Pubdate: Fri, 16 Aug 2002 Source: Deseret News (UT) Copyright: 2002 Deseret News Publishing Corp. Contact: http://www.desnews.com/ Details: http://www.mapinc.org/media/124 GET FACTS ON TREATING ADDICTS Unless you know a substance abuser or you're an addict yourself, it's difficult to understand the dynamics of substance abuse treatment. Some people who need treatment won't seek it. Others who need it and want it are destitute. Even if they have insurance, it's iffy that all costs will be covered. Those who can pay for treatment and have insurance may not be able to secure a spot in treatment because they compete for space with people who have been referred by the courts. Those fortunate enough to undergo treatment may relapse because they do not have adequate follow-up care. A new national survey of substance abuse treatment centers shows that more than 22,000 Utahns are being treated for drug addiction, but about 80,000 more probably need it. These are disturbing figures considering that substance abuse is at the heart of many social problems. But it is crucial that a larger number receive treatment of substance abuse and the issues that started the destructive behavior in the first place so they can resume healthy, productive lives. The disparity between those who need substance abuse treatment and those who receive it is a complex issue. The issue is largely driven by money and out of whose pocket treatment costs will be covered. A Deseret News series on addiction published in March of this year revealed that the large majority of people in substance abuse treatment in Utah were in government-supported treatment plans. One counselor interviewed for the series mused, "If you want treatment, go commit a crime." Private insurance has been slow to cover substance abuse treatment and prescription medication that can block the euphoric highs of illegal drugs. Part of the insurers' concern is the effectiveness of treatment programs, considering many addicts can fail absent thorough follow-up consultation. Substance abuse counselors say part of the onus rests with insurance panel members who have no background in treatment strategies. Some health-care providers recommend costly inpatient care when out-patient treatment may be just as successful and not as costly. Clearly, more public education about substance abuse and treatment is needed so that families facing these issues can make better decisions. Moreover, policymakers and health insurance companies need access to information covering a range of treatment strategies so there can be an informed dialogue about the roles individuals, governments and private insurers play in covering treatment costs. - --- MAP posted-by: SHeath(DPFFlorida)