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 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 of past month use of any illicit drug and
past month alcohol use have fluctuated.
For most measures of past month and past year
use of marijuana and other illicit drugs, rates
in Wyoming for all age groups have generally
been at or below the national rate.
Abuse and Dependency in Wyoming
Rates of past year alcohol abuse or dependence
have generally exceeded the national rates and
have been among the highest in the country for
both the State population as a whole and for adolescents
age 12 to 17
.
Conversely, rates of past year abuse of or dependence
on illicit drugs have generally remained at or
below national rates.
Wyoming's Past Year Dependence on or Abuse
of Illicit Drugs or Alcohol 2005-2006


Substance Abuse Treatment
Facilities in Wyoming
According to the annual National Survey of Substance
Abuse Treatment Services (N SSATS),3 the number
of treatment facilities in Wyoming has changed
little between 2002 and 2006. Of the 57 facilities
responding to the 2006 survey, 33 (58%) were private
nonprofit, and an additional 11 facilities were
private for-profit.
Although facilities may offer more than one modality
of care, in the most recent survey the majority
of facilities (44 of 57, or 77%) offered some
form of outpatient care. A total of 16 facilities
(28%) offered residential care. Two programs and
13 physicians are certified to provide buprenorphine
treatment for opiate addiction.
A total of 44 of all facilities (77%) receive
some form of Federal, State, county, or local
government funds, and 23 facilities (40%) have
agreements or contracts with managed care organizations
for the
provision of substance abuse treatment services
Addiction Treatment in Wyoming
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).4 With all facilities responding to the
2006 N-SSATS survey, Wyoming showed a total of
3,246 clients in treatment, the majority of whom
2,894 (89%) were in outpatient treatment. Of the
total number of clients in treatment on this date,
676 (21%) were under the age of 18.
The percentage of admissions mentioning particular
drugs or alcohol at the time of admission.5 Across
the last 15 years, there has been a decline in
the number of admissions mentioning alcohol and
a concomitant increase in the number of admissions
mentioning marijuana and methamphetamine.
Across the years for which TEDS data are available,
Wyoming has seen a modest shift in the constellation
of problems present at treatment admission. Alcohol-only
admissions have declined from over 58 percent
of all admissions in 1992 to just over 37 percent
in 2005. Concomitantly, drug-only admissions have
increased from 4 percent in 1998 to 39 percent
in 2005.
Unmet Need for Addiction Treatment
in Wyoming
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.
While the rates of unmet need for treatment for
drug use have generally been at or below the national
rates for all age groups in Wyoming, the rates
of unmet need for treatment
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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