More than half (59%) of Medicaid-eligible caregivers of children referred to child protective services (CPS) in Florida and Kentucky had a mental health or addiction disorder, but few received treatment. In comparison, about 33% of a control group of Medicaid beneficiaries not referred to CPS had behavioral health disorders. The prevalence of a mental health diagnosis was 1.6 times higher in the CPS population than the comparison group, at 45% compared to 28%. The prevalence of any addiction disorder was 3.5 times higher among the CPS population, at 42% compared to 12%. The prevalence of opioid use . . .

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