SAMHSA issues advisory telling providers to give “low barrier” treatment for SUDs

Abstract

The Substance Abuse and Mental Health Services Administration (SAMHSA), which regulates opioid treatment programs (OTPs), buprenorphine prescribing, and funds the block grant for publicly funded treatment for substance use disorders (SUDs) has called on providers to make treatment easier to access. In SAMHSA's “Advisory: Low Barrier Models of Care for Substance Use Disorders,” released quietly on Dec. 8, the federal agency said research proves that “low barrier” care — a phrase from advocates who wanted fewer restrictions to buprenorphine (most of which have now been removed) — is effective. The document calls patients “clients” (most of the time), and cites research supporting bridge clinics, syringe services programs, and “culturally responsive and trauma‐informed care.” Although the advisory is not limited to opioids, much of the content, and references, are, with a special focus on buprenorphine. Mutual support organizations like Alcoholics Anonymous, which is free, are not mentioned.