Kinship Carers Drug Prevention Support for Adolescents
A paper just published in the Archives of Pediatrics & Adolescent Medicine has found that kinship care brings many benefits, but that children remain at risk of developing substance misuse problems in their teenage years.
The American research carried out by academics from University of Texas Southwestern Medical Center and Children’s Medical Center, Dallas, studied over 1,300 children who had gone into kinship care placements as a result of maltreatment.
The researchers found that, in comparison to foster carers, kinship carers were significantly less likely to receive financial support, parenting training or to have peer support groups they could turn to.
However, following up the children three years later the researchers found that they were more likely to still be in the same placement, less likely to have behavioural problems and fewer mental health problems.
The researchers do report that adolescents in kinship care may be at higher risk for substance use and pregnancy.
From our perspective this research reinforces the need to support kinship carers and those in these placements not only when they first enter care, but also to target support during adolescence.
The paper says:
Our findings indicate that kinship caregivers need greater support services… The findings also indicate that kinship care may be associated with a reduced risk of ongoing behavioral and social skills problems and decreased use of mental health therapy and psychotropic medications. Conversely, adolescents in kinship care have higher odds of reported substance use and pregnancy. These findings suggest that increased supervision and monitoring of the kinship environment and increased caregiver support services are urgently needed to improve outcomes of children in kinship care.
This call for greater support echoes what the carers we spoke to for the EU Kinship Carers Project told us.
They were very clear that they found managing this period of the children’s lives difficult. One carer admitted:
“I cut her hair because I was so angry, maybe I was wrong. (….) But punishment does not work, she is not afraid of anything.”
Another told us:
“I’m really scared when he goes to the high school, he is easily led and with him trying to find a new bunch of friends I dread to think about what he might do to be accepted.”
Our response
In Lithuania the project adapted and piloted a parenting programme that had been previously implemented in Sweden. The programme has been designed to be delivered over 5 sessions, with the aim at giving kinship carers the skills to prevent their children being harmed by drugs.
In Italy we worked with kinship carers to develop a parent and carer focused drug prevention intervention to be delivered in a school context. The programme is designed to be delivered over four 2 hour sessions. It used stories chosen by psychologists to “describe” some of the way the children and the parents, go through the evolution of the family system. Following each story the participants reflected on the learning they took from the situations described.




Oh my god at last someone is talking about a subject that has for so long been either ignored or denied. I am a un-registered un-trained and un-paid carer for my 3 grand children who through no fault of their own have been for the want of a better word “dumped” on a gran who adores them.
I was expecting that after bringing up my own 3 children single handed and working to keep them that I would enjoy the benefits of becoming a grandma e.g days out ,treats for them ,a few days at the seaside the normal life of a grandma after a life-time of stigmatism of being a single mum(it was far less acceptable not so long ago)
Alas this was not to be my eldest son lived with a girl who had a beautiful little boy aged 1 and a not so nice drug problem. they went on to have 2 more children but even though I constantly tried to help she ended up walking out leaving my son to care for the kids which he was not able to do. Consequently it was left for me to take them on or put them in foster care.
To cut a long story short all the kids came to live with me even the eldestwho I am not related but I love as much as the others, but he is 14 now and is very hard work the little girl is 12 and has un-identified learning problems that nobody will help me to sort out and the youngest aged 10 is just beginning to question his authority about who is in charge of what. My health has suffered I am always tired, I suffer from back problems, I never envisaged that I would spend all my life looking after children not that I would have it any other way but once again I feel lonely separated from a social life of my own , aware of the questioning looks on peoples faces when I say my grandkids live with me,