Opioid use disorder impedes dependent parents' abilities to care for their children. In turn, children may languish in unpredictability and persistent chaos. Societal responses to these children are often guided by a belief that unless the drug dependent parent receives treatment, there is little help for the child. While a preponderance of the drug dependence research is adult-centric, a significant body of research demonstrates the importance of not only addressing the immediate well being of the children of drug dependent caregivers but preventing the continuing cycle of drug dependence. The present commentary demonstrates through a brief review of the US history of drug dependence crises and research from the 1980s and 1990s, a range of “tried and true” family, school, and community interventions centered on children. We already know that these children are at high risk of maladjustment and early onset of drug dependence; early intervention is critical; multiple risk factors are likely to occur simultaneously; comprehensive strategies are optimal; and multiple risk-focused strategies are most protective. Where we need now to turn our efforts is on how to effectively implement and disseminate best practices, many of which we learned in the 1980s and 1990s. The greatest opportunity in both changing the nature of the opioid epidemic at scale and influencing rapid translation of existing research findings into policy and practice is not in asking what to do, but in asking how to do the right things well, and quickly.

Abstract                                                                            Ord: 14896     Title: My parent is an addict   A qualitative study about being a grown up child to addict parents.     Author: Johanna Lundgren     The purpose of the study was to investigate how adult daughters of addicts experienced their childhood and how they experienced being affected as children and adults. The study was based on a phenomenological approach and based its empirical data on semi-structured interviews with adult daughters of addicts. The main result showed growing up with several difficult events and the informants claim to have trust issues, a negative self-image or poor self-esteem and that they have taken unreasonable responsibility in relation to their age and situation. Problems in school are also highlighted by everyone in some form. An informant claimed to be a sober alcoholic and a use of other drugs had occurred among the informants. All informants themselves had been in relationships with addicts and all had some social involvement. The results were thematized and as an analysis tool Bronfenbrenner's ecological systems theory and social learning theory were used. / Sammanfattning   Titel: Min förälder är en missbrukare   En kvalitativ studie om att vara ett vuxet barn till missbrukande föräldrar   Författare: Johanna Lundgren   Studiens syfte var att undersöka hur vuxna döttrar till missbrukare upplevt sin barndom samt hur de upplevde sig ha blivit påverkade som barn och vuxen. Studien utgick från en fenomenologisk ansats och baserade sin empiri på semistrukturerade intervjuer med vuxna döttrar till missbrukare. Det huvudsakliga resultatet påvisade uppväxter med flera svåra händelser och informanterna uppger sig ha tillitsproblem en negativ självbild eller dålig självkänsla, samt att de har tagit ett orimligt ansvar i förhållande till sin ålder och sin situation.  Problem i skolan belyses även av samtliga i någon form. En informant uppgav sig vara nykter alkoholist och en användning av andra droger hade förekommit bland informanterna. Samtliga informanter hade själva haft relationer till missbrukare och alla hade i någon mån ett socialt engagemang. Resultatet tematiserades och som analysverktyg användes Bronfenbrenners ekologiska systemteori samt den sociala inlärningsteorin.

Syftet med uppsatsen var att undersöka mäns erfarenheter och upplevelser av att växa upp med en missbrukande förälder som har ett substans- eller spelmissbruk. I denna kvalitativa uppsats har fyra självbiografier analyserats genom tematisk analys. Resultatet för uppsatsen påvisar att männen som barn tog en föräldraroll på olika sätt i sina respektive familjer. Vidare visar resultatet att männen som barn hittade olika sätt för att få en paus från sin vardag. Det som även var gemensamt för barnen var att de hade sina missbrukande föräldrar i fokus, vilket i sin tur ledde till att deras egna känslor och behov hamnade i skymundan. Resultatet av uppsatsen påvisade även att det uppstod konsekvenser för dem som barn när de växte upp med en missbrukande förälder. Dessa följder omfattade både emotionella och praktiska aspekter. / The purpose of this study was to examine men´s experiences of growing up with an addicted parent who is a substance or gamble addict. In this qualitative study, four autobiographies were analysed by thematic analysis. The results show that the men as children was given a parental role in their families because of the circumstances with an addicted parent. Further, the results show that the men as children found different strategies to get a pause from their daily life. The children always had their addicted parent in focus which led to their own feelings and needs being shaded. The results in this study also demonstrated that growing up with an addicted parent led to emotional and practical consequences.