Behavioral Health Treatment Facilities (SAMHSA)

Limitaciones

Directory listings, not a census of providers: counts are the facilities in SAMHSA's National Directories, which list only facilities that answered its annual N-SUMHSS survey and agreed to be listed, so a 0 means none listed. The 2024 mental-health count jumps (Georgia 138 to 232) because SAMHSA's 2025 directory lists about 70% more facilities nationally: a listing change, not real growth. Each facility is counted in one county, chosen by its ZIP code. The national mental-health directory grows from 8,319 to 14,103 listings (2023 to 2024) while the substance-use directory grows 10%, so compare mental_health counts (and directory = 'all') across 2023 and 2024 with care. Substance-use listings also need approval by the State Substance Use Agency. The placement: a facility's ZIP code is matched to the Census Bureau's 2020 ZIP Code Tabulation Area (ZCTA) and the facility is counted in the Georgia county holding most of that ZCTA's 2020 residents, never split, so a facility near a county line can be counted in the neighboring county. A facility whose ZIP is not a ZCTA (a PO box or hospital ZIP; 10 of 1,718 listings over the four years, 0.6%) is placed through HRSA's ZIP Code to ZCTA crosswalk, which assigns the ZIP the ZCTA around its ZIP point (the ZIP points are Esri's, via HRSA), from the edition of the survey year (2022-2024; 2021 uses the 2022 edition, the nearest on 2020 ZCTAs, since the 2021 edition is on 2010 ZCTAs): Extension Inc Womens Campus (a Marietta PO box), ZIP 30061, in Cobb County; Pineland BHDD Johns Place (Statesboro), ZIP 30459, in Bulloch County; Archbold Northside (Thomasville), ZIP 31799, in Thomas County. No listing stays unplaced. Each listing is one facility as SAMHSA lists it: programs at one address with different program names count separately. directory = 'all' counts a facility listed in both directories once, matched by us on name, program name, street and ZIP (plus a few pinned pairs whose two listings spell the name or street differently; 136 in both in 2024); a facility listed under different names or street spellings that we have not pinned counts twice there, and it offers a service there when either of its listings shows it (the two listings of a facility disagree on Medicaid or telehealth for 8 and 12 of them in 2024). Services come from the codes each facility reported: opioid_treatment_program, buprenorphine and naltrexone are recorded only in the substance-use directory, so mental_health has no rows for them and their directory = 'all' rows equal the substance-use rows. accepts_medicaid means Medicaid is among the payments accepted; telehealth that the facility offers telemedicine or telehealth therapy. Facilities are a count of places, not of capacity or patients. Counts are a stock as of each survey, so never add them across years. Nothing is suppressed; tract_geoid is always NULL.