Cited by 561Prenatal Substance Exposure EffectsSubstance Abuse Treatment and OutcomesChild and Adolescent Psychosocial and Emotional Development

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index; none of the 23 sources its claims cite is checked for support yet.

The Impact of Substance Use Disorders on Families and Children: From Theory to Practice

Open access
Lander, Laura, Howsare, Janie, Byrne, Marilyn·2013·Social work in public health

Abstract

The effects of a substance use disorder (SUD) are felt by the whole family. The family context holds information about how SUDs develop, are maintained, and what can positively or negatively influence the treatment of the disorder. Family systems theory and attachment theory are theoretical models that provide a framework for understanding how SUDs affect the family. In addition, understanding the current developmental stage a family is in helps inform assessment of impairment and determination of appropriate interventions. SUDs negatively affect emotional and behavioral patterns from the inception of the family, resulting in poor outcomes for the children and adults with SUDs. Social workers can help address SUDs in multiple ways, which are summarized in this article.

Overview

Integrity signals

Registry

Crossref · 10.1080/19371918.2013.759005

Cites

32 of 32 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

39 Own interpretation · 12 Sources not found · 6 No full text of the sources · 3 No basis given · 2 Not checked yet

Show all 33 claims

  • It may state two separate claims as one. 20
  • Probably not a substantial claim. 12
29 of 29
  • The paper relies on this without support.

    The family is the main provider of attachment, nurturing, and socialization for people in contemporary society.

    “The family remains the primary source of attachment, nurturing, and socialization for humans in our current society.”
  • The paper relies on this without support.

    All primates acquire affect regulation from their primary attachment figures through attachment and modeling.

    “As previously mentioned, all primates learn how to regulate their affect from their primary attachment figures through the attachment system and modeling.”
  • The paper relies on this without support.

    Genetic and environmental factors both play a role in the development of substance use disorders.

    “Genetic and environmental factors contribute to the development of SUDs.”
  • The paper relies on this without support.

    When a parent has severe and ongoing substance abuse, the parent and child may be separated because of incarceration, long-term treatment, removal by child protective services, or the parent's death.

    “sometimes the consequences of severe and ongoing substance abuse on the part of a parent can result in parent and child separation.”
  • The paper relies on this without support.

    Long-term separation harms a child's attachment and affect regulation and may trigger trauma responses such as numbing or hyperarousal.

    “Any long-term separation will have a negative impact on the child's ability to attach, regulate affect, and can lead to a trauma response of numbing or hyperarousal (inability to discriminate and respond appropriately to stimulus).”
  • The paper relies on this without support.

    Problems in the psychological emergency response system are directly linked to and greatly raise the likelihood of later traumatic victimization.

    “These impairments in the psychological emergency response system are directly related to, and substantially increase, subsequent traumatic victimization.”
  • The paper relies on this without support.

    Many children in addicted households become parentified, caring for themselves and siblings prematurely, and in a reversal of dependence needs, they care for the parent.

    “Many children living in a home where there is an addiction develop into “parentified children.” This occurs when the caretaker is unable to meet the developmental needs of the child, and the child begins to parent themselves and perhaps younger siblings earlier than developmentally appropriate. In a phenomenon called “reversal of dependence needs” the child actually begins to parent the parent.”
  • The paper relies on this without support.

    Parents with substance use disorders may struggle with assertiveness and direct communication, and certain topics are covertly off-limits.

    “Parents with a SUD may have difficulty with assertiveness and direct communication. Many subjects are covertly “off-limits” to discuss.”
  • The paper relies on this without support.

    Children in families with substance use disorders often see poor communication and emotional dysregulation between caregivers, which frequently leads to domestic violence.

    “Children in these families also often witness the convergence of poor communication and affect dysregulation with their caregivers that frequently results in domestic violence.”
  • The paper relies on this without support.

    These children commonly experience anxiety, fear, depression, guilt, shame, loneliness, confusion, and anger.

    “Common emotions these children experience are anxiety, fear, depression guilt, shame, loneliness, confusion, and anger.”
  • The paper relies on this without support.

    Children affected by parental substance use disorders may think they caused the disorder or feel they must keep the drug use secret.

    “They may believe that they caused their parent's SUD, or perhaps they are expected to keep the drug use a secret from others in the family or in the community.”
  • The paper relies on this without support.

    A parent's moodiness, forgetfulness, and preoccupation can make the child's environment chaotic, unstructured, and unpredictable.

    “A parent's moodiness, forgetfulness, and preoccupation can create a chaotic and unstructured, unpredictable environment that leaves the child guessing and asking the questions, “What is going to happen next?” and “What is normal?””
  • The paper relies on this without support.

    Some children affected by parental substance use exhibit educational problems.

    “Educational problems are also characteristic of some children affected by parental substance use.”
  • The paper relies on this without support.

    Enabling, a form of accommodation, shields the person with a substance use disorder from fully facing consequences, making continued substance use more likely.

    “Enabling is a form of accommodation that protects the individual with the SUD from fully experiencing the consequences of his or her substance use.”
    “As a result, his SUD is more likely to continue.”
  • The paper relies on this without support.

    At least 10% of the general population has a substance use disorder, and the rate is higher among people with mental health problems.

    “However with the prevalence of SUDs in the general population being at least 10%, and higher for those presenting with mental health problems, social workers in all settings will find themselves working with individuals with SUDs.”
  • The paper relies on this without support.

    Most social workers are mandated reporters, and many patients aware of this may hide their substance use for fear of being reported to Child Protective Services.

    “Most social workers are mandated reporters so this can present an ethical issue for those who work with individuals with SUDs, especially those with dependent children. Many patients know this and may withhold information about their substance use out of fear of being reported to Child Protective Services.”
  • The paper relies on this without support.

    If a substance use disorder goes undetected, treatment for any other problem may fail.

    “An undetected SUD can cause treatment of any type of problem to be ineffective.”
  • The paper relies on this without support.

    Addiction researchers have established that addiction and the environment influence each other reciprocally.

    “Addictions researchers have confirmed the reciprocal relationship between the disease of addiction and the environment.”
  • The paper relies on this without support.

    Every person affects their social environment and is affected by it in return.

    “All persons influence their social environment and in turn are influenced by it.”
19 of 19

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Citations

Cites

Show all 32 references

Research works printed but not linked: 7

  1. Center for Substance Abuse Treatment, 2004, Substance abuse treatment and family therapy
  2. Jaudes P. K., 1997, Child Welfare, 77, 521
  3. Miller G. A., 1999, The Substance Abuse Subtle Screening Inventory (SASSI): Manual,
  4. U.S. Department of Health and Human Services, Administration on Children, Youth, and Families, 2007, Child maltreatment 2005
  5. U.S. Department of Health and Human Services, Children's Bureau, 2003, Child welfare information gateway: A bulletin for professionals.
  6. U.S. Department of Health and Human Services, National Center on Child Abuse and Neglect, 1996, Third national incidence study of child abuse and neglect
  7. Zucker R. A., 2009, Alcohol Research & Health, 32, 16

Cited by

Sorted by citations

Items 301–400 of 555

Metadata

Authors
Lander, L., Howsare, J., & Byrne, M.
Affiliations
West Virginia University (US)
Venue
Social work in public health
Published
2013-05
Volume
28
Issue
3-4
Pages
194-205
ISSN
  • 1937-190X (ISSN-L)
  • 1937-1918
OpenAlex
W2078867900
Cited by
561
References
32
Citations by year
2026: 56 · 2025: 66 · 2024: 80 · 2023: 80 · 2022: 57 · 2021: 66 · 2020: 47 · 2019: 49 · 2018: 22 · 2017: 16 · 2016: 11 · 2015: 4 · 2014: 3
FWCI
8.69
Type
journal article
Language
en
Open access
Locations
  • Social Work in Public Health (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (submittedVersion)
  • PubMed Central (submittedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
substance use disorders, family impact, children of substance users, family systems theory, attachment theory, family intervention, social work practice
MeSH terms
Adult, Alcoholism, Child, Psychology, Child, Combined Modality Therapy, Family Therapy, Female

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