Table 1.

Relationship Qualities, Influences, and Processes That Function as Recovery Enablers or Risks for Relapse.

	Qualities and Influences of Children	Qualities and Influences of Family	Qualities and Influences of 12-Step	Qualities and Influences of Treatment	Network Change Processes
Recovery  enablers	Children are a  mirror	Honesty	Decrease isolation	Creating linkages	Managing  relationships
	Desire for more  contact with  children	Supportive of  treatment	Get recovery information	Providers educate  family members	Reciprocity
	Wanting children to  be integrated into  network	Reciprocity	Honesty/confrontation	New interpersonal  experiences	Managing closeness  and distance
	“Want my kids to  see my life”	Consistence—  “Always been there  for me”	Sponsor is like a mother—  Provides commitment  and direction	Social support	Isolating or  integrating network  members
		Emotional support	Exposure to healthy  people	Universalizing  addiction	Adding new network  members
Relapse  risks	Children have  problems	Lack of knowledge  about addiction	Lack of fellowship	Clients still using	Barriers to network  change
	Setting limits	Lack of support for  treatment/recovery	Potential to be re-  traumatized	Staff who are “not  well”	Contextual barriers
	Managing self and  child’s emotional  states	Family member is  easy to manipulate	Members not really  working the program	Potential to be re-  traumatized	Internal emotional  and self-  experiences
	Consequences of  past substance use  to child	Family members use  substances	Stigma about mental health  issues