Last month, the United Hospital Fund (UHF) and the Milbank Memorial Fund released a report, The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families, which made clear that the magnitude of the epidemic's impact is much greater than realized--and that the epidemic's impact on young children and adolescents whose parents are addicted has received little attention until now. The UHF report was based on extensive research, interviews, and a literature review by UHF staff, as well as a 2018 meeting that brought together national and local experts in child development, addiction treatment, child welfare, and much more. The report also described innovative programs around the nation that address these issues. As we focus on the ripple effect, we want to keep in mind the entirety of the opioid epidemic. As a follow-up to the ripple effect report, we have selected a case study by Robert M. Hayes and Joseph Squitieri, DO, of Community Healthcare Network, a federally qualified health center in New York City, that examines two important dimensions of the opioid epidemic not explored in-depth in the first report: (1) the phenomenon of adolescents becoming addicted to opioids at home by trying a family member's prescription and (2) the importance of providing medication-assisted treatment in primary care settings with integrated behavioral health services.
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