The phenomenon of female addiction complicates both adequate diagnosis and treatment, while female addiction is rampant in Western societies; it is often disguised by women’s social role in our relatively affluent culture. For example, childcare workers supplement the maternal function in affluent classes for instance, nannies, whose hired presence in the home can disguise their employer’s dysfunction.  Female addiction is recognized often too late and only after significant trauma has occurred to both mother and child.  Sexual issues arising in the context of male dominant abusive relationships also complicate female addiction.  Female addiction can remain hidden in parallel with accompanying physical and sexual abuse. Addicted mothers are often under the scrutiny of authoritarian and male dominated social and legal structures, such as courts that mandate that children be removed from the care of their mother, simply because of their addiction. At Tekuma, we believe that it may be even helpful for children to remain with their mothers during their recovery, and we have made these provisions available, including child care workers, as well as educational programs and family counseling. The Tekuma program offers women the opportunity to understand and treat these kinds of complications of female addiction in a protected non-male dominated environment. The Israeli facilities also have specially designed physical accommodations, which include cooking, sleeping, and playing spaces for mothers with their young children.