Drugs and Substance Misuse
SCOPE OF THIS CHAPTER
This procedure is primarily designed for the management of children in foster care and residential care; but the principles apply to all Children Looked After, and social workers should be mindful of them when placing children with parents, relatives and friends.
AMENDMENTThis chapter was reviewed and refreshed where required in December 2020.
Substances are defined as any substances, whether restricted or prohibited, which may have a harmful effect upon a child, such as:
Alcohol, Cigarettes, Tobacco, Aerosols, Gas, Glue, Magic Mushrooms (Amanita), Petrol, Solvents and all controlled substances such as Amphetamines, Barbiturates, Benzodiazepines, Cannabis, Cocaine, Hallucinogens, and Heroin.It also includes legal highs, which are substances that mimic the effects of illegal drugs such as ecstasy and amphetamines, but are not controlled by the Misuse of Drugs Act.
2. Access/Use of Drugs and Substances
All reasonable measures must be used to reduce or prevent children from obtaining drugs or substances that may harm them.
If it is known or suspected that children are obtaining products that may harm them, whether off the streets, from dealers or from traders of any kind, the manager/supervising social worker and the child's allocated social worker must be informed and a strategy adopted to reduce or prevent it.
If the problem persists or is serious, relevant specialists or bodies, including Trading Standards or the Police, should be informed.
In foster homes, carers and / or visitors should be discouraged from smoking cigarettes or tobacco in front of children and children may not smoke inside the home. See CoramBAAF Guidance on Reducing the Risks of Environmental Tobacco Smoke for Looked After Children and their Carers. Foster carers are not permitted to purchase or give cigarettes, tobacco or the materials for making or lighting cigarettes or tobacco to children.
In residential care, staff/visitors are not permitted to smoke in or on the establishment or in front of children and children may not smoke inside the home. Members of residential staff are not permitted to purchase or give cigarettes, tobacco, or the materials for making or lighting cigarettes or tobacco to children.
If children are permitted to smoke, this must be approved and the arrangements for it set out in the child's Placement Plan.
In foster homes, the foster carers' supervising social worker and the social worker for any children placed should come to an agreement with the foster carers where alcohol should be stored in the home.
In residential care, staff/visitors and children are not permitted to consume alcohol on duty or in the establishment and staff are not permitted to take children into licensed premises other than those with separate restaurants.
Staff/carers must ensure that aerosols, gas, glue, petrol and similar substances are only used for the purpose they were designed for; and that all reasonable measures are taken to restrict their use to children who are known to pose no risk to themselves or others if they have access to them.
In foster homes, the arrangements for the obtaining, storage or access to children of these substances will be outlined in the Placement Plan for individual children.
Under no circumstances may controlled drugs and substances, other than those prescribed by a medical practitioner, be permitted in any foster home or children's home. These should be kept in a locked area and out of reach of any child in placement.
3. Prevention and Planning
All staff/carers should ensure that information, guidance and advice on the risks associated with harmful drugs and substances are available to all children looked after. Additionally, any child known or suspected to be participating in drug or substances misuse activities must be provided with the following:
- Targeted relevant information, guidance and advice to help reduce or prevent such risks as part of their Health Action Plan;
- A care planning meeting should be arranged within 7-14 days to consider and develop a strategy for managing the risk, outlined in a Behaviour Management Plan and / or risk assessment, including in what circumstances the Police will be notified;
- As part of this strategy, consideration should also be given, through consultation with the child, to making referrals for specialist support and help children to access treatment, if appropriate.
If it is suspected that a child is misusing harmful drugs or substances and no strategy exists to reduce or prevent the behaviour, the child's social worker should be contacted and an agreement reached on how to proceed; this will include whether the Police will be notified.
If there are immediate risks and the social worker or manager/link worker are not available, staff/carers should take what actions are immediately necessary then inform the manager/link worker and the child's social worker at the first opportunity.
The actions that staff/carers take will be dependent on the circumstances and the degree of offence or injury that is likely.
The overall responsibility of staff/carers is to protect children, themselves and others from injury and reduce or prevent the likelihood of criminal offences.
If there is a risk of serious harm, injury or of a serious criminal offence and staff/carers are unable to manage safely, the allocated Social Worker, standby service and/or the Police should be notified.
If solvents are involved, allow air to circulate freely and extinguish naked lights.
If any person is unconscious, in a fit, convulsing or otherwise seriously ill, emergency first aid should be given and an ambulance requested. The emergency services should be informed that there are suspicions of drug or solvent misuse.
The drugs/substances should be removed or confiscated, preferably with the co-operation of the child, and preferably by two staff/carers; who must record their actions, describing what they have obtained and where it has been safely stored. The police should be notified of the substances being found and may require the carer to keep them safely until the police can collect and dispose of the substance.
If children do not cooperate or there is a risk of Injury or Damage to Property, it may be necessary to use Physical Intervention, conduct a Search or call for Police assistance.
No further action, beyond making the situation safe and attempting to confiscate harmful drugs or substances, should be taken without a manager's authorisation, preferably in consultation with the child's social worker.
However, the carers should undertake the following if a supervising social worker is not available within a reasonable timescale:
- Legal but potentially harmful substances such as cigarettes, alcohol, aerosols, gas, glue, and petrol should be put in a safe place out of the reach of children or disposed of safely;
- Controlled substances and any associated materials or paraphernalia must be placed in a clearly marked box or other strong container and sealed, for passing to the foster carers' link worker, child's social worker or residential manager as soon as practicable. (They must then arrange for it to be taken to a competent authority e.g. pharmacist or doctor; and a receipt obtained.)
When safe to do so, the manager/link worker and child's social worker should be notified and a decision reached on the actions/measures to be taken. This should include whether the Police should be notified.
Staff/carers should record any occurrence as outlined in this procedure in the child's Daily Record.
In the event that the Police are contacted or have attended the Regulatory Authority are to be notified via the designated manager (OFSTED).