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United States Addiction Rehab Industry Report 2020

The “The U.S. Addiction Rehab Industry – 5th Edition” report has been added to ResearchAndMarkets.com’s offering.
Drug, alcohol and other addiction rehab in the United States is big business – $42 billion this year.
There are now 14,000+ treatment facilities and growing. A total of 3.7 million persons received treatment, but many more need it and facilities are filled to capacity. Insurance coverage for rehab has increased, but scandals abound as shoddy facilities opened and patient brokering, overbilling and deceptive marketing became common. Reforms are pending. Private equity firms are investing.
This new study examines the nature of the business, types of rehab, reasons for the renewed growth of addiction rehab services since the Great Recession and the opioid crisis, national receipts/growth from 1983-2018, 2020 and 2025 forecasts, average facility revenues and operating ratios, industry structure and participation by non-profit, for-profit, inpatient and outpatient programs, extensive drug/alcohol abuser demographics. Discussion of the Florida Model, destination markets in FL and CA, effects of increased volume due to the Affordable Care Act, industry history and evolution, and discussion of all major industry trends.
Includes all the pertinent data compiled by SAMHSA’s latest government survey, data from the NIDA, NAATP, state agencies, and more.
9 in-depth company profiles are provided for: Hazelden Betty Ford Foundation, CRC Health Group, Promises Behavioral Health, Passage Malibu, American Addiction Centers, The Caron Foundation, Comprehensive Care Corp., Malibu Horizon Rehab Center, and Behavioral Health of The Palm Beaches.
COVID-19 Update July 2020:
The publisher has issued a free July 2020 update for this report, analyzing the probable impacts of the Covid-19 pandemic on drug & alcohol addiction treatment centers.
It discusses: operational changes, the shift to virtual visits, a shift to more outpatient care, impact on federal state and local program funding, findings of recent industry surveys, examples of reduced caseloads and state actions, potential facility closures, how the industry may actually benefit from the pandemic, and revised 2020 and 2025 market growth forecasts.
Key Topics Covered:
Introduction, Sources & Methodology Used
Executive Overview of Major Findings
Discussion of scope of U.S. alcohol and drug addiction problem, cost to society, impact of treatment, structure of treatment providers industry (no. of facilities by type), major industry trends and issue, industry size, growth and forecasts (1983-2025 F), effects of recessions and Affordable Care Act, outlook for 2020, list of leading treatment organizations/companies, user demographic highlights of 2019 SAMSHA government survey regarding scope of drug & alcohol abuse/usage/persons in treatment, client & facility characteristics – highlights of all report chapters.
Nature and Structure of the Industry
- Discussion of different types of centers (% for-profit, non-profit, private/government, by primary focus), typical programs offered, treatment programs by type site
- Discussion of indicators of program quality
- Inpatient vs. outpatient care, etc. (no. of facilities, patients served, occupancy rate, industry revenues, average revenues per facility, mean no. of clients per facility,
- Typical cost of rehab
- Demand for care: no. of persons that need treatment
- Discussion of the industry’s major problems and scandals (deceptive marketing, overbilling, patient brokering, fraud, etc.)
- Various types of rehab (drug, alcohol, sex addiction, gambling, Internet, post-traumatic stress),
- The 6 major types of rehab (philosophies – faith-based, evidence-based, 12-step, etc.)
Demographics -SAMHSA Survey Findings – Data on Substance Abusers
- Key statistics about national costs of drug & alcohol abuse, hospitalizations, opioid use
- Discussion of trends in illicit drug use, persons age 12 or older: (usage of marijuana, cocaine, heroin, hallucinogens, methamphetamine, nonmedical use of prescription drugs – number and percent of persons)
- Discuss trends in alcohol use, persons age 12 or older: (heavy drinking, binge drinking, current use – number and % of persons)
- Marijuana use – discussion, number and % of persons
- Cocaine use – discussion, number and % of persons
- Heroin use – discussion, number and % of persons
- Methamphetamine use – discussion, number and % of persons
- Inhalants use – discussion, number and % of persons:
- Hallucinogens use – discussion, number and % of persons:
- Psychotherapeutics use – discussion, number and % of persons:
- The Opioid epidemic: discussion, number and % of persons
Major Industry Trends & Issues
- Discussion of insurance fraud and overbilling, patient brokering, deceptive marketing
- Discussion of The Affordable Care Act and the Mental Health Parity and Addiction Equity
- Act and how it has upended the industry’s business model
- Compliance with evidence-based practices is spotty
- Private equity investors pour money into addiction treatment
- Attempts at reform: actions by Google, The Federal Support Act
- Discussion of The Opioid Crisis & Treatment, medically assisted treatment.
Industry Size, Growth, Segments, Forecasts
- Summary: Total industry size, estimates by government vs. other mkt. research firms, public vs. private spending/funding
- The treatment population: no. and % of people actually receiving treatment: 2018, payment by source of funds
- Number of treatment facilities in U.S., % treated by type facility, median no. of clients (total and by outpatient, residential, hospital, detox)
- Estimates of industry size ($ revenues): 2019 SAMHSA report, growth of private, public, out-of-pocket spending 2020 outlook and effect of Affordable Care Act, projected increase of persons in treatment, effects of recessions
- 2025 Forecast: major trends discussion: reliance on public financing, Medicaid, increased private insurance coverage, E-health, effect of recessions
- Discussion of Medicaid and Other State and Local Financing.
- The high-end market segment: discussion of the private pay marketplace, $ value
- Destination markets: discussion of the South Florida market, the “Florida Model”, history
- Discussion of the gambling addiction market: no. of problem gamblers, amount spent per year
- Sex addiction: discussion of why it has come into the mainstream, Tiger Woods and other celebrity publicity, types of treatment programs, list of top treatment centers.
Treatment Facility Operating Ratios
- U.S. Census Bureau ratios for mental health & substance abuse facilities (2017, 2012, 2007) – no. of facilities, revenues, avg. revenues per center, payroll costs, no. of employees (outpatient vs. inpatient centers) – summary
- Discussion of no. of clients per facility, mean cost of care, cost to treat per person, outpatient care
Competitor Profiles of the Leading Treatment Organizations and Multi-Center Chains
(For each organization, a discussion of: history/founding, description of major programs, services, estimated/actual revenues, no. of centers, fees, facilities operated, mergers, sold facilities, recent developments.)
- Hazelden Betty Ford Foundation
- CRC Health Group
- American Addiction Centers
- Promises Behavioral Health
- Passage Malibu
- The Caron Foundation
- Comprehensive Care Corp.
- Malibu Horizon Rehab Center
- Behavioral Health of The Palm Beaches
Directory of Industry Reference Sources
- Name/address/phone of drug & alcohol abuse-related industry trade associations, government reports, major EAP industry trade journals, hotline phone numbers, etc.
- List of state substance abuse agencies
For more information about this report visit https://www.researchandmarkets.com/r/lnnm5i
Latest News
WinSpirit and Casino Guru Turn Responsible Gaming into a Trend

Talking about Responsible Gaming (RG) is nothing new in iGaming — but doing it in a way players actually enjoy is rare. For WinSpirit, it became a chance to do what the brand does best — think differently, engage, and prove that even the most serious topics can be turned into content players actually want to share.
Instead of burying RG in disclaimers or policy pages, WinSpirit brought together their creativity and expertise of Casino Guru to turn it into a SmartPlay Social Media campaign.
Data-Driven Creativity
Before launching the campaign, WinSpirit turned to its community with a simple question: what do you really know about Responsible Gaming? Nearly 800 players responded, and the results were telling.
- 63% knew the primary goal of RG.
- 46% felt enabling those tools was easy and knew where to find information.
- 56% highlighted WinSpirit’s own email disclaimers (launched this year) as the most effective reminders.
The findings confirmed that awareness was already strong, but also showed that some players still found RG “too complicated.”
“When we asked our community which reminders help them stay mindful, 56% highlighted the email disclaimers developed by WinSpirit Casino this year as the most effective”, – said WinSpirit analytics team manager.
This insight revealed a gap: while some forms work well for many, others may need a different touchpoint to simplify the message. Social media naturally became the next logical step to address the topic.
A Campaign Built for the Feed
The six-part series was crafted not just to inform, but to feel native to social media culture. Players swiped through “red flag or green light” checks, busted common myths with quick-hit facts, and even debated an “unpopular opinion”: games are built for entertainment, not profit. The final self-check felt less like a form and more like a challenge — engaging, fast, and easy to share.
What elevated the initiative further was the expertise behind it. WinSpirit teamed up with Šimon Vincze, Head of Sustainable & Safer Gambling at Casino Guru — a rare pairing of a progressive operator and an independent authority. In an industry where these voices often stay on opposite sides, this collaboration showed the power of combining creativity with credibility.
Here is what Šimon Vincze said about the initiative: “I am glad we could support WinSpirit on this journey and help bring a successful campaign to life by combining expert insights with natural and engaging communication. Their PR team did an excellent job, as demonstrated by the statistics. Player protection is an integral part of the gambling industry’s development. Sooner or later, most players will expect a certain level of well-being and care. Those who start on this journey earlier will benefit from a competitive edge and a loyal player base.”
Impact That Lasts
Social media reach for the campaign exceeded 10,000 people.
Social Media Engagement achieved 53% and boosted monthly metrics of Social Media pages by 80%. But the main result is still on the way – in the first month alone, WinSpirit saw a 12% rise in player support queries about Responsible Gaming tools.
More importantly, Responsible Gaming shifted from being background noise to a conversation players wanted to join. Awareness turned into curiosity — and curiosity sparked deeper understanding.
“This isn’t about ticking boxes,” says the WinSpirit team. “It’s about giving players the confidence and control that keep the game fun.”
For an industry where communication often feels routine, the campaign proved that creativity doesn’t weaken the message — it amplifies it. Even compliance can capture attention when delivered in the language of players.
Latest News
Scientific Games’ Award-Winning PlayCentral Self-Service Technology Heading to NASPL 2025

PlayCentral Terminals Meet Diverse Lottery Retailer Needs as Self-Service Adoption Accelerates
Scientific Games award-winning PlayCentral lottery self-service technology will be showcased at the North American Association of State & Provincial Lotteries 2025 Conference, taking place Sept. 8-11 in Ontario, Canada. Developed with the guiding principle that “one size does not fit all,” the company’s family of PlayCentral self-service terminals offers a broad range of form factors, feature sets and configurations to fit diverse retail footprints, from large-format grocery and mass merchandisers to high-traffic convenience stores and compact independent outlets. Each PlayCentral model is designed to optimize space, maximize product visibility and enhance the self-service purchasing experience.
According to a 2024 PYMNTS Intelligence Report, 84% of U.S. consumers enjoy using self-service kiosks, and two-thirds now prefer them over staffed checkout lanes.
PlayCentral Powered by SCiQ was named a Gold Winner in the 2025 American Business Awards and a Bronze Winner in the 2025 International Business Awards in the Emerging Technology category. Several years ago, Scientific Games was named Walmart Services Division Supplier of the Year for Product, recognizing a PlayCentral model as an “exceptional or innovative product that enhanced customer savings (money and/or time, value or assortment).”
Unique in the industry, all terminals in the PlayCentral family support the full line sales of draw games, instant scratch games, Fast Play and monitor games, offering the greatest opportunity for lottery expansion to all player segments and playstyles. PlayCentral terminals have been deployed in thousands of lottery retail locations across North America, processing millions of transactions annually.
“PlayCentral self-service terminals are at the epicenter of a modern retail ecosystem. Powered by SCiQ, the technology integrates store-level analytics for streamlined inventory management, offering players a convenient, user-friendly shopping experience and readying lotteries for future payment strategies,” said Mike Cardell, Senior Vice President, Americas Systems for Scientific Games. “Our PlayCentral family is designed to adapt to any store layout, meet a host of different retailer requirements and deliver personalized game recommendations powered by AI. This is how Scientific Games helps lotteries and retailers grow their business while giving players enhanced self-service experiences.”
In addition to flexibility for a wide variety of retail environments, PlayCentral terminals integrate Scientific Games’ new GameChoice AI technology to provide personalized product recommendations to players. These data-driven insights help lotteries feature the right mix of games based on specific sales trends and player preferences, and it’s already driving higher engagement and incremental sales.
Scientific Games applied the same strategy to PlayCentral as with its highly successful line of WAVE clerk-operated countertop retail terminals. The sleek terminals allow players to purchase games, check tickets and access promotions without clerk assistance, while helping lotteries expand points of sale, showcase a complete portfolio and give retailers tools to operate more efficiently and increase sales without adding labor costs.
Scientific Games is the world’s largest lottery games provider and the fastest-growing lottery systems provider, delivering retail and digital games, technology, analytics and services to 150 lotteries in 50 countries.
GameChoice™, PlayCentral®, SCiQ® and WAVE™ are trademarks of Scientific Games, LLC. © 2025 Scientific Games, LLC. All Rights Reserved.
Latest News
“The Craig Carton Show” to Debut on SportsGrid FAST Channel, Thursday, September 4th

SportsGrid today announced the debut of The Craig Carton Show, a new daily sports talk program hosted by celebrated broadcaster Craig Carton, premiering Thursday, September 4, 2025 on the SportsGrid FAST Channel.
The show will air weekdays from 11:00 AM to 12:00 Noon ET, produced by FOX Sports and Red Seat Ventures, originating from SportsGrid’s Studio 34, in the heart of New York City.
“The Craig Carton Show” will bring Carton’s signature energy, sharp insights, and unfiltered perspective to sports fans nationwide, covering the day’s biggest storylines, debates, and personalities in sports.
“I couldn’t be more excited to launch The Craig Carton Show on SportsGrid. Studio 34 is an incredible stage in the middle of New York City, and I can’t wait to deliver a new program format that’s smart, authentic, and most importantly, fun for sports fans everywhere.” said Craig Carton.
The SportsGrid FAST Channel is distributed widely across major connected TV and free ad-supported streaming platforms, including Roku, Samsung TV Plus, Amazon Freevee, LG Channels, Sling Freestream, DIRECTV, Pluto TV, Vizio WatchFree+, and more. As one of the most consistently top-ranked independent FAST sports channels, SportsGrid continues to drive millions of monthly viewer impressions and sessions from a massive national audience base.
“SportsGrid is about delivering compelling, original live sports programming to fans wherever they watch, and bringing Craig Carton into our lineup is a perfect example of that mission. His voice, personality, and deep connection with sports audiences make him a tremendous fit for the SportsGrid FAST Channel.” Said Louis Maione, SportsGrid’s Founder and President.
Eric Pearce, Red Seat Ventures EVP, Creator Operations added: “We’ve long admired Craig’s ability to connect with fans through his passion and unique style. Partnering with SportsGrid to bring this program to life is a great opportunity to showcase Craig’s talent in a modern, dynamic format that reaches millions of fans across connected TV platforms every day.”
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