For centuries we have known the impact of alcoholism and drug addiction on children and families. Today parental substance abuse commonly involves alcohol and other drugs, as well as mental health problems, poverty, and violence. Addiction often runs in families, from generation to generation, the adult addict being the child or grandchild of an alcoholic or addict and likely to not have experienced nurturing or a healthy family. We are all well aware that addiction affects every member of the family. Children of alcoholics are more likely than other children to develop addiction due to environmental and genetic factors (NACOA, n.d.), and having parents active in their addiction during a child’s development can have long-term impact. Although children may be predisposed by their family environment and genetics, they are not predestined to become alcoholics or addicts. Prevention strategies can make a difference.