National Survey of Substance Abuse Treatment Services (N-SSATS): 2000
Data on Substance Abuse Treatment Facilities
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Office of Applied Studies
AcknowledgementsThis project was conducted for the Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies (OAS), by Synectics for Management Decisions, Inc. (Synectics), Arlington, Virginia, and Mathematica Policy Research, Inc. (MPR), Princeton, New Jersey, under Contract No. 283-97-9001. The Project Director was Peter Hurley (Synectics) and the Deputy Project Director in charge of the N-SSATS survey was Geraldine Mooney (MPR). Data collection was performed by MPRs staff under the direction of Barbara Rogers and Barbara Holland. The contributions of the staff at MPR's Princeton Data Collection Center are greatly appreciated. This report was prepared by Leigh Henderson and Jacquelyn Lyman of Synectics, and benefited greatly from review by OAS staff Cathie Alderks, Gerri Scott-Pinkney, Anita Gadzuk, and Deborah Trunzo (Project Officer), and by Synectics staff editor Elizabeth Walter and consultant Patricia Royston.
Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied without permission from the Substance Abuse and Mental Health Services Administration. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. Citation of the source is appreciated. Suggested citation:
Substance Abuse and Mental Health Services Administration, Office of Applied Studies. National Survey of Substance Abuse Treatment Services (N-SSATS): 2000. Data on Substance Abuse Treatment Facilities, DASIS Series: S-16, DHHS Publication No. (SMA) 02-3668, Rockville, MD, 2002.
Obtaining Additional Copies of the Publication
Copies may be obtained, free of charge, from the National Clearinghouse for Alcohol and Drug Information (NCADI). The NCADI is a service of SAMHSA. Write or call NCADI at:
National Clearinghouse for Alcohol and Drug Information (NCADI)
P.O. Box 2345
Rockville, MD 20847-2345
(301) 468-2600
1-800-729-6686
TDD: 1-800-487-4889Electronic Access to Publication
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Originating Office
SAMHSA, Office of Applied Studies
5600 Fishers Lane, Room 16-105
Rockville, Maryland 20857
May 2002
Table of Contents
Chapter 1. Description of the National Survey of Substance Abuse Treatment Services (N-SSATS)
Chapter 2. Trends in Facility Characteristics
Chapter 3. Facility Characteristics and Services
Chapter 4. Client Characteristics
Appendix A. N-SSATS 2000 Questionnaire
List of Tables
1.1 Survey contents: UFDS - N-SSATS 1995-2000
1.2 Survey forms accounting and response rates: N-SSATS 2000
1.3 Total survey respondents: N-SSATS 2000
2.1 Substance abuse treatment facilities by facility ownership and dispensing of methadone/LAAM: 1996-2000. Number and percent distribution
2.2 Substance abuse treatment facilities offering programs for special groups: 1996-2000. Number and percent
2.3 Substance abuse treatment facilities with managed care contracts, by facility ownership: 1996-2000. Number and percent
2.4 Substance abuse treatment facilities with managed care contracts, by State or jurisdiction: 1996-2000. Number and percent
3.1 Substance abuse treatment facilities by primary focus of facility, according to facility ownership: 2000. Number and percent distribution
3.2a Substance abuse treatment facilities by type of care offered and dispensing of methadone/LAAM, according to facility ownership and primary focus of facility: 2000. Number
3.2b Substance abuse treatment facilities by type of care offered and dispensing of methadone/LAAM, according to facility ownership and primary focus of facility: 2000.Percent
3.3 Substance abuse treatment facilities by substance abuse problem treated, according to facility ownership and primary focus of facility: 2000. Number and percent distribution
3.4 Substance abuse treatment facilities by type of payment accepted and sliding fee scale, according to facility ownership and primary focus of facility: 2000. Number and percent
3.5a Substance abuse treatment facilities offering programs for special groups, according to facility ownership and primary focus of facility: 2000. Number
3.5b Substance abuse treatment facilities offering programs for special groups, according to facility ownership and primary focus of facility: 2000. Percent
3.6a Substance abuse treatment facilities offering specified services, by facility ownership: 2000. Number of facilities providing service
3.6b Substance abuse treatment facilities offering specified services, by facility ownership: 2000. Percent of facilities providing service
3.7a Substance abuse treatment facilities offering specified services, by primary focus of facility: 2000. Number of facilities providing service
3.7b Substance abuse treatment facilities offering specified services, by primary focus of facility: 2000. Percent of facilities providing service
3.8 Substance abuse treatment facilities by number of clients in treatment per facility, according to facility ownership and primary focus of facility: October 1, 2000. Number and percent distribution
3.9 Substance abuse treatment facilities with non-hospital residential beds designated for substance abuse treatment by utilization rate, according to facility ownership and primary focus of facility: October 1, 2000. Number and percent distribution
3.10 Substance abuse treatment facilities with hospital inpatient beds designated for substance abuse treatment by utilization rate, according to facility ownership and primary focus of facility: October 1, 2000. Number and percent distribution
4.1 Substance abuse treatment clients by facility ownership, according to facility ownership and primary focus of facility: October 1, 2000. Number and percent distribution
4.2a Substance abuse treatment clients by type of care received, according to facility ownership and primary focus of facility: October 1, 2000. Number
4.2b Substance abuse treatment clients by type of care received, according to facility ownership and primary focus of facility: October 1, 2000. Percent distribution (row percent)
4.2c Substance abuse treatment clients by facility ownership and primary focus of facility, according to type of care received: October 1, 2000. Percent distribution (column percent)
4.3 Substance abuse treatment clients by substance abuse problem treated, according to facility ownership and primary focus of facility: October 1, 2000. Number and percent distribution
4.4 Substance abuse treatment clients receiving opioid substitutes, by facility ownership and primary focus of facility: October 1, 2000. Number and percent distribution
5.1 Response rate and mode of responses by State or jurisdiction: N-SSATS 2000
5.2 Substance abuse treatment facilities and clients in treatment, by State or jurisdiction: October 1, 2000. Number and percent distribution
5.3 Clients in treatment per 100,000 population aged 12 or older by substance abuse problem, according to State or jurisdiction: October 1, 2000. Number, percent distribution, and rate
5.4a Substance abuse treatment facilities by facility ownership, according to State or jurisdiction: 2000. Number
5.4b Substance abuse treatment facilities by facility ownership, according to State or jurisdiction: 2000. Percent distribution
5.5 Substance abuse treatment facilities by primary focus of facility, according to State or jurisdiction: 2000. Number and percent distribution
5.6 Substance abuse treatment facilities by type of care offered and dispensing of methadone/LAAM, according to State or jurisdiction: 2000. Number and percent
5.7 Substance abuse treatment facilities by substance abuse problem treated, according to State or jurisdiction: 2000. Number and percent distribution
5.8 Substance abuse treatment facilities by type of payment accepted and sliding fee scale, according to State or jurisdiction: 2000. Number and percent
5.9a Substance abuse treatment facilities offering programs for special groups, according to State or jurisdiction: 2000. Number
5.9b Substance abuse treatment facilities offering programs for special groups, according to State or jurisdiction: 2000. Percent
5.10 Substance abuse treatment facilities with residential or hospital inpatient beds designated for substance abuse treatment, by State or jurisdiction: October 1, 2000. Number and utilization rate
5.11 Facilities dispensing opioid substitutes and substance abuse treatment clients receiving opiod substitutes, by State or jurisdiction: October 1, 2000. Number and percent distribution
5.12a Substance abuse treatment clients by facility ownership, according to State or jurisdiction: October 1, 2000. Number
5.12b Substance abuse treatment clients by facility ownership, according to State or jurisdiction: October 1, 2000. Percent distribution
5.13 Substance abuse treatment clients by primary focus of facility, according to State or jurisdiction: October 1, 2000. Number and percent distribution
5.14a Substance abuse treatment clients by type of care received, according to State or jurisdiction: October 1, 2000. Number
5.14b Substance abuse treatment clients by type of care received, according to State or jurisdiction: October 1, 2000. Percent distribution
N-SSATS 2000 Questionnaire
Table 1 Item Percentage Response Rates for N-SSATS 2000
List of Figures
Fig. 1 Numbers of facilities and clients in treatment: UFDS - N-SSATS 1995-2000 (Chapter 1)
Fig. 2 Number of facilities and methadone facilities: UFDS - N-SSATS 1996-2000 (Chapter 2)
Fig. 3 Facility ownership: UFDS - N-SSATS 1996-2000 (Chapter 2)
Fig. 4 Facilities with programs for special groups: UFDS - N-SSATS 1996-2000 (Chapter 2)
Fig. 5 Facilities with managed care contracts, by ownership: UFDS - N-SSATS 1996-2000 (Chapter 2)
Fig. 6 Residential and hospital inpatient utilization rates: October 1, 2000 (Chapter 3)
Fig. 7 Clients in treatment per 100,000 population aged 12 or older, by State or jurisdiction: October 1, 2000 (Chapter 5)
Highlights
This report presents results from the 2000 National Survey of Substance Abuse Treat- ment Services (N-SSATS), an annual survey of facilities providing substance abuse treatment. Conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), N-SSATS is designed to collect data on the location, characteristics, and use of alcoholism and drug abuse treatment facilities and services throughout the 50 States, the District of Columbia, and other U.S. jurisdictions. Selected findings are given below.
A total of 13,428 facilities responded to the survey and reported a one-day census of 1,000,896 clients receiving substance abuse treatment on October 1, 2000.
In 2000, private non-profit facilities made up the bulk of the system (60 percent), followed by private for-profit (26 percent) and State/local government (11 percent) [Table 2.1].
Over half (54 percent) of all facilities had managed care contracts in 2000, as compared to 42 percent in 1996 [Table 2.3].
Outpatient rehabilitation was the most widely available type of care, with non-intensive outpatient rehabilitation offered by 78 percent of all facilities and intensive outpatient rehabilitation offered by 46 percent of all facilities. Residential rehabilitation was offered by 26 percent of all facilities, followed by partial hospitalization programs (16 percent) and outpatient detoxification (13 percent). Residential detoxification and hospital inpatient detoxification were each offered by 8 percent of all facilities [Table 3.2b].
Half of all facilities offered special programs for the dually diagnosed with both mental and substance abuse disorders. More than one-third of facilities had programs for adolescents (37 percent) or offered DUI/DWI programs (36 percent) [Table 3.5b].
Nearly half (48 percent) of all clients were in treatment for both alcohol and drug abuse. Twenty-nine percent of clients were treated for drug abuse only, while 23 percent were treated for alcohol abuse [Table 4.3].
- The overall 2000 N-SSATS response rate was 94 percent [Table 5.1].