Arizona
Arizona child Fatality Review Team
November 15, 2020
In 88% of the 119 substance use related deaths (n=105), the decedent child was using or abusing alcohol or drugs which caused or contributed to their death (Figure 49). Marijuana and opiates were the most common substances which caused or contributed to the death of the child were the child was the user. In 76% of the 119 substance use related deaths (n=91), another individual (child or adult) was using or abusing alcohol or drugs which caused or contributed to the death of the child.
Page 64 https://www.azdhs.gov/documents/prevention/womens-childrens-health/reports-fact-sheets/child-fatality-review-annual-reports/cfr-annual-report-2020.pdf
Texas
Texas Department of Family and Protective Services
Fiscal Year 2018
Child Maltreatment Fatalities
and Near Fatalities Annual Report
March 1, 2019
Substance Abuse by Caregiver as Risk Factor
During the review of confirmed child fatalities, cases were reviewed for a documented history of substance abuse (including inappropriate use of prescribed medications) and for active concern for substances abuse at the time of the child fatality.
For FY2018, 138 of 211 child fatalities caused by abuse or neglect involved a parent or caregiver actively using a substance and/or under the influence of at least one substance abuse is described by type of if it was reported. Marijuana was the substance most identified as actively being used by the perpetrator (85 cases) in child abuse and neglect-related fatalities. In 21 child fatalities, methamphetamines and amphetamines were being actively used by the caregiver.
Florida
Substance Abuse History of Caregivers and Supervisors
For those with a substance abuse history, most of all caregivers of children whose deaths were verified as maltreatment has a history of marijuana use (form a low of 52% for other causes to high of 100% for sleep-related deaths.) Similarly, high percentages of caregivers use of marijuana are observed for all primary causes of death for not substantiated and no indicators of maltreatment deaths; from a low of 0.0% for not substantiated inflicted trauma deaths to a high of 83.3% for not substantiated drowning deaths.
Page 148 http://www.flcadr.com/documents/CADR2020AnnualReportFINAL.pdf
