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The Fact is...
Tends to Run in Families
What's important about Children of Alcoholics?
Children of alcoholics (COAs):
- are at high risk for alcohol and other drug problems
- often live with pervasive tension and stress
- have higher levels of anxiety and depression
- do poorly in school
- experience problems with coping
The good news is that they can be helped to bounce back from the
effects of their families' problems.
When family members (parents, grandparents, aunts/uncles), guardians,
or other adults in charge of children are alcoholics, there is strong
evidence that children in these families are more likely to develop the
disease of alcoholism as well. The fact is, alcoholism tends to run in
What causes COAs to have increased risk?
Children of alcoholics may or may not be raised by alcoholics.
Either way, every COA is at risk for alcoholism or alcoholism-related
- Children living with alcoholics
Children who live with alcoholics are at increased risk because of
genetic and/or environmental factors. They may be at more risk for
alcoholism just as children of diabetics are at higher risk for
diabetes. Children living with alcoholics often develop unhealthy
living patterns. They may not learn how to trust themselves or others,
how to handle uncomfortable feelings, or how to build positive
relationships. COAs who lack these skills are also at higher risk for
school failure, depression, increased anxiety, as well as trouble with
alcohol and other drugs.
- Adopted and foster children
Even COAs adopted by non-alcoholics (or do not live with their
alcoholic parents for other reasons), may have a genetic predisposition
to alcoholism, just as children born to parents with a history of heart
disease are more at risk for heart disease.
Alcoholism can skip a generation. Some COAs never drink, but may
pass on a genetic vulnerability and/or unhealthy living pattern to their
COAs do not have to develop problems -- You can help!
Genes can't be replaced. But unhealthy living patterns can be
countered by the consistent caring of others. COAs can learn to trust,
handle their feelings in healthy ways, and build positive, nurturing
relationships. Anyone can help COAs understand their risks and learn
better social and coping skills.
How many COAs are there? How many become alcoholics?
There were an estimated 28.6 million COAs in the U.S. in 1991, nearly
7 million of them under age 18. Of the under-18 group, almost 3 million
will develop alcoholism, other drug problems, and/or other serious
coping problems. About half of COAs marry alcoholics and are likely to
recreate the same kinds of highly stressful and unhealthy families in
which they grew up.
What about the other COAs?
Based on stories from adult COAs in professional treatment and self-
help programs, it appears all children are affected by family
alcoholism. But, going back to the good news, many of them make
positive adjustments to their families' alcoholism. Even COAs in high-
risk environments with other chronic sources of stress -- including
poverty, racism, disrupted marriages, serious emotional problems, and
histories of abuse and neglect -- are often able to overcome these
painful beginnings and create healthy, fulfilling lives for
How can COAs be helped to "bounce back?"
This is where the good news is really exciting:
The child in an alcoholic home may be helped whether the alcoholic
stops drinking or not! It is not necessary to do anything to change the
adult's drinking behavior. And helping a COA does not require special
training or skills.
Simple acts of kindness and compassion can make a big difference in
the lives of COAs. Just by "being there," to lend an ear,
share normal interests and activities, talk about feelings, accept their
mistakes, and support and encourage their friend-making efforts, YOU
will be helping.
What else helps COAs?
Tell them that they did not cause alcoholism and cannot cure or
control it. But they can learn to cope with it. Make clear that
children are not responsible for solving grown-up problems.
Understand that COAs often build up defenses against the pain, shame,
guilt, or loneliness they may feel. They may show off, act tough, keep
secrets, or hide. You may help by just accepting them for who they are.
Encouraging them to share their thoughts and feelings will help them
learn to trust others and accept and adjust to their lives.
Get them involved in something about which they feel good. It can be
something small like taking care of a pet; or a hobby such as collecting
rocks, or stamps, or comic books; or a sport. Go slow, don't push, but
Do something with them on a regular basis, even if it's only twice a
year, such as on the 4th of July or Martin Luther King's birthday.
Providing some consistency and showing that adults can be counted on are
important assurances for young people who may have experienced many
broken promises and unpredictable parental behavior.
Gently help them get positive attention from others. Let them know
they are wonderful, special, and cared about just because they are who
they are. Again, go slowly, but tell them often.
Help them see life as really living even though there are times and
situations that may be very painful. Help them see beyond their present
circumstances. Help them feel connected to nature, art, and history; to
heritage, culture, religion; to their community. Help them build a
larger picture of their lives and their world than their families'
Help them understand that it is okay to ask for help. Assure them
that getting help is a sign of strength. Offer some examples from your
own life so they'll know how it's done and that it really is okay.
More things to DO:
Follow through if a child asks for help, because it probably required
a lot of courage for her/him to do so. Know the local number for
Alateen and other sources of help you can offer as needed. Let them
know they aren't alone; there are approximately 7 million COAs under the
age of 18. Collect information about alcoholism to discuss with the
child when it's comfortable for both of you to do so. Be aware and
respectful of cultural differences, such as family structure, customs,
values, and beliefs. Be aware that some COAs may have been mistreated
and may be threatened by displays of affection, especially physical
contact. Help them make discoveries, positive connections; instill
enthusiasm for life and all its many possibilities.
AND, when talking with anyone under 21 about alcohol and other drugs,
urge them to "Be Smart! Don't Start!"--
COA Intervention/Treatment Referrals:
National Association for Children of Alcoholics (NACoA)
11426 Rockville Pike, Suite 100
Rockville, MD 20852
National Association for Native American Children of Alcoholics
611 12th Avenue South, Suite 200
Seattle, WA 98144
National Black Alcoholism Council (NBAC)
1629 K Street NW, Suite 802
Washington, DC 20006
National Council on Alcoholism and Drug Dependence (NCADD)
12 West 21st Street, 7th Floor
New York, NY 10017
Self-help groups for COAs:Al-Anon/Alateen Family Groups
P.O. Box 862, Midtown Station
New York, NY 10018-0862
(800) 344-2666 (U.S.)
(800) 433-4525 (Canada)
Adult Children of Alcoholics (ACA/ACoA)
P.O. Box 3216
Torrance, CA 90510
Alcohol/other drug prevention information for volunteers,
professionals, and the general public:Children of Alcoholics Foundation
P.O. Box 4185
Grand Central Station
New York, NY 10163-4185
National Clearinghouse for Alcohol and Drug Information (NCADI)
P.O. Box 2345
Rockville, MD 20847-2345
DHHS Publication No. (ADM) 92-1914
Printed 1992, reprinted 1993 and 1995