In the U.S., around 82 percent of all substance abuse treatment facilities offer outpatient treatment and 23 percent offer long-term residential treatment. An estimated 26 percent of facilities have programs specifically tailored for adolescents, 19 percent have special programs for veterans and another 19 percent offer programs for LGBT clients. There were over 1.35 million clients at substance abuse treatment facilities in the U.S. in 2017, a large portion of whom had diagnosed co-occurring mental and substance abuse disorders.
Substance abuse treatment has 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 296 million dollars in 2018, a substantial increase from the 212 million dollars reported in 2015. In addition, the Hazelden Betty Ford Foundation served a total of 20,993 patients in 2017, compared to 12,366 in 2011.