The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
March 7, 2019
Suzanne C. Brundage
Feb 28, 2024
Feb 27, 2024
Back to Publications
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
Get the Latest from the Milbank Memorial Fund
An endowed operating foundation that engages in nonpartisan analysis, collaboration, and communication, with an emphasis on state health policy.