No matter what level you serve as a school counselor, your students will be impacted by substance abuse. The National Institute on Drug Abuse (NIDA) estimates that 25 percent of children grow up in households where substance abuse is present. The many harmful effects of being raised in this environment include poor school performance, increased risk of mental health disorders, higher risk of abuse and low self-esteem. Research also shows that children growing up with substance abusing parents are more than twice as likely to develop a substance use disorder by young adulthood (Chassin, Pitts, & DeLucia, 1999; Solis, Shadur, Burns, & Hussong, 2012). School counselors must be equipped to recognize how substance use can impact students, and how to intervene to support student success.