Substance Abuse Outpatient Care
HRSA Service Definition
Substance Abuse Outpatient Care is the provision of outpatient services for the treatment of drug or alcohol use disorders. Services include:
- Screening
- Assessment
- Diagnosis, and/or
- Treatment of substance use disorder, including:
- Pretreatment/recovery readiness programs
- Harm reduction
- Behavioral health counseling associated with substance use disorder
- Outpatient drug-free treatment and counseling
- Medication assisted therapy
- Neuro-psychiatric pharmaceuticals
- Relapse prevention
- Pretreatment/recovery readiness programs
Program Guidance:
Acupuncture therapy may be allowable under this service category only when, as part of a substance use disorder treatment program funded under the RWHAP, it is included in a documented plan.
Syringe access services are allowable, to the extent that they comport with current appropriations law and applicable HHS guidance, including HRSA- or HAB-specific guidance.
See also: Substance Abuse Services (residential)
Number of Clients Served, Units Provided, Expenditures, Allocation, and Over/Under-spending
| Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |
|---|---|---|---|---|---|---|---|
| Substance Abuse Clients | 223 | 270 | 253 | 272 | 258 | 611 | 310 |
| Substance Abuse Unites (Out Pt. session) | 10,210 | 12,821 | 18,011 | 16,747 | 11,205 | 12,103 | 10,736 |
| Substance Abuse Dollars | $356,949 | $359,604 | $346,487 | $599,590 | $610,577 | $595,315 | $536,808 |
| Allocated Dollars | $363,506 | $359,748 | $354,603 | $697,464 | $694,664 | $694,595 | $709,561 |
| Over/ Underspending | $6,557 under | $144 under | $8,116 under | $97,874 under | $84,087 under | $99,280 under | $172,753 under |
Funding by Part, and info on any other payers
| Total Part A Funds (Formula + Supp.) | MAI | Total Part B Funds (Formula + Supp. NJ) | Total Part B Funds (Formula + Supp. PA) | Total Part C EIS Funds (State & Local) | Total Part D Funds (State & Local) | Total Part F Funds | |
|---|---|---|---|---|---|---|---|
| Last Year Allocation | $709,562 | $51,064 | |||||
| Current Allocation | $722,996 |
Consumer survey info 2017 n=392
| n | Used in the last 12 months | Needed but did not get (last 12 months) | |
|---|---|---|---|
| Substance Abuse Outpatient Care | 85 | 60.0% | 40.0% |
Community Survey 2022 Service Responses n=236
| I never personally needed this service | I needed this service and received it | I needed but did not get this service | I never heard of this service | |
| Substance Use Outpatient Care | 42.37% | 20.76% | 2.97% | 40.0% |
Unmet need
For the purposes of this document, need is based on the response of a consumer when asked if there was a service they needed. MMP interviews patients in care and asks consumers if they need a service and if they receive it. Client services unit data identifies needs at the time of initial intake.
| 2015-18 MMP Percent with a Need | 2021 Client Services Unit Need at Intake | |
|---|---|---|
| Substance Abuse Outpatient Care | 2.4% | 10% |
Recipient Service Considerations
Substance Abuse Treatment Services-Outpatient
Clients active in addiction are less likely to take HIV ARV medications, attend medical visits as scheduled, and are more likely to be involved in the criminal justice system.
The Office of Addiction Services (OAS) provides the bulk of these services in Philadelphia.
301 (-49.3%%) fewer clients received this service this year, and service utilization for those clients decreased by 1,340 (-11.1%).