Decline in Cannabis Use Disorder Treatment Rates Over 16 Years Despite Ongoing Need

Recent research highlights a concerning downward trend in the treatment of cannabis use disorder (CUD) in the United States over a span of 16 years. Despite increasing prevalence, with over 16 million Americans meeting diagnostic criteria, treatment rates have fallen significantly, from 19% in 2003 to just 13% in 2019. This persistent gap indicates that many individuals who could benefit from help are not accessing necessary services.

A comprehensive study conducted by Florida Atlantic University and colleagues analyzed data from the National Survey on Drug Use and Health across three time points: 2003, 2011, and 2019. The research examined various factors influencing treatment access, including gender, race, ethnicity, age, education, insurance status, and geographic location.

Findings reveal that most individuals with CUD did not receive treatment at any of the surveyed times. When exploring reasons behind this, barriers such as lack of awareness about where to seek treatment, unpreparedness to stop using cannabis, high costs, stigma, and concerns about job security were frequently cited. Over time, these barriers intensified, with a growing percentage of individuals fearing negative employment impacts and not knowing where to turn for help.

The study also identified key predictors of treatment utilization. Past engagement with mental health services and being under community supervision, such as probation or parole, substantially increased the likelihood of receiving care. Notably, racial disparities that existed in 2003, particularly for Hispanic populations, diminished over time, hinting at improved access. Additionally, a prior arrest became a significant indicator for treatment entry in recent years.

Most treatment was delivered in outpatient settings, with self-help groups also playing a role. However, concerns like stigma and cost, alongside the perception of not being ready to quit, persisted as major obstacles. These issues intensified in recent years, with more individuals expressing apprehensions about employment and unfamiliarity with treatment options.

Experts emphasize the urgent need for targeted outreach, education, and systemic support to bridge the treatment gap. Addressing practical challenges such as affordability and accessibility, alongside perceptual barriers, is vital to ensuring individuals with CUD receive the help they need.

This evolving understanding of barriers and predictors aims to inform policies and programs designed to expand care and improve outcomes for those affected by cannabis use disorder.

Source: https://medicalxpress.com/news/2025-06-cannabis-disorder-treatment-decline-years.html