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National and State Estimates of Children Living with Parents Using Substances, 2015-2019

U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation, 2022

Estimates of the number of children whose parents engage in problematic substance use including past-year substance use, and SUD by substance type and child demographics. Key findings:

  • An average of more than 21 million children lived with a parent who used substances from 2015–2019 while more than 2 million lived with a parent who had a SUD.
  • Living with a parent who had a SUD varied by child age, race, ethnicity, and proximity to urban centers.
  • Children under 12 had a higher likelihood of living with a parent who had a SUD.
  • States varied as far as the percentages of children living with parents who had a SUD. The range extended from less than 1% (Nebraska) to nearly 5% (Maine).
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Topic(s): Childhood and Adolescence

Section: Additional Resources

Find Help with a Personal Situation

Substance Use and Mental Health Treatment Locator

To find treatment facilities confidentially, 24/7, please call 1-800-662-4357 (HELP).

To locate general treatment services, visit the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Treatment Locator online or call 1-800-662-4357 (HELP). This service provides referrals to local treatment facilities, support groups, and community-based organizations. It is a free, confidential, 24-hour-a-day, 365-day-a year information service, in English and Spanish, for individuals and family members needing treatment for a mental and/or substance use disorder.

National Child Abuse Hotline

If you suspect a child has been harmed by abuse or neglect, please call 1-800-422-4453.

If you suspect that a child has been harmed or is at risk of being harmed by abuse or neglect, call the National Child Abuse Hotline at Call the National Child Abuse Hotline at 1-800-422-4453. Serving the United States and Canada, the hotline is staffed 24 hours a day, 7 days a week with professional crisis counselors who—through interpreters—provide assistance in over 170 languages. All calls, texts, and chats are confidential. If you believe a child is in immediate danger of harm, call 911 first.

National Suicide Prevention Line

For free and confidential support for people in distress, 24/7, please call or text 988, chat, or call 1-800-273-8255.

If you or someone you know is having thoughts of suicide or experiencing a mental health or substance use crisis, help is available and there are options to receive compassionate care. You can call or text 988 or chat You can also call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Both are confidential and available 24/7 to everyone in the United States and will connect you to a trained counselor at a suicide crisis center nearest you.

Contact Us

The National Center on Substance Abuse and Child Welfare offers free technical assistance to a variety of systems on making policy and practice changes to improve outcomes for families affected by substance use disorders and involvement with child welfare services. To learn more about technical assistance services or if you have a question please email NCSACW at or call toll-free at 1–866–493–2758.

National Center on Substance Abuse and Child Welfare