How to Answer and Fight Allegations of Drug Abuse in a Custody Case
By Richard Perque, family law attorney and former judge, and Leslie Bonin, family law attorney • October 12, 2026

Key Points:
- A drug allegation in a custody case is really three questions: is it true, is it current, and does it affect the kids. Judges decide each one separately, and your answer should address each one.
- If the allegation is false, the fastest way to kill it is a test. Take one before anyone orders you to. A clean hair test covering the last 90 days does more than any amount of denial.
- If the allegation is true but in the past, don't deny it. Judges reward honesty about a documented history and punish a lie that the records then contradict. Recovery with proof is a strong position. Recovery without proof is just a claim.
- Expect to lose some privacy. Louisiana, Texas, and Massachusetts all have ways to reach your treatment records once your fitness is in issue, and all three routinely order ongoing testing as a condition of parenting time. Plan for it rather than fighting it.
- The judge is looking at trajectory. A parent in sustained recovery with therapy, testing, and a relapse plan can and does get unsupervised time. A parent who refuses to test, minimizes, or gets caught is the one who ends up supervised.
The Three Questions
Every drug allegation in a custody case breaks into three questions, and judges answer them in order.
Is it true? Not "did you ever," but "is there evidence." An ex-spouse's say-so is evidence, but it's weak evidence, and judges know that drug allegations are among the most common weapons in custody litigation. Test results, arrests, treatment records, texts about buying or using, photos, and witness testimony from people other than the accuser are what move the needle.
Is it current? A DUI eight years ago and a positive hair test last month are different cases. Courts care about the present and the foreseeable future, because that's when the child will be in your care. A parent with a documented history and a documented recovery is often in a better position than a parent with no history and a positive test, because the first parent's trajectory is visible and the second's isn't.
Does it affect the kids? Judges distinguish between use and impairment around children. A parent who has a drink after the children are in bed isn't the problem. A parent who drives them while impaired is. The question the court is asking is whether the parent can safely care for the child during that parent's time, and whether the parenting plan needs safeguards until the answer is clearly yes.
Your response should answer all three, in that order, with evidence rather than adjectives.
What Louisiana, Texas, and Massachusetts Can Do
All three states decide custody on the child's best interest, and all three let a judge order testing and restrict parenting time while the question is open.
In Louisiana, the best-interest factors in Civil Code article 134 include each parent's mental and physical health and each parent's capacity to provide for the child's needs, and courts treat active substance abuse as bearing directly on both. R.S. 9:331.1 lets the court, for good cause shown and after a contradictory hearing, order a party to submit to specified drug tests, including hair, urine, tissue, and blood, within a time the court sets. Two provisions in that statute deserve attention. Refusal to submit may be considered by the court, which in practice means a refusal is treated as a positive. And the results are confidential and inadmissible in any other proceeding, so a positive test in family court can't be used against you in a criminal case. The court can also order a mental health evaluation under R.S. 9:331 or a full custody evaluation under R.S. 9:331.3, and it can allocate the cost of testing and evaluation between the parties as it finds equitable.
In Texas, the authority comes from the court's broad power to issue temporary orders for the safety and welfare of the child under Family Code section 105.001 and from the best-interest standard in section 153.002. Texas courts order drug testing constantly, and hair follicle testing is the norm because it covers roughly 90 days. A positive test during a pending case almost always produces supervised possession until the parent produces clean results, and a parent who skips a court-ordered test should expect the judge to assume the worst. Modifying an existing order over drug use requires a material and substantial change under section 156.101, which a new positive test, an arrest, or a relapse will usually satisfy.
In Massachusetts, the best-interest standard in chapter 208, section 31 governs, and Probate and Family Court judges use temporary orders, guardian ad litem investigations, and the court's Family Service Office to assess risk. Testing is ordered routinely, and judges there are familiar with monitoring tools like remote breathalyzers for alcohol. Recreational cannabis is legal in Massachusetts, which changes nothing about whether a parent can be impaired around children, and judges say so.
Across the country, the pattern is the same. The allegation triggers a temporary safeguard, usually supervised or restricted time plus testing, and the parent earns their way out of it with clean results and evidence of stability. Supervised visitation in these cases is a step, not a sentence, if the parent treats it that way.
Your Treatment Records Will Probably Come Out
If you've been in treatment for substance use, you may assume those records are private. They're protected more than most medical records. Under the federal rule at 42 CFR Part 2, records from federally assisted substance use treatment programs can't be released without your consent or a court order that meets specific requirements, including a finding of good cause and a weighing of the public interest against the harm to the patient.
But courts can and do make that finding in custody cases, and state privilege rules often don't protect you at all once your fitness is in issue. Louisiana's Code of Evidence article 510 says there's no health care provider privilege for a communication relating to a patient's health condition when the patient is a party to a custody or visitation proceeding and the condition has a substantial bearing on fitness, and the article defines health condition to include a condition induced by alcohol or drugs. Massachusetts protects psychotherapy communications under chapter 233, section 20B, but subsection (e) lets a judge override the privilege in a custody case when the therapist has evidence bearing significantly on a parent's ability to provide suitable custody and disclosure is more important to the child's welfare than confidentiality. Texas's privilege rules contain a "condition at issue" exception that courts have applied to custody disputes.
So assume your treatment history can be reached, and think about what that means strategically. If you're in recovery, those records are your best evidence: they show diagnosis, treatment, compliance, and progress. The parent who hides a treatment history and gets caught looks dishonest. The parent who produces it looks like someone who took the problem seriously. That's the difference between the two outcomes.
The Parent in Recovery
I'll say this plainly because I saw it so often. A prior history of substance abuse does not disqualify you from custody. A current, untreated one does. What the court wants from a parent with a history is evidence of sustained change: how long you've been sober, what treatment you completed, what you're still doing, who's monitoring you, and what happens if you slip.
The parents in recovery who did well in my courtroom shared a few things. They disclosed the history before the other side raised it. They had paper: discharge summaries, attendance records, letters from a treating counselor, test results they'd volunteered for. They were still doing something, whether that was ongoing therapy, a twelve-step program, medication-assisted treatment, or regular contact with a sponsor. And they didn't argue about testing. They offered it.
The ones who struggled had usually done real work and then stopped documenting it, so that when the allegation came, they had a sincere story and nothing to back it up. In a custody case, a sincere story without evidence is just a claim the other parent disputes.
Dr. Alicia Pellegrin wrote about what addiction is and isn't in Does Addiction Define Your Spouse?, and I'd recommend it to any parent in recovery who's bracing for a custody fight. The clinical picture and the legal picture line up more than people expect.
If the Allegation Is False
Test immediately. Don't wait for a court order, and don't wait for your lawyer to negotiate what kind of test. Go to a reputable lab, get a hair follicle test with an extended panel, and get a urine screen the same day. A clean hair test covers roughly the last 90 days, and it's the single most effective rebuttal that exists. Keep testing on a regular schedule until the case is over. One clean test is a data point; six months of clean tests is a pattern.
Make the other side be specific. A vague allegation ("he uses drugs") is hard to answer. Through discovery, demand the particulars: what substance, when, where, who saw it, what documents exist. Allegations that can't survive that question tend to evaporate, and a judge notices when they do.
Don't counter-accuse without proof. The instinct when accused is to say "well, she drinks." If you have evidence, your lawyer will use it. If you don't, you've just made the case about who's more hostile, and you've given the court a reason to test you both.
Ask for the cost and the consequence. Under R.S. 9:331.1, the court can assign the cost of testing to either party as it finds equitable. If the allegation was baseless and you've paid for months of tests to disprove it, ask that the accuser bear that cost. Louisiana's sanctions rule, Code of Civil Procedure article 863, allows fee awards against a party who files pleadings for an improper purpose, and Texas Family Code section 156.005 does the same for frivolous modification suits. Judges don't impose these lightly, but a documented false allegation is one of the situations where they do.
And keep your communications clean. A false accusation is designed to provoke. If you explode in a text thread, you've handed the accuser a different kind of evidence. Dr. Pellegrin and I wrote about this dynamic in High-Conflict Divorce: Learning to Use Your Response to Lower the Conflict.
If the Allegation Is True but in the Past
Don't deny it. This is the mistake I see most often and the one that costs the most. A parent with a treatment history decides the other side can't prove it, denies everything, and then watches the records come in under article 510. From that point, nothing the parent says is believed.
Disclose it on your terms. Tell your lawyer everything, including the parts you're ashamed of, so the disclosure is complete and strategic rather than extracted. Then present the history alongside the recovery: here's what happened, here's what I did about it, here's what I'm still doing.
Build the file. Judges believe documents. Gather your treatment admission and discharge summaries, completion certificates, attendance records for any program, a letter from your current therapist or counselor describing your participation and prognosis (with your consent, and with your lawyer's input on what it should say), and any test results you've taken on your own. If you're in medication-assisted treatment, get a letter from the prescriber. If you have a sponsor, ask whether they're willing to testify about your participation.
Volunteer the monitoring. The parent who says "I'll test whenever you want" removes the other side's best argument. Random urine screens, periodic hair tests, and for alcohol a remote breathalyzer with a schedule tied to your parenting time are all common. Propose a monitoring plan yourself, with a defined period and a defined endpoint, so that what the court orders is something you designed rather than something imposed on you.
Have a relapse plan, in writing. What happens if you slip? Who do you call, what do you do, how does it affect the parenting schedule? A parent who's thought this through is a parent the court can trust with a step-up plan. A parent who insists it could never happen isn't.
Ask for a step-up plan. If you're starting with supervised or limited time, ask the court to build in defined steps: supervised to unsupervised daytime to overnights to the regular schedule, each conditioned on a period of clean results. Louisiana judges will often do this, and it gives you a path rather than a cliff.
If the Problem Is Current
Get into treatment now, before the next hearing. Nothing you say to the court matters as much as what you've done between the allegation and the hearing date. A parent who gets assessed, starts treatment, and starts testing in the first two weeks is telling the judge something about priorities that no argument can.
Don't lie about the present. If you're going to test positive, tell your lawyer, and let your lawyer manage how that reaches the court. A positive test you disclosed, with treatment already underway, is a parent in crisis who's addressing it. A positive test the other side discovers after you denied use is a parent who lies.
Accept the temporary safeguard. Supervised time while you stabilize isn't the court saying you're unfit. It's the court protecting the child while the question is answered. The parents who fight the safeguard instead of satisfying it stay supervised much longer.
Prescriptions, Cannabis, and Alcohol
Prescribed medication isn't drug abuse, but a positive test for a prescribed drug needs a prescription behind it. Get documentation from your prescriber before the test, not after. If the prescription is for something that can impair, be prepared to address how you manage it around the children.
Cannabis is legal for some purposes in Louisiana, recreationally legal in Massachusetts, and largely illegal in Texas, and judges in all three states care less about legality than about impairment and access. A medical marijuana card doesn't answer "were you impaired while driving the kids," and an edible left on the kitchen counter is a safety issue regardless of the law. If you use legally, use when the children aren't with you and store it as you'd store a firearm.
Alcohol is the most common substance in these cases and the one parents underestimate. If alcohol is the allegation, the same rules apply: test, document, and if there's any truth to it, address it. Dr. Pellegrin's piece on Dealing With an Alcoholic Co-Parent is written for the other parent, but it's worth reading to understand what the court will be shown.
What to Stop Doing Today
Stop posting. Photos with a drink in your hand, jokes about a hangover, anything that can be screenshotted will be. Anne Schmidt wrote about this in Why Posting on Social Media During Your Divorce Can Cost You.
Stop texting your co-parent about it. Every explanation, every denial, every "you're one to talk" becomes an exhibit.
Stop using around the children, including legally. Not the night before an exchange, not after they're asleep. The question in the case is whether you can be trusted with them, and the answer has to be yes every single time.
And stop assuming the judge has already decided. In my experience, judges in these cases are watching for one thing above all: a parent who takes the concern seriously and acts on it. Be that parent, with paper to prove it, and the allegation becomes the beginning of your case rather than the end of it.
This article is for general informational purposes only and is not legal or medical advice, and it does not create an attorney-client relationship. Custody, drug testing, and privilege rules vary significantly by state, and the Louisiana, Texas, and Massachusetts provisions discussed here won't apply the same way elsewhere. Talk to an attorney licensed where your case is pending. If you or someone you love is struggling with substance use, SAMHSA's National Helpline is 1-800-662-HELP (4357).
Frequently Asked Questions
My ex is falsely accusing me of drug use in our custody case. What should I do? Get tested immediately, before any court order, with a hair follicle test and a urine screen from a reputable lab, and keep testing on a schedule until the case ends. Through discovery, make the accuser specify the substance, dates, and evidence. Don't counter-accuse without proof, keep your messages calm, and ask the court to assign testing costs and, where the allegation was baseless, attorney fees to the accuser.
Can a court order me to take a drug test in a custody case? Yes. Louisiana's R.S. 9:331.1 lets the court order hair, urine, tissue, or blood testing for good cause after a hearing, and refusal can be held against you. Texas courts order testing under their temporary-orders authority and treat a skipped test as a failed one. Massachusetts judges order testing and monitoring through temporary orders. Across the country, refusing a court-ordered test is usually worse than a positive result.
Will I have to turn over my addiction treatment records in a custody case? Often, yes. Federal law under 42 CFR Part 2 adds protection for records from substance use treatment programs and requires a court order with specific findings, but courts make those findings in custody cases. Louisiana's evidence rules remove the health care privilege when a parent's condition has a substantial bearing on fitness. Massachusetts lets a judge override the psychotherapist privilege in custody cases. If you're in recovery, those records are usually your best evidence, so plan to use them rather than hide them.
I have a history of drug abuse but I'm in recovery. Can I still get custody? Yes. Courts care about the present and the trajectory, not just the past. A parent with a documented history, completed treatment, ongoing therapy or support, voluntary testing, and a written relapse plan is often in a strong position. What hurts a parent in recovery is denying the history, lacking documentation, or refusing to test. Disclose it first, bring the paper, and propose the monitoring yourself.
Will I have to submit to ongoing drug tests to see my kids? Probably, for some period, if the allegation has any support. Courts in Louisiana, Texas, and Massachusetts routinely condition parenting time on random urine screens, periodic hair tests, or remote alcohol monitoring, with a step-up plan that expands time as clean results accumulate. Volunteering a monitoring plan with a defined endpoint usually produces a better order than fighting one.
Does legal marijuana use affect custody? It can. Judges in states where cannabis is legal, including Massachusetts and, for medical use, Louisiana, focus on impairment around children and on safe storage, not on legality. Use when the children aren't in your care, store it securely, and be prepared to document a medical prescription if you test positive.
Related reading: Dealing With an Alcoholic Co-Parent: What You Need to Know | Does Addiction Define Your Spouse? | High-Conflict Divorce: Learning to Use Your Response to Lower the Conflict | What the Judge Is Actually Thinking | What Are Judges Listening For? Using Effective Communication Skills When Testifying | Why Posting on Social Media During Your Divorce Can Cost You | Can I Record My Spouse? | Preparing for a Custody Battle: What Do I Need to Do? | Legal Custody vs. Domiciliary Parent
About the Authors
Richard Perque, family law attorney and former judge
Richard Perque is an attorney and shareholder at Daly & Black, P.C. in the firm's New Orleans office, and a co-founder of DivorcePlus. A former family court judge, he is licensed to practice in Louisiana, Texas, and Massachusetts.
Leslie Bonin, family law attorney
Leslie Bonin is a family law attorney licensed in Louisiana.

Richard Perque is co-founder and CEO of DivorcePlus, a Louisiana attorney, former judge, and qualified mediator with nearly two decades of family law experience. He is licensed in Louisiana, Texas, and Massachusetts and before the U.S. Supreme Court

Leslie is an AV preeminent-rated family law attorney licensed in Louisiana for over 40 years. She focuses primarily in domestic relations, divorce, child support, and custody modifications.
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This article is general information and is not a substitute for individual therapy, medical care, or legal advice. If you are in an abusive relationship, contact the National Domestic Violence Hotline at 1-800-799-7233. If you are in crisis, call or text 988. If this is a life threatening emergency, call or text 911.











