National Mental Health Services Survey (N-MHSS) 2017

National Mental Health Services Survey (N-MHSS): 2017

Data on Mental Health Treatment Facilities

DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration

Acknowledgments

This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Work was performed under Contract No. HHSS283201600001C. The Contracting Officer's Representative (COR) at SAMHSA/ CBHSQ was Cathie E. Alderks, PhD. SAMHSA complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. SAMHSA cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

Public Domain Notice

All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, U.S. Department of Health and Human Services.

Recommended Citation

Substance Abuse and Mental Health Services Administration, National Mental Health Services Survey (N-MHSS): 2017. Data on Mental Health Treatment Facilities. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2018.

Electronic Access of the Publication

This publication may be downloaded or ordered at .

Originating Office

Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration

5600 Fishers Lane, Room 15SEH03 Rockville, Maryland 20857

August 2018

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Table of Contents

List of Tables....................................................................................................................................v

List of Figures................................................................................................................................ ix

Highlights.........................................................................................................................................1

Chapter 1. Description of the National Mental Health Services Survey (N-MHSS)........................................................................................................................................3

Data Collection Procedures for the 2017 N-MHSS.....................................................................4 Content........................................................................................................................................6 Facility Reporting and Selection for the 2017 N-MHSS Report.................................................7 Quality Assurance.......................................................................................................................7 Response Rates...........................................................................................................................7 Data Considerations and Limitations..........................................................................................8 Organization of the Report.........................................................................................................8

Chapter 2. Facility Characteristics and Services.........................................................................9 Facility Type and Facility Operation...........................................................................................9 Service Settings Offered...........................................................................................................10 Treatment Approaches..............................................................................................................12 Services and Practices...............................................................................................................12 Age Groups...............................................................................................................................13 Dedicated or Exclusively Designed Treatment Programs or Groups for Specific Client Types..............................................................................................................................14 Treatment Services Provided in Languages Other Than English and for the Deaf and Hard-of-Hearing........................................................................................................15 Crisis Intervention Teams.........................................................................................................15 Types of Payment or Insurance Accepted.................................................................................16 Smoking Policy.........................................................................................................................17 Facility Licensing, Certification, or Accreditation....................................................................17

Chapter 3. Selected Facility Characteristics at the Regional and State Levels.......................19 Facility Type.............................................................................................................................20 Facility Operation ....................................................................................................................22 Service Settings Offered...........................................................................................................23 Treatment Approaches..............................................................................................................24 Services and Practices...............................................................................................................25 Age Groups...............................................................................................................................28

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Table of Contents (continued)

Dedicated or Exclusively Designed Treatment Programs or Groups for Specific Client Types..............................................................................................................................29 Treatment Services Provided in Languages Other Than English and for the Deaf and Hard-of-Hearing........................................................................................................30 Crisis Intervention Teams.........................................................................................................31 Types of Payment or Insurance Accepted.................................................................................31 Facility Licensing, Certification, or Accreditation ...................................................................32 Tables..............................................................................................................................................35 Appendix A. 2017 N-MHSS Questionnaire..............................................................................119 Appendix B. Data Collection Procedures.................................................................................129 Survey Frame..........................................................................................................................129 Data Collection.......................................................................................................................129 Appendix C. Response Rates.....................................................................................................131 Appendix D. List of Contributors.............................................................................................159

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List of Tables

Chapter 1 1.1 N-MHSS facilities, by status and mode of response: 2017..................................................7 Chapter 2 2.1 Mental health treatment facilities, by service setting and facility type:

Number and percent, 2017..................................................................................................36 2.2a Mental health treatment facilities, by facility type and facility operation:

Number, 2017......................................................................................................................37 2.2b Mental health treatment facilities, by facility type and facility operation:

Row and column percent, 2017..........................................................................................38 2.3a Mental health treatment facilities offering various treatment approaches, by

facility type: Number, 2017................................................................................................39 2.3b Mental health treatment facilities offering various treatment approaches, by

facility type: Percent, 2017.................................................................................................40 2.4a Mental health treatment facilities offering specific services and practices,

by facility type: Number, 2017...........................................................................................41 2.4b Mental health treatment facilities offering specific services and practices,

by facility type: Percent, 2017............................................................................................43 2.5 Mental health treatment facilities accepting specific age groups for

treatment, by facility type: Number and percent, 2017......................................................45 2.6a Mental health treatment facilities offering treatment programs or groups

designed exclusively for specific client groups, by facility type: Number, 2017...............46 2.6b Mental health treatment facilities offering treatment programs or groups

designed exclusively for specific client groups, by facility type: Percent, 2017................48 2.7 Mental health treatment facilities offering services in a language other than

English and for the deaf and hard-of-hearing, by facility type: Number and percent, 2017.......................................................................................................................50 2.8 Mental health treatment facilities that employ a crisis intervention team, by facility type: Number and percent, 2017.............................................................................51 2.9a Mental health treatment facilities accepting a specific type of payment or funding source, by facility type: Number, 2017.................................................................52

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List of Tables (continued)

2.9b Mental health treatment facilities accepting a specific type of payment or funding source, by facility type: Percent 2017...................................................................53

2.1 Mental health treatment facility smoking policy, by facility type: Number and percent, 2017................................................................................................................54

2.11a Mental health treatment facility licensing, certification, or accreditation, by facility type: Number, 2017................................................................................................55

2.11b Mental health treatment facility licensing, certification, or accreditation, by facility type: Percent, 2017.................................................................................................56

Chapter 3 3.1a Mental health treatment facilities, by facility type, Census region, and state

or jurisdiction: Number, 2017.............................................................................................57 3.1b Mental health treatment facilities, by facility type, Census region, and state

or jurisdiction: Percent, 2017..............................................................................................59 3.2a Mental health treatment facilities, by facility operation, Census region, and

state or jurisdiction: Number, 2017.....................................................................................61 3.2b Mental health treatment facilities, by facility operation, Census region, and

state or jurisdiction: Percent, 2017......................................................................................63 3.3a Mental health treatment facilities providing 24-hour hospital inpatient

treatment, by facility type, Census region, and state or jurisdiction: Number, 2017......................................................................................................................65 3.3b Mental health treatment facilities providing 24-hour hospital inpatient treatment, by facility type, Census region, and state or jurisdiction: Percent, 2017.......................................................................................................................67 3.4a Mental health treatment facilities providing 24-hour residential treatment, by facility type, Census region, and state or jurisdiction: Number, 2017...........................69 3.4b Mental health treatment facilities providing 24-hour residential treatment, by facility type, Census region, and state or jurisdiction: Percent, 2017............................71 3.5a Mental health treatment facilities providing less than 24-hour partial hospitalization/day treatment, by facility type, Census region, and state or jurisdiction: Number, 2017.................................................................................................73

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List of Tables (continued)

3.5b Mental health treatment facilities providing less than 24-hour partial hospitalization/day treatment, by facility type, Census region, and state or jurisdiction: Percent, 2017..................................................................................................75

3.6a Mental health treatment facilities providing less than 24-hour outpatient treatment, by facility type, Census region, and state or jurisdiction: Number, 2017......................................................................................................................77

3.6b Mental health treatment facilities providing less than 24-hour outpatient treatment, by facility type, Census region, and state or jurisdiction: Percent, 2017.......................................................................................................................79

3.7a Treatment approaches offered, by Census region and state or jurisdiction: Number, 2017......................................................................................................................81

3.7b Treatment approaches offered, by Census region and state or jurisdiction: Percent, 2017.......................................................................................................................83

3.8a Mental health treatment facilities offering specific services and practices, by Census region and state or jurisdiction: Number, 2017.................................................85

3.8b Mental health treatment facilities offering specific services and practices, by Census region and state or jurisdiction: Percent, 2017..................................................89

3.9 Mental health treatment facilities accepting specific age groups for treatment, by Census region and state or jurisdiction: Number and percent, 2017....................................................................................................................................93

3.10a Mental health treatment facilities offering treatment programs or groups designed exclusively for specific client groups, by Census region and state or jurisdiction: Number, 2017.............................................................................................95

3.10b Mental health treatment facilities offering treatment programs or groups designed exclusively for specific client groups, by Census region and state or jurisdiction: Percent, 2017..............................................................................................99

3.11 Mental health treatment facilities offering treatment services in a language other than English and for the deaf and hard-of-hearing, by Census region and state or jurisdiction: Number and percent, 2017........................................................103

3.12 Mental health treatment facilities that employ a crisis intervention team, by Census region and state or jurisdiction: Number and percent, 2017................................105

3.13a Mental health treatment facilities accepting a specific type of payment or funding source, by Census region and state or jurisdiction: Number, 2017.....................107

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List of Tables (continued)

3.13b Mental health treatment facilities accepting a specific type of payment or funding source, by Census region and state or jurisdiction: Percent, 2017......................111

3.14a Mental health treatment facility licensing, certification, or accreditation, by Census region and state or jurisdiction: Number, 2017....................................................115

3.14b Mental health treatment facility licensing, certification, or accreditation, by Census region and state or jurisdiction: Percent, 2017.....................................................117

Appendix C C1 Item response rates: 2017..................................................................................................131 C2 N-MHSS facilities, by status, response rate, mode of response, and state or

jurisdiction: 2017..............................................................................................................136

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