The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
We focus on a number of topic areas identified by state health policy leaders as important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
Reforming States Group Publication
March 7, 2019 | Suzanne C. Brundage, Carol Levine
Reforming States Group
Opioid addiction is well recognized as a national crisis, but its impact on children and adolescents whose parents are addicted has received little attention. A new report published by the United Hospital Fund (UHF), with support from the Milbank Memorial Fund and the Alfred P. Sloan Foundation, makes clear that the magnitude of the epidemic’s impact is much greater than realized. Even if the opioid epidemic were stopped cold today, there would be damaging ripples far into the future.
Titled The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families and written by Carol Levine and Suzanne Brundage, the report is based on extensive research, interviews, and a literature review by UHF staff, as well as a two-day meeting hosted by UHF in October 2018 that brought together national and local experts in child development, family policy, addiction treatment, child welfare, and state and local government officials.
While previous reports have examined aspects of the impact on children, such as pregnant women who use drugs or the increased numbers of children who enter foster care, this is the first comprehensive look at the successive waves of loss and trauma experienced by newborns, young children, adolescents, and their families. It also looks at the needs of kinship caregivers, typically grandparents who often step in to care for these children.
The report lays out a blueprint for action aimed at public and private agencies and professionals. Four broad areas for action are identified, with detailed recommendations for each:
Recognizing the multigenerational impact of the opioid epidemic is one of the Reforming States Group’s focus areas this year.
Read the report
The Milbank Memorial Fund is an endowed operating foundation that works to improve the health of populations by connecting leaders and decision makers with the best available evidence and experience.
All for One and One for All: Developing Coordinated State Opioid Strategies
February 22, 2018