FS SHULAMITH LALA ASHENBERG STRAUSSNER CHILDREN OF SUBSTANCE- ET WR CHRISTINE HUFF FEWELL ABUSING PARENTS ELAU LS S EDITORS Dynamics and Treatment N E R Shulamith Lala Ashenberg Straussner, PhD, CAS Christine Huff Fewell, PhD, LCSW, CASAC C H EDITORS I L “Children of Substance-Abusing Parents: Dynamics and Treatment is a necessary reference for all D mental health professionals and students who need to understand and treat this population. It offers R an invaluable look at treatment options and programmatic interventions across the life span and fills E N an important gap in the current literature. The contributors include a wide range of experts who provide up-to-date, evidence-based clinical and programmatic strategies for working with children of O alcohol- and other substance-abusing parents of any age and in almost any practice setting.” F S —Sis Wenger U President/CEO B National Association for Children of Alcoholics S T (From the Foreword) A N Children and adolescents who live in a household where drugs and alcohol are abused are at D Y N A M I C S A N D T R E AT M E N T C considerable risk for multiple physical, mental, and behavioral issues. This volume fills a gap in E the literature by providing social workers and other mental health providers with a variety of time- - A tested strategies and interventions designed for children and adolescents of substance abusers. B Following an overview of current theoretical and practical knowledge of this population, U the book addresses issues across the life span, from the prenatal impact of drugs and alcohol S I through adult children of substance abusers. The volume then describes a variety of intervention N programs targeted to the specific needs of children and adolescents in different settings. It will G be a valuable clinical reference for all mental health professionals who encounter young and P adult children of substance-abusing parents. A R KEY FEATURES: E N • Includes successful interventions used by experts in the field T • Examines dynamics in families with substance-abusing parents S • Provides prevention and early intervention programs for pregnant substance abusers • Addresses the specific needs of young children, adolescents, college students, and adult children of substance-abusing parents ISBN 978-0-8261-6507-7 11 W. 42nd Street New York, NY 10036-8002 www.springerpub.com 9 780826 165077 Children of Substance-Abusing Parents Dynamics and Treatment SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd ii 44//2200//1111 1100::5588 AAMM Shulamith Lala Ashenberg Straussner, PhD, CAS, is a professor at New York University (NYU) Silver School of Social Work. She is also the Director of their Post-Master’s Certifi cate Program in the Clinical Approaches to Addictions. Among her 16 books are: Clinical Work with Substance-Abusing Clients (2nd Ed., Guilford Press, 2004—selected by Psychotherapy Book Club); U nderstanding Mass Violence: A Social Work Perspective (coedited with Norma Phillips; Allyn & Bacon, 2003); U rban Social Work: Policies and Practice in the Cities (coauthored with N. Phillips; Allyn & Bacon, 2002); International Aspects of Social Work Practice in the Addictions (coedited with Larry Harrison; Haworth Press, 2003); The Handbook on Women and Addictions (coedited with S. Brown; Jossey-Bass, 2002); Ethnocultural Factors in Addictions Treatment (Guilford, 2001); and G ender and Addictions: Men and Women in Treatment (coedited with E. Zelvin; Jason Aronson Press, 1997). She is the founding editor of the Journal of Social Work Practice in the Addictions (Taylor & Francis). Dr. Straussner has been a Fulbright Senior Scholar at the Academy of Labour & Social Relations in Kiev, Ukraine, a visiting professor at Warsaw University in Poland, and the recipient of the Lady Davis Fellowship to Hebrew University in Jerusalem. Previously, she was a Fulbright Senior Scholar to Israel (2003) and a Visiting Professor at Omsk State University, Siberia (2000). In June 2008 she received the Lifetime Achievement Award from the NYC Chapter of the National Association of Social Workers (NASW) for her contribu- tions to the fi eld of addictions. Dr. Straussner served on the National Center on Substance Abuse Treatment panel on workforce issues, and was the Northeast Regional Director for federally funded multi- million dollar national Project Mainstream, an interdisciplinary project to improve health professional education on substance abuse. During 2005–2006, she chaired the National Association for Children of Alcoholics (NACoA) Social Work Initiative on developing core competencies for working with families and children affected by addiction. She is a past chair of the NASW Section on ATOD and vice president of the NYC Chapter of the NASW. Dr. Straussner has a private therapeutic and supervisory practice in New York City and lec- tures and consults throughout the United States and abroad. Christine Huff Fewell, PhD, LCSW, CASAC, is an adjunct associate professor at Silver School of Social Work at NYU, where she teaches in the areas of clinical practice and substance abuse and in the Post-Master’s Certifi cate Program in the Clinical Approaches to Addictions. She is codirector of the Specialized Substance Abuse and Co-Occurring Disorders Focused Learning Opportunity and Seminar. Dr. Fewell is Associate Editor of the Journal of Social Work Practice in the Addictions and a peer reviewer for the Clinical Social Work Journal . Recent publications include “Using a Mentalization-Based Framework to Assist Hard-to-Reach Clients in Individual Treatment” (in S. Bennett and J. K. Nelson [Eds.], Adult Attachment in Clinical Social Work: Practice, Research, and Policy. New York: Springer, 2010), I mpact of Substance Abuse on Children and Families: Research and Practice Implications (coedited with S. Lala Ashenberg Straussner, Haworth Press, 2006), 12-Step Groups as a Treatment Modality with Betsy Spiegel (in S. L. A. Straussner [Ed.], Clinical Work with Substance-Abusing Clients , 2nd Ed., Guilford Press, 2004), and The Mental Health Needs of Children of Alcohol and Substance Abusers (in U pdate, Newsletter of the New York State Chapter, NASW, September 2005). In June 2008, she received the Lifetime Achievement Award from the NYC NASW for her contributions to the fi eld of ad- dictions. Dr. Fewell has served on the New York State Board for Social Work and currently consults with students and faculty about licensing issues in New York State and conducts review courses related to the licensing exam. Dr. Fewell is a graduate and member of the Institute of Psychoanalytic Training and Research (IPTAR), and a Fellow of the International Psychoanalytic Association. She maintains a private practice providing psychotherapy and supervision in New York City and Hastings-on-Hudson. SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd iiii 44//2200//1111 1100::5588 AAMM Children of Substance-Abusing Parents Dynamics and Treatment Shulamith Lala Ashenberg Straussner, PhD, CAS Christine Huff Fewell, PhD, LCSW, CASAC Editors SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd iiiiii 44//2200//1111 1100::5588 AAMM Copyright © 2011 Springer Publishing Company, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, [email protected] or on the web at www.copyright.com . Springer Publishing Company, LLC 11 West 42nd Street New York, NY 10036 www.springerpub.com Acquisitions Editor: Jennifer Perillo Senior Editor: Rose Mary Piscitelli Composition: S4Carlisle ISBN: 978-0-8261-6507-7 E-book ISBN: 978-0-8261-6508-4 11 12 13/ 5 4 3 2 1 The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide information that is accurate and compatible with the standards generally accepted at the time of publication. The author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no responsibility for the persistence or accuracy of URLs for external or third-party Internet Web sites referred to in this publication and does not guarantee that any content on such Web sites is, or will remain, accurate or appropriate. CIP data is available from the Library of Congress Special discounts on bulk quantities of our books are available to corporations, professional associations, pharmaceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom book, including chapters from more than one of our titles, we can provide that service as well. For details, please contact: Special Sales Department, Springer Publishing Company, LLC 11 West 42nd Street, 15th Floor, New York, NY 10036-8002 Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842 Email: [email protected] Printed in the United States of America by Hamilton Printing SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd iivv 44//2200//1111 1100::5588 AAMM Dedication To those who as children suffered from substance abuse in their families and to those who have dedicated themselves to healing them. SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd vv 44//2200//1111 1100::5588 AAMM SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd vvii 44//2200//1111 1100::5588 AAMM Contents Contributors ix Foreword by Sis Wenger, NACA xi Preface xiii Acknowledgments xv PART I: CONCEPTUAL OVERVIEW OF THEORY AND PRACTICE 1. Children of Substance-Abusing Parents: An Overview 1 Shulamith Lala Ashenberg Straussner 2. An Attachment and Mentalizing Perspective on Children of Substance-Abusing Parents 29 Christine Huff Fewell 3. Dynamics of Substance-Abusing Families and Implications for Treatment 49 Wendy K. K. Lam and Timothy J. O’Farrell PART II: ISSUES ACROSS THE LIFE SPAN OF CHILDREN OF SUBSTANCE-ABUSING PARENTS 4. Prenatal Impact of Alcohol and Drugs on Young Children: Implications for Interventions With Children and Parents 77 Elizabeth C. Pomeroy and Danielle E. Parrish 5. Treatment Issues and Interventions With Young Children and Their Substance-Abusing Parents 101 Jeannette L. Johnson, Jan Gryczynski, and Jerry Moe 6. Treatment Issues and Interventions With Adolescents From Substance-Abusing Families 127 Judy Fenster 7. Treatment Issues and Psychodrama Interventions With Adults Who Grew Up With Substance-Abusing Parents 153 Tian Dayton vii SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd vviiii 44//2200//1111 1100::5588 AAMM viii Contents PART III: PROGRAMS FOR INTERVENTION ACROSS THE LIFE SPAN AND SETTINGS 8. Prevention and Intervention Programs for Pregnant Women Who Abuse Substances 171 Iris E. Smith 9. Programs for Young Children With Substance-Abusing Parents 193 Alissa Mallow 10. Programs for Adolescent Children of Substance-Abusing Parents in School and Residential Settings 207 Ellen R. Morehouse 11. Interventions With College Students With Substance-Abusing Parents 223 David F. Venarde and Gregory J. Payton 12. Programs for Children of Parents Incarcerated for Substance-Related Problems 243 Audrey L. Begun and Susan J. Rose PART IV: CONCLUSION 13. Stories From the Inside: Life as the Child of a Substance-Abusing Parent 269 Anonymous, Christopher H. Acker, Claudia Narváez-Meza, and Peter X Index 281 SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd vviiiiii 44//2200//1111 1100::5588 AAMM Contributors Christopher H. Acker, MSW, LSW Alissa Mallow, DSW, LCSW Clinician , Bridgewater, New Jersey Vice President , Quality Improve- ment , Promesa, Inc ., Audrey L. Begun, MSW, PhD Bronx, New York Associate Professor , College of Social Work , The Ohio State Jerry Moe, MA University , Columbus, Ohio National Director of Children’s Tian Dayton, PhD, TEP Programs , Betty Ford Center , Director , New York Psychodrama Rancho Mirage, California Training Institute , Editor in Chief Ellen R. Morehouse, LCSW of The Journal of Psychodrama, Executive Director , Student Sociometry and Group Psychotherapy , Assistance Services Corporation , New York, New York Tarrytown, New York Judy Fenster, PhD, LCSW Associate Professor , School of Claudia Narváez-Meza, MSW, MFA Social Work , Adelphi University , Trauma Recovery Clinician, Garden City, New York The New York Society for the Prevention of Cruelty to Children , Jan Gryczynski, MA New York, New York Research Associate , Friends Research Institute, Inc. , Timothy J. O’Farrell, PhD, ABPP Baltimore, Maryland Professor of Psychology , Chief, Families and Addiction Program , Jeannette L. Johnson, PhD Harvard Medical School, Research Professor , School of Department of Psychiatry at the Social Work, State University VA Boston Healthcare System , of New York at Buffalo, Brockton, Massachusetts Buffalo, New York Wendy K. K. Lam, PhD Danielle E. Parrish, PhD, MSW Project Leader, Child Health , Assistant Professor , Graduate Duke Translational Medicine College of Social Work , Institute , Duke University , University of Houston , Durham, North Carolina Houston, Texas ix SSttrraauussssnneerr__6655007777__PPTTRR__FFMM__0044--2200--1111__ii--xxvvii..iinndddd iixx 44//2200//1111 1100::5588 AAMM