Previously this 7 days, many media retailers ran tales highlighting the developing disaster of drug misuse in the United States. Citing Centers for Disorder Regulate and Prevention (CDC) info, the New York Moments mentioned that more than 100,000 People died from drug overdoses throughout a yearlong time period ending in April 2021.
Drug misuse—the use of illicit medication and the misuse of prescription medicine, such as opioids—has been a persistent and extensive-standing general public health concern in the United States. Countrywide costs of drug misuse have improved above the previous two a long time, and are a significant danger to general public health, our culture, and the overall economy.
GAO has issued various reviews highlighting techniques the federal government can just take to improve its reaction to this disaster. In 2019, right before the pandemic, we raised this problem as a critical one particular needing attention and in 2020, we made the decision to insert drug misuse to our Higher Danger List—a checklist of areas that need to have fast awareness. And considering the fact that then we have been looking at how the pandemic has impacted these problems.
Today’s WatchBlog post seems at our work on the drug misuse crisis, and federal endeavours to address it.
The federal strategy
In modern many years, the federal government has used billions of dollars and has enlisted much more than a dozen businesses to aid handle drug misuse and its effects.
The National Drug Manage Approach is the federal effort and hard work to minimize compound use conditions by a coordinated countrywide drug manage policy. The Workplace of Nationwide Drug Manage Coverage (ONDCP) is responsible for overseeing and coordinating this effort and hard work.
Our perform has discovered deficiencies in the most new iterations of the System, which could provide as an action strategy for addressing this superior-hazard location. In December 2019, we suggested that ONDCP produce and put into practice essential setting up factors, like useful resource investments and roles and responsibilities, to support it composition its ongoing attempts and to greater posture the agency to meet up with statutory demands for long term iterations of the Technique.
In November 2020, we recommended that agencies make clear how their packages support to attain unique targets of the Method.
The availability of treatment and restoration applications
As drug misuse has greater, so has desire for therapy and care. But in December 2020, we described that cure availability has not saved speed with want. The Substance Abuse and Psychological Health and fitness Solutions Administration (SAMHSA) advised us that although drug misuse is widespread, practically a person-third of U.S. counties (31%) did not have facilities supplying any amount of material use disorder remedy.
Some critical boundaries in addressing demand for remedy incorporate workforce shortages, coverage reimbursement and payment designs, federal and state needs, and the stigma of drug abuse.
SAMHSA administers grant plans aimed at expanding access to treatment method for compound misuse. But we observed that the knowledge SAMHSA depends on to realize the affect of its awards and endeavours was unreliable due to the fact it incorporated the two people today who gained treatments funded by its grant plans and people who did not. We encouraged that it enhance the high quality of facts it uses.
Just after treatment method, there are some federal packages for people recovering from drug misuse. For example, the Section of Labor (Labor) provides grants to states to handle the employment and education requires of those people affected by and recovering from substance use disorders.
In May 2020, we suggested that Labor share info, these kinds of as classes learned, from states participating in the system with all states, tribal governments, and outlying parts. Labor agreed with our recommendation.
Monitoring the impact of federal endeavours
Our previous operate has discovered gaps in the availability and trustworthiness of details for measuring the federal government’s development with addressing drug misuse.
For instance, ONDCP and other federal, condition, and local federal government officers have determined challenges with the timeliness, accuracy, and accessibility of knowledge on overdose scenarios (equally lethal and non-fatal) from legislation enforcement and community overall health resources. In March 2018, we advised that ONDCP lead a assessment on approaches to improve overdose facts.
ONDCP is also responsible for evaluating the usefulness of countrywide drug regulate plan endeavours across the governing administration. But, in March 2020, we reported that ONDCP experienced not totally formulated functionality evaluation plans to measure progress from each individual of the Strategy’s extensive-range aims, as essential by legislation.
With out effective lengthy-phrase strategies that obviously articulate targets and targets as perfectly as unique measures to keep track of performance, federal businesses are unable to fully evaluate whether or not taxpayer dollars are invested in means that will obtain desired results, this sort of as minimizing entry to illicit medications and growing therapy for material use problems.
COVID-19’s effects on drug misuse and new federal aid
It is not still recognized just how a great deal the pandemic has impacted psychological health and substance use. But, in September 2020, SAMHSA reported opioid overdose deaths have increased in some parts of the state by as a lot as 25% to 50% during the pandemic compared to the previous yr.
In March 2021, we reported on the outcomes that the COVID-19 pandemic was possessing on need for behavioral overall health expert services, like mental overall health and substance use problems. The included stressors caused by the pandemic—such as feelings of isolation and economic stress—have contributed to boosts in unexpected emergency area visits for overdoses and suicide attempts and requests for other behavioral well being providers. Our podcast with GAO well being care qualified John Dicken discusses this report.
Beneath the CARES Act and other subsequent pandemic reduction acts, SAMHSA was appropriated about $8 billion for behavioral well being solutions, which involve compound abuse prevention and cure companies and group psychological health and fitness expert services, among the other things to do. For example, distinct money are obtainable for the Certified Group Behavioral Health and fitness Clinic Expansion Grant system though other resources can be spent to deal with crisis compound abuse or mental health and fitness demands in neighborhood communities.
Our get the job done monitoring the federal response to the drug misuse crisis is ongoing, but to study more about our results and tips so far, pay a visit to our Superior Danger web page on this problem.