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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Betty
Thunderkick commits to growth in Ontario with Betty partnership

Independent slots studio Thunderkick has agreed a deal with Ontario-based operator Betty to supply the rapidly growing online casino with a diverse collection of globally popular titles.
Betty, an official partner of sporting franchises Toronto Maple Leafs and Toronto Raptors, has risen to prominence since its 2022 establishment, when it was built following the consultation of 300 casino players to create the optimal iGaming environment.
Distinguishing itself from North American competitors by catering specifically to slot enthusiasts rather than sports bettors, the operator has curated a portfolio of 2,800 games, hand-picked to deliver customers maximum entertainment value.
Thunderkick’s content is the latest to be integrated into Betty’s online casino, and the agreement will see a selection of its most popular titles, including The Wildos 2, Midas Golden Touch 3, and Esqueleto Explosivo 3, made available to a greater number of Ontarian players.
Thunderkick marked its debut in the Canadian province in Q2 of 2024, and has since partnered with a network of leading operators to improve its market position. The collaboration with Betty will further amplify its visibility in a key jurisdiction as the provider looks to reinforce its reputation as a global slot developer.
Svante Sahlström, CCO at Thunderkick, said: “It’s our mission at Thunderkick to go deeper, not wider, in 2025. That means forging meaningful, lasting relationships in target markets as opposed to securing as many commercial deals as possible.
“Since entering Ontario over 12 months ago, we have worked tirelessly to enhance our presence in the province, and working with leading brands such as Betty allows us to bring our unique games to a deeper pool of Canadian players.”
Paraskeva Smirnova, Casino Operations Manager at Betty, added: “Betty’s USP has always been our drive to build a slot portfolio with the very best titles from the industry’s most creative suppliers.
“Thunderkick’s passion for slot development is there for all to see, and the introduction of its games to our casino further elevates the consumer experience.”
The post Thunderkick commits to growth in Ontario with Betty partnership appeared first on Gaming and Gambling Industry in the Americas.
BCLC
Save the Date: BCLC’s New Horizons in Safer Gambling Conference Returns November 2026

BCLC is pleased to announce the return of the New Horizons in Safer Gambling Conference, taking place November 2–4, 2026, at the JW Marriott Parq Vancouver.
This global event brings leading voices in research, policy and industry together to explore innovative approaches to safer gambling. Attendees can expect two days of forward-thinking dialogue, evidence-based insights and collaborative solutions to help shape the future of player health.
Sponsorship Opportunities Now Available
New to the 2026 conference, BCLC is excited to offer sponsorship opportunities to organizations that share BCLC’s passion for safer gambling. Benefits of sponsoring New Horizons 2026 include industry visibility, leadership recognition and meaningful engagement with a global audience. To learn more about sponsorship, please e-mail [email protected].
Registration and program details will be released later this fall.
The post Save the Date: BCLC’s New Horizons in Safer Gambling Conference Returns November 2026 appeared first on Gaming and Gambling Industry in the Americas.
Canada
absolutebet Secures AGCO Registration as an Internet Gaming Operator in Ontario

Internet Gaming Operator by the Alcohol and Gaming Commission of Ontario (AGCO).
This significant milestone authorizes absolutebet to offer regulated iGaming services in Ontario’s legal market under the oversight of AGCO and iGaming Ontario (iGO).
The registration marks a key step in absolutebet’s mission to bring a trusted, responsible, and innovative online casino experience to Ontario players. absolutebet is committed to operating with integrity and transparency, meeting all provincial standards for player protection, responsible gambling, anti-money laundering, and game integrity.
“Securing AGCO registration is more than a milestone—it’s the start of absolutebet’s journey in one of the most exciting regulated markets in the world,” said Chen Truman, Founder of absolutebet. “We are building a brand that will grow with the Ontario community and set the stage for future expansion.”
On the regulatory milestone, Krisztina Kalla, Legal & Regulatory Compliance Advisor of absolutebet, commented: “I’m incredibly proud to see all the hard work behind this license pay off. Securing AGCO registration has taken months of preparation and close collaboration with regulators and partners. I am very happy to see the result of that work, and even more excited as we move into the launch phase and open up the absolutebet community to Ontario players in a fun and responsible way.”
Ontario is recognized as one of the most competitive and fast-growing regulated iGaming markets in North America. With AGCO registration secured, absolutebet will move forward with the final stages of its iGO onboarding process in preparation for launch.
The post absolutebet Secures AGCO Registration as an Internet Gaming Operator in Ontario appeared first on Gaming and Gambling Industry in the Americas.
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