A new study has revealed that nearly 17 million children and adolescents in the United States live with a parent who has a substance use disorder (SUD). The research, conducted by Texas State University, the University of Michigan, and Wayne State University, highlights the growing impact of parental addiction on young individuals.
The study, published in the Journal of Addiction Medicine, identified alcohol use disorder as the most prevalent, affecting approximately 12.8 million children. Cannabis use disorder follows, impacting around 5 million children, while prescription opioid use disorder affects more than 1 million. Additionally, many parents struggle with multiple substance use disorders, exacerbating risks such as overdose and family instability.
Rising Numbers and the DSM-5 Impact
One of the key findings of the study was the significant increase—81%—in the estimated number of children affected compared to previous research. This rise is largely attributed to changes in diagnostic criteria with the transition from the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) to the fifth edition (DSM-5). The updated criteria have improved the identification and diagnosis of substance use disorders, ensuring that previously undiagnosed cases are now recognized.
“These findings remind children that they are not alone,” said Sean Esteban McCabe, co-author of the study and professor of nursing at the University of Michigan. “The nearly 17 million children living with a parent with a substance use disorder should serve as a strong signal that it is time to focus more attention on these families.”
Risks and the Need for Intervention
Children living in households with substance-using parents are at increased risk for their own substance use issues, mental health challenges, and interactions with the legal and child welfare systems. Ty Schepis, professor of psychology at Texas State University and lead author of the study, emphasized the scale of support needed.
“The increase in the number of children living with a parent with an SUD was a great surprise,” Schepis noted. “It highlights the massive scale of services these parents and children will need to be successful.”
In response to these findings, researchers are working on family-based programs to prevent the intergenerational cycle of addiction. Organizations such as Sesame Workshop, the nonprofit behind Sesame Street, have also been developing initiatives to support children affected by parental substance use.
Conclusion and Future Implications
The study underscores the urgent need for policy changes, mental health interventions, and social support systems to help children navigate the challenges posed by parental substance use disorders. McCabe and his team are actively disseminating their findings to reach affected families and reduce the stigma associated with substance use disorders.
Disclaimer:
This article is based on research findings published in the Journal of Addiction Medicine. The information provided is for educational and informational purposes only and should not be used as a substitute for professional medical or psychological advice. If you or someone you know is affected by substance use issues, please seek help from a qualified healthcare provider or support organization.