TY - JOUR AU - K. R. Claborn AU - K. A. McCormick AU - J. Samora AU - J. McElrath AU - L. K. Holleran Steiker A1 - AB - The fragmented U.S. healthcare system impedes youth and young adults with substance use disorders (SUD) from accessing treatment and wrap-around services to support long-term recovery. This qualitative study aimed to inform the design of an integrated system of care for youth and young adults with a SUD and identify pain points and cost drivers across stakeholders. Researchers conducted listening sessions with community members (n=139) and individual interviews with SUD clinicians (n=17). Findings revealed pain points related to treatment initiation, issues during treatment, and concerns during the recovery process. System-level cost drivers included human capital, multiple treatment episodes, and inefficient workflow processes. Study findings highlight the need for a systems-level intervention focused on improving coordinated care across service providers, decreasing duplication of assessment protocols, and developing a client-centered care system. Data informed the development of a youth-oriented SUD system of care model. AD - Steve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd., Austin, Texas, 78712 U.S.A.; Department of Psychiatry, The University of Texas at Austin Dell Medical School, 1601 Trinity St., Bldg, B., Austin, TX, 78712 U.S.A.; Addiction Research Institute, The University of Texas at Austin, 3001 Lake Austin Blvd., Ste. 1.204, Austin, TX, 78703 U.S.A.; CLEAN Cause Foundation, Austin, TX U.S.A.; School of Undergraduate Studies, The University of Texas at Austin, 110 Inner Campus Dr. 98000, Austin, Texas, 78712 U.S.A. AN - 41112322 BT - J Soc Work Pract Addict C5 - Healthcare Disparities; Opioids & Substance Use DA - Jun 4 DO - 10.1080/1533256x.2025.2514124 DP - NLM ET - 20250604 JF - J Soc Work Pract Addict LA - eng N2 - The fragmented U.S. healthcare system impedes youth and young adults with substance use disorders (SUD) from accessing treatment and wrap-around services to support long-term recovery. This qualitative study aimed to inform the design of an integrated system of care for youth and young adults with a SUD and identify pain points and cost drivers across stakeholders. Researchers conducted listening sessions with community members (n=139) and individual interviews with SUD clinicians (n=17). Findings revealed pain points related to treatment initiation, issues during treatment, and concerns during the recovery process. System-level cost drivers included human capital, multiple treatment episodes, and inefficient workflow processes. Study findings highlight the need for a systems-level intervention focused on improving coordinated care across service providers, decreasing duplication of assessment protocols, and developing a client-centered care system. Data informed the development of a youth-oriented SUD system of care model. PY - 2025 SN - 1533-256X (Print); 1533-256x ST - Building an integrated care continuum for youth substance use treatment and recovery: A qualitative study T1 - Building an integrated care continuum for youth substance use treatment and recovery: A qualitative study T2 - J Soc Work Pract Addict TI - Building an integrated care continuum for youth substance use treatment and recovery: A qualitative study U1 - Healthcare Disparities; Opioids & Substance Use U3 - 10.1080/1533256x.2025.2514124 VO - 1533-256X (Print); 1533-256x Y1 - 2025 ER -