Chapter 3

Trends in Client Characteristics

Facility Operation
Primary Focus of Facility
Type of Care Received
Clients Receiving Methadone or Buprenorphine in Opioid Treatment Programs
Substance Abuse Problem Treated
Clients under Age 18 in Treatment

This chapter presents trends in client characteristics for 2005 to 2009.

Table 3.1. The number of clients in treatment on the survey reference date increased by 9 percent from 2005 to 2009, from 1,081,049 in 2005 to 1,182,077 in 2009.

Facility Operation

Table 3.1 and Figure 5. In almost all categories of facility operation, the proportions of clients in treatment changed very little between 2005 and 2009.

Figure 5
Clients in Treatment, by Facility Operation: 2005-2009

Stacked bar chart comparing Clients in Treatment, by Facility Operation: 2005-2009

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration,
National Survey of Substance Abuse Treatment Services (N-SSATS), 2005-2009.

Primary Focus of Facility

Table 3.1. In almost all categories of facility primary focus of activity, the proportions of clients in treatment changed very little from 2005 to 2009.

Type of Care Received

Table 3.2 and Figure 6. The proportions of clients in treatment for the major types of care—outpatient, residential (non-hospital), and hospital inpatient—were stable between 2005 and 2009.

Figure 6
Clients in Treatment, by Type of Care Received: 2005-2009

Mixed bar/line chart comparing Clients in Treatment, by Type of Care Received: 2005-2009

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration,
National Survey of Substance Abuse Treatment Services (N-SSATS), 2005-2009.

Clients Receiving Methadone or Buprenorphine in Opioid Treatment Programs

Table 3.2 and Figure 6. Clients receiving methadone or buprenorphine could be in any type of care—outpatient, residential (non-hospital), or hospital inpatient. Clients could receive methadone only in Opioid Treatment Programs (OTPs), certified by SAMHSA to provide medication-assisted therapy with methadone and buprenorphine. However, clients could receive buprenorphine in any facility.8

Substance Abuse Problem Treated

Table 3.3. The proportion of clients in treatment for three broad categories of substance abuse problems—both alcohol and drug abuse, drug abuse only, and alcohol abuse only—changed very little between 2005 and 2009. Clients in treatment for both drug and alcohol abuse made up 44 to 46 percent of all clients from 2005 to 2009. Clients in treatment for drug abuse only ranged from 34 to 37 percent of all clients from 2005 through 2009. The proportion of clients treated for alcohol abuse only ranged from 18 to 19 percent between 2005 and 2009.

Clients under Age 18 in Treatment

Table 3.4. Clients under age 18 made up between 7 and 8 percent of all clients from 2005 through 2009.


7 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.
8 Individual physicians can receive special authorization from the U. S. Department of Health and Human Services that allows them to prescribe buprenorphine for the treatment of opiate addiction. These physicians may prescribe buprenorphine to patients in an office setting or to patients at substance abuse treatment facilities.

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