DASIS Report: 2002: Facilities Providing Methadone/LAAM Treatment to Clients with Opiate Addiction, The

3 Pages·2002·0.1 MB·English

Drug and Alcohol Services Information System
DASIS
The Report
March 2001 December 6, 2002
O
Facilities pioid agonist medications are
used to treat addiction to opiates,
Providing primarily heroin. Methadone is
the most commonly used opioid agonist
Methadone/LAAM medication—97 percent of clients being
treated with such medications receive
methadone. The remaining 3 percent
Treatment to
receive levo-alpha-acetyl-methadol
(LAAM). Methadone is taken daily and
Clients with
LAAM three times a week.1 This report
looks at facilities providing methadone or
Opiate Addiction
LAAM treatment to clients with opiate
addiction as reported to the National
Survey of Substance Abuse Treatment
In Brief
Services (N-SSATS). N-SSATS is an
annual survey of all facilities in the United
● Of 13,428 facilities surveyed in
States, both public and private, that
2000, 1,215 (9 percent) reported provide substance abuse treatment.
that they dispensed methadone
or LAAM
Methadone Facilities
● Methadone facilities offered HIV
Of the 13,428 facilities responding to the
testing, hepatitis testing, and
2000 N-SSATS, 1,215 (9 percent) reported
testing for sexually transmitted
that they dispensed methadone or LAAM
diseases more than twice as
(methadone facilities): 560 (4 percent)
frequently as non-methadone
provided only methadone or LAAM treat-
facilities ment programs (methadone-only facilities)
and 655 (5 percent) provided methadone
● The highest median number of
or LAAM programs in addition to other
clients was in methadone-only
substance abuse treatment programs
facilities owned by private non-
(methadone-providing facilities). On the
profit organizations (252)
survey reference date, October 1, 2000,
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.DrugAbuseStatistics.samhsa.gov.
Citation of the source is appreciated.
DASIS REPORT: FACILITIES PROVIDING METHADONE/LAAM TREATMENT TO CLIENTS WITH OPIATE ADDICTION December 6, 2002
providing facilities, 49 percent offered both detoxification
Figure 1. Types of Treatment Offered by
and rehabilitation, 33 percent provided rehabilitation only,
Methadone and Non-Methadone Facilities: 2000
and 18 percent provided detoxification only. Among non-
methadone facilities, 12 percent provided detoxification and
rehabilitation, 70 percent provided rehabilitation only, and
100
18 percent provided detoxification only.
s 80 70
e
aciliti 60 62 49 Services Provided
F
of 36
nt 40 33 More than 95 percent of methadone and non-methadone
Perce 20 12 18 18 fmacaitleitliye s6 6o fpfeerrecde nint doifv tihdeu male tthheardaopnye (-Foingulyr efa 2c)i.l iAtiepsp oroffxeir-ed
2
group therapy while 52 percent offered family counseling. In
0
Detoxification and Rehabilitation Detoxification methadone-providing facilities, 91 percent offered group
Rehabilitation Only Only therapy and 77 percent offered family counseling. For non-
methadone facilities, 89 percent offered group therapy and
Methadone- Non-Methadone Methadone-
Only Facilities Facilities Providing Facilities 78 percent family counseling. Methadone-only and metha-
done-providing facilities offered HIV testing more than
Source: 2000 SAMHSA National Survey of Substance Abuse Treatment (N-SSATS).
a total of 1,000,896 clients were
Figure 2. Services Provided by Methadone and Non-Methadone
reported to be in treatment. Metha-
Facilities: 2000
done facilities reported dispensing
methadone to 172,502 clients (17
percent) and LAAM to 5,715 clients (1 100 969695
percent). 9189
82
80 7778 77
Type of Care acilities 60 66 7067 6867 7064
Methadone-only facilities were almost of F 52 52 45
a(dlla (t9a8 n poet rscheonwt)n o).u Atpmatoienngt m faectihliatideosne- cent 40 3734
er 30
providing facilities, 48 percent were P
21 20
outpatient, 13 percent were hospital 20
inpatient, 12 percent were residential,
and 28 percent were facilities provid- 0
Individual Group Family HIV Hepatitis STD HIV/AIDSEmployment
ing at least two types of care (e.g.,
Therapy TherapyCounseling Testing Testing Testing Education Counseling
hospital inpatient and residential).
Methadone-Only Facilities Methadone-Providing Facilities Non-Methadone Facilities
Among facilities that did not dispense
methadone or LAAM (non-metha-
done facilities), 66 percent were
twice as frequently, and hepatitis methadone facilities (63 and 50
outpatient, 2 percent were hospital
testing, and testing for sexually percent, respectively) (data not shown).
inpatient, 17 percent were residential,
transmitted diseases (STD) more than Programs for persons with HIV/
and 15 percent were facilities provid-
three times as frequently, as non- AIDS were reported more than twice
ing more than one type of care.
methadone facilities. as frequently at methadone-only
facilities (46 percent) and methadone-
Type of Treatment providing facilities (43 percent) than at
Special Population
non-methadone facilities (19 percent).
Most methadone-only facilities (62 Served Programs for pregnant and postpar-
percent) provided both detoxification tum women were offered more
and rehabilitation; 36 percent Methadone-only facilities provided frequently at methadone-only facilities
provided rehabilitation only, and programs for dually diagnosed clients (42 percent) and methadone-providing
2 percent reported detoxification only less frequently (39 percent) than facilities (32 percent) than at non-
(Figure 1). Among methadone- methadone-providing and non- methadone facilities (19 percent).
December 6, 2002 DASIS REPORT: FACILITIES PROVIDING METHADONE/LAAM TREATMENT TO CLIENTS WITH OPIATE ADDICTION
Figure 3. Ownership of Methadone and Non- Table 1. Methadone and Non-Methadone
Methadone Facilities: 2000* Facilities, by Type of Payment Accepted: 2000
Percent
100 1 5 3
10 11 Payment Methadone- Methadone- Non-
14 Federal Only Providing Methadone
es 80 Government
ciliti 35 State/Local C saeslhf- poaryment 98 93 90
Fa 60 55 61 Government
of Private Non-Profit Medicaid 61 74 54
ent 40 Private For-Profit Medicare 26 56 38
Perc 20 54 Private Health
26 25 Insurance 47 82 73
0 State-Financed
Methadone- Methadone- Non- Health Insurance 18 42 37
Only Providing Methadone
Facilities Facilites Facilities Federal Military
Insurance 12 48 39
Ownership and Type of Payment Accepted
Number of Clients
Cash or self-payment was accepted by almost all methadone-only facilities (98
percent) (Table 1). It was also the type of payment most frequently accepted by
Most methadone facilities were
methadone-providing facilities (93 percent) and non-methadone facilities (90
owned or operated by private
percent). Medicaid was the second most frequently accepted type of payment at
organizations. Private for-profit
methadone facilities: 61 percent of methadone-only and 74 percent of methadone-
organizations owned or operated 54
providing facilities accepted Medicaid compared with 54 percent of non-
percent of methadone-only facilities
methadone facilities. Less than half (47 percent) of methadone-only facilities
and 26 percent of methadone-
accepted private insurance compared with 82 percent of methadone-providing
providing facilities (Figure 3). Private
and 73 percent of non-methadone facilities.
non-profit organizations owned or
operated 35 percent of methadone-
only facilities and 55 percent of End Note Figure Note
methadone-providing facilities. 1 Center for Substance Abuse Treatment. (1997). A * The percentage of tribal government-owned
Guide to Substance Abuse Services for Primary facilities is not shown because in 2000, tribal
On the survey reference day, the Care Clinicians. Treatment Improvement Protocol governments owned only 2 methadone facilities
highest median number of clients was (TIP) Series 24 (DHHS Publication No. (SMA) 97- and only 168 (1 percent) non-methadone
3139). Rockville, MD: Substance Abuse and facilities.
in methadone-only facilities owned by
Mental Health Services Administration.
private non-profit organizations (252)
and the second highest was in
The Drug and Alcohol Services Information System (DASIS) is an integrated data system maintained
methadone-providing facilities (240)
by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration
owned by the Federal government, (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
followed by methadone-only facilities
substance abuse treatment. N-SSATS was formerly known as the Uniform Facility Data Set (UFDS).
owned by local governments (220) and
The DASIS Report is prepared by the Office of Applied Studies, SAMHSA; Synectics for Manage-
private for-profit organizations (181) ment Decisions, Inc., Arlington, Virginia; and RTI, Research Triangle Park, North Carolina.
(data not shown). Overall, methadone- Information and data for this report are based on data reported to N-SSATS for the survey
reference date October 1, 2000.
only facilities had a higher median
number of clients (200) than metha- Access the latest N-SSATS/UFDS reports at: http://www.samhsa.gov/oas/dasis.htm
done-providing facilities (50) or Access the latest N-SSATS/UFDS public use files at: http://www.samhsa.gov/oas/SAMHDA.htm
non-methadone facilities (30).
Other substance abuse reports are available at: http://www.DrugAbuseStatistics.samhsa.gov
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Office of Applied Studies
www.samhsa.gov