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Analysts flag SUD treatment gaps; ASAM guidance frames co-occurring care needs
Summary
Presenters said roughly one-quarter of youth with SUD treatment need receive SUD services; among 18–25 with co-occurring need, 58% receive mental health care, 27% SUD care and 18% both, underscoring co-occurring care and payment/licensure barriers.
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Presenters emphasized that receipt of SUD services is lower than clinical need and discussed how ASAM guidance supports expanding co-occurring-capable care.
"About 0.25 of youth and young adults with an SUD treatment need receive SUD treatment services," said Bridget Poppel. She added that among transition-age adults with co-occurring need, 58% receive mental-health services, 27% receive SUD services and about 18% receive both.
Diana Cochrell and others noted structural barriers: separate licensure and certification pathways for substance-use and mental-health treatment complicate integrated care delivery and payment. Agencies said the ASAM adolescent and young adult guidance is being used to think about capacity-building and implementation.

