Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT 06511, USA.
Department of Psychiatry, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA.
Psychiatr Clin North Am. 2020 Sep;43(3):487-500. doi: 10.1016/j.psc.2020.05.007.
Despite available treatment options for addiction, there remains an abysmal uptake of treatment initiation and engagement among varying communities. The existing treatment gap is based on historical occurrences, including discriminatory drug policies that have targeted communities of color with addiction. The current opioid epidemic and differential treatment therein exemplifies the severity of the existing disparity in addiction treatment, highlighting barriers such as institutionalized racism and vulnerabilities in the social determinants of health. To mitigate the disparity, an array of solutions to address these inequities are discussed, thereby providing a pathway forward to eliminating this treatment gap.
尽管有各种成瘾治疗方法，但不同群体的治疗起始和参与率仍然很低。现有的治疗差距是基于历史事件形成的，包括歧视性的毒品政策，这些政策针对的是有色人种成瘾群体。当前的阿片类药物泛滥以及其中存在的差异治疗就是现有成瘾治疗差异严重程度的例证，凸显了制度化种族主义和健康社会决定因素中的脆弱性等障碍。为了缩小这种差距，讨论了一系列解决这些不平等问题的方案，从而为消除这种治疗差距提供了前进的道路。
