You have noticed that a mother has been looking increasingly worried, and that her anxiety is affecting her two young children. Have you wondered if her stress is linked to substance misuse? What if it is - or isn't? How do you broach the subject? How do you start the process for change for the mother or her drug-using partner? And how do you keep the family 'on track'?
These were the questions addressed by the First Steps project, funded by the Department for Education as part of its strategy to improve outcomes for families with multiple problems and rolled out in 15 children's centres.
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