National Survey of Substance Abuse Treatment Services (N-SSATS): 2015: Data on Substance Abuse Treatment Facilities

2017·4 MB·English

National Survey of Substance Abuse
Treatment Services (N-SSATS): 2015
Data on Substance Abuse Treatment Facilities
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
A
cknowledgments
This report was prepared for the Substance Abuse and Mental Health Services Administration
(SAMHSA), U.S. Department of Health and Human Services (HHS). Work was performed under
Task Order HHSS283200800048I/HHSS28342001T, Reference No. 283-07-4803. The Task Order
Officer at SAMHSA/CBHSQ was Cathie E. Alderks, PhD.
SAMHSA complies with applicable Federal civil rights laws and does not discriminate on the
basis of race, color, national origin, age, disability, or sex. SAMHSA cumple con las leyes federales
de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad,
discapacidad o sexo.
P d n
ublic omAin otice
All material appearing in this report is in the public domain and may be reproduced or copied without
permission from SAMHSA. Citation of the source is appreciated. However, this publication may
not be reproduced or distributed for a fee without the specific, written authorization of the Office
of Communications, SAMHSA, U.S. Department of Health and Human Services.
R c
ecommended itAtion
Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse
Treatment Services (N-SSATS): 2015. Data on Substance Abuse Treatment Facilities. BHSIS Series
S-88, HHS Publication No. (SMA) 17-5031. Rockville, MD: Substance Abuse and Mental Health
Services Administration, 2017.
e A c P
lectRonic ccess And oPies of ublicAtion
This publication may be downloaded or ordered at datafiles.samhsa.gov.
Or call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727)
(English and Español).
o o
RiginAting ffice
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration
5600 Fishers Lane, Room 15SEH03
Rockville, Maryland 20857
March 2017
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Able of ontents
List of Tables.................................................................................................................................vi
List of Figures .............................................................................................................................xiv
Highlights ........................................................................................................................................1
Chapter 1. Description of the National Survey of Substance Abuse
Treatment Services (N-SSATS) .....................................................................................................5
Data Collection Procedures for the 2015 N-SSATS ........................................................................6
Facility Selection for the 2015 N-SSATS Report............................................................................8
Survey Response Mode ....................................................................................................................9
Data Considerations and Limitations .............................................................................................10
Organization of the Report.............................................................................................................10
Terminology...................................................................................................................................10
Chapter 2. Trends in Facility Characteristics ...........................................................................13
Number of Facilities ......................................................................................................................13
Facility Operation ..........................................................................................................................13
Type of Care Offered .....................................................................................................................14
Facilities that Use Medication-assisted Opioid Therapy ...............................................................14
Chapter 3. Trends in Client Characteristics ..............................................................................17
Facility Operation ..........................................................................................................................17
Type of Care Received ...................................................................................................................18
Clients Receiving Medication-assisted Opioid Therapy ................................................................19
Substance Abuse Problem Treated .................................................................................................19
Clients under Age 18 in Treatment ................................................................................................20
Chapter 4. Facility Characteristics and Services ......................................................................21
Facility Operation and Type of Care .............................................................................................21
Client Substance Abuse Problem and Diagnosed Co-occurring Mental Disorders .......................22
Facility Size ...................................................................................................................................22
Facility Utilization Rates ...............................................................................................................24
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Services Provided ...........................................................................................................................24
Clinical/Therapeutic Approaches ...................................................................................................26
Programs or Groups for Specific Client Types ..............................................................................27
Services in Sign Language for the Hearing Impaired and in Languages Other than
English ...........................................................................................................................................28
Detoxification Services ..................................................................................................................28
Client Outreach ..............................................................................................................................29
Facility Licensing, Certification, or Accreditation .........................................................................29
Facility Standard Operating Procedures ........................................................................................30
Payment Options ............................................................................................................................31
Work Activity Methods ..................................................................................................................32
Facility Funding .............................................................................................................................32
Facilities Using Medication-assisted Opioid Therapy. ..................................................................32
Counseling Services Offered by Facilities .....................................................................................34
Facility Smoking Policy .................................................................................................................34
Chapter 5. Client Characteristics ...............................................................................................35
Facility Operation and Type of Care ..............................................................................................35
Substance Abuse Problem and Diagnosed Co-occurring Mental Disorders ..................................36
Clients under Age 18 in Treatment ................................................................................................36
Medication-assisted Opioid Therapy .............................................................................................36
Chapter 6. State Data...................................................................................................................39
Survey Response ............................................................................................................................39
Trends .............................................................................................................................................39
Clients in Treatment per 100,000 Population Aged 18 and Older .................................................39
Tables .............................................................................................................................................43
Appendix A. N-SSATS Background .........................................................................................225
Survey History .............................................................................................................................225
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N-SSATS in the Context of the Behavioral Health Services Information System
(BHSIS)........................................................................................................................................226
Survey Coverage ..........................................................................................................................226
Changes in Survey Content ..........................................................................................................228
Appendix B. 2015 N-SSATS Questionnaire .............................................................................233
Appendix C. Item Response and Imputation for 2015 N-SSATS ..........................................251
Appendix D. List of Contributors.............................................................................................257
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Chapter 1
1.1 N-SSATS facilities, by status and mode of response: 2015. .................................................8
Chapter 2
2.1 Facility turnover: Number and percent distribution, 2005-2015 ........................................44
2.2 Facility operation: Number and percent distribution, 2005-2015. ......................................45
2.3 All facilities and facilities with Opioid Treatment Programs, by type of care
offered: Number and percent, 2005-2015 ...........................................................................46
2.4 Medication-assisted opioid therapy provided at facilities with Opioid
Treatment Programs (OTPs) and other facilities: Number and percent,
2005-2015 ...........................................................................................................................47
Chapter 3
3.1 Clients in treatment, by facility operation: Number and percent distribution,
2005-2015 ...........................................................................................................................48
3.2 Clients in treatment, by type of care received, and clients receiving
buprenorphine, injectable naltrexone, or methadone: Number and percent
distribution, 2005-2015 .......................................................................................................49
3.3 Clients in treatment, by substance abuse problem and diagnosed co-occurring
mental and substance abuse disorders: Number and percent distribution,
2005-2015 ...........................................................................................................................50
3.4 Clients under age 18 in treatment, by type of care received, and clients under
age 18 in treatment in facilities offering special programs or groups for
adolescents: Number and percent distribution, 2005-2015 .................................................51
Chapter 4
4.1a Type of care offered, by facility operation: Number, 2015 .................................................52
4.1b Type of care offered, by facility operation: Percent, 2015 ..................................................53
4.2 Type of client substance abuse problem treated and treatment of clients with
diagnosed co-occurring mental and substance abuse disorders, by facility
operation: Number and percent, March 31, 2015 ...............................................................54
4.3 Facility size, by type of care offered and facility operation at facilities with
Opioid Treatment Programs (OTPs): Median number of clients, March 31,
2015.....................................................................................................................................55
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4.4 Facility size, by type of care offered and facility operation at facilities without
Opioid Treatment Programs (non-OTPs): Median number of clients, March 31,
2015.....................................................................................................................................56
4.5a Facility size in terms of number of clients in outpatient treatment, by facility
operation: Number and percent distribution, March 31, 2015 ............................................57
4.5b Facility size in terms of number of clients in residential (non-hospital)
treatment, by facility operation: Number and percent distribution, March 31,
2015.....................................................................................................................................58
4.5c Facility size in terms of number of clients in inpatient treatment, by facility
operation: Number and percent distribution, March 31, 2015 ............................................59
4.6 Facility capacity and utilization of residential (non-hospital) care, by facility
operation: Number, utilization rate, and percent distribution, March 31, 2015 ..................60
4.7 Facility capacity and utilization of hospital inpatient care, by facility
operation: Number, utilization rate, and percent distribution, March 31, 2015 ..................61
4.8 Services provided, by facility operation: Number and percent, 2015 .................................62
4.9a Services provided, by type of care: Number, 2015 .............................................................64
4.9b Services provided, by type of care: Percent, 2015 ..............................................................66
4.10 Clinical/therapeutic approaches, by frequency of use: Number and percent
distribution, 2015 ................................................................................................................68
4.11a Facilities offering special programs or groups for specific client types, by
facility operation: Number, 2015 ........................................................................................69
4.11b Facilities offering special programs or groups for specific client types, by
facility operation: Percent, 2015 .........................................................................................70
4.12a Facilities offering services in sign language for the hearing impaired and in
languages other than English, by facility operation: Number, 2015 ...................................71
4.12b Facilities offering services in sign language for the hearing impaired and in
languages other than English, by facility operation: Percent, 2015 ....................................72
4.13 Facilities detoxifying clients, by substance and facility operation: Number
and percent, 2015 ................................................................................................................73
4.14 Facilities with client outreach, by facility operation: Number and percent,
2015.....................................................................................................................................74
4.15a Facility licensing, certification, or accreditation, by facility operation:
Number, 2015 ......................................................................................................................75
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4.15b Facility licensing, certification, or accreditation, by facility operation:
Percent, 2015 .......................................................................................................................76
4.16a Facility licensing, certification, or accreditation, by type of care offered:
Number, 2015 ......................................................................................................................77
4.16b Facility licensing, certification, or accreditation, by type of care offered:
Percent, 2015 .......................................................................................................................78
4.17a Facilities employing specific practices as part of their standard operating
procedures, by facility operation: Number, 2015 ...............................................................79
4.17b Facilities employing specific practices as part of their standard operating
procedures, by facility operation: Percent, 2015 ................................................................80
4.18a Types of client payments accepted, by facility operation: Number, 2015 ..........................81
4.18b Types of client payments accepted, by facility operation: Percent, 2015 ...........................82
4.19 Methods used to accomplish work, by facility operation: Number and
percent distribution, 2015 ...................................................................................................83
4.20 Facility funding, by facility operation: Number and percent, 2015 ....................................84
4.21a Medication-assisted opioid therapy provided at facilities with Opioid
Treatment Programs (OTPs) and other facilities, by facility operation:
Number, 2015 ......................................................................................................................85
4.21b Medication-assisted opioid therapy provided at facilities with Opioid
Treatment Programs (OTPs) and other facilities, by facility operation:
Percent, 2015 .......................................................................................................................86
4.22a Type of care offered in facilities with Opioid Treatment Programs (OTPs),
by facility operation: Number, 2015 ...................................................................................87
4.22b Type of care offered in facilities with Opioid Treatment Programs (OTPs),
by facility operation: Percent, 2015 ....................................................................................88
4.23a Facility licensing, certification, or accreditation of facilities with Opioid
Treatment Programs (OTPs), by type of care offered: Number, 2015 ................................89
4.23b Facility licensing, certification, or accreditation of facilities with Opioid
Treatment Programs (OTPs), by type of care offered: Percent, 2015 .................................90
4.24 Facilities using counseling as part of their substance abuse treatment
program, by type of care: Number, 2015 ............................................................................91
4.25 Facility smoking policy, by facility operation: Number and percent
distribution, 2015 ................................................................................................................92
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Chapter 5
5.1a Clients in treatment, by type of care received and facility operation:
Number, March 31, 2015 ....................................................................................................93
5.1b Clients in treatment, by type of care received and facility operation: Row
percent distribution, March 31, 2015 ..................................................................................94
5.1c Clients in treatment, by type of care received and facility operation: Column
percent distribution, March 31, 2015 ..................................................................................95
5.2 Clients in treatment, according to substance abuse problem and diagnosed
co-occurring mental and substance abuse disorders, by facility operation:
Number and percent, March 31, 2015 ................................................................................96
5.3 Clients under age 18 in treatment, by type of care received and facility
operation: Number and percent distribution, March 31, 2015 ............................................97
5.4a Clients receiving medication-assisted opioid therapy provided at facilities
with Opioid Treatment Programs (OTPs) and other facilities, by facility
operation: Number, March 31, 2015 ...................................................................................98
5.4b Clients receiving medication-assisted opioid therapy provided at facilities
with Opioid Treatment Programs (OTPs) and other facilities, by facility
operation: Percent distribution, March 31, 2015 ................................................................99
Chapter 6
6.1 N-SSATS facilities, by status, response rate, mode of response, and state or
jurisdiction: 2015 ..............................................................................................................100
Trends 2005-2015
6.2a Facilities and clients in treatment, by state or jurisdiction: Number, 2005-2015 .............102
6.2b Facilities and clients in treatment, by state or jurisdiction: Percent distribution,
2005-2015 .........................................................................................................................104
6.3a Clients under age 18 in treatment, and clients under age 18 in facilities
offering special programs or groups for adolescents, by state or jurisdiction:
Number, 2005-2015 ..........................................................................................................106
6.3b Clients under age 18 in treatment, and clients under age 18 in facilities offering
special programs or groups for adolescents, by state or jurisdiction: Percent,
2005-2015 .........................................................................................................................108
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Facilities 2015
6.4a Facility operation, by state or jurisdiction: Number, 2015 ...............................................110
6.4b Facility operation, by state or jurisdiction: Percent distribution, 2015 .............................112
6.5a Type of care offered, by state or jurisdiction: Number, 2015 ...........................................114
6.5b Type of care offered, by state or jurisdiction: Percent, 2015 ............................................116
6.6 Type of client substance abuse problem treated and treatment of clients with
diagnosed co-occurring mental and substance abuse disorders, by state or
jurisdiction: Number and percent, March 31, 2015 ..........................................................118
6.7 Facility size, by type of care offered and state or jurisdiction at facilities with
Opioid Treatment Programs (OTPs): Median number of clients, March 31,
2015...................................................................................................................................120
6.8 Facility size, by type of care offered and state or jurisdiction at facilities
without Opioid Treatment Programs (non-OTPs): Median number of clients,
March 31, 2015 .................................................................................................................122
6.9a Facility size in terms of number of clients in outpatient treatment, by state or
jurisdiction: Number and percent distribution, March 31, 2015 .......................................124
6.9b Facility size in terms of number of clients in residential (non-hospital)
treatment, by state or jurisdiction: Number and percent distribution, March
31, 2015.............................................................................................................................126
6.9c Facility size in terms of number of clients in inpatient treatment, by state or
jurisdiction: Number and percent distribution, March 31, 2015 .......................................128
6.10 Facility capacity and utilization of residential (non-hospital) and hospital
inpatient care, by state or jurisdiction: Number and utilization rate, March
31, 2015.............................................................................................................................130
6.11 Type of counseling used, by state or jurisdiction: Number and percent, 2015 .................132
6.12a Clinical/therapeutic approaches used always or often or sometimes, by state
or jurisdiction: Number, 2015 ...........................................................................................134
6.12b Clinical/therapeutic approaches used always or often or sometimes, by state
or jurisdiction: Percent, 2015 ............................................................................................136
6.13a Facilities offering special programs or groups for specific client types, by
state or jurisdiction: Number, 2015 ...................................................................................138
6.13b Facilities offering special programs or groups for specific client types, by
state or jurisdiction: Percent, 2015 ....................................................................................140
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