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Considering the child welfare system burden from opioid misuse: research priorities for estimating public costs
Daniel Max Crowley1, Christian M Connell, Damon Jones
1The Pennsylvania State University.
Insights
Public costs of the opioid epidemic on child welfare systems (CWS) are undocumented. This study highlights data limitations and outlines priorities for better estimating opioid misuse
Area of Science:
- Public Health
- Social Work
- Health Economics
Background:
- Parental opioid misuse significantly impacts child welfare systems (CWS).
- The public costs associated with opioid misuse on CWS are largely undocumented.
- Existing research primarily focuses on the negative impacts on individuals misusing opioids.
Purpose of the Study:
- To assess the value and limitations of public data for estimating opioid epidemic costs on CWS.
- To identify key areas for improving data quality and cost projections related to parental opioid misuse and CWS involvement.
- To outline future research priorities for a comprehensive understanding of the opioid crisis's impact on child welfare.
Main Methods:
- Integration of national federal data with estimations of opioid misuse and CWS utilization.
- Exploration of the limitations inherent in current public data sources.
- Analysis of the association between parental opioid misuse and child services system engagement.
Main Results:
- Current public data is insufficient for accurately estimating the costs of the opioid epidemic on CWS.
- Significant gaps exist in linking parental opioid misuse to CWS involvement.
- There is a need for improved data to predict CWS trajectories and associated costs for affected families.
Conclusions:
- Enhancing data quality and linkages between parental opioid misuse and CWS is critical.
- Accurate estimation of affected children and families requires better data.
- Improved cost projections for CWS are essential for addressing the opioid crisis effectively.
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.
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