Background and aim: Based on national annual statistical data, estimates can be made on the number of the clients entered treatment. However, these data provide information on the addiction treatment’s capacity rather than on the real number of people with substance use disorders. A lot of international research found that many clients do not access addiction treatment due to personal, social and structural factors. In Hungary, research on entering treatment’s barriers is more limited – our aim is to analyse the gaps in the substance use disorder treatment. Method: Qualitative method was applied. The target group consisted of national professionals who have been working in treatment for several years at health care system or social service providers in Budapest. 11 interviews were conducted. Verbatim transcriptions were analysed using qualitative thematic analysis. Result and conclusion: Several structural, organisational, and personal barriers of accessibility to substance use treatment have been explored. No change in the last 5-10 years has been found regarding the funding and unpredictability of funding in the field; the political interests of decision making that ignore experts’ opinion; the unpredictable legal environment with administrative burdens; the attitudes of society towards drug use; the lack of qualified workforce. National and international research also suggests that there are deep, systemic problems in substance use treatment, which can be addressed through social sensitisation programmes, evidence-based decision-making involving experts, prevention, a more predictable legal and financial environment, capacity expansion and meaningful information.
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