Ask a ham about narrow band and the majority of them will look at you like you are a nut.
From a frequency coordination standpoint, the issue is inertia. In order to take any advantage of narrow-banding in the amateur radio repeater bands, EVERYONE would have to switch. The frequency coordinators have no authority to mandate this. Neither does the ARRL. The FCC could mandate it, but they are pretty much "hands off". It would take a group decision by the repeater trustees. Among the 300-plus amateur radio repeater trustees just in the state of Indiana, achieving a majority in favor of narrow-banding is something I doubt I see in my lifetime.
Setting aside the amount of spectrum for archaic modes like CW/AM on 2 meters and 70 centimeters doesn't rate high on my list, either.
Oh, the tragic waste of CW-only bands on VHF/UHF!
According to FCC rules, we are talking about 100 kHz on 6m and 100 kHz on 2m. The rest of the spectrum set aside for "archaic modes" is by gentlemen's agreement. The FCC will not blink an eye if you choose to operate, let's say, P25 on 144.250 MHz because, as far as the FCC is concerned, digital voice is "phone", and "phone" is legal on 144.1 to 148.0 MHz.
Too many paper repeaters taking up space.
This is an on-going struggle.
Frequency coordinator: "Is your repeater still on the air? We've heard reports that it isn't."
Trustee: "Yeah, it's still on the air. It's just very low profile and I've got it 'locked down' so only my friends can use it."
Frequency coordinator: "OK, as long as it's still on the air, could you update your coordination records. We require that you do that every two years."
Trustee: "Yeah, well, I can't figure out your online system and, well, nothing has changed since my last update."
These conversations are part of my life as a frequency coordinator.
Heaven forbid that the old GE repeater from 1969 gets replaced….
Luckily, a lot of them got replaced by cheap Yaesu DR-1X repeaters that, even though they are capable of dual mode operation, are locked down in analog mode.
I think 220 would be an excellent place to allow P25/DMR amateur radio trunking (just have to figure out the IDing issues).
The IDing issues would be no different on the 222 MHz band than they are on the 2m or 70cm bands.