HSE: Tender for the delivery of evidence-based parenting and family support programme

HSE

Tender for the delivery of evidence-based parenting and family support programme

Background

According to the Health Research Board (2022), in 2021, 21% of cases treated in addiction services for alcohol were currently residing with children aged 17 years or younger and 21% had children aged 17 years or younger who were not currently residing with them1. Almost 16% of cases treated for drug use were residing with children aged 17 years or younger and almost a quarter had children aged 17 years or younger who were not currently residing with them2.

The HSE and TUSLA are joint leads for the implementation of action 1.3.9 in Reducing Harm, Supporting Recovery, A health-led response to drug and alcohol use in Ireland 2017-20253, which is to “mitigate the risk and reduce the impact of parental substance misuse on babies and young children”.

Hidden Harm is the experience of children living with and affected by parental problem alcohol and other drug use. The term Hidden Harm is used because these children are often unknown to services. Not all parents who misuse substances experience difficulties with parenting capacity. Equally, not all children exposed to parental substance misuse are affected adversely either in the short or longer term. However, most children exposed to parental substance misuse need some form of support.

The National Hidden Harm Project was established by the HSE and the Child and Family Agency (TUSLA) to inform service planning and improve services for children in relation to Hidden Harm. The HSE and Tusla collaboratively developed and published the Hidden Harm Strategic Statement4 and the Hidden Harm Practice Guide5 in January 2019. These publications set out how the HSE and Tusla intend to bridge the gap between adult and children’s services, in favour of a more family-focused approach that considers the needs of dependent children and other family members. An information leaflet was also published in 2019 for staff and other health and social services practitioners working in this area, to help affected children and families. The Hidden Harm eLearning programme was completed in September 2019 and is available on HSELand for HSE, TUSLA, and community & voluntary sector staff. The aim of the eLearning is recognising and responding to the impact of parental alcohol and other drug use on children and is relevant to all staff working with parents, children, young people or families who may be affected by problem alcohol and other drug use. The module includes guidance from a Parents perspective and from professionals working in the Voluntary and Community sector, the HSE and Tusla-Child and Family Agency. One-day skills practice Hidden Harm training pilot in three locations is scheduled for November 2022.

Scope

The four levels of family support identified in the TUSLA-adapted Hardiker model6 (2013) are:

  • Level one – Universal (Education and Prevention)
  • Level two – Low level (Early support)
  • Level three – Multiple/complex (An Integrated response from service providers)
  • Level four – Highly complex (Optimisation of support for children and families where parental problem alcohol and drug use exists).

Submissions are invited for the delivery of evidence-based parenting and family support programmes under level three and level four of the Hardiker model as outline above.

As per the common practice standards for working with children and families outlined in Hidden Harm Strategic Statement, the following principles must be inherent in the proposed programme:

  • The welfare of the child is the paramount consideration.
  • All services have a part to play in helping to identify children that may be ‘affected by’ or ‘at risk’ from their parent’s problematic alcohol and other drug use and at an early stage.
  • Children and young people and their parents should be involved in decisions directly affecting their lives.
  • Parenting capacity must be considered when identifying and responding to problem alcohol and other drug use.
  • Build on family strengths, as well as working with areas of parental vulnerabilities or difficulties, including the wider family network.

Submissions should outline potential outcomes in the following areas:

  • Parenting knowledge, attitudes and skills.
  • Parent-child interactions and attachment.
  • Family functioning and child outcomes
  • Outputs including the number of children and parents to benefit from the programme in 2022, 2023 and 2024.

Submissions should outline a plan for the evaluation of the programme over the period.

Submission process and assessment

Submissions must meet TUSLA-adapted Hardiker model level 3 or 4 and will be assessed on the following basis:

  1. Meets the scope of the tender
    • Strength of evidence-base for the programme
    • Availability of skilled practitioners to deliver the programme
    • Extent that the programme is based on the principles outlined
    • Potential outcomes, outputs and evidence of same
  2. Planned methodology and process to evaluate the programme over the 3-year period
  3. Evidence of delivering parenting and family support programmes
  4. Value for money (all quotes to be inclusive of VAT)

Quotes not in excess of €135,000 per annum in total. Funding of €135,000 is available in 2022, recurring in 2023 and in 2024 with the potential for extension upon review of the programme.

Submissions by email to Nicola.corrigan@hse.ie before 5pm on Thursday, 11 August 2022.

Further information

Further information can be requested from Nicola.Corrigan@hse.ie.

1 Lynch et al. 2022. HRB Bulletin National Drug Treatment Reporting System. 2015 – 2021 Alcohol Treatment Data. Health Research Bard: Dublin.

2Kelleher et al. 2022. HRB Bulletin National Drug Treatment Reporting System. 2015 – 2021 Alcohol Treatment Data. Health Research Bard: Dublin.

3Department of Health. 2017. Reducing Harm, Supporting Recovery: A health-led response to drug and alcohol use in Ireland 2017 – 2025. Department of Health: Dublin.

4 Health Service Executive & TUSLA Child and Family Agency. 2019. Hidden Harm Strategic Statement, Seeing Through Hidden Harm to Brighter Futures. 2019. Health Service Executive and TUSLA Child and Family Agency: Dublin.

5 Health Service Executive & TUSLA Child and Family Agency. 2019. Hidden Harm Practice Guide, Seeing Through Hidden Harm to Brighter Futures. 2019. Health Service Executive and TUSLA Child and Family Agency: Dublin.

6 TUSLA. 2013. Investing in Families: August 2013 Supporting Parents to Improve Outcomes for Children.

Attachment Size
Tender Hidden Harm 600 KB

General Info

Date Entered/Updated
25th Jul, 2022
Region
Nationwide
Expiry Date
11th Aug, 2022