D rug and A lcohol S ervices I nformation S ystem

The DASIS Report
National Survey of Substance Abuse Treatment Services: 2003
In Brief
A total of 13,623 facilities responded to the N-SSATS survey in 2003 and reported a one-day census of 1,092,546 clients enrolled in substance abuse treatment on March 31, 2003 More than 60 percent of the facilities surveyed in 2003 were operated by private non-profit entities, one-quarter were operated by private for-profit organizations and the remainder were operated by Federal, State, local, or tribal governments Eighty percent of facilities provided outpatient care, 28 percent provided residential treatment and 7 percent offered hospital inpatient care

March 11, 2005

T

he National Survey of Substance Abuse Treatment Services (N-SSATS) is an annual census of all known facilities in the United States, both public and private, that provide substance abuse treatment. This issue of The DASIS Report presents results highlights from the 2003 N-SSATS. Conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), N-SSATS is designed to collect data on the location, characteristics, and use of alcoholism and drug abuse treatment facilities and services throughout the 50 States, the District of Columbia, and other U.S. jurisdictions. In the United States and its jurisdictions 13,623 substance abuse treatment facilities responded to the 2003 N-SSATS, reporting that there were 1,092,546 clients in substance abuse treatment on the survey reference date of March 31, 2003. The survey response rate in the United States and its jurisdictions was 96 percent.

The DASIS Report is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Additional copies of this report or other reports from the Office of Applied Studies are available on-line: http://www.oas.samhsa.gov. Citation of the source is appreciated. For questions about this report please e-mail: shortreports@samhsa.hhs.gov.

DASIS REPORT: NATIONAL SURVEY OF SUBSTANCE ABUSE TREATMENT SERVICES: 2003

March 11, 2005

This issue contains highlights from the 2003 N-SSATS. Full findings are available on the OAS website at http://oas.samhsa.gov/dasis.htm#nssats2

Table 4. Type of Care Offered: 2003
Facilities Type of Care Outpatient Regular Outpatient Intensive Outpatient

Number
10,893 9,967 5,902 2,156 1,501 955 3,793 1,596 3,142 957 1,013 662 900 13,623

Percent
80% 73% 43% 16% 11% 7% 28% 12% 23% 7% 7% 5% 7%

Table 1. Facility Operation: 2003
Facilities Facility Operation Private non-profit Private for-profit Local government State government Federal government

Day Treatment/Partial Hospitalization Detoxification Methadone/LAAM Maintenance Residential Short Term Long Term Detoxification Hospital Inpatient Treatment Detoxification Total

Number
8,258 3,403 979 475 339

Percent
60% 25% 7% 4% 3%

Dept. of Veterans Affairs Dept. of Defense Indian Health Service Other
Tribal government Total

196 102 34 7
169 13,623

1% 1% <1% <1%
1% 100%

Note: Facilities may be included in more than one category.

Table 2. Primary Focus of Facility: 2003
Facilities Primary Focus Substance Abuse Treatment Services Mental Health Services Mix of Mental Health & Substance Abuse Treatment Services General Health Care Other/Unknown Total 8,351 1,157 3,600 249 266 13,623 61% 9% 26% 2% 2% 100%

Table 5. Facilities with Opioid Treatment Programs (OTPs): 2003
Facilities Program Type Maintenance Only Detoxification Only Both Maintenance and Detoxification Total

Number

Percent

Number
361 124 582 1,067

Percent
34% 12% 54% 100%

Table 6. Facility Payment Options: 2003
Facilities Type of Payment Accepted Cash/Self-Payment Private Health Insurance

Number
12,291 9,234 4,746 7,151 4,854 4,736 575 354 8,705

Percent
90% 68% 35% 53% 36% 35% 4% 3% 64% 55%

Table 3. Client Substance Abuse Problem Treated at Facility: 2003
Facilities Substance Abuse Problem Clients with Both Alcohol and Drug Abuse Clients with Drug Abuse Only Clients with Alcohol Abuse Only Total 11,508 9,628 9,765 12,398 93% 78% 79%

Medicare Medicaid Other State-Financed Health Insurance Federal Military Insurance No Payment Accepted Other Payment Assistance Sliding Fee Scale

Number

Percent

Treatment at No Charge for Clients Who Cannot Pay 7,549

Note: Excludes 1,225 facilities that were not asked or did not respond to this question. Facilities may be included in more than one category.

Note: Facilities may be included in more than one “type of payment accepted” category.

March 11, 2005

DASIS REPORT: NATIONAL SURVEY OF SUBSTANCE ABUSE TREATMENT SERVICES: 2003

Table 7. Facility Capacity and Utilization of Residential and Hospital Inpatient Care: 2003
Residential Number of Facilities Number of Clients Number of Designated Beds Utilization Rate Number of Designated Beds per Facility 3,204 95,689 101,920 94% 32 Hospital Inpatient 583 10,630 13,378 80% 23

Table 9. Facility Services Offered: 2003
Facilities Number Percent 12,909 12,639 5,943 13,454 10,277 12,146 12,851 10,699 10,459 2,739 2,268 1,656 741 11,612 7,203 10,967 3,297 3,392 4,579 3,316 5,053 12,051 7,433 11,413 4,968 5,874 12,152 9,390 1,076 4,505 7,758 7,330 4,665 673 588 95% 93% 44% 99% 76% 89% 94% 79% 77% 20% 17% 12% 5% 85% 53% 81% 24% 25% 34% 24% 37% 89% 55% 84% 37% 43% 89% 69% 8% 33% 57% 54% 34% 5% 4%

Services Assessment Services Comprehensive Substance Abuse Assessment/Diagnosis Comprehensive Mental Health Assessment/Diagnosis Substance Abuse Therapy/ Counseling Family Counseling Group Therapy Individual Therapy Relapse Prevention Aftercare Counseling Pharmacotherapies Antabuse Naltrexone Buprenorphine Testing Breathalyzer/Other Blood Alcohol Testing Drug/Alcohol Urine Screening Screening for Hepatitis B Screening for Hepatitis C HIV Testing STD Testing TB Screening Transitional Services Assistance with Obtaining Social Services Discharge Planning Employment Counseling/Training Assistance in Locating Housing Other Services Case Management Services Child Care Domestic Violence—Family/ Partner Violence Services HIV/AIDS Education/ Counseling/Support Outcome Follow-Up After Discharge Transportation Assistance to Treatment Acupuncture Residential Beds for Clients’ Children

Note: Excludes 636 facilities not reporting both client counts and number of beds, facilities whose client counts were reported by another facility, and facilities that included client counts from other facilities. Excludes facilities offering outpatient care only.

Table 8. Facilities Offering Programs or Groups for Specific Client Types: 2003
Client Type Any Program or Group Adolescents Clients with Co-Occurring Mental and Substance Abuse Disorders Criminal Justice Clients (Other than DUI/DWI Clients) Persons with HIV/AIDS Gays/Lesbians Seniors/Older Adults Pregnant/Postpartum Women Women Only Men Only DUI/DWI Offenders Other Groups Facilities Number Percent 11,486 4,359 4,783 3,634 1,484 755 999 1,851 4,779 3,636 4,454 1,937 84% 32% 35% 27% 11% 6% 7% 14% 35% 27% 33% 14%

Note: Facilities may be included in more than one category.

The Drug and Alcohol Services Information System (DASIS) is an integrated data system maintained by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). One component of DASIS is the National Survey of Substance Abuse Treatment Services (NSSATS), an annual survey of all facilities in the United States, both public and private, that provide substance abuse treatment. N-SSATS was formerly known as the Uniform Facility Data Set (UFDS).

The DASIS Report is prepared by the Office of Applied Studies, SAMHSA; Synectics for Management Decisions, Inc., Arlington, Virginia; and RTI, Research Triangle Park, North Carolina.
Information and data for this report are based on data reported to N-SSATS for the survey reference date March 31, 2003. Access the latest N-SSATS/UFDS reports at: http://www.samhsa.gov/oas/dasis.htm Access the latest N-SSATS/UFDS public use files at: http://www.samhsa.gov/oas/SAMHDA.htm Other substance abuse reports are available at: http://www.DrugAbuseStatistics.samhsa.gov
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Office of Applied Studies www.samhsa.gov

Note: Facilities may be included in more than one category.