Substance Use Disorders ( Sud )

Decent Essays
Introduction Substance use disorders (SUD’s) are defined when the recurrent use of drugs and / or alcohol give rise to an array of clinically significant behavioral and physical health problems (Agley, 2016; Dwinnels, 2015). Substance use disorders impair individuals’ safety and quality of life and often co-occur with depression disorders (Dwinnels, 2015; Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). According to the 2014 National Survey on Drug Use and Health, approximately 21.5 million Americans aged 12 or older had SUDs within the past year (Montgomery, 2015; SAMHSA, 2014). Currently, it is estimated that 20.2 million people with SUDs did not receive appropriate care (SAMHSA, 2014; Small, 2016).…show more content…
Department of Health & Human Services, DHHS, n.d.).
Milstead Framework
Agenda Setting Applying Knestrick and Milstead (1998), health policy framework to the previously identified problem of SUDs, agenda setting is priority. Politicians, lobbyists, congressmen, and the public, need to know the prevalence, scope, and impact of substance use disorders at the local level. According to the Robert Wood Johnson Foundation, (2016) alcohol-impaired driving death rates were 28% compared to the U.S. top performer 14%. Drug overdose death rates in Athens County, Ohio were 13% compared to the U.S. top performer 8% (Robert Wood Johnson Foundation, 2016). According to a recent economic study conducted by the National Drug Intelligence Center (2011), estimated costs for illicit drug use in the United States in 2007 exceed $193 billion health care dollars. Moreover, in 2012, fatal drug overdoses cost Ohioans $2.0 billion dollars (Ohio Department of Health, 2015).
Legislative Action The next facet of Knestrick and Milsteid’s framework (1998) is legislative action. Reflecting back to the 1990’s the Institute of Medicine published a series of reports informing on the need to integrate primary care services with mental health and SUD’s, however, legislation failed to support this recommendation until the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). The MHPAEA act requires equal insurance coverage
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