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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
RG24seven collaborates with industry experts to expand landmark Sports Betting training for gaming employees

RG24seven Virtual Training, the industry-leading, free video-based virtual training system for casino and gaming employees and a BMM Innovation Group (BIG) company, is pleased to expand training offerings to include new sports betting courses. The new courses highlight the fundamentals of sports betting, the legal landscape, ethics and marketing, and responsible gaming practices.
Wendy Anderson, CEO of RG24seven Virtual Training, said, “We all play a part in upholding the reputation and credibility of our industry. We brought together top experts in the industry to create these courses and ensure that gaming employees are fully informed about all aspects of working in and around sports betting.”
Victoria Reed, CEO of Better Change and Strategic Advisor for RG24seven, added, “We also want to provide gaming employees with as much information as possible about the variables that influence the sports betting industry, such as the laws, its reputation, and why it’s important that we remain as ethical as possible. We hope learners will gain a strong working knowledge of sports betting, as well as understand the significance of the regulations, integrity in sports, and responsible gaming.”
Anderson concluded, “Sports betting is meant to be fun, and it’s even more so when you fully understand not only the terminology but also how you can protect both yourself and your customers from gambling harm. We welcome gaming company executives, managers, and other representatives to request organization-wide access to our new training.”
Latest News
Wildly popular ‘Fortune Tiger’ game among PG Soft Brazil rollout

Global iGaming powerhouse SkillOnNet has announced the expansion of its strategic partnership with award-winning game developer PG Soft bringing the studio’s acclaimed content to the regulated Brazilian market.
The move comes just months after SkillOnNet went live in Brazil with its licensed brands PlayUZU.br and BacanaPlay.br, as one of the first operators to gain approval from the brand-new licensing regime.
The integration of PG Soft’s engaging portfolio, including the wildly popular Fortune Tiger, will bolster SkillOnNet’s offering in one of the most exciting emerging markets in the world.
Fortune Tiger, known locally as Jogo do Tigrinho, has become a cultural phenomenon in Brazil. Its rapid rise has been fueled by viral marketing on platforms like TikTok and YouTube, where influencers showcase big wins and gameplay tips.
PG Soft’s content is already live in over 100 countries and supports 23 languages and 100 currencies. Known for rich visuals and innovative mechanics, the studio has earned global recognition for its ability to connect with players across diverse markets.
SkillOnNet operates more than 40 brands in regulated markets globally and boasts a platform of over 7,000 titles from the industry’s top providers. PG Soft’s integration further diversifies SkillOnNet’s content portfolio, solidifying its position as a key player in Brazil’s rapidly growing iGaming landscape.
Jani Kontturi, Head of Games at SkillOnNet said: “Brazil is a market full of potential, and we’re investing heavily to ensure we become a top-tier operator here. PG Soft’s content, especially Fortune Tiger, has already made a big impact in the region. This collaboration strengthens our commitment to localising our offering and bringing world-class entertainment to the market.”
PG Soft commented: “We’re delighted to extend our partnership with SkillOnNet into Brazil, a market where our games – especially Fortune Tiger – have really resonated with players. SkillOnNet is a leading name in regulated markets, and their ambitious plans for Brazil match our own. We’re confident that this collaboration will set a new benchmark for quality and engagement in the region.”
Conferences
EGT Digital at SBC Summit Americas 2025: High-tech gaming solutions for brilliant performance

EGT Digital is ready for its first memorable participation in SBC Summit Americas. The company has prepared a fascinating range of innovative online gaming products, which will be available at booth C290.
EGT Digital will demonstrate its impressive portfolio of in-house developed slot games, including over 140 popular titles, as well as the jackpot bestsellers Bell Link, High Cash, Clover Chance, and Single Progressive Jackpot.
Visitors will also be able to learn more about the 4-level multi-denomination Gods & Kings Link, the latest member of the company’s jackpot family. Its first 2 games – Glorious Alexander and Ape of Luck, will provide players with numerous opportunities for winning and entertainment.
The newest addition to Clover Chance – the 5×6 Fruity Shots game, will also attract players’ attention. With a vibrant cocktail theme, it will offer functionalities such as the Toppling Reels feature, adding extra excitement by filling empty positions with new symbols, thus creating even more chances to win.
The company’s iGaming platform X-Nave will also be on display to provide operators with everything they need to build and grow their online business. It will demonstrate its 4 main modules: Sport Product, Gaming Aggregator, CRM Engine, and Payment Gateway. Standing out with great versatility, each of them is able to function as part of the turnkey solution or independently, as they allow seamless integration with third-party developments.
The Sport Product will introduce its rich sports and esports content across a number of markets around the world. EGT Digital’s Gaming Aggregator will reveal a vast range of over 13,000 titles from more than 130 popular providers, as well as a lot of functionalities for content personalization. X-Nave’s CRM Engine with its ever-evolving player management tools and bonus features, as well as the Payment Gateway, covering a wide variety of payment methods, will further expand operators’ capabilities to create customized and more engaging offerings for their customers.
“SBC Summit Americas is a well-established event, bringing together key players from across the LATAM region,” said Tsvetomira Drumeva, Head of Sales at EGT Digital. “I am confident that our participation will provide us with numerous options to start new high-potential collaborations and strengthen our existing partnerships. We are also happy to be among the finalists in the SBC Awards Americas 2025 this year.”
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