ArticleThe American journal of managed care2019
Considering the child welfare system burden from opioid misuse: research priorities for estimating public costs.
Article in The American journal of managed care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 33 citations in OpenAlex.
- Understanding parents' experience navigating substance use treatment and the child welfare system.Journal of substance use and addiction treatment · 2025Article
- Prenatal opioid exposure, neonatal abstinence syndrome diagnosis, and child welfare involvement.Child abuse & neglect · 2025Article
- Three-Year Custody Outcomes Among Infants Investigated by Child Protection Systems for Prenatal Substance Exposure in California.Maternal and child health journal · 2023Article
- "I've smoked weed with my daughter": Cannabis Use within Families Affected by Parental Opioid Misuse.Children and youth services review · 2023Article
- Experiences of Parents with Opioid Use Disorder during Their Attempts to Seek Treatment: A Qualitative Analysis.International journal of environmental research and public health · 2022Article
- Conceptualizing and Measuring Abatement from the Opioid Epidemic: A Case Study from Pennsylvania.The Milbank quarterly · 2022Article
- Association Between State Supplemental Nutrition Assistance Program Policies, Child Protective Services Involvement, and Foster Care in the US, 2004-2016.JAMA network open · 2022Article
- Using Economic Evaluation to Inform Responses to the Opioid Epidemic in the United States: Challenges and Suggestions for Future Research.Substance use & misuse · 2022Article
- Children born to women in opioid maintenance treatment: A longitudinal study of child behavioral problems and parenting stress.Frontiers in pediatrics · 2022Article
- Data Needs in Opioid Systems Modeling: Challenges and Future Directions.American journal of preventive medicine · 2021Article
- Meeting the Needs of Families Involved in the Child Welfare System for Parental Substance Abuse: Outcomes From an Effectiveness Trial of the Families Actively Improving Relationships Program.Frontiers in psychology · 2021Article
- "Stories of starting": Understanding the complex contexts of opioid misuse initiation.Substance abuse · 2021Article
- Factors Associated with Child-Welfare Involvement among Prenatally Substance-Exposed Infants.The Journal of pediatrics · 2020Article
- Children are at Risk from COVID-19.Journal of pediatric nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
The negative impact of opioids on those who misuse them has been widely documented. Despite significant spillover effects in the form of elevated rates of child maltreatment and child welfare system (CWS) involvement for children affected by parental opioid misuse, the public costs of opioid misuse to the CWS remain largely undocumented. This work seeks to understand the value and limitations of public data in estimating the costs of the opioid epidemic on the CWS. National data from federal sources are combined with best estimates of the association between opioid misuse and child services system utilization. The limitations of this work are explored, and future research priorities are outlined. Ultimately, this work illustrates the need to (1) improve data quality related to parental opioid misuse and CWS linkages; (2) better estimate the number of children and families coming into contact with the CWS as a result of parental opioid misuse; (3) improve predictions of CWS trajectories, including investigation, service provision, and foster care entry among this population; and (4) better estimate the CWS costs associated with patterns of system involvement resulting from parental opioid misuse. This information is crucial to ensuring the production of high-quality system involvement and cost projections related to the opioid crisis.
Indexed as
Identifiers
31361428PMC7895335W2981535534What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.