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D rug and A lcohol S ervices I nformation S ystem

The DASIS Report June 14, 2007

Facilities Offering Special


Treatment Programs or
Groups: 2005
S
ubstance abuse treatment facilities may
In Brief offer special treatment programs or
groups to address the specific needs of
● A total of 13,371 substance
clients such as adolescents or seniors. Data on
abuse treatment facilities
these special programs and groups are
responded to the 2005 N-SSATS,
reported to the National Survey of Substance
and 83 percent of them offered
Abuse Treatment Services (N-SSATS), an
at least one special program
annual survey of all known facilities in the
or group addressing particular
United States, both public and private, that
needs of specific client types
provide substance abuse treatment.
● The most commonly offered N-SSATS captures information about
special program or group was for whether facilities offer special programs for
persons with co-occurring mental adolescents, clients with co-occurring men-
and substance abuse disorders tal health and substance abuse disorders,
(38 percent) criminal justice clients, persons with HIV
or AIDS, gays or lesbians, pregnant or post-
● Eighty-eight percent of the largest
partum women, adult women, adult men,
facilities in 2005 had at least
seniors or older adults, and persons arrested
one special program or group
for driving under the influence of alcohol
while 72 percent of the smallest
or drugs (DUI) or driving while intoxicated
facilities had at least one
(DWI).

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: FACILITIES OFFERING SPECIAL TREATMENT PROGRAMS OR GROUPS: 2005 June 14, 2007

This report will examine the charac-


teristics of facilities with and without Table 1. Special Programs or Groups Offered by Facilities: 2005
one or more such special programs
or groups.
Facilities Offering Special
Programs/Groups
Facilities with Specially Special Program/Group Percent

Designed Treatment Co-occurring Mental and Substance Abuse Disorders 38

Programs or Groups Adult Women 33


Adolescents 32
A total of 13,371 substance abuse
DUI/DWI/Other Offenders 31
treatment facilities responded to
Criminal Justice Clients 28
the 2005 N-SSATS, and 83 percent
of them offered at least one special Adult Men 25

program or group addressing Pregnant/Postpartum Women 14


particular needs of specific client Persons with HIV/AIDS 11
types. The 11,113 facilities with Seniors 7
special programs or groups served Gays/Lesbians 6
88 percent of all clients in substance
abuse treatment facilities. Source: 2005 SAMHSA National Survey of Substance Abuse Treatment Services (N-SSATS).

In 2005, the most commonly


offered special program or group Figure 1. Percentage of Facilities Offering Special Programs or
was for persons with co-occurring Groups, by Size of Facility*: 2005
mental and substance abuse disor-
ders (38 percent) (Table 1). Around
100
one third of facilities offered special 89 88
85
programs or groups for adult women, 81
adolescents, or DUI/DWI offenders 80 72
(33, 32, and 31 percent, respectively).
The least commonly offered special 60
Percent

programs or groups were for gays/


lesbians (6 percent) and seniors or 40
older adults (7 percent).
20

Size 0
The largest facilities (120 clients or Fewer 15-29 30-59 60-119 120 or More
than 15
more) were more likely than the
smallest facilities (fewer than 15 Clients
clients) to offer one or more special
Source: 2005 SAMHSA National Survey of Substance Abuse Treatment Services (N-SSATS).
programs or groups.1 Eighty-eight
percent of the largest facilities
in 2005 had at least one special However, special programs or groups any other group (Figure 2). The next
program or group while 72 percent for persons with co-occurring mental two most common special programs
of the smallest facilities had at least and substance abuse disorders and or groups offered by hospital inpa-
one (Figure 1). for adult women were consistently tient facilities were for adult women
among the most frequently reported and for adolescents (26 percent each).
in all three types of care. Facilities providing outpatient
Type of Care
In 2005, facilities providing care were most likely to offer special
The most frequently reported hospital inpatient care were more programs or groups for DUI/DWI
special programs or groups varied than twice as likely to offer special offenders and for persons with co-
by the type of care—hospital inpa- programs or groups for persons with occurring mental and substance
tient, outpatient, and non-hospital co-occurring mental and substance abuse disorders (38 percent each);
residential2—offered by the facility. abuse disorders (56 percent) than for adolescents and adult women were
June 14, 2007 DASIS REPORT: FACILITIES OFFERING SPECIAL TREATMENT PROGRAMS OR GROUPS: 2005

Eighty-seven percent of facilities


Figure 2. Four Most Frequently Offered Special Programs or
with a mixed focus on substance
Groups, by Type of Care: 2005
abuse and mental health treatment
services and 83 percent of those with
Hospital Inpatient a primary focus on substance abuse
treatment services offered one or
Co-occurring 56 more special programs or groups. By
Disorders*
contrast, 63 percent of facilities focus-
Adult Women 26 ing on general health care and 72
percent of those focusing on mental
Adolescents 26
health services offered one or more
special programs or groups.
Adult Men 23

0 20 40 60
Facility Operation
Outpatient In 2005, whether a substance abuse
treatment facility was operated by
DUI/DWI/Other
Offenders
38 a private non-profit, private for-
profit, or government entity (i.e.,
Co-occurring
38 State, local, tribal, or Federal) did
Disorders*
not affect the likelihood of offering
Adolescents 36
special programs or groups. About
Adult Women 33
83 percent of each of these types of
facilities offered one or more special
0 20 40 60 programs or groups.

End Notes
Non-Hospital Residential
1
Size categories are based on quintiles of the
Co-occurring range of values for the total client census
38 on March 31, 2005, for all facilities. The
Disorders*
percentages presented in Figure 1 are based
on facilities that reported census numbers for
Adult Women 37 themselves and for no other facilities in their
network.
Adult Men 36 2
Outpatient care includes outpatient detoxification,
outpatient methadone maintenance, outpatient
Criminal Justice day treatment or partial hospitalization (20 or
25 more hours per week), intensive outpatient
Clients treatment (a minimum of 2 hours per day on 3
or more days per week), and regular outpatient
0 20 40 60
treatment (fewer hours per week than intensive).
Non-hospital residential care includes residential
Percent detoxification, residential short-term treatment
(30 days or less), and residential long-term
treatment (more than 30 days). Hospital inpatient
care includes inpatient detoxification and
Source: 2005 SAMHSA National Survey of Substance Abuse Treatment Services (N-SSATS). inpatient treatment. Facilities may offer more
than one type of care.

the next most frequently offered Figure Notes


special programs (36 and 33 percent, Primary Focus
* Figure 1: Size of facility is defined as the number
respectively). In 2005, facilities whose primary of clients in treatment on March 31, 2005.

Facilities providing non-hospital focus was on substance abuse * Figure 2: The “Co-occurring Disorders” category
is referred to as “co-occurring mental and
residential care were about equally treatment services or on a mix of substance abuse disorders” in the text.
likely to offer special programs or substance abuse and mental health
groups for persons with co-occurring treatment services were more likely Suggested Citation
mental and substance abuse disor- than other facilities (i.e., those with Substance Abuse and Mental Health Services
ders (38 percent), adult women (37 a focus on general health care or Administration, Office of Applied Studies. (June 14,
2007). The DASIS Report: Facilities Offering
percent), and adult men (36 percent). mental health services) to offer one Special Treatment Programs or Groups: 2005.
or more special programs or groups. Rockville, MD.
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Research Findings from SAMHSA’s 2005 Drug and Alcohol Services Information System (DASIS)

Facilities Offering Special Treatment


Programs or Groups: 2005
The Drug and Alcohol Services Information System (DASIS) is an
● A total of 13,371 substance abuse treatment integrated data system maintained by the Office of Applied Studies, Sub-
stance Abuse and Mental Health Services Administration (SAMHSA).
facilities responded to the 2005 N-SSATS, One component of DASIS is the National Survey of Substance Abuse
Treatment Services (N-SSATS), an annual survey of all facilities in the
and 83 percent of them offered at least one United States, both public and private, that provide substance abuse
treatment.
special program or group addressing par- The DASIS Report is prepared by the Office of Applied Studies,
ticular needs of specific client types SAMHSA; Synectics for Management Decisions, Inc., Arlington, Virginia;
and by RTI International in Research Triangle Park, North Carolina (RTI
International is a trade name of Research Triangle Institute).
● The most commonly offered special Information and data for this report are based on data reported to
N-SSATS for the survey reference date March 31, 2005.
program or group was for persons with Access the latest N-SSATS reports at:
co-occurring mental and substance abuse http://www.oas.samhsa.gov/dasis.htm
Access the latest N-SSATS public use files at:
disorders (38 percent) http://www.oas.samhsa.gov/SAMHDA.htm
Other substance abuse reports are available at:
http://www.oas.samhsa.gov
● Eighty-eight percent of the largest facilities
in 2005 had at least one special program or
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
group while 72 percent of the smallest facili- Substance Abuse and Mental Health Services Administration
Office of Applied Studies
ties had at least one www.samhsa.gov