A National Institutes of Health research alert is sounding an alarm about the estimated number of children who live with parents suffering from a substance use disorder (SUD).

In 2023, almost 19 million children under age 18 lived with one or more parent with an SUD. That's one-fourth of all kids in the country.

Almost half of those kids are contending with a parent who is moderately or severely dependent on alcohol or drugs, and nearly the same number live with a parent who is mentally ill and has an SUD.

Alcohol is the number one substance that is abused, followed by cannabis, prescription drugs, and illicit drugs such as heroin.

This means kids often suffer from a lack of attention to their physical and emotional needs, and contend with a lack of food, inattention to their schooling, and exposure to toxic substances. These things can lead to problems with impulse control and impaired cognitive development, as well as a weakened immune system and the risk of developing an SUD themselves.

If you know (or know in your heart, but don't admit it) that you're struggling with an SUD, it's time to create a healthier life for your kids and for yourself. Available resources to help you and your family include 10-step programs, findtreatment.gov, and SAMHSA's national helpline at 1-800-662-4357.

GLP-1 medications might also be of benefit. Talk to your doctor about them.

To help your children, contact the National Association for Children of Addiction at nacoa.org.