The Advisory Council on the Misuse of Drugs (ACMD) report Hidden Harm (2003) outlined key deficits in the provision of services to pregnant drug users, drug using parents and to the children of drug using parents, while highlighting the extent of child exposure to parental drug use. In 2007, a follow-up report assessed what had changed in the intervening period focusing on examples of good practice and positive change. This paper is based on the results from a follow-up postal survey of managers of specialist drug services in the UK.
