Family: Effects Of Substance Abuse On Families

Impact of Substance Abuse on Families

Since family structures are taking on various forms, families have become more complex and evolving from the traditional nuclear family to single parent families, stepfamilies, foster families, and multigenerational families. When a family member abuses substances, the effects on the family may differ depending on the structure. Extended family members may experience feelings of abandonment, anxiety, fear, anger, concern, embarrassment, or guilt; they may wish to ignore or cut ties with the person abusing substances. Effects on families may continue for generations. Neighbors, friends, and coworkers also experience the effects of substance abuse since the person who abuses substances often is unreliable.

The diagnosis of this type of substance use disorder often is difficult because the symptoms of substance abuse can be comparable to the symptoms of other medical and behavioral problems that are found in older adults, such as dementia, diabetes, and depression. Many healthcare providers underestimate the extent of substance abuse problems among older generation, therefore, do not screen older adults. Seniors often live with or are supported by their adult children or other family members because of financial necessity and with their substance abuse it is placing additional financial hardship on supporting families, as well as the psychological damage. If the older adult’s spouse is present, they are likely to be an older adult as well, and may be perplexed by their partners new and disruptive behaviors and may not be able to understand the addiction. Therefore, their spouse may not be in a position to help assist in recovery. Their children may take on a parental, caretaking role. This role reversal can be stressful, painful, and embarrassing. In some cases, grown children may stop providing financial support, physical abuse, and assert emotional control because it is the only influence they have over the parent. Children may cut ties with the parent due to their substance abuse. Cutting ties have only increased the parent’s isolation and may worsen the predicament.

Most treatment programs will work with the family once a client has achieved some level of abstinence. When the client enters treatment, some treatment providers usually refer family members, including children, to a separate treatment program or to self help groups. These educational support groups can provide an age appropriate understanding about addiction as well as opportunities for members to discuss their experiences and learn an assortment of coping skills, few treatment programs provide such groups. School-age children can also be referred to student assistance programs at their schools.