In households across the country, grandparents, relatives, and close family friends—also known as kinship caregivers—are stepping in to raise children whose parents are struggling with substance use disorders (SUDs). These unsung heroes often navigate complex emotions, legal systems, and stigmas while providing the love and stability that these children desperately need. As we honor their contributions, we must equip kinship caregivers with the tools, resources, and understanding to face these unique challenges head-on.
The opioid epidemic and other forms of substance misuse have left many children without the care they need from their biological parents. Substance use disorders are a frequent factor in foster care placements, accounting for 40% of cases, and this number rises for infants under one year of age.
Kinship caregivers play a pivotal role in ensuring that these children are protected from further trauma. Often, they take on this responsibility with little preparation or support. Understanding the realities of substance use disorders is the first step toward making a difference in the lives of these children.
Substance use disorders are complex medical conditions, not moral failings. They affect the brain, altering a person’s ability to care for themselves or their children. Unfortunately, there is often a stigma around SUDs that prevents families from seeking the help they need. This stigma can also extend to kinship caregivers, who may feel isolated or judged for raising a family member's children under such circumstances.
As caregivers, it’s essential to educate ourselves and our communities about SUDs. By recognizing them as chronic conditions that require ongoing care and support—much like heart disease or diabetes—we can foster a more compassionate and supportive environment for both parents and caregivers.
Children raised in environments affected by parental substance use often face adverse childhood experiences (ACEs). These experiences, such as instability or neglect, can have long-term effects on their socio-emotional and developmental health. Prenatal exposure to drugs or alcohol can also lead to conditions like Fetal Alcohol Spectrum Disorder (FASD), which may not be diagnosed until school age.
As a kinship caregiver, you are in a unique position to mitigate the impact of ACEs by providing a stable, nurturing environment. Positive Childhood Experiences (PCEs), such as strong relationships with caregivers and a sense of security, can counterbalance the trauma of ACEs. You can advocate for early intervention services and request that healthcare providers screen children for developmental delays or behavioral issues related to substance exposure.
Children, even those deeply affected by their parents’ substance use, often feel a strong sense of loyalty and love for their parents. Kinship caregivers should honor this bond and facilitate healthy family interactions whenever possible. Research shows that children who maintain regular contact with their parents tend to have better mental health outcomes.
However, it’s crucial to set clear boundaries around these visits. Parents should be sober, composed, and respectful of family routines. Caregivers should also act as a buffer, acknowledging the child's feelings without criticizing the parent. This delicate balance can help children healthily process their emotions, preventing feelings of guilt or blame.
One of the toughest decisions kinship caregivers face is whether to seek a legal relationship with the child, such as guardianship or adoption. While many caregivers hope for the parent's recovery and eventual reunification, the safety and well-being of the child must come first. Navigating the legal landscape can be overwhelming, but many resources exist to help you understand your options and make informed decisions. One local resource is the Legal Aid Center of Southern Nevada.
You don’t have to navigate this journey alone. Several organizations and support systems are available to assist you:
Peer support can be particularly powerful. Connecting with other caregivers who are facing similar challenges can provide validation, encouragement, and practical advice. Since you’re part of the Foster Kinship Family, consider joining us in our support groups and workshops monthly.
Stepping up to care for a family member's children is a profound act of love and resilience. While the road may be challenging, you are giving these children a chance to heal and thrive in a stable, caring environment. Remember, help is available. By educating yourself, building strong support systems, and advocating for the needs of both the children and yourself, you are not only changing their lives—you’re transforming your own.
If you or someone you know is a kinship caregiver struggling with the impact of substance use, don’t hesitate to reach out to one of the many resources available or please give Foster Kinship a call. We can help you navigate the next steps. You don’t have to face this journey alone, and your efforts today will have a lasting, positive impact on the next generation.