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This factsheet reviews what SUDs are, how parental substance use affects families, and how child welfare professionals can support these families. It also considers how collaboration between child welfare professionals and SUD treatment providers, as well as others, is an essential component to assisting families. Included are an overview of substance use disorders, the scope of the problem, how substance use can affect families, relevant Federal and State laws, how CW staff can support parents and families, collaboration with treatment providers and others and additional resources.