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Children Living with Substance-Dependent or Substance-Abusing Parents
http://www.addictioninfo.org/articles/3555/1/Children-Living-with-Substance-Dependent-or-Substance-Abusing-Parents/Page1.html
SAM HSA
The Substance Abuse and Mental Health Services Administration (SAMHSA) is concerned with facilitating recovery for people with or at risk for mental or substance use disorders.

http://www.samhsa.gov/ 
By SAM HSA
Published on 05/6/2009
 
Parental substance dependence and abuse can have profound effects on children, including child abuse and neglect, injuries and deaths related to motor vehicle accidents, and increased odds that the children will become substance dependent or abusers themselves.

In Brief

    * Combined data from 2002 to 2007 indicate that over 8.3 million children under 18 years of age (11.9 percent) lived with at least one parent who was dependent on or abused alcohol or an illicit drug during the past year

    * Of these, almost 7.3 million (10.3 percent) lived with a parent who was dependent on or abused alcohol, and about 2.1 million (3.0 percent) lived with a parent who was dependent on or abused illicit drugs

    * About 5.4 million children under 18 years of age lived with a father who met the criteria for past year substance dependence or abuse, and 3.4 million lived with a mother who met the criteria

Parental substance dependence and abuse can have profound effects on children, including child abuse and neglect, injuries and deaths related to motor vehicle accidents, and increased odds that the children will become substance dependent or abusers themselves.

Up-to-date estimates of the number of children living with substance-dependent or substance-abusing parents are needed for planning both adult treatment and prevention efforts and programs that support and protect affected children.

The National Survey on Drug Use and Health (NSDUH) can be used to address this data need. NSDUH annually collects data on alcohol or illicit drug dependence or abuse.

It defines dependence or abuse using criteria specified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV),1 which includes such symptoms as withdrawal, tolerance, use in dangerous situations, trouble with the law, and interference in major obligations at work, school, or home during the past year.

The NSDUH sample includes representative subsamples of mothers and fathers, as well as mother-father pairs who live in the same household. The survey obtains information about children living in the household, including age and relationship to the adult respondent.

This issue of The NSDUH Report examines the number of children living with substance-dependent or substance-abusing parents.

It focuses on biological, step-, adoptive, and foster children under 18 years of age who were living with one or both parents at the time of the survey interview.2,3,4,5 All findings are based on annual averages from the combined 2002 to 2007 NSDUH data.

Children Living with Substance-Dependent or Substance-Abusing Parents

Over 8.3 million children under 18 years of age (11.9 percent) lived with at least one parent who was dependent on or abused alcohol or an illicit drug during the past year (Figure 1).6

Of these, almost 7.3 million (10.3 percent) lived with a parent who was dependent on or abused alcohol, and about 2.1 million (3.0 percent) lived with a parent who was dependent on or abused an illicit drug.

Past year substance dependence or abuse by parents involved almost 14.0 percent of children aged 5 or younger compared with 12.0 percent of children aged 6 to 11 and 9.9 percent of youths aged 12 to 17 (Figure 2).

[See source article for diagrams.]

Parental Gender and Household Structure

About 5.4 million children under 18 years of age lived with a father who met the criteria for past year substance dependence or abuse, and 3.4 million lived with a mother who met the criteria (Table 1).

These population estimates are equivalent to 10.2 percent of all children in this age range who lived with their father and 5.1 percent of those who lived with their mother. One in eight (12.8 percent) children under age 18 in two-parent households had one or more parents who were dependent on or abused alcohol or illicit drugs in the past year.

Among children residing in single-parent households, living with a substance dependent or abusing parent was more likely in father-only households (16.1 percent) than in mother-only households (8.4 percent).

Discussion

Substance use disorders can have a profound influence on the lives of individuals and their families, particularly their children. The data in this report indicate that more than 1 in 10 children in the United States under the age of 18 were living in homes with a substance-dependent or substance-abusing parent.

These data highlight the potential breadth of needs for the whole family—from substance abuse treatment for the affected adults to prevention and supportive services for the children.

End Notes

1 American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: Author.

2 An estimated 96.0 percent of children under 18 years of age lived with at least one parent. Estimates of the child population for this report are adjusted to U.S. Census Bureau estimates in conjunction with interpolated estimates of children not residing with at least one parent. For details, see End Notes 3, 4 and 5.

3 U.S. Census Bureau, Population Division. (2008, November 28). Monthly postcensal civilian non-institutional population, by single year of age, sex, race, and Hispanic origin: 1/1/2005 to 6/1/2005. Retrieved December 8, 2008, from http://www.census.gov/popest/national/asrh/2007-nat-ni.html

4 U.S. Census Bureau, Housing and Household Economic Statistics Division, Fertility & Family Statistics Branch. (2008, July 29). America's families and living arrangements: 2007. Table C3. Living arrangements of children under 18 years and marital status of parents, by age, gender, race, and Hispanic origin of the child for all children: 2007. Retrieved November 18, 2008, from http://www.census.gov/population/www/socdemo/hh-fam/cps2007.html

5 U.S. Census Bureau, Housing and Household Economic Statistics Division, Fertility & Family Statistics Branch. (2008, August 27). America's families and living arrangements: 2004. Table C3. Living arrangements of children under 18 years and marital status of parents, by age, gender, race, and Hispanic origin of the child for all children: March 2004. Retrieved December 8, 2008, from http://www.census.gov/population/www/socdemo/hh-fam/cps2004.html

6 To avoid duplicate counting in estimates of the number of children for whom both parents met the criteria for substance dependence or abuse, data from mother-father pairs in the survey were used to estimate the rate of co-occurrence of these disorders among both parents in two-parent households.

Suggested Citation Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (April 16, 2009). The NSDUH Report: Children Living with Substance-Dependent or Substance-Abusing Parents: 2002 to 2007. Rockville, MD.

The National Survey on Drug Use and Health (NSDUH) is an annual survey sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA).

Source article with diagrams:

Children Living with Substance-Dependent or Substance-Abusing Parents: 2002 to 2007

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Image from The Addiction Project (HBO series).