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GAO-25-107640 1 (2024-10-03)

handle is hein.gao/gaoqxq0001 and id is 1 raw text is: GrAOU.S. GOVERNMENT ACCOUNTABILITY OFFICE TREATMENT FOR DRUG MISUSE OVERVIEW Drug misuse-the use of illicit drugs and the misuse of prescription drugs-has been a long-standing and persistent problem in the United States. It represents a serious risk to public health and has resulted in significant loss of life and effects to society and the economy, including billions of dollars in costs. National efforts to prevent, respond to, and recover from drug misuse is on GAO's High-Risk List (GAO-23-106203). In 2023, almost 49 million people aged 12 or older had a substance use disorder in the past year. This included 27 million with a drug use disorder, according to Substance Abuse and Mental Health Services Administration (SAMHSA) survey data. Additionally, drug overdoses are one of the leading causes of death in adults, according to the Centers for Disease Control and Prevention (CDC). Opioids were involved in about 87 percent of all overdose deaths in 2023, according to CDC's provisional data. About 80 percent of those deaths involved synthetic opioids other than methadone, such as fentanyl. TREATMENT FOR DRUG MISUSE The Office of National Drug Control Policy's 2024 National Drug Control Strategy includes a National Figure 1: Drug Overdose Deaths in the United States, 2013-2023 Number of drug overdose deaths (in thousands) 110 100 106.7 107.9 105.0 90 80 91.8 Provisional 70 value 60 7. 5063.6 70.2 67.4 40 52.4 30 44.0 47.1 20 10 0 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 Source: National Center for Health Statistics, National Vital Statistics System, mortality data file and CDC WONDER (provisional data). I GAO-25-107640 Note: The provisional drug overdose death count for 2023 was obtained from CDC WONDER on September 5,2024. Provisional data for 2023 may differ from published reports using final data. Figure 2: Drug Use Disorder in the Past Year by Race and Ethnicity, People Aged 12 and Over, 2023 Percent with disorder in past year 19.7% 15.1% 11.4% 9.6% 8.8% Source: National Survey on Drug Use and Health, 2023. | GAO-25-107640 Notes: Bars represent 95 percent level confidence intervals, which provide information on the relative precision of the estimate. Native Hawaiian/Pacific Islander estimates are not reported due to low precision. American Indian/ Alaska Native, Multiracial, Black, White, and Asian estimates only include non-Hispanic or Latino respondents. Treatment Plan that aims to increase access to treatment for drug misuse. We have previously reported on the continuum of care for treatment of drug misuse (GAO-21-58). Such treatment aims to help people reduce or stop harmful drug misuse, improve health and social functioning, and manage the risk of relapse. Based on an individual's needs, treatment may occur in a variety of settings- including outpatient, residential, and hospital inpatient. The level of treatment can vary both within GAO-25-107640 Drug Misuse Treatment

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