Resources on this page provide information on the prevalence of opioid use and its impact on children and families involved with child welfare, as well as strategies for treatment and response, including State and local examples.
Children Born to Heroin-Addicted Mothers: What’s the Outcome 25 Years Later? (PDF - 741 KB)
Herranz, Vílchez, Ledo, & Sierra (2014)
Journal of Addiction, Research & Therapy, 5(2)
Shows the long term evolution of children born to heroin-addicted mothers, focusing on social development, psychiatric disorders and substance abuse disorders.
A Collaborative Approach to the Treatment of Pregnant Women with Opioid Use Disorders
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), National Center on Substance Abuse and Child Welfare (NCSACW) (2016)
Discusses the effects associated with opioid use by pregnant women, as well as the risks and benefits of medication-assisted treatment, in order to guide states, tribes, and local communities toward best practice approaches.
Combating Rise of Heroin Abuse in Child-Welfare System
Rothstein, Smith, & Olivas (2013)
American Bar Association
Highlights how the family and drug courts in Butler, Ohio are combating the rise of heroin within the child welfare system, which provides case examples and resources for professionals in the field.
Effect of Abuse-Deterrent Formulation of OxyContin
Cicero, Ellis, & Surrat (2012)
The New England Journal of Medicine
Examines the effect of the abuse-deterrent formulation on the abuse of OxyContin and other opioids.
Opioid Abuse, Dependence, and Addiction in Pregnancy (PDF - 200 KB)
The American College of Obstetricians and Gynecologists (2012)
Committee on Health Care for Underserved Women and the American Society of Addiction Medicine
Discusses the use of opioids during pregnancy and the associated risks of adverse outcomes including pharmacology of opioid addiction, the effects on pregnancy and outcomes, and how professionals can screen for opioid use; provide treatment; and postpartum management.
OxyContin® Abuse in Women: Implications for Pregnancy (PDF - 311 KB)
Svikis, Panigrahi, & Wunsch (2006)
The Source: Newsletter of the National Abandoned Infants Assistance Resource Center, 15(1)
Describes what is known about OxyContin use, abuse, and dependence, with a particular focus on women; discusses the unique challenges presented by OxyContin® use during pregnancy and the implications for treatment.
OxyContin Fast Facts (PDF - 396 KB)
U.S. Department of Justice, National Drug Intelligence Center
Offers information on OxyContin including the definition, how it is abused, the risks of abusing the drug, and general names for OxyContin.
OxyContin® (Oxycodone Hydrochloride): Fact Sheet (PDF - 117 KB)
Center on Substance Abuse Research (2006)
Provides basic information on OxyContin, including medical purpose, abuse, side effects, overdose symptoms, prevalence estimates for nonmedical use, prevention, and treatment.
Substance Abuse and Child Welfare Resources
National Conference of State Legislatures (2017)
Includes 50-state data and policy compilations, news stories, statewide initiatives and local programs, as well as links to national organizations that provide information about the current opioid crisis.
Substance-Exposed Infants: A Report on Progress in Practice and Policy Development in States Participating in a Program of In-Depth Technical Assistance September 2015 to September 2016 (PDF - 426 KB)
Substance Abuse and Mental Health Service Administration & Children's Bureau (2017)
Synthesizes key lessons, challenges, barriers, and strategies for increasing effective cross-system, collaborative technical assistance for professionals supporting substance-exposed infants. This report focuses on research conducted in five states, including Connecticut, Kentucky, Minnesota (with a focus on Tribal communities), New Jersey, and Virginia.
Teen Heroin Addiction
Newport Academy Teen Treatment Center
Provides information on and how to recognize heroin addiction in teens.
Child Welfare Opiate Engagement Project Opiate White Paper (PDF - 444 KB)
Child Welfare Opiate Engagement Project (2014)
Outlines how opiate use is directly impacting the child welfare system in Ohio, the children and families the system serves, and what steps need to be taken to serve them better.
New York State Combat Heroin & Prescription Drug Abuse Initiative
Offers personal narratives from individuals in New York and how organizations are combatting heroin and prescription drug abuse. Includes information on the Drug Abuse Initiative launched in New York.
Opioid Prescription Claims Among Women of Reproductive Age—United States, 2008–2012 (PDF - 509 KB)
Ailes, Dawson, Lind, Gilboa, Frey, Broussard, & Honein (2015)
Morbidity and Mortality Weekly Report, 64(2)
Examines Truven Health's MarketScan Commercial Claims and Encounters and Medicaid data from 2008–2012 to assess outpatient pharmacy prescription drug claims for opioid-containing medications among reproductive-aged women.
Clinical Correlates of Prescription Opioid Analgesic Use in Pregnancy
Smith, Costello, & Yonkers (2015)
Maternal and Child Health Journal, 19(12)
Examines clinical and demographic factors associated with the use of opioid analgesics in pregnancy.
Parenting Under the Influence: The Effects of Opioids, Alcohol and Cocaine on Mother-Child Interaction
Slesnick, Feng, Brakenhoff, Brigham (2014)
Reports the findings from a sample of treatment seeking opioid, alcohol and cocaine using mothers and their 8- through16-year-old children.
Opiate and Opioid Dependency of Pregnant and Nursing Women (PDF - 198 KB)
Informs Texas judges involved in child protective services cases about the growing opioid use in some areas of Texas, the effects of opioid dependence in pregnant women, and the best treatment for pregnant opioid or opiate dependent women.