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).

Rates of past year drug dependence in Massachusetts have generally been above the national rates for all survey years, and among the group age 18 to 25 have consistently been among the highest in the country.

MASSACHUSETTS PAST YEAR ILLICIT DRUG DEPENDENCE
AMONG INDIVIDUALS AGE 18 TO 25



Rates of past year alcohol abuse have also generally been at or above the national rates, with the exception of the 12 to 17 age group which has generally been at or below the national rate.

MASSACHUSETTS PAST YEAR ALCOHOL DEPENDENCE
AMONG INDIVIDUALS AGE 18 TO 25



Substance Abuse Treatment Facilities in Massachusetts

According to the National Survey of Substance Abuse Treatment Services (N-SSATS), the number of addiction treatment facilities in Massachusetts has decreased from 352 in 2002, to 312 in 2006. The most recent N-SSATS survey showed that the majority of addiction treatment facilities were private nonprofit (250 or 80%), and another 49 facilities (16%) were private for-profit. Although addiction treatment facilities may offer more than one modality of care, in 2006 the majority of facilities (207 or 66%) offered some form of outpatient addiction treatment. An additional 127 addiction treatment facilities (41%) offered some form of residential addiction treatment services, 58 facilities offered an opioid treatment program, and 276 physicians and 73 addiction treatment programs were certified to provide buprenorphine treatment for opiate addiction.

In 2006, 67 percent of all addiction treatment facilities (209) received some form of Federal, State, county, or local government funds, and 179 addiction treatment facilities (57%) had agreements or contracts with managed care organizations for the provision of substance abuse treatment services

Substance Abuse Treatment in Massachusetts

State addiction treatment data for substance use disorders are derived from two primary sources—an annual one-day census in N-SSATS and annual addiction treatment admissions from the Treatment Episode Data Set (TEDS).4 The 2006 N-SSATS survey showed that Massachusetts had a one-day total of 39,065 clients in addiction treatment, the majority of whom (34,904 or 89%) were in outpatient addiction treatment. Of the total number of clients in addiction treatment on this date, 1,890 (5%) were under the age of 18.

Across the last 15 years, there has been a steady decline in the number of admissions mentioning alcohol (82% vs. 55%) and cocaine (48% vs. 33%). Concomitantly, there have been increases in the percent of admissions mentioning heroin (27% vs. 48%) and opiates other than heroin (2.4% vs. 13%).

Across the years for which TEDS data are available, Massachusetts has seen a substantial shift in the constellation of problems present at treatment admission (Chart 4). Alcohol-only admissions have declined from 29 percent of all admissions in 1992, to 19 percent in 2006. Concomitantly, drug-only admissions have increased from 18 percent in 1992, to 45 percent in 2006.

Unmet Need for Addiction Treatment in Massachusetts

NSDUH defines unmet addiction 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 addiction treatment for that problem in the past year.

Rates of unmet drug addicton treatment need for all age groups and across all survey years have generally been above the national rates; however, the rates for the age group 18 to 25 have consistently been among the highest in the country.

Similarly, rates of unmet alcohol addiction treatment need have been 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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