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Prevalence of Illicit
Substance1 and Alcohol Use
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
the age of 12 (12+); individuals age 12 to 17;
individuals age 18-25;
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, the majority
of drug use measures in Nebraska have been at
or below the national rates for all age groups
and across all survey years. Rates on measures
of alcohol use and binge alcohol use, however,
have been consistently above the national rates.
This is particularly true for the State population
age 12 and older, as well as for individuals age
12 to 17 where the rates of past month binge alcohol
use have consistently been among the 10 highest2
in the country.:
Abuse and Dependency in Nebraska
In Nebraska, there has been a consistent marked
difference between abuse of and dependence on
alcohol and abuse of and dependence on illicit
drugs. While the rates for drug abuse have been
consistently at or below the rates for the country
as a whole, rates for alcohol dependence or abuse
have consistently been above the national rates.
Nebraska's Past Year Dependence on or
Abuse of Illicit Drugs or Alcohol 2005-2006


Substance Abuse Treatment
Facilities in Nebraska
According to the National Survey of Substance
Abuse Treatment Services (N-SSATS),3 the number
of treatment facilities in Nebraska has remained
relatively consistent since 2002. In 2006, Nebraska
had 107 treatment facilities, 68 of which (64%)
were private nonprofit. Another 20 facilities
were private for-profit, and 4 facilities were
owned or operated by tribal governments.
Although facilities may offer more than one modality
of care, in 2006 84 facilities (78%) offered some
form of outpatient treatment, and 40 facilities
(37%) offered some form of residential care. One
facility offered an opioid treatment program,
and 22 physicians were certified to provide buprenorphine
treatment.
Although facilities may offer more than one modality
of care, in 2006, 52 of 55 facilities (95%) offered
some form of outpatient treatment. Eight facilities
offered some form of residential care, and 11
physicians and 7 treatment programs were certified
to provide buprenorphine for opiate addiction.
In 2006, 73 facilities (68%) received some form
of Federal, State, county, or local government
funds, and 58 facilities had agreements or contracts
with managed care organizations for the provision
of substance abuse treatment services.
Addiction Treatment in Nebraska
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, Nebraska showed
a one-day total of 4,893 clients in treatment,
4,042 of whom (83%) were in outpatient treatment.
Of the total number of clients in treatment on
this date, 654 (13%) were under the age of 18.
The percentage of admissions mentioning particular
drugs or alcohol at the time of admission. Across
the last 15 years, there has been a modest decline
in the number of admissions mentioning alcohol
and a sharp increase in the mentions of methamphetamine
(2% in 1992 versus 20% in 2006).
Across the years for which TEDS data are available,
Nebraska has seen a modest shift in the constellation
of problems present at treatment admission. Alcohol-only
admissions have remained relatively stable and
drug-only admissions have increased from 4 percent
in 1992 to 12 percent in 2006.
Unmet Need for Addiction Treatment
in Nebraska
NSDUH defines unmet treatment need as an 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.
Mirroring the rates for alcohol abuse and dependence,
unmet treatment need for alcohol use in Nebraska
has consistently been above the national rate
for all age groups and across all survey years.
This is particularly true for individuals age
12 to 17 for whom the rates of unmet need are
among the highest in the country for 2004-2005
and 2005-2006.
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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