{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T16:27:13Z","timestamp":1754152033667,"version":"3.41.2"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Understanding the prevalence of caregiver substance use among families affected by the child welfare system can inform prevention and intervention efforts to reduce co-occurring caregiver substance use and child maltreatment. This study examined the national prevalence estimates of alcohol and drug dependence among caregivers affected by the U.S. child welfare system and explored variations based on child and caregiver characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A secondary data analysis was conducted using the most recent data from the National Survey of Child and Adolescent Well-being (NSCAW-III).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results indicated that approximately 8% of caregivers met criteria for alcohol dependence and 3% for drug dependence, with about 11% reporting either alcohol or drug dependence. For both alcohol dependence and drug dependence, higher prevalence rates were observed among White caregivers, male caregivers, caregivers of male children, and caregivers who were experiencing domestic violence and\/or depression. Distinct patterns emerged in the prevalence rates of alcohol versus drug dependence across caregiver income, education, employment status, and the number of children\u2019s out-of-home placements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our findings highlight nuanced differences between alcohol and drug dependence and point to the need for targeted and contextually responsive programs that address the complex intersection of caregiver substance use and child maltreatment.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1620676","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T12:37:29Z","timestamp":1753101449000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Caregiver substance use among families in the U.S. child welfare system: national prevalence estimates"],"prefix":"10.3389","volume":"16","author":[{"given":"Susan","family":"Yoon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charis","family":"Stanek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Lorenzo","family":"Benavides","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taylor","family":"Napier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujeong","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Choong Rai","family":"Nho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-7409(03)00042-2","article-title":"Drug use by parents: A challenge for family reunification practice","volume":"25","author":"Maluccio","year":"2003","journal-title":"Children Youth Serv Rev"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2005.03.010","article-title":"Trouble on the journey home: Reunification failures in foster care","volume":"28","author":"Miller","year":"2006","journal-title":"Children Youth Serv Rev"},{"key":"B3","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.cpr.2015.04.004","article-title":"Interventions to address parenting and parental substance abuse: Conceptual and methodological considerations","volume":"39","author":"Neger","year":"2015","journal-title":"Clin Psychol Rev"},{"key":"B4","unstructured":"The AFCARS report No. 26: Preliminary FY 2018 estimates as of August 22, 2019\n          \n          2019"},{"volume-title":"Child maltreatment 2010","year":"2011","key":"B5"},{"key":"B6","unstructured":"Child maltreatment 2018\n          \n          2019"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2020.104664","article-title":"Reunification for young children of color with substance removals: An intersectional analysis of longitudinal national data","volume":"108","author":"Sieger","year":"2020","journal-title":"Child Abuse Negl"},{"key":"B8","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1023\/A:1026099913845","article-title":"A critical review of the empirical literature: Identifying correlates of child neglect","volume":"20","author":"Connell-Carrick","year":"2003","journal-title":"Child Adolesc Soc Work J"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1177\/1077559520925550","article-title":"Association between mothers\u2019 alcohol use histories and deficient parenting in an economically disadvantaged sample","volume":"26","author":"Taber-Thomas","year":"2021","journal-title":"Child Maltreatment"},{"key":"B10","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1111\/acer.12059","article-title":"Where the individual meets the ecological: A study of parent drinking patterns, alcohol outlets, and child physical abuse","volume":"37","author":"Freisthler","year":"2013","journal-title":"Alcoholism: Clin Exp Res"},{"key":"B11","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.chiabu.2017.09.015","article-title":"Does parental substance use always engender risk for children? 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