4.2. Fundamentación de principios
4.3.4. El Partido y las mujeres
Table 6.31. For the 50 states, the District of Columbia, and Puerto Rico, there were 121 clients in opiod treatment per 100,000 population on March 29, 2013. The rate was highest for persons receiv-ing methadone (105 per 100,000 population), followed by buprenorphine (15 per 100,000 population) and Vivitrol
®(1 per 100,000 population).
Figure 7. Clients in Treatment per 100,000 Population Aged 18 and Over: March 29, 2013
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2013.
56 - 339 340 - 503
504 - 712 713 or more
Admissions per 100,000 aged 18 and over (quartiles)
35
t ables
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Total 13,623 13,454 13,371 13,771 13,648 13,688 13,513 13,339 13,720 14,311 14,148 Responded to both current and prior year's surveys 11,730 11,954 11,979 12,057 12,226 12,146 12,065 11,882 11,943 12,230 12,711
New in survey year 1,893 1,500 1,392 1,714 1,422 1,542 1,448 1,457 1,777 2,081 1,437
Closed/non-respondents since previous survey year 1,990 1,669 1,475 1,314 1,545 1,502 1,623 1,631 1,396 1,490 1,600
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Responded to both current and prior year's surveys 86.1 88.9 89.6 87.6 89.6 88.7 89.3 89.1 87.0 85.5 89.8
New in survey year 13.9 11.1 10.4 12.4 10.4 11.3 10.7 10.9 13.0 14.5 10.2
Closed/non-respondents since previous survey year 14.6 12.3 11.0 9.8 11.2 11.0 12.0 12.2 10.2 10.4 11.3
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2003-2013.
Facility status
Table 2.1. Facility turnover: 2003-2013
1Number and percent distribution
1 Survey reference dates were March 31, 2003-2006, March 30, 2007, March 31, 2008-2011, March 30, 2012, and March 29, 2013. 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.
Percent distribution Number of facilities
36
2003 2005 2007 2009 2011 2013 2003 2005 2007 2009 2011 2013 Total 13,623 13,371 13,648 13,513 13,720 14,148 100.0 100.0 100.0 100.0 100.0 100.0
Private non-profit 8,258 7,912 7,907 7,826 7,869 7,820 60.6 59.2 57.9 57.9 57.4 55.3
Private for-profit 3,403 3,571 3,906 3,959 4,194 4,575 25.0 26.7 28.6 29.3 30.6 32.3
Local, county, or community govt. 979 947 887 795 742 739 7.2 7.1 6.5 5.9 5.4 5.2
State government 475 453 431 401 351 351 3.5 3.4 3.2 3.0 2.6 2.5
Federal government 339 318 328 341 348 370 2.5 2.4 2.4 2.5 2.5 2.6
Dept. of Veterans Affairs 196 186 183 210 225 228 1.4 1.4 1.3 1.6 1.6 1.6
Dept. of Defense 102 93 94 91 89 88 0.7 0.7 0.7 0.7 0.6 0.6
Indian Health Service 34 35 42 38 30 42 0.2 0.3 0.3 0.3 0.2 0.3
Other 7 4 9 2 4 12 0.1 * 0.1 * * 0.1
Tribal government 169 170 189 191 216 293 1.2 1.3 1.4 1.4 1.6 2.1
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2003-2013.
Facility operation
Table 2.2. Facility operation: 2003-2013
1Number and percent distribution
1 Survey reference dates were March 31, 2003-2005, March 30, 2007, March 31, 2009-2011, and March 29, 2013. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
Percent distribution Number of facilities
* Less than 0.05 percent.
NOTE: Percentages may not sum to 100 percent because of rounding.
37
2003 2005 2007 2009 2011 2013 2003 2005 2007 2009 2011 2013 Total 13,623 13,371 13,648 13,513 13,720 14,148
Type of care offered
Outpatient 10,893 10,807 11,078 10,905 11,101 11,542 80.0 80.8 81.2 80.7 80.9 81.6
Facilities with Opioid Treatment Programs2
Total 1,067 1,069 1,108 1,239 1,189 1,282 Methadone/buprenorphine maintenance or
Vivitrol® treatment 903 927 999 1,051 1,059 1,121 84.6 86.7 90.2 84.8 89.1 87.4
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), 2003-2013.
1 Survey reference dates were March 31, 2003-2005, March 30, 2007, March 31, 2009-2011, and March 29, 2013. 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.
Table 2.3. Facilities, by type of care offered, and facilities with Opioid Treatment Programs: 2003-2013
1Number and percent
Percent Type of care offered and facilities with
Opioid Treatment Programs
Number of facilities
38
2003 2005 2007 2009 2011 2013 2003 2005 2007 2009 2011 2013 Total 1,092,546 1,081,049 1,135,425 1,182,077 1,224,127 1,249,629 100.0 100.0 100.0 100.0 100.0 100.0
Private non-profit 615,410 595,633 619,954 630,579 646,904 638,858 56.3 55.1 54.6 53.3 52.8 51.1
Private for-profit 282,161 302,595 338,031 375,256 395,577 430,362 25.8 28.0 29.8 31.7 32.3 34.4
Local, county, or community govt. 101,826 95,667 85,953 75,126 73,338 72,949 9.3 8.8 7.6 6.4 6.0 5.8
State government 45,649 42,431 41,813 42,761 40,303 35,812 4.2 3.9 3.7 3.6 3.3 2.9
Federal government 37,155 36,194 38,088 46,282 47,742 53,695 3.4 3.3 3.4 3.9 3.9 4.3
Dept. of Veterans Affairs 28,386 28,842 27,611 37,381 37,321 44,180 2.6 2.7 2.4 3.2 3.0 3.5
Dept. of Defense 6,020 5,771 7,009 6,877 8,487 6,685 0.6 0.5 0.6 0.6 0.7 0.5
Indian Health Service 2,331 1,458 3,098 1,982 1,838 1,368 0.2 0.1 0.3 0.2 0.2 0.1
Other 418 123 370 42 96 1,462 * * * * * 0.1
Tribal government 10,345 8,529 11,586 12,073 20,263 17,953 0.9 0.8 1.0 1.0 1.7 1.4
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2003-2013.
Facility operation
Table 3.1. Clients in treatment, by facility operation: 2003-2013
1Number and percent distribution
1 Survey reference dates were March 31, 2003-2005, March 30, 2007, March 31, 2009-2011, and March 29, 2013. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
Percent distribution Number of clients
* Less than 0.05 percent.
NOTE: Percentages may not sum to 100 percent because of rounding.
39
2003 2005 2007 2009 2011 2013 2003 2005 2007 2009 2011 2013 Total 1,092,546 1,081,049 1,135,425 1,182,077 1,224,127 1,249,629 100.0 100.0 100.0 100.0 100.0 100.0 Type of care received
Outpatient 968,719 961,805 1,016,913 1,064,562 1,095,897 1,127,235 88.7 89.0 89.6 90.1 89.5 90.2
Regular 587,975 569,272 595,459 598,282 617,715 603,315 53.8 52.7 52.4 50.6 50.5 48.3
Intensive 128,127 125,573 132,977 147,132 141,964 147,162 11.7 11.6 11.7 12.4 11.6 11.8
Detoxification 11,770 13,474 12,705 10,786 13,450 13,839 1.1 1.2 1.1 0.9 1.1 1.1
Day treatment/partial hospitalization 27,728 24,928 22,297 23,822 23,338 22,828 2.5 2.3 2.0 2.0 1.9 1.8 Methadone/buprenorphine maintenance or
Vivitrol® 213,119 228,558 253,475 284,540 299,430 340,091 19.5 21.1 22.3 24.1 24.5 27.2
Residential (non-hospital) 108,592 104,015 103,709 103,174 112,827 107,727 9.9 9.6 9.1 8.7 9.2 8.6
Detoxification 9,061 7,306 7,536 6,067 9,326 10,244 0.8 0.7 0.7 0.5 0.8 0.8
Short-term treatment (30 days or fewer) 22,926 23,360 24,171 25,807 29,164 27,184 2.1 2.2 2.1 2.2 2.4 2.2 Long-term treatment (more than 30 days) 76,605 73,349 72,002 71,300 74,337 70,299 7.0 6.8 6.3 6.0 6.1 5.6 Hospital inpatient 15,235 15,229 14,803 14,341 15,403 14,667 1.4 1.4 1.3 1.2 1.3 1.2
Detoxification 7,067 6,381 6,319 6,427 6,179 5,768 0.6 0.6 0.6 0.5 0.5 0.5
Treatment 8,168 8,848 8,484 7,914 9,224 8,899 0.7 0.8 0.7 0.7 0.8 0.7
Clients receiving methadone, buprenorphine, or Vivitrol® treatment
Total 227,003 240,935 266,031 308,781 340,456 382,237 20.8 22.3 23.4 26.1 27.8 30.6 Clients receiving methadone in OTP facilities 227,003 235,836 262,684 284,608 306,440 330,308 20.8 21.8 23.1 24.1 25.0 26.4 Clients receiving buprenorphine2,3 N/A 5,099 3,347 24,173 32,676 48,148 N/A 0.5 0.3 2.0 2.7 3.9
Clients receiving Vivitrol® 2 N/A N/A N/A N/A N/A 3,781 N/A N/A N/A N/A N/A 0.3
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2003-2013.
Type of care received and clients receiving methadone, buprenorphine, or Vivitrol®
Number of clients
Table 3.2. Clients in treatment, by type of care received, and clients receiving methadone, buprenorphine, or Vivitrol
®: 2003-2013
1Number and percent distribution
Percent distribution
1 Survey reference dates were March 31, 2003-2005, March 30, 2007, March 31, 2009-2011, and March 29, 2013. 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.
N/A - Not applicable.
2 Clients receiving buprenorphine or Vivitrol® only includes those clients who were in substance abuse treatment facilities and does not include those receiving the medications from private physicians not affiliated with a substance abuse treatment facility.
3 For 2007, only buprenorphine clients reported by OTP facilities are included.
40
2003 2005 2007 2009 2011 2013 2003 2005 2007 2009 2011 2013 Total2 1,092,546 1,081,049 1,135,425 1,182,077 1,224,127 1,249,629
Substance abuse problem
Clients with both alcohol and drug abuse 508,300 500,234 509,919 517,887 535,258 534,078 46.5 46.3 44.9 43.8 43.7 42.7 Clients with drug abuse only 356,363 366,640 412,400 441,128 464,406 491,903 32.6 33.9 36.3 37.3 37.9 39.4 Clients with alcohol abuse only 219,453 199,986 211,094 220,373 221,632 216,856 20.1 18.5 18.6 18.6 18.1 17.4
Not reported 8,430 14,189 2,011 2,690 2,832 6,792 0.8 1.3 0.2 0.2 0.2 0.5
Diagnosed co-occurring mental and substance
abuse disorders N/A N/A 416,260 456,567 506,162 563,071 N/A N/A 36.7 38.6 41.3 45.1
1 Survey reference dates were March 31, 2003-2005, March 30, 2007, March 31, 2009-2011, and March 29, 2013. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2003-2013.
Table 3.3. Clients in treatment, by substance abuse problem and diagnosed co-occurring mental and substance abuse disorders: 2003-2013
1Number and percent distribution
Number of clients Percent distribution
Substance abuse problem and diagnosed co-occurring mental and substance abuse disorders
NOTE: Numbers may not sum to totals and percentages may not sum to 100 percent because of rounding.
2 Totals include clients in facilities that did not respond to the substance abuse problem question (in 2003, 8,430 clients reported by 217 facilities; in 2005, 14,189 clients reported by 306 facilities; in 2007, 2,011 clients reported by 223 facilities; in 2009, 2,690 clients reported by 152 facilities; in 2011, 2,832 clients reported by 188 facilities; and in 2013, 6,792 clients reported by 257 facilities).
N/A - Not applicable
41
2003 2005 2007 2009 2011 2013 2003 2005 2007 2009 2011 2013 Total 92,251 87,611 85,518 84,326 82,532 78,156 100.0 100.0 100.0 100.0 100.0 100.0 Type of care received
Outpatient 80,945 76,240 74,500 74,623 71,687 69,184 87.7 87.0 87.1 88.5 86.9 88.5
Residential (non-hospital) 10,357 10,313 10,134 8,947 9,738 8,071 11.2 11.8 11.9 10.6 11.8 10.3
Hospital inpatient 949 1,058 884 756 1,107 901 1.0 1.2 1.0 0.9 1.3 1.2
Clients under age 18 in facilities offering specifically tailored programs or groups for
adolescents 78,330 73,731 70,275 68,448 65,918 65,276 84.9 84.2 82.2 81.2 79.9 83.5
1 Survey reference dates were March 31, 2003-2005, March 30, 2007, March 31, 2009-2011, and March 29, 2013. See Appendix A for changes in the survey base, methods, and instruments that affect analysis of trends over time.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS), 2003-2013.