One out of every four children in Massachusetts is directly impacted by alcohol and/or substance use disorder in their family. The impact of this on their lives is profound and puts them at greater risk for a variety of health issues according to the ACE (Adverse Childhood Experiences) Study.

As the Massachusetts affiliate of the National Association for Children of Addiction (NACoA), COASA utilizes the ACE Study and NACoA materials in ongoing groups in schools, community centers, parishes, and other venues. The outcome of the supportive education provided is empowerment for the children served, an outcome that includes dissipating shame, addressing attachment disorders, and improving social and mental health. In addition to Camp COASA and its monthly follow-up sessions, COASA holds an annual Children of Addictions week celebration through the Boston Mayor's Office to shine a spotlight on this issue, offers support and direction during the holidays, and provides crisis management and groups for parents and other caregivers.