Abuse and Dependency in Arizona

Rates of past year alcohol dependence in Arizona have generally been among the 10 highest in the country. Further, with the exception of 2002–2003, rates of past year dependence on illicit drugs have generally been at or below the national rates.

Arizona's Past Year Dependence on or Abuse of Illicit Drugs or Alcohol 2005-2006

Substance Abuse Treatment Facilities in Arizona

According to the National Survey of Substance Abuse Treatment Services (N-SSATS) annual surveys,3 the number of treatment facilities in Arizona has remained relatively stable since 2002. In 2006, the majority of facilities (120 of 212, or 57%) were private nonprofit, and another 62 facilities were private for-profit. Twenty facilities in Arizona were owned or operated by Tribal authorities.

Although facilities may offer more than one modality of care, in 2006 the majority of facilities (169 or 80%) offered some form of outpatient treatment. An additional 53 facilities offered some form of residential care, and 29 facilities offered an opioid treatment program. In addition, 137 physicians and 40 treatment programs offered buprenorphine treatment for opiate addiction.

In 2006, 47 percent of all facilities (100 of 212) received some form of Federal, State, county, or local government funds, and 84 facilities had agreements or contracts with managed care organizations for the provision of substance abuse treatment services.

Addiction Treatment in Arizona

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 In the 2006 N-SSATS survey, Arizona showed a one-day total of 26,913 clients in treatment, the majority of whom (24,958 or 93%) were in outpatient treatment. Of the total number of clients in treatment on this date, 2,097 (8%) were under the age of 18.

Chart 3 shows the percent of admissions mentioning particular drugs or alcohol at the time of admission.5 Across the last 9 years, there has been a steady increase in the number of admissions mentioning methamphetamine.

Across the years for which TEDS data are available, Arizona has seen a shift in the constellation of problems present at treatment admission (Chart 4). Alcohol-only admissions have declined slightly from over 18 percent of all admissions in 1992, to just over 14 percent in 2005. Drug-only admissions have increased from 15 percent in 1998, to 27 percent in 2005.

Unmet Need for Addiction Treatment in Arizona

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.
Rates of unmet treatment need for drug use in Arizona have generally been above the national average.

Rates for unmet need for alcohol treatment have been similarly high.

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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