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Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment (1998)
Institute of Medicine (IOM)

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. "Appendix E: Commissioned Paper: The Substance Abuse Treatment System: What Does It Look Like and Whom Does It Serve? Preliminary Findings from the Alcohol and Drug Services Study." Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment. Washington, DC: The National Academies Press, 1998.

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TABLE E-5 Type of Care of Active Clients in Substance Abuse Treatment Facilities, October 1, 1996: Percentage Distribution and Mean Number of Clients in Treatment

 

Percentage Distribution

Mean Number of Clients in Treatment

Total Hospital Inpatient

1.4%

 

Hospital detoxification

0.7%

7.0

Hospital rehabilitation

0.7%

11.3

Total Residential

9.4%

 

Residential detoxification

1.8%

26.9

Residential rehabilitation

7.6%

27.3

Total Outpatient

89.2%

 

Outpatient methadone

13.9%

215.6

Outpatient nonmethadone

75.3%

82.2

Total

100.0%

82.8

 

SOURCE: 1997 Alcohol and Drug Services Study—Phase I—Preliminary Data. Office of Applied Studies, Substance Abuse and Mental Health Services Administration.

diversity of clients is shown in Table E-6 which summarizes selected demographic characteristics of clients in treatment on October 1, 1996. Over two-thirds of those in treatment were male (68 percent). The majority of clients were white of non-Hispanic origin (57 percent); however, a substantial number of clients were of minority origin (24 percent black, nonHispanic; 12 percent Hispanic, and 3 percent Native American).

The age distribution of clients in treatment shows a distinctly youthful population. More than one in five clients are less than 25 years old. Well over one-half of clients are less than 35 and 80 percent of clients are under 45 years of age. Alcohol remains the primary drug of abuse for the largest number of clients in treatment (43 percent). As expected, the use of heroin, cocaine, and marijuana, as primary drugs of abuse, is significant. The number of heroin clients has been increasing relative to other illicit drugs, consistent with trends of drug abuse in this country.

WHAT SERVICES ARE OFFERED?

A variety of services are offered in conjunction with substance abuse treatment reflecting the diverse needs of the treatment population. Table E-7

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