| Table 6.12a Clinical/therapeutic approaches used always or often or sometimes, by State or jurisdiction: 2009 Number |
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| State or jurisdiction1 | Number of facilities2 | |||||||||||||
| Total | Clinical/therapeutic approach used always or often or sometimes3 | |||||||||||||
| Substance abuse counseling |
Relapse prevention |
Cognitive- behavioral therapy |
12- step facili- tation |
Motiva- tional inter- viewing |
Anger manage- ment |
Brief interven- tion |
Contin- gency manage- ment |
Trauma- related counsel- ing |
Rational emotive behavioral therapy |
Matrix model |
Community reinforce- ment plus vouchers |
Other treatment approaches |
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| Total | 13,513 | 13,320 | 13,012 | 12,291 | 10,653 | 11,505 | 11,261 | 10,788 | 8,175 | 8,805 | 6,599 | 4,989 | 1,938 | 2,187 |
| Alabama | 135 | 133 | 133 | 127 | 126 | 110 | 122 | 102 | 81 | 90 | 92 | 69 | 15 | 10 |
| Alaska | 80 | 79 | 79 | 70 | 59 | 71 | 61 | 62 | 53 | 67 | 38 | 37 | 9 | 14 |
| Arizona | 222 | 215 | 214 | 204 | 147 | 181 | 191 | 193 | 143 | 133 | 100 | 130 | 30 | 42 |
| Arkansas | 55 | 54 | 53 | 45 | 45 | 47 | 49 | 36 | 30 | 28 | 28 | 35 | 6 | 10 |
| California | 1,738 | 1,716 | 1,673 | 1,404 | 1,382 | 1,393 | 1,464 | 1,371 | 1,139 | 1,102 | 549 | 716 | 331 | 273 |
| Colorado | 413 | 409 | 402 | 392 | 206 | 354 | 351 | 274 | 220 | 255 | 168 | 134 | 100 | 83 |
| Connecticut | 199 | 195 | 189 | 191 | 154 | 181 | 177 | 159 | 116 | 168 | 82 | 46 | 42 | 54 |
| Delaware | 40 | 40 | 38 | 39 | 35 | 40 | 33 | 33 | 33 | 30 | 22 | 9 | 14 | 6 |
| District of Columbia | 39 | 39 | 39 | 35 | 28 | 33 | 36 | 36 | 32 | 27 | 20 | 19 | 14 | 6 |
| Fed. of Micronesia | - - | - - | - - | - - | - - | - - | - - | - - | - - | - - | - - | - - | - - | - - |
| Florida | 625 | 613 | 596 | 570 | 515 | 494 | 540 | 504 | 399 | 433 | 363 | 209 | 84 | 113 |
| Georgia | 257 | 254 | 244 | 226 | 212 | 205 | 216 | 202 | 149 | 159 | 142 | 109 | 23 | 39 |
| Guam | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 1 | 2 |
| Hawaii | 123 | 123 | 119 | 118 | 75 | 117 | 77 | 59 | 52 | 40 | 43 | 40 | 9 | 18 |
| Idaho | 66 | 65 | 66 | 66 | 45 | 59 | 58 | 44 | 48 | 46 | 32 | 45 | 15 | 14 |
| Illinois | 615 | 606 | 594 | 564 | 487 | 527 | 484 | 491 | 344 | 341 | 297 | 225 | 71 | 78 |
| Indiana | 298 | 289 | 292 | 270 | 264 | 251 | 258 | 233 | 145 | 198 | 166 | 125 | 48 | 41 |
| Iowa | 112 | 109 | 109 | 98 | 87 | 101 | 79 | 79 | 57 | 60 | 53 | 52 | 18 | 9 |
| Kansas | 201 | 199 | 193 | 196 | 157 | 168 | 166 | 156 | 122 | 102 | 92 | 86 | 18 | 20 |
| Kentucky | 294 | 290 | 285 | 268 | 231 | 251 | 248 | 242 | 174 | 198 | 169 | 98 | 25 | 50 |
| Louisiana | 163 | 163 | 154 | 148 | 141 | 135 | 138 | 132 | 103 | 99 | 101 | 83 | 17 | 24 |
| Maine | 164 | 163 | 161 | 149 | 113 | 149 | 132 | 131 | 93 | 120 | 60 | 42 | 10 | 29 |
| Maryland | 343 | 340 | 333 | 322 | 285 | 292 | 263 | 274 | 209 | 210 | 173 | 91 | 48 | 51 |
| Massachusetts | 313 | 307 | 304 | 284 | 265 | 281 | 252 | 245 | 188 | 259 | 111 | 69 | 41 | 37 |
| Michigan | 490 | 486 | 473 | 472 | 417 | 407 | 435 | 427 | 278 | 365 | 269 | 131 | 64 | 66 |
| Minnesota | 298 | 296 | 296 | 276 | 266 | 269 | 227 | 228 | 192 | 163 | 195 | 180 | 43 | 72 |
| Mississippi | 103 | 101 | 97 | 95 | 83 | 61 | 94 | 72 | 53 | 64 | 65 | 28 | 8 | 12 |
| Missouri | 249 | 246 | 239 | 243 | 198 | 230 | 220 | 209 | 161 | 167 | 116 | 145 | 63 | 31 |
| Montana | 60 | 60 | 60 | 56 | 46 | 54 | 42 | 55 | 42 | 38 | 38 | 30 | 11 | 19 |
| Nebraska | 114 | 113 | 114 | 111 | 104 | 104 | 102 | 89 | 67 | 95 | 71 | 49 | 29 | 18 |
| Nevada | 85 | 83 | 83 | 78 | 47 | 75 | 68 | 72 | 55 | 45 | 37 | 35 | 13 | 13 |
| New Hampshire | 58 | 55 | 56 | 51 | 49 | 48 | 42 | 47 | 30 | 46 | 32 | 15 | 8 | 14 |
| New Jersey | 340 | 337 | 328 | 307 | 297 | 292 | 286 | 281 | 190 | 203 | 185 | 94 | 37 | 45 |
| New Mexico | 145 | 143 | 138 | 131 | 105 | 116 | 135 | 124 | 98 | 112 | 68 | 73 | 41 | 33 |
| New York | 963 | 956 | 942 | 849 | 712 | 834 | 825 | 805 | 557 | 602 | 421 | 199 | 78 | 139 |
| North Carolina | 413 | 400 | 386 | 380 | 329 | 360 | 339 | 341 | 248 | 257 | 214 | 130 | 38 | 88 |
| North Dakota | 59 | 58 | 55 | 55 | 50 | 51 | 42 | 47 | 36 | 32 | 27 | 22 | 8 | 12 |
| Ohio | 393 | 387 | 378 | 366 | 336 | 340 | 342 | 298 | 222 | 268 | 182 | 113 | 50 | 63 |
| Oklahoma | 199 | 196 | 189 | 192 | 140 | 172 | 183 | 172 | 139 | 161 | 135 | 97 | 47 | 24 |
| Oregon | 245 | 244 | 237 | 237 | 183 | 238 | 179 | 188 | 153 | 173 | 100 | 134 | 38 | 61 |
| Palau | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | - - | - - | - - | - - | - - | - - |
| Pennsylvania | 533 | 528 | 517 | 510 | 474 | 438 | 475 | 428 | 332 | 349 | 300 | 147 | 59 | 99 |
| Puerto Rico | 151 | 147 | 120 | 131 | 52 | 142 | 128 | 136 | 102 | 124 | 66 | 56 | 36 | 23 |
| Rhode Island | 60 | 60 | 57 | 56 | 50 | 53 | 51 | 49 | 39 | 45 | 25 | 17 | 10 | 9 |
| South Carolina | 113 | 106 | 111 | 100 | 87 | 100 | 86 | 85 | 67 | 62 | 58 | 53 | 21 | 17 |
| South Dakota | 59 | 58 | 58 | 55 | 56 | 52 | 47 | 44 | 34 | 29 | 26 | 33 | 6 | 16 |
| Tennessee | 192 | 191 | 186 | 177 | 172 | 163 | 181 | 164 | 101 | 150 | 76 | 93 | 23 | 25 |
| Texas | 459 | 454 | 445 | 425 | 386 | 387 | 373 | 366 | 311 | 265 | 283 | 189 | 65 | 58 |
| Utah | 142 | 139 | 130 | 136 | 99 | 123 | 127 | 112 | 105 | 109 | 86 | 56 | 19 | 28 |
| Vermont | 41 | 40 | 40 | 40 | 32 | 40 | 35 | 38 | 24 | 34 | 16 | 13 | 6 | 12 |
| Virgin Islands | 3 | 3 | 3 | 3 | 2 | 3 | 3 | 1 | 2 | 3 | 1 | 1 | - - | - - |
| Virginia | 219 | 217 | 213 | 204 | 170 | 195 | 185 | 175 | 133 | 158 | 108 | 71 | 16 | 28 |
| Washington | 434 | 429 | 421 | 399 | 331 | 395 | 278 | 355 | 270 | 234 | 239 | 176 | 55 | 92 |
| West Virginia | 83 | 82 | 79 | 79 | 68 | 68 | 74 | 68 | 45 | 55 | 67 | 33 | 13 | 5 |
| Wisconsin | 255 | 245 | 232 | 231 | 206 | 206 | 206 | 201 | 120 | 184 | 155 | 71 | 34 | 34 |
| Wyoming | 57 | 56 | 56 | 57 | 44 | 46 | 53 | 50 | 37 | 46 | 35 | 35 | 10 | 8 |
| 1 Facilities operated by Federal agencies are included in the States in which the facilities are located. | ||||||||||||||
| 2 Number of facilities sums to more than the Total column because a facility could use more than one clinical/therapeutic approach. | ||||||||||||||
| 3 This question used a Likert scale response: Always or Often, Sometimes, Rarely, Never, Not familiar with this approach. This table combines responses of Always or Often and Sometimes. | ||||||||||||||
| - - Quantity is zero. | ||||||||||||||
| SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2009. | ||||||||||||||