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Families Affected by Opioids

The opioid crisis continues to affect millions of Americans. These resources offer information about how children and families are affected, and policy and practice examples intended to help communities strengthen their responses.

Highlighted Resource

Substance Use and Mental Health Disorders: Supporting Kinship Families

Substance Use and Mental Health Disorders: Supporting Kinship Families

Date: October 25, 2022

Focuses on the unique challenges that arise when parents of children in care have a substance use or mental health disorder. These

... (Read More)

Policy and Practice Resources

SAMHSA Opioid Overdose Prevention Toolkit

Substance Abuse and Mental Health Services A..., 2018

Offers facts, practices, and policy strategies to help health care professionals

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Substance Use, the Opioid Epidemic and the Child Welfare System: Key Findings from a Mixed Methods Study

U.S. Department of Health and Human Services..., 2018

Examines how substance use disorder treatment programs and child welfare agencies

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Committee Opinion: Opioid Use and Opioid Use Disorder in Pregnancy

The American College of Obstetricians and Gy..., 2017

Joint opinion on the current standard of care for pregnant women with opioid

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A Collaborative Approach to the Treatment of Pregnant Women With Opioid Use Disorders: Practice and Policy ...

Substance Abuse and Mental Health Services A..., 2016

Provides information on the extent of opioid use by pregnant women as well as the

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Related Online Training, Videos, and Webinars

Substance Use and Mental Health Disorders: Supporting Kinship Families

Date: October 25, 2022

Focuses on the unique challenges that arise when parents of children in care have a substance use or mental health disorder. These

...(Read More)

Guidance from the American Academy of Pediatrics on Neonatal Opioid Withdrawal Syndrome

Date: January 26, 2021

Dr. Stephen Patrick, a national expert on maternal opioid use on infants, provides current information on the crisis; implications for

...(Read More)

The Management of Care for Pregnant Women with Opioid and Other Substance Use Disorders

Date: June 18, 2020

Dr. Mishka Terplan offers strategies for working with addiction medicine physicians while discussing the role obstetricians can play

...(Read More)

Child Welfare Training Toolkit—Special Topic: Opioids

National Center on Substance Abuse and Child..., 2019

Provides adaptable foundational training for child welfare professionals about the

... (Read More)

State and Local Examples

Congressional Hearing on the Opioid Crisis: Testimony by Barbara Cimaglio, Deputy Health Commissioner (Verm...

Vermont Department of Health, 2017

Provides information about the state’s hub and spoke systems designed to mitigate the

... (Read More)

Ohio Perinatal Quality Collaborative, 2022

Ohio Perinatal Quality Collaborative (OPQC) is a statewide consortium of perinatal

... (Read More)

Additional Resources

Understanding the Opioid Overdose Epidemic

Center for Disease Control and Prevention, 2022

Provides data on opioid-related overdoses and examines how to slow the epidemic.

... (Read More)

State and National Opioid Fact Sheets

American Academy of Pediatrics, 2022

Synthesizes national and state-specific data related to opioids, child welfare, and

... (Read More)

National Opioid Crisis

U.S. Department of Health and Human Services, 2022

Provides information on the opioid epidemic, prevention, treatment, and recovery.

... (Read More)

America’s Opioid Crisis: The Unseen Impact on Children

American Academy of Pediatrics, 2018

Examines the relationship between the opioid epidemic, child welfare systems, and

... (Read More)

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 988Lifeline.org, 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 988Lifeline.org. 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 ncsacw@cffutures.org or call toll-free at 1–866–493–2758.

National Center on Substance Abuse and Child Welfare