Hundreds of Thousands of Parents Died From Drugs. Their Kids Need More Help, Advocates Say

More than 321,000 children in the U.S. lost a parent to a drug overdose in the decade between 2011 and 2021, according to a study by federal health researchers that was published in JAMA Psychiatry in May.

Children need help to get through their immediate grief, but they also need longer-term support, said Chad Shearer, senior vice president for policy at the United Hospital Fund of New York and former deputy director at the Robert Wood Johnson Foundation’s State Health Reform Assistance Network. Counties with higher overdose death rates were more likely to have children with grandparents as the primary caregiver, according to a 2023 study from East Tennessee State University. This was particularly true for counties across states in the Appalachian region. Tennessee has the third-highest drug overdose death rate in the nation, following the District of Columbia and West Virginia. In recent years, opioid manufacturers, distributors and retailers have paid states billions of dollars to settle lawsuits accusing them of contributing to the overdose epidemic. Some experts and advocates want states to use some of that money to help these children cope with the loss of their parents. Others want more support for caregivers, and special mental health programs to help the kids work through their long-term trauma — and to break a pattern of addiction that often cycles through generations.