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1-866-716-7694The 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,
Florida ‘s rates of drug and alcohol use have
been quite variable. For measures of past year and
past month marijuana use, Florida’s rates
have generally mirrored the national rates. Rates
of past month use of an illicit substance other
than marijuana, however, have generally been higher
than the national rates. All measures of alcohol
use, including binge alcohol use, have generally
been below the national rates.
Abuse and Dependency in Florida
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).
On the global measure of any past year abuse of
or dependence on illicit drugs or alcohol, Florida
has generally ranked at or below the national
average.
FLORIDA
PAST 2024 ALCOHOL DEPENDENCE
AMONG INDIVIDUALS AGE 12 AND OLDER
FLORIDA PAST 2024 ILLICIT
DRUG DEPENDENCE
AMONG INDIVIDUALS AGE 12 AND OLDER
Substance Abuse Treatment Facilities
in Florida
According to the National Survey of Substance
Abuse Treatment Services (N-SSATS) annual surveys2
the number of treatment facilities in Florida
has increased from 612 in 2002, to 668 in 2006.
In 2006, more than half (380 of 668 facilities)
were private nonprofit, and just over one-third
(244 of 668) were private for-profit. The increase
between 2002 and 2006 is primarily attributable
to the addition of 17 private not-for-profit facilities
and 27 private for-profit facilities.
Although facilities may offer more than one modality
of care, 537 Florida facilities (80%) in 2006
offered some form of outpatient treatment. An
additional 228 facilities offered some form of
residential care, and 44 facilities offered opioid
treatment programs. In addition, 608 physicians
and 68 treatment programs are certified to provide
buprenorphine treatment for opiate addiction.
In 2006, 57 percent of all facilities (382 of
668) received some form of Federal, State, county,
or local government funds; and 254 facilities
had agreements or contracts with managed care
organizations for the provision of substance abuse
treatment services.
Substance Abuse Treatment in
Florida
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).3 In the 2006 N-SSATS survey, Florida showed
an one-day total of 52,734 clients in treatment,
the majority of whom (44,602 or 85%) were in outpatient
treatment. Of the total number of clients in treatment
on this date, 4,253 (8%) were under the age of
18.
Across the last 15 years, there has been a steady decline in the number of admissions mentioning alcohol as a substance of abuse and increases in opiates other than heroin.
Across the years for which TEDS data are available,
Florida has seen a substantial shift in the constellation
of problems present at treatment admission. Alcohol-only
admissions have declined from over 36 percent
of all admissions in 1992, to just over 16 percent
in 2006. Concomitantly, drug-only admissions have
increased from 21 percent in 1992, to 46 percent
in 2006.
Unmet Need for Addiction Treatment in
Florida
NSDUH 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 needing and not receiving treatment for
drug use in Florida have generally been at or
above the national rate for this measure. In 2005-2006,
the rate for individuals age 12 to 17 was among
the 10 highest5 in the country.
Rates for individuals needing and not receiving
treatment for alcohol use have been generally
at or below the national rates, with the exception
of the age group 26 and older.