Facilities Offering Hospital Inpatient Care
| In Brief |
- Nationally, 9 percent of
substance abuse treatment facilities offered hospital inpatient care
-
Over two-fifths (43 percent) of facilities with hospital inpatient care
offered detoxification only, with no rehabilitation
-
Three-quarters (74 percent) of hospital inpatient care facilities provided
progams for persons with co-occurring disorders
|
The National Survey of
Substance Abuse Treatment Services (N-SSATS) is an annual survey of all
facilities in the United States, both public and private, that provide substance
abuse treatment. The 2000 N-SSATS asked which type of care the facilities
currently offered: hospital inpatient, residential (non-hospital), and
outpatient. This report examines the characteristics of the 1,147 facilities
offering hospital inpatient care (9 percent) out of the 13,428 facilities
responding to the 2000 N-SSATS. Characteristics of facilities offering other
types of care are examined in other short reports.1
"Hospital inpatient" refers to the level of medical
supervision of treatment at the facility, not just the facility setting; and
some non-hospital facilities provide this high level of medical supervision of
treatment (12 percent). Of the nine-tenths (88 percent) of facilities offering
inpatient hospital care that were located in or operated by hospitals, 21
percent were associated with psychiatric hospitals, while the remainder were
operated by general or "other" hospitals. Hospital inpatient facilities with no
hospital association treated 15 percent of clients identified as "hospital
inpatient clients."
On a typical day, there were nearly 13,300 substance
abuse clients in facilities offering hospital inpatient care (averaging 13
people per facility), with about 1,000 of these clients under the age of 18.2
Of the clients in facilities that offered hospital inpatient care, about 4,600
(35 percent) were in the 281 facilities that offered hospital inpatient care
only.
Primary Focus
One-third of facilities offering
hospital inpatient care had a primary focus of substance abuse (33 percent),
one-third had a primary focus of substance abuse and mental health (31 percent),
18 percent had a primary focus of general health care, 16 percent had a primary
focus of mental health, and 2 percent had a primary focus of "other." Almost
half (46 percent) of the hospital inpatient facilities with a mental health
focus were located in psychiatric hospitals, as were one-third (34 percent) of
hospital inpatient facilities with a focus of substance abuse and mental health
and 10 percent of facilities with a primary focus of substance abuse.
Type of Treatment
Both detoxification and
rehabilitation were offered by 46 percent of hospital inpatient facilities,
detoxification alone was offered by 43 percent of such facilities, and
rehabilitation alone by 11 percent (Table 1). Of clients in hospital inpatient
facilities, 52 percent were in rehabilitation and 48 percent were in
detoxification.
Hospital inpatient facilities associated with and those
not associated with a hospital were equally likely to offer both detoxification
and rehabilitation treatment (46 and 47 percent, respectively). However,
facilities with no hospital association were more likely to offer rehabilitation
(30 vs. 8 percent), and facilities with a hospital association were more likely
to offer detoxification (46 vs. 23 percent). Hospital-related inpatient
facilities offering only rehabilitation were most likely to be associated with
psychiatric hospitals (36 percent). Facilities offering both detoxification and
rehabilitation and those offering only detoxification were less likely to be
associated with psychiatric hospitals (27 and 14 percent, respectively).
| Table 1. Hospital Inpatient Facilities by Type of Treatment
and Association with Hospital: 2000 |
|
|
Located in or Operated by a Hospital
|
Not
Located in or Operated by a Hospital
|
Total
|
Type Of Treatment |
No. |
% |
No. |
% |
No. |
% |
Detoxification Only |
462 |
46 |
32 |
23 |
494 |
43 |
Rehabilitation Only |
78 |
8 |
43 |
30 |
121 |
11 |
Both Detoxification and Rehabilitation |
466 |
46 |
66 |
47 |
532 |
46 |
Total |
1,006 |
100 |
141 |
100 |
1,147 |
100 |
| |
| Source: 2000 SAMHSA
National Survey of Substance Abuse Treatment Services (N-SSATS). |
Ownership
Private non-profit
organizations owned more than half (56 percent) of the hospital inpatient
facilities, and private for-profit organizations owned 22 percent of the
hospital inpatient facilities.
The remaining 22 percent were about
equally divided among Federal, State, and local governments.
Services
Facilities were asked about
the provision of 26 services. Six of these services were provided by at least 90
percent of hospital inpatient facilities: comprehensive substance abuse
assessment, individual therapy, group therapy, drug/alcohol urine screening,
discharge planning, and referral to other transitional services. One-quarter (24
percent) of the hospital inpatient facilities offered 21 or more services
(Figure 1).
| Figure 1. Percent of Hospital Inpatient Facilities
Providing Specified Numbers of Services: 2000* |
|
|
| Source: 2000 SAMHSA
National Survey of Substance Abuse Treatment Services (N-SSATS). |
Special Populations Served
Facilities were
also asked about the provision of treatment groups and programs for nine special
populations. The population for which a program was provided most frequently in
hospital inpatient facilities (74 percent) was persons with co-occurring
disorders (Table 2). Over one-quarter (28 percent) of all patients in hospital
inpatient facilities were in psychiatric hospitals with a special program for
those with co-occurring disorders. A quarter of the hospital inpatient
facilities (24 percent) offered a program for one special population, and
one-fifth (20 percent) provided groups/programs for two special populations.
| Table 2. Special Populations Served by Hospital Inpatient
Facilities: 2000 |
Special Population |
Percent of Facilities | |
Persons with Co-Occurring Disorders |
74 |
| Adolescents |
32 |
| Seniors |
31 |
| Women Only |
28 |
| Persons with
HIV/AIDS |
26 |
| Men Only |
24 |
| Gays/Lesbians |
19 |
| Pregnant/ Postpartum
Women | 19 | |
Other |
11 |
| |
| Source: 2000 SAMHSA
National Survey of Substance Abuse Treatment Services (N-SSATS). |
Treatment Offered in a Language Other Than English
More than a quarter of the hospital inpatient facilities (27 percent) offered
treatment in a language other than English. Of these facilities, 70 percent
offered treatment in Spanish, 16 percent offered treatment in another language,
and 14 percent offered treatment in Spanish and another language.
Payment
Accepted
Virtually all hospital inpatient
facilities accepted self payment (96 percent) and private health insurance (94
percent), and four-fifths (81 percent) accepted Medicare. Three-quarters (74
percent) accepted Federal military insurance, 70 percent accepted Medicaid, and
48 percent accepted State-financed health insurance.
End Notes
1Substance Abuse and Mental Health Services Administration (2003, May 23).
The DASIS Report.
Facilities Offering Residential Care. Rockville, MD: Author
Substance Abuse and Mental Health Services Administration (in press). The
DASIS Report.
Facilities Offering Outpatient Care. Rockville, MD: Author.
2Based
on the survey response reference date, October 1, 2000.
Figure Note
*For a complete list of services, see Substance Abuse and Mental Health Services
Administration.
National Survey of Substance Abuse Treatment Services (N-SSATS): 2000
(DHHS Publication No. (SMA) 02-3668). Rockville, MD: Author.
The
Drug and Alcohol Services Information System (DASIS) is an integrated data
system maintained by the Office of Applied Studies, Substance Abuse and
Mental Health Services Administration (SAMHSA). One component of DASIS is
the National Survey of Substance Abuse Treatment Services (N-SSATS), an
annual survey of all facilities in the United States, both public and
private, that provide substance abuse treatment. N-SSATS was formerly known
as the Uniform Facility Data Set (UFDS).
The DASIS Report
is prepared by the Office of Applied Studies, SAMHSA; Synectics for
Management Decisions, Inc., Arlington, Virginia; and RTI, Research Triangle
Park, North Carolina.
Information and data for this
report are based on data reported to N-SSATS for the survey reference date
October 1, 2000. Access
the latest TEDS reports at:
www.oas.samhsa.gov/dasis.htm
Access the latest TEDS public use files at:
http://www.oas.samhsa.gov/SAMHDA.htm
Other substance abuse reports are available at:
http://www.oas.samhsa.gov |
| The DASIS Report is
published periodically by the Office of Applied Studies, Substance Abuse and
Mental Health Services Administration (SAMHSA). All material
appearing in this report is in the public domain and may be reproduced or
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http://www.oas.samhsa.gov
Citation of the source is appreciated. |
|
This page was last updated on December 30, 2008.
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