Substance Abuse and Mental Health Services Administration. (2023) Advisory: low barrier models of care for substance use disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration. PEP23-02-00-005.
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Low barrier care is a model for treatment that seeks to minimize the demands placed on clients and makes services readily available and easily accessible. It also promotes a non-judgmental, welcoming, and accepting environment.
Low barrier care reduces requirements and restrictions that may limit access to care and increases access to treatment for individuals with substance use disorders. This approach meets individuals where they are and helps provide culturally sensitive care tailored to the unique circumstances and challenges that each person faces.
• Research demonstrates the potential effectiveness of low barrier care in improving treatment engagement and outcomes for individuals with substance use disorders.4 Low barrier care can reduce the use of harmful substances and lower the need for emergency department visits and hospitalizations.
• Some approaches to substance use disorder treatment may be perceived by people who use drugs as punitive, leading to stigmatization and limited treatment engagement. Low barrier care provides a non-judgmental, welcoming, and accepting environment that encourages individuals to seek help without fear of stigma or discrimination.
• Policymakers and stakeholders must work to identify and address any inhibitors to low barrier care, including funding and reimbursement, workforce development, and regulatory policies.
• Low barrier care can increase access to treatment and improve recovery-based outcomes for individuals and communities affected by substance use disorders
B Substances > Substances in general
HJ Treatment or recovery method > Treatment outcome
J Health care, prevention, harm reduction and treatment > Patient / client care management
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Treatment factors
J Health care, prevention, harm reduction and treatment > Health care delivery
J Health care, prevention, harm reduction and treatment > Health care programme, service or facility > Community-based treatment (primary care)
MA-ML Social science, culture and community > Sociocultural discrimination > Prejudice (stigma / discrimination)
VA Geographic area > United States
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