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OBJECTIVE: To quantify the availability of telehealth services at substance use treatment facilities in the U S at the beginning of the COVID-19 pandemic, and determine whether telehealth is available at facilities in counties with the greatest amount of social distancing METHODS: We merged county-level measures of social distancing through April 18, 2020 to detailed administrative data on substance use treatment facilities We then calculated the number and share of treatment facilities that offered telehealth services by whether residents of the county social distanced or not Finally, we estimated a logistic regression that predicted the offering of telehealth services using both county- and facility-level characteristics RESULTS: Approximately 27% of substance use facilities in the U S reported telehealth availability at the outset of the pandemic Treatment facilities in counties with a greater social distancing were less likely to possess telemedicine capability Similarly, nonopioid treatment programs that offered buprenorphine or vivitrol in counties with a greater burden of COVID-19 were less likely to offer telemedicine when compared to similar facilities in counties with a lower burden of COVID-19 CONCLUSIONS: Relatively few substance use treatment facilities offered telehealth services at the onset of the COVID-19 pandemic Policymakers and public health officials should do more to support facilities in offering telehealth services
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Telehealth Capability Among Substance Use Disorder Treatment Facilities in Counties With High Versus Low COVID-19 Social Distancing
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