward center � Bypasses the cortex (self-will, self-control) 8
Goals Upon completing this training, participants will: � Increase options on how to deal with a parent who show up for a visit with a child under the influence of a mood or mind altering chemical and how to communicate that information to the child appropriately. 9
Goals Upon completing this training, participants will: � Speak plainly to kids about addiction � Cultivate an open dialog for the kids to voice how addiction has manifested in their family. � Will be more comfortable with the wide range of emotions involved in dealing with addiction. 10
Goals Upon completing this training, participants will: � Will understand the value in � Stay positive, � Compassionate � Engaged In positive, active foster parenting and dealing with the treatment/recovery/parenting issues of the birth families. 11
Goals Upon completing this training, participants will: � How to prevent codependence � Improper enmeshment with birth families � Healthy boundaries so you don’t get drained . 12
Brainology 101: What is up with that Addict Brain? 13 SOURCE: NIDA: “Drugs, Brains, and Behavior - The Science of Addiction” http://www.drugabuse.gov/publications/science-addiction
• Dopamine • Four chemicals: Brainology 101: • Serotonin • GABA What is up with that Addict Brain? • Norepinephrine SOURCE: NIDA: “Drugs, Brains, and Behavior - The Science of Addiction” http://www.drugabuse.gov/publications/science- 14 addiction
dopamine Norepinephrine serotonin GABA 4 • Dopamine • Serotonin Brainology 101: chemicals • GABA What is up with that • Norepinephrine Addict Brain? SOURCE: NIDA: “Drugs, Brains, and Behavior - The Science of Addiction” http://www.drugabuse.gov/publications/science- 15 addiction
Brainology 101: Hi. I’m DOPAMINE Mister Dopamine Ambition Motivation Enjoyment “Let’s go, let’s go let’s go!!!” SOURCE: NIDA: “Drugs, Brains, and Behavior - The Science of Addiction” http://www.drugabuse.gov/publications/science- 16 addiction
Brainology 101: SEROTONIN Mood Control SSRIs Sensory Perception Temperature Regulation SOURCE: NIDA: “Drugs, Brains, and Behavior - The Science of Addiction” http://www.drugabuse.gov/publications/science- 17 addiction
Brainology 101: GABA Calmness Relaxation Quality Sleep Benzodiazepines (Valium, Xanax) Relieves Craving SOURCE: NIDA: “Drugs, Brains, and Behavior - The Science of Addiction” http://www.drugabuse.gov/publications/science- 18 addiction
Brainology 101: Norepinephrine Selective Focus Paranoia Fight or Flight Arousal Moods Elevated HR/BP SOURCE: NIDA: “Drugs, Brains, and Behavior - The Science of Addiction” http://www.drugabuse.gov/publications/science- 19 addiction
Can You Relate? 5 min 1. Co fg ee? 2. Chocolate ? 3. A beer or glass of wine on Friday with friends? 20
Can You Relate? (25 min) “What do you do to make it all better?” :: Food :: sex :: satisfaction :: happy :: mad :: hurt :: depressed :: stress :: panic :: scared :: “What do you do do make it all better for your children?” 21
Can You Relate? - Discussion (25 min) • Positive vs. Maladaptive • Definition of “Addiction” • Compulsive Use • “Unmanageability” “Addicts found something that ‘made it all better’ and unfortunately it changed their brain so that it has plugged into all the wrong sockets of their brain and it is really, really di ffj cult for it to get unplugged.” “Once unplugged, the brain has to be retrained to provide it with something that is better and more fulfilling than what they think they were getting from drugs." 22
Positive vs. Maladaptive 23
Definition of “Addiction” 1. C ompulsive Use 2. C onsequences SOURCE: American Society of Addiction Medicine, Public Policy Definition, http://www.asam.org/for-the-public/definition-of-addiction . 24
Advantages From the foster parent’s perspective, the advantages are : • Ability to gain accurate and comprehensive From the child’s perspective, the advantages information form the birth family. are: • Better able to understand the child’s experience and, therefore, assist the child. • Opportunity to preserve sense of identity and history. • Reduced discord between the families. • Bonding and attachment to family of origin preserved. • Smoother arrangements for visitation. • Enhanced self-esteem. • Opportunity to learn about the child’s culture and • Decreased sense of abandonment or rejection. ethnicity so that his/her identity can continue to • Potential for increased contact with birth family. develop. • Two families to love and be loved by. • Smoother transitions and decreased crisis and conflict. • Easier adjustment for child that lessens conflicts. • Visitation more easily executed and supported. • Feelings of competition reduced. • Consistent messages from birth and care-taking parents. • Easier transition home or to another permanent • Foster parents seen as supporting birth parents in a non- placement. judgmental way. • Lifelong relationship with child may be maintained. • Reduced feelings of divided loyalties to two families. • Participation as a team player with all parties. • Support for birth parents in making an appropriate permanency plan, other than return home. From the parent’s perspective, the • Child’s needs better met through collaborative relationships amongst families and professionals. advantages are: • Increased possibility of the foster family remaining in the From the social worker’s perspective, the advantages are : child’s life when the child leaves that family; meaningful • Bonding and attachment to child are preserved. relationships not lost. • Feeling of being respected for what one knows about • Good communication and relationship create collaboration that reduces tension. • Direct communication between parents make the job easier. the child. • Visitation runs more smoothly. • Anxiety reduced by knowing with whom the child is • Better communication from functioning as a team. living. • Reality of foster care is more evident to the birth parent if everyone is involved as a • Ability to share parent’s expertise about child. team. • Better communication and information sharing. • Issues can be addressed more effectively in a direct manner. • Greater awareness of the child’s daily activities and • Foster parent can serve as an advocate, mentor, or role model for birth parent. lifestyle. • Morale booster when parties are working with each other and not against each other. • Decreased feelings of animosity and isolation. • Creates a trusting relationship that encourages cooperation. • In the long run, can reduce the social worker’s role as a primary coordinator, allowing • Smoother visitation arrangements. the social worker to serve as a leader rather than as a constant mediator. • Boundaries and roles clarified. http://www.hunter.cuny.edu/socwork/nrcfcpp/fewpt/partnerships.htm 25
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