Behavioral Health Business February 14, 2025
Morgan Gonzales

Almost 50% of patients with serious mental illnesses (SMI) also have a substance use disorder (SUD). Yet few providers offer specialized care for patients with co-occurring SUD and SMI.

Clinical challenges and problems with training and reimbursement make providing much-needed care for this population difficult, resulting in too few high-quality, specialized care programs.

“In order to get high-quality care for [co-occurring SUD and SMI], you need somebody that is specialized in substance use disorder and in these more severe forms,” Caroline Fenkel, co-founder and chief clinical officer of Charlie Health, told Addiction Treatment Business. “Even if you do have the luck to get into care, is it going to be high-quality care? Because this population is difficult to treat, and...

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