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Variations in Substance Abuse Treatment Facilities by Number of Clients 

The DASIS Report:  Variations in Substance Abuse Treatment Facilities by Number of Clients 

Highlights

  • SAMHSA's National Survey of Substance Abuse Treatment Services (N-SSATS) annual survey examined facilities by client size, that is, the number of clients treated on a typical day in hospital and residential facilities and enrolled in treatment on a typical day in outpatient facilities. 
  • Larger substance abuse treatment facilities reported providing more types of services than smaller facilities.  Very large facilities with an average of 346 clients (a range of 185 to 3,000 clients) were more likely to provide treatment in languages other than English (53 percent), methadone/LAAM treatment (38 percent), HIV testing (51 percent), hepatitis testing (43 percent), testing for sexually transmitted diseases (40 percent), pharmacotherapy (59 percent), transitional housing assistance (35 percent), programs for persons with AIDS/HIV (37 percent), and programs for pregnant/postpartum women (34 percent).  
  • Public funds were received by 51 percent of very small substance abuse treatment facilities (averaging 7 clients), 62 percent of small facilities (averaging 19 clients), 63 percent of medium sized facilities (averaging 36 clients), 70 percent of large facilities (averaging 71 clients), and 74 percent of very large facilities (averaging 242 clients). 
  • Most of the substance abuse treatment facilities providing only detoxification services were very small or small.  Small or very small facilities tended to be residential facilities or hospital inpatient facilities, typically substance abuse treatment units within a general or psychiatric hospital.

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This Short Report,  The DASIS Report:  Variations in Substance Abuse Treatment Facilities by Number of Clients, is based on the Drug and Alcohol Services Information System (DASIS), the primary source of national data on substance abuse treatment.  DASIS is conducted by the Office of Applied Studies (OAS) in the Substance Abuse and Mental Health Services Administration (SAMHSA).  

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SAMHSA, an agency in the Department of Health and Human Services, is the Federal Government's lead agency for improving the quality and availability of substance abuse prevention, addiction treatment, and mental health services in the United States.

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