Given the dramatic increase in opioid-related overdoses and substance use disorders (SUD), the need for greater access to treatment is significant. Medications in conjunction with the psychosocial and recovery support services (medication-assisted treatment (MAT)) and other SUD treatment services often remain underutilized in behavioral health settings. In addition, barriers to treatment include lack of qualified treatment providers, disparities in treatment program access, regulatory barriers, financial barriers, and negative perceptions associated with treatment.
This study will examine factors that may influence access to MAT and to SUD treatment services more broadly, including negative perceptions associated with SUD treatment, cultural norms, and Medicaid and other insurance coverage. The study will also examine state-specific initiatives to combat the opioid epidemic and SUDs.
This study will utilize both primary and secondary data and will consist of three parts to address the research questions:
- Literature review of factors that influence access to MAT and to SUD treatment services more broadly, and efforts being implemented to mitigate these issues. This literature review is critical for building the state survey and themes to investigate via the state-level case studies.
- A 50-state survey to examine factors that influence access to MAT and SUD treatment services more broadly, as well as state-specific initiatives to combat the opioid epidemic and SUDs in order to compare and contrast regional and state-level patterns.
- Up to nine state-level case studies.