In the face of an opioid epidemic, the nation cannot afford to continue to bear the unintended constraints of the 50-year old provision under Medicaid that severely impedes availability and access to treatment.
Of the 1,614,358 admissions to treatment services nationally in 2014, 15% were homeless according to SAMHSA — a considerable issue as stable housing is an essential component to attaining recovery goals and wellness.
There is an inadequate supply of workers trained in substance use treatment, including those specializing in the therapeutic community philosophy of treatment. This crisis is not unlike the nursing shortage, addressed by Congress.
Telehealth use soared early in the COVID-19 pandemic amid lockdowns and social distancing. While telehealth utilization has gone down for substance use disorder services, it is still being used significantly more than during pre-pandemic times, across the healthcare system.