Incorporating the Family into Treatment and Recovery, Part 6: Healing Children of Parental Substance Use Disorders

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Prevention begins with helping children of parents with substance use disorder heal. Trauma and chronic stress alter brain function and can lead to negative outcomes, including ineffective coping skills, lack of impulse control, attachment adjustment, and academic challenges. Identification is hindered by invisible stigma, family rules, and the child’s fears that no one will believe them. Availability and access to help is limited and decreases with poverty and other cultural factors. Children all have internalized protective and environmental factors that