In the U.S., around 82 percent of all substance abuse treatment facilities offer outpatient treatment and 20 percent offer long-term residential treatment. An estimated 27 percent of facilities have programs specifically tailored for adolescents, 17 percent have special programs for veterans and another 17 percent offer programs for LGBT clients. There were over 1.3 million clients at substance abuse treatment facilities in the U.S. in 2015, over 600,000 of whom had diagnosed co-occurring mental and substance abuse disorders.
The monetary costs of substance abuse can be vast when considering the indirect costs, such as productivity losses, direct law enforcement costs, and healthcare costs. In 2017, public expenditures for substance abuse treatments in the U.S. are projected to reach around 25.6 billion U.S. dollars, with Medicaid expenditures accounting for 9.9 billion dollars of this total. Out-of-pocket expenditures for treatment were expected to total some 3.2 billion dollars at this time, while private insurance would spend another 5.8 billion. Substance abuse treatment has also become a business in the United States, with organizations operating multiple facilities in numerous states. American Addiction Centers, one of the largest treatment organizations in the U.S., reported revenue of almost 280 million dollars in 2016, a substantial increase from the 212 million dollars reported in 2015.