Sunday, October 17, 2010

Sterilisation 'bribe' for addicts

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Drug addicts across the UK are being offered money to be sterilised by an American charity.

Project Prevention is offering to pay �200 to any drug user in London, Glasgow, Bristol, Leicester and parts of Wales who agrees to be operated on.

The first person in the UK to accept the cash is drug addict "John" from Leicester who says he "should never be a father".

The move has been criticised by some drug charities who work with addicts.

'Bribery'

Project Prevention founder Barbara Harris admitted her methods amounted to "bribery" but said it was the only way to stop babies being physically and mentally damaged by drugs during pregnancy.

Drug treatment charity Addaction estimates one million children in the UK are living with parents who abuse drugs.

Pregnant addicts can pass on dependency to the unborn child, leading to organ and brain damage.

Mrs Harris set up her charity in North Carolina after adopting the children of a crack addict.

Damage to children

Speaking to the BBC's Inside Out programme, she said: "The birth mother of my children obviously dabbled in all drugs and alcohol - she literally had a baby every year for eight years.

"I get very angry about the damage that drugs do to these children."

After paying 3,500 addicts across the United States not to have children, she is now visiting parts of the UK blighted by drugs to encourage users to undergo "long-term birth control" for cash.

John, a 38-year-old addict from Leicester, is the first person in the UK to accept money to have a vasectomy, after being involved in drugs since he was 12.

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It might work in America but Great Britain is a very different country"

End Quote Maria Cripps Dovetail Centre

He said: "It was something that I'd been thinking about for a long time.

"I won't be able to support a kid; I can just about manage to support myself."

Simon Antrobus, chief executive of Addaction, said while no-one wanted to see children brought up in a drug-using environment, there was no place for Project Prevention in the UK.

"It exploits very vulnerable people who are addicted to drugs and alcohol at probably the lowest point in their lives," he said.

The Reverend Robert Black, of Victory Outreach, which works with former addicts in east London, said he thought Project Prevention's aims were "very devious".

Reversible contraception

Maria Cripps, project manager at the Hackney Dovetail Centre which works with drug users and their carers, said: "I think Barbara uses some very extreme examples to get her point across. It might work in America but Great Britain is a very different country."

But Reverend Martin Blakebrough, director of Camden's Kaleidoscope Project in north London, said sterilisation was "worth considering" if it was right for the individual.

A spokesperson at the British Medical Association said: "The BMA's ethics committee does not have a view on the charity Project Prevention.

"As with all requests for treatment, doctors need to be confident that the individual has the capacity to make the specific decision at the time the decision is required.

"The BMA's ethics committee also believes that doctors should inform patients of the benefits of reversible contraception so that the patients have more reproductive choices in the future."

Sterilising The Addicts is on Inside Out London, East Midlands, West, and Wales on 18 October on BBC One at 1930 BST and in Scotland as BBC Scotland Investigates: Addicts - No Children Allowed. Those living in the rest of the UK can watch via the BBC iPlayer following transmission.

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Warning over parent alcohol abuse

Millions of children are at risk of neglect because of a parent's drinking, and yet the problem is being ignored, say charities.

Alcohol Concern and the Children's Society want social workers to have more compulsory training on how to deal with alcohol abuse within families.

Their report estimates 2.6m children live with a parent whose drinking could lead to neglect.

A body representing social workers said alcohol posed more problems than drugs.

Unsurprisingly, a poll carried out by Alcohol Concern in July found an overwhelming majority thought that heavy drinking by parents had a negative impact on children - many thought it was as harmful as drug abuse.

However, the two charities say that the scale of the problem is not fully recognised.

The parents of the 2.6 million children are defined as "hazardous" drinkers - either because of the sheer amount or frequency of their drinking, or because their drinking, even at a lesser level, leads to other problems, such as not being able to get up in the morning, or fulfil "expected duties".

Of those 2.6m children, 700,000 are being raised by a parent defined as an alcoholic.

No training

Despite alcohol or substance misuse being suggested as a factor in more than half of social worker cases which progress to the "serious review" stage, there is relatively little emphasis placed on the problem within social worker training.

Recent research suggested that one third of social workers had received no training on alcohol or drugs, and, of the remainder, half had been given three hours or less.

Bob Reitemeier, the chief executive of The Children's Society, said: "I cannot stress strongly enough the harmful impact that substance abuse can have on both children and whole families - it is imperative that everyone understands these risks and we believe that education is the key.

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Millions of children are left to do their best in incredibly difficult circumstances"

End Quote Don Shenker Alcohol Concern

"We are calling on the government to make sure that everyone who needs either training or education to deal with parental substance abuse is given the appropriate assistance."

Mandatory substance abuse training for social workers was recommended in a 2003 report from the government's own drug advisory group.

Alcohol Concern suggested that the system currently "sweeps the problem under the carpet".

Chief executive Don Shenker said: "Millions of children are left to do their best in incredibly difficult circumstances.

"A government inquiry must look into all aspects of parental alcohol misuse so that we can improve outcomes for these children."

Groups representing social workers agreed with the report's recommendations.

Dr Sarah Galvani, who chairs the British Association of Social Workers Special Interest Group in Alcohol and Other Drugs, said training for both newly-qualified and existing social workers was "lacking".

"Problematic alcohol abuse by parents is highlighted by social workers as far more prevalent than drug use.

"Alongside the overlapping experiences of domestic violence and mental ill health, parental alcohol and other drug use are the three factors that repeatedly put children at risk of serious harm.

"We must support social workers to work as best as they can in what are often very complex and challenging situations."

Public health minister Anne Milton said health service reforms would help local communities put in place services tailored to tackle problems such as this.

She said: "This report highlights the harm that millions of children face because their parents drink too much alcohol.

"It paints a shocking picture, which is why we must make sure that we identify early on, children and families that need support."



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