|
The National Survey of Substance Abuse Treatment Services (N-SSATS) is an annual census of all known facilities in the United States, both public and private, that provide substance abuse treatment.
This issue of The DASIS Report presents results highlights from the 2003 N-SSATS. 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.
In the United States and its jurisdictions 13,623 substance abuse treatment facilities responded to the 2003 N-SSATS, reporting that there were 1,092,546 clients in substance abuse treatment on the survey reference date of March 31, 2003. The survey response rate in the United States and its jurisdictions was 96 percent.
This issue contains highlights from the 2003 N-SSATS. Full findings are available on the OAS website at http://samhsa.gov/data/dasis.htm#nssats2
| Table 1. Facility Operation: 2003 |
| |
Facilities |
|
Facility Operation |
Number |
Percent |
| Private non-profit |
8,258 |
60% |
| Private for-profit |
3,403 |
25% |
| Local government |
979 |
7% |
| State government |
475 |
4% |
| Federal government |
339 |
3% |
|
Dept. of Veterans Affairs |
196 |
1% |
|
Dept. of Defense |
102 |
1% |
|
Indian Health Service |
34 |
<1% |
|
Other |
7 |
<1% |
| Tribal government |
169 |
1% |
| Total |
13,623 |
100% |
|
|
| Table 2. Primary Focus of Facility: 2003 |
| |
Facilities |
|
Primary Focus |
Number |
Percent |
| Substance Abuse Treatment
Services |
8,351 |
61% |
| Mental Health Services |
1,157 |
9% |
Mix of Mental Health &
Substance
Abuse Treatment Services |
3,600 |
26% |
| General Health Care |
249 |
2% |
| Other/Unknown |
266 |
2% |
| Total |
13,623 |
100% |
|
|
| Table 3. Client Substance Abuse Problem Treated at Facility: 2003 |
| |
Facilities |
|
Substance Abuse Problem |
Number |
Percent |
Clients with Both Alcohol and
Drug
Abuse |
11,508 |
93% |
| Clients with Drug Abuse Only |
9,628 |
78% |
| Clients with Alcohol Abuse
Only |
9,765 |
79% |
| Total |
12,398 |
|
|
|
| Note: Excludes 1,225 facilities that were not asked or did not respond to this question. Facilities may be included in more than one category. |
| Table 4. Type of Care Offered: 2003 |
| |
Facilities |
|
Type of Care |
Number |
Percent |
| Outpatient |
10,893 |
80% |
| Regular
Outpatient |
9,967 |
73% |
| Intensive
Outpatient |
5,902 |
43% |
Day
Treatment/Partial
Hospitalization |
2,156 |
16% |
| Detoxification |
1,501 |
11% |
| Methadone/LAAM
Maintenance |
955 |
7% |
| Residential |
3,793 |
28% |
| Short Term |
1,596 |
12% |
| Long Term |
3,142 |
23% |
| Detoxification |
957 |
7% |
| Hospital Inpatient |
1,013 |
7% |
| Treatment |
662 |
5% |
| Detoxification |
900 |
7% |
| Total |
13,623 |
|
|
| Note: Facilities may be included in more than one category. |
| Table 5. Facilities with Opioid Treatment Programs (OTPs): 2003 |
| |
Facilities |
|
Program Type |
Number |
Percent |
| Maintenance Only |
361 |
34% |
| Detoxification Only |
124 |
12% |
| Both Maintenance and
Detoxification |
582 |
54% |
| Total |
1,067 |
100% |
|
|
| Table 6. Facility Payment Options: 2003 |
| |
Facilities |
|
Type of Payment Accepted |
Number |
Percent |
| Cash/Self Payment |
12,291 |
90% |
| Private Health Insurance |
9,234 |
68% |
| Medicare |
4,746 |
35% |
| Medicaid |
7,151 |
53% |
Other State-Financed Health
Insurance |
4,854 |
36% |
| Federal Military Insurance |
4,736 |
35% |
| No Payment Accepted |
575 |
4% |
| Other Payment Assistance |
354 |
3% |
| Sliding
Fee Scale |
8,705 |
64% |
Treatment at No Charge for
Clients Who Cannot Pay |
7,549 |
55% |
|
|
| Note: Facilities may be included in more than one "type of payment accepted" category. |
| Table 7. Facility Capacity and Utilization of Residential and Hospital Inpatient Care: 2003 |
| |
Residential |
Hospital Inpatient |
| Number of Facilities |
3,204 |
583 |
| Number of Clients |
95,689 |
10,630 |
| Number of Designated Beds |
101,920 |
13,378 |
| Utilization Rate |
94% |
80% |
Number of Designated Beds
per Facility |
32 |
23 |
|
|
| Note: Excludes 636 facilities not reporting both client counts and number of beds, facilities whose client counts were reported by another facility, and facilities that included client counts from other facilities. Excludes facilities offering outpatient care only. |
| Table 8. Facilities Offering Programs or Groups for Specific Client Types: 2003 |
| |
Facilities |
|
Client Type |
Number |
Percent |
| Any Program or Group |
11,486 |
84% |
| Adolescents |
4,359 |
32% |
Clients with Co-Occurring
Mental
and Substance Abuse Disorders |
4,783 |
35% |
Criminal Justice Clients
(Other than
DUI/DWI Clients) |
3,634 |
27% |
| Persons with HIV/AIDS |
1,484 |
11% |
| Gays/Lesbians |
755 |
6% |
| Seniors/Older Adults |
999 |
7% |
| Pregnant/Postpartum Women |
1,851 |
14% |
| Women Only |
4,779 |
35% |
| Men Only |
3,636 |
27% |
| DUI/DWI Offenders |
4,454 |
33% |
| Other Groups |
1,937 |
14% |
|
|
| Note: Facilities may be included in more than one category. |
| Table 9. Facility Services Offered: 2003 |
| |
Facilities |
|
Services |
Number |
Percent |
| Assessment Services |
12,909 |
95% |
Comprehensive
Substance
Abuse Assessment/Diagnosis |
12,639 |
93% |
Comprehensive
Mental Health
Assessment/Diagnosis |
5,943 |
44% |
| Substance Abuse
Therapy/Counseling |
13,454 |
99% |
| Family
Counseling |
10,277 |
76% |
| Group Therapy |
12,146 |
89% |
| Individual
Therapy |
12,851 |
94% |
| Relapse
Prevention |
10,699 |
79% |
| Aftercare
Counseling |
10,459 |
77% |
| Pharmacotherapies |
2,739 |
20% |
| Antabuse |
2,268 |
17% |
| Naltrexone |
1,656 |
12% |
| Buprenorphine |
741 |
5% |
| Testing |
11,612 |
85% |
|
Breathalyzer/Other Blood Alcohol Testing |
7,203 |
53% |
| Drug/Alcohol
Urine Screening |
10,967 |
81% |
| Screening for
Hepatitis B |
3,297 |
24% |
| Screening for
Hepatitis C |
3,392 |
25% |
| HIV Testing |
4,579 |
34% |
| STD Testing |
3,316 |
24% |
| TB Screening |
5,053 |
37% |
| Transitional Services |
12,051 |
89% |
Assistance with
Obtaining Social
Services |
7,433 |
55% |
| Discharge
Planning |
11,413 |
84% |
| Employment
Counseling/Training |
4,968 |
37% |
| Assistance in
Locating Housing |
5,874 |
43% |
| Other Services |
12,152 |
89% |
| Case Management
Services |
9,390 |
69% |
| Child Care |
1,076 |
8% |
Domestic
Violence-Family/Partner
Violence Services |
4,505 |
33% |
| HIV/AIDS
Education/Counseling/Support |
7,758 |
57% |
| Outcome
Follow-Up After Discharge |
7,330 |
54% |
| Transportation
Assistance to Treatment |
4,665 |
34% |
| Acupuncture |
673 |
5% |
| Residential Beds
for Clients' Children |
588 |
4% |
|
|
| Note: Facilities may be included in more than one category. |
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 Treatment Episode Data Set (TEDS). TEDS is a compilation of data on the demographic characteristics and substance abuse problems of those admitted for substance abuse treatment. The information comes primarily from facilities that receive some public funding. Information on treatment admissions is routinely collected by State administrative systems and then submitted to SAMHSA in a standard format. TEDS records represent admissions rather than individuals, as a person may be admitted to treatment more than once. State admission data are reported to TEDS by the Single State Agencies (SSAs) for substance abuse treatment. There are significant differences among State data collection systems. Sources of State variation include completeness of reporting, facilities reporting TEDS data, clients included, and treatment resources available. See the annual TEDS reports for details. Approximately 1.9 million records are included in TEDS each year.
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 issue are based on data reported to TEDS through March 1, 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
|
|
This page was last updated on May 16, 2008.
|
|
