Navigation

Families and carers

Quality statement

Families and carers of people who misuse alcohol have their own needs identified, including those associated with risk of harm, and are offered information and support.

Quality measure

Structure

a) Evidence of local arrangements to ensure that local services use promotional materials to encourage families and carers of people who misuse alcohol to access information and support.

b) Evidence of local arrangements to ensure that families and carers of people who misuse alcohol are offered written and verbal information on alcohol misuse and its management, including how families and carers can support the person who misuses alcohol.

c) Evidence of local arrangements to ensure those at risk of harm, including alcohol-related domestic violence, are offered information, advice and referral to other services where appropriate.

d) Evidence of local arrangements to ensure that services are compliant with current national guidance on safeguarding children.

e) Evidence of local arrangements to ensure that carers' assessments are offered to eligible carers of people who misuse alcohol.

f) Evidence of local arrangements to ensure provision of guided self-help for families and carers of people who misuse alcohol, including facilitating contact with support groups.

g) Evidence of local arrangements to ensure provision of family meetings for families and carers with significant problems, typically consisting of at least five weekly sessions providing information, identifying sources of stress and exploring coping behaviours.

Process

a) Proportion of identified family members and carers (if not family) of people who misuse alcohol who receive appropriate written and verbal information.

Numerator - the number of people in the denominator receiving appropriate written and verbal information.

Denominator - the number of identified family members and carers (if not family) of people who misuse alcohol.

b) Proportion of identified family members and carers (if not family) of people who misuse alcohol who receive guided self-help and information about support groups.

Numerator - the number of people in the denominator receiving guided self-help and information about support groups.

Denominator - the number of identified family members and carers (if not family) of people who misuse alcohol.

c) Proportion of family members and carers (if not family) of people who misuse alcohol not benefiting from guided self-help and/or support groups who attend a family meeting(s).

Numerator - the number of people in the denominator attending a family meeting(s).

Denominator - the number of family members and carers (if not family) of people who misuse alcohol not benefiting from guided self-help and/or support groups.

Description of what the quality statement means for each audience

Service providers ensure they provide and promote a range of services to support families and carers of people who misuse alcohol, and implement guidance and procedures to safeguard those at risk of harm.

Health and social care professionals ensure they follow local policies for supporting families and carers of people who misuse alcohol including carrying out carers' assessments, identifying and safeguarding those at risk of harm, and promoting and delivering support groups and family meetings.

Commissioners ensure they commission services that provide and promote a range of services to support families and carers of people who misuse alcohol, and implement guidance to safeguard those at risk of harm.

Families and carers of people who misuse alcohol have the opportunity to discuss their own needs, and can access information and support.

Source clinical guideline references

NICE clinical guideline 115 recommendations 1.1.2.2, 1.1.2.3, 1.1.2.4 and 1.1.2.5.

Data source

Structure

a), b) and c) Local data collection.

d) The National Alcohol Treatment Monitoring System (NATMS) collects data on the parental status of people receiving structured alcohol treatment as well as pregnancy and whether the person receiving specialist treatment lives with children.

e), f) and g) Local data collection.

Process

a), b) and c) Local data collection. See also data source for structure measure d).

Definitions

The definition of ‘families' is broad and may include any relationship where regular care or contact occurs.

NICE clinical guideline 115 recommends that families and carers involved in supporting a person who misuses alcohol should have the opportunity to discuss concerns about the impact of alcohol misuse on themselves and other family members, and:

  • receive written and verbal information on alcohol misuse and its management, including how families or carers can support the service user
  • are offered a carer's assessment where necessary
  • have the opportunity, along with the service user, to negotiate about their involvement in the service user's care and the sharing of information; the healthcare professional should make sure the service user's, family's and carer's right to confidentiality is respected
  • are offered guided self-help, typically consisting of a single session, with the provision of written materials
  • receive information about, and have contact facilitated with, support groups (such as self-help groups specifically focused on addressing the needs of families and carers).

If the families and carers of people who misuse alcohol have not benefited, or are not likely to benefit, from guided self-help and/or support groups and continue to have significant problems, consideration should be given to offering them individual family meetings that:

  • provide information and education about alcohol misuse
  • help to identify sources of stress related to alcohol misuse
  • explore and promote effective coping behaviours
  • usually consist of at least five weekly sessions.

All staff in contact with parents who misuse alcohol and who have care of or regular contact with their children, should take account of the impact of the parent's drinking on the parent-child relationship and the child's development, education, mental and physical health, own alcohol use, safety, and social network and be aware of and comply with the requirements of the Children Act (2004).

Equality and diversity considerations

Discussions with families and carers of people who misuse alcohol should be individualised and culturally sensitive.

This page was last updated: 25 August 2011

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.