Back [[Framework to understand addiction management challenges]] _(Challenges related to the structure and capacity of services)_ ## Capacity & Access - **Insufficient places**: Waiting lists, long wait times, bed shortages, lack of inpatient/outpatient capacity - **Geographic barriers**: Services not accessible to all treatment seekers, rural/remote areas underserved - **Timing issues**: Services not available at needed times (e.g., weekends, evenings, urgent care) ## Service Quality - **Inadequate supports**: Lack of psychosocial services, ancillary therapies, comprehensive care - **Ineffective programs**: Services not suitable for people with mental illness, lack of evidence-based protocols - **Clinical inertia**: Nurses or providers not initiating treatment, delayed interventions ## Resources & Funding - **Financial constraints**: Insufficient funding, under-resourced programs, lack of sustained investment - **Staffing shortage**: Inadequate treatment and recovery support staff, reduced service hours - **Ancillary needs**: No childcare provision, no transportation support, no housing assistance ## Program Design - **Gender mismatch**: Lack of women-only programs, no suitable system for both genders - **Protocol problems**: Lack of appropriate treatment protocols, poor adherence to guidelines - **Cultural relevance**: Programs not culturally adapted, not grounded in lived experiences https://pmc.ncbi.nlm.nih.gov/articles/PMC9434658/#section15-11782218221118462