Child Welfare

The Child and Caregiver Outcomes Using Linked Data project provides technical assistance to states to develop state-specific datasets linking the Medicaid administrative claims of parents with the records of their children from the child welfare system. The data will be combined into a multi-state, de-identified data sets for secondary data analysis.

Many child welfare systems have begun to provide prevention services to mitigate economic-related factors that place children at risk of entering foster care. Transforming child welfare systems to prevent child maltreatment and child welfare system involvement requires adequate information and analytic approaches.

The Family First Prevention Services Act (FFPSA) permits states to use title IV-E foster care funding for children placed in foster care with their parent in a licensed residential family-based treatment facility for substance abuse. However, few states currently use this funding, due to barriers such as competing priorities and lack of facilities.

Between 2011 and 2018, increasing numbers of infants were removed from their parents or caregivers. From 2011 to 2018 the number of infants entering foster care increased 24 percent reaching around 50,000 in 2018. This increase was nearly 13 times as much as the 1.8 percent increase in placements for other age groups .

Trends in Hospital Readmission and Emergency Department Visit among Infants Born with Neonatal Abstinence Syndrome ASPE ISSUE BRIEF Mir M. Ali, Emma Nye, and Kristina West U.S. Department of Health and Human Services

Utilization of Mental Health Services among Children Diagnosed with Neonatal Abstinence Syndrome at Birth ASPE ISSUE BRIEF Mir M. Ali, Emma Nye, and Kristina West U.S. Department of Health and Human Services

Buprenorphine treatment has been found to be an effective treatment for opioid use disorder (OUD). Child welfare systems have been partnering with treatment providers to increase access, yet little is known about its role in improving outcomes related to child maltreatment.

The Multiethnic Placement Act, as amended, enacted in 1994 and known as MEPA (or MEPA/IEP to acknowledge amendments passed in 1996), prohibits child welfare agencies that receive federal funding from delaying or denying foster or adoptive placements because of a child or prospective foster or adoptive parent’s race, color or national origin and from using those factors as a basis for denying ap

This research summary and brief describe nine programs and highlight ways they have addressed challenges to serving child welfare-involved parents with substance use issues, with a particular focus on their applicability to rural communities.

Parental opioid use disorder (OUD) is a risk factor for the maltreatment of children and placement into foster care. Opioid agonist therapy (OAT) is an evidence-based treatment for OUD using medications such as methadone and buprenorphine. OAT can help parents enter recovery and reduce the risk of maltreatment, and potentially improve child welfare outcomes.