Overview
- A 2023 study using updated DSM-5 criteria estimates 18.97 million U.S. children—one in four—lived with a parent or caregiver with a substance use disorder.
- Alcohol is the most prevalent substance in parental SUD cases, followed by cannabis, prescription drugs, and other substances.
- Over 7.6 million children lived with a parent with moderate to severe SUD, and 3.4 million with a parent experiencing multiple substance use disorders.
- Approximately 6.1 million children had a parent with both a substance use disorder and a mental health condition, complicating family dynamics and risks.
- The adoption of DSM-5 criteria and new survey methodologies significantly increased prevalence estimates compared to earlier studies, emphasizing the need for targeted family-based interventions.