Table 5.3 Clients in treatment, according to substance abuse problem and co-occurring mental health disorders, by facility operation and primary focus of facility: March 31, 2009 Number and percent
Facility operation and primary focus	Substance abuse problem								Co-occurring substance abuse and mental health disorder
	Number of clients				Percent distribution				Total2	Number of clients	Percent
	Total1	Both alcohol and drug abuse	Drug abuse only	Alcohol abuse only	Total	Both alcohol and drug abuse	Drug abuse only	Alcohol abuse only
Total	1,179,387	517,886	441,127	220,374	100.0	43.9	37.4	18.7	1,169,010	456,566	39.1
Facility operation
Private non-profit	630,047	308,643	205,301	116,103	100.0	49.0	32.6	18.4	622,710	255,868	41.1
Private for-profit	374,700	122,464	185,970	66,266	100.0	32.7	49.6	17.7	372,649	126,338	33.9
Local, county, or community govt.	74,831	39,023	21,849	13,959	100.0	52.1	29.2	18.7	74,442	26,173	35.2
State government	42,449	19,083	17,394	5,972	100.0	45.0	41.0	14.1	41,897	17,734	42.3
Federal government	45,311	21,410	8,818	15,083	100.0	47.3	19.5	33.3	45,263	25,049	55.3
Dept. of Veterans Affairs	36,410	18,186	7,682	10,542	100.0	49.9	21.1	29.0	36,410	21,457	58.9
Dept. of Defense	6,877	1,934	914	4,029	100.0	28.1	13.3	58.6	6,771	2,735	40.4
Indian Health Service	1,982	1,285	201	496	100.0	64.8	10.1	25.0	1,821	833	45.7
Other	42	5	21	16	100.0	11.9	50.0	38.1	32	24	75.0
Tribal government	12,049	7,263	1,795	2,991	100.0	60.3	14.9	24.8	12,049	5,404	44.9
Primary focus of facility
Substance abuse treatment services	791,559	316,670	344,411	130,478	100.0	40.0	43.5	16.5	781,996	255,256	32.6
Mental health services	42,606	22,081	9,961	10,564	100.0	51.8	23.4	24.8	42,783	30,162	70.5
Mix of mental health and substance     abuse treatment services	326,295	169,276	81,965	75,054	100.0	51.9	25.1	23.0	325,352	162,408	49.9
General health care	13,900	7,267	3,464	3,169	100.0	52.3	24.9	22.8	13,853	7,235	52.2
Other/unknown	5,026	2,592	1,326	1,108	100.0	51.6	26.4	22.0	5,026	1,506	30.0
1 Excludes 2,690 clients (<1 percent of all clients) reported by the 152 facilities that did not respond to the substance abuse problem.
2 Excludes 13,067 clients (1 percent of all clients) reported by the 220 facilities that did not respond to the co-occurring disorders question.
NOTE: Percentages may not sum to 100 percent and numbers may not sum to totals because of rounding.
SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2009.