ASAM Summary and Analysis

Missing Opportunities in Screening and Treating Alcohol Disorder

Alcohol Use Disorder (AUD) remains a critical public health challenge, yet significant gaps persist in screening, advising, and treating individuals who meet the criteria for AUD. A recent analysis of the National Survey on Drug Use and Health (NSDUH) data from 2015 to 2019 highlights these disparities and reinforces Horizon Treatment Services’ commitment to bridging these gaps.

Key Findings:

• Only 52.9% of individuals meeting AUD criteria were screened by a healthcare provider in the past year.
• 21.6% received advice to reduce alcohol use, while 17.7% were informed about problematic use.
• Just 7.6% were offered treatment options.

Disparities in care were evident among women, racial and ethnic minorities, and those with lower socioeconomic status. Non-Hispanic Black and Hispanic individuals, along with those experiencing lower income or poor health, were less likely to receive screening or treatment advice. Co-occurring substance use further influenced screening rates, with individuals misusing prescription pain relievers being more likely to receive attention than those using stimulants or sedatives.

Horizon Treatment Services’ Commitment:

1. Universal Screening Practices
   We implement comprehensive screening using DSM-5 criteria and ASAM guidelines to ensure early intervention.
2. Culturally Competent Care
   Our bilingual staff provide culturally tailored services to build trust and engagement among marginalized communities.
3. Provider Training
   Continuous training equips our staff with the skills to apply best practices for high-quality assessments and personalized care.
4. Advocacy and Innovation
   We advocate for funding to address barriers such as transportation and insurance, partnering with community organizations to expand access.
5. Community Engagement
   Collaborations with schools and faith-based groups help reach underserved populations through mobile screening initiatives.

Together, we remain committed to advancing equitable and effective care, ensuring that all individuals—regardless of background—have access to the support they need.