In an evaluation study over the last 3 years, how this training may help professional workers to act as competently as possible and how the problem families are affected by this type of help are being analysed. Further detailed evaluations of this study are forthcoming but not yet available. However, the practice of daily drug care does not have to wait until final scientific evaluation has taken place. Therefore I will conclude with a rough sketch of the organisation of the care of drug using carers and their children. The Central Address functions as a case management agency.
Case management is the central activity.
Of the newly registered cases, because of lack of staff, only a limited proportion, about 40-50 per cent can be visited and, if indicated, screened. Figure 5 also shows the relatively high percentage of children who are placed out of their homes in the first year of their life. The figures represent the Rotterdam situation in the late 1980s. Neglect and child abuse are the most common reasons. Specific causes for this decrease may be increasing attention from drug care workers and changing attitudes of juvenile court and foster care personnel.