Skip to main content
Log in

Substance Abuse in Children of Parents with Mental Illness: Risks, Resiliency, and Best Prevention Practices

  • Published:
Journal of Primary Prevention Aims and scope Submit manuscript

Abstract

Published research on the effects of parental mental illness diagnosis or symptoms on childhood substance abuse (SA) is reviewed. Family and environmental circumstances related to having a parent with a mental illness also put these children at risk for SA. Risk and protective factors for developing a substance use or related disorder in these children are summarized. Recommendations for SA prevention in children of parents with mental illness are presented and used to critique existing substance abuse prevention programs. Limitations of the research are noted vis-à-vis lack of participant racial/ethnic diversity, inconsistent results, methodological flaws, and few efficacy studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Adger, H., Macdonald, D., Wenger, S., Emshoff, J., & Price, A. (1999). Prevention and intervention strategies with children of alcoholics. American Academy of Pediatrics, 103(5), 1112–1121.

    Google Scholar 

  • Angold, A., & Costello, J. (1993). Depressive comorbidity in children and adolescents. American Journal of Psychiatry, 150, 1779–1791.

    Google Scholar 

  • Apfel, R., & Handel, M. (1993). Madness and loss of motherhood: Sexuality, reproduction, and long-term mental illness. Washington, D.C., American Psychiatric Association Press.

    Google Scholar 

  • Basic Behavioral Science Task Force of the National Advisory Mental Health Council. (1996). Basic Behavioral Science Research for Mental Health: Vulnerability and Resilience. American Psychologist, 51(1), 22–28.

    Google Scholar 

  • Baumrind, D. (1991). The influence of parenting style on adolescent competence and substance use. Journal of Early Adolescence, 11, 56–95.

    Google Scholar 

  • Beardslee, W., Salt, P., Porterfield, K., Rothberg, P., et al. (1993). Comparison of preventative interventions for families with parental affective disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 32(2), 254–263.

    Google Scholar 

  • Beardslee, W., Versage, E., Wright, E., & Salt, P. (1997). Examination of preventive interventions for families with depression: Evidence of change. Development & Psychopathology, 9(1), 109–130.

    Google Scholar 

  • Beardslee, W., & Wheelock, I. (1994). Children of parents with affective disorders. In W. Reynolds, & H. Johnston (Eds.), Handbook of depression in children and adolescents (pp. 463–479). New York: Plenum Press.

    Google Scholar 

  • Beardslee, W., Wright, E., Rothberg, P., Salt, P., et al. (1996). Response of families to two preventive intervention strategies: Long-term differences in behavior and attitude change. Journal of the American Academy of Child & Adolescent Psychiatry, 35(6), 774–782.

    Google Scholar 

  • Bhugra, D. (1989). Attitudes towards mental illness: A review of the literature. Acta Psychiatrica Scandinavica, 80, 1–12.

    Google Scholar 

  • Blanch, A.K. (1991). Parent support/Family preservation services: Adults with mental illness and their minor children. 1–5. Presented at Forum on Family Support/Preservation Services.

  • Blanch, A.K., Nicholson, J., & Purcell, J. (1994). Parents with severe mental illness and their children—The need for human services integration. Journal of Mental Health Administration, 21(4), 388–396.

    Google Scholar 

  • Boyle, M., & Pickles, A. (1997a). Influence of maternal depressive symptoms on ratings of childhood behavior. Journal of Abnormal Child Psychology, 25(5), 399–412.

    Google Scholar 

  • Boyle, M., & Pickles, A. (1997b). Maternal depressive symptoms and ratings of emotional disorder symptoms in children and adolescents. Journal of Child Psychology & Psychiatry & Allied Disciplines, 38(8), 981–92.

    Google Scholar 

  • Brounstein, P., & Zweig, J. (1999). Understanding substance abuse prevention: Toward the 21st century: A primer on effective programs. Rockville, MD: U.S. Department of Health and Human Services. Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention.

    Google Scholar 

  • Brown, S., & Schmid, J. (1999). Adult children of alcoholics. In P. Ott, R. Tarter, & R. Ammerman (Eds.), Sourcebook on substance abuse: Etiology, epidemiology, assessment, and treatment. Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Bruce, M.L., Takeuchi, D.T., & Leaf, P J. (1991). Poverty and psychiatric status. Archives of General Psychiatry, 48, 470–474.

    Google Scholar 

  • Burr, W., Falek, A., Strauss, L., & Brown, S. (1979). Fertility in psychiatric outpatients. Hospital and Community Psychiatry, 30, 527–531.

    Google Scholar 

  • Cadoret, R., Yates, W., Troughton, E., Woodworth, G., & Stewart, M. (1995). Adoption study demonstrates two genetic pathways to drug use. Archives of General Psychiatry, 52(1), 42–52.

    Google Scholar 

  • Callicutt, J.W., & Price, D.H. (1997). Personnel: The professionals and their preparation. In T. Watkins, & J. Callicutt (Eds.). Mental health policy and practice today (pp. 69–86). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Caton, C.L., Gralnick, A., Bender, S., & Simon, R. (1989). Young adult chronic patients and substance abuse. Hospital and Community Psychiatry, 40, 1037–1040.

    Google Scholar 

  • Center for Substance Abuse Prevention (CSAP) (June 2000). Youth in transition: Background, bibliography, literature review. Rockville, MD: Author.

    Google Scholar 

  • Cichetti, D., & Rogosch, F. (1999). Psychopathology as risk for adolescent substance use disorders: A developmental psychopathology perspective. Journal of Clinical Child Psychology, 28(3), 355–365.

    Google Scholar 

  • Conrad, M., & Hammen, C. (1989). Role of maternal depression in perceptions of child maladjustment. Journal of Consulting and Clinical Psychology, 152, 663–667.

    Google Scholar 

  • Cook, J.A., Razzano, L., Jayaraj, A., Myers, M., Nathanson, F., Stott, M.A., & Stein, M. (1994). HIV-risk assessment for psychiatric rehabilitation clientele: Implications for community-based services. Psychosocial Rehabilitation Journal, 17(4), 105–115.

    Google Scholar 

  • Cook, J., & Steigman, P. (2000). Experiences of parents with mental illnesses and their service needs. The Journal of NAMI California, 11(2), 21–23.

    Google Scholar 

  • Cowling, V. (Ed.) (1999). Children of parents with mental illness. Melbourne, Victoria: The Australian Council for Educational Research, Ltd.

    Google Scholar 

  • Coverdale, J.H., & Aruffo, J.A. (1989). Family planning needs of female chronic psychiatric outpatients. American Journal of Psychiatry, 146(11), 1489–1491.

    Google Scholar 

  • Cox, A.D., Puckering, C., Pound, A., & Mills, M. (1987). The impact of maternal depression in young children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 28(6), 917–928.

    Google Scholar 

  • Danish, S. (1996). Interventions for enhancing adolescents life skills. The Humanist Psychologist, 24, 365–381.

    Google Scholar 

  • Davenport, Y.B., Zahn-Waxler, C., Adland, M.L., & Mayfield, A. (1984). Early child rearing practices in families with a manic-depressive parent. American Journal of Psychiatry, 141(2), 230–235.

    Google Scholar 

  • Davies, P., & Windle, M. (1997). Gender-specific pathways between maternal depressive symptoms, family discord, & adolescent adjustment. Developmental Psychology, 33(4), 657–668.

    Google Scholar 

  • DeChillo, N., Matorin, S., & Hallahan, C. (1987). Children of psychiatric patients: Rarely seen or heard. Health and Social Work, 12(4), 296–302.

    Google Scholar 

  • Dishion, T., Capaldi, D., & Yoeger, K. (1999). Middle childhood antecedents to progressions in male adolescent substance use: An ecological analysis of risk and protection. Journal of Adolescent Research, 14(2), 175–205.

    Google Scholar 

  • Downey, G., & Coyne, J.C. (1990). Children of depressed parents—An integrative review. Psychological Bulletin, 108(1), 50–76.

    Google Scholar 

  • Durlak, J. (1998a). Common risk and protective factors in successful prevention programs. American Journal of Orthopsychiatry, 68, 512–520.

    Google Scholar 

  • Durlak, J. (1998b). Primary prevention mental health programs for children and adolescents are effective. Journal of Mental Health, 7, 463–469.

    Google Scholar 

  • Durlak, J., & Wells, A. (1997). Primary prevention mental health programs for children and adolescents: A meta-analytic review. American Journal of Community Psychology, 25, 115–152.

    Google Scholar 

  • Dworkin, R.H., Bernstein, G., Kaplansky, L.M., Lipsitz, J.D., Rinaldi, A., Slater, S.L., Cornblatt, B.A., & Erlenmeyer-Kimling, L. (1991). Social competence and positive and negative symptoms: A longitudinal study of children and adolescents at risk for schizophrenia and affective disorder. American Journal of Psychiatry, 148(9), 1182–1188.

    Google Scholar 

  • Ellis, R.A., O'Hara, M., & Sowers, K.M. (2000). Profile-based intervention: Developing gender-sensitive treatment for adolescent substance abusers. Research on Social Work Practice, 10(3), 327–347.

    Google Scholar 

  • Erlenmeyer-Kimling, L., Adamo, U., Rock, D., Roberts, S., Bassett, A., Squires-Wheeler, E., Cornblatt, B., Endicott, J., Pape, S., & Gottesman, I. (1997). The New York High-Risk Project: Prevalence and comorbidity of Axis I disorders in offspring of schizophrenic parents at 25 year follow-up. Archives of General Psychiatry, 54(12), 1096–1102.

    Google Scholar 

  • Erlenmeyer-Kimling, L., Squires-Wheeler, E., Adamo, U., Bassett, A., Cornblatt, B., Kestenbaum, C., Rock, D., Roberts, S., & Gottesman, I. (1995). The New York High-Risk Project. Archives of General Psychiatry, 52(10), 857–865.

    Google Scholar 

  • Farrell, M., & Strang, J. (1991). Substance use and misuse in childhood and adolescence. Journal of Child Psychology & Psychiatry & Allied Disciplines, 12, 109–128.

    Google Scholar 

  • Fendrich, M., Warner, V., & Wiessman, M. (1990). Family risk factors, parental depression, and psychopathology in offspring. Developmental Psychology, 26, 40–50.

    Google Scholar 

  • Fergusson, D., & Lynskey, M. (1993). The effects of maternal depression on child conduct disorder and attention deficit behaviours. Social Psychiatry & Psychiatric Epidemiology, 28, 116–123.

    Google Scholar 

  • Field, T., Healy, B., & Leblanc, W.G. (1989). Sharing and synchrony of behavior states and heart-rate in nondepressed versus depressed mother infant interactions. Infant Behavior & Development, 12(3), 357–376.

    Google Scholar 

  • Findlay, S. (1999). Managed behavioral health care in 1999: An industry at a crossroads. Health Affairs, 18(5), 116–124.

    Google Scholar 

  • Finzi, R., & Stange, D. (1997). Short term group intervention as a means of improving the adjustment of children of mentally ill parents. Social Work with Groups 20(4), 69–80.

    Google Scholar 

  • Fishbein, D. (2000). The science, treatment, and prevention of antisocial behaviors: Application to the criminal justice system. Kingston, NJ: Civic Research Institute.

    Google Scholar 

  • Garber, J., & Little, S. (1999). Predictors of competence among offspring of depressed mothers. Journal of Adolescent Research, 14(1), 44–71.

    Google Scholar 

  • Gelfand, D.M., & Teti, D.M. (1990). The effects of maternal depression on children. Clinical Psychology Review, 10(3), 329–353.

    Google Scholar 

  • Ghodsian, M., Zajicek, E., & Wolkind, S. (1984). A longitudinal-study of maternal depression and child-behavior problems. Journal of Child Psychology and Psychiatry and Allied Disciplines, 25(1), 91–109.

    Google Scholar 

  • Gilvarry, E. (2000). Substance abuse in young people. Journal of Child Psychology & Psychiatry & Allied Disciplines, 41(1), 55–80.

    Google Scholar 

  • Goodman, S.H., & Brumley, H.E. (1990). Schizophrenic and depressed mothers—relational deficits in parenting. Developmental Psychology, 26(1), 31–39.

    Google Scholar 

  • Goodman, S.H., & Johnson, M.S. (1986). Life problems, social supports, and psychological functioning of emotionally-disturbed and well low-income women. Journal of Community Psychology, 14(2), 150–158.

    Google Scholar 

  • Gordon, D., Burge, D., Hammen, C., Adrian, C., Jaenicke, C., & Hiroto, D. (1989). Observations of interactions of depressed women with their children. American Journal of Psychiatry, 146(1), 50–55.

    Google Scholar 

  • Hamilton, E., Hammen, C., Minasian, G., & Jones, M. (1993). Communication styles of children of mothers with affective disorders, chronic medical illness, & normal controls: A contextual perspective. Journal of Abnormal Child Psychology, 21(1), 51–63.

    Google Scholar 

  • Hatfield, A. (1996). Out of the ashes of mental illness. A new life. In B. Abosh, & A. Collins (Eds.), Mental illness in the family (pp. 58–66). Toronto: Univ. of Toronto Press.

    Google Scholar 

  • Hawkins, J., Catalano, R., & Miller, J. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112(1), 64–105.

    Google Scholar 

  • Hazelden Foundation. (1996). Roots and wings: Raising resilient children. Center City, MN: Hazelden Foundation.

    Google Scholar 

  • Inoff-Germain, G., Nottelmann, E.D., & Radke-Yarrow, M. (1997). Relation of parental affective illness to family, dyadic, and individual functioning: An observational study of family interaction. American Journal of Orthopsychiatry, 67(3), 433–448.

    Google Scholar 

  • Jacobsen, T., Miller, L.J., & Kirkwood, K.P. (1997). Assessing parenting competency in individuals with severe mental illness: A comprehensive service. Journal of Mental Health Administration, 24(2), 189–199.

    Google Scholar 

  • Jones, P.B., Rantakallio, P., Hartikainen, A.L., Isohanni, M., & Sipila, P. (1998). Schizophrenia as a long-term outcome of pregnancy, delivery, and perinatal complications: A 28-Year follow-up of the 1966 North Finland general population birth cohort. American Journal of Psychiatry, 155(3), 355–364.

    Google Scholar 

  • Keitner, G.I., & Miller, I.W. (1990). Family functioning and major depression—An overview. American Journal of Psychiatry, 147(9), 1128–1137.

    Google Scholar 

  • Keller, M., Lavori, P., Beardslee, W., Wunder, J., Drs, D., & Hasin, D. (1992). Clinical course and outcome of substance abuse disorders in adolescents. Journal of Substance Abuse Treatment, 9, 9–14.

    Google Scholar 

  • Kessler, R.C., Nelson, C.B., McGonagle, K.A., Edlund, M.J., Frank, R.G., & Leaf, P.J. (1996). The epidemiology of co-occurring addictive and mental disorders in the National Comorbidity Survey: Implications for prevention and service utilization. American Journal of Orthopsychiatry, 66, 17–31.

    Google Scholar 

  • Klehr, K. B., Cohler, B.J., & Musick, J.S. (1983). Character and behavior in the mentally ill and well mother. Infant Mental Health Journal, 4(3), 250–270.

    Google Scholar 

  • Kochanska, G., Kuczynski, L., Radke-Yarrow, M., & Welsh, J. (1987). Resolutions of control episodes between well and affectively ill mothers and their young children. Journal of Abnormal Child Psychology, 15, 441–456.

    Google Scholar 

  • Lancaster, S. (1999). Being there: How parental mental illness can affect children. In V. Cowling (Ed.), Children of parents with mental illness (pp. 14–34). Melbourne: The Australian Council for Educational Research, Ltd.

    Google Scholar 

  • Landerman, R., George, L., & Blazer, D. (1991). Adult vulnerability for psychiatric disorders: Interactive effects of negative childhood experiences and recent stress. Journal of Nervous and Mental Disease, 179, 656–663.

    Google Scholar 

  • LaVeist, T., & Wallace, J. (2000). Health risk and inequitable distribution of liquor stores in African American neighborhoods. Social Science & Medicine, 51(4), 613–617.

    Google Scholar 

  • Lillie-Blanton, M., Anthony, J., & Schuster, C. (1993). Probing the meaning of racial/ethnic group comparisons in crack cocaine smoking. Journal of the American Medical Association, 269, 993–997.

    Google Scholar 

  • Link, B.G., Struening, E.L. Rahav, M., & Phelan, J.C. (1997). On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnosis of mental illness and substance abuse. Journal of Health and Social Behavior, 38(2), 177–190.

    Google Scholar 

  • Loeber, R., Farrington, D., Stouthamer-Loeber, M., & Van Kammen, W. (1998). Antisocial behavior and mental health problems: Explanatory factors in childhood and adolescence. Mahwah, NJ: Lawrence Erlbaum Associates, Inc.

    Google Scholar 

  • Luther, S.S., & Suchman, N.E. (2000). Relational psychotherapy mothers' group: A developmentally informed intervention for at-risk mothers. Development and Psychopathology, 12, 235–253.

    Google Scholar 

  • MacLean, M., Paradise, M., & Cauce, A. (1999). Substance use and psychological adjustment in homeless adolescents: A test of three models. American Journal of Community Psychology, 27(3), 405–427.

    Google Scholar 

  • MacRae, D. (1996). Loss of parents through mental illness: The recovery of a six-year-old boy. In B. Abosh, & A. Collins (Eds.), Mental illness in the family (pp. 139–153). Toronto: Univ. of Toronto Press.

    Google Scholar 

  • Malaspina, D., Harlap, S., Fennig, S., Heiman, D., Nahon, D., Feldman, D., & Susser, E.S. (2001). Advancing paternal age and the risk of schizophrenia. Archives of General Psychiatry, 58, 361–367.

    Google Scholar 

  • Marsh, D., & Dickens, R. (1997). Troubled journey: Coming to terms with the mental illness of a sibling or parent. New York, NY: Jeremy P. Tarcher, Inc./Penguin Putman, Inc.

    Google Scholar 

  • McEvoy, J.P., Hatcher, A., Appelbaum, P.S., & Abernethy, V. (1983). Chronic-schizophrenic womens' attitudes toward sex, pregnancy, birth-control, and child-rearing. Hospital and Community Psychiatry, 34(6), 536–539.

    Google Scholar 

  • Merikangas, K., Dierker, L., & Szatmari, P. (1998). Psychopathology among offspring of parents with substance abuse and/or anxiety disorders: A high-risk study. Journal of Child Psychology & Psychiatry & Allied Disciplines 39(5), 711–720.

    Google Scholar 

  • Miles, D., Stallings, M., Young, S., Hewitt, J., Crowley, T., & Fulker, D. (1998). A family history and direct interview study of the familial aggregation of substance abuse: The adolescent substance abuse study. Drug and Alcohol Dependence, 49, 105–114.

    Google Scholar 

  • Moss, H., Mezzich, A., Yao, J., Gavaler, J., & Martin, C. (1995). Aggressivity among sons of substance-abusing fathers: Association with psychiatric disorder in the father and son, paternal personality, pubertal development, and socioeconomic status. American Journal of Drug & Alcohol Abuse, 21, 195–208.

    Google Scholar 

  • Mowbray, C.T., MacFarlane, P., Callahan, J., Bybee, D., & Oyserman, D. (2000a). Diagnostic differences among women with long-term, serious mental illness. Ann Arbor, Michigan: University of Michigan. Unpublished Manuscript.

    Google Scholar 

  • Mowbray, C.T., & Oyserman, D. (in press). Promoting the healthy development of school age children and adolescents of parents with mental illness. Encyclopedia of Prevention.

  • Mowbray, C.T., Oyserman, D., MacFarlane, P., & Bybee, D., & Rueda-Riedle, A. (2001). Life circumstances of mothers with serious mental illness. Psychiatric Rehabilitation Journal, 25(2), 114–123.

    Google Scholar 

  • Mowbray, C.T., Oyserman, D., & Ross, S. (1995). Parenting and the significance of children for women with a serious mental illness. Journal of Mental Health Administration, 22(2), 189–200.

    Google Scholar 

  • Mowbray, C.T., Schwartz, S., Bybee, D., Spang, J., Rueda-Riedle, A., & Oyserman, D. (2000b). Mothers with a mental illness: Stressors and resources for parenting and living. Families in Society, 81(2), 118–129.

    Google Scholar 

  • Neff, J. (1994). Adult children of alcoholic or mentally ill parents: Alcohol consumption and psychological distress in a tri-ethnic community sample. Addictive Behaviors, 19, 185–197.

    Google Scholar 

  • Orvaschel, H., Walshallis, G., & Ye, W. J. (1988). Psychopathology in children of parents with recurrent depression. Journal of Abnormal Child Psychology, 16(1), 17–28.

    Google Scholar 

  • Ott, P., Tarter, R., & Ammerman, R. (1999). Sourcebook on substance abuse: etiology, epidemiology, assessment, and treatment. Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Oyserman, D., Benbenishty, R., & Ben Rabi, D. (1992). Characteristics of children and their families at entry into foster care. Psychiatry and Human Development, 22, 199–211.

    Google Scholar 

  • Oyserman, D., Bybee, D., Mowbray, C.T., & Kahng, S. (2001). Maternal mental illness and parenting self-construals: Behavioral correlates and possible antecedents of parenting efficacy. Ann Arbor, MI: University of Michigan. Unpublished Manuscript.

    Google Scholar 

  • Oyserman, D., Bybee, D., Mowbray, C.T.,& MacFarlane, P. (2002). Positive parenting among mothers with a serious mental illness. Journal of Marriage and the Family, 64, 65–77.

    Google Scholar 

  • Oyserman, D., Mowbray, C.T., Allen-Meares, P., & Firminger, K. (2000). Parenting among mothers with a mental illness. American Journal of Orthopsychiatry, 70(3), 296–315.

    Google Scholar 

  • Oyserman, D., Mowbray, C.T., & Zemencuk, J.K. (1994). Resources and supports for mothers with severe mental illness. Health & Social Work, 19(2), 132–142.

    Google Scholar 

  • Price, A., & Emshoff, J. (1997). Breaking the cycle of addiction: Prevention and intervention with children of alcoholics. Alcohol Health & Research World, 21(3), 241–246.

    Google Scholar 

  • Radke-Yarrow, M., Cummings, E. M., Kuczynski, L., & Chapman, M. (1985). Patterns of attachment in 2-year-olds and 3-year-olds in normal families and families with parental depression. Child Development, 56(4), 884–893.

    Google Scholar 

  • Ragin, A., Rasinski, K.A., Cerbone, F.G., & Johnson, R.A. (1999). The relationship between mental health and substance abuse among adolescents. Rockville, MD: USDHHS, Substance Abuse and Mental Health Services Administration, Office of Applied Studies.

    Google Scholar 

  • Regier, D.A., Farmer, M.E., Rae, D.S., Locke, B.Z., Keith, S.J., Judd, L.L., & Goodwin, F.K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association, 264, 2511–2518.

    Google Scholar 

  • Rudolph, B., Larson, G. L., Sweeny, S., Hough, E. E., & Arorian, K. (1990). Hospitalized pregnant psychotic women—Characteristics and treatment issues. Hospital and Community Psychiatry, 41(2), 159–163.

    Google Scholar 

  • Rutter, M., & Quinton, D. (1984). Parental psychiatric disorder: Effects on children. Psychological Medicine, 14(4), 853–880.

    Google Scholar 

  • Rutter, M., Silberg, J., O'Connor, T., & Siminoff, E. (1999). Genetics and child psychiatry: II. Empirical research findings. Journal of Child Psychology & Psychiatry & Allied Disciplines, 40(1), 19–55.

    Google Scholar 

  • Saugstad, L. F. (1989). Social-class, marriage, and fertility in schizophrenia. Schizophrenia Bulletin, 15(1), 9–43.

    Google Scholar 

  • Schwartz, C., Dorer, D., Beardslee, W., Lavori, P., & Keller, M. (1990). Maternal expressed emotion and parental affective disorder: Risk for childhood depressive disorder, substance abuse, or conduct disorder. Journal of Psychiatric Research, 24, 231–50.

    Google Scholar 

  • Secunda, V. (1997). When madness comes home. New York: Hyperion.

    Google Scholar 

  • Shedler, J., & Block, J. (1990). Adolescent drug use and psychological health: A longitudinal inquiry. American Psychologist, 46, 612–630.

    Google Scholar 

  • Su, S., Hoffmann, J., Gerstein, D., & Johnson, R. (1997). The effect of home environment on adolescent substance use and depressive symptoms. Journal of Drug Issues 27(4), 851–877.

    Google Scholar 

  • Tarter, R., & Vanyukov, M. (2000). Alcoholism—A developmental disorder. In D. Fishbein (Ed.), The science, treatment, and prevention of antisocial behaviors: Application to the criminal justice system. Kingston, NJ: Civic Research Institute.

    Google Scholar 

  • Test, M. A., Burke, S. S., & Wallisch, L. S. (1990). Gender differences of young adults with schizophrenic disorders in community care. Schizophrenia Bulletin, 16(2), 331–344.

    Google Scholar 

  • Toner, B.B., Gillies, L.A., Prendergast, P., Cote, F.H., & Browne, C. (1992). Substance use disorders in a sample of Canadian patients with chronic mental illness. Hospital and Community Psychiatry, 43, 251–254.

    Google Scholar 

  • Wallace, J. M., Jr. (1999). Race, risk and resilience: The social ecology of addiction in America's black and hispanic communities. Pediatrics, 103(5), 1122–1127.

    Google Scholar 

  • Wang, A., & Goldschmidt, V. (1996). Interviews with psychiatric inpatients about professional intervention with regard to their children. Acta Psychiatrica Scandinavica, 93(1), 57–61.

    Google Scholar 

  • Weinberg, N., Rahdert, E., Colliver, J., & Glantz, M. (1998). Adolescent substance abuse: A review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 252–261.

    Google Scholar 

  • Weissman, M. M., Warner, V., Wickramaratne, P., Moreau, D., & Olfson, M. (1997). Offspring of depressed parents-10 years later. Archives of General Psychiatry, 54(10), 932–940.

    Google Scholar 

  • Werrbach, G. B.,& DePoy, E. (1993). Working with persons with serious mental illness: Implication for social work recruitment and retention. Community Mental Health Journal, 29(4), 305–319.

    Google Scholar 

  • Williams, O. B., & Corrigan, P. W. (1992). The differential effects of parental alcoholism and mental illness on their adult children. Journal of Clinical Psychology, 48(3), 406–414.

    Google Scholar 

  • Windle, M. (1996). An alcohol involvement typology for adolescents: Convergent validity and longitudinal stability. Journal of Studies on Alcohol, 57, 627–637.

    Google Scholar 

  • Zahn-Waxler, C., Cummings, E., McKnew, D., & Radke-Yarrow, M. (1984). Altruism, aggression, and social interactions in young children with a manic-depressive parent. Child Development, 55(1), 112–122.

    Google Scholar 

  • Zemencuk, J., Rogosch, F. A., & Mowbray, C. T. (1995). The seriously mentally ill woman in the role of parent: Characteristics, parenting sensitivity, and needs. Psychosocial Rehabilitation Journal, 18(3), 77–92.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mowbray, C.T., Oyserman, D. Substance Abuse in Children of Parents with Mental Illness: Risks, Resiliency, and Best Prevention Practices. The Journal of Primary Prevention 23, 451–482 (2003). https://doi.org/10.1023/A:1022224527466

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1022224527466

Navigation