VSU

Supporting parents and families

Volatile substance use (VSU) affects not only the person who uses but also parents/carers, families and significant others. Often parents/carers and close family members live in the same house as the person using and are exposed to negative behaviours related to VSU such as lying, moodiness, aggression, psychosis, criminal activity or antisocial behaviours. Parents and families may also be concerned for the person's general health and well-being.

Parents/carers and other family members may feel a range of emotions about their child’s or other family member’s VSU including feelings of guilt, fear, anger and powerlessness. Feelings of stigma and shame can make it difficult for parents and families to reach out for help.

Effective counselling interventions

Effective counselling interventions to support parents should include:

  • education for parents/families about strategies to help them cope 
  • information for parents/families about VSU
  • encouraging parents/families to take care of themselves, rather than focusing only on the family member using volatile substances
  • encouraging parents/families to engage with other forms of support such as support groups.

Working with parents/carers

Parents/carers often blame themselves for the substance use and feel they have failed in their role. These feelings can result in parents/carers losing confidence which may result in a reluctance to seek help early - instead waiting until the problem has escalated to a point of crisis or until they feel unable to cope.

Parents/carers may experience a range of emotions such as sadness, worry, fear, grief for the loss of the relationship with their child, and isolation due to stigma and shame. They may also feel a sense of powerlessness; have a pre-occupation with why their child uses; develop a narrow focus on the problem; and may develop over-protective behaviours towards their child. They may also fail to recognise their own needs due to an overwhelming sense of exhaustion and concern. These emotions and behaviours are considered normal reactions to a very stressful situation.

mum talking to daughter

Some key areas that are important to address with parents/carers include:

  • reducing feelings of anxiety and isolation
  • providing information about VSU
  • strengthening the parent/caring role and their confidence
  • communication skills
  • conflict resolution skills
  • effective negotiation of boundaries.

For more information, see A counsellor's guide to working with alcohol and drug users (4th Edition)

Although not the purpose of intervention, working with the parents/carers may also provide an avenue for the person using volatile substances to seek assistance.

It is important to keep in mind that parents/carers often seek help believing their child is the client. Some parents/carers will act as an advocate for the child, searching for treatment services, and focusing only on their child and their substance use. Parents/carers will often request assistance with helping their child abstain from drugs.

It is important for the counsellor to view the parent/carer as the client and shift the focus from the child on to the parent/carer. Self-care should be a major focus where parents/carers are encouraged to consider their own needs as well as their child’s.

Working with parents/carers as part of an individual client's treatment

Working with parents/carers and other family members as of part an individual client’s treatment is considered family-sensitive practice. Family involvement in treatment results in better outcomes and increases the probability the person using will access help and support.

Having a supportive family relationship can contribute to an improved outcome for the person using volatile substances. Research has shown that involving family in treatment can more effectively motivate the person using to enter and stay in treatment.

Where appropriate, include parents/carers and other family members in VSU interventions relating to young people. Parents/carers should be seen as part of the solution.

It is important to receive consent from your client before inviting parents/carers and other family members to participate in treatment. When working with parents/carers, it is also important to ensure clear policies and procedures are in place that deal with the confidentiality of everyone involved.

The following may be areas to discuss with parents/carers and significant others:

  • reducing stress and anxiety
  • recognising and drawing on internal resources to deal with and resolve issues
  • conflict resolution skills
  • communication skills
  • developing coping strategies to minimise the negative impact of substance use
  • developing interactions that encourage and promote positive change.

Parents/carers involved in treatment can also benefit from professional support. Being involved in the process may then encourage parents/carers to access support of their own, through the opportunity to provide parents/carers with referral information for counselling and/or peer support groups.

Information for parents/carers

Many parents/carers have limited knowledge about VSU. Therefore, the provision of information about volatile substances and other relevant information that addresses parents’/carers' concerns is helpful.

Information needs to be balanced and accurate. Simple, basic facts are more effective than complex, detailed information that may overwhelm and panic some parents/carers. It should also include information about reducing harms that some parents/carers may choose to share with their young person. However, some parents/carers may be challenged by the concept of harm reduction and this needs to be acknowledged and respected.

See the Resources page of this website for the following resources available for parents/carers and families:

dad and son walking and talking

Some important harm reduction information to cover with parents/carers may include:

  • the health effects of volatile substances
  • basic first aid for an intoxicated person (e.g. assessing danger to the person and others, letting the person rest in a quiet safe place with fresh air, making sure the person can breathe, when to call emergency services)
  • how to monitor an intoxicated person during and after recovery (e.g. managing symptoms, what to look for, making sure the person eats and drinks, when to call emergency services)
  • who to contact if the situation is dangerous (i.e. the people in community who are responsible for safety such as police and other authorised people)
  • services that can help the person recover (e.g. counselling services, residential rehabilitation facilities, youth and activity programs).

(National Health and Medical Research Council, 2011).

Contacts and support

Information about the Parent and Family Drug Support Line (PFDSL) should be made available to all parents/carers and families. PFDSL provides a free 24-hour, confidential telephone counselling, information and support service for parents and families concerned about alcohol and other drug use. Callers can speak with a professional counsellor, and/or a parent peer volunteer who has experience living with a child with alcohol or other drug issues.

PFDSL also provides free support groups and programs for anyone affected by someone else’s alcohol and or drug use. They are facilitated by parents and/or family members with a lived experience, trained to facilitate and guide participants in a way that ensures everyone feels heard, respected and empowered, offering hope and understanding.

Parents/carers can also be a driving force behind community action and structural change. Where appropriate, provide parents/carers with information about local organisations that engage with and empower families to respond to identified alcohol and other drug issues within their community, for example, Holyoake's AOD Community Prevention Service.

Page last updated13 August 2025