Canada
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
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Canada
St8 expands Octoplay aggregation deal to Ontario and the UK
St8 has extended its content partnership with Octoplay into Ontario and the UK, expanding distribution of Octoplay’s casino games in two regulated markets. The companies announced the move on 2 July, 2026.
Under the expanded agreement, St8 will make Octoplay’s full portfolio available to operators in both jurisdictions through St8’s single API integration.
David Fall, Business Development Manager at St8, said:
“Expanding our partnership with Octoplay into Ontario and the UK is another important milestone as we continue to strengthen our aggregation platform with premium content from leading suppliers.
“Octoplay has built an excellent reputation for developing engaging, high-performing games, and we’re delighted to extend this collaboration into two highly strategic regulated markets. This agreement enables our operator partners to access even more quality content through a single integration while supporting their growth in competitive jurisdictions.”
Ralitsa Georgieva, CEO at Octoplay added:
“We’re pleased to expand our partnership with St8 into Ontario and the UK, making our full portfolio available to even more operators through its aggregation platform. St8 has established itself as a trusted technology partner for regulated markets, and we look forward to building on our successful collaboration together.”
The post St8 expands Octoplay aggregation deal to Ontario and the UK appeared first on EE Gaming | Global iGaming & Tech Intelligence Hub.
Canada
St8 extends Octoplay partnership into Ontario and the UK
Casino games aggregator and full-service technology provider St8 has expanded its partnership with Octoplay into Ontario and the UK, further strengthening its premium content offering across two of the industry’s most important regulated markets.
Through the extended agreement, St8 will make Octoplay’s full portfolio of casino games available to operators in both jurisdictions, providing partners with seamless access to the supplier’s high-quality content through its single API integration.
The expansion builds on the successful relationship between the two companies and reflects St8’s continued commitment to providing operators with access to leading game providers across regulated markets. By broadening the availability of Octoplay’s portfolio, St8 further enhances the depth and diversity of content available to its operator network.
Octoplay has quickly established itself as one of the industry’s most innovative and fastest growing game studios, recognised for delivering engaging titles that combine premium gameplay with strong player appeal which are now available across 17 jurisdictions. The supplier’s focus on quality and performance aligns closely with St8’s mission to simplify content aggregation while helping operators deliver exceptional gaming experiences.
The latest agreement reinforces St8’s strategy of expanding its premium content portfolio while helping operators simplify integration, accelerate market entry and deliver engaging gaming experiences across multiple regulated jurisdictions.
David Fall, Business Development Manager at St8, said: “Expanding our partnership with Octoplay into Ontario and the UK is another important milestone as we continue to strengthen our aggregation platform with premium content from leading suppliers.
“Octoplay has built an excellent reputation for developing engaging, high-performing games, and we’re delighted to extend this collaboration into two highly strategic regulated markets. This agreement enables our operator partners to access even more quality content through a single integration while supporting their growth in competitive jurisdictions.”
Ralitsa Georgieva, CEO at Octoplay added: “We’re pleased to expand our partnership with St8 into Ontario and the UK, making our full portfolio available to even more operators through its aggregation platform. St8 has established itself as a trusted technology partner for regulated markets, and we look forward to building on our successful collaboration together.”
The post St8 extends Octoplay partnership into Ontario and the UK appeared first on Americas iGaming & Sports Betting News.
AGCO
AGCO Fines Great Canadian Entertainment $120,000 for Using Unauthorised Gaming System Software at Four Casinos
The Alcohol and Gaming Commission of Ontario (AGCO) has ordered monetary penalties totalling $120,000 against Great Canadian Entertainment (GCE) for using unauthorided gaming system software at multiple Ontario casino sites, a serious compliance failure that bypassed requirements designed to protect the integrity of casino gaming.
Gaming equipment and systems are central to casino operations. They process payments and wagers, support slot-game play and help maintain controls that protect the integrity, safety and security of the gaming environment. When these systems are used or operated without required testing, monitoring and approval, it weakens safeguards designed to detect and prevent unlawful conduct, including money laundering, and can undermine public confidence in Ontario’s regulated casino sector.
The AGCO reviewed 40 instances in which revoked or unapproved bill validator software had been installed across four casino sites between February 20 and March 15, 2025. Bill validators are components within gaming machines that accept and process cash and help support anti-money laundering controls.
The AGCO’s Standards for Gaming require gaming equipment and software to be tested and approved before being deployed in casinos. Bill validators verify the authenticity and value of cash inserted into electronic gaming machines and are an important safeguard. That is why these systems must undergo rigorous testing and approval to confirm they operate as intended, perform critical functions reliably and are authorised before being introduced into a live casino environment.
Casino operators are responsible for ensuring that changes to gaming systems are properly reviewed, tested and authorised before implementation. Using unapproved software in a live casino environment is a serious compliance failure.
A casino operator served with an Order of Monetary Penalty has the right to appeal the Registrar’s action within 15 days to the Licence Appeal Tribunal (LAT), an adjudicative body that is part of Tribunals Ontario and independent of the AGCO.
“The AGCO requires casino operators to protect the integrity of their gaming systems by making sure they are independently tested, approved and operating as intended. When unauthorised software is used in a live casino environment, it bypasses critical safeguards that are meant to uphold the integrity of gaming and the public’s confidence in the system. The AGCO will continue to hold all casino operators accountable for meeting Ontario’s high standards of gaming system integrity,” said Dr. Karin Schnarr, Registrar and Chief Executive Officer at AGCO.
The post AGCO Fines Great Canadian Entertainment $120,000 for Using Unauthorised Gaming System Software at Four Casinos appeared first on EE Gaming | Global iGaming & Tech Intelligence Hub.
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