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United States Addiction Rehab Industry Report 2020

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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.

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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.

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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

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  • 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

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Ben Clemes

High Roller Submits Gaming License Application in Ontario

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High Roller Technologies, operator of the premium online casino brands High Roller and Fruta, announced the submission of its Internet Gaming Operator license application in Ontario, Canada, targeting the launch of its flagship brand HighRoller.com in the second half of 2025.

“The submission of our licensing application to access Ontario’s regulated online gambling market is an important milestone in our Company’s journey. Once our application is approved, we anticipate that we will have the opportunity to launch our online casino product into the market later this year,” said Ben Clemes, Chief Executive Officer at High Roller.

Ontario is one of the largest regulated online gambling markets in the world as measured by gross gaming revenue. In 2024, regulated online gambling operators within the province generated approximately $2.3B in gross gaming revenue, and growth continues to be recorded in the first half of 2025. Recently, the province of Alberta passed enabling legislation to establish a regulatory framework for online gambling. Once available, the Company also intends to pursue licensure in Alberta to expand its regulated market footprint in Canada.

“Ontario is missing an elegant brand like High Roller. We’re excited to roll out the red carpet for our new customers, and we’re looking forward to showcasing our tremendous product,” said Clemes.

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The post High Roller Submits Gaming License Application in Ontario appeared first on Gaming and Gambling Industry in the Americas.

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Canada

IAGR announces program for IAGR2025 conference in Toronto

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The International Association of Gaming Regulators (IAGR) has released the program for its upcoming annual conference, to be held in Toronto from 20-23 October.

With the theme ‘Resilient regulation: Exploring what works, why and what’s next’, the event brings together global regulators and thought leaders to examine how regulatory frameworks can evolve to meet today’s challenges.

The four-day program explores timely issues, including the rise of AI and behavioural analytics, the impact of converging technologies, cross-border collaboration and the continued push to strengthen responsible gambling policies.

IAGR President Ben Haden said the program offers a strong preview of the content and conversations delegates can expect in Toronto.

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‘This year’s program showcases the breadth and complexity of the challenges facing gambling regulators worldwide, from protecting player wellbeing to tackling illegal markets and understanding new technologies,’ Haden said.

‘I encourage regulators, researchers and policy professionals from around the world to join us in Toronto. The conference is a space to learn, share experience, challenge assumptions and shape the future of effective, collaborative regulation.’

Confirmed speakers and panellists include:

  • Andrew Rhodes, CEO, Gambling Commission, Great Britain
  • Anders Dorph, Director, Danish Gambling Authority, Denmark
  • Dr Karin Schnarr, CEO and Registrar, Alcohol and Gaming Commission of Ontario, Canada
  • Mark Vander Linden, Director of Research and Responsible Gaming and Carrie Torrisi, Chief of Sports Wagering Division, Massachusetts Gaming Commission, United States
  • Bashir Are, CEO, Lagos State Lotteries and Gaming Authority, Nigeria
  • Teo Chun Ching, Chief Executive, Gambling Regulatory Authority, Singapore
  • Ladipo Abiose Akolade, Founder, GamblePause Initiative Africa, Nigeria
  • Rasmus Kjaergaard, CEO, Mindway AI, Denmark
  • Tracy Parker, Senior Vice President, Accreditation, Advisory and Insights, Responsible Gambling Council, Canada
  • Pedro Romero, Chief of Safer Gambling Partnerships, BetBlocker, Gibraltar
  • Sonia Wasowska, Head of Supervision, General Commercial Gaming Regulatory Authority, United Arab Emirates
  • Steven Blackburn, Partner, Ashurst Risk Advisory, Australia

The event will be held at The Westin Harbour Castle on Toronto’s waterfront.

The post IAGR announces program for IAGR2025 conference in Toronto appeared first on Gaming and Gambling Industry in the Americas.

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Alberta Gaming

Edmonton Elks, Play Alberta Connect on New Partnership

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Home field advantage has a new name, as the Edmonton Elks announced that Play Alberta Field at Commonwealth Stadium is now the home of the Elks.

The field naming rights are part of a broader multi-year agreement between Play Alberta and the EE, making Play Alberta the official sports betting partner of the Club.

“We couldn’t be more excited to expand our partnership with Play Alberta. This partnership is about more than just putting a name on the field – it’s about building something meaningful for our fans and our community. Play Alberta is an Alberta-based organization that shares our values and our commitment to giving back. Together, we’re creating new ways for fans to connect with our team and experience the game day atmosphere in a whole new way,” said Elks President and CEO Chris Morris.

The expanded relationship between the Elks and Play Alberta will allow the game day experience to continue to grow. Fans can look forward to unique activations and promotions around the stadium, including the chance to win game tickets and memorabilia.

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“Since Play Alberta’s launch five years ago, our team has made it a priority to connect with the communities where our players live and work. We are very excited to join the Edmonton Elks on the field on game days during upcoming CFL seasons. Play Alberta Field at Commonwealth Stadium allows us to partner with the Elks and showcase two brands built for Albertans in a historic Edmonton location,” said Alberta Gaming, Liquor and Cannabis Chief Executive Officer Kandice Machado.

The Elks open their 76th season on Saturday, June 7 in Vancouver when they take on the B.C. Lions. Edmonton’s home opener at Play Alberta Field at Commonwealth Stadium is slated for Thursday, June 19 against the Montreal Alouettes.

The post Edmonton Elks, Play Alberta Connect on New Partnership appeared first on Gaming and Gambling Industry in the Americas.

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