Web pages for the 2016 N-SSATS

Attachment B13-Web pages for the 2016 N-SSATS information website
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NATIONAL SURVEY OF SUBSTANCE ABUSE TREATMENT SERVICES
(N-SSATS)
Sponsored by the U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration (SAMHSA)

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WELCOME TO THE N-SSATS WEBSITE— This site should help
you find answers to many of your questions about completing the
N-SSATS questionnaire, plus provide you with other useful links
and information.
The National Survey of Substance Abuse Treatment Services
(N-SSATS) is an annual census of all substance abuse treatment
facilities in the United States and its territories. Each year, about 17,000
facilities are surveyed and information is collected on their location,
organizational structure, services, and utilization. The data are used by
policymakers when decisions are being made about substance abuse
treatment programs. Information from the survey is also used to compile
and update the National Directory of Drug and Alcohol Abuse
Treatment Programs and the online Behavioral Health Treatment
Services Locator, two widely used resources for referrals to treatment.
The N-SSATS is conducted for SAMHSA by Mathematica Policy
Research.

N-SSATS Profile—United States
Mathematica Policy Research

Improving public well-being by conducting high-quality, objective research and data collection.
© 2012 Mathematica Policy Research, P.O. Box 2393, Princeton, NJ 08543-2393
Phone: 1 (888) 324-8337 Fax: (609) 799-0005
Email comments or questions to [email protected].
Mathematica® is a registered trademark of Mathematica Policy Research.
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| QUESTIONNAIRE DEFINITIONS | FREQUENTLY ASKED QUESTIONS | CONTACT US

NATIONAL SURVEY OF SUBSTANCE ABUSE TREATMENT SERVICES
(N-SSATS)
Sponsored by the U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration (SAMHSA)

Definitions for Terms Used in the N-SSATS
Questionnaire

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1. 12-Step Facilitation
2. Access To Recovery (ATR)

QUESTIONNAIRE
WEB FLYER

3. Anger management

QUESTIONNAIRE DEFINITIONS
FREQUENTLY ASKED QUESTIONS

4. ASAM Levels Of Care

CONTACT US

5. Brief Intervention

RELATED LINKS

6. Clinical Practices and Treatment Approaches

BHSIS (Behavioral Health
Services Information System)

7. Cognitive-behavioral therapy

Behavioral Health Treatment
Services Locator

8. Community Reinforcement Plus Vouchers

N-SSATS Profile—United States
Mathematica Policy Research

9. Computerized Substance Abuse Treatment/Telemedicine
10. Contingency Management/Motivational Incentives
11. Criminal Justice Clients
12. Dialectical behavior therapy
13. IHS/Tribal/Urban (ITU) funds
14. Matrix Model
15. Medicaid
16. Medicare
17. Motivational Interviewing
18. OTP Certification
19. Outpatient
20. Rational Emotive Behavioral Therapy (REBT)
21. Relapse Prevention
22. Specifically Tailored Substance Abuse Treatment Program
or Group
23. Substance Abuse Counseling
24. Transitional Housing or Halfway House
25. Trauma-related Counseling

Q12. OTP Certification: Certification is the process by which
the SAMHSA/CSAT Division of Pharmacologic Therapies
(DPT) determines that an OTP is qualified to provide Opioid
treatment under 42 CFR Part 8. For more information, see:
http://www.dpt.samhsa.gov/regulations/certification.aspx
Back to top
Clinical Practices and Treatment Approaches
Q14.1. Substance abuse counseling: A short-term
treatment that has been generalized for a variety of disorders,
including opiate drug dependence and cocaine abuse. The
therapy includes supportive techniques, which encourage the
patient to discuss personal experiences, and expressive
techniques, which enable the patient to work through
interpersonal relationship issues and gain greater self
understanding.
Back to top
Q14.2. 12-Step Facilitation: Twelve-step facilitation therapy
is an active engagement strategy designed to increase the
likelihood of a substance abuser becoming affiliated with and
actively involved in 12-step self-help groups, thereby
promoting abstinence. Three key ideas predominate: (1)
acceptance, which includes the realization that drug addiction
is a chronic, progressive disease over which one has no
control, that life has become unmanageable because of
drugs, that willpower alone is insufficient to overcome the
problem, and that abstinence is the only alternative; (2)
surrender, which involves giving oneself over to a higher
power, accepting the fellowship and support structure of other
recovering addicted individuals, and following the recovery
activities laid out by the 12-step program; and (3) active
involvement in 12-step meetings and related activities. A
twelve-step program is a support group made up of people
who share the same addiction. The "twelve-steps" refer to the
steps a recovering addict must take to overcome his addiction
as part of this program. Attendees at group meetings share
their experiences, challenges, successes and failures, and
provide peer support for each other. Effective for alcohol,
stimulants, and opioids. For more information see
http://archives.drugabuse.gov/ADAC/ADAC10.html.
Back to top
Q14.3. Brief intervention: A short-term intervention, usually
one to five sessions, for substance abusers who are not yet
dependent. Brief interventions are practices designed to

motivate individuals at risk of substance abuse and related
health problems to change their behavior by helping them
understand how their substance use puts them at risk and to
reduce or give up their substance use. Brief interventions are
not intended to treat people with serious substance
dependence, but rather to treat problematic or risky
substance use.
Back to top
Q14.4. Cognitive-behavioral therapy: Cognitive behavioral
therapy (CBT) focuses on exploring relationships among a
person's thoughts, feelings and behaviors. Cognitivebehavioral therapy involves recognizing unhelpful patterns of
thinking and reacting, and then modifying or replacing these
with more realistic or helpful ones. The therapy can be
conducted with individuals, families, or groups, and clients are
generally expected to be active participants in their own
therapy.
Back to top
Q14.5. Dialectical behavior therapy: (DBT) is a cognitivebehavioral treatment approach with two key characteristics: a
behavioral, problem-solving focus blended with acceptancebased strategies, and an emphasis on dialectical processes.
"Dialectical" refers to the issues involved in treating patients
with multiple disorders and to the type of thought processes
and behavioral styles used in the treatment strategies. DBT
has five components: (1) capability enhancement (skills
training); (2) motivational enhancement (individual behavioral
treatment plans); (3) generalization (access to therapist
outside clinical setting, homework, and inclusion of family in
treatment); (4) structuring of the environment (programmatic
emphasis on reinforcement of adaptive behaviors); and (5)
capability and motivational enhancement of therapists
(therapist team consultation group). DBT emphasizes
balancing behavioral change, problem-solving, and emotional
regulation with validation, mindfulness, and acceptance.
http://nrepp.samhsa.gov/pdfs/DBT_Booklet_Final.pdf
Back to top
Q14.6.Contingency management/motivational incentives:
Often used in the treatment of drug and alcohol abuse,
contingency management employs a positive-reinforcement
treatment method in which patients are given rewards for
constructive actions taken towards their recovery. Used
effectively for alcohol, stimulants, opioids, marijuana, and
nicotine addictions. For more information, see

http://www.drugabuse.gov/publications/principles-drugaddiction-treatment-research-based-guide-thirdedition/evidence-based-approaches-to-drug-addictiontreatment/behavioral-0
Back to top
Q14.7. Motivational interviewing: Motivational interviewing
is a collaborative, person-centered form of guiding to elicit
and strengthen motivation and commitment for change. It is a
counseling approach which acknowledges that many people
experience ambivalence when deciding to make changes. Its
aim is not to immediately focus on the action of changing, but
work to enhance motivation to change. It is designed to
strengthen an individual's motivation for and movement
toward a specific goal by eliciting and exploring the person's
own reasons for change within an atmosphere of acceptance
and compassion. Four basic principles of MI include
expressing empathy, developing discrepancy, rolling with
resistance and avoiding argumentation, and supporting selfefficacy. Some strategies include open ended questions,
affirming, reflective listening, summarizing, and eliciting
change talk resulting in self motivational statements. MI uses
four general processes to achieve its ends:
1.Engaging - used to involve the client in talking about
issues, concerns and hopes, and to establish a trusting
relationship with a counselor.
2.Focusing - used to narrow the conversation to habits
or patterns that clients want to change.
3.Evoking - used to elicit client motivation for change by
increasing clients' sense of the importance of change,
their confidence about change, and their readiness to
change.
4.Planning - used to develop the practical steps clients
want to use to implement the changes they desire.
Back to top
Q14.8. Trauma-related counseling: Interventions that focus
on reducing or eliminating symptoms, improving functioning,
and reducing the long-term negative effects of trauma in
persons who are suffering from Post Traumatic Stress
Disorder (PTSD) and/or have experienced traumatic events
such as physical abuse, sexual abuse, emotional abuse,
family tragedy, violence, war, or natural disaster effects of
abuse and trauma.

Back to top
Q14.9. Anger management: The goal of anger management
is to reduce both emotional feelings and the physiological
arousal that anger causes. Uses strategies to address the
anger cycle, conflict resolution, assertiveness skills, and
anger-control plans.
Back to top
Q14.10. Matrix Model: The Matrix Model approach is a 16week comprehensive behavioral treatment approach that
combines behavioral therapy, family education, individual
counseling, 12-Step support, drug testing, and
encouragement for non-drug-related activities, and provides a
framework for substance abuse (primarily methamphetamine
and cocaine) users to obtain the ability to cease drug use,
stay in treatment, and participate in an educational program
on addiction and relapse. Users are also provided with
direction and support from a trained therapist and introduced
to self-help programs. It is effective for methamphetamine and
other stimulant addiction and may also be used for other drug
and alcohol use.
Back to top
Q14.11. Community reinforcement plus vouchers:
Community Reinforcement plus vouchers is an intensive
outpatient therapy where individuals focus on improving
family relations, receive vocational training, and learn a
variety of skills to minimize drug dependency. Voucher-Based
Reinforcement (VBR) augments community-based treatments
for adults who primarily abuse opioids (especially heroin) or
stimulants (especially cocaine) or both. In VBR, the patient
receives a voucher for every drug-free urine sample provided.
The voucher has monetary value that can be exchanged for
food items, movie passes, or other goods or services that are
consistent with a drug-free lifestyle. The voucher values are
low at first, but increase as the number of consecutive drugfree urine samples increases; positive urine samples reset the
value of the vouchers to the initial low value. VBR has been
shown to be effective in promoting abstinence from opioids
and cocaine in patients undergoing methadone detoxification.
It is an incentive program (vouchers whereby individuals can
earn points exchangeable for retail items) that is used to
encourage individuals to remain in treatment and be
abstinent.
Back to top

Q14.12. Rational Emotive Behavioral Therapy (REBT):
REBT is a therapeutic approach that places the focus on the
present, such as, currently-held attitudes, painful emotions
and maladaptive behaviors that can disrupt life, and
individuals are taught how to examine and challenge their
unhelpful thinking which creates unhealthy emotions and selfdefeating/self-sabotaging behaviors. This method of treatment
includes an REBT practitioner that works closely with
individuals and personalizes a set of techniques for helping
those individuals examine their own thoughts, beliefs and
actions and replace those that are self-defeating with more
life-enhancing alternatives. REBT provides a variety of
methods to help people reformulate their dysfunctional beliefs
into more sensible, realistic and helpful ones by employing
the powerful REBT technique called "disputing." Ultimately,
REBT helps individuals to develop a philosophy and
approach to living that can increase their effectiveness and
satisfaction at work, in living successfully with others, in
parenting and educational settings, in making our community
and environment healthier, and in enhancing their own
emotional health and personal welfare.
Back to top
Q14.13. Relapse prevention: A cognitive-behavioral therapy
developed for the treatment of problem drinking and adapted
later for cocaine addicts. Cognitive-behavioral strategies are
based on the theory that learning processes play a critical role
in the development of maladaptive behavioral patterns.
Individuals learn to identify and correct problematic behaviors.
Relapse prevention encompasses several cognitivebehavioral strategies that facilitate abstinence as well as
provide help for people who experience relapse.
Back to top
Q14.14. Computerized substance abuse
treatment/telemedicine (including Internet, Web, mobile,
and desktop programs): Computer- or web-based
interactive, structured, substance abuse treatment program to
remotely support the assessment, intervention, treatment, or
continuing care of clients.
Back to top
Q19a. Specially Designed Program or Group: a facility may
offer a standard substance abuse program to all clients but, in
addition, offer a specially designed program or group for
specific types of clients. Although the treatment methods
could be the same, specially designed programs or groups

are exclusively for a specific type of client and discussions are
particularly relevant to that type of client.
Back to top
Q19a.11 Criminal Justice Clients: Clients who are involved
in the criminal justice system. This includes those who are
awaiting trial, incarcerated, on probation, on parole or
mandated by the courts to receive treatment.
Back to top
Q20a, Q21a, Q22a ASAM Levels of Care: The American
Society of Addiction Medicine (ASAM) has developed
guidelines regarding levels of care and these are now widely
used. The ASAM levels of care are:
Level 0.5-Early Intervention
Level I-Outpatient Treatment
Level II -Intensive Outpatient/Partial
Hospitalization
Level III-Residential/Inpatient Treatment
Level IV-Medically-Managed Intensive Inpatient
Treatment.
(Within these broad levels of service is a range of specific
levels of care. Since some treatment facilities may be more
familiar with the ASAM level-of-care terminology than with the
treatment categories used in the N SSATS questionnaire, we
have added a notation indicating the corresponding ASAM
level of care below each N SSATS category in the
questionnaire. We hope that this added information will make
responding to the N SSATS questionnaire easier for facilities
that use the ASAM classifications.)
Back to top
Q22. Outpatient: Outpatient substance abuse clients receive
treatment services without an overnight stay at a treatment
facility or hospital.
Back to top
Q26.3 Medicare: Medicare is the federal health insurance
program for people age 65 and older and people with
disabilities.

Back to top
Q26.4 Medicaid: Medicaid is a joint federal and state
program that helps with medical costs for some people with
low incomes and limited resources. Medicaid programs vary
from state to state.
Back to top
Q26.8 Access to Recovery (ATR): ATR is a competitive
discretionary grant program funded by the Substance Abuse
and Mental Health Services Administration, Center for
Substance Abuse Treatment, which will provide vouchers to
clients for purchase of substance abuse clinical treatment and
recovery support services. Grants are awarded to States and
Tribal Organizations. The participating states and program
names are:
Circle of Recovery
or
Alaska
South-Central Foundation Access to
Recovery (ATR) III partnered with Cook
Inlet Tribal Council
Arizona
Arizona Access to Recovery
AR Dept of Human Services, Div of BHS OR
Arkansas
AR Access to Recovery
California Access to Recovery Effort
(CARE) OR
California
California Dept. of Health Care Services
(DHCS)
Access to American Indian Recovery
California
(AAIR). (Targeting American Indian/Alaska
Rural Indian
Native people with substance abuse
Health Board,
disorders.) administered by the California
Inc.
Rural Indian Health Board, Inc.
Colorado Access to Recovery (ATR)
or
Colorado
State of CO, Dept of Behavioral Health
(OBH)
Connecticut Access to Recovery (ATR) III
or
Connecticut
Conn. Dept of Mental Health & Addiction
Services (DMHAS)
District of Columbia Access to Recovery
(ATR),
District of
District of Columbia Department of HealthColumbia
Addiction Prevention and Recovery
Administration
Florida

Florida Access to Recovery (ATR) Client
Choice Program
or
Florida Dept. of Children & Families
Hawaii Access to Recovery (HI-ATR), Office
of the Governor, State of Hawaii OR Hawaii
Hawaii
Dept of Health Alcohol and Drug Abuse
Division
Access to Recovery III (ATR-III)– through
Idaho
the
Idaho Dept of Health and Welfare (grantee)
Illinois Access to Recovery III (ATR-II)
Program OR
Illinois
IL Dept of Human Service, Div of
Alcoholism & Substance Abuse
Indiana Access to Recovery (INATR) OR
Indiana
Div. of Mental Health and Addiction, Family
& Social Services Administration
Iowa ATR
Iowa
or
Iowa Dept of Public Health
Louisiana Access to Recovery (ATR),
Louisiana
Louisiana Office of Behavioral Health
MA Access to Recovery (MA-ATR) OR
Massachusetts
Massachusetts Depart of Public Health
Maryland Recovery Net (MD's Access to
Recovery Program, Maryland Alcohol &
Maryland
Drug Abuse Admin(ADAA), the Dept. of
Health and Mental Hygiene (DHMH)
Anishnaabek Healing Circle Access to
Recovery Program administered by the
Inter-Tribal Council of Michigan, Inc. (in
Michigan
partnership with 12 federally recognized
tribes and one urban Indian Center)
Missouri
Building on a Foundation of Rock
or
Access to Recovery III Recovery Systems
(ATR III) The new grant will target priority
groups for clinical treatment as well as
supports such as housing, employment
and transportation. The priority groups are:
Veterans, including National Guard service
members returning from Iraq and
Afghanistan, Offenders reentering the
community from any Missouri Department
of Corrections institution, Treatment courts
(drug courts, DWI courts) and Other
disadvantaged populations (as identified

and defined in each local area)
or
Missouri State Dept of Mental Health,
Division of Behavioral Health (DBH)
Rocky Mountain Tribal Access to Recovery
MontanaProgram (RMTAR.)
Wyoming
(A collaboration of Montana and Wyoming
Tribal
Tribal and Urban Indian substance abuse
Leaders
treatment and recovery support services
Council
providers.)
NH Access to Recovery (NH-ATR), New
New
Hampshire Dept of Health and Human
Hampshire
Services, Bureau of Drug and Alcohol
Services (NHBDAS)
New Jersey
New Jersey Access Initiative (NJAI)
New Mexico’s Door to Recovery , State of
New Mexico New Mexico OR Human Services Dept
Behavioral Health Services Division
Access to Recovery (NY SOARS), Research
Foundation for Mental Hygiene, Inc (RFMH)
New York
at in partnership with the NY State Office of
Alcoholism and Substance Abuse Services
(OASAS)
Ohio Access to Recovery (OATR)
or
Ohio
Ohio Dept of Alcohol & Drug Addiction
Services
Oklahoma ATR, Oklahoma Department of
Oklahoma
Mental Health and Substance Abuse
Services (ODMHSAS)
The Cherokee Nation Many Paths Project.
Oklahoma
(This award seeks to improve access to
Cherokee
services for American Indian adolescents
Nation
and adults, males and females, judged to
be in need of substance abuse services.)
Oregon Access to Recovery (OR-ATR),
State of Oregon Dept of Human Services
Oregon
OR Oregon Health Authority Addiction and
Mental Health Division
Access to Recovery Program,
Pennsylvania Pennsylvania Department of Drugs and
Alcohol Programs (DDAP)
Rhode Island Access to Recovery 3 (ATR),
State of RI and Providence Plantations OR
Rhode Island
RI Dept of Behavioral Healthcare,
Developmental Disabilities and Hospitals
South Dakota Aberdeen Area Tribal Chairmen's Health
Board (AATCHB),

Tennessee

Texas

Utah

Washington

Wisconsin

Wyoming

Oglala Sioux Tribe (OST) Access to
Recovery OR Great Plains Access to
Recovery (GPATR), Great Plains Tribal
Chairmen’s Association (GPTCA)
Tennessee Access to Recovery (ATR)
Program
Access to Recovery
or
Texas Expanding Access to Recovery
(TEATR). (TEATR will extend the current
program from 13 to 18 counties, as well as
enhance the faith-based, volunteer-based
and community-based components of ATR.
Will include treatment and recovery
support to methamphetamine abusers
without regard to drug court involvement in
all 18 counties.)
Utah Dept of Human Services Div of
Substance Abuse and Mental Health
State of Washington Access to Recovery
(ATR)
or
Washington State Access to Recovery II.
(Will provide social service intervention
over the three-year grant period to
individuals in crisis because of drug or
alcohol misuse.)
or
Dept. of Social & Health Services Division
of Behavioral Health and Recovery
Wisconsin WISER Choice ATR Program,
Wisconsin Department of Health Services
OR Milwaukee County Behavioral Health
Division
Rocky Mountain Tribal Access to Recovery
Program (RMTAR.)
(A collaboration of Montana and Wyoming
Tribal and Urban Indian substance abuse
treatment and recovery support services
providers.)

Back to top
Q26.9 IHS/Tribal/Urban (ITU) funds are direct funds from the
Indian Health Service (IHS); tribal funds through 638
contracts; and/or urban funds through congressional Title 5
grants. These funds are considered part of the Indian Health

Care System, and can be used for programs that provide
behavioral health services, as well as for programs that
provide other health-related services.
Back to top
Q35 Transitional Housing or Halfway House: Housing for
individuals recovering from substance abuse that is designed
to provide a drug- and alcohol-free living environment and
appropriate support services to facilitate movement to
independent living. This includes transitional living, sober
houses, sober living, recovery houses, and 3/4 houses or 3/4
recovery houses.
Back to top

Improving public well-being by conducting high-quality, objective research and data collection.
© 2012 Mathematica Policy Research, P.O. Box 2393, Princeton, NJ 08543-2393
Phone: 1 (888) 324-8337 Fax: (609) 799-0005
Email comments or questions to [email protected].
Mathematica® is a registered trademark of Mathematica Policy Research.
Plain Language

HOME

| QUESTIONNAIRE DEFINITIONS | FREQUENTLY ASKED QUESTIONS | CONTACT US

NATIONAL SURVEY OF SUBSTANCE ABUSE TREATMENT SERVICES
(N-SSATS)
Sponsored by the U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration (SAMHSA)

Contact Us

HOME
LETTERS TO FACILITIES
Advance Letter
Cover Letter
QUESTIONNAIRE

If you have any questions about the survey .....

WEB FLYER

Call the N-SSATS Help Desk toll-free at 1-888-324-8337

QUESTIONNAIRE DEFINITIONS
FREQUENTLY ASKED QUESTIONS
CONTACT US

Email the N-SSATS Help Desk at [email protected]
Fax the N-SSATS Help Desk at 609-799-0005, ATTN: N-SSATS

RELATED LINKS
BHSIS (Behavioral Health
Services Information System)
Behavioral Health Treatment
Services Locator
N-SSATS Profile—United States
Mathematica Policy Research

Improving public well-being by conducting high-quality, objective research and data collection.
© 2012 Mathematica Policy Research, P.O. Box 2393, Princeton, NJ 08543-2393
Phone: 1 (888) 324-8337 Fax: (609) 799-0005
Email comments or questions to [email protected].
Mathematica® is a registered trademark of Mathematica Policy Research.
Plain Language