The long term religious based model of rehab centers. This method of treatent, the person seeking help is required to be on the program for a period of 1 – 2 years. Example: Farming. It is also combined with a religious aspect of prayer, and bible study. There are several approaches depending of the religion. The most known is the christian based program Teen challenge.

A quantity of distinct surveys collects and report information about service delivery and expenditures. The principal surveys for the specialty alcohol and narcotic abuse treatment system include the NDATUS and the Drug Services Research Survey (DSRS). These are the principal data sources and references used for this report in compiling approximations. Additionally, they have been complemented by accessing information from the Inventory of Mental Health Organizations (IMHO), National Health Expenditures (NHE), Hospital Statistics (HS), National Hospital Discharge Survey (NHDS), and NAMCS.

A critical analytic concern is that there are overlaps in the coverage of many of these surveys. For instance, hospitals, as the principal health delivery institutions in the health care system, are covered by NDATUS, DSRS, IMHO, HS, and NHDS. Another important overlap involves freestanding facilities reporting to NDATUS, DSRS, and IMHO. For aims of this report, these information sources and surveys have been carefully analyzed and compared in order to construct a comprehensive estimate of what kind of treatment is being delivered, in what amounts, and by what kind of providers.

Certain experts have questioned whether NDATUS information on hospitals is of comparable quality to that for other types of alcohol and drug abuse providers. Based on this analysis, it seems that with adjustments, NDATUS provides approximations of at least adequate quality. Analysis of NDATUS with adjustments demonstrates that 17,500 patients are in hospital treatment on a given night and that a total of 296,000 unduplicated patients received hospital inpatient care in 1991. Due to relapse and the necessity for multiple treatment episodes, there were an estimated 593,000 hospital admissions for specialized alcohol and drug abuse treatment.

One class of providers that NDATUS does not include is that of mental health professionals in private practice, including psychiatrists, psychologists, and social workers. The best information available is for psychiatrists in private practice. NAMCS studies a nationally representative sample of medical physicians in private practice. An approximated 43,000 psychiatrists are practicing in the country (American Medical Association 1992), of whom an estimated 45 percent are engaged in private practice, seeing an average of 1,440 appointments annually (Dorwart et al. 1992).
Private-practice psychologists and social workers also might treat alcohol and narcotic abusers. There are 42,000 and 72,000, respectively, of such private practitioners engaged principally in private practice (Health Resources and Services Administration 1991). Fees paid to psychologists and social workers are believed to be 50 percent and 75 percent less per visit than those for psychiatrists.

Additionally, there are approximately 35,000 alcohol and drug abuse counsellors, according to the National Association of Alcoholism and Drug Abuse Counsellors. The vast majority of these professionals principally practice within programs; therefore, these services are included in the information reported in NDATUS. Few of these professionals also have private practices. Moreover, certain of these professionals probably are counted in national estimates of private-practice psychologists and social workers because these are the disciplines in which numerous counsellors have their advanced training. Therefore, separate approximations have not been developed for alcohol and narcotic abuse counsellors.

Finally, little or no information exist concerning the scale and cost of self-help group participation and operation. Organizations such as Alcoholics Anonymous provide help for individuals with alcohol or narcotic abuse problems; other types of groups help family members and other individuals who are affected by alcohol and drug abuse. Certain groups are convened through traditional treatment programs, and any costs are reflected in those programs' operating costs. Other groups rely on volunteers and meet (generally) in donated meeting location. The cost of utilizing the space, as well as books or other materials acquired by self-help participants, could be tallied, but such information is not currently available.

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