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W Butynski

Publications and source records attributed to W Butynski.

2 recordsLinked to original sources

Drug treatment services: funding and admissions.

Data from SADAP indicate that total alcohol and other drug treatment monies expended during FY 1988 in programs that receive at least some State funds were more than $1.6 billion. Also, data from NDATUS for the fiscal year encompassing October 30, 1987, demonstrate that total monies from all sources for drug abuse treatment (excluding alcohol, but including non-State-funded programs) exceeded $1.3 billion. Total other drug client treatment admissions as reported in SADAP for FY 1988 were 518,851; the number of other drug abuse clients in treatment as reported in NDATUS as of October 30, 1987, was 260,151. From a meeting of experts convened by NASADAD on September 2, 1987, the annual estimated cost of drug treatment (excluding detoxification) for needle users at that time ranged from $2,300 for outpatient drug-free, to $3,000 for outpatient methadone maintenance, to $14,600 for adult nonhospital residential drug-free, to $18,000 for adolescent nonhospital residential drug-free. The above data and lack of data point to the need for more extensive well-designed data collection studies on the cost, capacity, and utilization of drug treatment services. Today, significant information gaps exist. Such data are required for the administration, Congress, and States to better plan for the availability, accessibility, and support of expanded alcohol and other drug dependency treatment services for persons in need of such treatment services.

Alcoholism↗

Alcohol problem resources and services in State supported programs, FY 1987.

During fiscal year 1987, expenditures for alcohol and drug abuse services in facilities receiving at least some funds from State alcohol and drug agencies totaled $1,809,749,013. Of this total, approximately 51.1 percent was contributed by State governments, 17.9 percent by the Federal Government, 9.1 percent by county or local agencies, and 21.9 percent by other sources (for example, private health insurance). Approximately 76.5 percent of the funds was expended for treatment services, 12.6 percent for prevention services, and 10.9 percent for other services (for example, administration, research, training). Between fiscal years 1985 and 1987, total expenditures increased 31.2 percent, although great variability existed among States, with some undergoing significant cuts. The total number of alcohol and drug treatment units that received State funds was 6,632. During fiscal year 1987, admissions for alcoholism treatment in these State-supported facilities totaled 1,317,473. Most admissions were to a nonhospital environment (84.6 percent) and were for outpatient care (44.9 percent). Of the total number of admissions, 76.2 percent were men and 19.8 percent women; the sex of 4.0 percent was not reported. With regard to age, 27.4 percent were 25-34, 21.7 percent were 35-44, 10.7 percent were 21-24, and 4.1 percent were under 18. In terms of race or ethnicity, 69.7 percent of those admitted were white, 15.6 percent black, 5.5 percent Hispanic, 3.6 percent Native American, 0.2 percent Asian or Pacific Islander, 0.3 percent others, and 5.2 percent not reported. Compared with the 1,317,473 admissions for alcoholism, the combined total of all other drug admissions was only 450,553. The highest numbers of other drug admissions were 98,549 for heroin,84,707 for cocaine, and 63,740 for marijuana!hashish. Also, compared with drug treatment admissions,those admitted for alcoholism are more likely to be male, white, and older.

Adolescent↗