The document discusses the challenges of addressing the evolving opioid crisis during the COVID-19 pandemic. It summarizes key COVID-19 case statistics in the US. It then outlines challenges like increased relapses from deteriorating care due to telehealth limitations, loss of in-person support groups, and decreased access to higher levels of care. Regulatory hurdles have also made inductions more difficult. Patients have faced issues like isolation, loss of income, and delayed social services. Responses have included reinstating some toxicology screens, in-person nursing visits, and targeted outreach. A case study highlights delays in residential treatment placement due to limited bed availability during the pandemic.