Facilities Offering Residential Care
| In Brief |
- One-quarter (27 percent) of the nation's treatment facilities offered residential care
- The primary focus of most residential facilities was substance abuse (80 percent), followed by a mix of substance
abuse and mental health (13 percent) and mental health or other (7 percent)
- Seventy-five percent of residential facilities were private not-for-profit organizations
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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: residential (non-hospital), hospital inpatient, and outpatient. This report examines the characteristics
of facilities offering residential care. Characteristics of facilities offering other types of substance abuse care will be examined in upcoming short reports.
Of 13,428 facilities in N-SSATS 2000, 3,574, or 27 percent, offered residential care. Of the facilities offering residential care, 2,157 (60 percent) offered residential care only, while 1,417 (40 percent) offered residential and some other type or types of care.
On a typical day, there were 96,084 clients in facilities offering residential care (averaging 29 people per facility), with 9,400 of these clients under the age of 18.1 Of the clients in facilities that offered residential care, about 59,000 (61 percent) were in the 2,157 residential care only facilities. Of the clients in residential care only facilities, 66 percent were treated for both alcohol and drug abuse, 21 percent were treated for drug abuse only, and 13 percent were treated for alcohol abuse only.2
The remainder of this report focuses on all 3,574 facilities that offered residential care in 2000.
Primary Focus
The primary focus of most of the residential facilities was substance abuse (80 percent). A mix of substance abuse and mental
health was the primary focus for 13 percent of the facilities, and 7 percent of the facilities had a primary focus of mental health
or other.
Type of Treatment
Both rehabilitation and detoxification were offered by 23 percent of residential facilities. Rehabilitation alone was offered by
71 percent of residential facilities and detoxification alone by 6 percent. Of clients in residential treatment programs, 91
percent were in rehabilitation, while 9 percent were in detoxification.
Ownership
Private non-profit facilities accounted for three-quarters (75 percent) of the residential facilities,
and private for-profit facilities accounted for 13 percent of the residential facilities. The remaining 12 percent were
owned by Federal, State, local, and tribal governments.
Services
Facilities were asked about the provision of 26 services. Seven of these services were provided by at least 85 percent of
residential facilities: individual therapy, group therapy, discharge planning, referral to other transitional services,
drug/alcohol urine screening, relapse prevention, and comprehensive substance abuse assessment (Table 1). More than half of
the residential facilities (59 percent) offered 13 or more services (Figure 1).
| Table 1.
Services Offered by at Least 50 Percent of Residential Facilities: 2000 |
Figure 1.
Percent of Residential Facilities Providing Specified Numbers of Services: 2000 |
| Service |
Percent of Facilities |
| Individual Therapy |
93 |
| Group Therapy |
92 |
| Discharge Planning |
91 |
| Referral to Other
Transitional Services |
91 |
| Drug/Alcohol Urine Screening |
89 |
| Relapse Prevention |
87 |
| Comprehensive Substance
Abuse Assessment |
86 |
| Case Management |
73 |
| Aftercare Counseling |
70 |
| Family Counseling |
70 |
| HIV/AIDS Education |
68 |
| Assistance with Obtaining
Social Services |
65 |
| Outcome Follow-Up |
61 |
| TB Screening |
57 |
| Employment Counseling |
53 |
| Transportation Assistance |
52 |
| Blood Alcohol Testing |
51 |
| Housing Assistance |
50 |
|
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Source: 2000 SAMHSA National Survey of Substance Abuse Treatment Services (N-SSATS).
Special Populations Served
Facilities were also asked in N-SSATS about the provision of treatment groups and programs for nine special populations.
Residential facilities offered programs and groups in highest proportions to persons with co-occurring disorders (47 percent),
men only (46 percent), and women only (41 percent) (Table 2). About half of the facilities (48 percent) offered groups/programs for
one or two special populations.
| Table 2. Special
Populations Served by Residential Facilities: 2000 |
| Special
Population |
Percent of Facilities |
| Persons with Co-Occurring Disorders |
47 |
| Men Only |
46 |
| Women Only |
41 |
| Persons with HIV/AIDS |
28 |
| Adolescents |
24 |
| Pregnant/Postpartum Women |
23 |
| Gays/Lesbians |
18 |
| Seniors |
16 |
| Other |
13 |
|
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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 residential facilities (27 percent) offered treatment in a language other than English. Of these
facilities, 83 percent offered treatment in Spanish, 8 percent offered treatment in another language, and 9 percent offered
treatment in Spanish and another language.
Payment Accepted, Payment Assistance, and Managed Care
More than four-fifths (84 percent) of residential facilities accepted self payment, and almost three-fifths of
residential facilities (57 percent) accepted private health insurance (Figure 2). Medicaid (39 percent) was next in frequency
as a payment method. Approximately one quarter (27 percent) of the residential facilities accepted State-financed health insurance,
and one quarter (25 percent) accepted federal military insurance.
About three-fifths (59 percent) of residential facilities used a sliding fee scale, while 39 percent offered other types of payment
assistance. Fewer than half (44 percent) had contracts with managed care organizations.
| Figure 2. Percent of Residential Facilities Accepting Specified Payment Types: 2000 |
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Source: 2000 SAMHSA National Survey of Substance Abuse Treatment Services
(N-SSATS).
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End Notes
1 Based on the survey response reference date, October 1, 2000.
2 Type of substance abuse of residential clients could
be obtained only for residential clients in facilities which served residential
clients only, since percentage of each type of substance abuse is a facility characteristic.
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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
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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.go
Citation of the source is
appreciated.
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This page was last updated on December 30, 2008.
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