Cascade of Care

Estimate Community Needs. Improve Treatment.

The Cascade of Care Toolkit helps you measure, estimate, and improve access to substance use disorder treatment in your community, with data-driven insights at every stage, from assessment and referral to completion. Free to use, flexible, and designed for actionable planning across any population.

About the Cascade of Care Toolkit

Do you want to estimate substance use prevention and treatment needs in your community? The Cascade of Care (COC) Toolkit was developed to assist local and state communities, agencies, and other stakeholders who seek to improve access to treatment for people with substance use disorder (SUD). The COC Toolkit provides data to support efforts to improve approaches to addressing treatment needs for different populations.  You can get estimates of your local population’s rates of people at-risk for SUD, in need of treatment, initiating treatment, engaging in treatment, and completing treatment. The COC Toolkit is free to use. It is flexible, and you can review as many populations as you like. You can download your data in different formats for easy sharing.

Launch the Cascade of Care Toolkit
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Example of a Cascade of Care Toolkit Population

This example below illustrates that, based on data from the National Household Survey of Drug Use and Health the Treatment Episodes Dataset (Discharges), and the U.S. Census, a policymaker or planner in this jurisdiction can estimate that about 16% of the population is at-risk for SUD, 4% are in need of SUD treatment, and fewer than 1% have initiated treatment, engaged in or completed treatment, or are in remission. These estimates can help users plan for public health initiatives like prevention campaigns and ensuring that the community has adequate treatment slots available. Users can filter these estimates by substance and by different demographics.

Take the Online Course

For those interested in learning more about the Cascade of Care model, we encourage you to participate in the following JCOIN online course--JCOIN Virtual Course: Cascade of Care | Coordinating Substance Use Disorder Treatment Services for Justice-Involved Individuals.

This course will provide the user with information around:

  • The cascade of care framework
  • Using the cascade of care as a change and implementation planning tool
  • Supporting the assessment of current data availability and gaps
  • Supporting local level data gathering and analysis to support planning
  • Identifying treatment gaps and developing plans to address these gaps through a continuous quality improvement process
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Cascade of Care Toolkit User Guide

A step-by-step guide to implementing data-driven strategies for substance use disorder care using the Cascade of Care Toolkit.

Download the User Guide
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Cascade of Care Workbook

A practical workbook for applying the Cascade of Care Toolkit and improving data-driven SUD care in your agency.

Download the Workbook

Have Questions or Need Help?

We encourage you to reach out to the JCOIN Technical Assistance team if you encounter issues or have questions about the JCOIN COC Toolkit.

Request Support

We'd Love to Hear From You

We also welcome feedback and suggestions for how we can improve the COC Toolkit. Please contact Amy Murphy at [email protected].