Challenges and Opportunities for Integrating Substance Use Disorder Treatment into Community Health Centers

Challenges and Opportunities for Integrating SUD cover

Issue Brief

Challenges and Opportunities for Integrating Substance Use Disorder Treatment into Community Health Centers

Overview

Fatal overdoses surged during the acute phase of the COVID-19 public health emergency and continue to rise. Stressors, loss of social support, and disruptions in treatment and recovery services exacerbated longstanding gaps in access to high-quality substance use disorder (SUD) treatment, particularly for communities of color. Community health centers (CHCs) focus on medically underserved populations and have long delivered comprehensive and culturally-informed care. They are well-poised to improve outcomes for patients with complex needs, address equity gaps, and support improved access to high-quality SUD treatment by further expanding integrated, team-based primary care models. Although CHCs have made great strides in expanding access to Medications for Opioid Use Disorder (MOUD) and other evidence-based SUD services, CHC leaders continue to report significant logistical, workforce, reimbursement, policy, and stigma-related challenges that have inhibited the adoption and sustainability of SUD services within CHC settings.

Duke-Margolis Authors

Sam Repka Headshot

Samantha Repka

Research Associate

Margolis Summer Experience

Maya Thieme

2022 Margolis Intern

Lucas Stewart Headshot

Lucas Stewart, MPP

Data Analyst Programmer

Robert Saunders

Robert Saunders, PhD

Senior Research Director, Health Care Transformation
Adjunct Associate Professor
Senior Team Member
Margolis Core Faculty