This article reviews current research on the long-term outcomes of children exposed to alcohol, cocaine, heroin, marijuana, and multiple drugs in utero. Differential intervention efforts based primarily on knowledge of a child's intrauterine exposure to drugs were unsupported by available evidence. The use of an ecological model for assessment and…

The main outcomes of the Prague (Czechoslovakia) longitudinal studies following over 1,000 children for almost 30 years are summarized. The children were either born from unwanted pregnancies, with alcoholic fathers, born out-of-wedlock, or in divorced families. A theory of psychological subdeprivation is offered and applied to children with…

Provides information on alcoholism and codependency to help teachers identify and respond to children of alcoholics (COAs). Discusses characteristics of alcoholic homes and problems encountered by children and adult COAs. Examines survival "masks" of COAs, including hero, rebel, adjustor, clown, and caretaker. Lists organizational,…

Reports on a study of 15 doctoral students who were alcoholics' daughters. It examined family origin and elementary-secondary schooling, plus data from the Children of Alcoholics Screening Test. Findings indicated that children survived by hiding their parents' problem, masquerading as normal, and actively working to avoid being discovered. (SM)

Tested a multidimensional model of adolescent drug involvement on samples of high school students. Focused on five first-order dimensions: drug access, alcohol use, other drug use, drug control problems, and adverse drug use consequences. Results contributed to understanding differences and change in drug involvement among high-risk versus…

We received 38 controlled studies of marital and family therapy (MFT) in alcoholism treatment. We conclude that, when the alcoholic is unwilling to seek help, MFT is effective in helping the family cope better and motivating alcoholics to enter treatment. Specifically, (a) Al-Anon facilitation and referral help family members cope better; (b)…

This report addresses the high incidence of fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE) among Native Americans and suggests that there is a lack of comprehensive effort to provide outreach services to the Native American population in Illinois. The report begins with an overview of American Indian history and the migration of…

Homeless people with alcohol and other drug problems present the traditional substance abuse services delivery provider with special challenges. This paper discusses the optimal designs of comprehensive treatment services for homeless persons with alcohol and other drug problems. Most importantly, the homeless must have immediate access to a safe…

This book tells the story of children and families whose lives are affected by alcohol. It also provides a guide to school personnel who are interested in developing programs for children of alcoholics (COAs). The program described herein, ESCAPE (Enhancing Social Competence and Personal Efficacy), was designed to be integrated into existing…

The drug problem among blacks in the United States is analyzed, focusing on low-income communities and the involvement of children. Interviews with more than 30 community-based black professionals in Washington (District of Columbia), Cleveland (Ohio), and San Francisco (California), whose jobs place them in daily contact with the drug problem,…

The bibliography is divided into sections according to the source of the materials. The first category lists resources available for review at Maine's Office of Homeless Education. These resources, which are listed by format, consist of 31 articles and reports; 1 audiocassette; 1 curriculum guide; 4 periodicals; and 3 videos. The focus of most of…

This report focuses on the dramatic increase in and intensity of binge drinking (consuming more than five drinks in one sitting) on American college and university campuses--now considered the number one substance abuse problem in American college life. Anecdotal evidence indicates that many students drink more, more frequently, and with the…

This longitudinal, prospective study used case material from 232 families in its analysis of effects of family environments on criminal behavior. Men who had participated in a crime prevention program were studied 40 years after their families had first been visited by counselors. The men's convictions for serious crimes provided a measure of the…

These 13 case descriptions of adult education programs in the United States are part of a set that reflects a cooperative effort by adult educators to increase international understanding of various educational programs for adults in their societal context. A face sheet for each program provides this information: name, organization, and address of…

Alcohol and drug abuse have serious physical, psychological, and social consequences, and employees who abuse alcohol and/or drugs ultimately reduce their companies' profits. Employee substance abuse leads to reduced productivity as well as to increased absenteeism, health care and health insurance costs, and liability claims against employers of…