Table 6.27 Clients in treatment, according to substance abuse problem and co-occurring mental health disorders, by State or jurisdiction: March 31, 2009 Number and percent distribution
State or jurisdiction1	Substance abuse problem								Co-occurring substance abuse and mental health disorder
	Number of clients				Percent distribution				Total3	Number of clients	Percent
	Total2	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
Alabama	15,820	4,984	9,421	1,415	100.0	31.5	59.6	8.9	15,820	5,563	35.2
Alaska	3,393	1,750	507	1,136	100.0	51.6	14.9	33.5	3,393	1,554	45.8
Arizona	29,994	11,504	9,542	8,948	100.0	38.4	31.8	29.8	29,920	10,135	33.9
Arkansas	3,721	1,598	1,567	556	100.0	42.9	42.1	14.9	3,721	1,610	43.3
California	137,479	60,914	50,848	25,718	100.0	44.3	37.0	18.7	135,499	45,395	33.5
Colorado	38,876	15,954	7,637	15,285	100.0	41.0	19.6	39.3	38,552	11,072	28.7
Connecticut	24,519	8,571	13,078	2,869	100.0	35.0	53.3	11.7	21,346	11,489	53.8
Delaware	4,117	1,882	1,680	556	100.0	45.7	40.8	13.5	4,117	1,727	41.9
District of Columbia	5,410	1,911	2,784	716	100.0	35.3	51.5	13.2	5,410	2,182	40.3
Fed. of Micronesia
Florida	49,975	21,003	20,735	8,236	100.0	42.0	41.5	16.5	49,667	19,347	39.0
Georgia	19,237	7,486	8,662	3,090	100.0	38.9	45.0	16.1	19,177	7,435	38.8
Guam	183	48	46	89	100.0	26.4	24.9	48.7	183	23	12.3
Hawaii	4,462	2,348	1,465	649	100.0	52.6	32.8	14.5	4,462	956	21.4
Idaho	4,246	2,462	822	963	100.0	58.0	19.3	22.7	4,246	1,935	45.6
Illinois	45,149	17,502	17,132	10,514	100.0	38.8	37.9	23.3	45,110	14,150	31.4
Indiana	31,347	12,494	11,997	6,856	100.0	39.9	38.3	21.9	31,721	10,449	32.9
Iowa	7,892	4,058	1,509	2,324	100.0	51.4	19.1	29.5	7,892	3,649	46.2
Kansas	10,314	5,330	2,736	2,248	100.0	51.7	26.5	21.8	10,264	3,303	32.2
Kentucky	19,392	10,145	5,299	3,948	100.0	52.3	27.3	20.4	19,367	7,385	38.1
Louisiana	13,724	5,980	5,961	1,783	100.0	43.6	43.4	13.0	13,724	4,575	33.3
Maine	9,553	4,154	4,028	1,371	100.0	43.5	42.2	14.4	9,078	5,258	57.9
Maryland	42,867	18,640	18,315	5,913	100.0	43.5	42.7	13.8	42,526	18,068	42.5
Massachusetts	36,810	16,081	14,770	5,959	100.0	43.7	40.1	16.2	36,815	22,330	60.7
Michigan	40,044	17,748	13,310	8,987	100.0	44.3	33.2	22.4	39,575	16,034	40.5
Minnesota	14,074	6,999	3,499	3,576	100.0	49.7	24.9	25.4	14,030	6,980	49.7
Mississippi	5,967	3,325	1,342	1,300	100.0	55.7	22.5	21.8	5,967	3,300	55.3
Missouri	21,004	10,212	7,546	3,246	100.0	48.6	35.9	15.5	20,999	9,218	43.9
Montana	3,602	2,001	608	993	100.0	55.6	16.9	27.6	3,602	1,734	48.1
Nebraska	4,864	2,628	921	1,315	100.0	54.0	18.9	27.0	4,864	2,252	46.3
Nevada	6,985	3,108	2,692	1,185	100.0	44.5	38.5	17.0	6,985	2,786	39.9
New Hampshire	5,107	2,352	2,063	692	100.0	46.0	40.4	13.6	5,107	2,807	55.0
New Jersey	31,634	11,198	16,363	4,073	100.0	35.4	51.7	12.9	31,309	10,223	32.7
New Mexico	15,291	8,006	4,045	3,241	100.0	52.4	26.5	21.2	15,291	8,057	52.7
New York	121,527	57,128	48,108	16,292	100.0	47.0	39.6	13.4	121,240	47,795	39.4
North Carolina	28,957	11,653	12,560	4,744	100.0	40.2	43.4	16.4	28,807	12,132	42.1
North Dakota	2,108	1,340	242	526	100.0	63.6	11.5	25.0	2,108	1,043	49.5
Ohio	35,664	19,834	9,159	6,671	100.0	55.6	25.7	18.7	35,141	15,007	42.7
Oklahoma	14,929	7,047	5,127	2,755	100.0	47.2	34.3	18.5	14,484	4,860	33.6
Oregon	23,136	10,833	6,817	5,486	100.0	46.8	29.5	23.7	22,824	7,279	31.9
Palau	38	19	4	15	100.0	50.0	10.0	40.0	38	- -	- -
Pennsylvania	48,662	21,361	19,825	7,475	100.0	43.9	40.7	15.4	48,570	22,863	47.1
Puerto Rico	13,669	2,109	10,792	768	100.0	15.4	79.0	5.6	13,669	4,911	35.9
Rhode Island	8,623	3,183	4,001	1,440	100.0	36.9	46.4	16.7	8,593	4,551	53.0
South Carolina	14,187	5,606	6,014	2,567	100.0	39.5	42.4	18.1	14,038	2,769	19.7
South Dakota	3,002	1,548	368	1,086	100.0	51.5	12.3	36.2	3,002	1,375	45.8
Tennessee	12,544	3,531	7,368	1,645	100.0	28.1	58.7	13.1	12,544	5,785	46.1
Texas	34,438	15,521	13,949	4,969	100.0	45.1	40.5	14.4	34,317	11,604	33.8
Utah	13,492	7,419	3,991	2,082	100.0	55.0	29.6	15.4	13,405	5,265	39.3
Vermont	4,722	2,281	1,410	1,031	100.0	48.3	29.8	21.8	4,630	2,322	50.1
Virgin Islands	83	24	41	18	100.0	28.9	49.4	21.7	83	52	62.8
Virginia	20,846	9,498	6,987	4,362	100.0	45.6	33.5	20.9	20,846	8,331	40.0
Washington	42,734	23,089	9,746	9,899	100.0	54.0	22.8	23.2	41,933	12,998	31.0
West Virginia	10,062	2,346	6,492	1,225	100.0	23.3	64.5	12.2	10,062	4,226	42.0
Wisconsin	15,526	6,487	4,592	4,447	100.0	41.8	29.6	28.6	15,526	7,122	45.9
Wyoming	3,386	1,655	608	1,123	100.0	48.9	18.0	33.2	3,411	1,300	38.1
1 Facilities operated by Federal agencies are included in the States in which the facilities are located.
2 Excludes 2,690 clients (<1 percent of all clients) reported by the 152 facilities that did not respond to the substance abuse problem.
3 Excludes 13,067 clients (1 percent of all clients) reported by the 220 facilities that did not respond to the co-occurring disorders question.
- -  Quantity is zero.
NOTE: Numbers and percentages 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.