Chapter 2

Trends in Facility Characteristics

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

This chapter presents trends in facility characteristics for 2007 to 2011.

Number of Facilities

Table 2.1. The total number of substance abuse treatment facilities increased slightly between 2007 and 2011. There was considerable turnover from year to year in the individual facilities responding to the survey: every year, although between 87 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 fairly similar numbers of new facilities.

There was a net increase of 381 facilities between 2010 and 2011, to 13,720 facilities. Of the facilities responding to the 2011 survey, 87 percent had also responded to the 2010 survey and 13 percent were new to the 2011 survey. Ten percent of the facilities responding in 2010 had closed or were no longer providing substance abuse treatment in 2011.

Despite the year-to-year changes in the facilities reporting, several core structural characteristics of the substance abuse treatment system remained stable from 2007 to 2011.

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 2007 and 2011.

Figure 2
Facility Operation: 2007-2011

Stacked bar comparing Facility Operation: 2007-2011

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services
Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2007-2011.


6 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 2007 and 2011.

Figure 3
Primary Focus of Facility: 2007-2011

Stacked bar comparing Primary Focus of Facility: 2007-2011

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services
Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2007-2011.

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—changed very slightly between 2007 and 2011.

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 2007 and 2011.

Figure 4
Type of Care Offered and Facilities with Opioid Treatment Programs: 2007-2011

Bar and line chart comparing Type of Care Offered and Facilities with Opioid Treatment Programs: 2007-2011

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services
Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2007-2011.

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