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 The
DASIS Report: Facilities Offering Special Treatment Programs
or Groups
SAMHSA's
National Survey of Substance Abuse Treatment Services (N-SSATS) provides
information as to whether substance abuse treatment facilities offered
special services. These special treatment services include specially
designed treatment programs for adolescents, clients with co-occurring
substance abuse and mental disorders, criminal justice clients, persons
with HIV or AIDS, gays or lesbians, pregnant or postpartum women, adult
women, adult men, seniors or older adults, and persons arrested for
driving under the influence of alcohol or drugs (DUI) or driving while
intoxicated (DWI).
A
total of 13,371 substance abuse treatment facilities responded to the
2005 National Survey of Substance Abuse Treatment Services and 83% of
them offered at least one special program or group addressing particular
needs of specific client types.
The
most commonly offered special program or group was for persons with
co-occurring substance abuse and mental disorders (38%).
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The
DASIS Report:
Facilities
Offering Special Programs or Groups for Clients with Co-Occurring Disorders,
2004 Of
the 13,454 facilities that responded to SAMHSA's National Survey of
Substance Abuse Treatment Services (N-SSATS), 4756 facilities (35%)
had special programs or groups for clients with co-occurring psychiatric
and substance use disorders in 2004.
Facilities operated by State governments were most likely to offer special
programs or groups for clients with co-occurring substance abuse and
psychiatric disorders (50%), followed by those operated by local governments
(44%), the Federal government (41%) and private non-profit organizations
(36%). Facilities
operated by private-for-profit organizations (31%) and Tribal governments
(29%) were least likely to offer special programs or groups for clients
with co-occurring substance abuse and psychiatric disorders Facilities
with special programs or groups for clients with co-occurring substance
abuse and psychiatric disorders were more likely than those not offering
such special programs or groups to offer a number of services, including
family counseling (83% vs. 73%), Hepatitis B testing (30% vs. 19%),
transitional social services (65% vs. 49%), domestic violence services
(40% vs. 29%), and HIV testing (38% vs. 28%).
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The DASIS
Report:
Availability of HIV Services in Substance Abuse Treatment Facilities:
2004
SAMHSA's
National Survey of Substance Abuse Treatment Services (N-SSATS) is an
annual census of all known public and private facilities in the U.S.
That provide substance abuse treatment. In 2004, of the 13,454 substance
abuse treatment facilities that responded to SAMHSA's National Survey
of Substance Abuse Treatment Services, 31% provided HIV testing, 56%
offered HIV education/counseling/support groups, and 12% offered special
programs or groups for persons with HIV/AIDS. Among the private for-profit
organizations, 20% provided offered HIV testing, 44% offered HIV education/counseling/support
groups, and 10% offered special programs or groups for persons with
HIV/AIDS. Among facilities offering outpatient services, those offering
outpatient methadone maintenance were the most likely to offer HIV/AIDS
services. Facilities operated by the Department of Veterans Affairs
were most likely to offer HIV testing (94%).
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The
DASIS Report: Veterans in Substance Abuse Treatment: 1995-2000
Based
on SAMHSA's 2000 Treatment Episode Data Set (TEDS), the number of veterans admitted
to substance abuse treatment exceeded 55,000 admissions; 3,000 of these were female
veterans. Female veteran admissions were less likely than male veteran admissions
to report alcohol as their primary substance and more likely to report cocaine
as their primary substance of abuse. Between 1995 and 2000, the proportion
of both veteran and non veteran admissions with a psychiatric problem in addition
to a substance abuse problem increased. In all years between 1995 and 2000,
female veteran admissions had higher proportions of Blacks than did male veteran
admissions.
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The
DASIS Report: Services Provided by Substance Abuse Treatment Facilities
Based
on SAMHSA's National Survey of Substance Abuse Treatment Services (N-SSATS), facilities
with a specially designed treatment program were likely to offer related services.
For example, those with a specially designed treatment program or group for clients
with co-occurring substance abuse and mental health disorders were likely to offer
mental health assessment and pharmacotherapy; those for pregnant women were
likely to provide social services, child care assistance, and domestic violence
education; and those for persons with HIV/AIDS to provide testing services, e.g.,
for HIV, TB, hepatitis, and STD.
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The
DASIS Report: Planned Methadone Treatment for Non-Heroin Opiate Admissions
Based
on SAMHSA's 2000 Treatment Episode Data Set (TEDS), admissions with non-heroin
opiates as a primary substance of abuse accounted for 26,900 (10 percent) of the
269,400 opiate admissions. Methadone treatment was planned for 19 percent
of the non-heroin opiate treatment admissions. Non-heroin opiate admissions
with planned methadone treatment were almost twice as likely as admissions with
no planned methadone treatment to be self- or individually referred (81 vs. 43
percent). Among
the non-heroin opiate admissions, methadone treatment was planned for 66 percent
of Asian/Pacific Islanders, 24 percent of Blacks, 20 percent of Hispanics, 17
percent of American Indian/Alaska Natives, and 17 percent of Whites.
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The
DASIS Report: Planned Methadone Treatment for Heroin Admissions
Methadone
treatment was planned for 40 percent of all heroin admissions reported to SAMHSA's
Treatment Episode Data Set (TEDS) in 2000. Injection was more likely to
be reported as the route for heroin administration by heroin admissions with planned
methadone treatment (70 percent) than those with no planned methadone treatment
(59 percent). The planned use of methadone to treat heroin addiction varied
by State. The nine States with the highest proportion of planned methadone
treatment were: California, Colorado, Indiana, Hawaii, Iowa, Ohio, Alaska,
North Carolina, and New Jersey.
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The
DASIS Report: Variations in Substance Abuse Treatment
Facilities by Number of Clients
Based
on SAMHSA's National Survey of Substance Abuse Treatment Services, most
of the substance abuse treatment facilities providing only detoxification
services were very small or small.
Very large facilities were more likely to provide
treatment in languages other than English (53 percent), methadone/LAAM
treatment (38 percent), HIV testing (51 percent), hepatitis testing
(43 percent), testing for sexually transmitted diseases (40 percent),
pharmacotherapy (59 percent), transitional housing assistance (35 percent),
programs for persons with AIDS/HIV (37 percent), and programs for pregnant/postpartum
women (34 percent).
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