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Hidden in the shadows of New Hampshire’s opioid epidemic are the children who live with their parents’ addiction every day. They fall behind in school as the trouble at home starts to dominate their lives, they make the 911 calls, they are shuttled about to live with relatives or in foster care, and they face an uncertain future when their parents can no longer care for them. In the United States, one in eight children under age 18, or about 8.7 million, live with at least one parent who has a substance use disorder.1 Although many of these children will not experience abuse or neglect, they are at increased risk for maltreatment and child welfare involvement compared with other children.2 Parents who seek treatment can recover, yet parents using opioids are often using other substances and confronting behavioral health issues that complicate recovery.

Parental Substance Use in New Hampshire: Who Cares for the Children?