2011 State Profile California

Transcription

1 20 State Profile California National Survey of Substance Abuse Treatment Services (N-SSATS) The National Survey of Substance Abuse Treatment Services (N-SSATS) is an annual survey of facilities providing substance abuse treatment. It is conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA). N-SSATS is designed to collect data on the location, characteristics, services offered, and number of clients in treatment at alcohol and drug abuse treatment facilities (both public and private) throughout the 50 States, the District of Columbia, and other U.S. jurisdictions. More information on N-SSATS methodology is available at the following URL: In California,,639 substance abuse treatment facilities were included in the 20 N-SSATS, reporting that there were 32,562 clients in substance abuse treatment on March 3, 20. The survey response rate in California was 94.%. Facility Operation Clients in Treatment on March 3, 20 All Clients Clients Under Age 8 Private non-profit, , , Private for-profit , , Local, county, or community government , , State government Federal government , Dept. of Veterans Affairs , Dept. of Defense Indian Health Service Other Tribal government Total, , , Primary Focus of Facility Clients in Treatment on March 3, 20 All Clients Clients Under Age 8 Substance abuse treatment services, , , Mental health services , Mix of mental health & substance abuse treatment services , , General health care , Other/unknown 30.8, Total, , , Substance Abuse Problem Treated Clients in Treatment on March 3, 20, 2 Clients 3 Clients per 00,000 Pop. Aged 8 or Older Clients with both alcohol and drug abuse, , Clients with drug abuse only, , Clients with alcohol abuse only, , Total 2,546 32, may be included in more than one category. Sum of individual items may not agree with the total due to rounding. 2 excluded because they were not asked or did not respond to this question: 93

2 Type of Care Clients in Treatment on March 3, 20 All Clients Clients Under Age 8 Median No. of Clients Per Facility Outpatient, , , Regular, , Intensive , Day treatment/partial hospitalization , Detoxification , Methadone maintenance , Residential (non-hospital) , Short term , Long term , Detoxification 82., Hospital Inpatient Treatment Detoxification Total,639 32, , may provide more than one type of care. Opioid Treatment Programs (OTPs) Facility Licensing, Certification, or Accreditation with OTPs 34.3 Clients in with OTPs Any listed agency/organization, Methadone 29, State substance abuse agency, Buprenorphine State mental health department Total 29, State department of health Percentage of all OTP facilities that are in this State or jurisdiction. Hospital licensing authority Facility Payment Options The Joint Commission CARF NCQA COA Cash or self-payment, Other State/Local Agency/Org Private health insurance Medicare may be licensed by more than one agency/organization. Medicaid Commission on Accreditation of Rehabilitation Other State-financed health insurance National Committee for Quality Assurance Federal military insurance Council on Accreditation Access to Recovery (ATR) vouchers Accepts HIS/638 contract care funds Facility Funding No payment accepted Accepts other payments 20.2 Sliding fee scale, Treatment at no charge for clients who cannot pay may accept more than one type of payment. 2 Available only in AK, AZ, CA, CO, CT, DC, FL, HI, IA, ID, IL, IN, LA, MI, MO, MT, NJ, NM, OH, OK, RI, TN, TX, WA, WI, WY. N/A - Not applicable. Receives Federal, State, county, or local government funds for substance abuse treatment programs

3 Types of Services Offered Assessment and Pre-Treatment Services, Screening for substance abuse, Screening for mental health disorders Comprehensive substance abuse assessment or diagnosis, Comprehensive mental health assessment or diagnosis Screening for tobacco use Outreach to persons in the community who may need treatment, Interim services for clients when immediate admission is not possible Testing, Breathalyzer or blood alcohol testing Drug or alcohol urine screening, Screening for Hepatitis B Screening for Hepatitis C HIV testing STD testing TB screening Counseling, Individual counseling, Group counseling, Family counseling, Marital/couples counseling Transitional Services, Discharge planning, Aftercare/continuing care, Pharmacotherapies Medications for psychiatric disorders Nicotine replacement Campral Antabuse 83.2 Naltrexone (oral) 87.4 Vivitrol (injectable Naltrexone) Buprenorphine Subutex or generic 9.7 Suboxone Methadone Non-nicotine smoking/tobacco cessation medications Ancillary Services, Case management services, Social skills development, Mentoring/peer support, Child care for clients' children Assistance with obtaining social services Employment counseling or training for clients Assistance in locating housing for clients Domestic violence Early intervention for HIV continued

4 Types of Services Offered (cont.) HIV or AIDS education, counseling, or support, Hepatitis education, counseling, or support Health education other than HIV/AIDS or hepatitis Substance abuse education, Transportation assistance to treatment Mental health services Acupuncture Residential beds for clients' children Self-help groups Smoking cessation counseling Clinical/Therapeutic Approaches Used Always or Often or Sometimes Substance abuse counseling, Relapse prevention, Cognitive-behavioral therapy, step facilitation, Motivational interviewing, Anger management, Brief intervention, Contingency management/motivational incentives, Trauma-related counseling, Rational emotive behavioral therapy (REBT) Matrix model Community reinforcement plus vouchers Other treatment approaches Facility Capacity and Utilization Rate Programs for Special Groups Hospital Residential Inpatient Number of facilities Any program or group, Number of clients 2 3, Co-occurring disorders Number of designated beds 4, Adult women Utilization rate (%) Adolescents No. of designated beds/facility (avg.) DUI/DWI offenders Criminal justice clients Adult men Excludes facilities not reporting both client counts and number of beds, facilities whose client counts were reported by another facility, facilities that included client counts from other facilities, and facilities that did not respond to this question. 2 Number of clients on March 3, 20. Pregnant or postpartum women Persons with HIV or AIDS Seniors or older adults Lesbian, gay, bisexual, or transgender clients (LGBT) Other groups 82.

5 Services in Sign Language for the Hearing Impaired and in Languages Other than English Location of Treatment Hearing impaired/sign language Any language other than English Non-English Language Provided by: On-call interpreter only Staff counselor only Both staff counselor and on-call interpreter Languages Provided by Staff Counselor: Spanish American Indian/Alaska Native languages Other Percentages based on the number of facilities reporting that they provided substance abuse treatment in a language other than English by a staff counselor only or by both staff counselors and on-call interpreters. Data are from facilities that reported to N-SSATS for the survey reference date March 3, 20. All material appearing in this report is in the public domain and may be reproduced without permission from SAMHSA. Citation of the source is appreciated. Access the latest N-SSATS reports at: Access N-SSATS profiles for individual States at: For information on individual facilities, access SAMHSA's Treatment Facility Locator at: Access the latest N-SSATS public use files at: Other substance abuse reports are available at: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality