Effects of the Opioid Crisis on the Child Welfare System


Don't use plagiarized sources. Get Your Custom Essay on
Effects of the Opioid Crisis on the Child Welfare System
Just from $13/Page
Order Essay

There is a significant global concern with parental substance use and abuse which ultimately has major negative consequences for the children (Barnard & McKeganey, 2004). The opioid epidemic has caused widespread concerns around the globe and has introduced a ripple effect of poor outcomes, particularly for the children and families. Increasing awareness pertaining to this public health concern is extremely necessary. Advocating for the children in foster care and foster parents is the responsibility of the public and government representatives. Therefore, writing letters to government and state politicians, speaking with representatives of root organizations about the specific concerns and needs of child protection services are important starting points to improve this domineering health concern.

Public Health Concern

Parental substance use is particularly relevant to child welfare as children whose parents misuse or abuse substances are disproportionately the victims of neglect or abuse, which may lead to placement in a foster home (Gifford, Eldred, Vernerey, & Sloan,2014). The crisis is especially prevalent in rural and economically disadvantaged communities where poverty is associated with poor physical and mental well-being, health access is limited, opioid prescription rates are higher, and treatment programs are few (Treating the Opioid Epidemic as a Childrens Health Crisis, 2018). In fact, due to the lack of access to health care and treatment centers in the areas of poverty, this cycle will continue as well as child neglect and removal from their homes and their parents. Other statistics show that child protective services nationwide have seen a surge in children removed from parents since 2012, around the time of the heroin epidemic was first recognized (DeMio, 2018). Under those circumstances, foster care placements are at a record high and the number of drug exposed newborns in Ohio has jumped over 200 % in the past decade (Mealer, 2017). These are only a few reports of the countless data out there explaining the health disparity placed upon the helpless children and hopeless families is extremely distressing to say the least.

Resources and Support

The admirable individuals making the decision to become a foster parent and or respite care provider are initially required by the state to go through extensive training and background checks before obtaining a fostering parent license. Resources and support are provided from the beginning and throughout the time of fostering, but, are the resources from the agencies sufficient for the persons stepping up to provide a safe home for these kids? After speaking with those on the front-lines of children protection services; social workers, foster and adoption agency staff and foster parents, similar feedback was given.

Support from the agency begins at time of orientation. Per a conversation with the foster parent licensing coordinator at and Adoption Center, organized monthly training sessions are provided ranging from basic child development to recognizing the effects trauma has on child development and behavior and learning different styles of approach verses the traditional care approach(personal communication).

Another model of support is a new clinic at Cincinnati Childrens Hospital Medical Center (CCHMC), known as CHECK — Comprehensive Health Evaluations for Cincinnati Kids. This clinic is designed to improve care for foster children and equip foster parents with adequate support to health and development of the child in their care (DiMio, 2018). The team of clinicians evaluate the childs medical and dental needs and the social workers complete a comprehensive mental health assessment.

One other support system based out of Louisville Kentucky is, Commission for Children with Special Health Care Needs (CCSHCN) Nurse Consultant Foster Care Support Program. This program offers nurse consultant support to social workers and foster families on medical issues. The nurse is available to interpret medical reports, enhance care coordination including prevention and wellness programs (Foster Care Support Program, n.d.).

Foster Parents Perspectives

Individuals who offer themselves to provide another parents child a home, who also raise their own biological children, are true blessings for the children who are involuntarily removed from the only environments and family they have ever known.

A portion of my practicum experience consisted of conversations with foster parents who are currently fostering children from homes with substance abuse issues. The foster parents interviewed have experience in Ohio, Kentucky and New York. One of these parents have fostered a total of 278 children over a 30 year period. Overall, the feedback from all three parents were comparable and positive.

One foster parent was very knowledgeable and passionate about the multiple resources available to the fostering community here in Ohio. She described a non-profit organization called HOPEs Closet; a which was founded by foster parents who believed there was a need for additional support and resources. One of the many resources of this ministry is a boutique where children and their fostering parents can shop for clothing, backpacks and school supplies, baby gear and equipment and other items twice a year at no cost. Many children come into the foster system with only the cloths on their back, so this is a wonderful resource for foster parent.

All three foster parents professed having great relationships with their case workers and felt comfortable calling them at any point of the day with concerns, questions or specific needs.

There was only one negative comment about an area that was in need of improvement and that was the county and state level of support.

Local Foster Agencies Hopes

The primary goals for all child welfare organizations is safe placement and ultimately reunification for the children. With elections drawing near, Hamilton Country Childrens Services is hoping for a significant increase in funding during the 2018 elections to assist on numerous levels. Passing the vote on Issue #9 would sanction a county levy to increase funding for foster care and children services (Hamilton County, Ohio, Issue 9, Children’s Services Tax Levy, 2019). During a conversation with Jessica Thompson (personal communication, November 1, 2018), the director at Beech Acres Foster Care and Adoption Center, the levy would help fund child placement costs, kinship care needs, behavioral health needs not covered by Medicaid, and additional specialized parent mentoring and substance use disorder assessment and treatment, to name a few.

Personal Practicum Activities

The practicum opportunities I participated in over the course of the semester allowed me to develop a new understanding of public health care policy in addition, how to proactively take political action to advocate for public health concerns. In a sense, I also found the involvement to be empowering. This experience put me in a position to advocate for notable organizations and selfless individuals. I wrote a letter and sent to Ohio Senator Rob Portman explaining my position as a pediatric home care nurse, observing an increase in infants affected by substance use and being cared for by foster parents. I also pointed out the fact that foster care placements are at a record high and the number of drug exposed newborns in Ohio has jumped over 200 % in the past decade (Mealer, 2017). I also had the pleasure of speaking with three compassionate foster parents who all had biological children of their own.


During the research and practicum hours spent throughout this semester reflecting on the public health topic; the impact opiates has on the child welfare system, the reality became clear; there is no easy fix. Until the drug issue is controlled, the statistics of children entering the foster system will continue to rise. In the meantime federal resources are needed to support state and local foster care systems, children and families in need of protection.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Essay Help Republic
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
on time and very legit!
Customer 452447, May 18th, 2022
Classic English Literature
awesome research and organization
Customer 452451, May 26th, 2022
Classic English Literature
Awesome Work. Highly recommend the writer
Customer 452461, November 21st, 2022
Nice job!
Customer 452459, September 27th, 2022
i love every detail of the paper. am sure i'll get an A+
Customer 452459, September 27th, 2022
Classic English Literature
no errors and top-notch grammar
Customer 452451, May 26th, 2022
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
error: Content is protected !!
Open chat
Need assignment help? You can contact our live agent via WhatsApp using +1 718 717 2861

Feel free to ask questions, clarifications, or discounts available when placing an order.