Resilience among youth growing up in substance-abusing families

Pediatr Clin North Am. 1995 Apr;42(2):415-29. doi: 10.1016/s0031-3955(16)38955-6.


This article presents the Challenge Model, a new clinical paradigm for evaluating the children of alcoholics and other substance-abusing parents. Unlike traditional risk paradigms, the Challenge Model incorporates both the resilience and the vulnerabilities that can result from struggling with hardship early in life. A developmental vocabulary of strengths is provided for pediatricians to use in research, clinical thinking, and treatment and prevention efforts with COAs.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Alcoholism*
  • Child of Impaired Parents / psychology*
  • Family / psychology
  • Humans
  • Male
  • Models, Psychological
  • Pediatrics
  • Physician's Role
  • Risk Factors
  • Substance-Related Disorders*