The COVID-19 pandemic was associated with increased risk of substance use and a surge in fatal drug overdoses.1,2 However, little is known about how the pandemic affected addiction treatment utilization.3,4 This study evaluated how the initiation of addiction treatment in California changed during the pandemic. We focused on specialty addiction treatment programs because that is where most people receive care for addictions.5
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accepted for Publication: May 6, 2021.
Published: July 14, 2021. doi:10.1001/jamanetworkopen.2021.17029
Correction: This article was corrected on May 31, 2023, to fix an error in the Table column headers and add clarification on the unit of analysis.
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Mark TL et al. JAMA Network Open.
Corresponding Author: Tami L. Mark, PhD, MBA, RTI International, 6110 Executive Blvd, Ste 900, Rockville, MD 20852 (Tmark@rti.org).
Author Contributions: Dr Joshi had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Mark, Gibbons, Barnosky, Padwa.
Acquisition, analysis, or interpretation of data: Mark, Gibbons, Joshi.
Drafting of the manuscript: Mark, Gibbons, Barnosky, Joshi.
Critical revision of the manuscript for important intellectual content: Mark, Gibbons, Barnosky, Padwa.
Statistical analysis: Mark, Gibbons, Barnosky, Joshi.
Obtained funding: Mark.
Administrative, technical, or material support: Mark, Padwa.
Conflict of Interest Disclosures: No other disclosures were reported.
Funding/Support: Research reported in this study was funded through a Patient-Centered Outcomes Research Institute award (contract No. HIS-2017C1-6371).
Role of the Funder/Sponsor: The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The results and the conclusions are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute, its Board of Governors, or its Methodology Committee.
Additional Contributions: Minerva Reyes and Alicia Van Hoy (California Department of Health Care Services) provided the data in used in this study. They were not compensated for this work.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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