Abuse and Dependency in Colorado
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).

On the global measure of any past year dependence on or abuse of illicit drugs or alcohol,
rates in Colorado have generally been higher than the national rate. In 2005–2006, the rates were among the 10 highest in the country for all age groups. Viewed separately, however, there are differences between age groups for alcohol and illicit drugs.

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



Substance Abuse Treatment Facilities in Colorado
According to the 2006 National Survey of Substance Abuse Treatment Services (N-SSATS)
annual survey,3 the number of treatment facilities in Colorado was 443. The majority of these facilities (245 of 443, or 55%) were private forprofit, and 165 (37%) were private nonprofit. Since 2002, the number of treatment facilities in Colorado has increased from 389 to 443. The majority of this increase is accounted for by an additional 45 private for-profit facilities.

Although facilities may offer more than one modality of care, 417 facilities (94%) in 2006
offered some form of outpatient treatment. An additional 68 facilities offered some form of
residential care, and 11 facilities offered an opioid treatment program. Additionally, 104 physicians and 18 treatment programs offered buprenorphine treatment for opiate addiction.

In 2006, 39 percent of all facilities (172) received some form of Federal, State, county, or local government funds, and 72 facilities had agreements or contracts with managed care organizations for the provision of substance abuse treatment services.

Addiction Treatment in Colorado
State treatment data for substance use disorders are derived from two primary sources—an annual 1-day census in N-SSATS and annual treatment admissions from the Treatment Episode Data Set (TEDS).4 In the 2006 N-SSATS survey, Colorado showed a 1-day total of 33,264 clients in treatment, the majority of whom (31,591 or 95%) were in outpatient treatment. Of the total number of clients in treatment on this date, 2,717 (8%) were under the age of 18.

The percent of admissions mentioning particular drugs or alcohol at the time of admission.5 Across the last 15 years, the percent of admissions mentioning alcohol, cocaine, or marijuana has remained relatively constant. Methamphetamine admissions, however, have increased from 2 percent in 1992, to 11 percent in 2006.

Across the years for which TEDS data are available, Colorado has seen little change in the
constellation of problems present at treatment admission. Alcohol-only admissions have
declined from 69 percent of all admissions in 1992, to 63 percent in 2006. Concomitantly,
drug-only admissions have increased from 7 percent in 1992, to 16 percent in 2006.

Unmet Need for Addiction Treatment in Colorado
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 need for alcohol treatment have generally been above the national rates for all age groups and across all survey years. This is particularly true for individuals age 26 and older.

Similarly, rates of unmet need for drug treatment have generally been above the national average, particularly for those age 18 to 25.

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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