Chapter 6
State Data

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

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 2006 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 6.20 provide State- or jurisdictional-level detail for the facility tables presented in Chapter 4.

Tables 6.21 to 6.27 provide State- or jurisdictional-level detail for the client tables presented in Chapter 5.

Table 6.28 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-three States or jurisdictions had response rates that equalled or surpassed the overall rate, including four of the participating U.S. jurisdictions, which achieved response rates of 100 percent.

Trends

Tables 6.2a and 6.2b. California, New York, and Florida had the largest numbers of both facilities and clients in treatment. Together these three States accounted for 26 percent of all facilities and 27 percent of all clients in treatment on March 31, 2006. California had 13 percent of all facilities and 12 percent of all clients. New York had 7 percent of all facilities and 11 percent of all clients, and Florida had 5 percent of all facilities and 5 percent of all clients.

The next five largest States in terms of number of facilities were, in descending order, Illinois, Michigan, Texas, Pennsylvania, and Colorado with a combined total of 18 percent of all facilities.

The next five largest States in terms of number of clients in treatment on March 31, 2006, were, in descending order, Michigan, Pennsylvania, Illinois, Washington, and Massachusetts with a combined total of 19 percent of all clients in treatment.

Tables 6.3a and 6.3b. The proportion of facilities having agreements or contracts with managed care organizations decreased in 39 States and jurisdictions between March 29, 2002, and March 31, 2006. Similarly, the proportion of clients in facilities having agreements or contracts with managed care organizations decreased in 29 States or jurisdictions during that 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 27 States and jurisdictions between 2002 and March 31, 2006.

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

Table 6.28. For the United States, there were 454 clients in treatment per 100,000 population aged 18 and over on March 31, 2006.

The rate was highest for persons with both alcohol and drug problems (207 per 100,000 population aged 18 and over), followed by drug abuse only (162 per 100,000 population aged 18 and over), and alcohol abuse only (84 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 12 to 14 States in each quartile.

Figure 10
Clients in Treatment per 100,000 Population Aged 18 and Over: March 31, 2006

US map comparing Clients in Treatment per 100,000 Population Aged 18 and Over on March 31, 2006

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration,
National Survey of Substance Abuse Treatment Services (N-SSATS), 2006.

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