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The U.S. Addiction Rehab Industry

The U.S. Addiction Rehab Industry

Drug, alcohol and other addiction rehab in the United States is big business - $42 billion this year. There are now 14,000+ treatment facilities and growing. A total of 3.7 million persons received treatment, but many more need it and

facilities are filled to capacity. Insurance coverage for rehab has increased, but scandals abound as shoddy facilities opened and patient brokering, overbilling and deceptive marketing became common. Reforms are pending. Private

equity firms are investing.

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 and the opioid crisis, national receipts/growth from 1983-2018,

2020 and 2025 forecasts, average facility revenues and operating ratios, industry structure and participation by non-profit, for-profit, inpatient and outpatient programs, extensive drug/alcohol abuser demographics. Discussion of the Florida

Model, destination markets in FL and CA, effects of increased volume due to the Affordable Care Act, industry history and evolution, and discussion of all major industry trends.

Includes all the pertinent data compiled by SAMHSA’s latest government survey, data from the NIDA, NAATP, state agencies, and more. 9 in-depth company profiles are provided for: Hazelden Betty Ford Foundation, CRC Health Group,

Promises Behavioral Health, Passage Malibu, American Addiction Centers, The Caron Foundation, Comprehensive Care Corp., Malibu Horizon Rehab Center, and Behavioral Health of The Palm Beaches.

Introduction, Sources & Methodology Used 1-4
Executive Overview of Major Findings 5-16
* 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 issue, industry size, growth and forecasts (1983-2025 F), effects of recessions and
Affordable Care Act, outlook for 2020, list of leading treatment organizations/companies, user
demographic highlights of 2019 SAMSHA government survey regarding scope of drug &
alcohol abuse/usage/persons in treatment, client & facility characteristics - highlights of all
report chapters.
Nature and Structure of the Industry 17-25
* 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
* Demand for care: no. of persons that need treatment
* Discussion of the industry’s major problems and scandals (deceptive marketing, overbilling,
patient brokering, fraud, etc.)
* Various types of rehab (drug, alcohol, sex addiction, gambling, Internet, post-traumatic stress),
* The 6 major types of rehab (philosophies – faith-based, evidence-based, 12-step, etc.)
Tables:
- Number of clients served, by type facility: 2012 vs. 1998
Demographics -- SAMHSA Survey Findings - Data on Substance Abusers 26-49
* Key statistics about national costs of drug & alcohol abuse, hospitalizations, opioid use
* Discussion of trends in illicit drug use, persons age 12 or older: (usage of marijuana, cocaine,
heroin, hallucinogens, methamphetamine, nonmedical use of prescription drugs – number and
percent of persons)
* Discuss trends in alcohol use, persons age 12 or older: (heavy drinking, binge drinking,
current use – number and % of persons)
* Marijuana use – discussion, number and % of persons
* Cocaine use – discussion, number and % of persons
* Heroin use – discussion, number and % of persons
* Methamphetamine use – discussion, number and % of persons
* Inhalants use – discussion, number and % of persons:
* Hallucinogens use – discussion, number and % of persons:
* Psychotherapeutics use – discussion, number and % of persons:
* The Opioid epidemic: discussion, number and % of persons
Tables, Charts:
- Past month Total substance abuse funding by National Institutes for Health 2013-2020
2018 National Survey on Drug Use and Health: Major Findings:
- Past Month Substance Use among People Aged 12 or Older: 2018
- Current, Binge, and Heavy Alcohol Use among People Aged 12 or Older: 2018
- Past Year Illicit Drug Use among People Aged 12 or Older: 2018
- Past Year Marijuana Use among People Aged 12 or Older: 2002-2018
- Past Year Cocaine Use among People Aged 12 or Older: 2002-2018
- Past Year Heroin Use among People Aged 12 or Older: 2002-2018
- Past Year Methamphetamine Use among People Aged 12 or Older: 2015-2018
- Past Year Prescription Tranquilizer or Sedative Misuse among People Aged 12 or Older:
2015-2018
- Past Year Prescription Benzodiazepine Misuse among People Aged 12 or Older: 2015-2018
- Past Year Prescription Pain Reliever Misuse among People Aged 12 or Older: 2015-2018
- Past Year Prescription Pain Reliever Misuse among People Aged 12 or Older, by Selected Pain
Reliever Subtype: 2018
- Source Where Pain Relievers Were Obtained for Most Recent Misuse among People Aged 12
or Older Who Misused Pain Relievers in the Past Year: 2018
- Past Year Opioid Misuse among People Aged 12 or Older: 2018
Major Industry Trends & Issues 50-58
* Discussion of insurance fraud and overbilling, patient brokering, deceptive marketing
* Discussion of The Affordable Care Act and the Mental Health Parity and Addiction Equity
Act and how it has upended the industry’s business model
* Compliance with evidence-based practices is spotty
* Private equity investors pour money into addiction treatment
* Attempts at reform: actions by Google, The Federal Support Act
* Discussion of The Opioid Crisis & Treatment, medically assisted treatment.
Industry Size, Growth, Segments, Forecasts 59-81
* 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: 2018, 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)
* Estimates of industry size ($ revenues): 2019 SAMHSA report, growth of private, public,
out-of-pocket spending 2020 outlook and effect of Affordable Care Act, projected increase
of persons in treatment, effects of recessions
*2025 Forecast: major trends discussion: reliance on public financing, Medicaid, increased
private insurance coverage, E-health, effect of recessions
* Discussion of Medicaid and Other State and Local Financing.
* The high-end market segment: discussion of the private pay marketplace, $ value
* Destination markets: discussion of the South Florida market, the “Florida Model”, history
* 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 treatment centers.
Tables
- Number of substance abuse treatment facilities in the U.S. - 2005-2018
- Substance abuse treatment expenditures: amount, percent distribution, avg. annual
growth: 1986-2020
- Substance Abuse Expenditures, by Type Facility: selected years: 200-2020
- Substance Abuse Expenditures, by type payment: selected years: 2010-2020
- Historical Federal Drug Control Spending on Treatment & Prevention, by fiscal year:
2003-2020
- Historical estimates of the industry’s size, rational: 1983-1998
Treatment Facility Operating Ratios 82-90
* U.S. Census Bureau ratios for mental health & substance abuse facilities (2017, 2012,
2007) – no. of facilities, revenues, avg. revenues per center, payroll costs, no. of employees
(outpatient vs. inpatient centers) - summary
* Discussion of no. of clients per facility, mean cost of care, cost to treat per person, outpatient
care
Tables
- Key economic ratios, Census data
- Number of substance abuse treatment facilities in the U.S. by state: 2018
- Growth in Number of substance abuse treatment facilities in the U.S. 2005-2018
- Facility Operation and Primary Focus
- Distribution of Substance abuse treatment facilities in the U.S. as of 2018, by type of care
offered
- Estimated Number of Clients Served, by Type Facility: 2018 vs. 2012
Competitor Profiles of the Leading Treatment Organizations and
Multi-Center Chains 91-109
(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 Betty Ford Foundation
* CRC Health Group
* American Addiction Centers
* Promises Behavioral Health
* Passage Malibu
* The Caron Foundation
* Comprehensive Care Corp.
* Malibu Horizon Rehab Center
* Behavioral Health of The Palm Beaches
Directory of Industry Reference Sources 110-116
* 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

Report Title: The U.S. Addiction Rehab Industry


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