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Drug, alcohol and other addiction rehab in the United States is big business
- $35 billion this year. There are now 14,000+ treatment facilities and growing.
A total of 2.5 million persons received treatment, but many more need it and
facilities are filled to capacity. However, insurance coverage for rehab is
limited. As a result, most of the tab is paid by government/state agencies. High
end niches have emerged for the well-heeled (think Hollywood celebrities) and
new niches are emerging in areas such as: sex addiction, problem gamblers,
Internet addiction, and nicotine addiction. Facilities are also diversifying
into treating people with anxiety disorders, eating disorders, and
post-traumatic stress by veterans of the wars in Iraq and Afghanistan.
This new study by Marketdata examines the nature of the business, types of
rehab, reasons for the renewed growth of addiction rehab services since the
Great Recession, national receipts/growth from 1983-2013, 2014 and 2018
forecasts, average facility revenues, industry structure and participation by
non-profit, for-profit, inpatient and outpatient programs, extensive
drug/alcohol abuser demographics (number of abusers by type drug, age, sources
of payment, type facilities used, etc.), The Florida Model, destination markets
in FL and CA, expected effects of increased volume due to the Affordable Care
Act, industry history and evolution, and key industry trends.
Includes all the pertinent data compiled by SAMHSA’s latest 2012 government
survey, data from the NIDA, NAATP, state agencies, and more. 10 in-depth company
profiles are provided for: Hazelden Treatment Centers, Betty Ford Center, CRC
Health Group, Elements Behavioral Health, Passage Malibu, The Caron Foundation,
Comprehensive Care Corp., Malibu Horizon Rehab Center, Behavioral Health of The
Palm Beaches, Sundown Ranch.
Introduction, Sources & Methodology Used 1-4
Executive Overview of Major Findings ($300) 5-21
* Discussion of scope of U.S. alcohol and drug addiction problem, cost to
society, impact of treatment, structure of treatment providers industry (no. of
facilities by type), major industry trends and history, industry size, growth
and forecasts (1983-2018 F), growth of high end and niche treatment segments,
outlooks for 2014, list of leading treatment organizations/companies, user
demographic highlights of 2012 SAMSHA government survey regarding scope of drug
& alcohol abuse/usage/persons in treatment, client & facility characteristics -
highlights of all report chapters .
- Substance abuse expenditures: amount, % distribution, avg. annual growth:
- Substance Abuse Expenditures, by Type Facility: selected years
- Locations Where Past Year Substance Use Treatment Was Received: 2012.
Nature and Structure of the Industry ($150) 22-33
* Discussion of different types of centers (% for-profit, non-profit,
private/government, by primary focus), typical programs offered, treatment
programs by type site,
* Discussion of indicators of program quality
* Inpatient vs. outpatient care, etc. (no. of facilities, patients served,
occupancy rate, industry revenues, average revenues per facility, mean no. of
clients per facility,
* Typical cost of rehab
* Discussion of middle class care
* Various types of rehab (drug, alcohol, sex addiction, gambling, Internet,
* The 6 major types of rehab (philosophies – faith-based, evidence-based,
- Number of clients served, by type facility: 2012 vs. 1998
Industry Size, Growth, Segments, Forecasts ($350) 34-56
* Summary: Total industry size, estimates by government vs. other mkt. research
firms, public vs. private spending/funding
* The treatment population: no. and % of people actually receiving treatment:
2012, payment by source of funds
*Number of treatment facilities in U.S., % treated by type facility, median no.
of clients (total and by outpatient, residential, hospital, detox)
* Facility capacity and utilization rates.
* Estimates of industry size ($ revenues): 2014 SAMHSA estimates, growth of
private, public, out-of-pocket spending vs. 1986, 2003. 2013 performance. 2014
outlook and effect of Affordable Care Act, projected increase of persons in
treatment, effects on smaller competitors.
*2018 Forecast: major trends discussion: reliance on public financing, Medicaid,
shrinking private insurance coverage, E-health, effect of recessions
* The high end market segment: discussion of the private pay marketplace, $
* Destination markets: discussion of the South Florida market, the “Florida
* Discussion of the gambling addiction market: no. of problem gamblers, amount
spent per year
* Sex addiction: discussion of why it has come into the mainstream, Tiger Woods
and other celebrity publicity, types of treatment programs, list of top
- Substance abuse expenditures: amount, % distribution, avg. annual growth:
- Substance abuse expenditures, by type facility (1993, 2000, 2003, 2006, 2014)
- Substance abuse expenditures, by type payment (private, public, Federal,
- Historical Federal drug control spending on treatment & prevention: FY
- Federal drug control spending, by function (prevention, law enforcement, etc.
- Historical estimates of the industry’s size, rational: 1983-1998
2012 SAMHSA Survey Findings - Data on Substance Abuse Treatment Facilities
* Scope of study - text summary
* Trends in illicit drug use, persons age 12 or older: 2007-2012 (usage of
marijuana, cocaine, heroin, hallucinogens, methamphetamine, nonmedical use of
prescription drugs – number and percent of persons)
* Trends in alcohol use, persons age 12 or older: 2007-2012 (heavy drinking,
binge drinking, current use – number and % of persons)
* Trends in inhalants use – discussion, number and % of persons: 2012 vs. prior
* Trends in hallucinogens use – discussion, number and % of persons: 2012 vs.
* Trends in psychotherapeutics use – discussion, number and % of persons: 2012
vs. prior years
* Past year treatment for a substance abuse problem – discussion & analysis
* Initiation of substance use in past 12 months: 2012
* Analysis of substance dependence, abuse and treatment: 2012 (% in need of
treatment vs. those actually in treatment)
* Discussion of need for and receipt of specialty treatment (no. and % of
persons), vs. prior years
- Past month illicit drug use among persons age 12 or older: 2012
- Past month nonmedical use of types of psychotherapeutic drugs, persons age 12
or older: 2002-2012
- Past month & past year heroin use, persons age 12 or older: 2002-2012
- Past month illicit drug use, persons age 12 or older, by age: 2011 & 2012
- Past month illicit drug use, persons age 12 or older, by age: 2002-2012
- Past month illicit drug use, persons age 12 or older, by race: 2002-2012.
- Source where pain relievers were obtained for nonmedical use, past year, age
12 or older (2011 & 2012)
- First specific drug associated with initiation of illicit drug use among past
year initiates: 2012
- Mean age at first use for specific illicit drugs among past year initiates,
age 12-49: 2012.
- Methamphetamine initiates among those age 12 or older & mean age of 1st use,
age 12-49: 2002-2012
- Locations where past year substance abuse treatment was received: 2012
- Received recent treatment in past year for use of pain reliever: 2002-2012
- Reasons for not receiving substance use treatment: 2009-20012
Competitor Profiles of the Leading Treatment Organizations and Multi-Center
Chains ($250) 85-98
(For each organization, a discussion of: history/founding, description of major
programs, services, estimated/actual revenues, no. of centers, fees, facilities
operated, mergers, sold facilities, recent developments.)
* Hazelden Treatment Centers
* Betty Ford Center
* CRC Health Group
* Elements Behavioral Health
* Passage Malibu
* The Caron Foundation
* Comprehensive Care Corp.
* Malibu Horizon Rehab Center
* Behavioral Health of The Palm Beaches
* Sundown Ranch
Directory of Industry Reference Sources 99-113
* Name/address/phone of drug & alcohol abuse-related industry trade
associations, government reports, major EAP industry trade journals, hotline
phone numbers, etc.
*List of state substance abuse agencies - 2013