The Warsaw Program for Prevention of Parental Alcohol Related Problems in Children

Transcription

1 The Warsaw Program for Prevention of Parental Alcohol Related Problems in Children Maria Załuska 1, Michał Sejda 3, Michał Kuroń 2 Institute of Psychiatry and Neurology 1, Bielański Hospital 2 Institute of Family Studies Cardinal Stefan Wyszynski University 3

2 The Warsaw Program Is Implemented in Accordance to General Polish Legislations and Policies Concerning Prevention of Alcohol Related Problems 1. The Laws - passed by Parliament: Act of Upbringing in Sobriety and Couteracting Alcoholism 26 October 1982 Act on Counteracting drug Addiction 29 Julay 2005 Act on counteracting family violence 29 Julay 2005 r. Act on Social Assistance of 12 March Current regulations by Council of Ministers - preventive polices for 5 to 10 years: The National Program for Prevention of Alcohol-Related Problems The National Program for counteracting family violence The National Program for Counteracting Drug Addiction

3 National Program for Prevention of Alcohol-Related Problems The assumptions were drawn up by the State Agency for the Prevention of Alcohol-Related Problems PARPA and endorsed by Council of Ministers. The implementation of national Program falls within the mandates of: - The State Agency PARPA - The Ministries of: Health, Education, Labor and Social Policy, Justice, National Defense, Interior affairs in cooperation with the National Broadcasting Council. - The Government Administration and Local Governments at the levels of provinces and municipalities in cooperation with non governmental organizations, churches and groups of mutual help. The State Agency for the Prevention of Alcohol-Related Problems coordinates and monitors the implementation of the National Program and provides support to institutions, organizations and local administration. It submits annual reports to the Council of Ministers. The Council of Ministers: submits annual reports to the Parliament for their approval and allocating budget for the implementation of the program for next years

4 Central and Local Levels of Activities The system for preventing and solving alcohol-related problems as set out in the National Program is based on three complementary action programs which are to be implemented at several administrative levels: The National Program designates the tasks for the national governmental administration the National Broadcasting Council, and the State Agency for Prevention of Alcohol-related Problems; Provincial program is implemented by local administration at the Province level; Municipal program is endorsed by municipality council every year. It is implemented and monitored by the department of social policy of the communes (municipality) bureau. Annual reports are submitted to the State Agency PARPA.

5 Financing Resources National Level: appropriations for the activities of the State Agency for Prevention Alcohol Related Problems and other central administration bodies are speciefied in the budgets of Ministry of Health, other respective Ministres and the National Broadcasting Council. Provincial Programs: finances are allocated in the budgets of individual provinces. In addition the provincial administrations contribute to the implementation of that programs in the form the revenues from collected licence fees for wholesale trade of the beverages that contain up to 4.5% of alcohol. Municipal Programs are financed from: - own resources of the municipalities; - additional revenues that the municipalities income from fees for licenses for retail sale of alcoholic beverages.

6 PARLIAMENT Annual budget ACT of upbringing in soberity and priventing alcohol related problems 1982 The Council of Ministers State Agency for Solving Alcohol Related Problems National Program for prevention and solving alcohol related problems Own financial resources and fees for licence for alcohol sales Regional programs Municipality programs Annual reports

7 The Prevention and Help for Children Affected with Alcohol Related Problems in the Family Is Executed within The General National Program (Chapter ) 6.4. Health and psychosocial harm to persons living in families with an alcoholrelated problem, including domestic violence objectives: To improve the psychosocial situation of co-dependent persons. To reduce the extend of violence in the families with an alcohol-related problem. To reduce the threat of social exclusion of members of alcoholism-affected families. To improve the psychosocial situation of the ACAs (Adult Children of Alcoholics) Health and developmental disfunctions among children from alcoholic families objectives: To improve quality and availability of medical services and psychosocial aid for children of alcoholics. To increase the percentage of children from alcoholic families to whom professional assistance was offered.

8 Protecting Children Against Alcohol Related Family Violence There are separate legal regulations according to financing, implementing and monitoring the national, provincial and municipal programs for counteracting family violence. The programs of protecting children against alcohol related family violence are implemented within the general programs for counteracting family violence. The amendment of the act upon counteracting family violence has just been approved by the Parliament and the Senate.

9 POLAND 2008 General population regions 379 counties (poviats) communes

10 WARSAW Total Population: Districts by age: 0-18 years years > 65 years

11 The Specifics of Warsaw Program Warsaw according to legal regulation Warsaw Act 2002, is the town with the rights of a county. It is in the same time territorially competentas as commune. The 18 disrticts of Warsaw have their own local administrations and local governments but they have neither full financial independency nor full competences of communes (municipalities). For this reason the Warsaw Program of prevention and solving alcohol related program is implemented on two levels: the central level - Warsaw and on the local one district levels.

12 The Data About Helping Children Were Collected on the Basis of: 1. The City of Warsaw Program for preventing and solving alcohol-related problems. Annual Report The City of Warsaw Program for counteracting family violence Annual Report 2009 The data concerning alcohol related problems were drawn out within MA Thesis of Mr. Michał Sejda The data concerning the family violence were presented on the Seminar: Monitoring the Program of Counteracting Family Violence in the City of Warsaw ( ) - organised by the Department of Social Policy of the Office of City of Warsaw

13 Istitutions and Services Active in Preventing and Solving Alcohol Related Problems in Warsaw In each one of 18 city districts Serving the city of Warsaw Social Assistance Centers Informative - Consueling Centers for dependecies and/or family violence committee for solving alcohol-related problems and counteracting family violence Out-patients Centres for treatment alcohol dependency AA groups (Alcoholic Anonymus ) Day care centers for children Preventive programs Psycho - pedagogic counseling centers for children, parents and professionals Institutions for full time and day care treatment of alcohol dependency Specialised outpatient treatment, and counceling centres for children and family Mutual help groups, NGO Telephone Hotlines Full time care institutions for children

14 Social Assistance Centers 18 centres (one center in each district of Warsaw ) Task: material aids, support and counselling for families in difficult situations In year 2008 All families receiving the aid Families with alcohol problem Children receiving supplementary alimentation 4 207

15 Informative - Counseling Centers for Dependecies and Family Violence 19 centers (in each district) with assigned tasks: Diagnosing the problem Information, education, counselling Advising (legal, medical, psychological, social) Support, motivational intervention and referring to specialised units for treatment Initiating intervention in case of family violence (police, social worker, court, shelter vor vivtims) The number of clients in 2008 Adult persons with alconhol problem Adult family members Children from families with alcohol problem 615 The victims of family violence Perpetrators of family violence 580

16 Municipal Committee For Solving Alcohol - Related Problems and Couneracting Family Violence 18 commites with a multidisciplinary task forces: for assisting children from families with alcohol problem and for counteracting family violence. The committee is collaborating with the Family and Care Court for performing the procedure of obligatory submittal to dependence treatment in cases of persons demoralizing or destroying family life due to alcohol abuse 556 applications submitted to a court

17 The Units For Treatment Alcohol Dependency and Related Health and Psychological Problems Within the Health System in Warsaw Stationary wards for detoxification 4 Stationary wards for treatment alcohol dependence 3 Part time wards for treatment alcohol dependence 5 Out-patients Centres for treatment alcohol dependency 27 Out patient centre for youth with alcohol problem 1 There exist therapeutic groups for children in some of out- patients and part time treatment institutions for adults. The treatment in health system is financed by the National Health Found. For the (un)insurred persons with alcohol related health problems it is paid by social assistance.

18 ONE SOBERING- UP STATION

19 Non Gevernmental Organisations (NGO) Carrying Aut Activities in the Field Preventing and Solving Alcohol Related Problems Associations and Clubs of Abstinents 14 AA Groups (Alcoholic Anonymus) 55 Informating and Counseling Points 20 Mutual Help Groups - Adult Children of Alcoholics ACA-s (DDA) 4 AL Anon Groups 9 ALA Teen Groups 1 Helpline (telefpone hot line) 3

20 Institutions for Support and Therapy For Children From Difficult Family Situations Counseling centers Psycho pedagogic counseling centers for children, parents and professionals working with children 24 Specialised counseling center for children and families with alcohol related problems 1 Day care community institutions Daycare supportive centers 70 Daycare social therapeutic centers 27 Full-time care institutions Full time emergency care institutions 2 Full time care and upringing isntitutions 16 Sociotherapeutic full time youth centers 9 Resocialisation full time youth youth centers 5 Adoptive centres 4 Shelter for victims of family violence and/or single mothers 26

21 The Number of Children from Families with Parental Alcohol Problem In Day Care Centers (Supportive and Sociotherapeutic) sociotherapeutic day care centers supportive day care centres total number of children children from families with alcohol problems

22 Prophylactic Programs The Place of Implementation: Schools Local environment street pedagogues, clubs, other Full-time care institutions for children Supportive and therapeutic day care centers for children Summer camps The Contents: Educational and informative programs Workshops and trainings enrichment of capacities Developing interests and skills Comprehensive work with the family with alcohol related problems (psychologue and pedagogue)

23 Prophylactic Programs the Contents Information and Education mental and physical health, healthy life style, psychostimulants abuse and addiction, risky sexual behavior, peers and family aggresion and violence. Trainings of assertiveness, coping with emotions, comunication skills, problem solving, coping with aggresion. Workshops of upbringing skills for parents and professionals. Developing Interests : creative activities music, dance, fine arts, theater, photography, literature, journalism, sport, physical exercices, tourism.

24 Prophylactic Programs the Numbers of the Participants in 2008 Preventive Programs in Schools Pupils Teachers Parents Preventive Community Programs Out of School Children Tutors and Care Givers 679 Parents Summer Camps With Prophylactic Program 1964 With Therapeutic Program for Children Affected by Parental Alcohol Problems 157

25 Children As the Victims of Family Violence (2009) Register of The Police Office in The City of Warsaw Total Number of Victims Children Among Them The Total Number of the Family Violence Perpetrators years 14% 0-13 years 5% women 10% adult men 9% adult women 72% men 90%

26 Services and Institutions Active in Protecting Children and Counteracting Family Violence in Warsaw In each one of all 18 districts of the city Blue card procedure: policemen, social worker Social Assictance Centre Commission of solving alcohol related problems and counteracting family violence Informative consueling center for dependecies and family violence Police, Prosecutor, Court Serving the City of Warsaw Telephone Helpline BLUE LINE with Counceling Centre 1 Specialised Family Consueling center 3 Crisis intervention centres 3 Shelter for victims, or single mothers 26 Corrective - educational and therapeutic programs for perpetrators 8

27 Social Worker s Interventions with Blue Card Procedure in Cases of Family Violence Notifications to Prosecutor s Office 26 Intervention Conversations 834 Notifications to Police Office 584 Referral to Corrective - Therapeutic Program 376 Police s Interventions with Blue Card Procedure in Cases of Family Violence Total Number of Intervention 2126 The Number of Detainee 598 Under the Influence of Alcohol 948 Transported to Sobering Up Station 704 Transported to Police Office (to sober up) 35

28 Police - Preparatory Proceedings Concerning Family Violence (art. 270 of the Penal Code) All Cases Registered 1865 Proceedings Initiated 979 Confirmed Volation 379 Proceedings Completed 957 The Prosecutor s Office - Preparatory Proceedings Concerning Family Violence (art. 270 of the Penal Code) Proceedings Initiated 1930 Refusal of Initiating the Proceedings 349 Discontinuance og Proceedings 1298 Bringing in an Indictment to Court 510

29 Prosecutory Offices Preventive Measures Towards Suspected Perpetrators (Art. 270 PC) Preliminary Custody 59 Surveillance of Police 103 Surveillance of Police with the Restriction of Leaving the Home 2 Surveillance of Police with the Simultaneous Obligation to Restrain from the Contacts 12 The Court Curators Designated in the Cases of Family Violence The Cases from the Penalty Courts 321 The Cases from the Family Court 266 All the Case 587

30 Court Proceedings and Sentences in the Cases of Family Violence (Art. 270 PC) Indictments Presented 551 Final and Valid Sentences 399 Sentences of Imprisonment 20 Suspensions of Penalty 160 Other Sentences of the Court in the Cases of Family Violence (Art. 270 PC) Obligation to Leave the Home 8 Ban (prohibition) of the Contacts with the Victim 9 Obligatory Treatment of Alcohol Dependency and Crrective Programs for Perpetrators of Violence 29 Surveillance of the Curator 94 Obligation to Restrain from the Overusing of Alcohol 92

31 Corrective - Educational and Therapeutic Programs for Perpetrators of Violence in Warsaw 2009 The contractors: The Methods: Centers for Treatment of Alcohol Dependency 3 Specialised Family Councelling Center 1 The Foundation for Couneracting Addiction 1 The Municipal (City District) Social Assistance Centre 1 The Department for Social Affairs of Municipal (City Distric) Office 2 Program Duluth 4 Cognitive Behavioral 3 Concentreting on Problem Solving 1

32 Corrective - Educational and Therapeutic Programs for Perpetrators of Violence Warsaw 2009 Who was reffering/ motivating 153 participants to program? The Court 12 Curator 16 Police 6 School 2 Center for Social Assistance 6 Informative - Consulting Center 8 Health Institutions 50 NGO/ AA Group 15 Family / Partner 4 Own Motivation 34 Total number of the places 190 The number of persons participating in programs 153 Among them: 5% men 95% women The number of persons complited the program 75

33 Financing the Program for Prevention and Solving Alcohol Related Problems in Warsaw in the Year 2008 Total finances planned: zł, Total sum disbursed: zł Including NGO: zł (42,35%) The program for counteracting family violence is financed separately

34 Thank you for attention