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POLITICS
&
SOCIETYSubstanceabusetreatmentandrehabilitationintheU.S.CHAPTER
01FacilitiesTotalnumberofsubstanceabusetreatmentfacilitiesintheU.S.from2003to2022NumberofsubstanceabusetreatmentfacilitiesintheU.S.2003-202220,00018,00016,00018,61517,35316,06615,96114,80914,31114,39914,148
14,15213,77113,68813,72013,87313,62313,64813,58513,454
13,37113,51313,33914,00012,00010,0008,0006,0004,0002,00002003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
20223Description:In2022,therewere17,353substanceabusetreatmentfacilitiesinthecountry,adropfromtheyearbefore.ThisstatisticdisplaysthetotalnumberofsubstanceabusetreatmentfacilitiesintheUnitedStatesfrom2003to2022.
ReadmoreNote(s):UnitedStates;2003to2022Source(s):SAMHSANumberofsubstanceabusetreatmentfacilitiesintheU.S.asof2020,bystateNumberofsubstanceabusetreatmentfacilitiesintheU.S.bystate2020Numberoffacilities800
1,00002004006001,2001,4001,6001,8002,000AlabamaAlaska155105Arizona447ArkansasCaliforniaColoradoConnecticutDelawareDistrictofColumbiaFlorida1711,7343932104928712Georgia348Hawaii161Idaho1104Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentfacilitiesintheUnitedStatesbystateasof2020.Duringthisperiod,therewere611substanceabusetreatmentfacilitieslocatedinNorthCarolina.ReadmoreNote(s):UnitedStatesSource(s):SAMHSANumberofsubstanceabusetreatmentfacilitiesintheU.S.asof2022,byoperationtypeNumberofsubstanceabusetreatmentfacilitiesintheU.S.byoperationtype2022Numberoffacilities2,000
3,00001,0004,0005,0006,0007,0008,000Privatenon-profitPrivatefor-profit7,1706,311Local,county,orcommunitygovernmentStategovernment59829721025218440TribalgovernmentFederalgovernmentDepartmentofVeteransAffairsDepartmentofDefenseIndianHealthService
17Otherfederalgovernment85Description:In2022,therewereatotalof7,170privatenon-profitsubstanceabusetreatmentfacilities.ThisstatisticdisplaysthenumberofsubstanceabusetreatmentfacilitiesintheUnitedStatesbyoperationtypeasof2022.ReadmoreNote(s):UnitedStates;AsofDecember4,2022Source(s):SAMHSANumberofsubstanceabusetreatmentfacilitiesintheU.S.asof2019,byoperationtypeandabuseproblemNumberofsubstanceabusefacilitiesintheU.S.byoperationandabuseproblem2020NumberoffacilitiesTreatsclientswithco-occuringmentalandsubstanceabusedisordersTreatsclientswithdrugabuseonlyTreatsclientswithalcoholabuseonlyTreatsclientswithbothalcoholanddrugabuse05001,0001,5002,0002,5003,0003,5004,0003,7243,597Privatenon-profitorganizationsPrivatefor-profitorganizationsLocal,county,orcommunitygovernmentsStategovernments3,2663,8022,9912,9852,3692,832306278299320147115135143167165150156Federalgovernments126120122123DepartmentofVeteransAffairsDepartmentofDefense2329121813121112IndianHealthService5OtherfederalgovernmentTribalgovernments4531321171101366Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentfacilitiesintheUnitedStatesbyoperationtypeandclientsubstanceabuseproblemtreated,asof2020.Therewere299local,county,orcommunitygovernmentrunsubstanceabusetreatmentfacilitiesthattreatedclientswithdrugabuseproblemsonly.ReadmoreNote(s):UnitedStatesSource(s):SAMHSANumberofsubstanceabusetreatmentfacilitiesintheU.S.asof2020,byfacilitysize*NumberofsubstanceabusetreatmentfacilitiesintheU.S.bysize20204,0003,7193,5003,0002,5002,0001,5001,0005002,4392,1381,8781,4950Fewerthan1515to2930to59Numberofclients60to119120ormore7Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentfacilitiesintheUnitedStatesbyfacilitysize,asofMarch2020.Therewere2,138substanceabusetreatmentfacilitiesintheUnitedStateswith15to29clients.ReadmoreNote(s):UnitedStates;March31,2020;*Includesoutpatienttreatment,residential(non-hospital)treatment,andinpatienttreatment.ReadmoreSource(s):SAMHSAShareofsubstanceabusetreatmentfacilitiesintheU.S.asof2020,bypaymentoptionShareofsubstanceabusetreatmentfacilitiesintheU.S.bypaymentoption2020Percentageoffacilities30%
40%0%10%20%50%60%70%80%90%90.4%100%Cashorself-paymentPrivatehealthinsuranceMedicaid74.4%70.7%State-financedhealthinsuranceMedicare49.5%42%FederalmilitaryinsuranceIHS/Tribal/Urbanfunds*39%12.5%8Description:ThisstatisticdisplaysthedistributionofsubstanceabusetreatmentfacilitiesintheUnitedStatesbytheiroptionofpayment,asof2020.Privatehealthinsurancewasacceptedinaround74percentofthecountry'ssubstanceabusetreatmentfacilities.Facilitiesunderthefederalgovernmentwerelesslikelytoacceptcashpayments.ReadmoreNote(s):UnitedStates;*Throughacontract,tribescanreceivethemoneythattheIndianHealthService(IHS)wouldhaveusedtoprovidedirecthealthservicesfortribalmembers.Tribescanusethesefundstoprovidedirectly,orthroughanother[...]
ReadmoreSource(s):SAMHSAShareofsubstanceabusetreatmentfacilitiesintheU.S.asof2020,bylicensing*ShareofsubstanceabusetreatmentfacilitiesintheU.S.bylicensing2020Percentageoflicensedfacilities10%
20%
30%0%40%50%60%70%80%90%Statesubstanceabuseagency76.7%Statedepartmentofhealth47.9%Statementalhealthdepartment39.5%CARF29.6%Jointcommission22.9%Hospitallicensingauthority4.6%Othernationalorganizationorfederal,state,orlocalagency4.6%4.5%COANCQAHFAP2.3%0.9%9Description:ThisstatisticdisplaystheshareofsubstanceabusetreatmentfacilitiesintheUnitedStatesbywheretheywerelicensed,certified,oraccreditedasof2020.Thestatedepartmentofhealthcertifiedaround48percentofthecountry'ssubstanceabusetreatmentfacilitieswhichwerelicensedorcertified.ReadmoreNote(s):UnitedStates;*Overall,94percentofallfacilitiesreportedthattheywerelicensed,certified,oraccreditedbyoneormoreagenciesororganizations.CARF:CommissiononAccreditationofRehabilitationFacilitiesNCQA:National[...]
ReadmoreSource(s):SAMHSACHAPTER
02ServicesDistributionofsubstanceabusetreatmentfacilitiesintheU.S.asof2022,bytypeofcareofferedShareofsubstanceabusetreatmentfacilitiesintheU.S.bytypeofcare2022Percentageoffacilities40%0%10%20%30%50%60%70%80%90%OutpatientResidential82.9%24.1%Hospitalinpatient7.5%11Description:In2022,mostsubstanceabusetreatmentfacilitiesintheU.S.offeredoutpatienttreatment,whileaquarterofthemofferedresidentialcare.Onlyeightpercentofsubstanceabusetreatmentfacilitiesofferedhospitalinpatientcare.ThisstatisticdisplaysthedistributionofsubstanceabusetreatmentfacilitiesintheUnitedStatesbytypeofcareoffered,asof2022.ReadmoreNote(s):UnitedStates;2022Source(s):SAMHSAPercentageofsubstanceabusetreatmentfacilitiesintheU.S.withselectspecificallytailoredprogramsasof2020ShareofsubstanceabusetreatmentfacilitiesintheU.S.withspecialprograms2020Percentageoffacilities0%5%10%15%20%25%30%35%40%YoungadultsLesbian,gay,bisexual,transgenderclientsOlderadults36.7%33.5%32%Veterans30.8%ClientswithHIVorAIDSAdolescents27.7%23.7%Activedutymilitary19.7%12/statistics/452494/distribution-of-substance-abuse-facilities-in-the-us-by-special-programsIn2022,programsforolderadultswereofferedat32percentofsubstanceabusetreatmentfacilitiesintheU.S.ThisstatisticdisplaysthedistributionofsubstanceabusetreatmentfacilitiesintheU.S.asof2022,byselectspecificallytailoredprogram.ReadmoreNote(s):UnitedStates;2022Source(s):SAMHSANumberofU.S.substanceabusefacilitiesprovidingtestingservicesasof2020,byoperationtypeNumberofU.S.substanceabusefacilitiesprovidingtestingbyoperationtype2020Numberoffacilities4,000
6,00002,0008,00010,00012,00014,00016,00014,653TotalPrivatenon-profitorganizationsPrivatefor-profitorganizationsLocal,county,orcommunitygovernmentsStategovernments7,3125,928617269Federalgovernments315212Tribalgovernments13Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentfacilitiesintheUnitedStatesthatperformtestingservicesbyoperationtype,asof2020.Therewere617local,county,orcommunitygovernmentrunsubstanceabusetreatmentfacilitiesthatofferedtestingservices.ReadmoreNote(s):UnitedStatesSource(s):SAMHSAShareofU.S.substanceabusefacilitieswithdetoxificationservicesasof2020,byspecificsubstanceShareofU.S.substanceabusefacilitieswithdetoxificationservices2020120%95.8%100%80%60%40%20%0%71.5%66.1%61.4%60.2%14.5%OpiodsAlcoholBenzodiazepinesMethamphetaminesCocaineOthersubstances14Description:ThisstatisticdisplaysthedistributionofsubstanceabusetreatmentfacilitieswhichprovideddetoxificationservicesintheUnitedStatesbyspecificsubstancesasof2020.Detoxificationfromalcoholwasofferedinaround72percentofsuchsubstanceabusetreatmentfacilities.ReadmoreNote(s):UnitedStatesSource(s):SAMHSALocationswhereU.S.adultsreceivedtreatmentforalcoholusein2021PlaceswherepeopleintheU.S.receivedtreatmentforalcoholuse2021Shareofthosewhoreceivedtreatment0%5%10%15%20%25%30%35%40%45%50%55%Hospital-inpatientRehabilitationfacility-inpatientRehabilitationfacility-outpatientMentalhealthcenter-outpatientEmergencyroom24.1%31.3%34.9%27.2%14.9%Privatedoctor'sofficeSelf-helpgroup21.4%49.7%Prison/jail4.9%VirtualServices43.3%15Description:In2021,around50percentofadultsintheUnitedStateswhoreceivedtreatmentforalcoholusedidsothroughaself-helpgroup.ThissurveyshowsthelocationswherepeopleintheU.S.receivedtreatmentforalcoholusein2021.
ReadmoreNote(s):UnitedStates;base:around70,000;18yearsandolder;personswhoreceivedalcoholtreatmentinpastyearSource(s):NSDUH;SAMHSACHAPTER
03ClientsTotalnumberofclientsinU.S.substanceabusetreatmentfacilitiesU.S.from2007to2020NumberofsubstanceabusetreatmentfacilityclientsintheU.S.2007-20201,600,0001,460,7061,356,0151,400,0001,305,6471,249,6291,224,1271,182,0771,200,0001,000,000800,000600,000400,000200,00001,135,4251,090,3572007*200920112013201520172019202017Description:ThisstatisticdisplaysthetotalnumberofclientsinU.S.substanceabusetreatmentfacilitiesfrom2007to2020.In2020,therewere1,090,357clientsinlocal,county,orcommunitygovernmentrunsubstanceabusetreatmentfacilities.ReadmoreNote(s):UnitedStates;*Datafor2007fromapreviousreportReadmoreSource(s):SAMHSANumberofU.S.substanceabusetreatmentclientsunder18yearsofagefrom2007to2020Numberofsubstanceabusetreatmentnon-adultclientsintheU.S.2007-202090,00080,00070,00060,00050,00040,00030,00020,00010,000085,51884,32682,53278,15672,97762,86259,85439,2712007200920112013201520172019202018Description:Thisstatisticdisplaysthenumberofsubstanceabusetreatmentclientsundertheageof18intheUnitedStatesfrom2007to2020.In2020,therewere39,271non-adultclientsintreatmentfromsubstanceabuse.
ReadmoreNote(s):UnitedStates;2007to2020;under18yearsSource(s):SAMHSANumberofsubstanceabusetreatmentclientsintheU.S.asof2020,bystateNumberofsubstanceabusetreatmentclientsintheU.S.bystate2020Numberoffacilities30,000
40,000010,00020,00050,00060,00070,00080,000AlabamaAlaska11,8383,213Arizona44,825ArkansasCaliforniaColoradoConnecticutDelawareDistrictofColumbiaFlorida4,46470,03430,08323,43312,7961,76145,620Georgia17,642HawaiiIdaho3,3543,89119Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentclientsintheUnitedStatesbystate,asof2020.Asofthatyear,therewere35,874substanceabusetreatmentclientslocatedinNorthCarolina.
ReadmoreNote(s):UnitedStatesSource(s):SAMHSANumberofsubstanceabusetreatmentclientsintheU.S.from2007to2020,byabuseproblem*NumberofU.S.substanceabusetreatmentclientsbyproblem2007-2020Numberofclients202020192017201520132011200920070100,000200,000300,000400,000500,000600,000700,000800,000333,526476,065500,948520,866534,078535,258517,887509,919BothalcoholanddrugabuseDrugabuseonly569,522743,828642,713531,963491,903464,406411,128412,400146,710205,402211,460200,187216,856221,632220,373211,094Alcoholabuseonly531,105702,914683,810614,789563,071Diagnosedco-occuringmentalandsubstanceabusedisorders506,162456,567416,26020Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentclientsintheUnitedStatesbysubstanceabuseproblemfrom2007to2020.In2020,therewere569,522clientsinwithdrugabuseonlyinsubstanceabusetreatmentfacilities.
ReadmoreNote(s):UnitedStates;*2017datafromapreviousreportReadmoreSource(s):SAMHSANumberofU.S.adultswhoreceivedtreatmentforalcoholusein2022,byage(in1,000)NumberofpeopleintheU.S.whoreceivedtreatmentforalcoholuse2022,byage4,0003,5003,0002,5002,0001,5001,0005003,630495214012to17years18to25years26yearsorolder21Description:In2022,over3.6millionpeopleintheUnitedStatesaged26yearsandolderreceivedtreatmentforalcoholuse.ThissurveyrepresentstheestimatednumberofpeopleintheU.S.whoreceivedtreatmentforalcoholusein2022,byage,inthousandsofpeople.ReadmoreNote(s):NorthAmerica,UnitedStates;71,369respondents;18yearsandolderSource(s):NSDUH;SAMHSAPercentageofU.S.Americanswhoreceivedtreatmentforalcoholusein2022,byrace/ethnicityShareofpeopleintheU.S.whoreceivedtreatmentforalcoholuse2022,byethnicity5.0%4.4%4.5%4.0%3.5%3.0%2.5%2.0%1.5%1.0%0.5%0.0%1.6%1.6%1.5%1%0.8%WhiteBlackorAfricanAmericanAmericanIndianor
NativeHawaiianorAsianTwoormoreracesHispanicorLatinoAlaskaNativeOtherPacificIslander*22Description:In2022,around1.6percentoftheHispanicorLatinopopulationintheU.S.aged12yearsandolderreceivedtreatmentforalcoholuse.ThissurveyrepresentstheestimatedshareofpeopleintheU.S.whoreceivedtreatmentforalcoholusein2022,byrace/ethnicity.ReadmoreNote(s):NorthAmerica,UnitedStates;71,369respondents;12yearsandolderSource(s):NSDUH;SAMHSACHAPTER
04MiscellaneousTotalsubstanceabusefundingbytheNationalInstitutesforHealth(NIH)fromFY2013to2024(inmillionU.S.dollars)TotalsubstanceabusefundingbyNationalInstitutesforHealth2013-20243,0002,5832,5972,4802,4602,5002,0001,5001,0005002,3402,2931,7951,6361,6101,5641,5491,525020132014201520162017201820192020202120222023*2024*24/statistics/713359/substance-abuse-funding-by-the-national-institutes-for-healthInfiscalyear2022,substanceabusefundingbytheNIHwasaround2.48billionU.S.dollars.ThisgraphshowstheactualsubstanceabusefundingbytheNationalInstitutesforHealth(NIH)fromFY2013toFY2022andestimatesforFY2023andFY2024.ReadmoreNote(s):UnitedStates;asofMarch2023Source(s):NIHNumberofU.S.substanceabusefacilitiesprovidingpharmacotherapiesasof2020,byoperationtypeNumberofsubstanceabusepharmacotherapyfacilitiesintheU.S.byoperation2020Numberoffacilities4,00002,0006,0008,00010,00012,000TotalPrivatenon-profitorganizationsPrivatefor-profitorganizationsLocal,county,orcommunitygovernmentsFederalgovernments10,7595,3164,292486235Stategovernments289Tribalgovernments14125Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentfacilitiesintheUnitedStatesthatofferpharmacotherapyservicesbyoperationtype,asof2020.Therewere486local,county,orcommunitygovernmentrunsubstanceabusetreatmentfacilitiesthatofferedpharmacotherapyservices.ReadmoreNote(s):UnitedStatesSource(s):SAMHSANumberofsubstanceabusetreatmentclientsreceivingmethadoneintheU.S.from2007to2020NumberofsubstanceabusetreatmentmethadoneclientsintheU.S.2007-2020450,000400,000408,550382,867356,843350,000300,000250,000200,000150,000100,00050,0000330,308311,531306,440283,177262,6842007*200920112013201520172019202026Description:ThisstatisticdisplaysthenumberofsubstanceabusetreatmentclientsreceivingmethadoneintheUnitedStatesfrom2007to2020.In2020,therewere311,531clientsreceivingmethadoneundersubstanceabusetreatmentfacilities.Methadoneisasyntheticopioidthatisusedforpainmedicationandmaintenancetherapies.ReadmoreNote(s):UnitedStates;*2007datafromapreviousreportReadmoreSource(s):SAMHSAPercentageofU.S.healthcenterbehavioralhealthstaffbytypeasof2020HealthcenterbehavioralhealthstaffdistributionbytypeU.S.2020Percentageofstaff0%5%10%15%20%25%30%29%35%LicensedclinicalsocialworkersOtherlicensedmentalhealthprovidersOthermentalhealthstaff27%19%SubstanceusedisorderservicesstaffLicensedclinicalpsycholo
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