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  Vol. 140 No. 8, August 1986 TABLE OF CONTENTS
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Children of alcoholics

D. I. Macdonald and S. B. Blume

One of every eight American children is the child of a parent who has a past or present drinking problem. Children of alcoholic parents are at great risk. They are significantly more likely to develop addiction problems and a variety of mental health disorders. They live in homes with high levels of stress. Poor communication, permissiveness, undersocialization, neglect, and violence are common and can be truly devastating. Because of the stigma and denial associated with chemical dependency, these children often suffer in silence, unidentified and unassisted.

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Core Competencies for Involvement of Health Care Providers in the Care of Children and Adolescents in Families Affected by Substance Abuse
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Pediatrics 1999;103:1083-1085.
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Screening, Early Identification, and Office-based Intervention With Children and Youth Living in Substance-abusing Families
Werner et al.
Pediatrics 1999;103:1099-1112.
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