united states Expertise

Substance Use


Substance Use Disorder Treatment, Prevention, and Recovery Across the Care Continuum

Treating substance misuse requires a multipronged approach that encompasses prevention, treatment, and recovery. We are at the forefront of driving and supporting the health care practices and policies needed to care for those with substance use disorder. We also contribute to reducing the prevalence of substance misuse, including that of alcohol, tobacco, opioids, and other drugs.

For over 25 years, we have worked with states, communities, and workplaces to address alcohol, drug, and tobacco use. In the midst of an opioid crisis and global pandemic, with its disproportionate effect on underserved communities, we are helping to develop and implement evidence-based programs to decrease substance misuse and opioid-related morbidity and mortality.

We recognize the need for leadership, financial investment, innovative approaches, and research to identify the best practices for reducing the prevalence of substance use disorders. Further, we support new efforts to integrate knowledge and effective responses into emergency services, primary care, and specialty health care settings.

In collaboration with clients, we provide training and technical assistance to enhance treatment and prevention initiatives, data analysis, community surveys, communications, and strategic planning. We also offer evaluation and monitoring as programs are being implemented.


We support health promotion and prevention associated with substance misuse through state-level technical assistance centers, management information systems, public awareness campaigns, public and community health planning, and the collaboration of multiple community sectors.
Treatment & Recovery Support
We assist states, communities, and service systems to promote the early identification of substance misuse problems and to increase effective substance use disorder treatment and recovery supports.
Our work includes supporting overdose prevention initiatives and fostering learning communities for providers, as they expand their use of the evidence-based “Screening, Brief Intervention and Referral to Treatment” practice and integrate Medication Assisted Treatment.
Policy & Systems Improvement
We support data collection and analysis, literature reviews, best practice recommendations, and other assessments to inform policy improvement at the state, community, industry, and practice levels.
Our policy work relative to substance use disorders has included analysis and recommendations for public school policy, primary care practice, and third-party payer policy. We have also helped with state and federal legislation regarding parity in treatment between substance use disorders and mental health issues, along with naloxone access and distribution.


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