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Nancy Berry
Walden University
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Substance Abuse and Mental Health Services Administration, also known as SAMSHA, conducted a survey in 1996. The results of this survey showed that the “the number of clients in the substance abuse treatment system more than doubled from 488,903 in 1980 to 940,141 in 1996” (SAMSHA, 1999). The survey also found that in 1987, there were “6,866 treatment facilities and 10,641 facilities in 1996 (SAMSHA, 1999). Non-profits comprise most U.S. substance abuse treatment facilities; however, there a large percentage of publicly-owned or for-profit facilities that do exist (SAMSHA, 1999). Further data from the survey reveals that in the six years between 1990 to 1996, “between 61 and 64 percent of facilities had private non-profit ownership, 17 to 19 percent had public ownership and 17 to 22 percent had private for-profit ownership” (SAMHSA, 1999).
Another survey, the Drug Abuse Treatment System Survey, also known as DATSS, examined roughly 600 outpatient drug treatment facilities three times over a period of eight years. This study specifically focused on the influence that ownership had in patient care. The results suggest that “publicly owned or private non-profit facilities provided greater access to care for poorer clients” (SAMHSA, 1999).
A further study focused on the length and cost of treatment for alcohol and drug service in the late nineties. Researchers intended to analyze the “post treatment status of substance abuse clients” (SMADHA). By using a more comprehensive sampling frame, design, and detailed measure of treatment levels, this study was able to build upon the 1990 drug research survey. The results will be instrumental in helping to develop improved estimations of how long clients will stay, how much they will pay for treatment, and how clearly post treatment is described: “The ADSS which is the continuation of the DSRS survey and the SROS survey that provides more detailed information on the organization of the national treatment system and the clients in treatment” (SMAHDA). Phase one of the study was telephone interview, in which researchers spoke with about 2,400 facilities. They evaluated things like how clients paid, the capacity of the program, waiting lists, and the amount of clients who participated in the survey. In Phase Two, researchers visited 280 facilities and examined over 5,000 client records. It included four parts; “the main study, the incentive of the study, the in treatment methadone client study (ITMC), and the comparison study of early drop out clients (EDO)” (SMAHDA). After Phase two, researchers began Phase III with phone interviews of those clients, and a “comparison group to determine post treatment status in terms of substance abuse , economic status, criminal justice status, and further substance abuse treatment episodes” (SMAHDA).
The data of the study is sent as a separate attachment to the drop box, as my computer couldn’t open it in SPSS format. Eventually, an SPSS specialist was able to send me the file in a read-only Excel spreadsheet.
References
SAMHSA. (1999). Alcohol and drug service study ADSS, The national abuse treatment system : facilities , clients, services, and staffing. Retrieved from SMAHSA:
SMAHDA. (n.d.). Substance abuse and mental health service and adminstration SAMSA. Retrieved from Substance abuse and mental hhealth data archieve SAMHDA: