Nearly 17 million children and adolescents in the United States are estimated to live with a parent who has a substance use disorder, according to a study led by Texas State University, University of Michigan and Wayne State University.
University of MichiganMar 4 2025
Of these categories, children may have parents who struggle with more than one substance use disorder. Parents with opioid use disorders also face higher risks of overdose, adding to the challenges these families face."These findings remind children that they are not alone.
The updated number marks an 81% increase from earlier estimates, largely due to updated diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders. The transition from the fourth edition to the fifth edition introduced revised definitions and criteria for certain conditions, leading to improved identification and more inclusive diagnostic guidelines.
The increase in the number of children who live with a parent with a substance use disorder was a great surprise, and it highlights the massive scale of services that these parents and children will need to be successful. These children are at high risk for not just substance use issues of their own, but also mental health challenges and interactions with the legal and child welfare systems.
Substance Use Disorder Addiction Adolescents Alcohol Cannabis Diagnostic Medicine Overdose Research
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