Families FamiliesOutside Outside Families FamiliesOutside Outside Prisoners’ Prisoners’ Families: Prisoners’ Prisoners’Families: Families: Families: The The Value of Family Support Work The TheValue Value Valueof of ofFamily Family FamilySupport Support SupportWork Work Work with withDrDrLizLizBrutus Brutus with withDrDrLizLizBrutus Brutus in in brief brief ................ ................................................................................ oct oct2011 2011• •06 06 oct oct2011 2011• •06 06 Key Key points Key Keypoints points points • •Individual Individualsupport supportfor forfamilies familiesofofprisoners prisonerscontinues continuestotoshow showbenefits benefits • •Individual Individualsupport supportfor forfamilies familiesofofprisoners prisonerscontinues continuestotoshow showbenefits benefits and andtotodemonstrate demonstratea aneed needfor forthis thiswork. work. and andtotodemonstrate demonstratea aneed needfor forthis thiswork. work. • •Poor Pooremotional emotionaland andmental mentalwellbeing wellbeingare areprominent prominentconcerns concernsfor for • •Poor Pooremotional emotionaland andmental mentalwellbeing wellbeingare areprominent prominentconcerns concernsfor for families familiesofofprisoners. prisoners. families familiesofofprisoners. prisoners. • •InInmost mostcases, cases,families familiesofofprisoners prisonersdodonot nototherwise otherwiseaccess accesssupport. support. • •InInmost mostcases, cases,families familiesofofprisoners prisonersdodonot nototherwise otherwiseaccess accesssupport. support. • •Children Childrenand andfamilies familiescontinue continuetotobebedifficult difficultfor forworkers workerstotoidentify identify • •Children Childrenand andfamilies familiescontinue continuetotobebedifficult difficultfor forworkers workerstotoidentify identify and andaccess accessunless unlessstructured structuredmeans meansfor forthis thisare areininplace. place. and andaccess accessunless unlessstructured structuredmeans meansfor forthis thisare areininplace. place. • •Wider Wideropportunities opportunitiesfor forengagement engagementwith withfamilies familiesare areavailable, available, • •Wider Wideropportunities opportunitiesfor forengagement engagementwith withfamilies familiesare areavailable, available, though thoughthese theseare arelikely likelytotorequire requireinformed informedand andproactive proactivesupport. support. though thoughthese theseare arelikely likelytotorequire requireinformed informedand andproactive proactivesupport. support. ............................................................................................................................................ Background Background Background Background InIn 2006, 2006, InIn Brief Brief 33 from from Families Families Outside Outside highlighted highlighted the the positive positive support support In In 2006, 2006, InLighthouse In Brief Brief 33 from from Families Families Outside Outside highlighted highlighted the the positive positive support that that the the Lighthouse Foundation Foundation and and HOPE HOPE provided provided to to families families ofsupport of prisoners. prisoners. that that the the Lighthouse Lighthouse Foundation Foundation and and HOPE HOPE provided provided to to families families of of prisoners. prisoners. The The briefing briefing showed showed that that support support was was clearly clearly ofof value value toto those those who who received received The The briefing briefing showed showed that that support support was was clearly clearly of of value value to to those those who who received received KeyPoints Points it it and and that that families families accessed accessed support support forfor issues issues they they had had often often never never discussed discussed Key Key KeyPoints Points it it and and that that families families accessed accessed support support for for issues issues they they had had often often never never discussed discussed with with anyone anyone before. before. Access Access toto such such support support was was patchy, patchy, but but the the need need forfor it was it was clear. clear. Background with with anyone anyone before. before. Access Access toto such such support support was was patchy, patchy, but but the the need need forfor it was it was clear. clear. Background Background Background Since Since then, then, support support forfor families families has has expanded expanded considerably. considerably. Notably, Notably, Circle Circle Why Whyfamilies familiesneed needsupport support Since Since then, then, support support for for families families has has expanded expanded considerably. considerably. Notably, Circle Circle has has had had remarkable remarkable success success inin their their ‘whole ‘whole family’ family’ approach approach toNotably, to support support forfor Why Whyfamilies familiesneed needsupport support has has had had remarkable remarkable success success in in their their ‘whole ‘whole family’ family’ approach approach to to support support forfor Support Supportoffered offeredtotofamilies families prisoners prisoners and and their their families. families. Other Other locally-based locally-based projects projects have have also also commenced commenced Support Supportoffered offeredtotofamilies families prisoners and and their their families. families. Other Other locally-based locally-based projects projects have have also also commenced commenced inprisoners in recent recent years, years, such such asas the the Inside Inside Out Out project project in in Lanarkshire Lanarkshire and and the the Positive Positive Access Accesstotosupport support in in recent recent years, years, such such as as the the Inside Inside Out Out project project in in Lanarkshire Lanarkshire and and the the Positive Positive Relationships Relationships Programme Programme atat HMP HMP Barlinnie Barlinnie (commissioned (commissioned forfor Routes Routes Out Out OfOf Access Accesstotosupport support Relationships Relationships Programme Programme atat HMP HMP Barlinnie Barlinnie (commissioned (commissioned forfor Routes Routes Out Out OfOf Prison Prison (ROOP) (ROOP) and and delivered delivered jointly jointly by by the the prison prison and and Relationships Relationships Scotland). Scotland). Potential Potentialfor fordevelopment development Prison Prison (ROOP) (ROOP) and and delivered delivered jointly jointly by by the the prison prison and and Relationships Relationships Scotland). Scotland). Potentialfor fordevelopment development The The Lighthouse Lighthouse Foundation Foundation has has also also added added two two children’s children’s counsellors counsellors toto their their Potential The The Lighthouse Lighthouse Foundation Foundation has has also also added added two two children’s children’s counsellors counsellors to to their their Conclusions Conclusions services services forfor families. families. Conclusions Conclusions services services forfor families. families. InIn 2008, 2008, Families Families Outside Outside began began delivering delivering direct direct support support toto families families affected affected “ I“am I am very very grateful grateful forfor allall the the In 2008, 2008, Families Families Outside began began delivering direct direct support support toof to families families affected affected I“am I am very very grateful grateful forgiven for allall the the byIn by imprisonment imprisonment toOutside to fillfill the the gaps gaps indelivering in provision. provision. The The addition addition of two two more more workers workers“ support support you you have have given me me and and by imprisonment imprisonment toto fill fill the the gaps gaps inis in provision. provision. The The addition addition ofof two more more workers workers support support you you have have given given me me and and inby in 2010 2010 means means that that direct direct support support is now now available available to to families families oftwo of prisoners prisoners for for listening listening to to me. me. You You have have no no in in 2010 2010 means means that that direct direct support support is is now now available available toto families families ofof prisoners prisoners for for listening listening to to me. me. You You have have no throughout throughout Scotland. Scotland. idea idea how how much much it helps it helps me.” me.” no throughout throughout Scotland. Scotland. idea idea how how much much it helps it helps me.” me.” This This briefing briefing paper paper draws draws onon the the findings findings from from the the first first two two years years ofof Families Families This This briefing briefing paper paper draws draws on the the findings findings from from the the first first two two years years ofof Families Families Outside’s Outside’s direct direct support support toon to families. families. It It highlights highlights the the reasons reasons families families need need Outside’s Outside’s direct direct support support to to families. families. It It highlights highlights the the reasons reasons families families need need support, support, the the type type ofof support support offered offered and and how how families families access access that that support. support. support, support, the the type type of of support support offered offered and and how how families families access access that that support. support. It It also also draws draws onon research research byby DrDr LizLiz Brutus Brutus forfor Families Families Outside Outside into into the the benefits benefits It also also draws draws on on research research by by DrDr LizLiz Brutus Brutus forfor Families Families Outside Outside into into the the benefits benefits ofIt of support support toto families families ofof prisoners. prisoners. The The briefing briefing then then concludes concludes with with proposals proposals of of support support to to families families of of prisoners. prisoners. The The briefing briefing then then concludes concludes with with proposals proposals forfor ways ways ofof supporting supporting and and involving involving children children and and families families further further inin future. future. forfor ways ways ofof supporting supporting and and involving involving children children and and families families further further inin future. future. contents contents contents . contents ............ .. . . . . . . . . . . . Why families need support Families of prisoners seek support for a variety of reasons, the most common of which is emotional support – more specifically for poor emotional and mental wellbeing, or “feeling unable to cope anymore”. Issues relating to children and families are also prevalent, as are queries about prison issues, visits, finances, housing and substance misuse. Almost half of families who receive direct support from Families Outside report issues relating to either physical or mental health and wellbeing, including emotional difficulties, bereavement, self-harm and substance misuse. Despite the range of issues, families of prisoners tend not to access support on their own. Pugh and Lanskey (2011) found that 72% of families visiting prisons were not receiving support from any outside agency, despite the many issues they faced as a result of their family member’s imprisonment. In addition, the social isolation of these families meant that almost half (43%) had no one they could turn to for help (Smith et al. 2007). Families of prisoners clearly struggle to engage with community-based supports, whether due to lack of awareness of these supports, difficulty pinpointing their own needs, or fear to seek support due to the stigma of having a family member in prison. Family support workers therefore create connections for families to agencies best placed to support them. Such agencies are as diverse as the National Autistic Society, Women’s Aid and Royal National Institute for the Blind as well as health services and GPs, Community Addiction and mental health teams, Financial Fitness, Child Contact Centres and many more. ”You are the first person who has ever asked me how I am and how I have coped with what has happened, who has actually listened to how I am feeling and what I have to say. I wasn’t the one who [committed the crime], but I am being made to pay the price, and it never ends. I just want some peace.” ................................. Support offered to families Family Support Staff at Families Outside aim to ensure that families have: • increased awareness about the criminal justice process; • improved access to practical support; and • increased ability to cope. Family Support staff work with families in a number of ways. Face-to face and telephone contact are the most common ways of addressing the needs of families, followed by support through liaison or contact with other agencies on their behalf or signposting to an appropriate service. In most cases such approaches are enough to resolve the issues families faced, though some families’ issues are long standing and not likely to be resolved in the short term. Each referral receives one-to-one tailored support, determined by the needs of the family. While many issues can be resolved through provision of information or links with specialist services, support can easily be more complex and long-term. This has included accompanying under-age visitors into prison; attending court, case conferences and Children’s Hearings with families; and assistance with housing, application forms for training courses and Benefits. Even where this support does not resolve long-standing or deeply embedded issues such as mental health, it can improve a family’s situation enough to make it more bearable. One family member in Brutus’ research rated her mental health as ‘very bad’ but said this was an improvement over the previous year, when she had been suicidal. For her, the Family Support Worker was “Like a fairy godmother. She doesn’t tell me what to do but advises on what’s available.” “ I have worked all my life and always paid my own way, and now I am in a position where it is costing me to go to work! Thank you so much for the money [Hardship Fund]. I can’t tell you how much this means to me. I know this is not a lot of money to some people, but right now to me it’s like I’ve won the lottery.” Support is offered more broadly to families as well, such as through Family Induction or information sessions on processes such as Integrated Case Management and Home Detention Curfew. As staff build relations with the families they support, they also gain a fuller picture of the help their clients need. Dr Brutus’ research found, for example, that families reported adverse impacts on their mental health and wellbeing due to the imprisonment but that they had not recognised this as a health issue or realised that they could access support for it. Access to support Families of prisoners do not readily seek support due to the stigma attached “I brought my grandson up, and to having a family member in prison as well as lack of awareness or trust I was completely devastated when of available supports. Accessing families to offer support can consequently he was sent to prison; it was like prove very challenging. a death in the family. I can’t tell you what your support means to Prison visitors’ centres provide a crucial means of identifying people who me. Just having someone to talk have a family member in prison, even if this only identifies those who are willing and able to visit. Importantly such centres also reduce the barriers to helps me sort things out in my of stigma and shame, as families do not need to explain why they are there. head and cope a little better.” In these cases most referrals come from the families themselves, from staff at the visitors’ centre, or from the prison’s Family Contact Officers. Where such centres do not exist, referrals come from the Families Outside Support & Information Helpline or from other agencies. In recent years, the ROOP partnership has been a key source of referrals, through prisoners who sign up for ROOP and, more recently, through prisoner induction sessions upon entry to custody. Of interest is that the issues for which families seek support reflects the source of referral. Referrals from prison visitors’ centres are more frequently for prison-based issues and information, followed by emotional support, questions regarding visits and financial help for this, housing, and concerns for children or other family-related issues. Referrals through ROOP, in contrast, are predominantly about concerns for family and children. This is most likely because these referrals come from (ex) prisoners and the life coaches working with them, neither of whom deal with the more day-to-day issues families face in maintaining contact with someone in prison. ................................. Potential for development Support for families affected by imprisonment has only recently extended throughout Scotland and still has scope for development. Identifying and sustaining regular sources of referral would be a huge improvement in view of the difficulty in accessing families to offer the support they need. Referral should not have to depend on requests for this from prisoners, or even on a family member’s attendance at prison visits. The impact of support for families in difficult circumstances can be difficult to ‘measure’ in any meaningful way. The Family Support Workers at Families Outside developed a template to chart ‘distance travelled’ on a range of issues for the families they support. Such a template is only of use to families who require support over a longer period, however, which is the case for only a small proportion of clients. Brutus noted that the high proportion of needs relating to mental health and wellbeing suggests that routine assessment of impact on health and wellbeing may be useful. continued on back page... .......... ...continued ...continued The prevalence of mental health issues amongst families shows a need for ongoing training The prevalence of mental health issues amongst families shows a need for ongoing training and and supervision of Family Support Workers to assist in their Dr Brutus’ recommended supervision of Family Support Workers to assist themthem in their role. role. Dr Brutus’ workwork recommended routine training in counselling and motivational interviewing and/or Mental Health First Aid. routine training in counselling and motivational interviewing skills skills and/or Mental Health First Aid. She also recommended training for Family Support staff in community development to empower What young people need She also recommended training for Family Support staff in community development to empower to be more proactive in seeking support and in calling for wider change The families young who shared experiences families to bepeople more proactive in their seeking support and in calling for wider change from from their their communities and during Government. for this initiative and our previous Without acknowledgement and support communities and Government. research highlight how strains on the whole young people can end up expressing their family impact on them including: not being stress through substance abuse, behavioural given information to make sense of what is problems, deterioration of school performance, “ I don’t whybehaviours [J’s] behaviours “ I don’t knowknow why [J’s] Conclusions happening, family splits and conflicts of loyalty Conclusions poor mental health. not recognised an earlier not recognised at an at earlier Families affected by—imprisonment doreadily not readily support, though (especially where or another Families affected bythey imprisonment dofamily not seek seek support, though the thewere were age! I had no idea that all this age! I had no idea that all this need for such support is clearly evident. The multiple issues these families member — have beenisthe victim of the crime), need for such support clearly evident. The multipleThe issues families keythese message for professionals is to support was out there, and I feel support was out there, and I feel face aslive a result theand imprisonment and to due to longer-standing problems having elsewhere loss ofand familiar face as atoresult of theofimprisonment due longer-standing problems recognise and address the support, information that a burden has been lifted a burden been lifted and and means that targeted for— them of tremendous benefit, especially home environment, loss support of support the means that targeted support for them isfrom of is tremendous especially andbenefit, signposting needs ofthat these younghas people. I am no longer my own. am no longer on myonown. as most to access other sources. The infrastructure absent family member andsupport because remaining as most fail tofail access support fromfrom other sources. The infrastructure to to that Ithat I have always known that [J] had I have always known that [J] had promote referrals of families to support is lacking and remains an essential adults are dealingofwith their to own stress,istaking promote referrals families support lacking andMost remains an essential important is simply to acknowledge the difficulties, and now I feel that there difficulties, and now I feel that there part of reaching families who otherwise remain socially isolated. on adult responsibilities eg caring for younger part of reaching families who otherwise remain socially isolated. impact of imprisonment of a family member is something there (support) is something there (support) for for siblings, wanting to emulate the absent person (especially when it may be just one feature Direct support work with families of prisoners is relatively new in Direct support work with families of prisoners is relatively new in us both. As a result of support both. As a result of support from from by copying the criminal behaviour, being bullied of a complex and chaoticusfamily situation) Scotland, with a small but growing number of agencies engaging in this [the Family Scotland, with a small but growing number of agencies engaging in this [the Family Support Worker], I have Support Worker], I have and stigmatised at school or in their communities, and to listen to what that means for the young work. As such, the work has scope for development, particularly in terms received work. As such, the work has scope for development, particularly in terms received more help than at any other more help than at any other dealing with the difficulties of trying to maintain person. In effect applying good practice in of sustainability through community development and empowerment of sustainability through community development and empowerment time in [J’s] life, as I have had to in [J’s]these life, as I have had to a relationship whilst separated. child centred approachestime to help young of families to support themselves and others and tofor callchange. for change. of families to support themselves and others and to call fight for everything us both.” fight for everything for usfor both.” people deal with a burden which can rob them ............... . ................................................................ . . ................................................................ . Feeling an ongoing sense of loss akin to the grief of a bereavement. References References of their childhood. To discuss tailored training options based on this material contact the Director L. “A (2011) to health tackle inequalities health inequalities in the families of people in prison? Evaluating the Brutus,Brutus, L. (2011) tool “A to tool tackle in the families of people in prison? Evaluating the Families Support rolea from health perspective.” Edinburgh: NHS Lothian Families OutsideOutside Family Family Support WorkerWorker role from healtha perspective.” Edinburgh: NHS Lothian and and ................................. Families Outside. Families Outside. Pugh, and Lanskey, C. “‘Dads (2011) “‘Dads Inside andstudy Out’:of study of risk and protective Pugh, G. and G. Lanskey, C. (2011) Inside and Out’: risk and protective factors factors in the in the resettlement of imprisoned withfamilies”. their families”. Conference paper for What’s in Research resettlement of imprisoned fathersfathers with their Conference paper for What’s new in new Research and and Evaluation? Informing ourwith work with prisoners and offenders andfamilies. their families. Institute of Criminology, Evaluation? Informing our work prisoners and offenders and their Institute of Criminology, University of Cambridge, May 2011. Families Outside provide a free confidential national University of Cambridge, 19 May19 2011. Helpline available to anyone who has a family member or friend in custody R., Grimshaw, R., Romeo, and Knapp, M. Poverty (2007) Poverty and Disadvantage among Prisoners’ Smith, Smith, R., Grimshaw, R., Romeo, R. and R. Knapp, M. (2007) Disadvantage Prisoners’ in Scotland whichand enables andamong empowers families by offering Families. York: Joseph Rowntree Foundation. Families. York: Joseph Rowntree Foundation. information, support and a signposting service. For additional information and references, please contact Families Outside. For additional information and references, please contact Families Outside. . ................................................................ . We undertake research, development and deliver training independently and in partnership with a range of agencies which have a role to play in meeting the needs of families affected by imprisonment. Families Outside the national only national charity in Scotland that works to support the families of people Families Outside is theisonly charity in Scotland that works solelysolely to support the families of people involved the criminal justice system. We work to mitigate the effects of imprisonment on children involved in theincriminal justice system. We work to mitigate the effects of imprisonment on children and We work positively with the Scottish Prison Service, Scottish Executive, and families and consequently to reduce the likelihood ofstatutory reoffending support and families - and-consequently toLocal reduce the likelihood reoffending - through support and information Authorities and of other and- through voluntary bodies in information order for for families andthe forpeople the people who work with them. families and for who work with them. to achieve positive change for families affected by imprisonment. Thanks to the Diana Princess of Wales Memorial Fund for funding the “It’s no Holiday” project. Thanks to all the young people at 6VT Edinburgh who participated in this project and shared their personal experiences so freely. Families Outside receives funding from the Scottish Executive. Support and Information Helpline Support and Information Helpline Support and Information Freephone Freephone 05000500 83 9383 8393 83 Freephone 0500 83 93 83 0800 0088 FAMOUT to 254 60777, followed by your message Text Text FAMOUT to 60777, followed by your message [email protected] [email protected] [email protected] TextOutside, service: text Famout, Families Outside, Families followed by your message to 60777 13 Great Street, Edinburgh EH3 6QW 13 Great King King Street, Edinburgh EH3 6QW Tel. 0131 557 9800 Tel. 0131 557 9800 Families Outside, [email protected] [email protected] 13 Great King Street, Edinburgh EH3 6QW Tel. 0131 557 9800 www.familiesoutside.org.uk www.familiesoutside.org.uk [email protected] is a company limited by guarantee registered In Scotland No. 236539 FamiliesFamilies OutsideOutside is a company limited by guarantee registered In Scotland No. 236539 and is and is recognised as a Scottish charity by theofOffice of the Scottish Charity Regulator No. SC025366 recognised as a Scottish charity by the Office the Scottish Charity Regulator No. SC025366 www.familiesoutside.org.uk Families Outside is a company limited by guarantee registered In Scotland No. 236539 and is recognised as a Scottish charity by the Office of the Scottish Charity Regulator No. SC025366 ............ ...
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