Chapter 6

State Data

This chapter presents facility data by State and jurisdiction. Facilities operated by Federal agencies are included in the States in which the facilities are located, although these facilities may have clients from other States.

Table 6.1 details the 2004 N-SSATS survey response rate.

Tables 6.2 to 6.4 provide State- or jurisdictional-level detail for treatment facility and client trends presented in Chapters 2 and 3.

Tables 6.5 to 6.21 provide State- or jurisdictional-level detail for the facility tables presented in Chapter 4.

Tables 6.22 to 6.28 provide State- or jurisdictional-level detail for the client tables presented in Chapter 5.

Table 6.29 presents the number of clients in treatment per 100,000 population aged 18 and over, according to substance abuse problem treated, by State or jurisdiction.

Survey Response

Table 6.1. The overall response rate for the survey was 96 percent. Thirty-one States or jurisdictions had response rates that equalled or surpassed the overall rate, and six States or jurisdictions achieved response rates of 100 percent.

Trends

Tables 6.2a and 6.2b. The five States with the largest numbers of both facilities and clients in treatment accounted for 34 percent of all facilities and 36 percent of all clients in treatment on March 31, 2004. California accounted for the largest proportion of both facilities and clients, at 13 percent of each. New York was next largest, with 8 percent of all facilities and 11 percent of all clients. The other three largest States, in terms of numbers of both facilities and clients in treatment, were Florida, Illinois, and Michigan. The next five largest States in terms of number of facilities were, in descending order, Texas, Ohio, Pennsylvania, Colorado, and Maryland, with a combined total of 17 percent of all facilities. The next five largest States in terms of number of clients in treatment on March 31, 2004, were, in descending order, Pennsylvania, Ohio, Massachusetts, Washington, and Maryland, with a combined total of 17 percent of all clients in treatment.

Tables 6.3a and 6.3b. The proportion of facilities having agreements or contracts with managed care organizations increased in 43 States and jurisdictions between 1998 and 2004. Similarly, the proportion of clients in facilities having agreements or contracts with managed care organizations increased in 40 States or jurisdictions during the same period. There was wide variation among States and jurisdictions in the proportions of facilities with such agreements or contracts, and in the proportions of clients in facilities with such agreements or contracts.

Tables 6.4a and 6.4b. The proportion of clients under age 18 in treatment increased in 18 States and jurisdictions between 1998 and 2004, and fell in 37 States and jurisdictions.

Clients in Treatment per 100,000 Population Aged 18 and Over

Table 6.29. For the United States, there were 459 clients in treatment per 100,000 population aged 18 and over on March 31, 2004.

The rate was highest for persons with both alcohol and drug problems (209 per 100,000 population aged 18 and over), followed by drug abuse only (159 per 100,000 population aged 18 and over), and alcohol abuse only (91 per 100,000 population aged 18 and over). While these rates can suggest the extent of the underlying substance abuse problem, they also reflect the level of resources available for treatment and should be interpreted with caution.

Figure 10 maps the rates of clients in treatment by State by quartile of rates—there are approximately equal numbers of States in each quartile.

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

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2004.

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