Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report. APPENDIX B: DETAILED TABLES

12/05/2017

TABLE B.1. Distribution of Specialty Treatment Receipt by Geographic Location and Type of Service, 2013 and 2015
Geographic Area Total Outpatient Residential Inpatient
2013 2015 % Change 2013 2015 % Change 2013 2015 % Change 2013 2015 % Change
Total 1,249,629 1,305,647 4.5 1,127,235 1,161,456 3.0 107,727 119,900 11.3 14,667 24,291 65.6
States in which Medicaid enrollment increased more than 10% between January 2014 and January 2015
   Yes 595,725 632,949 6.2 541,402 570,134 5.3 48,288 51,953 7.6 6,035 10,862 80.0
   No 638,421 661,025 3.5 573,454 583,257 1.7 56,877 64,933 14.2 8,090 12,835 58.7
Region
   Northeast 320,089 333,922 4.3 290,975 298,862 2.7 24,956 26,535 6.3 4,158 8,525 105.0
   Midwest 257,983 262,161 1.6 234,244 240,128 2.5 21,603 19,539 -9.6 2,136 2,494 16.8
   South 345,446 377,894 9.4 308,139 328,054 6.5 31,593 40,582 28.5 5,714 9,258 62.0
   West 310,628 319,997 3.0 281,498 286,347 1.7 27,013 30,230 11.9 2,117 3,420 61.5
Urbanicity
   Urban 954,890 1,103,406 15.6 860,436 979,226 13.8 83,150 102,633 23.4 11,304 21,547 90.6
   Rural 279,167 190,478 -31.8 254,331 174,075 -31.6 22,015 14,253 -35.3 2,821 2,150 -23.8
Operation
   Private, NP 638,858 670,593 5.0 553,157 570,450 3.1 79,714 88,260 10.7 5,987 11,883 98.5
   Private, FP 430,362 475,531 10.5 407,562 447,302 9.8 17,292 21,375 23.6 5,508 6,854 24.4
   Public 180,409 159,523 -11.6 166,516 143,704 -13.7 10,721 10,265 -4.3 3,172 5,554 75.1
SOURCE: N-SSATS 2013 and 2015.
NOTE: Inpatient and residential client counts represent the number of clients receiving services on March 31 of the indicated year (see Questions 28a and 29a in N-SSATS 2013 and Questions 29a and 30a in N-SSATS 2015). Outpatient client counts represent the number of clients who received outpatient services in March of the indicated year and who were still enrolled in care at the facility where they received those services on March 31 (see Question 30a in N-SSATS 2013 and Question 31a in N-SSATS 2015). Total clients is the sum of inpatient, residential, and outpatient clients. United States territories are excluded from the categories for: (1) region; and (2) states in which Medicaid enrollment increased more than 10% between January 2014 and January 2015. The percent increase in Medicaid enrollment for each state was determined based on Medicaid enrollment reports. Therefore, the totals for these categories are lower than the reported total in the first line of the table. Urbanicity is assigned based on the National Center for Health Statistics urbanicity classification scheme. Facilities in rural areas include those in micropolitan areas with an urban core population of at least 10,000 but less than 50,000, as well as those in non-core areas. Facilities in a central or fringe urban core with a population of 50,000 or more are considered urban. Information on urbanicity was not available for all facilities; urban and rural client counts are only reported for facilities with known urbanicity. Facility operation was self-designated in N-SSATS Question 4 in 2013 and Question 7 in 2015.

 

TABLE B.2. Distribution of Specialty Treatment Receipt by State and Type of Service, 2013 and 2015
State % Change in Medicaid Enrollment
(Jan 2014 to Jan 2015)a
Total Outpatient Residential Inpatient
2013 2015 % Change 2013 2015 % Change 2013 2015 % Change 2013 2015 % Change
Total 14.1 1,249,629 1,305,647 4.5 1,127,235 1,161,456 3.0 107,727 119,900 11.3 14,667 24,291 65.6
Alabama 8.9 15,089 14,548 -3.6 13,632 13,125 -3.7 1,205 1,391 15.4 252 32 -87.3
Alaska 7.0 3,900 3,363 -13.8 3,531 2,932 -17.0 359 431 20.1 10 NA NA
Arizona 22.8 31,832 33,978 6.7 29,449 30,671 4.1 2,016 2,845 41.1 367 462 25.9
Arkansas 9.7 5,927 7,154 20.7 5,124 4,704 -8.2 715 2,415 237.8 88 35 -60.2
California 24.0 117,159 111,961 -4.4 101,899 95,834 -6.0 14,300 14,156 -1.0 960 1,971 105.3
Colorado 26.5 42,256 34,793 -17.7 40,306 33,452 -17.0 1,804 1,186 -34.3 146 155 6.2
Connecticut 4.1 33,267 37,817 13.7 31,148 35,970 15.5 1,823 1,540 -15.5 296 307 3.7
Delaware 3.4 5,278 10,327 95.7 4,969 6,495 30.7 170 3,800 2135.3 139 32 -77.0
District of Columbia 9.1 3,833 2,824 -26.3 3,324 2,392 -28.0 468 431 -7.9 41 1 -97.6
Florida 9.1 53,641 63,287 18.0 45,069 51,823 15.0 7,786 8,531 9.6 786 2,933 273.2
Georgia 1.3 24,003 25,379 5.7 21,630 22,845 5.6 2,062 1,987 -3.6 311 547 75.9
Hawaii 2.5 5,205 5,768 10.8 4,820 5,113 6.1 385 611 58.7 NA 44 NA
Idaho 2.3 6,619 6,287 -5.0 6,467 6,125 -5.3 137 148 8.0 15 14 -6.7
Illinois 14.5 42,945 44,616 3.9 39,856 41,234 3.5 2,876 3,176 10.4 213 206 -3.3
Indiana 7.0 28,288 25,465 -10.0 27,466 23,861 -13.1 531 930 75.1 291 674 131.6
Iowa 4.0 9,731 8,975 -7.8 8,946 8,180 -8.6 738 747 1.2 47 48 2.1
Kansas -1.5 10,863 11,471 5.6 9,916 10,603 6.9 935 834 -10.8 12 34 183.3
Kentucky 16.5 24,071 23,565 -2.1 21,175 20,697 -2.3 2,509 2,347 -6.5 387 521 34.6
Louisiana 4.8 9,903 12,011 21.3 8,241 9,930 20.5 1,464 1,765 20.6 198 316 59.6
Maine -5.4 11,373 10,849 -4.6 10,865 10,483 -3.5 362 289 -20.2 146 77 -47.3
Maryland 14.0 42,128 46,913 11.4 39,992 44,659 11.7 1,704 1,989 16.7 432 265 -38.7
Massachusetts 12.8 44,133 45,438 3.0 40,227 40,734 1.3 3,171 3,602 13.6 735 1,102 49.9
Michigan 23.0 47,749 46,781 -2.0 42,045 43,577 3.6 5,241 3,043 -41.9 463 161 -65.2
Minnesota 7.0 18,034 19,235 6.7 14,223 15,676 10.2 3,753 3,487 -7.1 58 72 24.1
Mississippi 0.6 6,726 4,699 -30.1 5,360 3,547 -33.8 994 841 -15.4 372 311 -16.4
Missouri -17.1 23,028 25,015 8.6 21,600 22,590 4.6 1,279 2,223 73.8 149 202 35.6
Montana 17.9 4,429 5,064 14.3 3,809 4,785 25.6 488 187 -61.7 132 92 -30.3
Nebraska 1.6 6,374 5,735 -10.0 5,690 4,909 -13.7 684 824 20.5 NA 2 NA
Nevada 42.0 7,048 6,930 -1.7 6,403 6,179 -3.5 492 487 -1.0 153 264 72.5
New Hampshire 30.1 6,702 8,164 21.8 6,326 7,766 22.8 367 394 7.4 9 4 -55.6
New Jersey 26.1 36,605 36,708 0.3 33,068 32,578 -1.5 2,813 3,404 21.0 724 726 0.3
New Mexico 15.7 12,868 15,062 17.1 10,949 14,499 32.4 1,808 449 -75.2 111 114 2.7
New York 9.7 114,660 113,713 -0.8 103,167 101,982 -1.1 9,839 9,986 1.5 1,654 1,745 5.5
North Carolina 3.2 40,575 42,026 3.6 37,394 38,374 2.6 2,481 3,196 28.8 700 456 -34.9
North Dakota 9.0 1,785 2,404 34.7 1,222 1,949 59.5 510 396 -22.4 53 59 11.3
Ohio 25.2 37,262 45,129 21.1 34,397 42,006 22.1 2,365 2,406 1.7 500 717 43.4
Oklahoma 0.6 16,700 16,783 0.5 15,356 15,512 1.0 1,204 1,171 -2.7 140 100 -28.6
Oregon 25.0 21,898 30,401 38.8 20,537 29,047 41.4 1,299 1,258 -3.2 62 96 54.8
Pennsylvania 4.1 57,715 59,584 3.2 52,011 53,822 3.5 5,245 5,433 3.6 459 329 -28.3
Puerto Rico NA 15,169 11,358 -25.1 12,119 7,817 -35.5 2,511 2,971 18.3 539 570 5.8
Rhode Island 23.2 10,404 14,269 37.1 10,039 9,005 -10.3 323 1,723 433.4 42 3,541 8,331.0
South Carolina -2.8 15,824 18,236 15.2 14,906 16,473 10.5 552 614 11.2 366 1,149 213.9
South Dakota 2.5 3,267 2,964 -9.3 2,569 2,308 -10.2 623 585 -6.1 75 71 -5.3
Tennessee 13.4 14,149 22,445 58.6 11,698 20,187 72.6 2,010 1,994 -0.8 441 264 -40.1
Texas 6.3 34,704 35,293 1.7 28,843 26,984 -6.4 5,065 6,391 26.2 796 1,918 141.0
Utah 0.5 12,586 12,496 -0.7 11,183 11,070 -1.0 1,389 1,379 -0.7 14 47 235.7
Vermont 8.2 5,230 7,380 41.1 4,124 6,522 58.1 1,013 164 -83.8 93 694 646.2
Virginia -6.8 22,838 22,305 -2.3 21,879 20,807 -4.9 712 1,174 64.9 247 324 31.2
Washington 24.2 42,030 50,633 20.5 39,680 43,724 10.2 2,210 6,762 206.0 140 147 5.0
West Virginia 14.8 10,057 10,099 0.4 9,547 9,500 -0.5 492 545 10.8 18 54 200.0
Wisconsin -10.4 28,657 24,371 -15.0 26,314 23,235 -11.7 2,068 888 -57.1 275 248 -9.8
Wyoming -2.6 2,798 3,261 16.5 2,465 2,916 18.3 326 331 1.5 7 14 100.0
U.S. territories NA 314 315 0.3 260 248 -4.6 51 43 -15.7 3 24 700.0
SOURCE: N-SSATS 2013 and 2015.
NOTE: Inpatient and residential client counts represent the number of clients receiving services on March 31 of the indicated year (see Questions 28a and 29a in N-SSATS 2013 and Questions 29a and 30a in N-SSATS 2015). Outpatient client counts represent the number of clients who received outpatient services in March of the indicated year and who were still enrolled in care at the facility where they received those services on March 31 (see Question 30a in N-SSATS 2013 and Question 31a in N-SSATS 2015). Total clients is the sum of inpatient, residential, and outpatient clients.
  1. The percent increase in Medicaid enrollment for each state was determined based on Medicaid enrollment reports.

 

TABLE B.3.a. Number of Clients Receiving Medications by Geographic Location and Facility Characteristics, 2013 and 2015
  Total Receiving Methadone Receiving Buprenorphine Receiving Injectable Naltrexone
2013 2015 % Change 2013 2015 % Change 2013 2015 % Change 2013 2015 % Change
Total 382,237 439,602 15 330,308 356,843 8 48,148 75,724 57 3,781 7,035 86
States in which Medicaid enrollment increased more than 10% between January 2014 and January 2015
   Yes 166,201 206,158 24 140,659 166,890 19 24,043 35,575 48 1,499 3,693 146
   No 208,168 228,187 10 182,208 185,422 2 23,711 39,436 66 2,249 3,329 48
Region
   Northeast 128,212 138,585 8 112,198 114,087 1 15,093 22,620 50 921 1,878 104
   Midwest 57,894 71,447 23 48,286 53,687 11 8,539 15,579 82 1,069 2,181 104
   South 121,655 145,753 20 103,161 116,555 13 17,441 27,649 59 1,053 1,549 47
   West 65,682 78,560 19 58,296 67,983 16 6,681 9,163 37 705 1,414 101
Urbanicity
   Urban 304,932 403,601 32 265,239 332,937 26 36,896 64,372 74 2,797 6,292 125
   Rural 68,511 30,744 -55 56,702 19,375 -66 10,858 10,639 -2 951 730 -23
Facility focus
   SUD treatment NA 376,265 NA NA 327,936 NA NA 44,616 NA NA 3,713 NA
   MH treatment NA 4,233 NA NA 1,416 NA NA 2,568 NA NA 249 NA
   SUD and MH treatment NA 45,718 NA NA 18,244 NA NA 24,671 NA NA 2,803 NA
   Other NA 13,386 NA NA 9,247 NA NA 3,869 NA NA 270 NA
Operation
   Private, NP 130,181 153,994 18 111,313 121,499 9 17,610 29,149 66 1,258 3,346 166
   Private, FP 214,533 252,423 18 189,264 213,421 13 23,152 36,286 57 2,117 2,716 28
   Public 37,523 33,185 -12 29,731 21,923 -26 7,386 10,289 39 406 973 140
SOURCE: N-SSATS 2013 and 2015.
NOTE: The number of clients receiving methadone, buprenorphine, or injectable naltrexone is based on counts of clients receiving these services as reported in Questions 28c, 29c, and 30c in N-SSATS 2013 and Questions 29c, 30c, and 31c in N-SSATS 2015. Total clients is the sum of methadone, buprenorphine, or injectable naltrexone clients. United States territories are excluded from the categories for: (1) region; and (2) states in which Medicaid enrollment increased more than 10% between January 2014 and January 2015. The percent increase in Medicaid enrollment for each state was determined based on Medicaid enrollment reports. Therefore, the totals for these categories are lower than the reported total in the first line of the table. Urbanicity is assigned based on the National Center for Health Statistics urbanicity classification scheme. Facilities in rural areas include those in micropolitan areas with an urban core population of at least 10,000 but less than 50,000, as well as those in non-core areas. Facilities in a central or fringe urban core with a population of 50,000 or more are considered urban. Information on urbanicity was not available for all facilities; urban and rural client counts are only reported for facilities with known urbanicity. Facility operation was self-designated in N-SSATS Question 4 in 2013 and Question 7 in 2015. Facility focus was not asked on the N-SSATS 2013 survey.

 

TABLE B.3.b. Proportion of Clients Receiving Medications by Geographic Location, 2013 and 2015
  Total Receiving Methadone Receiving Buprenorphine Receiving Injectable Naltrexone
2013 2015 % Change 2013 2015 % Change 2013 2015 % Change 2013 2015 % Change
Total 31 34 10 26 27 3 4 6 51 0 1 78
States in which Medicaid enrollment increased more than 10% between January 2014 and January 2015
   Yes 28 33 17 24 26 12 4 6 39 0 1 132
   No 33 35 6 29 28 -2 4 6 61 0 1 43
Region
   Northeast 40 42 4 35 34 -3 5 7 44 0 1 95
   Midwest 22 27 21 19 20 9 3 6 80 0 1 101
   South 35 39 10 30 31 3 5 7 45 0 0 34
   West 21 25 16 19 21 13 2 3 33 0 0 95
Urbanicity
   Urban 32 37 15 28 30 9 4 6 51 0 1 95
   Rural 25 16 -34 20 10 -50 4 6 44 0 0 13
Operation
   Private, NP 20 23 13 17 18 4 3 4 58 0 0 153
   Private, FP 50 53 6 44 45 2 5 8 42 0 1 16
   Public 21 21 0 16 14 -17 4 6 58 0 1 171
SOURCE: N-SSATS 2013 and 2015.
NOTE: The percentage of clients receiving methadone, buprenorphine, or injectable naltrexone is based on counts of clients receiving these services (as reported in Table B.3.a) divided by the total number of clients (indicated in Table B.1). United States territories are excluded from the categories for: (1) region; and (2) states in which Medicaid enrollment increased more than 10% between January 2014 and January 2015. The percent increase in Medicaid enrollment for each state was determined based on Medicaid enrollment reports. Urbanicity is assigned based on the National Center for Health Statistics urbanicity classification scheme. Facilities in rural areas include those in micropolitan areas with an urban core population of at least 10,000 but less than 50,000, as well as those in non-core areas. Facilities in a central or fringe urban core with a population of 50,000 or more are considered urban. Information on urbanicity was not available for all facilities; urban and rural estimates are only reported for facilities with known urbanicity. Facility operation was self-designated in N-SSATS Question 4 in 2013 and Question 7 in 2015.

 

TABLE B.4.a. Number of Clients Receiving Medications by State, 2013 and 2015
  Total Receiving Methadone Receiving Buprenorphine Receiving Injectable Naltrexone
2013 2015 % Change 2013 2015 % Change 2013 2015 % Change 2013 2015 % Change
Total 383,130 439,602 15 331,215 356,843 8 48,134 75,724 57 3,781 7,035 86
Alabama 8,785 8,457 -4 7,738 7,639 -1 967 787 -19 80 31 -61
Alaska 285 444 56 144 331 130 137 91 -34 4 22 450
Arizona 7,585 8,291 9 6,425 7,107 11 1,040 987 -5 120 197 64
Arkansas 992 1,484 50 831 1,095 32 161 389 142 NA NA NA
California 33,301 38,607 16 30,899 35,231 14 2,154 2,922 36 248 454 83
Colorado 2,561 2,290 -11 2,084 1,934 -7 379 256 -32 98 100 2
Connecticut 16,540 14,658 -11 15,531 14,072 -9 980 544 -44 29 42 45
Delaware 2,826 5,834 106 2,422 3,266 35 380 2,425 538 24 143 496
District of Columbia 1,856 1,428 -23 1,760 1,315 -25 93 104 12 3 9 200
Florida 16,471 20,978 27 14,441 17,670 22 1,700 2,922 72 330 386 17
Georgia 10,542 11,990 14 10,194 11,212 10 297 659 122 51 119 133
Hawaii 700 745 6 612 623 2 87 121 39 1 1 0
Idaho 147 678 361 NA 312 NA 137 353 158 10 13 30
Illinois 13,230 15,053 14 11,922 13,559 14 1,199 1,303 9 109 191 75
Indiana 10,037 8,393 -16 9,265 7,073 -24 744 1,178 58 28 142 407
Iowa 692 889 28 623 783 26 69 106 54 NA NA NA
Kansas 2,284 2,585 13 2,077 2,313 11 207 261 26 NA 11 NA
Kentucky 4,719 5,136 9 1,626 2,955 82 3,079 2,158 -30 14 23 64
Louisiana 2,193 4,731 116 1,907 3,502 84 271 1,153 325 15 76 407
Maine 4,503 5,304 18 3,658 3,751 3 838 1,529 82 7 24 243
Maryland 22,278 26,692 20 19,564 22,927 17 2,622 3,533 35 92 232 152
Massachusetts 19,626 22,146 13 15,479 17,633 14 3,861 4,113 7 286 400 40
Michigan 9,116 12,064 32 7,851 9,806 25 1,187 1,900 60 78 358 359
Minnesota 5,048 6,258 24 4,533 5,530 22 483 667 38 32 61 91
Mississippi 257 274 7 183 176 -4 70 97 39 4 1 -75
Missouri 3,817 4,764 25 2,704 3,083 14 738 1,155 57 375 526 40
Montana 382 773 102 174 489 181 190 284 49 18 NA NA
Nebraska 954 688 -28 553 619 12 78 52 -33 323 17 -95
Nevada 1,572 1,847 17 1,493 1,555 4 75 261 248 4 31 675
New Hampshire 2,656 4,754 79 2,340 2,748 17 311 1,991 540 5 15 200
New Jersey 12,818 14,506 13 11,704 13,103 12 1,036 1,166 13 78 237 204
New Mexico 2,752 5,029 83 2,407 4,088 70 332 890 168 13 51 292
New York 43,740 41,502 -5 38,873 34,535 -11 4,540 6,394 41 327 573 75
North Carolina 14,930 19,382 30 11,499 13,665 19 3,369 5,637 67 62 80 29
North Dakota 9 109 1,111 NA NA NA 9 84 833 NA 25 NA
Ohio 7,580 14,092 86 4,908 6,147 25 2,618 7,347 181 54 598 1,007
Oklahoma 3,279 3,760 15 3,091 3,500 13 188 227 21 NA 33 NA
Oregon 4,348 5,322 22 4,045 4,663 15 288 601 109 15 58 287
Pennsylvania 23,096 24,262 5 20,623 20,408 -1 2,308 3,530 53 165 324 96
Puerto Rico 8,761 5,230 -40 8,348 4,515 -46 380 702 85 33 13 -61
Rhode Island 4,243 7,552 78 3,517 6,213 77 715 1,078 51 11 261 2,273
South Carolina 5,020 5,334 6 4,323 4,524 5 671 799 19 26 11 -58
South Dakota 83 10 -88 82 5 -94 1 5 400 NA NA NA
Tennessee 2,974 5,721 92 2,427 4,421 82 488 1,179 142 59 121 105
Texas 12,497 12,126 -3 11,662 9,833 -16 673 2,189 225 162 104 -36
Utah 3,028 3,489 15 2,635 2,459 -7 345 790 129 48 240 400
Vermont 1,435 3,901 172 918 1,624 77 504 2,275 351 13 2 -85
Virginia 6,655 7,096 7 5,323 5,735 8 1,278 1,319 3 54 42 -22
Washington 8,950 10,953 22 7,495 9,191 23 1,335 1,534 15 120 228 90
West Virginia 5,510 5,330 -3 4,299 3,120 -27 1,134 2,072 83 77 138 79
Wisconsin 5,279 6,542 24 4,003 4,769 19 1,206 1,521 26 70 252 260
Wyoming 188 92 -51 NA NA NA 182 73 -60 6 19 217
SOURCE: N-SSATS 2013 and 2015.
NOTE: The number of clients receiving methadone, buprenorphine, or injectable naltrexone is based on counts of clients receiving these services, as reported in Questions 28c, 29c, and 30c in N-SSATS 2013 and Questions 29c, 30c, and 31c in N-SSATS 2015. Total clients is the sum of methadone, buprenorphine, or injectable naltrexone clients.

 

TABLE B.4.b. Proportion of Clients Receiving Medications by State, 2013 and 2015
  Total Receiving Methadone Receiving Buprenorphine Receiving Injectable Naltrexone
2013 2015 % Change 2013 2015 % Change 2013 2015 % Change 2013 2015 % Change
Total 31 34 10 27 27 3 4 6 51 0 1 78
Alabama 58 58 0 51 53 2 6 5 -16 1 0 -60
Alaska 7 13 81 4 10 167 4 3 -23 0 1 538
Arizona 24 24 2 20 21 4 3 3 -11 0 1 54
Arkansas 17 21 24 14 15 9 3 5 100 0 0 NA
California 28 34 21 26 31 19 2 3 42 0 0 92
Colorado 6 7 9 5 6 13 1 1 -18 0 0 24
Connecticut 50 39 -22 47 37 -20 3 1 -51 0 0 27
Delaware 54 56 6 46 32 -31 7 23 226 0 1 205
District of Columbia 48 51 4 46 47 1 2 4 52 0 0 307
Florida 31 33 8 27 28 4 3 5 46 1 1 -1
Georgia 44 47 8 42 44 4 1 3 110 0 0 121
Hawaii 13 13 -4 12 11 -8 2 2 26 0 0 -10
Idaho 2 11 386 NA 5 NA 2 6 171 0 0 37
Illinois 31 34 10 28 30 9 3 3 5 0 0 69
Indiana 35 33 -7 33 28 -15 3 5 76 0 1 463
Iowa 7 10 39 6 9 36 1 1 67 NA NA NA
Kansas 21 23 7 19 20 5 2 2 19 NA 0 NA
Kentucky 20 22 11 7 13 86 13 9 -28 0 0 68
Louisiana 22 39 78 19 29 51 3 10 251 0 1 318
Maine 40 49 23 32 35 7 7 14 91 0 0 259
Maryland 53 57 8 46 49 5 6 8 21 0 0 126
Massachusetts 44 49 10 35 39 11 9 9 3 1 1 36
Michigan 19 26 35 16 21 27 2 4 63 0 1 368
Minnesota 28 33 16 25 29 14 3 3 29 0 0 79
Mississippi 4 6 53 3 4 38 1 2 98 0 0 -64
Missouri 17 19 15 12 12 5 3 5 44 2 2 29
Montana 9 15 77 4 10 146 4 6 31 0 NA NA
Nebraska 15 12 -20 9 11 24 1 1 -26 5 0 -94
Nevada 22 27 19 21 22 6 1 4 254 0 0 688
New Hampshire 40 58 47 35 34 -4 5 24 426 0 0 146
New Jersey 35 40 13 32 36 12 3 3 12 0 1 203
New Mexico 21 33 56 19 27 45 3 6 129 0 0 235
New York 38 36 -4 34 30 -10 4 6 42 0 1 77
North Carolina 37 46 25 28 33 15 8 13 62 0 0 25
North Dakota 1 5 799 NA NA NA 1 3 593 NA 1 NA
Ohio 20 31 54 13 14 3 7 16 132 0 1 814
Oklahoma 20 22 14 19 21 13 1 1 20 NA 0 NA
Oregon 20 18 -12 18 15 -17 1 2 50 0 0 179
Pennsylvania 40 41 2 36 34 -4 4 6 48 0 1 90
Puerto Rico 58 46 -20 55 40 -28 3 6 147 0 0 -47
Rhode Island 41 53 30 34 44 29 7 8 10 0 2 1,630
South Carolina 32 29 -8 27 25 -9 4 4 3 0 0 -63
South Dakota 3 0 -87 3 0 -93 0 0 451 NA NA NA
Tennessee 21 25 21 17 20 15 3 5 52 0 1 29
Texas 36 34 -5 34 28 -17 2 6 220 0 0 -37
Utah 24 28 16 21 20 -6 3 6 131 0 2 404
Vermont 27 53 93 18 22 25 10 31 220 0 0 -89
Virginia 29 32 9 23 26 10 6 6 6 0 0 -20
Washington 21 22 2 18 18 2 3 3 -5 0 0 58
West Virginia 55 53 -4 43 31 -28 11 21 82 1 1 78
Wisconsin 18 27 46 14 20 40 4 6 48 0 1 323
Wyoming 7 3 -58 NA NA NA 7 2 -66 0 1 172
SOURCE: N-SSATS 2013 and 2015.
NOTE: The percentage of clients receiving methadone, buprenorphine, or injectable naltrexone is based on counts of clients receiving these services (as reported in Table B.2) relative to the total number of clients (indicated in Table B.4.a).

 

TABLE B.5. Substance Dependence or Abuse for Specific Substances in the Past Year Among Persons Age 12 or Older, 2002-2015
Past Year Dependence or Abuse 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Illicit drugsa 7,116 6,835 7,298 6,833 7,024 6,866 7,012 7,114 7,144 6,531 7,312 6,852 7,077 7,737n
   Marijuana and hashish 4,294 4,198 4,469 4,090 4,184 3,941 4,228 4,322 4,505 4,165 4,304 4,206 4,176 4,007
   Cocaine 1,488** 1,515** 1,571** 1,549** 1,665** 1,604** 1,412** 1,108 1,012 821 1,119 855 913 896
   Heroin 214** 189** 270** 227** 324** 214** 283** 369* 361** 426 467 517 586 591
   Hallucinogens 426** 321 449** 371* 380* 369* 362* 373* 402** 342 331 277 246 267n
   Inhalants 180* 169* 233** 221** 176* 164* 175* 164* 169* 141 164 132 96 121n
   Non-medical use of psychotherapeuticsb,c 2,018* 1,923** 2,048* 1,959** 2,036* 2,167 2,177 2,297 2,378 2,139 2,597 2,281 2,417 2,742n
   Pain relievers 1,509* 1,424** 1,388** 1,546* 1,636 1,715 1,715 1,878 1,923 1,768 2,056 1,879 1,918 2,038n
   Tranquilizers 509 435 573 419 403 443 453 476 522 400 629 423 472 688n
   Stimulantsb 436 378 470 409 388 405 351 380 358 329* 535 469 476 426n
   Sedatives 154 158 128 97 121 154 127 147 162 78 135 99 143 154n
Alcohol 18,100* 17,805 18,654** 18,658** 18,852** 18,687** 18,478** 18,763** 17,967 16,672 17,714 17,298 16,994 15,736
   Both illicit drugs and alcohola 3,210** 3,054* 3,445** 3,273** 3,215** 3,184** 3,102** 3,243** 2,889 2,598 2,840 2,589 2,592 2,663n
   Illicit drugs or alcohola 22,006 21,586 22,506 22,218 22,661* 22,369 22,388 22,634 22,221 20,605 22,187 21,561 21,480 20,810n
SOURCE: Results for 2002 to 2014 are extracted from Table 7.50A in Center for Behavioral Health Statistics and Quality 2015. Results for 2015 are extracted from Table 7.40A in the Center for Behavioral Health Statistics and Quality 2016.
NOTE: Dependence or abuse is based on definitions found in the fourth edition of the DSM.

a. Illicit drugs include marijuana and hashish, cocaine (including crack), heroin, hallucinogens, inhalants, and prescription psychotherapeutics used non-medically including data from original NSDUH questions regarding methamphetamines but not new items added in 2005 and 2006 NSDUH.
b. Estimates in these designated rows do not include data from new methamphetamine items added in 2005 and 2006.
c. Non-medical use of prescription psychotherapeutics includes the non-medical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs.
n. Estimates are not comparable to prior years due to changes in the survey methodology.
*The difference between this estimate and the 2014 estimate is statistically significant at the 0.05 level.
**The difference between this estimate and the 2014 estimate is statistically significant at the 0.01 level.

 

TABLE B.6. Proportion of Individuals 12 or Older Reporting Symptoms of SUD but Not Receiving Any Treatment, by State, 2013-2014
  Drug Use Disorders Alcohol Use Disorders
With a Disorder
(thousands)
With a Disorder but
Not Receiving Treatment
With a Disorder
(thousands)
With a Disorder but
Not Receiving Treatment
Number
(thousands)
Percentage Number
(thousands)
Percentage
Total 6,964 6,202 89 17,147 16,351 95
Alabama 107 98 92 233 225 97
Alaska 19 16 84 39 37 95
Arizona 177 157 89 418 383 92
Arkansas 58 53 91 128 126 98
California 876 791 90 2,127 2,030 95
Colorado 128 113 88 329 304 92
Connecticut 88 75 85 206 199 97
Delaware 27 20 74 48 46 96
District of Columbia 20 18 90 55 52 95
Florida 410 369 90 1,008 976 97
Georgia 238 208 87 506 482 95
Hawaii 26 25 96 78 73 94
Idaho 31 28 90 88 83 94
Illinois 267 246 92 661 636 96
Indiana 155 132 85 364 347 95
Iowa 56 52 93 160 154 96
Kansas 55 49 89 174 166 95
Kentucky 96 82 85 202 200 99
Louisiana 112 96 86 228 222 97
Maine 30 26 87 65 64 98
Maryland 140 123 88 331 311 94
Massachusetts 173 156 90 383 361 94
Michigan 205 181 88 510 497 97
Minnesota 107 97 91 286 274 96
Mississippi 65 59 91 141 138 98
Missouri 129 112 87 320 310 97
Montana 18 17 94 65 59 91
Nebraska 37 33 89 115 110 96
Nevada 62 55 89 158 150 95
New Hampshire 32 27 84 87 83 95
New Jersey 178 160 90 486 459 94
New Mexico 51 44 86 118 113 96
New York 483 420 87 1,101 1,014 92
North Carolina 229 201 88 501 476 95
North Dakota 14 12 86 47 44 94
Ohio 267 229 86 646 619 96
Oklahoma 74 64 86 200 183 92
Oregon 99 89 90 233 217 93
Pennsylvania 297 253 85 717 684 95
Rhode Island 30 26 87 69 64 93
South Carolina 102 89 87 235 229 97
South Dakota 15 13 87 53 47 89
Tennessee 125 116 93 293 290 99
Texas 464 441 95 1,396 1,358 97
Utah 61 55 90 124 118 95
Vermont 17 14 82 39 36 92
Virginia 171 154 90 484 464 96
Washington 159 141 89 383 355 93
West Virginia 46 42 91 100 92 92
Wisconsin 126 112 89 376 356 95
Wyoming 11 9 82 36 35 97
SOURCE: Data were extracted from "2013-2014 National Surveys on Drug Use and Health: Model-Based Estimated Totals" (CBHSQ 2015) as follows: number of individuals with illicit drug disorder in past year from Table 18, number of individuals with alcohol use disorder from Table 16, number with an illicit drug use disorder not receiving treatment from Table 21, and number with an alcohol use disorder not receiving treatment from Table 22. The authors calculated the percentage not receiving treatment by dividing the number of individuals with a disorder not receiving treatment by the total number of individuals with a disorder.

 

TABLE B.7. Total Paid Staff Working in Specialty SUD Treatment Facilities in the United States, by Profession, 2016
Profession Total Staff Members Total FTEsa Percentage Certified in
Addiction Treatment
Number Percentage Number Percentage
Total 256,449 100 197,559 100 27
Medical staff 55,665 22 37,317 19 19
   Physician 14,811 6 7,576 4 42
   Pharmacist 2,016 1 1,110 1 23
   Registered nurse 22,238 9 16,515 8 8
   Licensed practical nurse 10,316 4 8,073 4 10
   Mid-level medical personnel 6,284 2 4,043 2 20
Counseling staff 104,742 41 83,776 42 45
   Doctoral-level counselor 5,534 2 3,944 2 34
   Master's-level counselor 54,629 21 43,267 22 40
   Bachelor's degree counselor 26,447 10 22,038 11 49
   Associate's degree or no-degree counselor 18,132 7 14,527 7 59
Non-administrative support staff 54,988 21 41,009 21 17
   Pharmacy assistant 834 <1 684 <1 6
   Peer support staff 11,523 4 8,877 4 21
   Care manager or patient navigator 10,741 4 9,318 5 18
   Other recovery support worker 18,236 7 14,233 7 12
   Interns, contractors or per diem staff, and intake coordinators 11,504 4 6,402 3 20
   Other clinical staff 2,150 1 1,495 1 32
Administrative support staff 41,054 16 35,457 18 7
SOURCE: N-SSATS 2016, Question 22.
  1. One FTE is 40 working hours per week.

 

TABLE B.8. Total Unpaid Staff Working in Specialty SUD Treatment Facilities in the United States, by Profession, 2016
Profession Total Staff Members Total FTEsa Percentage Certified in
Addiction Treatment
Number Percentage Number Percentage
Total (all types of professions) 14,458 100 6,726 100 21
Doctoral-level medical staff 1,114 8 408 6 35
Nursing staff or mid-level provider 1,316 9 818 12 13
Post-graduate level counselor 2,228 15 1,134 17 25
Bachelor's degree counselor 1,349 9 659 10 33
Associate's degree or no-degree counselor 869 6 442 7 48
Pharmacy assistant 63 <1 32 <1 13
Peer support staff 1,026 7 337 5 18
Care manager or patient navigator 188 1 93 1 29
Other recovery support worker 759 5 238 4 14
Administrative staff 1,032 7 618 9 18
Interns, contractors or per diem staff, and intake coordinators 4,418 31 1,914 28 11
Other clinical staff 97 1 32 <1 31
SOURCE: N-SSATS 2016, Question 23.
  1. One FTE is 40 working hours per week.

 

TABLE B.9.a. Number and FTEs for Paid Medical Staff by Profession and State, 2016
State Number of Staff Number of FTEa
Total Physician Pharmacist Registered Nurse Licensed
Practical Nurse
Mid-Level
Medical Personnel
Total Physician Pharmacist Registered Nurse Licensed
Practical Nurse
Mid-Level
Medical Personnel
Total 55,665 14,811 2,016 22,238 10,316 6,284 37,318 7,576 1,110 16,515 8,073 4,043
Alabama 493 119 48 153 132 41 295 52 19 103 96 26
Alaska 146 61 4 35 21 25 98 32 4 28 16 18
Arizona 1,232 267 21 583 143 218 868 153 14 443 115 143
Arkansas 271 75 18 69 60 49 185 37 10 59 48 30
California 4,120 1,595 362 938 767 458 2,358 705 55 705 605 287
Colorado 655 208 24 211 71 141 398 113 22 140 41 83
Connecticut 1,129 302 39 379 213 196 654 150 13 244 140 108
Delaware 212 49 9 78 45 31 147 23 9 70 29 15
District of Columbia 112 38 5 33 15 21 63 18 3 17 10 15
Florida 3,680 972 135 1,170 965 438 2,797 653 77 961 799 308
Georgia 1,686 323 109 731 382 141 1,165 160 47 598 276 84
Hawaii 121 61 0 44 6 10 51 24 0 19 2 6
Idaho 198 38 11 63 32 54 102 15 3 42 18 24
Illinois 1,898 732 49 710 263 144 1,028 291 38 426 190 82
Indiana 1,224 251 24 622 199 128 889 169 17 472 148 82
Iowa 336 82 5 151 43 55 215 37 5 112 29 32
Kansas 582 130 20 200 133 99 475 87 13 180 120 75
Kentucky 840 195 19 415 109 102 511 92 15 300 54 50
Louisiana 742 213 24 208 255 42 476 100 15 148 192 21
Maine 488 113 21 264 26 64 295 57 8 167 20 44
Maryland 1,211 385 10 302 342 172 796 198 7 215 274 103
Massachusetts 1,953 516 34 818 355 230 1,278 251 20 629 238 140
Michigan 2,504 877 101 985 330 211 1,608 469 83 630 267 159
Minnesota 1,049 142 45 466 301 95 632 56 21 266 227 62
Mississippi 534 91 16 293 83 51 399 60 13 242 49 36
Missouri 933 210 14 443 209 57 752 127 12 406 166 41
Montana 580 113 51 291 76 49 517 106 40 257 72 42
Nebraska 375 108 32 117 41 77 240 71 24 79 34 33
Nevada 522 69 15 340 66 32 410 35 13 289 51 22
New Hampshire 331 144 6 51 40 90 258 104 1 47 34 72
New Jersey 1,360 423 30 586 189 132 772 184 12 400 112 64
New Mexico 492 158 41 162 57 74 309 70 18 124 42 54
New York 3,927 1,094 63 1,679 639 451 2,328 454 42 1,137 458 239
North Carolina 2,350 615 58 1,113 301 263 1,700 400 47 832 251 170
North Dakota 276 38 9 165 33 31 215 30 8 133 25 19
Ohio 2,109 593 57 812 433 214 1,413 284 38 627 333 131
Oklahoma 550 139 49 153 154 55 421 81 47 116 138 39
Oregon 517 140 25 153 114 85 350 65 23 113 101 48
Pennsylvania 2,904 729 79 1,088 804 204 2,039 304 67 824 718 126
Puerto Rico 615 219 13 317 57 9 409 111 12 237 42 8
Rhode Island 283 65 11 130 34 43 200 30 3 115 28 25
South Carolina 695 126 50 396 72 51 494 74 33 289 53 44
South Dakota 190 30 12 78 28 42 99 7 2 42 22 25
Tennessee 1,270 222 26 527 284 211 883 108 17 361 245 152
Texas 2,373 334 43 1,374 508 114 1,950 201 33 1,140 486 90
Utah 722 210 38 235 87 152 381 73 11 168 48 81
Vermont 224 61 10 80 38 35 150 42 3 60 21 25
Virginia 1,344 293 56 610 304 81 897 145 25 438 232 56
Washington 757 227 20 238 118 154 482 114 8 154 95 111
West Virginia 702 144 16 265 197 80 542 79 9 241 153 60
Wisconsin 1,541 438 35 858 110 100 1,072 257 28 641 84 63
Wyoming 101 27 2 48 4 20 52 13 1 28 2 8
Other U.S. Territories 207 7 2 8 28 162 203 5 2 6 28 162
SOURCE: N-SSATS 2016, Question 22.
  1. One FTE is 40 working hours per week.

 

TABLE B.9.b. Percentage of Medical Staff Certified in Addiction Treatment by Profession and State, 2016
  Total Physician Pharmacist Registered Nurse Licensed
Practical Nurse
Mid-Level
Medical Personnel
Total 19 42 23 8 10 20
Alabama 21 39 21 9 17 32
Alaska 17 28 0 9 14 8
Arizona 14 30 14 8 5 17
Arkansas 13 28 6 7 8 6
California 40 59 85 12 18 34
Colorado 19 39 0 9 3 14
Connecticut 24 47 28 8 18 26
Delaware 21 57 0 8 7 23
District of Columbia 39 45 40 36 60 19
Florida 21 36 22 12 16 26
Georgia 14 43 9 4 8 20
Hawaii 30 43 NA 11 0 40
Idaho 14 45 9 5 6 7
Illinois 27 48 8 13 16 14
Indiana 7 21 0 2 4 13
Iowa 7 18 0 1 5 11
Kansas 8 22 5 0 4 13
Kentucky 11 33 0 3 2 16
Louisiana 15 43 0 5 2 12
Maine 16 49 5 5 15 9
Maryland 26 50 10 13 11 27
Massachusetts 20 44 3 8 12 21
Michigan 12 23 1 7 7 9
Minnesota 17 45 16 10 11 25
Mississippi 6 26 0 1 1 12
Missouri 12 35 0 3 5 25
Montana 7 12 6 7 3 6
Nebraska 15 23 3 11 12 17
Nevada 16 42 0 9 9 9
New Hampshire 21 42 17 2 2 6
New Jersey 25 48 13 11 14 33
New Mexico 18 30 15 9 12 16
New York 26 57 10 15 9 20
North Carolina 15 37 5 4 5 21
North Dakota 5 5 0 1 0 39
Ohio 19 38 4 10 13 13
Oklahoma 11 29 2 4 5 7
Oregon 17 40 0 12 1 13
Pennsylvania 12 36 3 2 5 14
Puerto Rico 33 47 23 23 32 33
Rhode Island 27 54 27 15 15 30
South Carolina 9 33 6 1 14 8
South Dakota 5 13 0 3 4 5
Tennessee 13 44 8 2 9 11
Texas 12 48 7 4 9 20
Utah 36 57 8 19 25 45
Vermont 18 38 40 5 11 17
Virginia 11 30 7 6 2 15
Washington 32 55 35 13 13 43
West Virginia 9 35 0 2 1 9
Wisconsin 13 35 9 3 1 18
Wyoming 16 33 0 8 0 15
Other U.S. Territories 7 43 0 25 7 5
SOURCE: N-SSATS 2016, Question 22.
NOTE: The percentages of staff who are certified in addiction treatment are calculated by dividing the number of staff certified in addiction treatment by the total number of staff in facilities that reported information on staff certification. Nearly all (99.8%) of the reported staff worked in facilities that reported counts of certified staff.

 

TABLE B.10.a. Number of FTEs for Paid Counseling and Support Staff by Profession and State, 2016
State Number of Staff Number of FTEa Staff
Total Counselors Support Staff Total Counselors Support Staff
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Non-Administrative Administrative Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Non-Administrative Administrative
Total 200,784 60,163 26,447 18,132 54,988 41,054 160,241 47,210 22,038 14,527 41,008 35,457
Alabama 1,450 637 130 41 320 322 1,112 482 118 26 214 272
Alaska 1,083 284 143 133 299 224 1,035 278 135 121 279 223
Arizona 6,442 1,590 668 368 2,639 1,178 5,320 1,255 533 296 2,199 1,038
Arkansas 1,188 356 177 154 232 269 907 252 149 123 159 223
California 19,155 3,871 1,865 4,331 5,591 3,498 14,907 2,918 1,500 3,348 4,036 3,105
Colorado 3,935 1,435 643 337 754 766 3,042 1,140 508 238 526 629
Connecticut 3,576 1,363 383 221 976 633 2,820 1,093 318 175 676 558
Delaware 520 167 95 46 87 125 427 137 74 41 65 112
District of Columbia 400 128 53 42 99 78 298 91 44 37 67 60
Florida 12,359 3,215 1,238 648 5,096 2,163 9,938 2,560 1,027 524 3,896 1,932
Georgia 5,153 1,702 770 506 1,214 961 3,616 1,085 489 412 784 846
Hawaii 1,953 603 309 218 532 291 1,082 340 233 180 207 123
Idaho 1,438 587 173 84 305 289 976 376 121 61 168 250
Illinois 7,193 2,263 1,345 612 1,378 1,595 5,410 1,702 1,053 476 938 1,241
Indiana 4,853 1,590 1,079 335 893 956 4,157 1,335 972 285 709 855
Iowa 1,662 496 446 119 277 324 1,395 423 360 115 212 285
Kansas 2,366 748 255 129 711 523 2,019 646 218 123 564 468
Kentucky 4,482 1,322 628 389 1,275 868 3,248 1,011 401 73 1,043 720
Louisiana 1,694 466 176 91 573 388 1,386 373 138 74 466 334
Maine 1,608 510 222 109 430 338 1,244 372 182 98 315 278
Maryland 4,338 1,296 644 475 939 984 3,414 999 524 387 650 853
Massachusetts 6,239 2,314 634 459 1,679 1,153 4,807 1,778 535 329 1,197 968
Michigan 7,790 3,167 601 287 1,932 1,803 6,340 2,418 515 235 1,590 1,582
Minnesota 4,460 912 1,057 333 1,286 872 3,639 748 928 284 933 745
Mississippi 1,474 545 172 61 454 242 1,203 455 148 52 325 222
Missouri 4,269 908 366 206 1,966 822 3,421 760 303 163 1,438 758
Montana 979 151 118 59 350 301 870 137 110 46 317 259
Nebraska 1,515 551 124 51 459 330 1,232 420 111 47 355 298
Nevada 1,253 247 173 59 460 314 992 200 127 54 339 273
New Hampshire 1,633 662 156 58 275 482 1,435 558 153 52 205 467
New Jersey 4,383 1,531 580 384 956 932 3,418 1,153 491 350 638 787
New Mexico 1,993 720 135 111 464 563 1,630 555 113 83 372 506
New York 11,661 3,487 1,705 1,737 2,143 2,589 8,820 2,667 1,422 1,376 1,279 2,076
North Carolina 6,723 2,391 964 417 1,465 1,487 5,445 1,913 799 370 1,121 1,242
North Dakota 1,204 269 203 72 436 224 997 225 172 51 354 194
Ohio 8,738 2,601 1,269 807 2,170 1,891 7,276 2,237 1,135 686 1,562 1,656
Oklahoma 3,080 1,174 379 93 764 670 2,520 883 307 87 626 617
Oregon 3,212 932 539 434 615 693 2,730 767 487 396 466 614
Pennsylvania 7,585 2,470 1,286 246 1,950 1,634 6,136 1,973 1,109 199 1,457 1,398
Puerto Rico 1,210 257 124 32 447 350 893 194 96 22 317 263
Rhode Island 982 250 181 69 263 219 815 214 172 64 200 164
South Carolina 1,715 684 167 30 412 422 1,405 554 151 28 316 357
South Dakota 936 180 166 106 306 178 822 165 153 100 240 165
Tennessee 4,314 1,128 603 148 1,503 932 3,577 913 532 132 1,156 845
Texas 6,039 1,344 652 648 2,227 1,168 5,051 1,068 558 539 1,818 1,067
Utah 3,828 1,081 295 241 1,607 604 2,947 793 247 189 1,199 519
Vermont 888 366 117 82 159 164 724 309 101 71 103 141
Virginia 4,514 1,718 704 243 1,060 789 3,918 1,505 620 220 880 694
Washington 5,408 1,195 929 991 1,229 1,063 4,680 1,029 832 863 1,002 953
West Virginia 1,409 430 236 71 354 318 1,195 358 206 63 282 286
Wisconsin 3,683 1,571 324 183 706 899 2,857 1,138 269 142 519 790
Wyoming 683 279 33 16 208 147 571 240 27 13 171 120
Other U.S. Territories 138 21 15 10 64 28 123 15 15 9 57 27
SOURCE: N-SSATS 2016, Question 22.
  1. One FTE is 40 working hours per week.

 

TABLE B.10.b. Percentages of Counseling and Other Support Staff Certified in Addiction Treatment by Profession and State, 2016
State Total Counselors Support Staff
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Non-Administrative Administrative
Total 30 40 49 59 17 7
Alabama 39 53 62 44 29 10
Alaska 26 45 42 38 9 8
Arizona 13 30 15 17 7 2
Arkansas 24 24 40 45 18 5
California 44 39 65 76 34 14
Colorado 37 47 53 68 21 9
Connecticut 23 32 37 39 13 7
Delaware 32 43 68 37 15 2
District of Columbia 40 51 75 90 10 8
Florida 20 36 32 33 11 8
Georgia 20 25 32 24 17 3
Hawaii 33 66 20 34 18 5
Idaho 38 50 61 73 20 7
Illinois 41 49 53 68 36 15
Indiana 17 30 19 12 8 2
Iowa 34 43 59 30 15 2
Kansas 34 55 92 53 10 7
Kentucky 26 32 43 86 9 3
Louisiana 23 33 64 69 8 5
Maine 36 56 67 50 16 7
Maryland 45 56 84 71 25 10
Massachusetts 17 21 31 31 11 4
Michigan 29 45 42 51 19 4
Minnesota 43 53 87 67 16 10
Mississippi 11 17 10 20 8 2
Missouri 26 53 71 71 11 4
Montana 29 71 85 78 6 5
Nebraska 28 55 41 63 6 4
Nevada 32 63 64 80 15 7
New Hampshire 17 17 29 47 22 7
New Jersey 30 51 40 37 12 6
New Mexico 29 38 61 76 22 6
New York 38 42 65 60 29 9
North Carolina 32 51 41 44 19 5
North Dakota 19 32 59 8 3 0
Ohio 33 40 54 64 25 6
Oklahoma 30 50 34 29 19 4
Oregon 36 38 60 71 23 6
Pennsylvania 18 26 29 25 10 3
Puerto Rico 35 49 55 78 34 15
Rhode Island 26 45 39 49 12 5
South Carolina 32 52 60 60 13 4
South Dakota 36 66 66 60 12 6
Tennessee 14 16 11 29 13 12
Texas 33 38 75 79 16 9
Utah 21 41 41 27 9 6
Vermont 31 55 38 13 9 1
Virginia 15 22 18 38 7 2
Washington 45 45 69 74 30 13
West Virginia 10 22 6 13 7 1
Wisconsin 33 45 58 87 19 3
Wyoming 22 33 55 75 13 2
Other U.S. Territories 16 43 60 40 0 0
SOURCE: N-SSATS 2016, Question 22.
NOTE: The percentages of staff who are certified in addiction treatment are calculated by dividing the number of staff certified in addiction treatment by the total number of staff in facilities that reported information on staff certification. Nearly all (99.6%) of the reported staff worked in facilities that reported counts of certified staff.

 

TABLE B.11.a. FTE Medical Staff and Percentage Certified in Addiction Treatment by Profession and Facility Characteristic, 2016
Facility Type FTEa Staff Percentage Certified in Addiction Treatment
Total Physician Pharmacist Registered Nurse Licensed
Practical Nurse
Mid-Level
Medical Personnel
Total Physician Pharmacist Registered Nurse Licensed
Practical Nurse
Mid-Level
Medical Personnel
Total 37,318 7,576 1,110 16,515 8,073 4,043 19 42 23 8 10 20
Facility focus
   SUD treatment 14,184 2,619 264 5,301 4,645 1,355 30 61 40 15 13 31
   MH treatment 5,381 922 157 3,239 636 428 5 15 4 2 1 6
   SUD and MH treatment 13,782 3,110 432 6,448 2,205 1,586 15 34 10 5 7 18
   Other 3,971 926 258 1,527 586 674 4 11 2 1 2 5
Operation
   Private NP 15,569 3,315 361 6,888 2,986 2,019 21 40 42 9 13 19
   Private FP 12,889 2,315 248 5,781 3,498 1,048 22 53 14 7 10 29
   Public 8,860 1,946 501 3,846 1,589 977 10 25 3 5 3 8
Federally certified OTP
   OTP 6,502 1,023 167 2,116 2,625 571 26 61 17 14 14 31
   Not OTP 30,815 6,552 943 14,399 5,448 3,473 18 38 24 6 8 18
Any pharmacotherapy
   Provide 30,509 5,661 951 13,922 6,980 2,994 19 45 24 8 10 19
   Do not provide 6,809 1,915 159 2,593 1,093 1,049 20 33 6 8 10 23
Any pharmacotherapy for opioid disorders
   Provide 27,801 5,089 863 12,574 6,589 2,686 20 47 26 8 10 20
   Do not provide 9,517 2,487 247 3,941 1,484 1,357 17 31 5 6 8 20
SOURCE: N-SSATS 2016, Question 22.
NOTE: The percentages of staff who are certified in addiction treatment are calculated by dividing the number of staff certified in addiction treatment by the total number of staff in facilities that reported information on staff certification. Nearly all (99.6%) of the reported staff worked in facilities that reported counts of certified staff. Facility operation was self-designated in N-SSATS Question 4 in 2013 and Question 7 in 2015.
  1. One FTE is 40 working hours per week.

 

TABLE B.11.b. FTE Counseling Staff and Percentage Certified in Addiction Treatment by Profession and Facility Characteristic, 2016
Facility Type FTEa Staff Percentage Certified in Addiction Treatment
Total Counselor Support Staff Total Counselor Staff Staff
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Non-Administrative Staff Administrative Staff Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Non-Administrative Staff Administrative Staff
Total 160,241 47,210 22,038 14,527 41,008 35,457 30 40 49 59 17 7
Facility focus
   SUD treatment 73,862 17,537 11,709 9,591 19,796 15,229 41 58 64 67 24 11
   MH treatment 18,518 6,503 2,401 785 4,786 4,044 9 16 10 14 4 2
   SUD and MH treatment 62,660 21,805 7,550 3,858 14,897 14,550 24 33 37 49 14 5
   Other 5,201 1,365 377 294 1,529 1,635 15 25 42 46 7 2
Operation
   Private NP 89,819 26,580 12,901 8,575 22,499 19,264 29 39 46 56 17 7
   Private FP 47,773 13,340 6,598 4,128 12,630 11,078 33 43 52 62 21 8
   Public 22,649 7,291 2,539 1,824 5,879 5,116 25 34 51 65 9 4
Federally certified OTP
   OTP 16,303 4,676 3,612 2,142 2,379 3,494 39 50 55 62 21 7
   Not OTP 143,935 42,533 18,426 12,385 38,629 31,963 29 39 48 58 17 7
Any pharmacotherapy
   Provide 92,710 27,152 12,481 7,759 24,264 21,055 28 39 48 56 16 6
   Do not provide 67,530 20,059 9,557 6,768 16,744 14,403 32 41 50 62 20 8
Any pharmacotherapy for opioid disorders
   Provide 81,070 23,334 11,249 6,884 21,245 18,359 29 40 48 57 17 6
   Do not provide 79,171 23,877 10,789 7,643 19,763 17,099 31 39 49 60 18 8
SOURCE: N-SSATS 2016, Question 22.
NOTE: The percentages of staff who are certified in addiction treatment are calculated by dividing the number of staff certified in addiction treatment by the total number of staff in facilities that reported information on staff certification. Nearly all (99.6%) of the reported staff worked in facilities that reported counts of certified staff. Facility operation was self-designated in N-SSATS Question 7.
  1. One FTE is 40 working hours per week.

 

TABLE B.12.a. Number of Staff Hours per 100 Outpatient Clients per Week in Specialty SUD Treatment Facilities Providing Only Outpatient Services by Type of Staff and State, 2016 (all facilities)
State Total Medical Staff Counselor Support Staff
Physician Pharmacist Mid-Level
Medical Personnel
Registered Nurse Licensed
Practical Nurse
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Total 292 15 3 9 14 13 113 51 27 47
Alabama 238 11 8 4 15 21 123 26 3 27
Alaska 537 32 15 16 9 8 213 66 74 104
Arizona 300 9 1 11 8 10 86 42 18 113
Arkansas 295 14 5 12 5 27 136 45 21 31
California 289 19 1 8 7 11 78 41 73 51
Colorado 237 9 3 10 8 3 110 39 16 38
Connecticut 197 10 0 9 8 12 86 26 8 39
Delaware 184 9 13 4 10 15 72 34 10 18
District of Columbia 329 26 4 22 22 10 110 48 54 32
Florida 368 29 3 8 12 22 131 54 13 95
Georgia 312 14 8 5 13 30 128 49 23 42
Hawaii 749 11 0 1 4 2 303 228 152 47
Idaho 384 3 0 13 4 5 193 67 34 65
Illinois 325 24 2 5 13 12 133 66 30 41
Indiana 384 11 2 7 15 12 129 133 39 37
Iowa 455 11 2 14 22 7 175 156 22 46
Kansas 550 20 8 25 34 20 200 64 40 140
Kentucky 247 10 0 6 4 5 112 43 6 61
Louisiana 258 20 7 3 12 21 102 34 19 40
Maine 284 11 4 6 22 7 107 49 18 60
Maryland 201 12 1 6 10 17 66 36 25 26
Massachusetts 187 9 1 8 11 7 112 12 3 25
Michigan 261 15 2 5 9 10 140 24 9 47
Minnesota 437 7 8 9 38 19 116 143 35 62
Mississippi 964 59 12 23 82 18 472 144 16 138
Missouri 275 13 0 6 12 11 84 46 23 80
Montana 473 40 18 24 57 48 99 77 43 68
Nebraska 524 53 18 25 20 15 251 47 26 70
Nevada 249 15 11 6 15 14 65 45 22 56
New Hampshire 107 8 0 6 5 14 35 20 7 11
New Jersey 300 17 2 5 20 8 131 54 34 29
New Mexico 260 13 9 12 17 8 106 24 19 52
New York 192 10 0 5 16 6 79 35 24 17
North Carolina 366 34 4 10 26 17 150 57 24 43
North Dakota 958 52 15 42 111 3 328 85 12 309
Ohio 442 18 5 10 24 17 172 78 33 85
Oklahoma 325 12 13 7 15 18 145 52 8 55
Oregon 327 10 7 8 11 15 125 62 54 36
Pennsylvania 223 10 1 3 6 15 101 54 6 26
Puerto Rico 167 22 1 3 32 7 47 30 2 23
Rhode Island 264 9 1 11 29 10 76 49 16 63
South Carolina 147 6 5 2 4 5 80 31 5 10
South Dakota 523 6 4 20 19 14 170 149 75 65
Tennessee 421 18 10 29 24 30 136 76 8 90
Texas 240 13 1 8 7 17 57 52 47 38
Utah 269 8 1 14 9 7 128 41 17 45
Vermont 376 18 0 10 13 13 210 72 13 28
Virginia 548 19 4 7 21 28 230 93 21 125
Washington 319 6 0 11 8 6 100 76 75 37
West Virginia 212 11 0 9 8 19 71 54 3 35
Wisconsin 330 22 4 9 22 8 173 36 19 37
Wyoming 350 7 2 7 12 2 192 30 13 85
SOURCE: N-SSATS 2016, Question 22.

 

TABLE B.12.b. Number of Staff Hours per 100 Outpatient Clients per Week in Specialty SUD Treatment Facilities Providing Only Outpatient Services by Type of Staff and State, 2016 (facilities providing any pharmacotherapy)
State Total Medical Staff Counselor Support Staff
Physician Pharmacist Mid-Level
Medical Personnel
Registered Nurse Licensed
Practical Nurse
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Total 242 15 3 9 15 17 87 39 20 36
Alabama 194 10 10 3 15 25 94 24 2 12
Alaska 412 28 26 28 11 15 142 26 16 118
Arizona 204 10 1 12 10 15 47 23 12 74
Arkansas 246 17 10 5 6 46 61 47 17 36
California 237 21 1 9 9 17 66 31 50 34
Colorado 268 11 5 13 12 5 123 41 18 40
Connecticut 162 9 0 9 8 13 69 15 7 31
Delaware 176 9 15 4 10 16 63 31 11 18
District of Columbia 219 24 5 20 20 13 37 30 50 20
Florida 308 25 4 9 14 33 83 37 13 89
Georgia 227 13 10 4 9 34 77 40 19 20
Hawaii 190 9 0 1 9 4 71 14 45 35
Idaho 457 7 0 38 5 11 257 53 24 62
Illinois 291 22 2 6 16 16 117 60 22 30
Indiana 342 9 0 7 15 17 99 134 41 21
Iowa 372 8 7 17 28 11 162 84 11 45
Kansas 736 35 15 39 57 31 245 42 55 216
Kentucky 194 10 0 6 8 10 94 37 5 24
Louisiana 212 17 8 4 13 26 83 22 10 30
Maine 207 17 6 9 27 10 52 40 23 22
Maryland 180 13 1 6 11 20 56 33 22 17
Massachusetts 162 10 1 7 14 9 90 9 3 19
Michigan 273 22 3 6 13 17 141 20 9 42
Minnesota 297 7 5 4 14 26 85 91 23 42
Mississippi 1126 188 41 34 167 69 464 54 28 83
Missouri 219 16 0 9 12 14 73 33 13 49
Montana 394 61 5 12 82 65 76 55 29 8
Nebraska 513 40 28 37 30 25 207 31 32 84
Nevada 241 20 13 7 21 19 46 34 18 63
New Hampshire 90 8 0 3 4 15 25 17 8 10
New Jersey 251 14 2 4 23 9 99 47 30 22
New Mexico 234 16 13 14 23 11 75 25 19 39
New York 185 10 0 6 17 6 75 35 20 15
North Carolina 264 31 5 8 28 21 101 28 14 28
North Dakota 1114 76 25 6 163 5 346 20 0 472
Ohio 404 20 6 10 29 22 127 71 27 94
Oklahoma 151 11 12 5 11 17 51 23 3 18
Oregon 307 12 11 11 16 27 80 60 52 37
Pennsylvania 221 11 1 4 6 21 96 51 6 25
Puerto Rico 151 22 1 2 32 8 39 26 0 21
Rhode Island 279 10 1 12 31 11 75 50 18 70
South Carolina 133 10 11 0 5 12 44 39 8 4
South Dakota 481 8 0 22 16 22 132 137 73 71
Tennessee 247 12 5 15 8 27 77 38 2 62
Texas 201 16 1 8 8 28 36 41 35 28
Utah 222 10 1 18 11 9 88 34 14 38
Vermont 373 19 0 13 17 16 204 62 15 26
Virginia 398 17 4 6 17 31 177 57 18 71
Washington 204 7 1 9 14 14 44 48 44 23
West Virginia 157 11 0 9 7 21 49 45 0 14
Wisconsin 362 26 6 10 28 12 174 48 20 39
Wyoming 388 15 4 9 19 4 210 35 11 80
SOURCE: N-SSATS 2016, Question 22.

 

TABLE B.12.c. Number of Staff Hours per 100 Outpatient Clients per Week in Specialty SUD Treatment Facilities Providing Only Outpatient Services by Type of Staff and State, 2016 (facilities providing no pharmacotherapy)
State Total Medical Staff Counselor Support Staff
Physician Pharmacist Mid-Level
Medical Personnel
Registered Nurse Licensed
Practical Nurse
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Total 393 14 2 8 10 4 167 75 42 72
Alabama 370 12 5 8 15 10 210 31 8 71
Alaska 668 36 3 3 7 0 287 107 133 90
Arizona 474 7 0 11 6 2 156 77 29 185
Arkansas 314 12 3 15 5 19 165 44 22 30
California 373 14 2 6 4 2 97 56 112 80
Colorado 186 5 0 5 2 0 89 37 15 33
Connecticut 490 13 0 8 4 0 227 116 16 106
Delaware 250 5 0 4 7 0 145 66 2 21
District of Columbia 720 35 0 31 28 0 370 111 69 76
Florida 459 36 1 6 10 6 204 80 13 103
Georgia 608 18 1 9 26 12 304 82 38 118
Hawaii 1261 12 0 1 0 0 516 424 250 58
Idaho 364 1 0 6 3 3 176 70 37 66
Illinois 374 28 1 3 8 6 156 75 42 56
Indiana 464 14 6 7 14 3 187 132 33 68
Iowa 497 12 0 12 20 4 182 192 27 47
Kansas 361 5 0 10 11 9 153 86 25 63
Kentucky 288 10 0 5 1 0 126 48 7 90
Louisiana 385 29 4 1 7 9 154 66 45 69
Maine 399 3 0 1 13 3 190 62 10 118
Maryland 318 11 1 4 4 2 124 54 42 76
Massachusetts 274 6 0 9 1 0 189 21 3 44
Michigan 249 8 0 3 5 3 139 28 10 52
Minnesota 603 6 12 15 67 10 152 205 48 87
Mississippi 916 21 3 20 57 3 474 170 13 155
Missouri 364 8 0 2 12 7 101 66 40 128
Montana 548 19 30 35 34 31 120 97 55 125
Nebraska 531 63 10 16 13 7 283 58 21 59
Nevada 267 6 7 4 3 3 103 69 30 42
New Hampshire 319 12 0 48 10 6 166 54 0 23
New Jersey 486 28 0 12 10 4 249 82 46 55
New Mexico 306 8 2 8 6 3 161 23 20 76
New York 241 11 0 3 10 0 106 36 45 30
North Carolina 764 44 2 19 19 4 339 172 64 102
North Dakota 731 18 0 94 37 0 302 179 30 71
Ohio 519 15 2 9 12 6 266 94 46 68
Oklahoma 572 14 15 11 20 21 276 94 16 106
Oregon 345 8 4 5 7 4 167 64 55 34
Pennsylvania 228 9 0 1 4 1 114 62 6 30
Puerto Rico 327 22 0 10 37 0 130 67 21 42
Rhode Island 149 5 0 6 8 0 80 41 0 8
South Carolina 158 3 0 3 3 0 107 26 2 14
South Dakota 564 5 7 18 21 7 207 161 78 60
Tennessee 750 31 18 54 54 37 247 147 20 141
Texas 296 9 1 8 6 1 86 67 64 53
Utah 394 5 0 5 2 1 235 61 24 63
Vermont 386 15 0 0 0 0 229 104 4 34
Virginia 991 24 4 11 33 22 385 198 30 285
Washington 404 6 0 12 3 1 140 96 98 48
West Virginia 464 11 0 10 14 13 172 96 19 128
Wisconsin 277 15 1 6 14 3 172 16 16 34
Wyoming 320 0 0 6 7 0 178 27 15 88
SOURCE: N-SSATS 2016, Question 22.

 

TABLE B.13. Number of Staff Hours per 100 Outpatient Clients per Week in Specialty SUD Treatment Facilities Providing Only Outpatient Services, by Type of Services Offered at Facility, 2016
Type of Facility Total Medical Staff Counselor Support Staff
Physician Pharmacist Mid-Level
Medical Personnel
Registered Nurse Licensed
Practical Nurse
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Total 292 15 3 9 14 13 113 51 27 47
Federally certified OTP
   OTP 135 7 2 4 10 21 35 31 17 8
   Not OTP 397 20 4 11 16 7 166 64 34 74
MH services
   MH treatment offered 322 17 3 10 15 12 131 53 26 55
   Screening only 180 8 1 5 12 14 48 42 32 19
   No MH services 154 5 1 3 5 16 35 42 31 14
Screening for conditions other than SUDs
   Yes 293 25 9 18 30 25 81 39 24 42
   No 291 12 1 6 10 10 121 54 28 49
Outreach to people who may need treatment
   Yes 316 16 3 9 14 13 118 56 30 56
   No 248 13 2 7 13 12 105 42 23 32
Recovery support services
   Yes 373 17 4 10 17 16 132 68 34 76
   No 269 14 3 8 13 12 108 46 25 40
Facility focus
   SUD treatment 193 9 1 4 9 13 63 41 28 25
   MH treatment 1000 37 5 23 45 13 443 201 35 198
   SUD and MH treatment 405 21 4 11 15 8 187 57 25 77
   Other 905 101 53 120 133 75 187 48 33 157
SOURCE: N-SSATS 2016, Question 22.
NOTE: Facilities were classified as a federally certified OTP if they indicated in Question 11 that they administer or dispense methadone, buprenorphine, or naltrexone (Vivitrol®) as a federally certified OTP. Facilities were classified as offering MH treatment if they said in response to Question 1a that they provided mental health services to substance abuse treatment clients (MHTXSA). Remaining facilities were classified as only screening if in Question 10 they indicated that they provided screening for mental health disorders (SRVC90) or provided comprehensive mental health assessment or diagnosis (SRVC2). Facilities not classified as offering MH treatment or screening only were classified as having no MH services. Facilities were identified as providing screening services for conditions other than SUDs if they indicated that they provide screening for hepatitis B, hepatitis C, HIV, sexually transmitted diseases, and tuberculosis (SRVC73 = 1, SRVC74 = 1, SRVC14 = 1, SRVC15 = 1, and SRVC16 = 1). Facilities were identified as providing recovery support services if they provide social skills development, mentoring or peer support, assistance obtaining social services, employment counseling or training, or assistance locating housing (SRVC96 = 1, SRVC97 = 1, SRVC36 = 1, SRVC39 = 1, and SRVC38 = 1). Facility focus was determined based on responses to Question 6.

 

TABLE B.14. Number of Staff Hours 100 Outpatient Clients per Week in Specialty SUD Treatment Facilities Providing Only Outpatient Services, by Facility Characteristics, 2016
Type of Facility Total Medical Staff Counselor Support Staff
Physician Pharmacist Mid-Level
Medical Personnel
Registered Nurse Licensed
Practical Nurse
Post-Graduate Level Bachelor's Degree Associate's Degree
or No-Degree
Total 292 15 3 9 14 13 113 51 27 47
Urbanicity
   Urban 278 15 3 7 13 13 110 48 26 44
   Rural 370 14 4 11 17 13 138 69 34 69
Operation
   Private NP 339 15 2 10 16 10 140 59 29 58
   Private FP 206 11 2 5 6 15 74 41 23 29
   Public 432 30 11 19 33 17 156 58 33 74
Located in or operated by a hospital
   Yes 291 14 3 8 12 13 113 52 28 49
   No 298 29 5 20 35 13 117 34 17 27
Facility size
   Small 1606 81 17 46 74 28 671 257 137 294
   Medium 506 27 5 16 20 11 205 81 44 97
   Large 171 8 2 5 9 13 62 33 18 21
Type of insurance accepted
   Medicaid 294 14 2 8 14 12 119 52 25 47
   Private insurance 316 17 3 9 15 11 131 51 26 53
SOURCE: N-SSATS 2016, Question 22.
NOTE: Urbanicity is assigned based on the National Center for Health Statistics urbanicity classification scheme. Facilities in rural areas include those in micropolitan areas with an urban core population of at least 10,000 but less than 50,000, as well as those in non-core areas. Facilities in a central or fringe urban core with a population of 50,000 or more are considered urban. Information on urbanicity was not available for all facilities; urban and rural estimates are only reported for facilities with known urbanicity. Facility size was based on the number of outpatient clients in care. Facilities below the 25th percentile and above the 75th percentile for client count were identified as small and large, respectively. Remaining facilities were designated as medium size. Facility operation was self-designated in N-SSATS Question 7.

 

TABLE B.15. Number and Percentage of Facilities Providing Any Pharmacotherapy or Opioid-Related Pharmacotherapy, by Facility Characteristics, 2013 and 2016
  Number of Facilities Percentage of Facilities
Providing Pharmacotherapies
for Opioid Disorders
Providing Any
Pharmacotherapies
Providing Pharmacotherapies
for Opioid Disorders
Providing Any
Pharmacotherapies
2013 2016 Change 2013 2016 Change 2013 2016 Change 2013 2016 Change
Total 4,246 5,373 27 5,267 6,191 18 30 37 24 37 43 15
Urbanicity
   Urban 3,272 4,519 38 3,936 5,115 30 33 41 24 40 46 16
   Rural 933 814 -13 1,283 1,032 -20 23 26 12 32 33 3
Facility focus
   SUD treatment NA 3,253 NA NA 3,519 NA NA 41 NA NA 44 NA
   MH treatment NA 242 NA NA 347 NA NA 24 NA NA 35 NA
   SUD and MH treatment NA 1,707 NA NA 2,126 NA NA 34 NA NA 42 NA
   Other NA 171 NA NA 199 NA NA 43 NA NA 50 NA
Operation
   Private, NP 2,101 2,644 26 2,622 3,071 17 27 35 28 34 40 20
   Private, FP 1,582 2,101 33 1,838 2,296 25 35 41 19 40 45 12
   Public 563 628 12 807 824 2 32 38 20 46 50 9
SOURCE: N-SSATS 2013 and 2016.
NOTE: Urbanicity is assigned based on the National Center for Health Statistics urbanicity classification scheme. Facilities in rural areas include those in micropolitan areas with an urban core population of at least 10,000 but less than 50,000, as well as those in non-core areas. Facilities in a central or fringe urban core with a population of 50,000 or more are considered urban. Information on urbanicity was not available for all facilities; urban and rural data are only reported for facilities with known urbanicity. Facility operation was self-designated in N-SSATS Question 7. Facility focus was not asked on the N-SSATS 2013 survey.

 

TABLE B.16. Number and Percentage of Facilities Providing Any Pharmacotherapy or Opioid-Related Pharmacotherapy, by State, 2013 and 2016
  Number of Facilities Percentage of Facilities
Providing Pharmacotherapies
for Opioid Disorders
Providing Any
Pharmacotherapies
Providing Pharmacotherapies
for Opioid Disorders
Providing Any
Pharmacotherapies
2013 2016 Change 2013 2016 Change 2013 2016 Change 2013 2016 Change
Total 4,246 5,373 27 5,267 6,191 18 30 37 24 37 43 15
Alabama 49 52 6 53 57 8 32 38 20 34 42 22
Alaska 16 17 6 22 23 5 17 18 5 24 24 3
Arizona 113 143 27 134 165 23 36 40 11 43 46 8
Arkansas 15 17 13 23 20 -13 17 15 -11 26 18 -32
California 424 477 13 468 517 10 27 33 22 30 36 20
Colorado 104 113 9 251 216 -14 21 28 33 51 54 5
Connecticut 81 115 42 125 142 14 38 51 34 59 63 8
Delaware 18 28 56 18 29 61 43 60 39 43 62 44
District of Columbia 14 16 14 15 16 7 38 47 24 41 47 16
Florida 171 286 67 211 312 48 27 40 45 34 44 28
Georgia 89 115 29 133 142 7 25 37 48 37 45 22
Hawaii 13 16 23 16 19 19 11 9 -13 13 11 -16
Idaho 21 27 29 23 32 39 18 19 5 20 22 14
Illinois 165 189 15 198 208 5 25 28 10 30 31 1
Indiana 60 83 38 94 101 7 22 31 44 34 38 12
Iowa 24 34 42 33 48 45 17 21 25 23 29 28
Kansas 33 35 6 45 58 29 16 17 11 21 29 35
Kentucky 68 94 38 82 104 27 21 26 25 25 29 15
Louisiana 37 50 35 56 70 25 22 32 43 34 45 32
Maine 56 62 11 66 66 0 25 27 7 30 29 -3
Maryland 157 199 27 169 208 23 44 50 14 47 52 10
Massachusetts 155 220 42 181 246 36 49 62 26 57 69 21
Michigan 118 126 7 165 173 5 24 26 9 34 36 7
Minnesota 74 98 32 101 119 18 21 26 27 29 32 13
Mississippi 23 19 -17 30 26 -13 23 20 -12 30 27 -8
Missouri 110 129 17 115 138 20 43 45 6 45 48 8
Montana 19 18 -5 27 26 -4 26 28 7 38 41 8
Nebraska 21 27 29 28 37 32 18 20 8 25 27 11
Nevada 26 33 27 29 39 34 32 41 29 36 49 36
New Hampshire 17 38 124 20 40 100 31 59 92 36 63 72
New Jersey 131 158 21 147 184 25 35 43 21 40 50 26
New Mexico 32 44 38 43 61 42 23 29 24 31 40 28
New York 510 661 30 574 692 21 56 72 27 63 75 18
North Carolina 131 169 29 159 195 23 30 35 14 37 40 9
North Dakota 9 10 11 18 18 0 14 17 20 28 30 8
Ohio 114 184 61 142 202 42 30 45 50 38 50 32
Oklahoma 26 38 46 34 52 53 12 19 60 15 25 67
Oregon 42 61 45 56 71 27 17 27 60 23 32 40
Pennsylvania 194 262 35 236 283 20 36 50 38 44 54 22
Puerto Rico 39 37 -5 44 41 -7 24 26 8 27 29 6
Rhode Island 32 39 22 40 42 5 52 75 45 65 81 25
South Carolina 35 37 6 38 41 8 32 32 3 34 36 5
South Dakota 7 13 86 13 16 23 11 21 89 21 26 25
Tennessee 57 85 49 74 94 27 26 37 45 33 41 24
Texas 161 175 9 170 189 11 35 36 3 37 39 5
Utah 64 112 75 73 125 71 37 48 27 43 53 25
Vermont 24 32 33 27 34 26 55 70 28 61 74 20
Virginia 82 94 15 119 121 2 36 41 13 53 53 0
Washington 84 96 14 94 110 17 19 22 20 21 26 23
West Virginia 47 57 21 57 62 9 47 54 16 56 58 4
Wisconsin 113 106 -6 152 130 -14 36 38 7 48 46 -3
Wyoming 19 24 26 23 28 22 36 41 15 43 48 11
Other US Territories 2 3 50 3 3 0 22 30 35 33 30 -10
SOURCE: N-SSATS 2013 and 2016.

 

TABLE B.17. Number and Percentage Change in Residential and Inpatient-Designated Beds and Utilization Rate by State, 2013 and 2015
  Number of Designated Beds Utilization Rate
Residential Inpatient Hospital Residential Inpatient Hospital
2013 2015 Change 2013 2015 Change 2013 2015 Change 2013 2015 Change
Total 100,417 104,012 4 12,213 15,415 26 97 105 9 97 109 12
Alabama 1,212 1,031 -15 252 52 -79 92 95 3 96 54 -44
Alaska 383 347 -9 NA NA NA 89 109 23 NA 0- NA
Arizona 1,853 2,235 21 210 297 41 97 120 23 129 117 -9
Arkansas 798 686 -14 83 46 -45 86 350 308 94 63 -33
California 13,688 13,390 -2 750 477 -36 94 95 1 102 95 -7
Colorado 1,446 1,162 -20 172 184 7 97 93 -5 80 73 -9
Connecticut 1,766 1,491 -16 290 219 -24 100 101 0 98 111 13
Delaware 184 262 42 NA 30 NA 92 1450 1,470 NA 107 NA
District of Columbia 428 396 -7 NA 12 NA 98 109 11 NA 8 NA
Florida 6,020 6,363 6 641 843 32 120 101 -16 94 128 36
Georgia 1,934 1,933 0 284 413 45 98 83 -15 90 110 22
Hawaii 456 466 2 NA 48 NA 84 95 12 0 92 NA
Idaho 162 144 -11 NA 15 NA 70 97 39 NA 93 NA
Illinois 3,099 2,885 -7 328 253 -23 87 100 15 59 65 9
Indiana 541 618 14 237 552 133 82 130 59 75 92 24
Iowa 815 935 15 NA 30 NA 80 73 -9 NA 80 NA
Kansas 765 720 -6 NA 29 NA 85 96 12 NA 79 NA
Kentucky 1,798 2,264 26 291 329 13 102 94 -8 80 126 58
Louisiana 1,615 1,785 11 199 270 36 83 92 10 81 74 -8
Maine 296 257 -13 112 118 5 107 91 -15 108 39 -64
Maryland 2,074 2,063 -1 709 344 -51 70 86 22 57 75 32
Massachusetts 3,211 3,292 3 595 811 36 95 105 11 106 121 14
Michigan 2,985 2,996 0 180 173 -4 163 88 -46 186 45 -76
Minnesota 3,862 3,593 -7 63 95 51 96 93 -4 92 76 -18
Mississippi 1,133 968 -15 259 148 -43 71 69 -3 129 128 0
Missouri 1,107 1,215 10 55 73 33 88 175 99 195 77 -61
Montana 258 222 -14 24 78 225 177 84 -52 529 118 -78
Nebraska 812 748 -8 NA NA NA 82 98 20 0 0 0
Nevada 455 543 19 113 143 27 93 90 -4 131 133 1
New Hampshire 368 390 6 NA 15 NA 90 90 0 NA 27 NA
New Jersey 2,541 2,837 12 365 307 -16 105 118 12 95 131 37
New Mexico 481 483 0 137 125 -9 353 83 -77 72 90 25
New York 10,531 10,125 -4 2,067 1,741 -16 91 97 7 79 95 20
North Carolina 2,655 2,591 -2 429 368 -14 92 112 21 129 73 -44
North Dakota 378 440 16 94 83 -12 111 84 -25 56 71 26
Ohio 1,758 1,955 11 586 561 -4 99 102 3 84 88 4
Oklahoma 1,570 1,206 -23 131 113 -14 76 97 27 85 68 -20
Oregon 1,260 1,268 1 83 52 -37 85 97 15 75 185 147
Pennsylvania 5,756 5,570 -3 529 392 -26 91 95 4 83 62 -25
Puerto Rico 3,027 2,553 -16 178 198 11 75 109 44 251 178 -29
Rhode Island 348 1,721 395 NA 3,543 NA 93 100 8 NA 100 NA
South Carolina 471 692 47 301 209 -31 117 89 -24 116 537 364
South Dakota 543 623 15 87 98 13 115 93 -19 86 69 -19
Tennessee 1,848 1,913 4 142 129 -9 86 93 8 280 95 -66
Texas 5,448 4,809 -12 375 404 8 87 122 40 89 138 56
Utah 896 928 4 NA 49 NA 109 91 -17 NA 71 NA
Vermont 245 213 -13 112 116 4 404 77 -81 82 587 615
Virginia 801 1,060 32 109 277 154 72 95 32 152 113 -26
Washington 2,417 5,729 137 189 192 2 87 117 35 72 77 6
West Virginia 433 552 27 NA 74 NA 91 93 2 NA 55 NA
Wisconsin 1,114 904 -19 130 261 101 74 86 17 102 68 -33
Wyoming 316 388 23 NA 16 NA 103 83 -20 0 31 NA
US territories 56 52 -7 NA 10 NA 89 83 -7 0 240 NA
SOURCE: N-SSATS 2013 Questions 28d and 29d, and N-SSATS 2015, Questions 29d and 30d, indicate hospital-designated and residential-designated beds.
NOTE: Utilization rate is calculated by dividing the number of clients in care by the total number of designated beds.