There are many reasons for this.
First, these treatments aren't accessible. No triage system is in place to ensure that people receive the most suitable treatment.
Second, why do family doctors know exactly where to send a person with diabetes, but have no idea where to send people who ask about addiction treatment?
We can talk about involuntary treatments. However, before that, there are various rather coercive forms of treatment.
For example, the CRAFT approach focuses solely on the interaction between the person and their family, rather than on a professional interaction with the individual. This approach increases the chances of the person receiving treatment by 700%.
We also know that, for some doctors, the success rate in treatment is 90%. We tell them that they must enter treatment or lose their right to practice medicine.
There are many different models.
Moreover, less than 8% of employers in the country have a policy on the treatment of addiction. This means that 90% of workers—most of them—have no course of action if they ever face an addiction problem. This is an issue.
That's why the treatments aren't accessible.