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Affirm Recovery
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
Children of alcoholics have a high risk of developing a drinking problem. Social determinants of disease such as poverty, unequal access to health care, health literacy, stigma, and racism increase risks for many diseases and disorders, including addiction. Most K-12 school health curricula include mental health and substance use. See also the resources Center for Substance Abuse Prevention (CSAP) within the Substance Abuse Mental Health Services Administration (SAMHSA), especially its model Substance Abuse Prevention Programs.
Elements of Effective Services for Women in Recovery: Implications for Clinicians and Program Supervisors
Published in Brenda L. Underhill, Dana G. Finnegan, Chemical Dependency: Women at Risk, 2018
Familial Alcohol and Drug Dependence. Children of alcoholics are more likely than children from non-alcoholic families to develop alcoholism as adults and to find themselves in adult relationships with an alcoholic partner (Black, 1986; Gomberg, Nelson and Hatchett, 1991). Respondents believed that education about alcoholic family dynamics and exit planning in relation to living arrangements or interactions involving practicing alcoholics or addicts should be a minimum program requirement. Process groups for daughters of alcoholics received mixed results. Participants felt that such program content might be useful (even critical) for some clients, but that, in their experience, dealing with these issues in depth during early recovery could be counterproductive for others.
Addiction
Published in Ben Green, Problem-based Psychiatry, 2018
The use of alcohol may impact on the family in terms of childhood physical or sexual abuse. Those who are children of alcoholics themselves have an increased vulnerability to developing substance misuse problems, and this may be a genetic or environmental effect. Other members of the family may suffer reactive depression or adjustment disorders as a consequence of the alcoholic individual’s effect on the family. Mothers who misuse alcohol during pregnancy may have children with foetal alcohol syndrome. This is sometimes recognised in infants due to problems such as growth retardation, small head circumference, small eyes, a flattened bridge of the nose, elfin features and learning disability. Sometimes foetal alcohol syndrome may be missed in infants, and may present in adolescence with behavioural problems.
Alcohol use severity among recent Latino immigrants: Associations of acculturation, family history of alcohol use and alcohol outcome expectancies
Published in Journal of Ethnicity in Substance Abuse, 2023
Ashly C. Westrick, Mariana Sanchez, Weize Wang, Miguel Ángel Cano, Patria Rojas, Mario De La Rosa
Having a family history of alcohol use could influence beliefs on alcohol use behaviors such as positive and negative alcohol expectancies (Brown et al., 1980), or the anticipated positive or negative consequences of alcohol use. These expectancies are influence by personal experience but also by individual behaviors from family and peers (Lundahl et al., 1997). Some studies have found that elevated positive alcohol outcome expectancies (AOE) in individuals at high risk for alcohol problems such as children of alcoholics (Pastor & Evans, 2003). For example, AOEs have been shown to differ by family alcohol history with those with a family history more likely to endorse more positive outcome expectancies than those without a family alcohol use history (Morean et al., 2009). Among Latinos, some studies have found a link between AOEs and alcohol use behaviors (Mills & Caetano, 2012) with higher positive AOEs being associated with elevated alcohol use. However, there are limited studies that have analyzed the effect of AOEs among Latino immigrants with and without a family history of alcohol use.
Revisiting resilience: Examining the relationships between stress, social support, and drinking behavior among black college students with parental substance use disorder histories
Published in Journal of Ethnicity in Substance Abuse, 2022
Delishia M. Pittman, Alicia A. Quayson, Cassandra Riedy Rush, Melanie L. Minges
While these findings approached significance, we believe these analyses to be hampered by insufficient power. Of our subset sample of students with parental SUD (n = 166), only 55 had complete social support data available for analysis, a result of instrumentation modification in this multi-wave, multi-site study rather than missing or incomplete data. As such, the use of well-established strategies for the management of missing data (i.e., imputation) are not appropriate. Future studies on the moderation of social support would benefit from larger sample sizes that would allow for more robust analyses. Given the role that friends and global social support played for Black college students broadly, we would anticipate that similar relationships would be evidenced among Black emerging adult college students with parental SUD. This work is unique in that it provides a counter narrative to the more pathology centric literature on adult children of substance users, most notably adult children of alcoholics (ACOAs), to center individuals and communities impacted by intergenerational substance use using strengths-based paradigms.
Experiences and reactions of adolescent offspring to their fathers’ heavy drinking: A qualitative study from an urban metropolis in India
Published in Journal of Ethnicity in Substance Abuse, 2022
Prasanthi Nattala, Pratima Murthy, Mitchell G. Weiss, Kit Sang Leung, Rita Christopher, Jessy Sharoon V, Sumegha S
Service providers should be mindful of the far-reaching effects for children growing up in an environment of addiction when planning interventions, particularly in view of the increasing problem drinking in India. The present findings speak to the need for developing and implementing comprehensive and coordinated services that extend their focus to the children, as part of a regular addiction treatment/intervention regimen. Further, while there are documents from expert groups indicating a comprehensive approach to addictions management (e.g. Lal et al., 2005; WHO, 2007), the current study findings indicate the need for the development of intervention programs and modules by government bodies and health organizations that address the specific needs identified in this group. Studies, structured manuals, national helplines and associations available in developed countries acknowledge the public health and clinical priorities of responding to the adverse impact of addiction on children and families (e.g. National Association for Children of Alcoholics (NACoA), 2001; Peleg-Oren & Teichman, 2006; Community Research Company (CRC), 2012). The present study addresses the need for more specific approaches in India that are needed to enable children struggling with alcohol dependence in the family, to overcome stigma and seek help.