Welsh JW, Dennis ML, Funk R, et al. - OUD treatment disparities exist in youth. This secondary data analysis reveals the existence of a significant unmet need for opioid use disorder (OUD) treatment and recommendation of medication for OUD (MOUD) in adolescents and young adults with OUD.

• A significant reduction in OUD treatment admissions has occurred from 2008 to 2017 by 63% for adolescents and 13% for young adults.

• The increase in the rate of planned MOUD at intake for adolescents did not achieve significance.

• Recommendation of MOUD is more commonly made in young adults across the time period (13.5% to 21.8%).

• Treatment length of stay increased for young adults.

• Relative to older adults, significantly lower percent of adolescents (44.6% vs 3.6%) and young adults (44.6% vs 22.2%) presented for OUD treatment.

• Among those who initiated treatment, planned MOUD occurred at lower rates for adolescents (93% vs 2%) and young adults (93% vs. 56%).