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9 - The principles of service organization and practice in England

from Part II - Practice and policy trends in treatment for adolescent substance abuse

Published online by Cambridge University Press:  26 August 2009

By
Paul McArdle  and
Eilish Gilvarry
Edited by
Howard A. Liddle  and
Cynthia L. Rowe
Paul McArdle
Affiliation:
Fleming Nuffield Unit Newcastle upon Tyne, UK
Eilish Gilvarry
Affiliation:
Centre for Alcohol and Drug Studies Newcastle upon Tyne, UK
Howard A. Liddle
Affiliation:
University of Miami School of Medicine
Cynthia L. Rowe
Affiliation:
University of Miami School of Medicine
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Summary

This chapter describes the common legal and policy context and the pattern of resources that frame and determine how services in England respond to young people in difficulty. It also aims to conceptualize how apparently different organizations can knit together to provide integrated services for young people with complex difficulties. In doing so, it draws on a recent report (Gilvarry et al., 2001) and focuses particularly on those young people who abuse substances and who may attend clinical services. Also, while legislators and designers of policy did not necessarily have youth drug abuse uppermost in mind, the structures and processes they create are clearly relevant to the needs of this vulnerable group.

The legal framework in England

Professionals working with children require familiarity with the relevant legislation. This includes the criminal law, including laws regulating access to drugs and alcohol, and the rights of children and young people, for example to education (United Nations, 1989). In England and Wales, it also includes the Children Act 1989, the pre-eminent law regarding the welfare of children and young people of 16 years of age and younger. This describes a number of key principles.

  • The welfare of the child is paramount.

  • The child's wishes and views must be considered: it is important to note that the wishes and the interests of the child or young person may not be identical.

  • […]

Type
Chapter
Information
Adolescent Substance Abuse
Research and Clinical Advances
 , pp. 189 - 203
Publisher: Cambridge University Press
Print publication year: 2006

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References

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Gilvarry, E., Christian, J., Crome, I., et al. (2001). The Substance of Young Needs 2001 Review. London: Health Advisory Service.
Henggeler, S., Clingempeel, W., Brondino, M., & Pickrel, S. (2002). Four-year follow-up of multisystemic therapy with substance-abusing and substance-dependent juvenile offenders. Journal of the American Academy of Child and Adolescent Psychiatry. 41, 868–74.Google Scholar
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