State-by-State Variation in the Credentialing, Training, Supervision, and Medicaid Reimbursement of the High-School, Associates, and Bachelor’s-Level Addiction Counselor Workforce

In 2023, nearly 25% of the US population aged 12 or older used illicit drugs, and over 17% met the criteria for a substance use disorder (SUD), with synthetic opioids and excessive alcohol use driving a sharp rise in drug-related deaths. Despite the growing need for SUD treatment, significant access gaps remain—especially for individuals from…

How Would a Certification in Harm Reduction Impact Service Delivery and the Harm Reduction Workforce? A Qualitative Study

By employing evidence-based methods, harm reduction seeks to lessen the negative health and social consequences associated with substance use. As harm reduction services continue to expand without the need for professional certification, there remains considerable variation in how the workforce is perceived and trained in harm reduction principles and practices. This article explores the harm…

Harm Reduction Workforce, Behavioral Health, and Service Delivery in the USA: A Cross-Sectional Study

Harm reduction, an evidence-based approach that mitigates the effects of substance use through prevention, treatment, and recovery, has recently been identified as an important facet of efforts in the US to address the opioid epidemic and substance use disorders. However, little is known about the behavioral health workforce working in harm-reduction settings. This article aims…

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