We turn the knowledge and insights gained from research, and the experience of families impacted by addiction, into actionable policy recommendations.

    Our policy priorities focus on adopting a public health approach, increasing access to effective and affordable treatment and expanding prevention strategies. We urge policymakers to take action and work with us to end our nation’s addiction crisis.

    Call to Action
    Ending the Opioid Crisis: A Practical Guide for State Policymakers

    Although the opioid epidemic is a national issue, states shoulder the majority of the financial and social burden caused by addiction. This guide shows state policymakers how to implement a public health approach to end the opioid epidemic.

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    Adopting a public health approach to addiction

    Decades of research, by us and others, show that we can effectively end our nation’s addiction crisis by adopting a public health approach. For too long, solutions have been rooted in stigma and judgment, and they have proven ineffective.

    Addiction Medicine: Closing the Gap Between Science & Practice

    The disconnect between addiction medicine and mainstream medical practice has undermined effective addiction treatment, but there are steps we can take.

    Guide for Policymakers: Prevention, Early Intervention and Treatment of Risky Substance Use and Addiction

    We have compiled a comprehensive set of effective policies and practices that identifies specific actions for improving the prevention and treatment of risky substance use and addiction in the U.S.
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    Ending the Opioid Crisis: A Practical Guide for State Policymakers

    This guide shows state policymakers how to implement a public health approach to end the opioid epidemic.
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    Understanding and Addressing Nicotine Addiction: A Science-Based Approach to Policy and Practice

    Despite a decline in recent years in the use of cigarettes, the use of non-cigarette nicotine products has been rising, posing a threat to public health.

    Increasing access to treatment

    High out-of-pocket costs, inadequate insurance coverage and a lack of capacity to meet demand place effective treatment out of reach for far too many of those in need. The Mental Health Parity and Addiction Equity Act (Parity Act) along with provisions of the Affordable Care Act (ACA) are already in place with the intent to increase access to care. But the lack of enforcement and compliance, insufficient insurance coverage and other institutional barriers persist.

    Improving Addiction Treatment

    In order to effectively manage and treat addiction, treatment must be fully integrated with the mainstream health care system. This policy brief provides recommendations for ways to achieve this integration and improve addiction treatment.
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    Uncovering Coverage Gaps: A Review of Addiction Benefits in ACA Plans

    Nearly all of the 2017 EHB benchmark plans were non-compliant with ACA requirements or provided inadequate coverage of addiction benefits.

    Uncovering Coverage Gaps II: A Review and Comparison of Addiction Benefits in ACA Plans

    There are numerous barriers to addiction treatment, but cost and lack of insurance coverage are the most common reasons people forgo the care they need.

    Parity Tracking Project: Making Parity a Reality

    The Parity Act has not put an end to restrictive coverage and limited reimbursement for substance use treatment in either private insurance or Medicaid.

    Insurance Barriers to Mental Health and Substance Use Care

    In collaboration with Legal Action Center we've explored key insurance barriers to affordable, timely and appropriate care for mental health and substance use. A four-report series offers recommendations to improve insurance regulation..

    Focusing on prevention & intervention

    As a country, we’ve neglected prevention efforts, fail to routinely screen for risky substance use and intervene only as needed. Of every state and federal tax dollar spent on problems related to addiction and substance use, less than 2 cents goes to prevention and treatment while 96 cents goes to managing the consequences of our failure to prevent and effectively treat them. We’re most effective when we can prevent an issue before it even starts.

    Preventing Addiction

    The undeniably best way to avoid the costly consequences of substance misuse and addiction is to invest in effective prevention and early intervention. This policy brief provides recommendations for adopting a comprehensive prevention strategy.
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    Teen Insights into Drugs, Alcohol, and Nicotine: A National Survey of Adolescent Attitudes Toward Addictive Substances

    This annual survey helps parents better understand the experiences, attitudes, perceptions, and behaviors of their children in relation to substance use.

    Adolescent Substance Use: America’s #1 Public Health Problem

    It is essential to educate the population on adolescent substance use, which is the largest public health problem in America today.

    SBIRT Implementation and Process Change Manual for Practitioners

    This guide includes literature, resources and a toolkit that will help practitioners implement SBIRT.
    Call to Action
    Policy position statements

    Learn more about our stance on today’s most pressing addiction issues.

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    About the Joseph A. Califano, Jr. Institute for Applied Policy

    The Joseph A. Califano, Jr. Institute for Applied Policy was created to conduct Partnership to End Addiction’s policy work. We are committed to translating the results of research into policy and practice. To this end, we are working to change the way the public and policymakers think about and respond to addiction—shifting from a punitive and stigmatizing approach to one of public health and medicine. We do this by creating practical, effective policy and practice-based solutions to prevent, treat and help find a cure for the disease of addiction.