This report provides data on substance abuse treatment
facilities providing special programs or groups for clients with
co-occurring substance abuse and mental health disorders. The National
Survey of Substance Abuse Treatment Services (N-SSATS) is an annual survey
of all known facilities in the United States, both public and private, that
provide substance abuse treatment. In 2004, a total of 13,454 facilities
responded to N-SSATS. Of those, 4,756 (35 percent) had special programs or
groups for clients with co-occurring disorders.
Primary Focus
Facilities focused on providing a combination of
substance abuse and mental health services and facilities focused on providing
mental health services were more likely to provide special programs or groups
for clients with co-occurring disorders (51 and 48 percent, respectively) than
facilities providing substance abuse treatment services only (28 percent)
(Figure 1).
|
Figure 1. Treatment Facilities Providing Special Programs or
Groups for Clients with Co-Occurring Disorders, by Primary
Focus: 2004 |
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| Source:
2004 SAMHSA National Survey of Substance Abuse Treatment
Services (N-SSATS). |
Facility Operation
In 2004, facilities operated by State governments
were most likely to offer special programs or groups for clients with
co-occurring disorders (50 percent), followed by facilities operated by local
governments (44 percent), the Federal government (41 percent), and private
non-profit organizations (36 percent) (Table 1). Facilities operated by
private-for-profit organizations (31 percent) and Tribal governments (29
percent) were least likely to offer such programs.
Among Federally operated facilities, those operated by the Department of
Veterans Affairs were most likely to offer special programs or groups for
individuals with co-occurring disorders (54 percent), while those operated by
the Department of Defense were least likely to offer such services (20 percent).
Facilities operated by the Indian Health Service offered special programs or
groups for clients with co-occurring disorders in 39 percent of their
facilities.
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Table 1. Substance Abuse Treatment Facilities Providing Special
Programs or Groups for Clients with Co-Occurring Disorders, by
Ownership: 2004 |
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All
Facilities |
Facilities Providing Special Programs or Groups for Clients with
Co-Occurring Disorders |
|
Ownership |
Number |
Number |
Percent |
|
Total |
13,454* |
4,756 |
35 |
|
Private Non-Profit |
7,992 |
2,856 |
36 |
|
Private For-Profit |
3,461 |
1,064 |
31 |
|
Local Government |
951 |
422 |
44 |
|
State Government |
456 |
230 |
50 |
|
Federal Government |
324 |
134 |
41 |
|
Dept. of Veterans Affairs |
185 |
99 |
54 |
|
Dept. Of Defense |
100 |
20 |
20 |
|
Indian Health Service |
33 |
13 |
39 |
|
Other |
6 |
2 |
33 |
|
Tribal
Government |
172 |
50 |
29 |
|
|
* The
13,454 facilities include 98 facilities which did not report
whether they had special programs or groups for clients
with co-occurring disorders.
Source: 2004 SAMHSA National
Survey of Substance Abuse Treatment Services (N-SSATS). |
Services Provided
Facilities with special programs or groups for
clients with co-occurring disorders were more likely than those not offering
special programs for these individuals to offer a number of services, including
family counseling (83 vs. 73 percent), Hepatitis B testing (30 vs. 19 percent),
transitional social services (65 vs. 49 percent), domestic violence services (40
vs. 29 percent), and HIV testing (38 vs. 28 percent) (Figure 2). Facilities with
special programs or groups for clients with co-occurring disorders were also
more likely to operate a substance abuse hotline (27 vs. 21 percent) compared to
those not offering such programs.
|
Figure 2. Selected Services Offered, by Whether Facilities
Provided Special Programs or Groups for Clients with
Co-Occurring Disorders: 2004 |
|
| Source:
2004 SAMHSA National Survey of Substance Abuse Treatment
Services (N-SSATS). |
Type of Care and Size
Facilities offering hospital inpatient care (54
percent) were more likely to provide special programs or groups for clients with
co-occurring disorders than facilities offering outpatient care (36 percent) or
non-hospital residential care (35 percent).1
The size of the facility, as measured by the number of clients in treatment
on March 31, 2004, was associated with the availability of special programs or
groups for clients with co-occurring disorders. Large facilities2
were more likely to offer special programs or groups for clients with
co-occurring disorders than smaller facilities. Fifty-five percent of large
facilities servicing outpatient clients offered such programs compared to 47
percent of small outpatient facilities. Among large residential facilities, 53
percent of facilities offered special programs or groups for clients with
co-occurring disorders compared to 47 percent of small residential facilities.
For hospital inpatient facilities, 56 percent of large facilities offered
special programs or groups for clients with co-occurring disorders compared to
40 percent of small facilities.
Type of Payment
Facilities offering special programs or groups
for clients with co-occurring disorders were more likely than facilities not
offering such services to accept government financed payments (Figure 3). For
example, such facilities were more likely than facilities not providing such
programs to accept Medicaid (64 vs. 48 percent), State-financed health insurance
(48 vs. 35 percent), Federal military insurance (46 vs. 34 percent) and Medicare
(46 vs. 29 percent).
|
Figure 3. Types of Payment Accepted, by Whether Facilities
Offered Special Programs or Groups for Clients with Co-Occurring
Disorders: 2004 |
|
| Source:
2004 SAMHSA National Survey of Substance Abuse Treatment
Services (N-SSATS). |
End Notes
1 The types of
care are outpatient, non-hospital residential, and hospital inpatient.
Outpatient care includes outpatient detoxification, outpatient methadone
maintenance, outpatient day treatment or partial hospitalization (20 or more
hours per week), intensive outpatient treatment (a minimum of 2 hours per day on
3 or more days per week), and regular outpatient treatment (fewer hours per week
than intensive). Non-hospital residential care includes residential
detoxification, residential short-term treatment (30 days or less), and
residential long-term treatment (more than 30 days). Hospital inpatient care
includes inpatient detoxification and inpatient treatment. Facilities may make
more than one type of care available. Facilities not providing client counts
were excluded from these comparisons.
2 Facility size
was divided into two values: less than or equal to the median number of clients
on March 31, 2004, compared to greater than the median number of clients on that
date. The number of clients in treatment in the 2004 N-SSATS were defined as: 1)
hospital inpatient and non-hospital residential clients receiving substance
abuse services at the facility on March 31, 2004; and 2) outpatient clients who
were seen at the facility for a substance abuse treatment or detoxification
service at least once during the month of March 2004, and who were still
enrolled in treatment as of March 31, 2004. The median client numbers for
inpatient, non-hospital residential, and outpatient clients were 8, 19, and 48,
respectively.
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 by RTI International in Research Triangle Park, North Carolina (RTI
International is a trade name of Research Triangle Institute).
Information and data for this report are based on data reported to
N-SSATS for the survey reference date March 31, 2004.
Access the latest TEDS reports at:
http://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 copied without permission from
SAMHSA. Additional copies of this report or other reports from the
Office of Applied Studies are available on-line:
http://www.oas.samhsa.gov. Citation of the source is appreciated.
For questions about this report please e-mail:
shortreports@samhsa.hhs.gov
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This page was last updated on December 30, 2008.
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