Background
COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.
Methods
Six quantitative data sources were examined, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services.
Results
Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of provision...