The U.S. Addiction Rehab Industry
Drug, alcohol and other addiction rehab in the United States is big business - $35 billion this year. There are now 14,000+ treatment facilities and growing. A total of 2.5 million persons received treatment, but many more need it and facilities are filled to capacity. However, insurance coverage for rehab is limited. As a result, most of the tab is paid by government/state agencies. High end niches have emerged for the well-heeled (think Hollywood celebrities) and new niches are emerging in areas such as: sex addiction, problem gamblers, Internet addiction, and nicotine addiction. Facilities are also diversifying into treating people with anxiety disorders, eating disorders, and post-traumatic stress by veterans of the wars in Iraq and Afghanistan.
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, national receipts/growth from 1983-2013, 2014 and 2018 forecasts, average facility revenues, industry structure and participation by non-profit, for-profit, inpatient and outpatient programs, extensive drug/alcohol abuser demographics (number of abusers by type drug, age, sources of payment, type facilities used, etc.), The Florida Model, destination markets in FL and CA, expected effects of increased volume due to the Affordable Care Act, industry history and evolution, and key industry trends.
Includes all the pertinent data compiled by SAMHSA’s latest 2012 government survey, data from the NIDA, NAATP, state agencies, and more. 10 in-depth company profiles are provided for: Hazelden Treatment Centers, Betty Ford Center, CRC Health Group, Elements Behavioral Health, Passage Malibu, The Caron Foundation, Comprehensive Care Corp., Malibu Horizon Rehab Center, Behavioral Health of The Palm Beaches, Sundown Ranch.
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, national receipts/growth from 1983-2013, 2014 and 2018 forecasts, average facility revenues, industry structure and participation by non-profit, for-profit, inpatient and outpatient programs, extensive drug/alcohol abuser demographics (number of abusers by type drug, age, sources of payment, type facilities used, etc.), The Florida Model, destination markets in FL and CA, expected effects of increased volume due to the Affordable Care Act, industry history and evolution, and key industry trends.
Includes all the pertinent data compiled by SAMHSA’s latest 2012 government survey, data from the NIDA, NAATP, state agencies, and more. 10 in-depth company profiles are provided for: Hazelden Treatment Centers, Betty Ford Center, CRC Health Group, Elements Behavioral Health, Passage Malibu, The Caron Foundation, Comprehensive Care Corp., Malibu Horizon Rehab Center, Behavioral Health of The Palm Beaches, Sundown Ranch.
Introduction, Sources & Methodology Used 1-4
Executive Overview of Major Findings ($300) 5-21
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 history, industry size, growth and forecasts (1983-2018 F), growth of high end and niche treatment segments, outlooks for 20014, list of leading treatment organizations/companies, user demographic highlights of 2012 SAMSHA government survey regarding scope of drug & alcohol abuse/usage/persons in treatment, client & facility characteristics highlights of all report chapters
Tables
Substance abuse expenditures: amount, % distribution, avg. annual growth: 1986-2014
Substance Abuse Expenditures, by Type Facility: selected years
Locations Where Past Year Substance Use Treatment Was Received: 2012.
Nature and Structure of the Industry ($150) 22-33
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
Discussion of middle class care
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
Industry Size, Growth, Segments, Forecasts ($350) 34-56
Summary: Total industry size, estimates by government vs. other mkt. research firms, public vs. private spending/funding
The treatment population: no. and % of people actually receiving treatment: 2012, payment by source of funds
Number of treatment facilities in U.S., % treated by type facility, median no. of clients (total and by outpatient, residential, hospital, detox)
Facility capacity and utilization rates.
Estimates of industry size ($ revenues): 2014 SAMHSA estimates, growth of private, public, out-of-pocket spending vs. 1986, 2003. 2013 performance. 2014 outlook and effect of
Affordable Care Act, projected increase of persons in treatment, effects on smaller competitors.
2018 Forecast: major trends discussion: reliance on public financing, Medicaid, shrinking private insurance coverage, E-health, effect of recessions
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
Substance abuse expenditures: amount, % distribution, avg. annual growth: 1986-2014
Substance abuse expenditures, by type facility (1993, 2000, 2003, 2006, 2014)
Substance abuse expenditures, by type payment (private, public, Federal, State)
Historical Federal drug control spending on treatment & prevention: FY 2003-2015
Federal drug control spending, by function (prevention, law enforcement, etc. 2013-15
Historical estimates of the industry’s size, rational: 1983-1998
2012 SAMHSA SURVEY FINDINGS DATA ON SUBSTANCE ABUSE TREATMENT FACILITIES ($250) 57-84
Scope of study text summary
Trends in illicit drug use, persons age 12 or older: 2007-2012 (usage of marijuana, cocaine, heroin, hallucinogens, methamphetamine, nonmedical use of prescription drugs – number and percent of persons)
Trends in alcohol use, persons age 12 or older: 2007-2012 (heavy drinking, binge drinking, current use – number and % of persons)
Trends in inhalants use – discussion, number and % of persons: 2012 vs. prior years
Trends in hallucinogens use – discussion, number and % of persons: 2012 vs. prior years
Trends in psychotherapeutics use – discussion, number and % of persons: 2012 vs. prior years
Past year treatment for a substance abuse problem – discussion & analysis
Initiation of substance use in past 12 months: 2012
Analysis of substance dependence, abuse and treatment: 2012 (% in need of treatment vs. those actually in treatment)
Discussion of need for and receipt of specialty treatment (no. and % of persons), vs. prior years
Tables:
Past month illicit drug use among persons age 12 or older: 2012
Past month nonmedical use of types of psychotherapeutic drugs, persons age 12 or older: 2002-2012
Past month & past year heroin use, persons age 12 or older: 2002-2012
Past month illicit drug use, persons age 12 or older, by age: 2011 & 2012
Past month illicit drug use, persons age 12 or older, by age: 2002-2012
Past month illicit drug use, persons age 12 or older, by race: 2002-2012.
Source where pain relievers were obtained for nonmedical use, past year, age 12 or older (2011 & 2012)
First specific drug associated with initiation of illicit drug use among past year initiates: 2012
Mean age at first use for specific illicit drugs among past year initiates, age 12-49: 2012.
Methamphetamine initiates among those age 12 or older & mean age of 1st use, age 12-49: 2002-2012
Locations where past year substance abuse treatment was received: 2012
Received recent treatment in past year for use of pain reliever: 2002-2012
Reasons for not receiving substance use treatment: 2009-20012
Competitor Profiles of the Leading Treatment Organizations and
Multi-Center Chains ($250) 85-98
(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 Treatment Centers
Betty Ford Center
CRC Health Group
Elements Behavioral Health
Passage Malibu
The Caron Foundation
Comprehensive Care Corp.
Malibu Horizon Rehab Center
Behavioral Health of The Palm Beaches
Sundown Ranch
Directory of Industry Reference Sources 99-113
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 2013
Executive Overview of Major Findings ($300) 5-21
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 history, industry size, growth and forecasts (1983-2018 F), growth of high end and niche treatment segments, outlooks for 20014, list of leading treatment organizations/companies, user demographic highlights of 2012 SAMSHA government survey regarding scope of drug & alcohol abuse/usage/persons in treatment, client & facility characteristics highlights of all report chapters
Tables
Substance abuse expenditures: amount, % distribution, avg. annual growth: 1986-2014
Substance Abuse Expenditures, by Type Facility: selected years
Locations Where Past Year Substance Use Treatment Was Received: 2012.
Nature and Structure of the Industry ($150) 22-33
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
Discussion of middle class care
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
Industry Size, Growth, Segments, Forecasts ($350) 34-56
Summary: Total industry size, estimates by government vs. other mkt. research firms, public vs. private spending/funding
The treatment population: no. and % of people actually receiving treatment: 2012, payment by source of funds
Number of treatment facilities in U.S., % treated by type facility, median no. of clients (total and by outpatient, residential, hospital, detox)
Facility capacity and utilization rates.
Estimates of industry size ($ revenues): 2014 SAMHSA estimates, growth of private, public, out-of-pocket spending vs. 1986, 2003. 2013 performance. 2014 outlook and effect of
Affordable Care Act, projected increase of persons in treatment, effects on smaller competitors.
2018 Forecast: major trends discussion: reliance on public financing, Medicaid, shrinking private insurance coverage, E-health, effect of recessions
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
Substance abuse expenditures: amount, % distribution, avg. annual growth: 1986-2014
Substance abuse expenditures, by type facility (1993, 2000, 2003, 2006, 2014)
Substance abuse expenditures, by type payment (private, public, Federal, State)
Historical Federal drug control spending on treatment & prevention: FY 2003-2015
Federal drug control spending, by function (prevention, law enforcement, etc. 2013-15
Historical estimates of the industry’s size, rational: 1983-1998
2012 SAMHSA SURVEY FINDINGS DATA ON SUBSTANCE ABUSE TREATMENT FACILITIES ($250) 57-84
Scope of study text summary
Trends in illicit drug use, persons age 12 or older: 2007-2012 (usage of marijuana, cocaine, heroin, hallucinogens, methamphetamine, nonmedical use of prescription drugs – number and percent of persons)
Trends in alcohol use, persons age 12 or older: 2007-2012 (heavy drinking, binge drinking, current use – number and % of persons)
Trends in inhalants use – discussion, number and % of persons: 2012 vs. prior years
Trends in hallucinogens use – discussion, number and % of persons: 2012 vs. prior years
Trends in psychotherapeutics use – discussion, number and % of persons: 2012 vs. prior years
Past year treatment for a substance abuse problem – discussion & analysis
Initiation of substance use in past 12 months: 2012
Analysis of substance dependence, abuse and treatment: 2012 (% in need of treatment vs. those actually in treatment)
Discussion of need for and receipt of specialty treatment (no. and % of persons), vs. prior years
Tables:
Past month illicit drug use among persons age 12 or older: 2012
Past month nonmedical use of types of psychotherapeutic drugs, persons age 12 or older: 2002-2012
Past month & past year heroin use, persons age 12 or older: 2002-2012
Past month illicit drug use, persons age 12 or older, by age: 2011 & 2012
Past month illicit drug use, persons age 12 or older, by age: 2002-2012
Past month illicit drug use, persons age 12 or older, by race: 2002-2012.
Source where pain relievers were obtained for nonmedical use, past year, age 12 or older (2011 & 2012)
First specific drug associated with initiation of illicit drug use among past year initiates: 2012
Mean age at first use for specific illicit drugs among past year initiates, age 12-49: 2012.
Methamphetamine initiates among those age 12 or older & mean age of 1st use, age 12-49: 2002-2012
Locations where past year substance abuse treatment was received: 2012
Received recent treatment in past year for use of pain reliever: 2002-2012
Reasons for not receiving substance use treatment: 2009-20012
Competitor Profiles of the Leading Treatment Organizations and
Multi-Center Chains ($250) 85-98
(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 Treatment Centers
Betty Ford Center
CRC Health Group
Elements Behavioral Health
Passage Malibu
The Caron Foundation
Comprehensive Care Corp.
Malibu Horizon Rehab Center
Behavioral Health of The Palm Beaches
Sundown Ranch
Directory of Industry Reference Sources 99-113
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 2013
