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Substance use within caregiving environments is associated with increased risk of child maltreatment and adverse developmental outcomes. Child welfare systems often emphasize family preservation and reunification; however, in certain contexts, these goals can conflict with the need to prioritize child safety when risk factors are not adequately addressed. This narrative review and policy analysis examines the intersection of maternal substance use, child maltreatment, and reunification practices through an equality-based, gender-neutral accountability framework, synthesizing evidence from a range of clinical, epidemiological, and child welfare studies.
A structured narrative review and policy analysis were conducted using PubMed, JAMA, the American Psychological Association, and Google Scholar, along with governmental and epidemiological reports. Literature addressing caregiver substance use, child maltreatment, trauma exposure, foster care, reunification, and long-term developmental outcomes was screened using predefined inclusion and exclusion criteria and synthesized narratively by thematic category. Exposure to caregiver substance use and associated forms of maltreatment (verbal, emotional, psychological, physical, and abandonment) is strongly and consistently associated with increased risk of long-term mental health disorders, behavioral dysregulation, and chronic health conditions. Reunification without sustained behavioral change and verified safety is often associated with higher levels of re-traumatization in children. Child welfare policies may benefit from emphasizing gender-neutral, sustained behavioral change prior to reunification and from prioritizing child-reported safety and long-term stability in reunification decisions over permanent re-homing.
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Substance Use Disorders (SUDs) and Addictions are a major public health concern, affecting people’s health and well-being at all ages. The intention behind this collection was to publish original research articles on SUDs and related addictions. These articles would address genetic, neurobiological, psychological, and environmental risk factors for the development of these disorders, as well as approaches to diagnosis and treatment. Thirteen articles covering a wide range of topics related to different SUDs and behavioral addictions, as well as human and animal studies from basic and clinical research, were received and have been summarized in this editorial. Each of the articles has made a significant contribution to our scientific understanding of addiction, with the potential to inform clinical applications. We hope that the findings revealed by this collection of articles, along with the broader efforts of the scientific and clinical communities around the world, will lead to the development of better tools and methods for preventing, diagnosing, and treating substance use disorders (SUD) and behavioral addictions.
A Stanford addiction researcher said our brains are hardwired to get hooked on doomscrolling. Here's how to take a break and when you might need one.
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A philosopher advocates for a more humane and context-informed approach
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Researchers from the University of Missouri have developed a tool that can identify alcohol-iniduced blackouts in real-time.
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Religious participation is associated with lower rates of alcohol and drug misuse.
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One in four U.S. adolescents is exposed to violence in their neighborhood, and those teens are more than twice as likely to use cigarettes, alcohol or drugs to cope, according to a new study from The University of Texas at Arlington.
Twenty years ago on January 16, I rattled into a church basement, unable to make eye contact, and sat in a windowless room surrounded by a random cross section of humanity.
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