Chapter 3
Trends in Client Characteristics

Number of Clients Facility Operation Type of Care Received
Clients Receiving Methadone Substance Abuse Problem Treated Managed Care
Clients under Age 18 in Treatment    

This chapter presents trends in client characteristics for 2000 to 2005. It should be kept in mind, however, that the facility universe, methods, and survey instrument have changed during this period. These changes are detailed in Appendix C.

Number of Clients

Table 3.1. The number of clients in treatment on the survey reference date increased by 8 percent between 2000 and 2005, from 1,000,896 in 2000 to 1,081,049 in 2005.

Facility Operation

Table 3.1 and Figure 5. The proportion of clients in facilities operated by private non-profit organizations remained constant between 2000 and 2005 at 55 to 56 percent, although total clients in these facilities increased from 552,092 in 2000 to 595,633 on March 31, 2005. The number and proportion of clients in private for-profit facilities increased from 244,184 (24 percent of all clients) in 2000 to 302,595 (28 percent of all clients) on March 31, 2005. The proportion of clients in local government-operated facilities fell from 11 percent to 9 percent between 2000 and 2005, and from 4 percent to 3 percent for Federal government-operated facilities. The proportions of clients in State and tribal government-operated facilities remained constant between 2000 and 2005, at 4 percent and 1 percent, respectively.

Figure 5
Clients in Treatment, by Facility Operation: 2000-2005

Line chart comparing Clients in Treatment, by Facility Operation from 2000 to 2005

Type of Care Received

Table 3.2 and Figure 6. The proportions of clients in treatment for the major types of care—outpatient, non-hospital residential, and hospital inpatient—were stable between 2000 and 2005. Clients in outpatient treatment made up the majority of clients, ranging from 89 to 90 percent of all clients between 2000 and 2005. There were 961,805 clients (89 percent of all clients) in outpatient treatment on March 31, 2005. The proportion of clients in non-hospital residential treatment ranged from 9 to 10 percent between 2000 and 2005, and there were 104,015 (10 percent of all clients) in non-hospital residential treatment on March 31, 2005. The proportion of clients in hospital inpatient treatment was constant, at 1 percent between 2000 and 2005, and there were 15,229 clients in hospital inpatient treatment on March 31, 2005.

Figure 6
Clients in Treatment, by Type of Care Received: 2000-2005

Line chart comparing Clients in Treatment, by Type of Care Received from 2000 to 2005

Clients Receiving Methadone

Table 3.2 and Figure 6. The proportion of clients receiving methadone fluctuated between 17 percent and 22 percent in the period 2000 to 2005. There were 235,836 clients (22 percent of all clients) receiving methadone on March 31, 2005. Clients receiving methadone could be in any of the three major types of care—outpatient, non-hospital residential, or hospital inpatient.

Substance Abuse Problem Treated

Table 3.3. Clients in treatment for both drug and alcohol abuse made up just under half of all clients between 2000 and 2005, ranging from 46 to 48 percent. On March 31, 2005, there were 500,234 clients (47 percent of all clients) in treatment for both alcohol and drug abuse. The proportion of clients treated for drug abuse only increased from 29 percent in 2000 to 34 percent in 2004 and 2005, while the proportion of clients treated for alcohol abuse only declined from 23 percent in 2000 to 19 percent in 2005.

Managed Care

Table 3.4 and Figure 7. In general, the term “managed care” refers to the prepaid health care sector where care is provided under a fixed budget within which costs are “managed.” The trends in the proportion of clients in facilities with agreements or contracts with managed care organizations were grossly similar to those for the proportion of facilities with such agreements or contracts [Table 2.4]. On March 31, 2005, 48 percent of all clients were in facilities with managed care agreements or contracts, and 47 percent of facilities had such agreements or contracts. This represented a decrease from 2000, when 53 percent of all clients were in facilities with managed care agreements or contracts, and 54 percent of facilities had such agreements or contracts. Between 2000 and 2005, the proportion of clients in facilities with managed care agreements or contracts declined regardless of facility operation.

Figure 7
Clients in Treatment in Facilities with Managed Care Agreements or Contracts,
by Facility Operation: 2000-2005

Line chart comparing Clients in Treatment in Facilities with Managed Care Agreements or Contracts, by Facility Operation from 2000 to 2005

Clients under Age 18 in Treatment

Table 3.5 and Figure 8. On March 31, 2005, there were 87,611 clients under age 18 in treatment. These represented 8 percent of all clients, a proportion which was stable from 2000 through 2005.
The majority of clients under age 18 were in treatment facilities offering special programs or groups for adolescents, a proportion ranging from 83 to 91 percent between 2000 and 2005. On March 31, 2005, there were 73,731 clients under age 18 (84 percent of all clients under age 18) in treatment facilities offering special programs or groups for adolescents.

Figure 8
Clients under Age 18 and Clients under Age 18 in Treatment in Facilities
Offering Special Programs or Groups for Adolescents: 2000-2005

Line chart comparing Clients under Age 18 and Clients under Age 18 in Treatment in Facilities Offering Special Programs or Groups for Adolescents from 2000 to 2005

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