"● The number of substance abuse treatment facilities increased between 2010 and 2020. The number of surveyed facilities eligible for inclusion in the 2020 N-SSATS report was 20 percent larger in 2020 (16,066) than in 2010 (13,339) [Table 2.1]. The number of clients in treatment on the survey reference date increased from 1,224,127 in 2011 to 1,460,706 in 2019, but fell to 1,090,357 in 2020 [Table 3.1].
"● The types of entities responsible for operating facilities—private non-profit organizations, private for-profit organizations, or governments—had some notable changes between 2010 and 2020.2 Facilities operated by private non-profit organizations decreased from 58 percent of all facilities in 2010 to 50 percent of facilities in 2020. Facilities operated by private for-profit organizations increased from 30 percent in 2010 to 41 percent in 2020 [Table 2.2 and Figure 2].
"● The proportions of facilities that offered outpatient, residential [non-hospital], and hospital inpatient care were stable between 2010 and 2020, with the exception of facilities that offered outpatient methadone/buprenorphine maintenance or naltrexone treatment, the proportion of which increased from 9 percent of facilities in 2010 to 36 percent of facilities in 2020 [Table 2.3].
"● The proportion of facilities with opioid treatment programs (OTPs) certified by SAMHSA for the provision of medication-assisted treatment (MAT) with methadone and/or buprenorphine increased from 9 percent in 2010 to 11 percent in 2020 [Table 2.4].
"● Between 2011 and 2020, the proportions of clients in treatment for the major types of care— outpatient, residential (non-hospital), and hospital inpatient— shifted. Clients in outpatient treatment increased from 90 to 94 percent while clients in residential (non-hospital) treatment declined from 9 to 5 percent. The proportion of clients in inpatient hospital treatment ranged between 1 percent and 2 percent from 2011 to 2020 [Table 3.2 and Figure 5].
"● The proportion of all clients who were receiving methadone increased from 25 percent in 2011 to 29 percent in 2020 [Table 3.2].
"● The proportion of all clients who were receiving buprenorphine increased from 3 percent in 2011 to 16 percent 2020 [Table 3.2].
"● The proportions of clients in treatment for the three broad categories of substance abuse problems—both alcohol and drug abuse, drug abuse only, and alcohol abuse only—changed between 2011 and 2020. The proportion of clients in treatment for both drug and alcohol abuse decreased from 44 to 31 percent of all clients. Clients in treatment for drug abuse only increased from 38 to 52 percent, and clients in treatment for alcohol abuse only decreased from 18 to 13 percent [Table 3.3].
"● The number of clients under the age of 18 years declined from 82,532 in 2011 to 39,271 in 2020. The proportion of clients under the age of 18 years in treatment in each type of care (outpatient, residential [non-hospital], or hospital inpatient) differed slightly from the proportion overall. The proportion of clients under the age of 18 years in outpatient treatment increased from 87 percent in 2011 to 91 percent in 2020; the proportion of clients under the age of 18 years in residential (non-hospital) treatment decreased from 12 percent in 2011 to 8 percent in 2020; the proportion of clients under the age of 18 years in hospital inpatient treatment remained steady at 1 percent over this time [Tables 3.4 and 3.2]."
Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS): 2020. Data on Substance Abuse Treatment Facilities. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2021.