“…The relationship between childhood abuse and adulthood substance misuse is widely documented (Brems & Namyniuk, 2002; Liebschutz et al, 2002; Widom & Hiller-Sturmhofel, 2001). Adult victims of childhood abuse have a proclivity to use drugs and alcohol (Brems, Johnson, & Neal, 2004), experience heightened psychiatric symptomatology (Bulik, Prescott, & Kendler., 2001; Kendler et al, 2000; Knisely, Barker, Ingersoll, & Dawson, 2000); present with diagnosable psychopathology (Brems & Namyniuk, 2002; Brown, Henggeler, Brondino, & Pickrel, 1999; Browne & Finkelhor, 1986; Polusny & Follette, 1995; Scher & Twaite, 1999), engage in increased criminal activity, and present behavior problems that require specialized treatment (Easton, Swan, & Sinha, 2000; Westermeyer, Wahmanholm, & Thuras, 2001). Brems, et al (2004) have recommended identifying caregivers with histories of childhood abuse early as a first step to treatment interventions.…”