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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 to 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, Texas has ranked among the 10 States with the lowest rates on the following measures (Table 1):
|Past Month Illicit Drug Use||12+, 12-17, 18-25|
|Past Month Marijuana Use||All Age Groups|
|Past Year Marijuana Use||All Age Groups|
Abuse and Dependance
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 abuse of or dependence on alcohol among all age groups have remained at or below the national rates for all age groups across all survey years, as have rates of past year dependence or abuse on illicit drugs (Chart 1).
Substance Abuse Treatment Facilities
According to the National Survey of Substance In 2006, 299 of all facilities (57%) received some Abuse Treatment Services (N-SSATS),3 the number form of Federal, State, county, or local government of treatment facilities in Texas has declined from funds, and 216 facilities (41%) had agreements or a high of 556 in 2003 to a low of 518 in 2005. contracts with managed care organizations for the In 2006, the most recent year for which data provision of substance abuse treatment services.are available, there were 523 facilities, of which 251 (48%) were private nonprofit facilities. An additional 224 facilities were private for-profit, and the remainder were owned and/or operated by Federal, State, or local governments.Although facilities may offer more than one modality of care, in 2006, there were 431 facilities (82.4%) that offered some form of outpatient treatment, and 162 facilities offered some form of residential care. There were 70 facilities that offered opioid treatment, and 424 physicians were certified to deliver buprenorphine treatment for opioid addiction.
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).4 In the 2006 N-SSATS survey, Texas showed an one-day census of 34,099 clients in treatment, 28,311 of whom (83%) were in outpatient treatment. Of the total number of clients in treatment on this date, 3,536 (11%) were under the age of 18.Chart 2 shows the percentage of admissions mentioning particular drugs or alcohol at the time of admission.5 Across the last 14 years, there has been a steady decline in the number of admissions mentioning alcohol and cocaine. In 2005, TEDS data indicated that admissions for methamphetamine abuse accounted for approximately 18.5 percent of all admissions.Across the years for which TEDS data are available, Texas has seen a substantial shift in the constellation of problems present at treatment admission. Alcohol-only admissions have declined from over 22 percent of all admissions in 1992 to just over 12 percent in 2005. Concomitantly, drug-only admissions have increased from 29 percent in 1998 to 52.5 percent in 2005 (Chart 3).
Unmet Need For Treatment
UH defines unmet 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 treatment for that problem in the past year.Rates of unmet treatment need for drug or alcohol use in Texas have remained at or below the national rates for all age groups (Charts 4 and 5).