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The Dasis Report (Drug and Alcohol Information System)
March 11, 2005

National Survey of Substance Abuse Treatment Services: 2003

In Brief
  • A total of 13,623 facilities responded to the N-SSATS survey in 2003 and reported a one-day census of 1,092,546 clients enrolled in substance abuse treatment on March 31, 2003
  • More than 60 percent of the facilities surveyed in 2003 were operated by private non-profit entities, one-quarter were operated by private for-profit organizations and the remainder were operated by Federal, State, local, or tribal governments
  • Eighty percent of facilities provided outpatient care, 28 percent provided residential treatment and 7 percent offered hospital inpatient care

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

Table 1. Facility Operation: 2003


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


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


Substance Abuse Problem Number Percent
Clients with Both Alcohol and Drug
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


Type of Care Number Percent
Outpatient 10,893 80%
   Regular Outpatient 9,967 73%
   Intensive Outpatient 5,902 43%
   Day Treatment/Partial
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


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


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
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


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


Services Number Percent
Assessment Services 12,909 95%
   Comprehensive Substance
     Abuse Assessment/Diagnosis
12,639 93%
   Comprehensive Mental Health
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
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:

Access the latest TEDS public use files at:

Other substance abuse reports are available at:

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: Citation of the source is appreciated. For questions about this report please e-mail:

This page was last updated on May 16, 2008.