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, Montana’s rates have been among the highest in the country on the following measures:

Abuse and Dependency in Montana

On the global measure of any past year dependence on or abuse of illicit drugs and alcohol, Montana’s rates have consistently been among the highest in the country and in 2005-2006, the rates were among the highest in the country for all age groups.

Past year alcohol dependence rates in Montana have also consistently been among the highest in the country and in 2005-2006 were among the highest for all age groups.

Similarly, rates of past year dependence on or abuse of illicit drugs have consistently been among the highest in the country for individuals age 12 to 17.

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

Substance Abuse Treatment Facilities in Montana

According to the National Survey of Substance Abuse Treatment Services (N-SSATS), the number of treatment facilities in Montana has remained relatively stable since 2002. In 2006, the 57 facilities comprised principally 31 private nonprofit 5 private for-profit, and 11 facilities under the certified to provide buprenorphine for opiate aegis of the Federal Government. An additional four facilities were owned/operated by tribal governments.

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, 46 of all facilities (84%) received some form of Federal, State, county, or local government funds, and 23 facilities (42%) had agreements or contracts with managed care organizations for the provision of substance abuse treatment services.

Addiction Treatment in Montana

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, Montana showed a one-day total of 3,047 clients in treatment, the majority of whom (2,809 or 92%) were in outpatient treatment. Of the total number of clients in treatment on this date, 311 (10%) 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 relatively steady rate of the number of admissions mentioning alcohol and increases in the mentions of marijuana and methamphetamine. The latter is particularly noteworthy in that the percentage of methamphetamine admissions has increased more than four-fold, from 7 percent in 1992 to 32 percent in 2006.

Across the years for which TEDS data are available, Montana has seen a shift in the constellation of problems present at treatment admission. Alcohol-only admissions have declined from 45 percent of all admissions in 1992 to 26 percent in 2006. Concomitantly, drug-only admissions have increased from 2 percent in 1992 to 15 percent in 2006. Admissions with both alcohol and drug problems at treatment admissions have also increased from 50 percent to 60 percent across the same time period.

Unmet Need for Addiction Treatment in Montana

NSDUH defines unmet treatment 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.

In Montana, rates of unmet need for drug treatment have generally been at or above the national rates for all age groups and across all survey years. In particular, the rate of individuals age 12 to 17 needing and not receiving drug treatment has consistently been among the highest in the country.

Similarly, rates of unmet need for alcohol treatment have been at or above the national rates for all age groups and across all survey years.

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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