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.