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We believe that all individuals are equally likely to be at risk for SUD no matter what their financial background. However, people of low SES are more likely to have limited access to SUD resources and thus more likely to suffer poor outcomes from their use disorder.
Substance misuse frequently hits poor communities the hardest, as these communities often lack resources to help people recover. SUD treatment can be expensive and this can create a barrier in lower SES patients. This article will discuss in brief some of the barriers that patients from low SES communities face when seeking SUD treatment.
Some statistics about substance use disorders and low-income communities include the following:
The relationship between poverty and drug dependence is complex, but there are a number of factors more common in low-income areas that can contribute to higher rates of drug misuse and SUD.
Lower income communities tend to have poorer access to quality addiction treatment. Treatment for SUD can be costly, with more intensive treatment, such as inpatient treatment, potentially costing thousands of dollars. This is an expensive and difficult undertaking even for individuals of middle-income levels, but it can be completely cost prohibitive to people in lower income brackets, particularly those who are uninsured.
Provider Shortages
Low-income communities may not even have certain kinds of addiction treatment resources available nearby, especially rural communities. There are also shortages of providers in low income communities to provide prescriptions for MAT, and fewer therapists and behavioralists to help provide behavioral support which is a key component in recovery.
Low social mobility through legitimate means can both push people into drug related criminal activity. Legal repercussions of drug use can further complicate one’s ability to seek treatment.
Substance use disorders commonly co-occur with other mental health disorders. Some common mental health disorders that co-occur with SUDs include the following:[5]
Patients of lower SES are at higher risk of co-morbid mental health conditions that may complicate their ability to get treatment for SUDs. [5]
While SUD treatment may be harder to come by in lower resourced communities, there are always options available.
A good place to learn about SUD resources in your area that may be cheaper or free is via SAMHSA’s National Helpline. You can learn about local treatment facilities, support groups, and community-based organizations that help those dealing with SUD.
Telehealth care for addiction is one way to circumvent the access issues in lower income communities [9]. While low-income areas might have limited treatment facilities, telehealth enables addiction treatment specialists to treat people regardless of where they live.
At Bicycle Health, we offer Medication for Addiction Treatment via our telehealth services, offering care to people throughout the U.S., including those in low-income communities. Reach out to us today.
Elena Hill, MD; MPH received her MD and Masters of Public Health degrees at Tufts Medical School and completed her family medicine residency at Boston Medical Center. She is currently an attending physician at Bronxcare Health Systems in the Bronx, NY where she works as a primary care physician as well as part time in pain management and integrated health. Her clinical interests include underserved health care, chronic pain and integrated/alternative health.
