Joan D Dilonardo, PhD¹, Rita Vandivort-Warren, ACSW², Tami L. Mark, PhD³, Henrick J Harwood⁴, Rosanna M. Coffey, PhD⁵, Ellen Bouchery⁴, Edward C King⁶, Jim Genuardi⁷, and David McKusick, PhD⁷. (1) Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockwall II Building, Suite 740, 5515 Security Lane, Rockville, MD 20852, (301) 443 - 8555, Jdilonar@SAMHSA.Gov, (2) Division of Policy Coordination, OPPB, OA, Substance Abuse & Mental Health Services Adm., HHS, 5600 Fishers Lane, Room 10-99, Parklawn Bldg, Rockville, MD 20857, (3) Outcomes Research and Econometrics, Medstat, 4301 Connecticut Avenue, NW, Washington, DC 20008, (4) The Lewin Group, Inc, 3130 Fairview Park Drive, Suite 800, Falls Church, VA 22042, (5) The Medstat Group, 4301 Connecticut Avenue, NW, Washington, DC 20008, (6) Actuarial Research Corporation, 5513 Twin Knolls Road, Suite 213, Columbia, MD 21045, (7) The Actuarial Research Group, 5513 Twin Knolls Road, Suite 213, Columbia, MD 21045

OBJECTIVE: In this presentation the audience will learn about how national expenditures on SUD treatment are distributed across different types of providers METHODS: The study employed numerous nationally representative databases and statistical and actuarial methods to develop estimates of expenditures by provider type. Estimates are available by each major provider type (e.g., hospital, physician, specialty substance abuse centers) as well as by locus of care (e.g., inpatient, outpatient, residential). Provider distributions within specific types of payers are also available. RESULTS: The distribution of expenditures across some of the larger providers were: Hospitals - 29% (80% of SA expenditures for hospital care were in general hospital and the rest were in specialty psychiatric and substance abuse hospitals); Specialty substance abuse centers - 34%; Multi-service mental health organizations - 20%; physicians and other professionals. The distribution across type of care was: 28%: residential, 22% inpatient, 43% outpatient, 7% insurance administration. The mix of providers varies by payer type. CONCLUSIONS: The majority of substance abuse services are provided by specialty substance abuse centers, mental health centers, and hospitals (83%).

Learning Objectives:

• See session abstract

Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: federal government employee