Table 1.1. N-SSATS facilities, by status and mode of response: 2011
  Number Percent
Total facilities in survey 17,376 100.0
Closed/ineligible 2,154  12.4
Eligible 15,222  87.6
Total eligible 15,222 100.0
Non-respondents 920   6.0
Respondents 14,302  94.0
Excluded from report1 334   2.2
Roll-ups2 248   1.6
Included in report 13,720  90.1
Mode of response 13,720 100.0
Internet 10,884  79.3
Telephone 1,683  12.3
Mail 1,153   8.4
1 Facilities excluded from the report included 200 non-treatment halfway houses, 95 solo practices not approved by the State agency for inclusion, and 39 facilities that treatment incarcerated clients only.
2 Facilities whose client counts were included in or “rolled into” other facilities’ counts and whose facility characteristics were not reported separately.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 2.1. Facility turnover: 2007-20111
Number and percent distribution
Facility status Number of facilities Percent distribution
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total  13,648 13,688 13,513 13,339 13,720 100.0 100.0 100.0 100.0 100.0
Responded to both current and prior year's surveys 12,226 12,146 12,065 11,882 11,943 89.6 88.7 89.3 89.1 87.0
New in survey year 1,422 1,542 1,448 1,457 1,777 10.4 11.3 10.7 10.9 13.0
                   
Closed since previous survey year 1,545 1,502 1,623 1,631 1,396 11.3 11.0 12.0 12.2 10.2
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
NOTE: Percentages may not sum to 100 percent because of rounding.
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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Table 2.2. Facility operation and primary focus of facility: 2007-20111
Number and percent distribution
Facility operation and primary focus Number of facilities Percent distribution
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total  13,648 13,688 13,513 13,339 13,720 100.0 100.0 100.0 100.0 100.0
Facility operation    
Private non-profit 7,907 7,932 7,826 7,683 7,869 57.9 57.9 57.9 57.6 57.4
Private for-profit 3,906 4,015 3,959 3,985 4,194 28.6 29.3 29.3 29.9 30.6
Local, county, or community govt. 887 820 795 751 742 6.5 6.0 5.9 5.6 5.4
State government 431 427 401 380 351 3.2 3.1 3.0 2.8 2.6
Federal government 328 314 341 348 348 2.4 2.3 2.5 2.6 2.5
Dept. of Veterans Affairs 183 174 210 218 225 1.3 1.3 1.6 1.6 1.6
Dept. of Defense 94 93 91 91 89 0.7 0.7 0.7 0.7 0.6
Indian Health Service 42 44 38 36 30 0.3 0.3 0.3 0.3 0.2
Other 9 3 2 3 4 0.1      *      *      *      *
Tribal government 189 180 191 192 216 1.4 1.3 1.4 1.4 1.6
Primary focus of facility    
Substance abuse treatment services 8,360 8,378 8,257 8,100 8,094 61.3 61.2 61.1 60.7 59.0
Mental health services 949 923 878 853 877 7.0 6.7 6.5 6.4 6.4
Mix of mental health and substance
    abuse treatment services
3,957 4,052 4,091 4,113 4,385 29.0 29.6 30.3 30.8 32.0
General health care 189 181 169 168 190 1.4 1.3 1.3 1.3 1.4
Other/unknown 193 154 118 105 174 1.4 1.1 0.9 0.8 1.3
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
*  Less than 0.05 percent.
NOTE:  Percentages may not sum to 100 percent because of rounding.
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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Table 2.3. Facilities, by type of care offered, and facilities with Opioid Treatment Programs: 2007-20111
Number and percent
Type of care offered and facilities with Opioid Treatment Programs Number of facilities2 Percent2
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total  13,648 13,688 13,513 13,339 13,720  
Type of care offered  
Outpatient 11,078 10,977 10,905 10,753 11,101 81.2 80.2 80.7 80.6 80.9
Regular 10,099 10,106 10,050 9,914 10,295 74.0 73.8 74.4 74.3 75.0
Intensive  6,055 5,966 5,991 5,990 6,089 44.4 43.6 44.3 44.9 44.4
Detoxification 1,445 1,286 1,296 1,227 1,294 10.6 9.4 9.6 9.2 9.4
Day treatment/partial hospitalization 2,000 1,783 1,726 1,678 1,702 14.7 13.0 12.8 12.6 12.4
Methadone maintenance  1,433 1,527 1,620 1,137 1,223 10.5 11.2 12.0 8.5 8.9
Residential (non-hospital) 3,716 3,644 3,520 3,452 3,524 27.2 26.6 26.0 25.9 25.7
Detoxification 996 920 879 893 890 7.3 6.7 6.5 6.7 6.5
Short-term treatment (30 days or fewer) 1,722 1,662 1,671 1,691 1,779 12.6 12.1 12.4 12.7 13.0
Long-term treatment (more than 30 days) 2,995 2,968 2,861 2,801 2,881 21.9 21.7 21.2 21.0 21.0
Hospital inpatient 1,000 838 797 748 740 7.3 6.1 5.9 5.6 5.4
Detoxification 884 742 713 666 658 6.5 5.4 5.3 5.0 4.8
Treatment 665 564 555 548 548 4.9 4.1 4.1 4.1 4.0
Facilities with Opioid Treatment Programs2 1,108 1,132 1,239 1,166 1,189 8.1 8.3 9.2 8.7 8.7
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
2 Only those facilities that have Opioid Treatment Programs certified by the Substance Abuse and Mental Health Services Administration are included.
NOTE: Types of care sum to more than the Total  because a facility could provide more than one type of care.
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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Table 3.1. Clients in treatment, by facility operation and primary focus of facility: 2007-20111
Number and percent distribution
Facility operation and primary focus Number of clients Percent distribution
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total  1,135,425 1,192,490 1,182,077 1,175,462 1,224,127 100.0 100.0 100.0 100.0 100.0
Facility operation    
Private non-profit 619,954 635,347 630,579 625,321 646,904 54.6 53.3 53.3 53.2 52.8
Private for-profit 338,031 363,695 375,256 372,525 395,577 29.8 30.5 31.7 31.7 32.3
Local, county, or community govt. 85,953 82,632 75,126 70,963 73,338 7.6 6.9 6.4 6.0 6.0
State government 41,813 43,799 42,761 47,203 40,303 3.7 3.7 3.6 4.0 3.3
Federal government 38,088 55,290 46,282 47,676 47,742 3.4 4.6 3.9 4.1 3.9
Dept. of Veterans Affairs 27,611 45,268 37,381 39,157 37,321 2.4 3.8 3.2 3.3 3.0
Dept. of Defense 7,009 8,171 6,877 7,035 8,487 0.6 0.7 0.6 0.6 0.7
Indian Health Service 3,098 1,755 1,982 1,431 1,838 0.3 0.1 0.2 0.1 0.2
Other 370 96 42 53 96      *      *      *      *      *
Tribal government 11,586 11,727 12,073 11,774 20,263 1.0 1.0 1.0 1.0 1.7
Primary focus of facility    
Substance abuse treatment services 768,047 794,172 792,815 780,098 792,248 67.6 66.6 67.1 66.4 64.7
Mental health services 47,803 42,740 43,137 44,564 42,099 4.2 3.6 3.6 3.8 3.4
Mix of mental health and substance
    abuse treatment services
297,907 324,342 327,166 330,621 364,965 26.2 27.2 27.7 28.1 29.8
General health care 12,747 24,443 13,933 15,965 16,496 1.1 2.0 1.2 1.4 1.3
Other/unknown 8,921 6,793 5,026 4,214 8,319 0.8 0.6 0.4 0.4 0.7
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
* Less than 0.05 percent.
NOTE:  Percentages may not sum to 100 percent because of rounding.
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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Table 3.2. Clients in treatment, by type of care received, and clients receiving methadone or buprenorphine: 2007-20111
Number and percent distribution
Type of care received and clients receiving methadone
or buprenorphine
Number of clients Percent distribution
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total  1,135,425 1,192,490 1,182,077 1,175,462 1,224,127 100.0 100.0 100.0 100.0 100.0
Type of care received    
Outpatient 1,016,913 1,071,572 1,064,562 1,056,532 1,095,897 89.6 89.9 90.1 89.9 89.5
Regular 595,459 644,009 598,282 593,077 617,715 52.4 54.0 50.6 50.5 50.5
Intensive  132,977 130,260 147,132 138,188 141,964 11.7 10.9 12.4 11.8 11.6
Detoxification 12,705 11,339 10,786 13,216 13,450 1.1 1.0 0.9 1.1 1.1
Day treatment/partial hospitalization 22,297 22,835 23,822 22,458 23,338 2.0 1.9 2.0 1.9 1.9
Methadone maintenance  253,475 263,129 284,540 289,593 299,430 22.3 22.1 24.1 24.6 24.5
Residential (non-hospital) 103,709 107,441 103,174 103,692 112,827 9.1 9.0 8.7 8.8 9.2
Detoxification 7,536 6,746 6,067 7,549 9,326 0.7 0.6 0.5 0.6 0.8
Short-term treatment (30 days or fewer) 24,171 25,566 25,807 26,014 29,164 2.1 2.1 2.2 2.2 2.4
Long-term treatment (more than 30 days) 72,002 75,129 71,300 70,129 74,337 6.3 6.3 6.0 6.0 6.1
Hospital inpatient 14,803 13,477 14,341 15,238 15,403 1.3 1.1 1.2 1.3 1.3
Detoxification 6,319 5,686 6,427 6,476 6,179 0.6 0.5 0.5 0.6 0.5
Treatment 8,484 7,791 7,914 8,762 9,224 0.7 0.7 0.7 0.7 0.8
Clients receiving methadone or buprenorphine    
Total  266,031 283,803 308,781 327,099 340,456 23.4 23.8 26.1 27.8 27.8
Clients receiving methadone 262,684 268,071 284,608 299,643 307,780 23.1 22.5 24.1 25.5 25.1
Clients receiving buprenorphine2 3,347 15,732 24,173 27,456 32,676 0.3 1.3 2.0 2.3 2.7
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
2 Non-OTP buprenorphine clients were not included in 2007.
NOTE:  Percentages may not sum to 100 percent because of rounding.
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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Table 3.3. Clients in treatment, by substance abuse problem and diagnosed co-occurring substance abuse and mental disorders: 2007-20111
Number and percent distribution
Substance abuse problem and diagnosed co-occurring
substance abuse and mental disorders
Number of clients Percent distribution
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total2 1,135,425 1,192,490 1,182,077 1,175,462 1,224,127 100.0 100.0 100.0 100.0 100.0
Substance abuse problem  
Clients with both alcohol and drug abuse 509,919 545,330 517,887 498,671 535,258 44.9 45.7 43.8 42.4 43.7
Clients with drug abuse only 412,400 421,583 441,128 459,069 464,406 36.3 35.4 37.3 39.1 37.9
Clients with alcohol abuse only 211,094 222,389 220,373 215,101 221,632 18.6 18.6 18.6 18.3 18.1
Diagnosed co-occurring substance abuse and mental disorders 416,260 462,260 456,567 479,699 506,162 36.7 38.8 38.6 40.8 41.3
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
2 Totals include clients in facilities that did not respond to the substance abuse problem question (in 2007, 2,011 clients reported by 223 facilities; in 2008, 3,188 clients reported by 188 facilities; in 2009, 2,690 clients reported by 152 facilities; in 2010, 2,620 clients reported by 174 facilities; and in 2011, 2,832 clients reported by 188 facilities)
NOTE: Numbers may not sum to totals and percentages may not sum to 100 percent because of rounding.
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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Table 3.4. Clients under age 18 in treatment, by type of care received,
and clients under age 18 in treatment in facilities offering special programs or groups for adolescents: 2007-20111
Number and percent distribution
Type of care received and clients under age 18 in
facilities with special programs or groups for
adolescents
Number of clients under age 182 Percent distribution
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total 85,518 86,465 84,326 81,863 82,532 100.0 100.0 100.0 100.0 100.0
Type of care received    
Outpatient 74,500 76,484 74,623 71,303 71,687 87.1 88.5 88.5 87.1 86.9
Residential (non-hospital) 10,134 9,219 8,947 9,302 9,738 11.9 10.7 10.6 11.4 11.8
Hospital inpatient 884 762 756 1,258 1,107 1.0 0.9 0.9 1.5 1.3
Clients under age 18 in facilities with special programs or groups for adolescents 70,275 71,613 68,448 66,064 65,918 82.2 82.8 81.2 80.7 79.9
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
2 Excludes clients in facilities that did not respond to the question about clients under age 18 (in 2007, 550 total clients reported by 34 facilities; in 2008, 911 total clients reported by 9 facilities; in 2009, 346 total clients reported by 5 facilities; in 2010, all facilities responded to the question about clients under 18; and in 2011, 1,417 total clients reported by 9 facilities). 
NOTE: Percentages may not sum to 100 percent because of rounding.
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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Table 4.1. Primary focus of facilities, by facility operation: 2011
Number and percent distribution          
Primary focus Total Facility operation
Private
non-
profit
Private
for-
profit
Local,
county, or
community
govt.
State
govt.
Total
Federal
govt.
Federal govt. Tribal
govt.
Dept. of
Veterans
Affairs
Dept. of
Defense
Indian
Health
Service
Other
Number of facilities
Number, by primary focus of facility 13,720 7,869 4,194 742 351 348 225 89 30 4 216
Substance abuse treatment services 8,094 4,682 2,585 383 202 137 67 57 10 3 105
Mental health services 877 563 215 50 26 22 17 2 3 - - 1
Mix of mental health and substance abuse treatment services 4,385 2,407 1,337 292 121 129 86 29 13 1 99
General health care 190 109 7 7 1 59 54 1 4 - - 7
Other/unknown 174 108 50 10 1 1 1 - - - - - - 4
Column percent distribution
Percent distribution, by primary focus of facility 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
Substance abuse treatment services 59.0 59.5 61.6 51.6 57.5 39.4 29.8 64.0 33.3 75.0 48.6
Mental health services 6.4 7.2 5.1 6.7 7.4 6.3 7.6 2.2 10.0 - - 0.5
Mix of mental health and substance abuse treatment services 32.0 30.6 31.9 39.4 34.5 37.1 38.2 32.6 43.3 25.0 45.8
General health care 1.4 1.4 0.2 0.9 0.3 17.0 24.0 1.1 13.3 - - 3.2
Other/unknown 1.3 1.4 1.2 1.3 0.3 0.3 0.4 - - - - - - 1.9
Row percent distribution
Percent distribution, by facility operation 100.0 57.4 30.6 5.4 2.6 2.5 1.6 0.6 0.2      * 1.6
Substance abuse treatment services 100.0 57.8 31.9 4.7 2.5 1.7 0.8 0.7 0.1      * 1.3
Mental health services 100.0 64.2 24.5 5.7 3.0 2.5 1.9 0.2 0.3      - - 0.1
Mix of mental health and substance abuse treatment services 100.0 54.9 30.5 6.7 2.8 2.9 2.0 0.7 0.3      * 2.3
General health care 100.0 57.4 3.7 3.7 0.5 31.1 28.4 0.5 2.1      - - 3.7
Other/unknown 100.0 62.1 28.7 5.7 0.6 0.6 0.6      - -      - -      - - 2.3
- -  Quantity is zero.
*   Less than 0.05 percent.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.2a. Type of care offered, by facility operation and primary focus of facility: 2011
Number
Facility operation and primary focus   Number of facilities1
Total Type of care offered
Any out-
patient 
Outpatient Any
residen-
tial
Residential
(non-hospital)
Any
hospital
inpatient
Hospital
inpatient
Regular Intensive Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Short-
term
Long-
term
Detox Treat-
ment
Detox
Total  13,720 11,101 10,295 6,089 1,702 1,294 1,223 3,524 1,779 2,881 890 740 548 658
Facility operation            
Private non-profit 7,869 5,836 5,498 3,237 938 420 413 2,659 1,191 2,248 572 406 282 361
Private for-profit 4,194 3,833 3,418 2,106 563 675 679 528 383 419 240 181 158 170
Local, county, or community govt. 742 660 630 327 70 33 43 102 54 61 39 42 33 36
State government 351 241 229 140 41 31 24 105 56 62 22 39 37 24
Federal government 348 334 324 190 75 122 58 93 74 62 17 71 38 66
Dept. of Veterans Affairs 225 219 211 146 58 107 56 82 69 52 17 67 34 63
Dept. of Defense 89 87 85 31 14 13 1 3 2 2 - - 2 2 2
Indian Health Service 30 26 26 13 3 2 - - 7 2 7 - - 1 1 - -
Other 4 2 2 - - - - - - 1 1 1 1 - - 1 1 1
Tribal government 216 197 196 89 15 13 6 37 21 29 - - 1 - - 1
Primary focus of facility            
Substance abuse treatment services 8,094 6,129 5,539 3,516 919 850 1,023 2,634 1,285 2,155 650 284 210 241
Mental health services 877 766 721 206 96 37 11 70 43 55 14 124 88 104
Mix of mental health and substance
    abuse treatment services
4,385 3,913 3,750 2,220 645 358 166 736 421 597 211 283 225 265
General health care 190 161 155 85 29 39 20 30 16 23 9 49 25 48
Other/unknown 174 132 130 62 13 10 3 54 14 51 6 - - - - - -
1 Number of facilities sum to more than the Total column because a facility could provide more than one type of care.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.2b. Type of care offered, by facility operation and primary focus of facility: 2011
Percent
Facility operation and primary focus Number of facilities Percent1
Type of care offered
Any out-
patient 
Outpatient Any
residen-
tial
Residential
(non-hospital)
Any
hospital
inpatient
Hospital
inpatient
Regular Intensive Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Short-
term
Long-
term
Detox Treat-
ment
Detox
Total  13,720 80.9 75.0 44.4 12.4 9.4 8.9 25.7 13.0 21.0 6.5 5.4 4.0 4.8
Facility operation      
Private non-profit 7,869 74.2 69.9 41.1 11.9 5.3 5.2 33.8 15.1 28.6 7.3 5.2 3.6 4.6
Private for-profit 4,194 91.4 81.5 50.2 13.4 16.1 16.2 12.6 9.1 10.0 5.7 4.3 3.8 4.1
Local, county, or community govt. 742 88.9 84.9 44.1 9.4 4.4 5.8 13.7 7.3 8.2 5.3 5.7 4.4 4.9
State government 351 68.7 65.2 39.9 11.7 8.8 6.8 29.9 16.0 17.7 6.3 11.1 10.5 6.8
Federal government 348 96.0 93.1 54.6 21.6 35.1 16.7 26.7 21.3 17.8 4.9 20.4 10.9 19.0
Dept. of Veterans Affairs 225 97.3 93.8 64.9 25.8 47.6 24.9 36.4 30.7 23.1 7.6 29.8 15.1 28.0
Dept. of Defense 89 97.8 95.5  34.8 15.7 14.6 1.1 3.4 2.2 2.2 - - 2.2 2.2 2.2
Indian Health Service 30 86.7 86.7  43.3 10.0 6.7      - - 23.3 6.7 23.3 - - 3.3 3.3 - -
Other 4 50.0 50.0 - - - - - - 25.0 25.0 25.0 25.0 - - 25.0 25.0 25.0
Tribal government 216 91.2 90.7  41.2 6.9 6.0 2.8 17.1 9.7 13.4 - - 0.5 - - 0.5
Primary focus of facility      
Substance abuse treatment services 8,094 75.7 68.4  43.4 11.4 10.5 12.6 32.5 15.9 26.6 8.0 3.5 2.6 3.0
Mental health services 877 87.3 82.2  23.5 10.9 4.2 1.3 8.0 4.9 6.3 1.6 14.1 10.0 11.9
Mix of mental health and substance
    abuse treatment services
4,385 89.2 85.5  50.6 14.7 8.2 3.8 16.8 9.6 13.6 4.8 6.5 5.1 6.0
General health care 190 84.7 81.6  44.7 15.3 20.5 10.5 15.8 8.4 12.1 4.7 25.8 13.2 25.3
Other/unknown 174 75.9 74.7  35.6 7.5 5.7 1.7 31.0 8.0 29.3 3.4 - - - - - -
1 Percentages sum to more than 100 percent because a facility could provide more than one type of care.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.3. Client substance abuse problem and diagnosed co-occurring mental disorders, by facility operation and primary focus of facility:
March 31, 2011
Number and percent
Facility operation and primary focus Number of facilities1,2 Percent1
Total2 Client substance abuse problem Treats clients
with diagnosed co-
occurring
mental and
substance
abuse
disorders
Client substance abuse problem Treats clients
with diagnosed co-
occurring
mental and
substance
abuse
disorders
Treats clients
with both
alcohol
and drug
abuse
Treats client
with drug
abuse
only
Treats clients
with alcohol
abuse
only
Treats clients
with both
alcohol
and drug
abuse
Treats client
with drug
abuse
only
Treats clients
with alcohol
abuse
only
Total  12,832 11,797 10,462 10,203 11,321 91.9 81.5 79.5 88.2
Facility operation      
Private non-profit 7,300 6,919 5,938 5,878 6,538 94.8 81.3 80.5 89.6
Private for-profit 3,976 3,415 3,252 3,001 3,362 85.9 81.8 75.5 84.6
Local, county, or community govt. 684 646 572 574 624 94.4 83.6 83.9 91.2
State government 336 322 277 264 312 95.8 82.4 78.6 92.9
Federal government 333 297 279 313 306 89.2 83.8 94.0 91.9
Dept. of Veterans Affairs 214 210 196 199 208 98.1 91.6 93.0 97.2
Dept. of Defense 87 58 57 86 73 66.7 65.5 98.9 83.9
Indian Health Service 28 27 24 25 23 96.4 85.7 89.3 82.1
Other 4 2 2 3 2 50.0 50.0 75.0 50.0
Tribal government 203 198 144 173 179 97.5 70.9 85.2 88.2
Primary focus of facility      
Substance abuse treatment services 7,698 6,981 6,338 5,856 6,523 90.7 82.3 76.1 84.7
Mental health services 808 720 596 637 745 89.1 73.8 78.8 92.2
Mix of mental health and substance
    abuse treatment services
3,992 3,789 3,269 3,442 3,775 94.9 81.9 86.2 94.6
General health care 175 158 136 137 153 90.3 77.7 78.3 87.4
Other/unknown 159 149 123 131 125 93.7 77.4 82.4 78.6
1 Number of facilities sums to more than the Total column and percentages sum to more than 100 percent because a facility could treat more than one type of client substance abuse problem.
2 Of 13,720 facilities, 888 facilities (6 percent) whose client counts were reported by another facility were not asked to respond to these questions, percentages are based on the remaining 12,832 facilities.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.4. Facility size, according to type of care offered, by facility operation and primary focus of facility: March 31, 2011
Median number of clients
Facility operation and primary focus   Median number of clients per facility1
All
facilities1
Type of care received
Total out-
patient 
Outpatient Total
residen-
tial
Residential
 (non-hospital)
  Hospital
inpatient
Regular Intensive Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Short-
term
Long-
term
Detox Total
hospital
inpatient
Treat-
ment
Detox
Total  42 50 28 12 3 1 200 20 9 16 4 10 7 5
Facility operation      
Private non-profit 39 50 30 14 4 1 221 19 8 17 4 9 4 5
Private for-profit 44 45 20 10 2 1 205 20 10 8 3 15 10 7
Local, county, or community govt. 60 69 50 16 5 - - 234 21 15 14 6 11 4 4
State government 53 75 50 15 10 1 280 30 25 25 7 25 23 12
Federal government 68 60 40 12 3 2 50 23 17 22 2 4 3 3
Dept. of Veterans Affairs 107 90 53 15 2 2 50 23 17 22 2 3 3 3
Dept. of Defense 30 30 26 6 3 - - - - 53 20 67 - - 21 10 11
Indian Health Service 30 30 30 2 8 9 - - 13 23 13 - - - - - - - -
Other 25 25 16 - - - - - - 18 35 5 30 - - 11 10 1
Tribal government 33 35 30 10 7 5 10 11 8 10 - - 15 - - 15
Primary focus of facility      
Substance abuse treatment services 46 60 27 12 3 1 230 20 10 16 4 15 9 8
Mental health services 20 21 20 8 5 - - - - 13 6 10 7 5 4 3
Mix of mental health and substance
    abuse treatment services
42 44 30 11 4 2 20 19 8 14 3 11 7 5
General health care 36 38 30 13 4 1 50 20 15 20 2 3 3 2
Other/unknown 28 30 21 10 8 3 - - 16 4 14 2 6 4 2
1 Of 13,720 facilities, 888 facilities (6 percent) whose client counts were reported by another facility were not asked to respond to these questions. Of the remaining 12,832 facilities,
530 facilities (4 percent) that included client counts for other facilities were excluded from tabulations for this table, and thus, tabulations are based on 12,302 facilities that responded
to this question for their facility alone. 
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.5. Facility size in terms of number of clients, by facility operation and primary focus of facility: March 31, 2011
Number and percent distribution
    Number of facilities1   Percent distribution
Total Fewer
than 15
clients
15-29
clients
30-59
clients
60-119
clients
120
clients
or more
Total Fewer
than 15
clients
15-29
clients
30-59
clients
60-119
clients
120
clients
or more
Total  12,302 2,407 2,438 2,487 2,261 2,709 100.0 19.6 19.8 20.2 18.4 22.0
Facility operation    
Private non-profit 7,004 1,444 1,491 1,416 1,264 1,389 100.0 20.6 21.3 20.2 18.0 19.8
Private for-profit 3,805 746 705 762 692 900 100.0 19.6 18.5 20.0 18.2 23.7
Local, county, or community govt. 652 82 105 138 150 177 100.0 12.6 16.1 21.2 23.0 27.1
State government 322 45 50 75 64 88 100.0 14.0 15.5 23.3 19.9 27.3
Federal government 323 47 47 50 60 119 100.0 14.6 14.6 15.5 18.6 36.8
Dept. of Veterans Affairs 206 18 20 26 45 97 100.0 8.7 9.7 12.6 21.8 47.1
Dept. of Defense 86 20 22 15 11 18 100.0 23.3 25.6 17.4 12.8 20.9
Indian Health Service 27 8 4 7 4 4 100.0 29.6 14.8 25.9 14.8 14.8
Other 4 1 1 2 - - - - 100.0 25.0 25.0 50.0      - -      - -
Tribal government 196 43 40 46 31 36 100.0 21.9 20.4 23.5 15.8 18.4
Primary focus of facility    
Substance abuse treatment services 7,447 1,313 1,462 1,460 1,374 1,838 100.0 17.6 19.6 19.6 18.5 24.7
Mental health services 770 297 160 141 99 73 100.0 38.6 20.8 18.3 12.9 9.5
Mix of mental health and substance
    abuse treatment services
3,776 704 763 830 734 745 100.0 18.6 20.2 22.0 19.4 19.7
General health care 159 50 19 31 21 38 100.0 31.4 11.9 19.5 13.2 23.9
Other/unknown 150 43 34 25 33 15 100.0 28.7 22.7 16.7 22.0 10.0
1 Of 13,720 facilities, 888 facilities (6 percent) whose client counts were reported by another facility were not asked to respond to these questions. Of the remaining 12,832 facilities, 530 facilities (4 percent) that included client counts for other facilities were excluded from tabulations for this table, and thus, tabulations are based on 12,302 facilities that responded to this question for their facility alone. 
- -  Quantity is zero.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.6. Facility capacity and utilization of residential (non-hospital) care, by facility operation and primary focus of facility: March 31, 2011
Number, utilization rate, and percent distribution
Facility operation and primary focus Designated
beds1
Overall
utilization
rate (%)2,3
Designated
beds per
facility2
Number of facilities Percent distribution
Total Utilization rate2 Total Utilization rate2
50%
or less
51-
90%
91-
100%
More
than 100%
50%
or less
51-
90%
91-
100%
More
than 100%
Total  109,451 97 34 3,058.0 253.0 1,084.0 1,433.0 288.0 100.0   8.3  35.4  46.9 9.4
Facility operation        
Private non-profit 82,018 97 34 2,354.0 175.0 837.0 1,141.0 201.0 100.0 7.4 35.6 48.5 8.5
Private for-profit 17,856 93 40 422.0 58.0 153.0 162.0 49.0 100.0 13.7 36.3 38.4 11.6
Local, county, or community govt. 2,552 93 29 84.0 9.0 30.0 35.0 10.0 100.0 10.7 35.7 41.7 11.9
State government 3,846 96 40 93.0 5.0 25.0 55.0 8.0 100.0 5.4 26.9 59.1 8.6
Federal government 2,695 118 34 75.0 3.0 29.0 28.0 15.0 100.0 4.0 38.7 37.3 20.0
Dept. of Veterans Affairs 2,393 116 34 68.0 2.0 27.0 27.0 12.0 100.0 2.9 39.7 39.7 17.6
Dept. of Defense 177 131 77 1.0 - - - - - - 1.0 100.0      - -      - -      - - 100.0
Indian Health Service 90 163 18 5.0 1.0 2.0 - - 2.0 100.0 20.0 40.0      - - 40.0
Other 35 100 35 1.0 - - - - 1.0 - - 100.0      - -      - - 100.0      - -
Tribal government 484 143 15 30.0 3.0 10.0 12.0 5.0 100.0 10.0 33.3 40.0 16.7
Primary focus of facility        
Substance abuse treatment services 85,826 93 34 2,403.0 194.0 882.0 1,147.0 180.0 100.0 8.1 36.7 47.7 7.5
Mental health services 747 104 22 34.0 2.0 10.0 16.0 6.0 100.0 5.9 29.4 47.1 17.6
Mix of mental health and substance
    abuse treatment services
20,822 110 35 556.0 49.0 173.0 240.0 94.0 100.0 8.8 31.1 43.2 16.9
General health care 595 134 25 23.0 1.0 7.0 9.0 6.0 100.0 4.3 30.4 39.1 26.1
Other/unknown 1,461 87 32 42.0 7.0 12.0 21.0 2.0 100.0 16.7 28.6 50.0 4.8
1 Of the 3,524 facilities reporting that residential (non-hospital) services were offered, 174 facilities (5 percent) whose client counts were reported by another facility were not asked to respond to this question. Of the remaining 3,350 facilities, 113 facilities (3 percent) reported for themselves and other facilities. Therefore, the number of designated beds is based on the responses of 3,237 facilities.
2 The utilization rate and designated beds per facility are based on 3,058 facilities (104,798 designated beds and 101,252 clients) that reported both designated beds and clients. Of the 3,237 facilities that reported designated beds, 59 facilities (2 percent) were excluded from the utilization rate tabulations because they did not respond to this question, and 120 facilities (4 percent) were excluded because the number of designated beds was reported as zero.
3 Because substance abuse treatment clients may also occupy non-designated beds, utilization rates may be more than 100 percent.
- -  Quantity is zero.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011. 

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Table 4.7. Facility capacity and utilization of hospital inpatient care, by facility operation and primary focus of facility: March 31, 2011
Number, utilization rate, and percent distribution
Facility operation and primary focus Designated
beds1
Overall
utilization
rate (%)2,3
Designated
beds per
facility2
Number of facilities Percent distribution
Total Utilization rate2 Total Utilization rate2
50%
or less
51-
90%
91-
100%
More
than 100%
50%
or less
51-
90%
91-
100%
More
than 100%
Total  11,896 95.9 24 476 115 154 139 68 100.0 24.2 32.4 29.2 14.3
Facility operation        
Private non-profit 6,166 82.6 22 269 70 93 83 23 100.0 26.0 34.6 30.9 8.6
Private for-profit 3,502 123.0 25 134 31 42 29 32 100.0 23.1 31.3 21.6 23.9
Local, county, or community govt. 551 101.1 28 20 3 9 5 3 100.0 15.0 45.0 25.0 15.0
State government 1,202 91.8 43 28 3 5 16 4 100.0 10.7 17.9 57.1 14.3
Federal government 473 71.6 19 24 8 5 6 5 100.0 33.3 20.8 25.0 20.8
Dept. of Veterans Affairs 419 68.2 19 21 8 4 5 4 100.0 38.1 19.0 23.8 19.0
Dept. of Defense 40 102.5 20 2 - - - - 1 1 100.0 - - - - 50.0 50.0
Indian Health Service - - - - - - - - - - - - - - - - - - - - - - - - - -
Other 14 78.6 14 1 - - 1 - - - - 100.0 - - 100.0 - - - -
Tribal government 2 750.0 2 1 - - - - - - 1 100.0 - - - - - - 100.0
Primary focus of facility        
Substance abuse treatment services 7,002 85.4 28 243 50 97 79 17 100.0 20.6 39.9 32.5 7.0
Mental health services 851 133.3 20 42 11 9 13 9 100.0 26.2 21.4 31.0 21.4
Mix of mental health and substance
    abuse treatment services
3,731 107.5 21 178 48 45 45 40 100.0 27.0 25.3 25.3 22.5
General health care 312 89.9 21 13 6 3 2 2 100.0 46.2 23.1 15.4 15.4
Other/unknown - - - - - - - - - - - - - - - - - -   - - - - - - - -
1 Of the 740 facilities reporting that hospital inpatient services were offered, 15 facilities (2 percent) whose client counts were reported by another facility were not asked to respond to this question. Of the remaining 725 facilities, 17 facilities (2 percent) reported for themselves and other facilities. Therefore, the number of designated beds is based on the responses of 708 facilities.
2 The utilization rate and designated beds per facility are based on 476 facilities (11,637 designated beds and 11,161 clients) that reported both designated beds and clients for their facility only. Of the 708 facilities that reported designated beds, 57 facilities (8 percent) were excluded from the utilization rate tabulations because they did not respond to this question, and 175 facilities (25 percent) were excluded because the number of designated beds was reported as zero.
3 Because substance abuse treatment clients may also occupy non-designated beds, utilization rates may be more than 100 percent.
- -  Quantity is zero.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011. 

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Table 4.8. Services provided, by facility operation: 2011
Number and percent
  Facility operation
Services   Number of facilities   Percent
Total Private
non-
profit
Private
for-
profit
Local,
county, or
community
govt.
State
govt.
Federal
govt.
Tribal
govt.
Total Private
non-
profit
Private
for-
profit
Local,
county, or
community
govt.
State
govt.
Federal
govt.
Tribal
govt.
Total  13,720 7,869 4,194 742 351 348 216  
Assessment and pre-treatment services 13,515 7,736 4,150 728 339 348 214 98.5 98.3 99.0 98.1 96.6 100.0 99.1
Screening for substance abuse 12,941 7,337 4,049 697 312 340 206 94.3 93.2 96.5 93.9 88.9 97.7 95.4
Comprehensive substance abuse assessment
    or diagnosis
12,493 7,087 3,890 684 305 331 196 91.1 90.1 92.8 92.2 86.9 95.1 90.7
Screening for mental health disorders 9,047 5,339 2,468 550 250 287 153 65.9 67.8 58.8 74.1 71.2 82.5 70.8
Outreach to persons in community who may
    need treatment
7,523 4,550 1,970 437 177 215 174 54.8 57.8 47.0 58.9 50.4 61.8 80.6
Screening for tobacco use 6,830 4,065 1,774 397 194 284 116 49.8 51.7 42.3 53.5 55.3 81.6 53.7
Comprehensive mental health assessment or
  diagnosis
6,093 3,559 1,619 394 175 257 89 44.4 45.2 38.6 53.1 49.9 73.9 41.2
Interim services for clients when immediate
   admission is not possible
6,003 3,544 1,486 422 153 254 144 43.8 45.0 35.4 56.9 43.6 73.0 66.7
Testing 12,074 6,985 3,617 664 321 326 161 88.0 88.8 86.2 89.5 91.5 93.7 74.5
Drug or alcohol urine screening 11,566 6,697 3,475 623 316 307 148 84.3 85.1 82.9 84.0 90.0 88.2 68.5
Breathalyzer or other blood alcohol testing 8,380 4,667 2,638 468 234 296 77 61.1 59.3 62.9 63.1 66.7 85.1 35.6
TB screening 4,877 2,698 1,393 264 202 253 67 35.5 34.3 33.2 35.6 57.5 72.7 31.0
HIV testing 3,824 2,327 792 215 174 265 51 27.9 29.6 18.9 29.0 49.6 76.1 23.6
Screening for Hepatitis C 3,170 1,696 850 181 129 258 56 23.1 21.6 20.3 24.4 36.8 74.1 25.9
Screening for Hepatitis B 3,000 1,574 816 172 128 257 53 21.9 20.0 19.5 23.2 36.5 73.9 24.5
STD testing 2,750 1,410 778 140 131 244 47 20.0 17.9 18.6 18.9 37.3 70.1 21.8
Transitional services 13,347 7,690 4,032 731 334 346 214 97.3 97.7 96.1 98.5 95.2 99.4 99.1
Discharge planning 12,951 7,529 3,869 706 325 317 205 94.4 95.7 92.3 95.1 92.6 91.1 94.9
Aftercare/continuing care  11,407 6,402 3,606 607 248 335 209 83.1 81.4 86.0 81.8 70.7 96.3 96.8
Pharmacotherapies 6,785 3,878 1,860 434 247 287 79 49.5 49.3 44.3 58.5 70.4 82.5 36.6
Medications for psychiatric disorders 4,975 3,067 997 372 216 271 52 36.3 39.0 23.8 50.1 61.5 77.9 24.1
Nicotine replacement 2,816 1,661 615 147 116 245 32 20.5 21.1 14.7 19.8 33.0 70.4 14.8
Buprenorphine1 2,694 1,369 944 118 72 169 22 19.6 17.4 22.5 15.9 20.5 48.6 10.2
Suboxone 2,618 1,325 919 114 71 167 22 19.1 16.8 21.9 15.4 20.2 48.0 10.2
Subutexor generic 1,500 729 582 58 42 77 12 10.9 9.3 13.9 7.8 12.0 22.1 5.6
Campral 2,376 1,281 669 155 87 166 18 17.3 16.3 16.0 20.9 24.8 47.7 8.3
Naltrexone (oral) 2,373 1,221 685 128 86 228 25 17.3 15.5 16.3 17.3 24.5 65.5 11.6
Antabuse 2,238 1,102 665 129 94 219 29 16.3 14.0 15.9 17.4 26.8 62.9 13.4
Non-nicotine smoking/tobacco cessation
   medications
2,133 1,151 515 115 84 241 27 15.5 14.6 12.3 15.5 23.9 69.3 12.5
Methadone 1,536 624 739 53 51 62 7 11.2 7.9 17.6 7.1 14.5 17.8 3.2
Vivitrol (injectable Naltrexone) 1,093 520 367 69 24 101 12 8.0 6.6 8.8 9.3 6.8 29.0 5.6
Ancillary services 13,610 7,826 4,135 739 346 348 216 99.2 99.5 98.6 99.6 98.6 100.0 100.0
Substance abuse education 13,155 7,577 3,966 715 341 342 214 95.9 96.3 94.6 96.4 97.2 98.3 99.1
Case management services 10,875 6,542 2,935 618 281 304 195 79.3 83.1 70.0 83.3 80.1 87.4 90.3
Social skills development 9,872 5,963 2,690 528 261 263 167 72.0 75.8 64.1 71.2 74.4 75.6 77.3
Mental health services 8,207 4,802 2,216 506 247 291 145 59.8 61.0 52.8 68.2 70.4 83.6 67.1
HIV or AIDS education, counseling, or support 7,934 4,914 1,979 447 258 216 120 57.8 62.4 47.2 60.2 73.5 62.1 55.6
Assistance with obtaining social services 7,599 5,132 1,443 495 210 173 146 55.4 65.2 34.4 66.7 59.8 49.7 67.6
Health education other than HIV/AIDS or   
    hepatitis
7,146 4,438 1,713 391 225 250 129 52.1 56.4 40.8 52.7 64.1 71.8 59.7
Mentoring/peer support 6,922 4,352 1,744 329 185 208 104 50.5 55.3 41.6 44.3 52.7 59.8 48.1
Assistance in locating housing for clients 6,532 4,293 1,336 402 208 201 92 47.6 54.6 31.9 54.2 59.3 57.8 42.6
Self-help groups  6,417 4,032 1,560 284 207 202 132 46.8 51.2 37.2 38.3 59.0 58.0 61.1
Hepatitis education, counseling, or support 5,973 3,625 1,531 323 185 215 94 43.5 46.1 36.5 43.5 52.7 61.8 43.5
Transportation assistance to treatment 5,404 3,621 917 374 142 187 163 39.4 46.0 21.9 50.4 40.5 53.7 75.5
Domestic violence services 5,266 2,953 1,657 261 129 139 127 38.4 37.5 39.5 35.2 36.8 39.9 58.8
Employment counseling or training for clients 5,030 3,337 1,074 231 152 171 65 36.7 42.4 25.6 31.1 43.3 49.1 30.1
Smoking cessation counseling 4,699 2,837 1,139 261 130 255 77 34.2 36.1 27.2 35.2 37.0 73.3 35.6
Early intervention for HIV 3,561 2,285 738 206 137 140 55 26.0 29.0 17.6 27.8 39.0 40.2 25.5
Child care for clients' children 1,058 844 71 84 31 7 21 7.7 10.7 1.7 11.3 8.8 2.0 9.7
Acupuncture 599 274 200 53 29 23 20 4.4 3.5 4.8 7.1 8.3 6.6 9.3
Residential beds for clients' children 533 465 26 18 16 2 6 3.9 5.9 0.6 2.4 4.6 0.6 2.8
1 Buprenorphine total is not the sum of Subutex and Suboxone because a facility can provide either or both.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.9. Services provided, by primary focus of facility: 2011
Number and percent
  Primary focus of facility1
Services   Number of facilities   Percent
Total SA
treatment
services
MH
services
Mix of
MH and SA
treatment
services
General
health
care
Other/
unknown
Total SA
treatment
services
MH
services
Mix of
MH and SA
treatment
services
General
health
care
Other/
unknown
Total  13,720 8,094 877 4,385 190 174  
Assessment and pre-treatment services 13,515 7,942 868 4,351 187 167 98.5 98.1 99.0 99.2 98.4 96.0
Screening for substance abuse 12,941 7,574 819 4,213 181 154 94.3 93.6 93.4 96.1 95.3 88.5
Comprehensive substance abuse assessment
    or diagnosis
12,493 7,297 731 4,173 160 132 91.1 90.2 83.4 95.2 84.2 75.9
Screening for mental health disorders 9,047 3,922 834 4,034 170 87 65.9 48.5 95.1 92.0 89.5 50.0
Outreach to persons in community who may need
   treatment
7,523 4,272 410 2,622 122 97 54.8 52.8 46.8 59.8 64.2 55.7
Screening for tobacco use 6,830 3,906 405 2,290 147 82 49.8 48.3 46.2 52.2 77.4 47.1
Comprehensive mental health assessment or
  diagnosis
6,093 1,760 776 3,372 145 40 44.4 21.7 88.5 76.9 76.3 23.0
Interim services for clients when immediate
   admission is not possible
6,003 3,294 309 2,216 106 78 43.8 40.7 35.2 50.5 55.8 44.8
Testing 12,074 7,534 569 3,644 182 145 88.0 93.1 64.9 83.1 95.8 83.3
Drug or alcohol urine screening 11,566 7,295 529 3,437 170 135 84.3 90.1 60.3 78.4 89.5 77.6
Breathalyzer or other blood alcohol testing 8,380 5,458 273 2,434 124 91 61.1 67.4 31.1 55.5 65.3 52.3
TB screening 4,877 3,168 229 1,289 161 30 35.5 39.1 26.1 29.4 84.7 17.2
HIV testing 3,824 2,442 170 1,022 159 31 27.9 30.2 19.4 23.3 83.7 17.8
Screening for Hepatitis C 3,170 1,940 166 887 154 23 23.1 24.0 18.9 20.2 81.1 13.2
Screening for Hepatitis B 3,000 1,802 165 859 153 21 21.9 22.3 18.8 19.6 80.5 12.1
STD testing 2,750 1,665 149 760 155 21 20.0 20.6 17.0 17.3 81.6 12.1
Transitional services 13,347 7,904 822 4,279 182 160 97.3 97.7 93.7 97.6 95.8 92.0
Discharge planning 12,951 7,746 758 4,130 168 149 94.4 95.7 86.4 94.2 88.4 85.6
Aftercare/continuing care  11,407 6,737 629 3,746 158 137 83.1 83.2 71.7 85.4 83.2 78.7
Pharmacotherapies 6,785 3,381 636 2,569 158 41 49.5 41.8 72.5 58.6 83.2 23.6
Medications for psychiatric disorders 4,975 1,842 610 2,356 142 25 36.3 22.8 69.6 53.7 74.7 14.4
Nicotine replacement 2,816 1,457 224 996 118 21 20.5 18.0 25.5 22.7 62.1 12.1
Buprenorphine2 2,694 1,573 148 877 82 14 19.6 19.4 16.9 20.0 43.2 8.0
Suboxone 2,618 1,532 141 850 81 14 19.1 18.9 16.1 19.4 42.6 8.0
Subutexor generic 1,500 848 85 524 38 5 10.9 10.5 9.7 11.9 20.0 2.9
Campral 2,376 1,025 216 1,049 69 17 17.3 12.7 24.6 23.9 36.3 9.8
Antabuse 2,238 944 190 1,006 82 16 16.3 11.7 21.7 22.9 43.2 9.2
Naltrexone (oral) 2,373 1,071 189 1,014 84 15 17.3 13.2 21.6 23.1 44.2 8.6
Non-nicotine smoking/tobacco cessation
   medications
2,133 968 180 856 110 19 15.5 12.0 20.5 19.5 57.9 10.9
Methadone 1,536 1,210 53 234 36 3 11.2 14.9 6.0 5.3 18.9 1.7
Vivitrol(injectable Naltrexone) 1,093 493 78 472 44 6 8.0 6.1 8.9 10.8 23.2 3.4
Ancillary services 13,610 8,019 869 4,358 190 174 99.2 99.1 99.1 99.4 100.0 100.0
Substance abuse education 13,155 7,860 756 4,203 176 160 95.9 97.1 86.2 95.8 92.6 92.0
Case management services 10,875 6,485 641 3,450 154 145 79.3 80.1 73.1 78.7 81.1 83.3
Social skills development 9,872 5,745 620 3,250 120 137 72.0 71.0 70.7 74.1 63.2 78.7
Mental health services 8,207 3,006 854 4,106 165 76 59.8 37.1 97.4 93.6 86.8 43.7
HIV or AIDS education, counseling, or support 7,934 5,125 307 2,279 142 81 57.8 63.3 35.0 52.0 74.7 46.6
Assistance with obtaining social services 7,599 4,292 510 2,553 144 100 55.4 53.0 58.2 58.2 75.8 57.5
Health education other than HIV/AIDS or hepatitis 7,146 4,455 328 2,129 150 84 52.1 55.0 37.4 48.6 78.9 48.3
Mentoring/peer support 6,922 4,268 323 2,112 101 118 50.5 52.7 36.8 48.2 53.2 67.8
Assistance in locating housing for clients 6,532 3,777 417 2,135 108 95 47.6 46.7 47.5 48.7 56.8 54.6
Self-help groups 6,417 4,265 231 1,745 94 82 46.8 52.7 26.3 39.8 49.5 47.1
Hepatitis education, counseling, or support 5,973 3,897 209 1,689 130 48 43.5 48.1 23.8 38.5 68.4 27.6
Transportation assistance to treatment 5,404 3,178 288 1,769 95 74 39.4 39.3 32.8 40.3 50.0 42.5
Domestic violence services 5,266 2,548 367 2,194 91 66 38.4 31.5 41.8 50.0 47.9 37.9
Employment counseling or training for clients 5,030 3,039 248 1,589 71 83 36.7 37.5 28.3 36.2 37.4 47.7
Smoking cessation counseling 4,699 2,742 239 1,526 130 62 34.2 33.9 27.3 34.8 68.4 35.6
Early intervention for HIV 3,561 2,337 106 994 90 34 26.0 28.9 12.1 22.7 47.4 19.5
Child care for clients' children 1,058 699 8 317 16 18 7.7 8.6 0.9 7.2 8.4 10.3
Acupuncture 599 347 9 211 23 9 4.4 4.3 1.0 4.8 12.1 5.2
Residential beds for clients' children 533 374 7 141 5 6 3.9 4.6 0.8 3.2 2.6 3.4
1 SA = Substance abuse; MH = Mental health.
2 Buprenorphine total is not the sum of Subutex and Suboxone because a facility can provide either or both.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

To Table of Contents


Table 4.10. Clinical/therapeutic approaches, by frequency of use: 2011
Number and percent distribution
Clinical/therapeutic approaches Number of facilities Percent distribution
Total Frequency of use Total Frequency of use
Always
or often
Some-
times
Rarely  Never1 Not
familiar
with this
approach
Always
or often
Some-
times
Rarely  Never1 Not
familiar
with this
approach
Substance abuse counseling 13,720 12,885 505 57 162 111 100.0 93.9 3.7 0.4 1.2 0.8
Relapse prevention 13,720 11,515 1,351 170 370 314 100.0 83.9 9.8 1.2 2.7 2.3
Cognitive-behavioral therapy 13,720 9,404 3,060 426 704 126 100.0 68.5 22.3 3.1 5.1 0.9
12-step facilitation 13,720 7,136 3,363 1,230 1,883 108 100.0 52.0 24.5 9.0 13.7 0.8
Motivational interviewing 13,720 8,172 3,706 747 897 198 100.0 59.6 27.0 5.4 6.5 1.4
Anger management 13,720 5,092 5,993 1,389 1,050 196 100.0 37.1 43.7 10.1 7.7 1.4
Brief intervention 13,720 4,964 5,951 1,521 1,113 171 100.0 36.2 43.4 11.1 8.1 1.2
Contingency
    management/motivational
    incentives
13,720 3,485 4,423 2,496 2,733 583 100.0 25.4 32.2 18.2 19.9 4.2
Trauma-related counseling 13,720 3,379 5,904 2,458 1,838 141 100.0 24.6 43.0 17.9 13.4 1.0
Rational emotive behavioral
    therapy
13,720 2,310 4,111 2,848 3,797 654 100.0 16.8 30.0 20.8 27.7 4.8
Matrix model 13,720 2,395 2,795 2,287 4,189 2,054 100.0 17.5 20.4 16.7 30.5 15.0
Community reinforcement
    plus vouchers
13,720 632 1,200 1,995 8,545 1,348 100.0 4.6 8.7 14.5 62.3 9.8
Other treatment approaches 13,720 1,465 613 218 11,424       ‡ 100.0 10.7 4.5 1.6 83.3       ‡
1 Records for which there was not a valid response are included in the category Never.
‡ No facilities in this category.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.11a. Facilities offering special programs or groups for specific client types, by facility operation and primary focus of facility: 2011
Number
Facility operation and primary focus   Number of facilities1
Total Any
program
or group
Client type
Clients
with co-
occurring
disorders
Adult
women
Adoles-
cents
DUI/DWI
clients
Criminal
justice
clients
Adult
men
Pregnant or
postpartum
women
Persons
with HIV
or  AIDS
Seniors
or older
adults
LGBT2 Other
Total  13,720 11,016 4,943 4,322 3,824 3,977 3,316 3,367 1,739 1,107 875 748 1,423
Facility operation    
Private non-profit 7,869 6,328 2,836 2,592 2,238 1,762 1,833 2,037 1,006 691 449 381 679
Private for-profit 4,194 3,343 1,374 1,136 1,106 1,808 1,059 947 514 289 319 292 523
Local, county, or community govt. 742 621 321 296 264 217 250 179 131 59 32 32 64
State government 351 313 177 149 101 90 113 96 55 45 22 23 49
Federal government 348 240 163 95 20 39 24 56 9 15 33 10 69
Dept. of Veterans Affairs 225 163 126 65 1 19 14 29 1 9 23 2 43
Dept. of Defense 89 48 23 19 - - 14 3 17 3 3 4 4 21
Indian Health Service 30 26 13 9 19 6 7 8 5 2 6 3 5
Other 4 3 1 2 - - - - - - 2 - - 1 - - 1 - -
Tribal government 216 171 72 54 95 61 37 52 24 8 20 10 39
Primary focus of facility    
Substance abuse treatment
   services
8,094 6,528 2,182 2,811 2,016 2,224 1,932 2,233 1,168 687 424 393 839
Mental health services 877 567 372 86 199 142 112 64 34 24 39 21 51
Mix of mental health and substance
    abuse treatment services
4,385 3,663 2,269 1,333 1,554 1,543 1,195 988 500 360 384 315 477
General health care 190 121 76 41 15 22 26 29 14 18 14 9 25
Other/unknown 174 137 44 51 40 46 51 53 23 18 14 10 31
1 Number of facilities sums to more than the Total column because a facility could offer special programs or groups for more than one client type.
2 LGBT: Lesbian, gay, bisexual, and transgender.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.11b. Facilities offering special programs or groups for specific client types, by facility operation and primary focus of facility: 2011
Percent
Facility operation and primary focus   Percent1
No. of
facilities
Any
program
or group
Client type
Clients
with co-
occurring
disorders
Adult
women
Adoles-
cents
DUI/DWI
clients
Criminal
justice
clients
Adult
men
Pregnant or
postpartum
women
Persons
with HIV
or  AIDS
Seniors
or older
adults
LGBT2 Other
Total  13,720 80.3 36.0 31.5 27.9 29.0 24.2 24.5 12.7 8.1 6.4 5.5 10.4
Facility operation    
Private non-profit 7,869 80.4 36.0 32.9 28.4 22.4 23.3 25.9 12.8 8.8 5.7 4.8 8.6
Private for-profit 4,194 79.7 32.8 27.1 26.4 43.1 25.3 22.6 12.3 6.9 7.6 7.0 12.5
Local, county, or community govt. 742 83.7 43.3 39.9 35.6 29.2 33.7 24.1 17.7 8.0 4.3 4.3 8.6
State government 351 89.2 50.4 42.5 28.8 25.6 32.2 27.4 15.7 12.8 6.3 6.6 14.0
Federal government 348 69.0 46.8 27.3 5.7 11.2 6.9 16.1 2.6 4.3 9.5 2.9 19.8
Dept. of Veterans Affairs 225 72.4 56.0 28.9 0.4 8.4 6.2 12.9 0.4 4.0 10.2 0.9 19.1
Dept. of Defense 89 53.9 25.8 21.3 - - 15.7 3.4 19.1 3.4 3.4 4.5 4.5 23.6
Indian Health Service 30 86.7 43.3 30.0 63.3 20.0 23.3 26.7 16.7 6.7 20.0 10.0 16.7
Other 4 75.0 25.0 50.0 - - - - - - 50.0 - - 25.0 - - 25.0 - -
Tribal government 216 79.2 33.3 25.0 44.0 28.2 17.1 24.1 11.1 3.7 9.3 4.6 18.1
Primary focus of facility    
Substance abuse treatment
   services
8,094 80.7 27.0 34.7 24.9 27.5 23.9 27.6 14.4 8.5 5.2 4.9 10.4
Mental health services 877 64.7 42.4 9.8 22.7 16.2 12.8 7.3 3.9 2.7 4.4 2.4 5.8
Mix of mental health and substance
    abuse treatment services
4,385 83.5 51.7 30.4 35.4 35.2 27.3 22.5 11.4 8.2 8.8 7.2 10.9
General health care 190 63.7 40.0 21.6 7.9 11.6 13.7 15.3 7.4 9.5 7.4 4.7 13.2
Other/unknown 174 78.7 25.3 29.3 23.0 26.4 29.3 30.5 13.2 10.3 8.0 5.7 17.8
1 Percentages sum to more than 100 percent because a facility could offer special programs or groups for more than one client type.
2 LGBT: Lesbian, gay, bisexual, and transgender.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.12a. Facilities offering services in sign language for the hearing impaired and in languages other than English,
by facility operation and primary focus of facility: 2011
Number
Facility operation and primary focus   Number of facilities
Total Sign
language
Any
language
other than
English
Language services provided by: Languages provided by staff counselor1
Staff
counselor
only
On-call
interpreter
only2
Both staff
counselor
and on-call
interpreter
Spanish American
Indian/Alaska
Native
language
Other
Total  13,720 3,856 5,680 2,359 1,953 1,368 3,503 122 969
Facility operation          
Private non-profit 7,869 2,651 3,611 1,392 1,364 855 2,162 42 551
Private for-profit 4,194 618 1,384 780 304 300 1,011 27 326
Local, county, or community govt. 742 364 402 84 177 141 204 1 64
State government 351 143 166 53 69 44 95 - - 17
Federal government 348 56 66 17 30 19 26 13 8
Dept. of Veterans Affairs 225 43 41 7 25 9 16 2 5
Dept. of Defense 89 9 10 2 4 4 6 - - 2
Indian Health Service 30 3 14 8 1 5 3 11 1
Other 4 1 1 - - - - 1 1 - - - -
Tribal government 216 24 51 33 9 9 5 39 3
Primary focus of facility          
Substance abuse treatment services 8,094 1,899 3,180 1,549 892 739 2,171 48 554
Mental health services 877 334 368 77 205 86 149 6 51
Mix of mental health and substance
    abuse treatment services
4,385 1,552 2,010 689 816 505 1,110 64 344
General health care 190 46 64 19 26 19 32 4 10
Other/unknown 174 25 58 25 14 19 41 - - 10
1 Number of facilities based on facilities where languages services are provided by staff counselors only and by both staff counselors and on-call interpreters.
2  Facilities that offered services in any language other than English but did not have a valid response to language provider were classified as providing services by an on-call interpreter only.
- - Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.12b. Facilities offering services in sign language for the hearing impaired and in languages other than English,
by facility operation and primary focus of facility: 2011
Percent
Facility operation and primary focus Number of facilities Percent
Sign
language
Any
language
other than
English
Language services provided by: Languages provided by staff counselor1
Total Staff
counselor
only
On-call
interpreter
only2
Both staff
counselor
and on-call
interpreter
Spanish American
Indian/Alaska
Native
language
Other
Total  13,720 28.1 41.4 100.0 41.5 34.4 24.1 94.0 3.3 26.0
Facility operation          
Private non-profit 7,869 33.7 45.9 100.0 38.5 37.8 23.7 96.2 1.9 24.5
Private for-profit 4,194 14.7 33.0 100.0 56.4 22.0 21.7 93.6 2.5 30.2
Local, county, or community govt. 742 49.1 54.2 100.0 20.9 44.0 35.1 90.7 0.4 28.4
State government 351 40.7 47.3 100.0 31.9 41.6 26.5 97.9 - - 17.5
Federal government 348 16.1 19.0 100.0 25.8 45.5 28.8 72.2 36.1 22.2
Dept. of Veterans Affairs 225 19.1 18.2 100.0 17.1 61.0 22.0 100.0 12.5 31.3
Dept. of Defense 89 10.1 11.2 100.0 20.0 40.0 40.0 100.0 - - 33.3
Indian Health Service 30 10.0 46.7 100.0 57.1 7.1 35.7 23.1 84.6 7.7
Other 4 25.0 25.0 100.0 - - - - 100.0 100.0 - - - -
Tribal government 216 11.1 23.6 100.0 64.7 17.6 17.6 11.9 92.9 7.1
Primary focus of facility          
Substance abuse treatment services 8,094 23.5 39.3 100.0 48.7 28.1 23.2 94.9 2.1 24.2
Mental health services 877 38.1 42.0 100.0 20.9 55.7 23.4 91.4 3.7 31.3
Mix of mental health and substance
    abuse treatment services
4,385 35.4 45.8 100.0 34.3 40.6 25.1 93.0 5.4 28.8
General health care 190 24.2 33.7 100.0 29.7 40.6 29.7 84.2 10.5 26.3
Other/unknown 174 14.4 33.3 100.0 43.1 24.1 32.8 93.2 - - 22.7
1 Percentage of facilities based on facilities where languages services are provided by staff counselors only and by both staff counselors and on-call interpreters.
2  Facilities that offered services in any language other than English but did not have a valid response to language provider were classified as providing services by an on-call interpreter only.
- - Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.13. Facilities detoxifying clients, by substance, facility operation, and primary focus of facility: 2011
Number and percent
Facility operation and primary focus Number of facilities1   Percent1
Total2 Detoxication from: Routine
use of
medica-
tions
during
detox
Detoxication from: Routine
use of
medica-
tions
during
detox
Opiates Al-
cohol
Benzo-
diaze-
pines
Cocaine Meth-
amphet-
amines
Other
sub-
stances
Opiates Alcohol Benzo-
diaze-
pines
Cocaine Meth-
amphet-
amines
Other
sub-
stances
Total  2,555 2,146 1,703 1,519 1,375 1,353 304 1,978 84.0 66.7 59.5 53.8 53.0 11.9 77.4
Facility operation      
Private non-profit 1,228 1,032 912 789 722 716 141 890 84.0 74.3 64.3 58.8 58.3 11.5 72.5
Private for-profit 1,010 874 538 514 476 461 133 840 86.5 53.3 50.9 47.1 45.6 13.2 83.2
Local, county, or community
   govt.
94 75 77 67 54 57 13 73 79.8 81.9 71.3 57.4 60.6 13.8 77.7
State government 68 53 47 41 37 36 6 48 77.9 69.1 60.3 54.4 52.9 8.8 70.6
Federal government 142 107 122 103 81 77 9 124 75.4 85.9 72.5 57.0 54.2 6.3 87.3
Dept. of Veterans Affairs 124 99 111 96 73 69 7 113 79.8 89.5 77.4 58.9 55.6 5.6 91.1
Dept. of Defense 15 7 9 7 6 7 2 8 46.7 60.0 46.7 40.0 46.7 13.3 53.3
Indian Health Service 2 1 1 - - 1 1 - - 2 50.0 50.0 - - 50.0 50.0 - - 100.0
Other 1 - - 1 - - 1 - - - - 1 - - 100.0 - - 100.0 - - - - 100.0
Tribal government 13 5 7 5 5 6 2 3 38.5 53.8 38.5 38.5 46.2 15.4 23.1
Primary focus of facility      
Substance abuse treatment
   services
1,611 1,378 937 826 777 772 170 1,213 85.5 58.2 51.3 48.2 47.9 10.6 75.3
Mental health services 141 110 125 116 86 81 4 122 78.0 88.7 82.3 61.0 57.4 2.8 86.5
Mix of mental health and substance
    abuse treatment services
718 587 563 512 462 452 124 575 81.8 78.4 71.3 64.3 63.0 17.3 80.1
General health care 70 58 66 55 39 37 1 62 82.9 94.3 78.6 55.7 52.9 1.4 88.6
Other/unknown 15 13 12 10 11 11 5 6 86.7 80.0 66.7 73.3 73.3 33.3 40.0
1 Number of facilities sums to more than the Total column and percentages sum to more than 100 percent because a facility could provide detoxification for more than one type of client substance abuse problem.
2 Of 13,720 facilities, 2,555 facilities (19 percent) offered detoxification services.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.14. Facilities with client outreach, by facility operation and primary focus of facility: 2011
Number and percent
Facility operation and primary focus   Has website Outreach to persons who may need treatment
Total number of
facilities
Number of facilities Percent Number of
facilities
Percent
Total  13,720 10,823 79 7,523 54.8
Facility operation          
Private non-profit 7,869 6,785 86 4,550 57.8
Private for-profit 4,194 2,982 71 1,970 47.0
Local, county, or community government 742 515 69 437 58.9
State government 351 260 74 177 50.4
Federal government 348 176 51 215 61.8
Dept. of Veterans Affairs 225 119 53 148 65.8
Dept. of Defense 89 38 43 43 48.3
Indian Health Service 30 16 53 22 73.3
Other 4 3 75 2 50.0
Tribal government 216 105 49 174 80.6
Primary focus of facility          
Substance abuse treatment services 8,094 6,346 78 4,272 52.8
Mental health services 877 673 77 410 46.8
Mix of mental health and substance
    abuse treatment services
4,385 3,563 81 2,622 59.8
General health care 190 121 64 122 64.2
Other/unknown 174 120 69 97 55.7
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.15a. Facility licensing, certification, or accreditation, by facility operation and primary focus of facility: 2011
Number
Facility operation and primary focus     Number of facilities1
Total Any listed
agency/
organization
Licensing, certification, or accreditation organization
State
substance
abuse
agency
State mental
health
department
State
department
of health
Hospital
licensing
authority
Joint
Commis-
sion2
CARF2 NCQA2 COA2 Other State/
local agency/
organization
Total  13,720 13,042 11,357 5,040 5,814 999 2,550 3,120 390 713 808
Facility operation  
Private non-profit 7,869 7,575 6,727 3,143 3,510 584 1,491 1,911 238 521 393
Private for-profit 4,194 3,905 3,485 1,369 1,800 219 569 854 92 132 292
Local, county, or community govt. 742 724 676 308 234 61 101 140 20 16 24
State government 351 334 286 154 182 49 81 100 19 23 18
Federal government 348 325 47 17 22 78 296 80 17 19 26
Dept. of Veterans Affairs 225 217 18 7 11 51 215 74 11 11 12
Dept. of Defense 89 84 15 6 6 25 72 2 4 6 10
Indian Health Service 30 22 13 4 5 2 8 3 2 2 4
Other 4 2 1 - - - - - - 1 1 - - - - - -
Tribal government 216 179 136 49 66 8 12 35 4 2 55
Primary focus of facility  
Substance abuse treatment services 8,094 7,806 7,115 1,844 3,511 406 1,259 1,906 185 308 450
Mental health services 877 798 517 588 301 137 271 189 25 76 45
Mix of mental health and substance
    abuse treatment services
4,385 4,125 3,502 2,521 1,881 415 907 985 161 308 281
General health care 190 168 92 43 69 39 104 29 16 13 17
Other/unknown 174 145 131 44 52 2 9 11 3 8 15
1 Number of facilities sums to more than the Total column because a facility could report more than one licensing, certification, or accreditation organization.
2 Joint Commission was formerly JCAHO (Joint Commission on Accreditation of Healthcare Organizations); CARF was formerly Commission on Accreditation of Rehabilitation Facilities; NCQA = National Committee for Quality Assurance; COA = Council on Accreditation.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.15b. Facility licensing, certification, or accreditation, by facility operation and primary focus of facility: 2011
Percent
Facility operation and primary focus     Percent1
Number
of
facilities
Any listed
agency/
organization
Licensing, certification, or accreditation organization
State
substance
abuse
agency
State mental
health
department
State
department
of health
Hospital
licensing
authority
Joint
Commis-
sion2
CARF2 NCQA2 COA2 Other State/
local agency/
organization
Total  13,720 95.1 82.8 36.7 42.4 7.3 18.6 22.7 2.8 5.2 5.9
Facility operation    
Private non-profit 7,869 96.3 85.5 39.9 44.6 7.4 18.9 24.3 3.0 6.6 5.0
Private for-profit 4,194 93.1 83.1 32.6 42.9 5.2 13.6 20.4 2.2 3.1 7.0
Local, county, or community govt. 742 97.6 91.1 41.5 31.5 8.2 13.6 18.9 2.7 2.2 3.2
State government 351 95.2 81.5 43.9 51.9 14.0 23.1 28.5 5.4 6.6 5.1
Federal government 348 93.4 13.5 4.9 6.3 22.4 85.1 23.0 4.9 5.5 7.5
Dept. of Veterans Affairs 225 96.4 8.0 3.1 4.9 22.7 95.6 32.9 4.9 4.9 5.3
Dept. of Defense 89 94.4 16.9 6.7 6.7 28.1 80.9 2.2 4.5 6.7 11.2
Indian Health Service 30 73.3 43.3 13.3 16.7 6.7 26.7 10.0 6.7 6.7 13.3
Other 4 50.0 25.0 - - - - - - 25.0 25.0 - - - - - -
Tribal government 216 82.9 63.0 22.7 30.6 3.7 5.6 16.2 1.9 0.9 25.5
Primary focus of facility    
Substance abuse treatment services 8,094 96.4 87.9 22.8 43.4 5.0 15.6 23.5 2.3 3.8 5.6
Mental health services 877 91.0 59.0 67.0 34.3 15.6 30.9 21.6 2.9 8.7 5.1
Mix of mental health and substance
    abuse treatment services
4,385 94.1 79.9 57.5 42.9 9.5 20.7 22.5 3.7 7.0 6.4
General health care 190 88.4 48.4 22.6 36.3 20.5 54.7 15.3 8.4 6.8 8.9
Other/unknown 174 83.3 75.3 25.3 29.9 1.1 5.2 6.3 1.7 4.6 8.6
1 Percentages sum to more than 100 percent because a facility could report more than one licensing, certification, or accreditation organization.
2 Joint Commission was formerly JCAHO (Joint Commission on Accreditation of Healthcare Organizations); CARF was formerly Commission on Accreditation of Rehabilitation Facilities; NCQA = National Committee for Quality Assurance; COA = Council on Accreditation.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

To Table of Contents


Table 4.16a. Facility licensing, certification, or accreditation, by type of care offered: 2011
Number
Type of care offered     Number of facilities1
Total2 Any listed
agency/
organization
Licensing, certification, or accreditation organization
State
substance
abuse
agency
State mental
health
department
State
department
of health
Hospital
licensing
authority
Joint
Commis-
sion3
CARF3 NCQA3 COA3 Other State/
local agency/
organization
Total 13,720 13,042 11,357 5,040 5,814 999 2,550 3,120 390 713 808
Outpatient 11,101 10,586 9,232 4,309 4,499 765 2,047 2,555 306 586 663
Regular 10,295 9,789 8,586 4,035 4,070 632 1,720 2,248 275 547 614
Intensive  6,089 5,911 5,178 2,357 2,683 550 1,329 1,285 211 283 339
Detoxification 1,294 1,227 1,014 414 592 159 385 555 76 85 106
Day treatment/partial hospitalization 1,702 1,663 1,352 714 856 315 609 389 87 86 114
Methadone maintenance 1,223 1,207 1,071 352 694 98 329 783 48 80 124
Residential (non-hospital) 3,524 3,339 2,919 1,034 1,693 164 608 868 86 160 205
Detoxification 890 868 747 322 453 59 221 265 26 26 50
Short-term treatment (30 days or fewer) 1,779 1,726 1,476 580 909 123 447 512 46 65 109
Long-term treatment (more than 30 days) 2,881 2,711 2,400 826 1,362 110 407 664 71 143 181
Hospital inpatient 740 719 427 324 500 430 587 116 77 52 50
Detoxification 658 639 364 288 443 396 530 102 67 43 39
Treatment 548 535 324 242 389 348 441 76 65 41 42
1 Number of facilities sums to more than the Total column because a facility could report more than one licensing, certification, or accreditation organization.
2 Number of facilities sums to more than the total because a facility could offer more than one type of care.
3 Joint Commission was formerly JACHO (Joint Commission on Accreditation of Healthcare Organizations); CARF was formerly Commission on Accreditation of Rehabilitation Facilities; NCQA = National Committee for Quality Assurance; COA = Council on Accreditation.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.16b. Facility licensing, certification, or accreditation, by type of care offered: 2011
Percent
Type of care offered     Percent1
Number
of
facilities2
Any listed
agency/
organization
Licensing, certification, or accreditation organization
State
substance
abuse
agency
State mental
health
department
State
department
of health
Hospital
licensing
authority
Joint
Commis-
sion3
CARF3 NCQA3 COA3 Other State/
local agency/
organization
Total  13,720 95.1 82.8 36.7 42.4 7.3 18.6 22.7 2.8 5.2 5.9
Outpatient 11,101 95.4 83.2 38.8 40.5 6.9 18.4 23.0 2.8 5.3 6.0
Regular 10,295 95.1 83.4 39.2 39.5 6.1 16.7 21.8 2.7 5.3 6.0
Intensive  6,089 97.1 85.0 38.7 44.1 9.0 21.8 21.1 3.5 4.6 5.6
Detoxification 1,294 94.8 78.4 32.0 45.7 12.3 29.8 42.9 5.9 6.6 8.2
Day treatment/partial hospitalization 1,702 97.7 79.4 42.0 50.3 18.5 35.8 22.9 5.1 5.1 6.7
Methadone maintenance 1,223 98.7 87.6 28.8 56.7 8.0 26.9 64.0 3.9 6.5 10.1
Residential (non-hospital) 3,524 94.8 82.8 29.3 48.0 4.7 17.3 24.6 2.4 4.5 5.8
Detoxification 890 97.5 83.9 36.2 50.9 6.6 24.8 29.8 2.9 2.9 5.6
Short-term treatment (30 days or fewer) 1,779 97.0 83.0 32.6 51.1 6.9 25.1 28.8 2.6 3.7 6.1
Long-term treatment (more than 30 days) 2,881 94.1 83.3 28.7 47.3 3.8 14.1 23.0 2.5 5.0 6.3
Hospital inpatient 740 97.2 57.7 43.8 67.6 58.1 79.3 15.7 10.4 7.0 6.8
Detoxification 658 97.1 55.3 43.8 67.3 60.2 80.5 15.5 10.2 6.5 5.9
Treatment 548 97.6 59.1 44.2 71.0 63.5 80.5 13.9 11.9 7.5 7.7
1 Percentages sum to more than 100 percent because a facility could report more than one licensing, certification, or accreditation organization.
2 Number of facilities sums to more than the total because a facility could offer more than one type of care.
3 Joint Commission was formerly JACHO (Joint Commission on Accreditation of Healthcare Organizations); CARF was formerly Commission on Accreditation of Rehabilitation Facilities; NCQA = National Committee for Quality Assurance; COA = Council on Accreditation.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.17a. Facilities employing specific practices as part of their standard operating procedures, by facility operation and primary focus of facility: 2011
Number
Facility operation and primary focus   Number of facilities1
Total Required
continuing
education
for staff
Regularly scheduled case review with supervisor Periodic client
satisfaction
surveys
conducted
by facility
Periodic drug
testing of
clients
Periodic
utilization
review
Case review
by appointed
quality review
committee
Outcome
follow-up
after discharge
Total  13,720 13,415 13,086 12,630 11,783 11,767 9,905 9,401
Facility operation    
Private non-profit 7,869 7,697 7,657 7,401 6,769 7,017 6,047 5,566
Private for-profit 4,194 4,091 3,856 3,685 3,593 3,353 2,677 2,780
Local, county, or community govt. 742 730 713 704 633 663 532 423
State government 351 343 341 329 311 317 280 226
Federal government 348 343 313 321 318 276 248 254
Dept. of Veterans Affairs 225 221 191 211 216 178 161 171
Dept. of Defense 89 89 89 83 78 72 68 59
Indian Health Service 30 30 29 24 20 23 18 21
Other 4 3 4 3 4 3 1 3
Tribal government 216 211 206 190 159 141 121 152
Primary focus of facility    
Substance abuse treatment services 8,094 7,915 7,838 7,457 7,448 6,897 5,858 5,848
Mental health services 877 855 768 808 499 769 599 402
Mix of mental health and substance
    abuse treatment services
4,385 4,293 4,153 4,047 3,542 3,822 3,221 2,912
General health care 190 187 168 172 148 154 121 121
Other/unknown 174 165 159 146 146 125 106 118
1 Number of facilities sums to more than the Total column because a facility could employ more than one of the practices specified.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.17b. Facilities employing specific practices as part of their standard operating procedures, by facility operation and primary focus of facility: 2011
Percent
Facility operation and primary focus Number of facilities Percent1
Required
continuing
education
for staff
Regularly scheduled case review with supervisor Periodic client
satisfaction
surveys
conducted
by facility
Periodic drug
testing of
clients
Periodic
utilization
review
Case review
by appointed
quality review
committee
Outcome
follow-up
after discharge
Total  13,720 97.8 95.4 92.1 85.9 85.8 72.2 68.5
Facility operation  
Private non-profit 7,869 97.8 97.3 94.1 86.0 89.2 76.8 70.7
Private for-profit 4,194 97.5 91.9 87.9 85.7 79.9 63.8 66.3
Local, county, or community govt. 742 98.4 96.1 94.9 85.3 89.4 71.7 57.0
State government 351 97.7 97.2 93.7 88.6 90.3 79.8 64.4
Federal government 348 98.6 89.9 92.2 91.4 79.3 71.3 73.0
Dept. of Veterans Affairs 225 98.2 84.9 93.8 96.0 79.1 71.6 76.0
Dept. of Defense 89 100.0 100.0 93.3 87.6 80.9 76.4 66.3
Indian Health Service 30 100.0 96.7 80.0 66.7 76.7 60.0 70.0
Other 4 75.0 100.0 75.0 100.0 75.0 25.0 75.0
Tribal government 216 97.7 95.4 88.0 73.6 65.3 56.0 70.4
Primary focus of facility  
Substance abuse treatment services 8,094 97.8 96.8 92.1 92.0 85.2 72.4 72.3
Mental health services 877 97.5 87.6 92.1 56.9 87.7 68.3 45.8
Mix of mental health and substance
    abuse treatment services
4,385 97.9 94.7 92.3 80.8 87.2 73.5 66.4
General health care 190 98.4 88.4 90.5 77.9 81.1 63.7 63.7
Other/unknown 174 94.8 91.4 83.9 83.9 71.8 60.9 67.8
1 Percentages sum to more than 100 percent because a facility could employ more than one of the practices specified.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.18a. Types of client payments accepted by facility, by facility operation and primary focus of facility: 2011
Number
Facility operation and primary focus   Number of facilities1    
Total Type of payment accepted Sliding
fee
scale
Treatment
at no
charge for
clients who
cannot pay
Cash or
self-
payment
Private
health
insurance
Medicare Medicaid State-
financed
health
insurance
Federal
military
insurance
No
payment
accepted
Access to
Recovery
(ATR)
vouchers2
IHS/638
contract
care
funds
Other
Total  13,720 12,407 8,791 4,482 7,777 5,355 4,528 443 1,682 454 140 8,519 6,798
Facility operation    
Private non-profit 7,869 7,047 5,042 2,877 5,190 3,414 2,592 333 1,142 185 77 5,503 4,728
Private for-profit 4,194 4,134 2,699 917 1,560 1,219 1,177 8 393 90 52 2,034 880
Local, county, or community govt. 742 681 478 337 559 381 286 32 46 13 3 610 490
State government 351 296 230 146 235 179 148 27 36 10 3 246 262
Federal government 348 150 216 92 85 61 263 26 9 19 2 57 261
Dept. of Veterans Affairs 225 139 182 78 66 48 187 6 4 3 1 54 196
Dept. of Defense 89 4 16 2 2 1 67 14 1 - - - - 1 32
Indian Health Service 30 6 18 12 17 12 9 3 3 16 1 1 29
Other 4 1 - - - - - - - - - - 3 1 - - - - 1 4
Tribal government 216 99 126 113 148 101 62 17 56 137 3 69 177
Primary focus of facility    
Substance abuse treatment services 8,094 7,295 4,451 1,585 3,980 2,657 1,685 332 965 237 88 4,805 4,013
Mental health services 877 810 714 570 674 416 504 8 56 16 6 532 380
Mix of mental health and substance
    abuse treatment services
4,385 4,029 3,414 2,192 2,950 2,162 2,199 72 624 171 38 2,994 2,172
General health care 190 145 149 105 113 80 111 7 18 20 1 101 130
Other/unknown 174 128 63 30 60 40 29 24 19 10 7 87 103
1 Number of facilities sums to more than the Total column because a facility could accept more than one payment option.
2 Available only in AK, AZ, CA, CO, CT, DC, FL, HI, IA, ID, IL, IN, LA, MI, MO, MT, NJ, NM, OH, OK, RI, TN, TX, WA, WI, and WY. See Table 6.19a for number of facilities accepting ATRs by State.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.18b. Types of client payments accepted by facility, by facility operation and primary focus of facility: 2011
Percent
Facility operation and primary focus No. of facilities Percent1    
Type of payment accepted Sliding
fee
scale
Treatment
at no
charge for
clients who
cannot pay
Cash or
self-
payment
Private
health
insurance
Medicare Medicaid State-
financed
health
insurance
Federal
military
insurance
No
payment
accepted
Access to
Recovery
(ATR)
vouchers2
IHS/638
contract
care
funds
Other
Total  13,720 90.4 64.1 32.7 56.7 39.0 33.0 3.2 12.3 3.3 1.0 62.1 49.5
Facility operation    
Private non-profit 7,869 89.6 64.1 36.6 66.0 43.4 32.9 4.2 14.5 2.4 1.0 69.9 60.1
Private for-profit 4,194 98.6 64.4 21.9 37.2 29.1 28.1 0.2 9.4 2.1 1.2 48.5 21.0
Local, county, or community govt. 742 91.8 64.4 45.4 75.3 51.3 38.5 4.3 6.2 1.8 0.4 82.2 66.0
State government 351 84.3 65.5 41.6 67.0 51.0 42.2 7.7 10.3 2.8 0.9 70.1 74.6
Federal government 348 43.1 62.1 26.4 24.4 17.5 75.6 7.5 2.6 5.5 0.6 16.4 75.0
Dept. of Veterans Affairs 225 61.8 80.9 34.7 29.3 21.3 83.1 2.7 1.8 1.3 0.4 24.0 87.1
Dept. of Defense 89 4.5 18.0 2.2 2.2 1.1 75.3 15.7 1.1 - - - - 1.1 36.0
Indian Health Service 30 20.0 60.0 40.0 56.7 40.0 30.0 10.0 10.0 53.3 3.3 3.3 96.7
Other 4 25.0 - - - - - - - - - - 75.0 25.0 - - - - 25.0 100.0
Tribal government 216 45.8 58.3 52.3 68.5 46.8 28.7 7.9 25.9 63.4 1.4 31.9 81.9
Primary focus of facility    
Substance abuse treatment services 8,094 90.1 55.0 19.6 49.2 32.8 20.8 4.1 11.9 2.9 1.1 59.4 49.6
Mental health services 877 92.4 81.4 65.0 76.9 47.4 57.5 0.9 6.4 1.8 0.7 60.7 43.3
Mix of mental health and substance
    abuse treatment services
4,385 91.9 77.9 50.0 67.3 49.3 50.1 1.6 14.2 3.9 0.9 68.3 49.5
General health care 190 76.3 78.4 55.3 59.5 42.1 58.4 3.7 9.5 10.5 0.5 53.2 68.4
Other/unknown 174 73.6 36.2 17.2 34.5 23.0 16.7 13.8 10.9 5.7 4.0 50.0 59.2
1 Percentages sum to more than 100 percent because a facility could accept more than one payment option.
2 Available only in AK, AZ, CA, CO, CT, DC, FL, HI, IA, ID, IL, IN, LA, MI, MO, MT, NJ, NM, OH, OK, RI, TN, TX, WA, WI, and WY. See Table 6.19a for number of facilities accepting ATRs by State.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.19. Facility funding, by facility operation and primary focus of facility: 2011
Number and percent
Facility operation and primary focus   Receives public funds for substance abuse treatment programs
Total
number of
facilities
Number Percent
Total  13,720 8,121 59.2
Facility operation      
Private non-profit 7,869 5,811 73.8
Private for-profit 4,194 948 22.6
Local, county, or community government 742 652 87.9
State government 351 296 84.3
Federal government 348 227 65.2
Dept. of Veterans Affairs 225 166 73.8
Dept. of Defense 89 35 39.3
Indian Health Service 30 23 76.7
Other 4 3 75.0
Tribal government 216 187 86.6
Primary focus of facility      
Substance abuse treatment services 8,094 4,909 60.6
Mental health services 877 384 43.8
Mix of mental health and substance abuse treatment services 4,385 2,617 59.7
General health care 190 126 66.3
Other/unknown 174 85 48.9
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.20. Facilities with Opioid Treatment Programs (OTPs) and clients receiving medication-assisted opioid therapy at OTPs and other facilities,
by facility operation and primary focus of facility: March 31, 2011
Number and percent distribution 
Facility operation and primary focus Facilities with OTPs1 No. of clients receiving medication-assisted opioid therapy Percent
distribution
of
methadone
clients
Percent
distribution
of all
buprenor-
phine
clients
Number Percent Facilities with OTPs1 Other
facilities
Total
buprenor-
phine
Total Methadone2 Buprenor-
phine
Buprenor-
phine
Total  1,189 100 313,460 306,440 7,020 25,656 32,676 100.0 100.0
Facility operation        
Private non-profit 427 36 111,237 108,392 2,845 11,229 14,074 35.4 43.1
Private for-profit 648 54 174,474 171,731 2,743 11,058 13,801 56.0 42.2
Local, county, or community govt. 42 4 9,810 9,605 205 740 945 3.1 2.9
State government 30 3 12,374 12,131 243 485 728 4.0 2.2
Federal government 38 3 4,810 3,915 895 1,886 2,781 1.3 8.5
Dept. of Veterans Affairs 38 3 4,810 3,915 895 1,840 2,735 1.3 8.4
Dept. of Defense - - - -          ‡ - - - - 7 7       ‡ *
Indian Health Service - - - -          ‡ - - - - 27 27       ‡ 0.1
Other - - - -          ‡ - - - - 12 12       ‡ *
Tribal government 4 - - 755 666 89 258 347 0.2 1.1
Primary focus of facility        
Substance abuse treatment services 1,056 89 290,656 285,714 4,942 11,703 16,645 93.2 50.9
Mental health services 7 1 1,202 1,159 43 1,334 1,377 0.4 4.2
Mix of mental health and substance
    abuse treatment services
110 9 19,586 17,802 1,784 11,764 13,548 5.8 41.5
General health care 15 1 1,872 1,621 251 809 1,060 0.5 3.2
Other/unknown 1 - - 144 144 - - 46 46 * 0.1
1 Facilities that have Opioid Treatment Programs certified by the Substance Abuse and Mental Health Services Administration.
2 The total number of methadone clients in facilities with OTPs is a subset of all methadone clients and will not equal the total number of methadone clients found on Table 3.2.
*  Less than 0.05 percent.
 - -  Quantity is zero.
‡  No facilities in this category.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.21a. Type of care offered in facilities with Opioid Treatment Programs (OTPs), by facility operation and primary focus of facility: 2011
Number
Facility operation and primary focus   Number of facilities with OTPs1,2
Total Type of care offered
Any out-
patient
Outpatient Any
residen-
tial
Residential
(non-hospital)
Any
hospital
inpatient
Hospital
inpatient
Regular Intensive Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Short-
term
Long-
term
Detox Treat-
ment
Detox
Total  1,189 1,111 764 315 72 584 1,059 90 74 50 48 100 77 97
Facility operation      
Private non-profit 427 376 282 144 39 152 348 40 27 26 22 57 41 54
Private for-profit 648 630 397 112 20 379 614 28 26 16 17 17 15 17
Local, county, or community govt. 42 38 27 15 1 10 35 2 2 - - 2 6 5 6
State government 30 25 21 12 1 11 23 5 5 1 1 5 5 5
Federal government 38 38 34 30 11 30 35 15 14 7 6 15 11 15
Dept. of Veterans Affairs 38 38 34 30 11 30 35 15 14 7 6 15 11 15
Dept. of Defense       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡
Indian Health Service       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡
Other       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡
Tribal government 4 4 3 2 - - 2 4 - - - - - - - - - - - - - -
Primary focus of facility      
Substance abuse treatment services 1,056 991 656 241 40 525 956 59 44 32 28 66 50 64
Mental health services 7 5 4 2 2 - - 5 1 1 - - 1 3 3 2
Mix of mental health and substance
    abuse treatment services
110 99 89 62 24 48 84 25 24 16 15 23 18 23
General health care 15 15 14 10 6 10 13 5 5 2 4 8 6 8
Other/unknown 1 1 1 - - - - 1 1 - - - - - - - - - - - - - -
1 Facilities that have Opioid Treatment Programs certified by the Substance Abuse and Mental Health Services Administration.
2 Number of facilities sum to more than the Total column because a facility could provide more than one type of care.
- -  Quantity is zero.
‡  No facilities in this category.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.21b. Type of care offered in facilities with Opioid Treatment Programs (OTPs), by facility operation and primary focus of facility: 2011
Percent
Facility operation and primary focus Number of facilities Percent of facilities with OTPs1,2
Type of care offered
Any out-
patient
Outpatient Any
residen-
tial
Residential
(non-hospital)
Any
hospital
inpatient
Hospital
inpatient
Regular Intensive Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Short-
term
Long-
term
Detox Treat-
ment
Detox
Total  1,189 93.4 64.3 26.5 6.1 49.1 89.1 7.6 6.2 4.2 4.0 8.4 6.5 8.2
Facility operation      
Private non-profit 427 88.1 66.0 33.7 9.1 35.6 81.5 9.4 6.3 6.1 5.2 13.3 9.6 12.6
Private for-profit 648 97.2 61.3 17.3 3.1 58.5 94.8 4.3 4.0 2.5 2.6 2.6 2.3 2.6
Local, county, or community govt. 42 90.5 64.3 35.7 2.4 23.8 83.3 4.8 4.8 - - 4.8 14.3 11.9 14.3
State government 30 83.3 70.0 40.0 3.3 36.7 76.7 16.7 16.7 3.3 3.3 16.7 16.7 16.7
Federal government 38 100.0 89.5 78.9 28.9 78.9 92.1 39.5 36.8 18.4 15.8 39.5 28.9 39.5
Dept. of Veterans Affairs 38 100.0 89.5 78.9 28.9 78.9 92.1 39.5 36.8 18.4 15.8 39.5 28.9 39.5
Dept. of Defense       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡
Indian Health Service       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡
Other       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡       ‡
Tribal government 4 100.0 75.0 50.0 - - 50.0 100.0 - - - - - - - - - - - - - -
Primary focus of facility      
Substance abuse treatment services 1,056 93.8 62.1 22.8 3.8 49.7 90.5 5.6 4.2 3.0 2.7 6.3 4.7 6.1
Mental health services 7 71.4 57.1 28.6 28.6 - - 71.4 14.3 14.3 - - 14.3 42.9 42.9 28.6
Mix of mental health and substance
    abuse treatment services
110 90.0 80.9 56.4 21.8 43.6 76.4 22.7 21.8 14.5 13.6 20.9 16.4 20.9
General health care 15 100.0 93.3 66.7 40.0 66.7 86.7 33.3 33.3 13.3 26.7 53.3 40.0 53.3
Other/unknown 1 100.0 100.0 - - - - 100.0 100.0 - - - - - - - - - - - - - -
1 Facilities that have Opioid Treatment Programs certified by the Substance Abuse and Mental Health Services Administration.
2 Percentages sum to more than 100 percent because a facility could provide more than one type of care.
- -  Quantity is zero.
‡  No facilities in this category.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.22a. Facility licensing, certification, or accreditation of facilities with Opioid Treatment Programs (OTPs), by type of care offered: 2011
Number
Type of care offered     Number of facilities with OTPs1,2
Total3 Any listed
agency/
organization
Licensing, certification, or accreditation organization
State
substance
abuse
agency
State mental health department State
department
of health
Hospital
licensing
authority
Joint
Commis-
sion4
CARF4 NCQA4 COA4 Other State/
local agency/
organization
Total 1,189 1,187 1,076 319 697 104 343 793 42 72 119
Outpatient 1,111 1,109 1,006 299 639 77 292 771 31 66 116
Regular 764 762 696 228 441 56 200 533 22 48 88
Intensive  315 314 275 114 192 44 114 198 11 16 37
Detoxification 584 583 537 163 295 30 126 433 17 51 75
Day treatment/partial hospitalization 72 72 54 23 45 25 46 30 3 3 12
Methadone maintenance  1,059 1,057 963 284 604 60 259 756 28 65 112
Residential (non-hospital) 90 90 70 23 52 21 55 41 6 4 7
Detoxification 48 48 39 15 30 8 26 25 4 1 2
Short-term treatment (30 days or fewer) 74 74 56 20 43 21 51 30 5 3 7
Long-term treatment (more than 30 days) 50 50 41 18 27 12 29 24 2 2 4
Hospital inpatient 100 100 75 33 72 55 86 21 10 8 8
Detoxification 97 97 72 32 69 53 84 20 9 7 6
Treatment 77 77 57 26 54 44 65 15 9 7 8
1 Facilities that have Opioid Treatment Programs certified by the Substance Abuse and Mental Health Services Administration.
2 Number of facilities sums to more than the Total column because a facility could report more than one licensing, certification, or accreditation organization.
3 Number of facilities sums to more than the total because a facility could offer more than one type of care.
4 Joint Commission was formerly JCAHO (Joint Commission on Accreditation of Healthcare Organizations); CARF was formerly Commission on Accreditation of Rehabilitation Facilities; NCQA = National Committee for Quality Assurance; COA = Council on Accreditation.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.22b. Facility licensing, certification, or accreditation of facilities with Opioid Treatment Programs (OTPs), by type of care offered: 2011
Percent
Type of care offered Number
of
facilities3
  Percent of facilities with OTPs1,2
Any listed
agency/
organization
Licensing, certification, or accreditation organization
State
substance
abuse
agency
State mental health department State
department
of health
Hospital
licensing
authority
Joint
Commis-
sion4
CARF4 NCQA4 COA4 Other State/
local agency/
organization
Total  1,189 99.8 90.5 26.8 58.6 8.7 28.8 66.7 3.5 6.1 10.0
Outpatient 1,111 99.8 90.5 26.9 57.5 6.9 26.3 69.4 2.8 5.9 10.4
Regular 764 99.7 91.1 29.8 57.7 7.3 26.2 69.8 2.9 6.3 11.5
Intensive  315 99.7 87.3 36.2 61.0 14.0 36.2 62.9 3.5 5.1 11.7
Detoxification 584 99.8 92.0 27.9 50.5 5.1 21.6 74.1 2.9 8.7 12.8
Day treatment/partial hospitalization 72 100.0 75.0 31.9 62.5 34.7 63.9 41.7 4.2 4.2 16.7
Methadone maintenance  1,059 99.8 90.9 26.8 57.0 5.7 24.5 71.4 2.6 6.1 10.6
Residential (non-hospital) 90 100.0 77.8 25.6 57.8 23.3 61.1 45.6 6.7 4.4 7.8
Detoxification 48 100.0 81.3 31.3 62.5 16.7 54.2 52.1 8.3 2.1 4.2
Short-term treatment (30 days or fewer) 74 100.0 75.7 27.0 58.1 28.4 68.9 40.5 6.8 4.1 9.5
Long-term treatment (more than 30 days) 50 100.0 82.0 36.0 54.0 24.0 58.0 48.0 4.0 4.0 8.0
Hospital inpatient 100 100.0 75.0 33.0 72.0 55.0 86.0 21.0 10.0 8.0 8.0
Detoxification 97 100.0 74.2 33.0 71.1 54.6 86.6 20.6 9.3 7.2 6.2
Treatment 77 100.0 74.0 33.8 70.1 57.1 84.4 19.5 11.7 9.1 10.4
1 Facilities that have Opioid Treatment Programs certified by the Substance Abuse and Mental Health Services Administration.
2 Percentages sum to more than 100 percent because a facility could report more than one licensing, certification, or accreditation organization.
3 Number of facilities sums to more than the total because a facility could offer more than one type of care.
4 Joint Commission was formerly JCAHO (Joint Commission on Accreditation of Healthcare Organizations); CARF was formerly Commission on Accreditation of Rehabilitation Facilities; NCQA = National Committee for Quality Assurance; COA = Council on Accreditation.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.23. Facilities using counseling as part of their substance abuse treatment program,
by primary focus of facility: 2011
Number
Type of counseling provided,                          by primary focus of facility     Number of facilities indicating percentage ranges of clients receiving counseling
  Number of
facilities
offering
counseling
25%
or less
26% to
50%
51% to
75%
76% to
100%
Individual counseling Total 13,413 1,397 1,118 1,352 9,546
  Substance abuse treatment services 7,900 714 458 523 6,205
  Mental health services 849 140 97 117 495
  Mix of mental health and substance
      abuse treatment services
4,319 496 540 664 2,619
  General health care 181 19 16 27 119
  Other/unknown 164 28 7 21 108
Group counseling 12,821 1,218 939 1,508 9,156
  Substance abuse treatment services 7,670 399 344 664 6,263
  Mental health services 732 209 109 91 323
  Mix of mental health and substance
      abuse treatment services
4,102 558 468 709 2,367
  General health care 158 39 10 19 90
  Other/unknown 159 13 8 25 113
Family counseling 11,169 5,789 2,226 1,320 1,834
  Substance abuse treatment services 6,192 3,061 1,221 736 1,174
  Mental health services 752 436 154 72 90
  Mix of mental health and substance
      abuse treatment services
3,962 2,109 817 497 539
  General health care 145 112 14 7 12
  Other/unknown 118 71 20 8 19
Marital/couples counseling 8,223 5,882 1,389 557 395
  Substance abuse treatment services 4,091 2,927 681 266 217
  Mental health services 596 457 90 31 18
  Mix of mental health and substance
      abuse treatment services
3,330 2,343 581 256 150
  General health care 124 101 17 1 5
  Other/unknown   82 54 20 3 5
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 4.24. Facility smoking policy, by facility operation and primary focus of facility: 2011
Number and percent distribution
Facility operation and primary focus   Number of facilities Percent distribution
Total1 Type of facility smoking policy Type of facility smoking policy
Not
permitted
on the
property
or within
any
building
Permitted
only
outdoors
Permitted
outdoors
and in
designated
indoor
area(s)
Permitted
anywhere
without
restriction
Other Total Not
permitted
on the
property
or within
any
building
Permitted
only
outdoors
Permitted
outdoors
and in
designated
indoor
area(s)
Permitted
anywhere
without
restriction
Other
Total  13,637 4,674 7,468 1,415 19 61 100.0 34.3 54.8 10.4 0.1 0.4
Facility operation      
Private non-profit 7,831 3,122 3,877 791 10 31 100.0 39.9 49.5 10.1 0.1 0.4
Private for-profit 4,157 1,014 2,691 425 8 19 100.0 24.4 64.7 10.2 0.2 0.5
Local, county, or community govt. 739 273 386 74 - - 6 100.0 36.9 52.2 10.0 - - 0.8
State government 348 160 158 29 - - 1 100.0 46.0 45.4 8.3 - - 0.3
Federal government 347 43 230 70 1 3 100.0 12.4 66.3 20.2 0.3 0.9
Dept. of Veterans Affairs 225 17 156 49 1 2 100.0 7.6 69.3 21.8 0.4 0.9
Dept. of Defense 88 13 56 18 - - 1 100.0 14.8 63.6 20.5 - - 1.1
Indian Health Service 30 13 15 2 - - - - 100.0 43.3 50.0 6.7 - - - -
Other 4 - - 3 1 - - - - 100.0 - - 75.0 25.0 - - - -
Tribal government 215 62 126 26 - - 1 100.0 28.8 58.6 12.1 - - 0.5
Primary focus of facility      
Substance abuse treatment
     services
8,054 2,710 4,407 888 13 36 100.0 33.6 54.7 11.0 0.2 0.4
Mental health services 872 359 456 57 - - - - 100.0 41.2 52.3 6.5 - - - -
Mix of mental health and
     substance abuse treatment
     services
4,347 1,465 2,434 419 5 24 100.0 33.7 56.0 9.6 0.1 0.6
General health care 190 83 77 30 - - - - 100.0 43.7 40.5 15.8 - - - -
Other/unknown 174 57 94 21 1 1 100.0 32.8 54.0 12.1 0.6 0.6
1 Of 13,720 facilities, 83 facilities (0.6 percent) did not respond to the question. Percentages are based on the remaining 13,637 facilities.
  - - Quantity is zero.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 5.1. Clients in treatment, by primary focus of facility and facility operation: March 31, 2011
Number and percent distribution
Primary focus   Facility operation
Total Private
non-
profit
Private
for-
profit
Local,
county, or
community
govt.
State
govt.
Total
Federal
govt.
Federal govt. Tribal
govt.
Dept. of
Veterans
Affairs
Dept. of
Defense
Indian
Health
Service
Other
Number of clients
Number, by primary focus of facility 1,224,127 646,904 395,577 73,338 40,303 47,742 37,321 8,487 1,838 96 20,263
Substance abuse treatment services 792,248 397,408 301,342 42,952 26,683 18,758 11,301 6,829 567 61 5,105
Mental health services 42,099 28,496 6,654 2,114 2,579 2,244 1,749 31 464 - - 12
Mix of mental health and substance abuse treatment services 364,965 211,578 83,701 27,352 11,023 16,567 14,465 1,613 454 35 14,744
General health care 16,496 5,266 456 353 - - 10,173 9,806 14 353 - - 248
Other/unknown 8,319 4,156 3,424 567 18 - - - - - - - - - - 154
Column percent distribution
Percent distribution, by primary focus of facility 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
Substance abuse treatment services 64.7 61.4 76.2 58.6 66.2 39.3 30.3 80.5 30.8 63.5 25.2
Mental health services 3.4 4.4 1.7 2.9 6.4 4.7 4.7 0.4 25.2 - - 0.1
Mix of mental health and substance abuse treatment services 29.8 32.7 21.2 37.3 27.4 34.7 38.8 19.0 24.7 36.5 72.8
General health care 1.3 0.8 0.1 0.5 - - 21.3 26.3 0.2 19.2 - - 1.2
Other/unknown 0.7 0.6 0.9 0.8 - - - - - - - - - - - - 0.8
Row percent distribution
Percent distribution, by facility operation 100.0 52.8 32.3 6.0 3.3 3.9 3.0 0.7 0.2      * 1.7
Substance abuse treatment services 100.0 50.2 38.0 5.4 3.4 2.4 1.4 0.9 0.1      * 0.6
Mental health services 100.0 67.7 15.8 5.0 6.1 5.3 4.2 0.1 1.1 - -      *
Mix of mental health and substance abuse treatment services 100.0 58.0 22.9 7.5 3.0 4.5 4.0 0.4 0.1      * 4.0
General health care 100.0 31.9 2.8 2.1 - - 61.7 59.4 0.1 2.1 - - 1.5
Other/unknown 100.0 50.0 41.2 6.8 0.2 - - - - - - - - - - 1.9
*  Less than 0.05 percent.
- -  No facilities in this category.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 5.2a. Clients in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2011
Number
Facility operation and primary focus   Number of clients
Total Type of care received
  Outpatient   Residential
(non-hospital)
  Hospital inpatient
Total out-
patient
Regular Inten-
sive
Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Total
residen-
tial
Short-
term
Long-
term
Detox Total
hospital
inpatient
Treat-
ment
Detox
Total  1,224,127 1,095,897 617,715 141,964 23,338 13,450 299,430 112,827 29,164 74,337 9,326 15,403 9,224 6,179
Facility operation      
Private non-profit 646,904 557,243 348,831 85,658 14,025 3,630 105,099 83,146 16,973 60,447 5,726 6,515 3,377 3,138
Private for-profit 395,577 371,370 152,075 36,498 6,026 7,790 168,981 18,506 7,895 7,583 3,028 5,701 3,555 2,146
Local, county, or community govt. 73,338 69,769 49,913 9,031 1,000 384 9,441 2,744 925 1,484 335 825 452 373
State government 40,303 34,643 17,272 4,154 1,190 493 11,534 3,896 1,642 2,114 140 1,764 1,520 244
Federal government 47,742 43,301 33,446 4,172 901 864 3,918 3,858 1,436 2,325 97 583 320 263
Dept. of Veterans Affairs 37,321 33,302 24,162 3,738 719 783 3,900 3,488 1,346 2,045 97 531 290 241
Dept. of Defense 8,487 8,258 7,777 324 93 64 - - 188 39 149 - - 41 20 21
Indian Health Service 1,838 1,691 1,475 110 89 17 - - 147 46 101 - - - - - - - -
Other 96 50 32 - - - - - - 18 35 5 30 - - 11 10 1
Tribal government 20,263 19,571 16,178 2,451 196 289 457 677 293 384 - - 15 - - 15
Primary focus of facility      
Substance abuse treatment
    services
792,248 702,997 319,590 83,874 12,900 8,141 278,492 82,895 21,018 55,611 6,266 6,356 3,232 3,124
Mental health services 42,099 38,552 32,784 2,882 1,208 525 1,153 1,204 382 722 100 2,343 1,841 502
Mix of mental health and substance
    abuse treatment services
364,965 332,730 249,609 52,364 8,354 4,178 18,225 26,091 7,428 15,837 2,826 6,144 3,924 2,220
General health care 16,496 14,898 10,972 1,512 563 430 1,421 1,044 219 723 102 554 223 331
Other/unknown 8,319 6,720 4,760 1,332 313 176 139 1,593 117 1,444 32 6 4 2
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 5.2b. Clients in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2011
Percent distribution (row percent)
Facility operation and primary focus   Percent distribution
Total Type of care received
  Outpatient   Residential
(non-hospital)
  Hospital inpatient
Total out-
patient
Regular Inten-
sive
Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Total
residen-
tial
Short-
term
Long-
term
Detox Total
hospital
inpatient
Treat-
ment
Detox
Total  100.0 89.5 50.5 11.6 1.9 1.1 24.5 9.2 2.4 6.1 0.8 1.3 0.8 0.5
Facility operation      
Private non-profit 100.0 86.1 53.9 13.2 2.2 0.6 16.2 12.9 2.6 9.3 0.9 1.0 0.5 0.5
Private for-profit 100.0 93.9 38.4 9.2 1.5 2.0 42.7 4.7 2.0 1.9 0.8 1.4 0.9 0.5
Local, county, or community govt. 100.0 95.1 68.1 12.3 1.4 0.5 12.9 3.7 1.3 2.0 0.5 1.1 0.6 0.5
State government 100.0 86.0 42.9 10.3 3.0 1.2 28.6 9.7 4.1 5.2 0.3 4.4 3.8 0.6
Federal government 100.0 90.7 70.1 8.7 1.9 1.8 8.2 8.1 3.0 4.9 0.2 1.2 0.7 0.6
Dept. of Veterans Affairs 100.0 89.2 64.7 10.0 1.9 2.1 10.4 9.3 3.6 5.5 0.3 1.4 0.8 0.6
Dept. of Defense 100.0 97.3 91.6 3.8 1.1 0.8 - - 2.2 0.5 1.8 - - 0.5 0.2 0.2
Indian Health Service 100.0 92.0 80.3 6.0 4.8 0.9 - - 8.0 2.5 5.5 - - - - - - - -
Other 100.0 52.1 33.3 - - - - - - 18.8 36.5 5.2 31.3 - - 11.5 10.4 1.0
Tribal government 100.0 96.6 79.8 12.1 1.0 1.4 2.3 3.3 1.4 1.9 - - 0.1 - - 0.1
Primary focus of facility      
Substance abuse treatment services 100.0 88.7 40.3 10.6 1.6 1.0 35.2 10.5 2.7 7.0 0.8 0.8 0.4 0.4
Mental health services 100.0 91.6 77.9 6.8 2.9 1.2 2.7 2.9 0.9 1.7 0.2 5.6 4.4 1.2
Mix of mental health and substance
    abuse treatment services
100.0 91.2 68.4 14.3 2.3 1.1 5.0 7.1 2.0 4.3 0.8 1.7 1.1 0.6
General health care 100.0 90.3 66.5 9.2 3.4 2.6 8.6 6.3 1.3 4.4 0.6 3.4 1.4 2.0
Other/unknown 100.0 80.8 57.2 16.0 3.8 2.1 1.7 19.1 1.4 17.4 0.4 0.1      *      *
*  Less than 0.05 percent.
- -  Quantity is zero.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 5.2c. Clients in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2011
Percent distribution (column percent)
Facility operation and primary focus   Percent distribution
Total Type of care received
  Outpatient   Residential
(non-hospital)
  Hospital inpatient
Total out-
patient
Regular Inten-
sive
Day
treatment
or partial
hospitali-
zation
Detox Methadone
maintenance
Total
residen-
tial
Short-
term
Long-
term
Detox Total
hospital
inpatient
Treat-
ment
Detox
Facility operation      
Private non-profit 52.8 50.8 56.5 60.3 60.1 27.0 35.1 73.7 58.2 81.3 61.4 42.3 36.6 50.8
Private for-profit 32.3 33.9 24.6 25.7 25.8 57.9 56.4 16.4 27.1 10.2 32.5 37.0 38.5 34.7
Local, county, or community govt. 6.0 6.4 8.1 6.4 4.3 2.9 3.2 2.4 3.2 2.0 3.6 5.4 4.9 6.0
State government 3.3 3.2 2.8 2.9 5.1 3.7 3.9 3.5 5.6 2.8 1.5 11.5 16.5 3.9
Federal government 3.9 4.0 5.4 2.9 3.9 6.4 1.3 3.4 4.9 3.1 1.0 3.8 3.5 4.3
Dept. of Veterans Affairs 3.0 3.0 3.9 2.6 3.1 5.8 1.3 3.1 4.6 2.8 1.0 3.4 3.1 3.9
Dept. of Defense 0.7 0.8 1.3 0.2 0.4 0.5 - - 0.2 0.1 0.2 - - 0.3 0.2 0.3
Indian Health Service 0.2 0.2 0.2 0.1 0.4 0.1 - - 0.1 0.2 0.1 - - - - - - - -
Other * * * - - - - - - * 0.1 0.2 0.1 - - 0.1 0.1 *
Tribal government 1.7 1.8 2.6 1.7 0.8 2.1 0.2 0.6 1.0 0.5 - - 0.1 - - 0.2
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
Primary focus of facility      
Substance abuse treatment services 64.7 64.1 51.7 59.1 55.3 60.5 93.0 73.5 72.1 74.8 67.2 41.3 35.0 50.6
Mental health services 3.4 3.5 5.3 2.0 5.2 3.9 0.4 1.1 1.3 1.0 1.1 15.2 20.0 8.1
Mix of mental health and substance
    abuse treatment services
29.8 30.4 40.4 36.9 35.8 31.1 6.1 23.1 25.5 21.3 30.3 39.9 42.5 35.9
General health care 1.3 1.4 1.8 1.1 2.4 3.2 0.5 0.9 0.8 1.0 1.1 3.6 2.4 5.4
Other/unknown 0.7 0.6 0.8 0.9 1.3 1.3 * 1.4 0.4 1.9 0.3 * * *
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
*  Less than 0.05 percent.
- -  Quantity is zero.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 5.3. Clients in treatment, according to substance abuse problem and diagnosed co-occurring mental disorders,
by facility operation and primary focus of facility: March 31, 2011
Number and percent
Facility operation and primary focus Substance abuse problem  Diagnosed co-occurring substance abuse and mental 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 1,221,297 535,259 464,407 221,631 100.0 43.8 38.0 18.1 1,127,962 506,163 44.9
Facility operation      
Private non-profit 644,991 317,890 211,310 115,791 100.0 49.3 32.8 18.0 607,179 288,380 47.5
Private for-profit 395,492 128,146 202,627 64,719 100.0 32.4 51.2 16.4 348,509 135,075 38.8
Local, county, or community govt. 73,125 37,744 20,835 14,546 100.0 51.6 28.5 19.9 69,851 28,944 41.4
State government 40,303 18,548 16,133 5,622 100.0 46.0 40.0 13.9 38,573 18,683 48.4
Federal government 47,743 21,270 9,660 16,813 100.0 44.6 20.2 35.2 44,833 26,353 58.8
Dept. of Veterans Affairs 37,321 18,563 7,924 10,834 100.0 49.7 21.2 29.0 37,130 23,183 62.4
Dept. of Defense 8,488 1,713 1,415 5,360 100.0 20.2 16.7 63.1 6,209 2,328 37.5
Indian Health Service 1,838 956 289 593 100.0 52.0 15.7 32.3 1,439 812 56.4
Other 96 38 32 26 100.0 39.6 33.3 27.1 55 30 54.5
Tribal government 19,643 11,661 3,842 4,140 100.0 59.4 19.6 21.1 19,017 8,728 45.9
Primary focus of facility      
Substance abuse treatment services 791,303 314,646 354,412 122,245 100.0 39.8 44.8 15.4 706,316 271,394 38.4
Mental health services 42,080 20,278 10,898 10,904 100.0 48.2 25.9 25.9 41,876 30,196 72.1
Mix of mental health and substance
    abuse treatment services
363,099 188,145 93,152 81,802 100.0 51.8 25.7 22.5 356,721 192,755 54.0
General health care 16,497 7,787 4,057 4,653 100.0 47.2 24.6 28.2 16,223 9,395 57.9
Other/unknown 8,319 4,403 1,887 2,029 100.0 52.9 22.7 24.4 6,826 2,423 35.5
1 Excludes 2,832 clients (<1 percent of all clients) reported by the 188 facilities that did not respond to the substance abuse problem.
2 Excludes 12,857 clients (<1 percent of all clients) reported by the 253 facilities that did not respond to the co-occurring disorders question and 83,308 clients (6.8 percent of all clients) reported by 1,252 facilities that responded to the co-occurring disorders question but reported no clients with a mental disorder.
NOTE: Numbers may not sum to Total  because of rounding. Percentages may not sum to 100 percent and numbers may not sum to totals because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 5.4. Clients under age 18 in treatment, by facility operation and primary focus of facility: March 31, 2011
Number and percent distribution
Primary focus Total1 Facility operation
Private
non-
profit
Private
for-
profit
Local,
county, or
community
govt.
State
govt.
Total
Federal
govt.
Federal govt. Tribal
govt.
Dept. of
Veterans
Affairs
Dept. of
 Defense
Indian
Health
Service
Other
Number of clients under age 18
Number, by primary focus of facility 82,532 54,735 16,406 6,538 2,622 412 - - 26 386 - - 1,819
Substance abuse treatment services 42,564 29,483 7,443 3,576 1,363 158 - - 11 147 - - 541
Mental health services 5,620 4,097 993 124 308 97 - - - - 97 - - 1
Mix of mental health and substance abuse treatment services 33,334 20,598 7,809 2,629 951 104 - - 15 89 - - 1,243
General health care 240 160 1 - - - - 53 - - - - 53 - - 26
Other/unknown 774 397 160 209 - - - - - - - - - - - - 8
Column percent distribution
Percent distribution, by primary focus of facility 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 - - 100.0
Substance abuse treatment services 51.6 53.9 45.4 54.7 52.0 38.3 - - 42.3 38.1 - - 29.7
Mental health services 6.8 7.5 6.1 1.9 11.7 23.5 - - - - 25.1 - - 0.1
Mix of mental health and substance abuse treatment services 40.4 37.6 47.6 40.2 36.3 25.2 - - 57.7 23.1 - - 68.3
General health care 0.3 0.3 - - - - - - 12.9 - - - - 13.7 - - 1.4
Other/unknown 0.9 0.7 1.0 3.2 - - - - - - - - - - - - 0.4
Row percent distribution
Percent distribution, by facility operation 100.0 66.3 19.9 7.9 3.2 0.5 - - * 0.5 - - 2.2
Substance abuse treatment services 100.0 69.3 17.5 8.4 3.2 0.4 - - * 0.3 - - 1.3
Mental health services 100.0 72.9 17.7 2.2 5.5 1.7 - - - - 1.7 - - *
Mix of mental health and substance abuse treatment services 100.0 61.8 23.4 7.9 2.9 0.3 - - * 0.3 - - 3.7
General health care 100.0 66.7 0.4 - - - - 22.1 - - - - 22.1 - - 10.8
Other/unknown 100.0 51.3 20.7 27.0 - - - - - - - - - - - - 1.0
1 Nine facilities reporting 1,417 total clients did not respond to the questions about clients under age 18.
*  Less than 0.05 percent.
- -  Quantity is zero.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 5.5. Clients under age 18 in treatment, according to type of care received, by facility operation and primary focus of facility: March 31, 2011
Number and percent distribution
Facility operation and primary focus   Number of clients under age 18   Percent distribution
Total  Type of care received Total Type of care received
Outpatient Residential
(non-
hospital)
Hospital
inpatient
Outpatient Residential
(non-
hospital)
Hospital
inpatient
Total  82,532 71,687 9,738 1,107 100.0 86.9 11.8 1.3
Facility operation  
Private non-profit 54,735 47,181 7,227 327 100.0 86.2 13.2 0.6
Private for-profit 16,406 13,776 2,004 626 100.0 84.0 12.2 3.8
Local, county, or community govt. 6,538 6,409 111 18 100.0 98.0 1.7 0.3
State government 2,622 2,263 223 136 100.0 86.3 8.5 5.2
Federal government 412 341 71 - - 100.0 82.8 17.2 - -
Dept. of Veterans Affairs - - ‡   ‡ - - ‡ ‡ ‡ ‡
Dept. of Defense 26 26 - - - - 100.0 100.0 - - - -
Indian Health Service 386 315 71 - - 100.0 81.6 18.4 - -
Other ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡
Tribal government 1,819 1,717 102 - - 100.0 94.4 5.6 - -
Primary focus of facility  
Substance abuse treatment services 42,564 35,701 6,662 201 100.0 83.9 15.7 0.5
Mental health services 5,620 4,890 449 281 100.0 87.0 8.0 5.0
Mix of mental health and substance abuse treatment services 33,334 30,148 2,573 613 100.0 90.4 7.7 1.8
General health care 240 227 1 12 100.0 94.6 0.4 5.0
Other/unknown 774 721 53 - - 100.0 93.2 6.8 - -
1 Nine facilities reporting 1,417 total clients did not respond to the questions about clients under age 18.
- -  Quantity is zero.
‡  No facilities in this category.
NOTE: Percentages may not sum to 100 percent because of rounding.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 6.1. N-SSATS facilities, by status, response rate, mode of response, and by State or jurisdiction: 2011
State or jurisdiction1 Total
facilities
in survey
Closed/
ineligible2
Eligible Response
rate3
(Percent)
Total
included
in report4
Mode of response5
(Percent distribution)
Total eligible
respondents
Total
respondents
Total Internet Mail Telephone
Total  17,376 2,154 15,222 14,302 94.0 13720 100.0 79.3 8.4 12.3
Alabama  169 10 159 152 95.6 147 100.0 83.7 5.4 10.9
Alaska  96 15 81 76 93.8 76 100.0 81.6 2.6 15.8
Arizona  285 27 258 235 91.1 219 100.0 77.6 8.7 13.7
Arkansas  77 9 68 66 97.1 61 100.0 83.6 4.9 11.5
California  2,107 256 1,851 1,742 94.1 1639 100.0 77.1 8.5 14.5
Colorado  602 83 519 468 90.2 448 100.0 74.8 12.7 12.5
Connecticut  225 21 204 191 93.6 188 100.0 76.1 8.5 15.4
Delaware  44 5 39 37 94.9 37 100.0 83.8 8.1 8.1
District of Columbia 43 3 40 36 90.0 36 100.0 72.2 8.3 19.4
Fed. of Micronesia 1 - - 1 1 100.0 1 100.0 100.0 - - - -
Florida  847 109 738 673 91.2 617 100.0 77.6 9.4 13.0
Georgia  309 25 284 258 90.8 249 100.0 77.5 7.6 14.9
Guam 10 5 5 5 100.0 5 100.0 80.0 - - 20.0
Hawaii  128 4 124 122 98.4 119 100.0 95.0 1.7 3.4
Idaho  147 35 112 106 94.6 103 100.0 69.9 11.7 18.4
Illinois  765 86 679 653 96.2 638 100.0 82.4 8.3 9.2
Indiana  351 42 309 282 91.3 274 100.0 88.3 5.8 5.8
Iowa  146 10 136 135 99.3 126 100.0 89.7 3.2 7.1
Kansas  287 44 243 229 94.2 220 100.0 76.4 8.2 15.5
Kentucky  379 33 346 323 93.4 318 100.0 77.0 8.2 14.8
Louisiana  181 25 156 146 93.6 143 100.0 83.2 8.4 8.4
Maine  304 74 230 219 95.2 213 100.0 76.1 12.7 11.3
Maryland  425 44 381 359 94.2 349 100.0 80.2 10.0 9.7
Massachusetts  416 65 351 326 92.9 322 100.0 75.2 12.1 12.7
Michigan  621 66 555 514 92.6 494 100.0 79.6 11.5 8.9
Minnesota  357 26 331 324 97.9 315 100.0 84.4 7.6 7.9
Mississippi  114 11 103 100 97.1 98 100.0 78.6 7.1 14.3
Missouri  421 107 314 302 96.2 289 100.0 81.0 4.8 14.2
Montana  87 11 76 71 93.4 57 100.0 84.2 5.3 10.5
Nebraska  175 41 134 128 95.5 123 100.0 88.6 5.7 5.7
Nevada  99 8 91 86 94.5 82 100.0 78.0 7.3 14.6
New Hampshire  66 4 62 55 88.7 54 100.0 77.8 7.4 14.8
New Jersey  464 71 393 367 93.4 361 100.0 78.4 11.4 10.2
New Mexico  207 35 172 158 91.9 145 100.0 70.3 11.7 17.9
New York  1,111 115 996 970 97.4 942 100.0 81.1 6.8 12.1
North Carolina  778 243 535 480 89.7 436 100.0 72.7 10.3 17.0
North Dakota  65 4 61 59 96.7 58 100.0 74.1 17.2 8.6
Ohio  443 28 415 386 93.0 373 100.0 85.8 7.0 7.2
Oklahoma  260 40 220 207 94.1 197 100.0 74.1 9.6 16.2
Oregon  274 18 256 238 93.0 235 100.0 83.8 6.0 10.2
Palau  1 - - 1 1 100.0 1 100.0 100.0 - - - -
Pennsylvania  657 41 616 587 95.3 578 100.0 80.3 5.7 14.0
Puerto Rico  185 13 172 159 92.4 152 100.0 81.6 11.2 7.2
Rhode Island  73 7 66 63 95.5 59 100.0 67.8 16.9 15.3
South Carolina  130 11 119 109 91.6 105 100.0 82.9 4.8 12.4
South Dakota  68 5 63 61 96.8 58 100.0 81.0 6.9 12.1
Tennessee  236 17 219 212 96.8 208 100.0 93.3 2.4 4.3
Texas  617 71 546 502 91.9 475 100.0 72.0 8.2 19.8
Utah  174 20 154 150 97.4 145 100.0 89.0 3.4 7.6
Vermont  47 1 46 46 100.0 42 100.0 76.2 14.3 9.5
Virgin Islands  3 - - 3 3 100.0 3 100.0 66.7 - - 33.3
Virginia  252 8 244 226 92.6 213 100.0 73.7 7.5 18.8
Washington  533 53 480 462 96.3 453 100.0 80.6 9.1 10.4
West Virginia  121 13 108 104 96.3 96 100.0 80.2 5.2 14.6
Wisconsin  323 31 292 269 92.1 265 100.0 80.8 11.7 7.5
Wyoming  70 5 65 63 96.9 60 100.0 68.3 11.7 20.0
1 Facilities operated by Federal agencies are included in the States in which the facilities are located.
2 A facility was ineligible if it had closed or was not providing substance abuse treatment or detoxification.
3 Response rate calculated as Total respondents divided by Total eligible respondents.
4 Excludes 334 facilities deemed out of scope for this report (200 non-treatment halfway houses, 95 solo practitioners not approved by the State agency for inclusion, and 39 facilities that treated incarcerated clients only). Also excludes 248 facilities whose client counts were included in or "rolled into" other facilities' counts and whose facility characteristics were not reported separately. See Chapter 1 for details.
5 For the 13,720 facilities included in the report.
- -  Quantity is zero.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2011.

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Table 6.2a. Facilities and clients in treatment, by State or jurisdiction: 2007-20111
Number
State or jurisdiction2 Number of facilities Number of clients
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total 13,648 13,688 13,513 13,339 13,720 1,135,425 1,192,490 1,182,077 1,175,462 1,224,127
Alabama 145 136 135 138 147 15,466 13,939 15,820 18,185 15,924
Alaska 74 71 80 77 76 2,911 3,026 3,464 3,218 2,840
Arizona 218 212 222 214 219 26,816 31,538 29,994 27,599 31,514
Arkansas 53 59 55 62 61 3,246 4,062 3,721 3,936 3,401
California 1,751 1,725 1,738 1,626 1,639 141,269 139,339 137,960 123,611 132,562
Colorado 408 436 413 437 448 31,890 36,059 39,179 39,749 38,927
Connecticut 216 203 199 195 188 24,898 25,902 24,831 28,250 25,914
Delaware 39 39 40 37 37 3,850 4,106 4,117 4,981 4,607
District of Columbia 44 44 39 33 36 4,733 4,498 5,410 4,548 4,166
Fed. of Micronesia 1 1 - - 1 1 3 18             ‡ - - - -
Florida 648 644 625 593 617 51,450 53,165 49,975 49,002 51,201
Georgia 259 265 257 243 249 16,182 19,206 19,237 18,928 21,804
Guam 3 4 2 6 5 142 126 183 257 297
Hawaii 129 123 123 119 119 3,948 4,275 4,462 4,200 4,464
Idaho 57 77 66 93 103 3,596 3,772 4,246 5,728 5,171
Illinois 606 608 615 606 638 45,668 43,889 45,149 41,863 43,971
Indiana 321 313 298 273 274 27,203 30,265 31,721 24,500 25,186
Iowa 128 113 112 125 126 7,537 7,071 7,892 7,747 8,977
Kansas 236 221 201 211 220 10,411 10,855 10,314 10,451 11,381
Kentucky 299 301 294 293 318 22,382 19,465 19,392 18,576 20,481
Louisiana 145 166 163 154 143 11,672 12,319 13,829 13,469 11,180
Maine 193 188 164 179 213 9,503 10,465 9,553 10,593 10,769
Maryland 361 371 343 339 349 34,670 35,658 42,867 38,770 38,792
Massachusetts 299 316 313 307 322 37,982 40,604 36,815 39,444 46,891
Michigan 525 512 490 475 494 41,727 47,010 40,044 42,174 45,147
Minnesota 276 286 298 308 315 11,301 16,319 14,074 15,001 17,354
Mississippi 111 102 103 102 98 6,588 5,001 5,967 5,037 5,807
Missouri 259 257 249 264 289 17,374 19,610 21,004 19,766 21,455
Montana 68 63 60 53 57 3,480 2,996 3,602 3,114 9,885
Nebraska 114 114 114 115 123 5,436 4,943 4,864 5,326 6,354
Nevada 76 77 85 84 82 7,907 13,327 7,004 7,041 7,218
New Hampshire 61 61 58 52 54 4,422 4,950 5,107 5,237 5,931
New Jersey 341 331 340 335 361 28,977 30,416 31,634 30,047 31,777
New Mexico 136 145 145 141 145 14,795 13,719 15,315 12,993 12,664
New York 986 964 963 1,000 942 114,233 115,662 121,527 130,171 122,929
North Carolina 359 410 413 400 436 26,212 30,333 28,997 33,029 36,312
North Dakota 65 64 59 57 58 2,694 2,123 2,108 2,124 2,457
Ohio 402 402 393 373 373 38,135 36,743 35,664 35,763 37,238
Oklahoma 189 186 199 191 197 11,709 11,099 14,929 14,804 14,858
Oregon 228 237 245 224 235 23,049 23,558 23,136 20,435 23,166
Palau 1 1 1 1 1 34 40 38 104 105
Pennsylvania 463 551 533 533 578 43,205 50,579 49,528 51,302 53,377
Puerto Rico 156 151 151 157 152 13,553 13,203 13,669 20,070 16,166
Rhode Island 54 53 60 53 59 7,908 7,813 8,623 7,362 9,742
South Carolina 117 111 113 103 105 15,448 14,986 14,187 14,490 14,217
South Dakota 62 64 59 55 58 2,649 2,886 3,002 2,764 2,987
Tennessee 199 197 192 202 208 13,872 12,989 12,544 17,451 16,590
Texas 522 480 459 454 475 36,885 49,241 34,503 33,113 36,875
Utah 146 146 142 146 145 10,289 12,792 13,492 12,993 12,470
Vermont 39 45 41 42 42 3,696 4,648 4,722 4,489 4,182
Virgin Islands 3 2 3 3 3 185 59 83 105 96
Virginia 203 199 219 208 213 20,418 20,683 20,846 19,265 21,731
Washington 436 435 434 455 453 43,156 43,438 42,734 41,522 41,097
West Virginia 84 79 83 82 96 7,324 8,597 10,062 10,132 10,711
Wisconsin 275 271 255 250 265 17,990 16,427 15,526 17,385 19,413
Wyoming 59 56 57 60 60 3,346 2,678 3,411 3,248 3,396
1 Survey reference dates were March 30, 2007, and March 31, 2008-2011. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
2 Facilities operated by Federal agencies are included in the States in which the facilities are located.
- -  Quantity is zero.
‡  No facilities in this category.
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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Table 6.2b. Facilities and clients in treatment, by State or jurisdiction: 2007-20111
Percent distribution
State or jurisdiction2 Percent distribution of facilities Percent distribution of clients
2007 2008 2009 2010 2011 2007 2008 2009 2010 2011
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
Alabama 1.1 1.0 1.0 1.0 1.1 1.4 1.2 1.3 1.5 1.3
Alaska 0.5 0.5 0.6 0.6 0.6 0.3 0.3 0.3 0.3 0.2
Arizona 1.6 1.5 1.6 1.6 1.6 2.4 2.6 2.5 2.3 2.6
Arkansas 0.4 0.4 0.4 0.5 0.4 0.3 0.3 0.3 0.3 0.3
California 12.8 12.6 12.9 12.2 11.9 12.4 11.7 11.7 10.5 10.8
Colorado 3.0 3.2 3.1 3.3 3.3 2.8 3.0 3.3 3.4 3.2
Connecticut 1.6 1.5 1.5 1.5 1.4 2.2 2.2 2.1 2.4 2.1
Delaware 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.4 0.4
District of Columbia 0.3 0.3 0.3 0.2 0.3 0.4 0.4 0.5 0.4 0.3
Fed. of Micronesia * * - - * * * *      ‡ - - - -
Florida 4.7 4.7 4.6 4.4 4.5 4.5 4.5 4.2 4.2 4.2
Georgia 1.9 1.9 1.9 1.8 1.8 1.4 1.6 1.6 1.6 1.8
Guam * * * * * * * * * *
Hawaii 0.9 0.9 0.9 0.9 0.9 0.3 0.4 0.4 0.4 0.4
Idaho 0.4 0.6 0.5 0.7 0.8 0.3 0.3 0.4 0.5 0.4
Illinois 4.4 4.4 4.6 4.5 4.7 4.0 3.7 3.8 3.6 3.6
Indiana 2.4 2.3 2.2 2.0 2.0 2.4 2.5 2.7 2.1 2.1
Iowa 0.9 0.8 0.8 0.9 0.9 0.7 0.6 0.7 0.7 0.7
Kansas 1.7 1.6 1.5 1.6 1.6 0.9 0.9 0.9 0.9 0.9
Kentucky 2.2 2.2 2.2 2.2 2.3 2.0 1.6 1.6 1.6 1.7
Louisiana 1.1 1.2 1.2 1.2 1.0 1.0 1.0 1.2 1.1 0.9
Maine 1.4 1.4 1.2 1.3 1.6 0.8 0.9 0.8 0.9 0.9
Maryland 2.6 2.7 2.5 2.5 2.5 3.1 3.0 3.6 3.3 3.2
Massachusetts 2.2 2.3 2.3 2.3 2.3 3.3 3.4 3.1 3.4 3.8
Michigan 3.8 3.7 3.6 3.6 3.6 3.7 3.9 3.4 3.6 3.7
Minnesota 2.0 2.1 2.2 2.3 2.3 1.0 1.4 1.2 1.3 1.4
Mississippi 0.8 0.7 0.8 0.8 0.7 0.6 0.4 0.5 0.4 0.5
Missouri 1.9 1.9 1.8 2.0 2.1 1.5 1.6 1.8 1.7 1.8
Montana 0.5 0.5 0.4 0.4 0.4 0.3 0.3 0.3 0.3 0.8
Nebraska 0.8 0.8 0.8 0.9 0.9 0.5 0.4 0.4 0.5 0.5
Nevada