Background to the programme
The psychiatrist John Ebert was working in Marmottan in a care clinic for drug addicts. He soon realised the difficulty some women have when going through pregnancy and raising their children while living with addiction. He therefore took the decision to create in 1986 an organisation that could take into account parent-child relationships in the care of all addictions: The Horizon Centre.
Objectives of the programme
- Treat the addictions of patients who are also parents
- Work with them on parenting: accountability, relationship with children ...
- Offer a welcome and support with children
- The Adult element: The care team, social workers and educators from the centre offer to help patients rebuild their lives. They can help to sort out their administrative situation and support them in their efforts. A bimonthly legal info point is provided by volunteer lawyers from the Barreau-Solidarité service (Solidarity Bar) from the Paris Bar. Psychotherapeutic monitoring is also offered to them.
- Child element: The centre has also been created to accommodate young children. They can therefore accompany their parents if they have an appointment; the children are received by a team trained to meet their psychological and emotional needs (psychologists, educators of young children, etc.) in a space where they can meet other children and play while benefiting from being carefully listened to.
- The element for care at home and specialised housing: The association offers housing in hotel rooms and in therapeutic apartments for up to three months which is renewable. The centre has a multidisciplinary team who intervene in the home and in the rooms. This temporary measure aims to help patients regain autonomy through the construction or the pursuit of an individual and familial goal.
Quantitative and qualitative results from the implemented actions
- 262 people supported in 2014.
- 70% of patients who benefit from the association are women unlike most centres where patients are 70-80% men.
- Parenting is a major feature of this support and the team notice real results for women in their relationship with their child and the welcome which is offered to them.
For such an association, the originality is based on the interweaving of the problems treated: addiction, social and administrative support, support with parenthood. The element for children further reinforces this multidisciplinary support.
Partnership(s) developed in the context of the programme
Permanent renewal of partnerships according to the patient’s needs:
- Other Centres for the Care, Support and Prevention of Addiction (CSAPA)
- Nurseries and childminders, Maternal and Child Protection, hospitals
- Organisations to help social and professional integration
Suggestions for future improvement :
The growth of the organisation, which is not planned, could help to accommodate more people. It would also require a strengthening of the team.
Summary of factors responsible for the programme’s success :
- Support by professionals has a real impact on the people welcomed.
- Inclusion criteria for patients that accords with the institution’s overall project so that the support offered by the centre’s team is always tailored to their needs.