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Need for Treatment

Defining Current Need for Treatment

Based on a 1999 study conducted by the Department of Social and Health Services, Research and Data Analysis, 407,057 adults living in households in Washington State were estimated to be currently in need of substance abuse treatment in 1998, representing 10.0% of the total adult population.  (The definition of need is provided on the following page.)  It was also estimated that 585,586 adults living in households had experienced an alcohol or drug use problem at some time in their life.

The largest number of adults in need of treatment experienced an alcohol-related disorder.  Among adults, 6.8% (276,722) experienced an alcohol use disorder in the past 18 months, while 1.6% (66,818) experienced a drug use disorder during the same period.

Adult use rates for individual substances were as follows:

Adult Use Rates Lifetime Use Past 12-Month Use Past 30-Day Use
Alcohol 92.3% 71.6%* 55.6%
Any Drug 40.2% 9.8% 4.9%
Marijuana 38.6% 9.0% 4.7%
Stimulants** 16.3% 1.9% 0.8%
Cocaine 12.5% 1.6% 0.5%

* past 18-month use measure utilized for alcohol only
** Includes amphetamine, methamphetamines, and other stimulants.

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Current Need for Treatment Among Population Subgroups in Washington State

Current estimated need for treatment in 1998 varied across subgroups.

Compared with the overall rate of 10.0% for the total adult population living in households in need of treatment, some subgroups had lower estimated rates of treatment need.  These included: those ages 45-64 (4.9%) and 65+ (2.0%); females (6.4%); Blacks (7.5%), Asian-Pacific Islanders (2.1%), and Hispanics (7.5%); those who are married (6.2%); and non-high school graduates (9.3%).

Other subgroups had higher estimated treatment needs.  These included: those ages 18-24 (24.8%) and 25-44 (12.5%); males (13.8%); Native Americans (American Indians or Alaskan Natives) (17.5%); and those never married (22.0).

Need for substance abuse treatment is not highly correlated with income.  Among all adult household residents in 1998, 10.0% had a current need for treatment, compared with 11.2% of adults in households with incomes at or below 200% of the federal poverty line.

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*Those defined as currently in need of treatment met one of the following four conditions:

1. Individuals who had a substance use disorder in the past 18 months.

2. Individuals who did not meet the first condition but who reported that they have "had a problem or felt addicted to alcohol or drugs" AND reported drinking or using "regularly" during the past 18 months.  "Regular" use means drinking three or more drinks per drinking day at least one or two times a week, OR using marijuana 50 times or more, OR using any other illicit drug 10 times or more.

3. Individuals who did not meet the first two conditions but received licensed residential or outpatient treatment services (excluding detoxification or assessment) during the past 12 months.

4. Individuals who did not meet the first three conditions but used drugs or alcohol "heavily" during the past 18 months.  "Heavy" use means drinking an average of four drinks per drinking day at least three to four times per week OR using any illicit drug 50 times during the past 18 months.

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Modified: November 03, 2004