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SAMHSA’s Award-Winning Newsletter
March/April 2010, Volume 18, Number 2 

Opioid Treatment Programs: New Data

Two recent reports from SAMHSA’s National Survey of Substance Abuse Treatment Services (N-SSATS) provided data on the treatment facilities that use certain medications to treat opioid addiction.

Overview of Opioid Treatment Programs (OTPs)

The medications methadone and buprenorphine are used to treat addiction to heroin or other opiates, and they help the patient maintain sobriety.

Cover of Similarities and Differences in Opioid Treatment Programs that Provide Methadone Maintenance or Buprenorphine Maintenance - click to view publication

However, only facilities with an OTP certified by SAMHSA’s Center for Substance Abuse Treatment (CSAT) may administer these medications. N-SSATS gathered the following data about OTPs in the United States in 2008.

  • In 2008, a total of 1,132 (8 percent) of all substance abuse treatment facilities were certified OTPs.
  • Of the 1,132 OTPs, 1,044 (92 percent) offered outpatient treatment.
  • On the survey date of March 31, 2008, there were 268,071 clients who received methadone and 4,280 clients who received buprenorphine in facilities with OTPs.
  • There were 654 (58 percent) facilities with OTPs that provided substance abuse treatment services in a language other than English, either by a staff counselor or through an on-call interpreter; 498 (44 percent of all OTPs) provided these services by a staff counselor in Spanish.

Download Overview of Opioid Treatment Programs within the United States: 2008 for more details.

Methadone Versus Buprenorphine Maintenance

Another N-SSATS report examined similarities and differences between OTPs that provide methadone maintenance or buprenorphine maintenance.

Of OTPs that provided methadone maintenance and/or buprenorphine maintenance services, 52.4 percent served only clients in the maintenance program and 47.6 percent served clients in the maintenance program as well as other substance abuse clients.

“OTP Only” facilities were much more likely than “OTP Mixed” to offer methadone maintenance only—and not buprenorphine maintenance—and were much less likely to offer both. Only 2.2 percent of the “OTP Mixed” facilities offered buprenorphine maintenance without also offering methadone maintenance.

The greatest difference between “OTP Only” and “OTP Mixed” facilities is that “OTP Mixed” facilities more often provide a greater variety of treatment types and services, and more payment options, than “OTP Only” facilities. For further information, download Similarities and Differences in Opioid Treatment Programs that Provide Methadone Maintenance or Buprenorphine Maintenance.

Related Information

Read a SAMHSA News article on TAP 30, Buprenorphine: A Guide for Nurses, in the May/June 2009 issue.

An interview with a nurse manager in this program is available in SAMHSA News online.

  Cover Story & Related Articles  
Take Action in Your Community

Take Action in Your Community

Three new campaigns bring powerful prevention messages to communities.

  From the Administrator  
Pamela S. Hyde, J.D.

Considering Language in Our Field

Do you use certain terms to describe our field? See terms.

  More on Underage Drinking  
Sober Truth on Underage Drinking

Sober Truth on Underage Drinking

The STOP program is making a difference. Read about grantees in Ohio, Connecticut, and Wisconsin.

Town Hall Meetings Continue To Expand

Nearly 1,800 communities across the Nation recently met to discuss underage drinking.

State Estimates on Underage Drinking

State by state, the numbers differ on children and alcohol use.

  Women & Substance Abuse  
Treatment Improvement Protocol 51

Treatment Improvement Protocol 51

Gender makes a difference. TIP 51 can help providers offer women effective, up-to-date treatment.

Pregnant Teen Admissions

Pregnant Teen Admissions

Comparing data from 1992 and 2007 on admission rates.

  Treatment Updates  
Uninsured Workers: Recent Data

Uninsured Workers: Data

Who needs treatment for substance abuse?

Free Treatment Available

Some facilities offer substance abuse treatment at no charge or a sliding scale fee.

Opioid Treatment Programs: Two Reports

Opioid Treatment Programs: Two Reports

Methadone maintenance, buprenorphine maintenance. What are the similarities and differences among OTPs?

  Evidence-Based Practices  
Evidence-Based Practices KITs

Evidence-Based Practices KITs

The Knowledge Information Transformation (KIT) series offers new KITs.

Fiscal Year 2011 Budget

Fiscal Year 2011 Budget

The Agency outlines a budget request totaling $3.7 billion.

More on the Budget . . .

Established programs, new initiatives, and SAMHSA’s Budget Authority by Activity and the Agency’s Congressional Justification.

  Grants Updates  
Promoting Mental Health Recovery

Promoting Mental Health

Five behavioral health care provider associations recently received funding.

  Media & Messages  
Art & Children’s Mental Health

Art & Children’s Mental Health

Every day is Children’s Mental Health Day: “My Feelings Are a Work of Art.”

1-800-273-TALK Is the Lifeline

1-800-273-TALK Is the Lifeline

Share the Suicide Prevention Lifeline’s number on Twitter, Facebook, and YouTube.

Minds on the Edge

Minds on the Edge

Facing mental illness is the subject of a PBS program.

  Recovery Month  
Flyers Available

Flyers Available

For 2010 celebrations, the flyers are available in print and online.

Inhalant Use & Respiratory Conditions

Inhalant Use & Respiratory Conditions

Thousands of children age 12 to 17 with pneumonia, bronchitis, and asthma used inhalants.


Substance Abuse & Mental Health Services Administration – 1 Choke Cherry Road – Rockville, MD 20857
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