Title : The impact of parental substance misuse on children – tolerable use/intolerable impact
Abstract:
Purpose: Parental alcohol and/or drug misuse can have a detrimental impact on children. The aim of this presentation is to help professionals to understand how children may be affected, to identify concerns early and ensure children get the help and protection they need.
Design: The presentation is based on a wide range of research, both national and international, and uses a developmental framework to explore how exposure to parental alcohol and drug misuse can affect children’s health and wellbeing.
Findings: Around 4% of children in England are living with a parent who uses alcohol or drugs. This is likely to be a significant underestimation as parents are often reluctant to disclose their substance misuse. Problem drinking or drug use rarely exists in isolation and is often associated with domestic abuse and mental health problems. Such a mixture of parental issues is a toxic combination for children.
The consequences for children can be long-term and affect every aspect of their safety and wellbeing. Child protection systems often fail to respond appropriately to families in which alcohol and drug misuse presents a risk of harm to children.
Originality: Previous work on how parental substance misuse can affect children has, in general, examined the overall harm they can experience. This presentation explores, through adopting a developmental approach, how exposure can affect children’s social, emotional and cognitive development.

