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The American addiction treatment landscape

Posted Feb 02 2009 11:47pm
Nothing too exciting in the treatment facility survey. A few interesting contrasts between methadone providers and other providers:
  • Half (50 percent) of OTPs (opioid treatment programs) were operated by private for-profit organizations, compared to 29 percent of all substance abuse treatment facilities.
  • Facilities with OTPs providing substance abuse treatment services were most likely to offer outpatient treatment (94 percent), but least likely to offer residential (non-hospital) or hospital inpatient treatment (7 percent each).
Another interesting data point:
  • Over half (55 percent) of all OTPs provided both maintenance and detoxification. Thirty-seven percent provided maintenance only, and 8 percent provided detoxification only.
I don't know of any local programs offering detox. They're all maintenance. I wonder if they reported that they offer detox. There are either significant differences in OTPs in southeastern Michigan and the rest of the country, or there are differences between what they report offering and what they actually offer.

It also reported that 8% of facilities offer OTP, which is pretty stable. However, 23% of all clients received methadone (Am I reading that correctly?), up a little more than 2% over the last few years.

Comments on methadone posts here often complain that there is too little methadone treatment available, but what percentage of treatment seekers are opioid addicts and what percentage of those prefer methadone? Do they comprise more than 23% of all treatment seekers?

Another frequent complaint is that 95% of all treatment programs ram the 12 steps down clients throats. Here's a table that reports the clinical practices used by surveyed programs. 12-step approach was less popular than CBT and relapse prevention.

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