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The National Survey on Drug Use and Health (NSDUH)
generates state-level estimates for 23 measures
of substance use and mental health problems for
four age groups: the entire state population over
age 12 (12+); individuals age 12 to 17; individuals
age 18 to 25; and individuals age 26 and older
(26+). Since State estimates of substance use
and abuse were first generated using the combined
2002–2003 NSDUHs and continuing until the
most recent State estimates based on the combined
2005– 2006 surveys, rates in Kansas have
been among the lowest in the country on the following
measures.
Abuse and Dependency in Kansas
Questions in NSDUH are used to classify persons
as being dependent on or abusing specific substances
based on criteria specified in the Diagnostic
and Statistical Manual of Mental Disorders, 4th
Edition (DSM-IV) (American Psychiatric Association,
1994).
Rates of past year alcohol dependence have generally
been at or above the national rates, especially
for the age groups 12 to 17 and 18 to 25. Rates
of past year drug dependence, however, have generally
been at or below the national rates.


Substance Abuse Treatment
Facilities in Kansas
According to the National Survey
of Substance Abuse Treatment Services (N-SSATS),
the number of treatment facilities in Kansas has
increased from 182 in 2002, to 236 in 2006. Of
the 236 facilities responding to the 2006 survey,
nearly half (116 or 49%) were private nonprofit
facilities, and 85 (36%) were private for-profit
facilities.
Although facilities may offer more than one modality
of care, in 2006 the majority of facilities (226
or 96%) offered some form of outpatient treatment,
and 37 facilities (16%) offered some form of residential
care. Five facilities offered an opioid treatment
program, and 27 physicians and 8 treatment programs
were certified to provide buprenorphine for opiate
addiction.
In 2006, 50 percent of all facilities (118) received
some form of Federal, State, county, or local
government funds, and 97 facilities (41%) had
agreements or contracts with managed care organizations
for the provision of substance abuse treatment
services.
Addiction Treatment in Kansas
State treatment data for substance use disorders
are derived from two primary sources—an annual
one-day census in N-SSATS and annual treatment
admissions from the Treatment Episode Data Set
(TEDS). In the 2006 N-SSATS survey, Kansas showed
a one-day total of 10,470 residents in treatment,
the majority of whom (9,578 or 91%) were in outpatient
treatment. Of the total number of clients in treatment
on this date, 1,488 (14%) were under the age of
18.
The percent of admissions mentioning particular
drugs or alcohol at the time of admission.4 Across
the last 14 years, there has been a steady decline
in the number of admissions mentioning alcohol
and increases in the mentions of cocaine and marijuana.
The largest increase is seen in the mentions of
methamphetamine, which rose from 3 percent in
1992, to 25 percent in 2006.
Across the years for which TEDS data are available,
Kansas has seen a substantial shift in the constellation
of problems present at treatment admission. Alcohol-only
admissions have declined from 44 percent of all
admissions in 1992, to 16 percent in 2006. Concomitantly,
drug-only admissions have doubled from 12 percent
in 1992, to 27 percent in 2006.
Unmet Need for Addiction Treatment
in Kansas
Individual who meets the criteria for abuse of
or dependence on illicit drugs or alcohol according
to the DSM-IV, but who has not received specialty
treatment for that problem in the past year.
Rates of unmet need for drug treatment have generally
been among the lowest in the country and rates
of unmet need for alcohol treatment have generally
been at or above the national rates.
Sources: Facility Data: National
Survey of Substance Abuse Treatment Services (N-SSATS)–2006
is available at: http://www.dasis.samhsa.gov.
Center for Mental Health Services
Uniform Reporting System Output Tables 2006 is
available at: http://mentalhealth.samhsa. gov/cmhs/MentalHealthStatistics/URS2006.asp
Substance Abuse Treatment Data:
Treatment Episode Data Set–Concatenated
File–is available from the Substance Abuse
and Mental Health Data Archive: http://www. icpsr.umich.edu/SDA/SAMHDA.
Mental Health Treatment Data: Center
for Mental Health Services Uniform Reporting System
Output Tables 2006 is available at: http://mentalhealth.samhsa.gov/cmhs/
MentalHealthStatistics/URS2006.asp.
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