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Interactive Statistics Series

This page contains data from 1) the Adoption and Foster Care Analysis and Reporting System (AFCARS) depicting national and state information related to parental alcohol or drug abuse a condition associated with removal and 2) the Treatment Episode Data Set Admissions (TEDS-A) depicting substance use disorder treatment admissions by gender and substance type.

Viewing Note: Interactive charts and maps are only functional and best viewed on a desktop browser. Each statistics page includes a button to download the source data.

Number of Children who Entered Out of Home Care, by Age at Removal in the United States, 2025

Number of Children who Entered Out of Home Care, by Age at Removal in the United States, 2025

AFCARS Data, 2025, as of 05/05/26

Children from birth to age 5 made up 45.3% (N=78,530) of the children placed in out-of-home care during Fiscal Year 2025. Children age 6... (Read More)

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Number of Children who Entered Out of Home Care, with Parental Alcohol or Drug Abuse as a Circumstance Reported at Remov...

Number of Children who Entered Out of Home Care, with Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal, by Age in the United States 2025

AFCARS Data, 2025, as of 05/05/26

Children from birth to age 5 made up more than half (58.8%, N=35,709) of the children placed in out-of-home care with parental alcohol o... (Read More)

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Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal

Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal By State, 2025

AFCARS Data, 2025, as of 05/05/26

Nationally, 38% of children placed in out-of-home care had parental alcohol or other drug abuse as a circumstance reported at removal in... (Read More)

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Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal for Children Age 1 and Older, 2025

Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal for Children Age 1 and Older, 2025 Age 1 and Older

AFCARS Data, 2025, as of 05/05/26

In 2025, for children age 1 and older, there were 385,666 in out-of-home care and 130,998 with parental alcohol or drug abuse as a circu... (Read More)

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Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal for Children Under 1 Year, 2025

Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal for Children Under 1 Year, 2025 Under Age 1

AFCARS Data, 2025, as of 05/05/26

More than half of the children under age 1 (55.1%) in out-of-home care had parental alcohol or drug abuse as a circumstance reported at ... (Read More)

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Percent of Children who Entered Out of Home Care who were Under Age 1 in the United States, 2000 to 2025

Percent of Children who Entered Out of Home Care who were Under Age 1 in the United States, 2000 to 2025

AFCARS Data, 2000-2025, as of 05/05/26

The percentage of children under age 1 who entered out-of-home care increased gradually from 13.4% (2000) to 20.6% (2021), with slight d... (Read More)

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Percent of Children with Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal who were Under Age 1 in th...

Percent of Children with Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal who were Under Age 1 in the United States, 2000 to 2025

AFCARS Data, 2000-2025, as of 05/05/26

The percentage of children under age 1 who entered out-of-home care with parental alcohol or drug abuse as a circumstance reported at re... (Read More)

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Prevalence of Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal

Prevalence of Parental Alcohol or Drug Abuse as a Circumstance Reported at Removal In the United States, 2000 to 2025

AFCARS Data, 2000-2025, as of 05/05/26

The percentage of children in out-of-home care with parental alcohol or other drug abuse as a circumstance reported at removal has stead... (Read More)

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Substance Abuse Treatment Admissions by Substance Type and Sex in the United States, 2023

Substance Abuse Treatment Admissions by Substance Type and Sex in the United States, 2023

TEDS-A Data, 2023, as of 2/13/25

Alcohol was the most frequently identified substance reported at treatment admission for both men and women, followed by marijuana and m... (Read More)

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Treatment Admissions for Women of Childbearing Age (Ages 15-44) Who Were Pregnant at Treatment Admission in the United S...

Treatment Admissions for Women of Childbearing Age (Ages 15-44) Who Were Pregnant at Treatment Admission in the United States, 2023

TEDS-A Data, 2023, as of 2/13/25

Nationally, 5.6% (N=20,344) of treatment admissions were for women who were pregnant, this percentage varies greatly by state. (Read More)

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Find Help with a Personal Situation

Substance Use and Mental Health Treatment Locator

To find treatment facilities confidentially, 24/7, please call 1-800-662-4357 (HELP).

To locate general treatment services, visit the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Treatment Locator online or call 1-800-662-4357 (HELP). This service provides referrals to local treatment facilities, support groups, and community-based organizations. It is a free, confidential, 24-hour-a-day, 365-day-a year information service, in English and Spanish, for individuals and family members needing treatment for a mental and/or substance use disorder.

To locate general treatment services, visit the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Treatment Locator online or call 1-800-662-4357 (HELP). This service provides referrals to local treatment facilities, support groups, and community-based organizations. It is a free, confidential, 24-hour-a-day, 365-day-a year information service, in English and Spanish, for individuals and family members needing treatment for a mental and/or substance use disorder.

National Child Abuse Hotline

If you suspect a child has been harmed by abuse or neglect, please call 1-800-422-4453.

If you suspect that a child has been harmed or is at risk of being harmed by abuse or neglect, call the National Child Abuse Hotline at Call the National Child Abuse Hotline at 1-800-422-4453. Serving the United States and Canada, the hotline is staffed 24 hours a day, 7 days a week with professional crisis counselors who—through interpreters—provide assistance in over 170 languages. All calls, texts, and chats are confidential. If you believe a child is in immediate danger of harm, call 911 first.

If you suspect that a child has been harmed or is at risk of being harmed by abuse or neglect, call the National Child Abuse Hotline at 1-800-422-4453. Serving the United States and Canada, the hotline is staffed 24 hours a day, 7 days a week with professional crisis counselors who—through interpreters—provide assistance in over 170 languages. All calls, texts, and chats are confidential. If you believe a child is in immediate danger of harm, call 911 first.

National Suicide Prevention Line

For free and confidential support for people in distress, 24/7, please call or text 988, chat 988Lifeline.org, or call 1-800-273-8255.

If you or someone you know is having thoughts of suicide or experiencing a mental health or substance use crisis, help is available and there are options to receive compassionate care. You can call or text 988 or chat 988Lifeline.org. You can also call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Both are confidential and available 24/7 to everyone in the United States and will connect you to a trained counselor at a suicide crisis center nearest you.

If you or someone you know are in crisis, thinking about harming yourself, attempting suicide, or harming another person, tell someone who can help right away. There are options to help you cope. Call the toll-free, 24-hour hotline of the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) to be connected to a trained counselor at a suicide crisis center nearest you. The National Suicide Prevention Lifeline is confidential support, available 24/7 to everyone in the United States.

Contact Us

The National Center on Substance Abuse and Child Welfare offers free technical assistance to a variety of systems on making policy and practice changes to improve outcomes for families affected by substance use disorders and involvement with child welfare services. To learn more about technical assistance services or if you have a question please email NCSACW at ncsacw@cffutures.org or call toll-free at 1–866–493–2758.

Administration for Children & FamiliesSubstance Abuse and Mental Health Services Administration
https://ncsacw.acf.gov

An official website of the Administration for Children and Families and the Substance Abuse and Mental Health Services Administration

National Center on Substance Abuse and Child Welfare