DSM-5-TR does not list polysubstance use disorder as a standalone diagnosis, yet the label remains common in some treatment settings. Sandy Rivers explains how one broad term can obscure specific substances, trauma, mental health needs, pain, and treatment options - and why person-centered assessment matters.

Jillian Eidem argues that mental health awareness means little when people cannot reach care. She examines cost, provider shortages, insurance gaps, co-occurring SUD needs, and the additional trauma and fear facing many immigrant and refugee families - then outlines ways systems could lower those barriers.