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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Multigenerational
Approaches to Fostering
Children’s Health and
Well-Being

THE OPIOID CRISIS AS A CASE STUDY

PROCEEDINGS OF A WORKSHOP

Megan Snair, Rapporteur

Forum for Children’s Well-Being: Promoting
Cognitive, Affective, and Behavioral Health for Children and Youth

Board on Children, Youth, and Families

Division of Behavioral and Social Sciences and Education

images

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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This activity was supported by contracts between the National Academy of Sciences and the American Board of Pediatrics (Unnumbered Award); Centers for Disease Control and Prevention (200-2011-38807, TO #69); Conrad N. Hilton Foundation (17605); Doris Duke Charitable Foundation (2018120); Health Resources and Services Administration of the U.S. Department of Health and Human Services (HHSH250201500001I/75R60219F34017); and Robert Wood Johnson Foundation (74234). Additional support came from the American Academy of Child and Adolescent Psychiatry, the American Academy of Pediatrics, the American Psychological Association, Autism Speaks, Children’s Hospital Association, the Global Alliance for Behavioral Health and Social Justice, the National Federation of Families for Children’s Mental Health, the Nemours Children’s Health System, the Society for Child and Family Policy and Practice, the Society of Clinical Child and Adolescent Psychology, the Society of Pediatric Psychology, Well Being Trust, and ZERO TO THREE. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-49747-3
International Standard Book Number-10: 0-309-49747-7
Digital Object Identifier: https://doi.org/10.17226/25574

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Copyright 2019 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. (2019). Exploring Multigenerational Approaches to Fostering Children’s Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25574.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Image

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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PLANNING COMMITTEE ON EXPLORING MULTIGENERATIONAL APPROACHES TO PREVENTION: A WORKSHOP

WILLIAM R. BEARDSLEE, Baer Prevention Initiatives and Department of Psychiatry, Boston Children’s Hospital, and Department of Child Psychiatry, Harvard Medical School

C. HENDRICKS BROWN, Departments of Psychiatry, Behavioral Sciences, and Preventive Medicine, Feinberg School of Medicine, Northwestern University

DEBORAH KLEIN WALKER, Global Alliance for Behavioral Health and Social Justice and Boston University School of Public Health

DAVID WILLIS, Center for the Study of Social Policy, Washington, DC

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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FORUM FOR CHILDREN’S WELL-BEING: PROMOTING COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH OF CHILDREN AND YOUTH

CHERYL POLK (Cochair), HighScope Educational Research Foundation

DAVID W. WILLIS (Cochair), Center for the Study of Social Policy

RUMELI BANIK, Child Well-Being Program, Doris Duke Charitable Foundation

SANDRA BARRUECO, Catholic University of America

WILLIAM R. BEARDSLEE, Baer Prevention Initiatives and Department of Psychiatry, Boston Children’s Hospital, and Department of Child Psychiatry, Harvard Medical School

HAROLYN M.E. BELCHER, Johns Hopkins University School of Medicine and Center for Diversity in Public Health Leadership Training, Kennedy Krieger Institute

RAHIL D. BRIGGS, ZERO TO THREE, Washington, DC, and Department of Pediatrics, Montefiore Medical Group

C. HENDRICKS BROWN, Departments of Psychiatry, Behavioral Sciences, and Preventive Medicine, Feinberg School of Medicine, Northwestern University

DEBBIE I. CHANG, Policy and Prevention, Nemours Children’s Health System

TINA CHENG, Department of Pediatrics, Johns Hopkins University School of Medicine

NATHANIEL Z. COUNTS, Montefiore Medical Group

MARTHA B. DAVIS, Robert Wood Johnson Foundation

ROBERT H. DUGGER, Hanover Provident Capital LLC and ReadyNation

ALEXA EGGLESTON, Domestic Programs, Conrad N. Hilton Foundation

LYNDA GARGAN, National Federation of Families for Children’s Mental Health

CARMEN J. HEAD, American Academy of Child and Adolescent Psychiatry

KIMBERLY EATON HOAGWOOD, Department of Child and Adolescent Psychiatry, School of Medicine, New York University

STEPHANIE M. JONES, Harvard Graduate School of Education

JENNIFER W. KAMINSKI, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention

KELLY J. KELLEHER, Center for Innovation in Pediatric Practice, Health Services Research, Community Health and Services Research, and the Research Institute, Nationwide Children’s Hospital

AMY WIMPEY KNIGHT, Children’s Hospital Association, Washington, DC

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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LAUREL K. LESLIE, American Board of Pediatrics and Department of Medicine and Pediatrics, Tufts University School of Medicine

MARY ANN MCCABE, Society for Child and Family Policy and Practice; Society of Pediatric Psychology; Department of Pediatrics, George Washington University School of Medicine; Department of Applied Developmental Psychology, George Mason University

TYLER NORRIS, Well Being Trust, Oakland, CA

CARLOS E. SANTOS, Luskin School of Public Affairs, University of California, Los Angeles

ANDY SHIH, Autism Speaks, New York, NY

VERA FRANCES “FAN” TAIT, American Academy of Pediatrics

DEBORAH KLEIN WALKER, Global Alliance for Behavioral Health and Social Justice and Boston University School of Public Health

LESLIE R. WALKER-HARDING, Department of Pediatrics, Seattle Children’s Hospital

Forum Staff

SUZANNE LE MENESTREL, Director

ERIN KELLOGG, Research Associate

MARGARET KELLY, Senior Program Assistant

STACEY SMIT, Senior Program Assistant

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
×

Acknowledgments

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings: James M. Perrin, Harvard Medical School and MassGeneral Hospital for Children and David W. Willis, Senior Fellow, Center for the Study of Social Policy. We also thank staff member Karen Anderson for reading and providing helpful comments on this manuscript.

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by Patrick H. DeLeon, F. Edward Hebert School of Medicine and the Graduate School of Nursing, Uniformed Services University of the Health Sciences. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25574.
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The opioid crisis is especially prevalent in rural and economically disadvantaged communities where poverty is associated with poor physical and mental wellbeing, health access is limited, opioid prescription rates are higher, and treatment programs are few. Children are one of the most vulnerable populations caught in this public health crisis, as a growing number are sent to live with other relatives or placed in foster care following the death of a parent or a parent's inability to continue as a primary caretaker while in recovery. Additionally, health care systems around the country have seen a dramatic increase in babies who are born with neonatal abstinence syndrome. All children affected by the opioid crisis, whether born with withdrawal symptoms or struggling as an older child surrounded by uncertainty, need dedicated attention, likely including specialized services, to achieve optimal levels of health and well-being. Unfortunately, because so many resources directed to the crises have been dedicated to the immediate and long-term needs of people who have overdosed, children often become a forgotten population.

In response to this need, the Forum for Children's Well-Being convened a workshop in June 2019 on Fostering Children's Physical, Developmental and Social/Behavioral Health in the Face of the Opioid Crisis. The goal of the workshop was to explore multigenerational approaches and policy strategies to promote health and well-being, using the opioid crisis as a case study. Multigenerational approaches and policy strategies that are successful in fostering children's health in this crisis may be adaptable in the future. This publication summarizes the presentation and discussion of the workshop.

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