Children of Alcoholics (COA): Victims of Abuse Due to Parental Addiction- A Meta Narrative Review

Abstract Background: Children of alcoholic (COA) suffer from many adversities as a result of parental long-term substance use that contributes to multiple forms of abuse and neglect. However, studies conducted on COAs’ psychological and developmental needs show them to be more prone to these issues than most children. Still, literature regarding the experiences of the COAs and the kind of support they have are scarce. Methodology: This is a qualitative research study, with secondary data analysis and the use of case studies to learn about the experiences of COAs. In this case, we seek to understand the nature of abuse against COAs, gender disparity in the severity of victimization, and awareness of self-help groups like Al-Teen. Results: Findings point out that COAs suffer from neglect, emotional maltreatment, and physical injury, and these are generally worse in cases of substance use in the family. Gender differences highlight that boys tend to be more directly affected by parents’ substance use than girls. In addition, a significant proportion of COAs themselves engage in substance use, which only worsens their situation. Knowledge of interventions such as Al-Teen is usually low among COAs, thus representing a gap in the support network. Conclusions: COA parents are at high risk for mental health problems and eventual substance use disorders. Good interventions must be responsive to gender differences and encourage seeking support. Community outreach and professional collaboration are necessary steps for improving the accessibility and effectiveness of self-help programs among COAs, disrupting cycles of addiction and trauma.