Thank you for the question. I'll start.
Contrary to that sort of feeling, we're not seeing increases in youth addiction. In fact, kids are using less substances over time. It has been going down. When you do a survey of kids, the number of kids who use certain substances goes down by about 2% to 3% per year. Of course, during the pandemic, we had this counter-thing because of the toxicity of the drug supply, where some drug overdoses increased. Mostly, youth were spared from that, but obviously for those 20-plus it hit quite hard.
The substance use issue is always one of access. Whenever I have a child who has a substance use issue, there are very few places that do co-occurring work. If you have suicidality and you have an addiction, many places will say they can't help you because you're suicidal. If you have addictions and you become suicidal, you're removed from the program. We need a lot more of what we call “concurrent disorders” care, because, of course, addictions, mental health issues and physical issues all work together.