From Fostering Hope to Lingering Harm: The Unintended Impact of the OxyContin Reformulation on Child Welfare Utilization

Mackenzie-Liu, Mattie

doi:10.1086/713378

Cited by 8 publications

(5 citation statements)

References 47 publications

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“…In other words, after the 2010 reformulation of OxyContin that made the drug more difficult to abuse, we find that food insecurity increased in states with relatively higher rates of prior opioid abuse in the long run. This is a helpful addition to the empirical evidence finding unintended negative effects of drug reformulation on a long list of outcomes including child welfare caseloads, heroin deaths, and blood-borne diseases (Mackenzie-Liu 2021; Alpert, Powell, and Pacula 2018; Beheshti 2019; Evans, Lieber, and Power 2019).…”

Section: Discussionmentioning

confidence: 94%

“…Second, there is growing literature indicating the extent to which opioid use disorder is associated with disruptions in household composition and family structure (Mackenzie-Liu 2021; Caudillo, Villarreal, and Cohen, this volume; Chapman, this volume; Bullinger, Wang, and Feder, this volume). Opioid use disorder may directly result in the dissolution of families of all types (single-parent households as well as married-couple households) from opioid-related deaths and desertion, or indirectly through incarceration.…”

Section: The Connection Between Food Insecurity and The Opioid Crisismentioning

confidence: 99%

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Food Insecurity and the Opioid Crisis

Heflin¹,

Sun²

2022

The ANNALS of the American Academy of Political and Social Scie

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The opioid epidemic has increased adult mortality, disrupted families, and changed labor supply—all factors that are independently associated with poverty and food insecurity. We explore the relationship between the opioid crisis and food insecurity at the state level, first by examining the relationship of drug-related mortalities to food insecurity, and then by exploiting cross-state variations in OxyContin misuse prior to reformulation of the drug to investigate whether food insecurity increased as individuals with opioid use disorder transitioned from prescription to street drugs such as heroin. Results provide further evidence of the presence and size of the social consequences of the opioid crises and the negative consequences associated with drug reformulation for food security.

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Section: Discussionmentioning

confidence: 94%

Section: The Connection Between Food Insecurity and The Opioid Crisismentioning

confidence: 99%

Food Insecurity and the Opioid Crisis

Heflin¹,

Sun²

2022

The ANNALS of the American Academy of Political and Social Scie

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“…This is perhaps due to different samples between the foster care and child maltreatment report analyses. However, another study focused on the effects of reformulation of OxyContin finds a similar pattern of a positive association for foster care entry and no association for child maltreatment reports (Mackenzie-Liu 2021).…”

Section: Social Disorganization: a Place-based Theory Of Substance Us...mentioning

confidence: 90%

The Opioid Crisis and Child Maltreatment Across Counties and Time in the United States, 2007–2017

Chapman¹

2022

The ANNALS of the American Academy of Political and Social Scie

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Rising opioid mortality coincides with reported rises in child maltreatment since the early 2000s. I consider mechanisms that link the opioid epidemic and child maltreatment, focusing on social disorganization, the geographic and temporal patterns of opioid mortality, and community-level substance use and child maltreatment. I combine data from the ACS, CDC WONDER, and NCANDS in county-level analyses. I show a positive association between adult opioid mortality and child maltreatment that varies over time, and the results suggest a stronger association between opioid mortality and child maltreatment in high-poverty counties. Counties with high levels of residential mobility show negative associations between opioid mortality and child maltreatment when mortality levels are low. These findings bolster arguments that child maltreatment can be decreased by reducing poverty and opioid mortality and by increasing opportunities for residential mobility.

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“…The meaning of CPS involvement for children’s living arrangements is further complicated by the fact that there is substantial variability in the legal criteria that define when parental drug use justifies child removal across states and over time (Quast 2018). CPS’ propensity to place children at risk of maltreatment in foster care may have also varied across different stages of the opioid crisis (Mackenzie-Liu 2021). Therefore, the correlation between foster care entries and other family reconfigurations driven by the opioid crisis may have changed across states and time.…”

Section: How May the Opioid Epidemic Affect Children’s Living Arrange...mentioning

confidence: 99%

The Opioid Epidemic and Children’s Living Arrangements in the United States, 2000–2018

Caudillo¹,

Villarreal²,

Cohen³

2022

The ANNALS of the American Academy of Political and Social Scie

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Although the detrimental effects of the opioid epidemic on individuals’ health and well-being have been well documented, we know little about how it has affected the family contexts in which children live. We assess how the opioid epidemic, as measured by a rise in the opioid overdose death rate, has affected the rates at which children live in different family arrangements: two married parents, two cohabiting parents, single mother, single father, or another configuration. Our local fixed-effects models show that higher local overdose death rates are associated with fewer children living with two married parents and with an increase in children living in family structures that tend to be less stable, such as those led by cohabiting parents or a single parent. These changes in family arrangements have potential long-term implications for the well-being of future generations.

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From Fostering Hope to Lingering Harm: The Unintended Impact of the OxyContin Reformulation on Child Welfare Utilization

Cited by 8 publications

References 47 publications

Food Insecurity and the Opioid Crisis

Food Insecurity and the Opioid Crisis

The Opioid Crisis and Child Maltreatment Across Counties and Time in the United States, 2007–2017

The Opioid Epidemic and Children’s Living Arrangements in the United States, 2000–2018

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