Study Reveals Millions of Children Affected by Parental Substance Use Disorders

Tue 4th Mar, 2025

Recent research indicates that nearly 17 million children and adolescents in the United States are living with at least one parent who suffers from a substance use disorder. This alarming figure emerges from a collaborative study conducted by Texas State University, the University of Michigan, and Wayne State University, emphasizing the urgent need for attention to this issue.

The study identifies alcohol use disorder as the primary factor, impacting approximately 12.8 million children. Following closely, cannabis use disorder affects around 5 million, while prescription opioid use disorder is present in over 1 million cases. Many parents are affected by multiple substance use disorders, which compounds the difficulties faced by these families, particularly as those with opioid use disorders are at an increased risk of overdose.

The findings, published in the Journal of Addiction Medicine, underscore the necessity of acknowledging the challenges faced by children in these environments. One of the study's co-authors remarked that the significant number of affected children signals a critical need for greater focus on support systems for families dealing with addiction.

Notably, this updated statistic represents an 81% increase from previous estimates, primarily due to the revised diagnostic criteria introduced in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). These changes have led to improved identification and broader diagnostic guidelines for substance use disorders in parents, allowing for the recognition of previously undiagnosed cases.

The DSM-5 criteria have facilitated the diagnosis of substance use disorders among parents who may have gone unnoticed under the previous DSM-IV framework. The lead author of the study expressed surprise at the scale of the findings, highlighting the extensive services that will be required to support these families effectively. Children in these situations are at heightened risk not only for developing their own substance use issues but also for facing mental health challenges and potential interactions with legal and child welfare systems.

The research team is actively disseminating their findings to various audiences to raise awareness and reduce stigma surrounding children living with parents who have substance use disorders. This initiative is complemented by the efforts of organizations like Sesame Workshop, which aims to support young children affected by parental addiction.

In conclusion, the study serves as a crucial reminder of the large number of children living in precarious environments due to parental substance use disorders. The findings call for an urgent need for comprehensive support services to address the unique challenges faced by these families.


More Quick Read Articles »