New Systems of Care for Substance Use Disorders. Treatment, Finance, and Technology Under Health Care Reform.

摘要

Roughly 23,5 million American adults have a substance use disorder, but only 10.4% receive the addiction treatment they need.1'2 Stated differently, 20.9 million persons, totaling 8.3% of the US population age 12 years or older, needed treatment for an illicit drug or alcohol use problem but did not receive treatment at a specialty substance abuse facility in the last year. Although most persons with addiction see a physician at least once every 2 years,3 it is most often for medical/surgical complications of their substance use, rather than for the addiction itself. Among those receiving treatment, only 20% are offered US Food and Drug Administration (FDA)-approved pharmacotherapies from which they may benefit.4'5 The "treatment gap" experienced by persons with addiction results in substantial social burdens and is acknowledged by major health services researchers and federal policymakers.