National Clearinghouse on Homeless Youth and Families

Medication-Assisted Treatment for Opioid Use Disorder in the Child Welfare Context: Challenges and Opportunities

Radel, L.,
Baldwin, M.,
Crouse, G.,
Ghertner, R.,
Waters, A.
Published: November, 2018
Number of Pages: 
U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation
ASPE Research Brief

This brief from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) uses results from a mixed methods study to determine how the current opioid epidemic, particularly parental opioid misuse, affects child welfare systems across the country. The study found four main challenges with the use of medication-assisted treatment (MAT) for parents involved with the child welfare system: 1) limited availability of appropriate treatment, 2) misunderstanding of MAT, 3) limited interactions between child welfare agencies and MAT providers, and 4) need for alignment between systems and stakeholders. The brief presents recommendations from ASPE on how to address and overcome these challenges.

Available free of charge on the HHS Office of the Assitant Secretary for Planning and Evaluation website at: