“…Substance abusing mothers are more likely than nonsubstance abusing mothers to have been referred previously to child protective service agencies, to be rated by court investigators as presenting a high risk to their children, to reject court-ordered services, and to have their children permanently removed (Bays, 1990(Bays, , 1992Behling, 1979;Black & Mayer, 1980;Deren, 1986;Famularo, Kinscherff, & Fenton, 1992;Gabel & Shindledecker, 1993;Kelleher, Chaffin, Hollenberg, & Fischer, 1994;Murphy, Jellinek, Quinn, Smith, Poitrast, & Goshko, 1991). In addition to substance abuse, families of children removed from parental custody due to abuse/neglect often experience high levels of violence and stress (Famularo et al, 1992).…”