Children of parents who abuse substances have become a concern of child protection agencies, family support services, family preservation services and increasingly of drug and alcohol treatment agencies. In the context of a formative evaluation of a specialised intensive family support service designed to address the needs of families at this interface, a literature review has been undertaken. From that review, themes relating to women as substance abusers, the children of substance abusers, and services to enhance parenting in these situations are reported. Implications for intensive home-based practice are identified.