Rita Vandivort-Warren, ACSW¹, Tami L. Mark, PhD², Rosanna M. Coffey, PhD³, Henrick Harwood⁴, Joan D Dilonardo, PhD⁵, Ellen Bouchery⁴, E King⁶, Jim Genuardi⁶, and David McKusick, PhD⁶. (1) Division of Policy Coordination, OPPB, OA, Substance Abuse & Mental Health Services Adm., HHS, 5600 Fishers Lane, Room 10-99, Parklawn Bldg, Rockville, MD 20857, 301/443-0789, rvandivo@samhsa.gov, (2) Outcomes Research and Econometrics, Medstat, 4301 Connecticut Avenue, NW, Washington, DC 20008, (3) The Medstat Group, 4301 Connecticut Avenue, NW, Washington, DC 20008, (4) The Lewin Group, Inc, 3130 Fairview Park Drive, Suite 800, Falls Church, VA 22042, (5) Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockwall II Building, Suite 740, 5515 Security Lane, Rockville, MD 20852, (6) The Actuarial Research Group, 5513 Twin Knolls Road, Suite 213, Columbia, MD 21045

SESSION ABSTRACT: This session will focus on the new 1991 – 2001 SAMHSA National Spending Estimates on treatment of substance use disorders (SUD) that provide the foundational picture of public and private spending over the ten year period. The seminal SAMHSA study is conducted under contract by Medstat, The Lewin Group, and Actuarial Research Corporation to determine what the Nation spends on treatment for mental and substance use disorders. Tami Mark will first discuss the study methodology. The data on specialty substance abuse facility expenditures were from a census of facilities conducted by SAMHSA. Data on general providers came from the National Health Accounts and nationally representative surveys such as NHIS, MEPS, and NAMCS. The methodology parallels that used by CMS to estimate national health accounts. Secondly, Rosanna Coffey will present findings on the breakout of payers for SUD treatment. In 1991, public sources made up 62% of total SUD treatment spending, while in 2001, they were 77%. Private insurance SUD treatment expenditures actually declined, with -0.1% annual growth between 1991 and 2001. Thirdly, Rita Vandivort-Warren will examine findings on providers and sites of care. Inpatient expenditures declined from representing 43% to only 22% of total SA spending over the 10 years. Each speaker will be given 20 minutes and 5 minutes for questions. Rick Harwood will be the discussant for 10 minutes, for a session total of 90 minutes. MODERATOR: Joan Dilonardo, Branch Chief, Organization and Financing Branch, Center for Substance Abuse Treatment. CONTACT: Rita Vandivort-Warren, (301) 443-0789, rvandivo@samhsa.gov.

Learning Objectives:

• To provide information on what the nation spent on substance use disorder treatment from 1991 to 2001, where the money came from (payers), where the dollars were spent (providers), and how expenditures compare to all health spending.

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.