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This article characterizes the opioid epidemic is a crisis of disrupted parental attachment. Children who have parents with substance use disorders need healthy attachment bonds with their primary adult caregiver in order to grow, develop, and thrive. Foster care is a crucial therapeutic intervention that can address this need while helping to ensure the child’s safety and wellbeing but is not the only way. Family First embraces the core principle of avoiding unnecessary foster care by addressing the needs of families in crisis.