Table of Contents

Title Page

Acknowledgments

Highlights

Chapter 1. Description of the National Survey of Substance Abuse Treatment Services (N-SSATS)

Chapter 2. Trends in Facility Characteristics

Chapter 3. Trends in Client Characteristics

Chapter 4. Facility Characteristics and Services

Chapter 5. Client Characteristics

Chapter 6. State Data

Appendix A. 2003 N-SSATS Questionnaire

Appendix B. Item Percentage Response Rates for N-SSATS 2003

Appendix C. N-SSATS Background

List of Tables

Chapter 1

1.1 N-SSATS forms accounting, response rate, and mode of response: 2004

1.2 Number of N-SSATS facilities reporting client and/or facility data: 2004

Chapter 2

2.1 Facility turnover: 1998-2004.
Number and percent

2.2 Facility operation: 1998-2004.
Number and percent distribution

2.3 Facilities by type of care offered, and facilities with Opioid Treatment Programs: 1998-2004.
Number and percent

2.4 Facilities with managed care agreements or contracts, by facility operation: 1998-2004.
Number and percent

2.5 Facilities offering programs or groups for specific client types: 1998-2004.
Number and percent

Chapter 3

3.1 Clients in treatment by facility operation: 1998-2004.
Number and percent distribution

3.2 Clients in treatment by type of care received, and clients receiving methadone: 1998-2004.
Number and percent distribution

3.3 Clients in treatment by substance abuse problem treated: 1998-2004.
Number and percent distribution

3.4 Clients in facilities with managed care agreements or contracts, by facility operation: 1998-2004.
Number and percent

3.5 Clients under age 18 in treatment, by type of care received, and clients under age 18 in facilities with special programs or groups for adolescents: 1998-2004.
Number and percent distribution

Chapter 4

4.1 Primary focus of facilities, by facility operation: March 31, 2004.
Number and percent distribution

4.2a Type of care offered, by facility operation and primary focus of facility: March 31, 2004.
Number

4.2b Type of care offered, by facility operation and primary focus of facility: March 31, 2004.
Percent

4.3 Client substance abuse problem treated, by facility operation and primary focus of facility: March 31, 2004.
Number and percent

4.4 Facility size, according to type of care offered, by facility operation and primary focus of facility: March 31, 2004.
Median number of clients

4.5 Facility size, by facility operation and primary focus of facility: March 31, 2004.
Number and percent distribution

4.6 Facility capacity and utilization of non-hospital residential care, by facility operation and primary focus of facility: March 31, 2004.
Number, utilization rate, and percent distribution

4.7 Facility capacity and utilization of hospital inpatient care, by facility operation and primary focus of facility: March 31, 2004.
Number, utilization rate, and percent distribution

4.8a Facilities accepting specific client types, by facility operation and primary focus of facility: March 31, 2004.
Number

4.8b Facilities accepting specific client types, by facility operation and primary focus of facility: March 31, 2004.
Percent

4.9a Facilities offering programs or groups for specific client types, by facility operation and primary focus of facility: March 31, 2004.
Number

4.9b Facilities offering programs or groups for specific client types, by facility operation and primary focus of facility: March 31, 2004.
Percent

4.10a Facility services offered, by facility operation: March 31, 2004.
Number

4.10b Facility services offered, by facility operation: March 31, 2004.
Percent

4.11a Facility services offered, by primary focus of facility: March 31, 2004.
Number

4.11b Facility services offered, by primary focus of facility: March 31, 2004.
Percent

4.12a Facilities offering services in sign language for the hearing impaired and in languages other than English, by facility operation and primary focus of facility: March 31, 2004.
Number

4.12b Facilities offering services in sign language for the hearing impaired and in languages other than English, by facility operation and primary focus of facility: March 31, 2004.
Percent

4.13a Facility payment options, by facility operation and primary focus of facility: March 31, 2004.
Number

4.13b Facility payment options, by facility operation and primary focus of facility: March 31, 2004.
Percent

4.14a Facility licensing, certification, or accreditation, by facility operation and primary focus of facility: March 31, 2004.
Number

4.14b Facility licensing, certification, or accreditation, by facility operation and primary focus of facility: March 31, 2004.
Percent

4.15a Facility licensing, certification, or accreditation, by type of care offered: March 31, 2004.
Number

4.15b Facility licensing, certification, or accreditation, by type of care offered: March 31, 2004.
Percent

4.16 Facility funding, by facility operation and primary focus of facility: March 31, 2004.
Number and percent

4.17 Client outreach, by facility operation and primary focus of facility: March 31, 2004.
Number and percent

4.18 Facilities with Opioid Treatment Programs (OTPs) and clients in facilities with OTPs, by facility operation and primary focus of facility: March 31, 2004.
Number and percent distribution

4.19a Type of care offered in facilities with Opioid Treatment Programs (OTPs), by facility operation and primary focus of facility: March 31, 2004
Number

4.19b Type of care offered in facilities with Opioid Treatment Programs (OTPs), by facility operation and primary focus of facility: March 31, 2004
Percent

4.20a Facility licensing, certification, or accreditation of facilities with Opioid Treatment Programs (OTPs), by type of care offered: March 31, 2004
Number

4.20b Facility licensing, certification, or accreditation of facilities with Opioid Treatment Programs (OTPs), by type of care offered: March 31, 2004
Percent

Chapter 5

5.1 Clients in treatment, by primary focus of facility and facility operation: March 31, 2004.
Number and percent distribution

5.2a Clients in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2004.
Number

5.2b Clients in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2004.
Percent distribution (row percent)

5.2c Clients in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2004.
Percent distribution (column percent)

5.3 Clients in treatment, according to substance abuse problem treated, by facility operation and primary focus of facility: March 31, 2004.
Number and percent distribution

5.4 Clients under age 18 in treatment, by facility operation and primary focus of facility: March 31, 2004.
Number and percent distribution

5.5 Clients under age 18 in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2004.
Number and percent distribution

Chapter 6

6.1 N-SSATS forms accounting, response rate, and mode of response, by State or jurisdiction: 2004

Trends 1998-2004

6.2a Facilities and clients in treatment, by State or jurisdiction: 1998-2004.
Number

6.2b Facilities and clients in treatment, by State or jurisdiction: 1998-2004.
Percent distribution

6.3a Facilities with managed care agreements or contracts, and clients in facilities with managed care agreements or contracts, by State or jurisdiction: 1998-2004.
Number

6.3b Facilities with managed care agreements or contracts, and clients in facilities with managed care agreements or contracts, by State or jurisdiction: 1998-2004.
Percent

6.4a Clients under age 18 in treatment, and clients under age 18 in facilities with special programs or groups for adolescents, by State or jurisdiction: 1998-2004
Number

6.4b Clients under age 18 in treatment, and clients under age 18 in facilities with special programs or groups for adolescents, by State or jurisdiction: 1998-2004
Percent

Facilities 2004

6.5a Facility operation, by State or jurisdiction: March 31, 2004.
Number

6.5b Facility operation, by State or jurisdiction: March 31, 2004.
Percent distribution

6.6 Primary focus of facility, by State or jurisdiction: March 31, 2004.
Number and percent distribution

6.7a Type of care offered, by State or jurisdiction: March 31, 2004.
Number

6.7b Type of care offered, by State or jurisdiction: March 31, 2004.
Percent

6.8 Client substance abuse problem treated, by State or jurisdiction: March 31, 2004.
Number and percent

6.9 Facility size, according to type of care offered, by State or jurisdiction: March 31, 2004.
Median number of clients

6.10 Facility size, by State or jurisdiction: March 31, 2004.
Number and percent distribution

6.11 Facility capacity and utilization of non-hospital residential and hospital inpatient care, by State or jurisdiction: March 31, 2004.
Number and utilization rate

6.12a Facilities accepting specific client types, by State or jurisdiction: March 31, 2004.
Number

6.12b Facilities accepting specific client types, by State or jurisdiction: March 31, 2004.
Percent

6.13a Facilities offering programs or groups for specific client types, by State or jurisdiction: March 31, 2004.
Number

6.13b Facilities offering programs or groups for specific client types, by State or jurisdiction: March 31, 2004.
Percent

6.14a Facilities offering services in sign language for the hearing impaired and in languages other than English, by State or jurisdiction: March 31, 2004.
Number

6.14b Facilities offering services in sign language for the hearing impaired and in languages other than English, by State or jurisdiction: March 31, 2004.
Percent

6.15a Facility payment options, by State or jurisdiction: March 31, 2004.
Number

6.15b Facility payment options, by State or jurisdiction: March 31, 2004.
Percent

6.16a Facility licensing, certification, or accreditation, by State or jurisdiction: March 31, 2004.
Number

6.16b Facility licensing, certification, or accreditation, by State or jurisdiction: March 31, 2004.
Percent

6.17 Facility funding, by State or jurisdiction: March 31, 2004.
Number and percent

6.18 Client outreach, by State or jurisdiction: March 31, 2004.
Number and percent

6.19 Facilities with Opioid Treatment Programs (OTPs) and clients in facilities with OTPs, by State or jurisdiction: March 31, 2004.
Number and percent distribution

6.20a Type of care offered in facilities with Opioid Treatment Programs (OTPs), by State or jurisdiction: March 31, 2004
Number

6.20b Type of care offered in facilities with Opioid Treatment Programs (OTPs), by State or jurisdiction: March 31, 2004
Percent

6.21a Facility licensing, certification, or accreditation of facilities with Opioid Treatment Programs (OTPs), by State or jurisdiction: March 31, 2004
Number

6.21b Facility licensing, certification, or accreditation of facilities with Opioid Treatment Programs (OTPs), by State or jurisdiction: March 31, 2004
Percent

Clients 2004

6.22a Clients in treatment, according to facility operation, by State or jurisdiction: March 31, 2004.
Number

6.22b Clients in treatment, according to facility operation, by State or jurisdiction: March 31, 2004.
Percent distribution

6.23 Clients in treatment, according to primary focus of facility, by State or jurisdiction: March 31, 2004.
Number and percent distribution

6.24a Clients in treatment, according to type of care received, by State or jurisdiction: March 31, 2004.
Number

6.24b Clients in treatment, according to type of care received, by State or jurisdiction: March 31, 2004.
Percent distribution

6.25 Clients in treatment, according to substance abuse problem treated, by State or jurisdiction: March 31, 2004.
Number and percent distribution

6.26a Clients under age 18 in treatment, according to facility operation, by State or jurisdiction: March 31, 2004.
Number

6.26b Clients under age 18 in treatment, according to facility operation, by State or jurisdiction: March 31, 2004.
Percent distribution

6.27 Clients under age 18 in treatment, according to primary focus of facility, by State or jurisdiction: March 31, 2004.
Number and percent distribution

6.28 Clients under age 18 in treatment, according to type of care received, by State or jurisdiction: March 31, 2004.
Number and percent distribution

6.29 Clients in treatment aged 18 and over, and clients in treatment per 100,000 population age 18 and over, according to substance abuse problem treated, by State or jurisdiction: March 31, 2004.

Appendix B

B.1 N-SSATS item percentage response rates: 2004

Appendix C

C.1 Survey contents: 1995-2004

List of Figures

Chapter 2

Figure 1. Facility Operation: 1998-2004

Figure 2. Type of Care Offered: 1998-2004

Figure 3. Facilities with Managed Care Contracts, by Facility Operation: 1998-2004

Figure 4. Facilities with Programs or Groups for Specific Client Types: 1998-2004

Chapter 3

Figure 5. Clients in Treatment by Facility Operation: 1998-2004

Figure 6. Clients by Type of Care Received: 1998-2004

Figure 7. Clients in Facilities with Managed Care Agreements or Contracts: 1998-2004

Figure 8. Clients under Age 18 and Clients under Age 18 in Treatment Facilities with Special Programs or Groups for Adolescents: 1998-2004

Chapter 4

Figure 9. Non-Hospital Residential and Hospital Inpatient Utilization Rates: March 31, 2004

Chapter 6

Figure 10. Clients in Treatment per 100,000 Population Aged 18 and Over: March 31, 2004

Appendix C

Figure 11. Numbers of Facilities and Clients in Treatment: 1998-2004