Chapter 2

Trends in Facility Characteristics

Number of Facilities
Facility Operation
Primary Focus of Facility
Type of Care Offered
Facilities with Opioid Treatment Programs
Managed Care

This chapter presents trends in facility characteristics for 2004 to 2008.

Number of Facilities

Table 2.1. The total number of substance abuse treatment facilities remained relatively constant
between 2004 and 2008, although there was considerable turnover from year to year in the individual facilities responding to the survey. Every year, between 88 and 90 percent of the facilities responding to a given survey had also responded to the previous year’s survey. Some 10 to 12 percent of the facilities had closed or were no longer providing substance abuse treatment, but were replaced by similar numbers of new facilities.

There was a net increase of 40 facilities between 2007 and 2008, to 13,688 facilities. Of the facilities responding to the 2008 survey, 89 percent had also responded to the 2007 survey and 11 percent were new to the 2008 survey. Eleven percent of the facilities responding in 2007 had closed or were no longer providing substance abuse treatment in 2008.

Despite the year-to-year changes in the facilities reporting, several core structural characteristics of the substance abuse treatment system remained stable from 2004 to 2008.

Figure 2
Facility Operation: 2004-2008

Stacked bar chart comparing Facility Operation: 2004-2008

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration,
National Survey of Substance Abuse Treatment Services (N-SSATS), 2004-2008.

Facility Operation

Table 2.2 and Figure 2. The operational structure of the substance abuse treatment system (i.e., the type of entity responsible for operating the facility) changed very little between 2004 and 2008.


1 Data for the Federal agencies specified in the survey (the Department of Veterans Affairs, the Department of Defense, the Indian Health Service, and other unspecified Federal agencies) are detailed in the tables.

Primary Focus of Facility

Table 2.2 and Figure 3. The primary focus of activity of the facility (i.e., the services the facility primarily provides) changed very little between 2004 and 2008.

Figure 3
Primary Focus of Facility: 2004-2008

Stacked bar comparing Primary Focus of Facility: 2004-2008

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration,
National Survey of Substance Abuse Treatment Services (N-SSATS), 2004-2008.

Type of Care Offered

Table 2.3 and Figure 4. The proportions of facilities offering the major types of care—outpatient, residential (non-hospital), and hospital inpatient—were stable between 2004 and 2008.

Facilities with Opioid Treatment Programs

Table 2.3 and Figure 4. Opioid Treatment Programs (OTPs), certified by SAMHSA, provide medication-assisted therapy with methadone and buprenorphine, the only two opioid medications approved for the treatment of opioid addiction. OTPs can be associated with any type of care. They were provided by 8 to 9 percent of all facilities between 2004 and 2008.

Figure 4
Type of Care Offered and Facilities with Opioid Treatment Programs: 2004-2008

Stacked bar comparing Type of Care Offered and Facilities with Opioid Treatment Programs: 2004-2008

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration,
National Survey of Substance Abuse Treatment Services (N-SSATS), 2004-2008.

Managed Care

Table 2.4 and Figure 5. 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.”

Figure 5
Facilities with Managed Care Agreements or Contracts, by Facility Operation: 2004-2008

Line chart comparing Facilities with Managed Care Agreements or Contracts, by Facility

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration,
National Survey of Substance Abuse Treatment Services (N-SSATS), 2004-2008.

To table of contents

[Table of Contents]