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U.S. Markets for Addiction and Substance Abuse and Treatments

Published by: BCC Research

Published: Jan. 1, 2004 - 184 Pages


Table of Contents


Introduction

Study Goals And Objectives



Scope Of Study



Methodology And Information Sources



Analyst Credentials



Related Bcc Reports



Bcc Online Services



Disclaimer


Executive Summary

Summary Table:

Market Size Of Substance Abuse Treatments And Diagnostics Revenues At U.S. Manufacturer Sales Levels, Through 2008 ($ Millions)



Summary Figure:

Market Size Of Substance Abuse Treatments And Diagnostics Revenues At U.S. Manufacturer Sales Levels, 2001-2008 ($ Millions)


Industry Overview

History Of Substance Abuse



Overview Of Substance Abuse




Models Of Addiction



Addiction Theories



Biological Theories



Psychological Theories



Sociocultural Theories



Patterns Of Substance Abuse



Risk Factors



Addictive Process



Demographic Trends



Tobacco Use



Figure 1 Past Month Tobacco Use Among Persons Aged 12 Or Older By Type Of Tobacco Use In The U.S., Estimated June 2003 (Population In Millions)



Age



Figure 2 Past Month Tobacco Use Among Persons Aged 12 Or Older In The U.S., Estimated June 2003 (%)



Gender



Figure 3 Past Month Tobacco Use For Males And Females Aged 12 Or Older In The U.S., Estimated 2003 (%)



Pregnant Women



Figure 4 Past Month Tobacco Use For Pregnant And Non-Pregnant Women Aged 15 To 44 In The U.S., Estimated June 2003 (%)



Race/Ethnicity



Figure 5 Past Month Tobacco Use Among Persons Aged 12 Or Older By Race/Ethnicity In The U.S., Estimated June 2003 (%)



Education



Figure 6 Past Month Tobacco Use Among Persons Aged 18 Or Older By Education Level In The Use, Estimated June 2003 (%)



College Students



Figure 7 Past Month Tobacco Use Enrollment Status For College Students Aged 18 To 22 In The U.S., Estimated June 2003 (%)



Employment



Figure 8 Past Month Tobacco Use By Employment Status 18 And Older In The U.S., Estimated June 2003 (%)



Geographic Area



Figure 9 Past Month Tobacco Use For Geographic Region Based On Population Density Ages 12 Or Older In The U.S., Estimated June 2003 (%)



Frequency Of Cigarette Use



Figure 10 Frequency Of Tobacco Use Among Current Smokers By Age In The U.S., Estimated June 2003 (%)



Association Of Tobacco Use With Illicit Drug And Alcohol Use



Figure 11 Past Month Illicit Drug, Binge Alcohol, And Heavy Alcohol Use Among Smokers And Nonsmokers Aged 12 Or Older In The U.S., Estimated June 2003 (%)



Usual Brand Of Cigarettes Smoked



Youth Access To Cigarettes In The Past Month



Specialty Cigarettes (Bidi And Clove Cigarettes)



Alcohol Use



Figure 12 Past Month Alcohol Use Among Persons Aged 12 Or Older By Frequency In The U.S., Estimated June 2003 (Population In Millions)



Age



Figure 13 Past Month Alcohol Use Among Persons By Age In The U.S., Estimated June 2003 (%)




Gender



Figure 14 Past Month Alcohol Use For Males And Females Age 12 Or Older In The U.S., Estimated June 2003 (%)




Pregnant Women



Figure 15 Past Month Alcohol Use For Pregnant And Non-Pregnant Women Aged 15 To 44 In The U.S., Estimated June 2003 (%)



Race/Ethnicity



Figure 16 Past Month Alcohol Use Among Persons Aged 12 Or Older By Race/Ethnicity In The U.S., Estimated June 2003 (%)




Education



Figure 17 Past Month Alcohol Use Among Persons Aged 18 Or Older By Education Level In The U.S., Estimated June 2003 (%)



College Students



Figure 18 Past Month Alcohol Use Enrollment Status For College Students Aged 18 To 22 In The U.S., Estimated June 2003 (%)



Employment



Figure 19 Past Month Alcohol Use By Employment Status 18 And Older In The U.S., Estimated June 2003 (%)



Geographic Area



Figure 20 Past Month Alcohol Use For Geographic Region Based On Population Density Ages 12 Or Older In The U.S., Estimated June 2003 (%)



Association With Illicit Drug And Tobacco Use



Figure 21 Past Month Illicit Drug And Tobacco Use Among Drinkers And Nondrinkers Aged 12 Or Older, Estimated June 2003 (%)



Driving Under The Influence Of Alcohol



Illicit Drug Use



Figure 22 Past Month Illicit Drug Use Among Persons Aged 12 Or Older By Type Of Drug In The U.S., Estimated June 2003 (Population In Millions)



Age



Figure 23 Past Month Illicit Drug Use By Age In The U.S., Estimated June 2003 (%)



Gender



Figure 24 Past Month Illicit Drug Use For Males And Females Aged 12 Or Older In The U.S., Estimated June 2003 (%)



Pregnant Women



Figure 25 Past Month Illicit Drug Use For Pregnant And Nonpregnant Women Aged 15 To 44 In The U.S., Estimated June 2003 (%)



Race/Ethnicity



Figure 26 Past Month Illicit Drug Use Among Persons Aged 12 Or Older By Race/Ethnicity In The U.S., Estimated June 2003 (%)



Education



Figure 27 Past Month Illicit Drug Use Among Persons Aged 18 Or Older By Education Level In The U.S., Estimated June 2003 (%)




College Students



Figure 28 Past Month Illicit Drug Use Enrollment Status For College Students Aged 18 To 22 In The U.S., Estimated June 2003 (%)



Employment



Figure 29 Past Month Illicit Drug Use By Employment Status 18 And Older In The U.S., Estimated June 2003 (%)



Geographic Area



Figure 30 Past Month Illicit Drug Use For Geographic Region Based On Population Density Ages 12 Or Older In The U.S., Estimated June 2003 (%)



Criminal Justice Populations



Figure 31 Past Year Illicit Drug Use By Parole And Probation Status Aged 18 Or Older In The U.S., Estimated 2003 (%)



Frequency Of Use



Figure 32 Frequency Of Illicit Drug Use Among Past Year Users Age 12 Or Older In The U.S., Estimated 2003 (%)



Association With Cigarette And Alcohol Use



Figure 33 Past Month Alcohol And Tobacco Use Among Illicit Drug Users And Non Illicit Drug Users Aged 12 Or Older In The U.S., Estimated June 2003 (%)



Driving Under The Influence Of Illicit Drugs



Figure 34 Past Year Frequency Of Driving Under The Influence Of Illicit Drugs, Ages 12 Or Older In The U.S., Estimated 2003 (Population In Millions)



Managed Care Impact



Reimbursement Issues



Economic Costs Of Substance Abuse



Table 1 Economic Costs To Society Of Drug Abuse, 1992-2002 ($ Millions)



Stumbling Blocks To Drug Abuse Treatment



New Avenues For Treatment Of Substance Abuse



Geriatric Substance Abuse



Regulatory Issues



Effects Of Poly Drug Abuse



Polydrug Use By Age



Primary And Secondary Use



Legislative Issues



State Law Revisions



Federal Law Revisions



Arizona Proposition 200



California Proposition 36



Federal Initiative



The Uninsured



Table 2 Top 10 Uninsured Principal Diagnoses In U.S. Hospitals, 2000



Treatment Facilities And Programs



Ownership Of Substance Abuse Facilities



Table 3 Number And Percentage Distribution Of Single And Multiple Modality Substance Abuse Treatment Facilities, 1999



Treatment Costs



Residential Rehabilitation Patterns



Culture



Antabuse



Basic Methods



Internet Sales Of Drugs



Online Drug Abuse Treatment



National Programs For Substance Abuse



Barriers To Market Entry



Nonacceptance Of Medical Models Of Addiction


Pharmaceutical Products

Stimulants



Nicotine



Characteristics



Effects Of Use



Complications



Therapeutic Management



Table 4 Smoking Cessation Products



Amphetamines



Characteristics



Effects Of Use



Complications



Therapeutic Management



Table 5 Amphetamine Abuse Treatments



Cocaine And Crack



Characteristics



Effects Of Use



Complications



Therapeutic Management



Table 6 Cocaine Abuse Treatments



Other Stimulants



Depressants



Sedatives-Hypnotics



Characteristics



Effects Of Use



Complications



Therapeutic Management



Alcohol



Characteristics



Effects Of Use



Complications



Therapeutic Management



Table 7 Alcohol Abuse Treatments



Opiates



Characteristics



Effects Of Use



Complications



Therapeutic Management



Methadone



Other Products



Table 8 Opiate Abuse Treatments



Hallucinogens



Cannabis



Characteristics



Effects Of Use



Complications



Therapeutic Management



Lysergic Acid Diethylamide, Dimethyltryptamine, Mescaline, And Related Substances



Characteristics



Effects Of Use



Therapeutic Management



Other Hallucinogens



Extent Of Use



Inhalants And Other Drugs Of Abuse



Gases, Solvents And Nitrites



Anabolic Steroids



Diagnostic Testing



Urine Testing



Saliva Testing



Blood Testing



Patch Testing



Hair Testing



Samhsa Positive Drug Test Guidelines



Table 9 Positive Drug Test Guidelines, 2003



Drug Testing Indexes



Table 10 Annual Drug Positivity Rates, 1988-2002 (%)



Table 11 Positivity Rates By Drug Category, 1999-2002 (%)



Point-Of-Care Substance Abuse Diagnostic Testing



Tobacco Testing



Table 12 Point-Of-Care Nicotine Diagnostic Test Products



Alcohol Testing



Table 13 Point Of Care Alcohol Diagnostic Test Products



Drug Testing



Abbot Diagnostics



Advantage Diagnostics



Alfa Scientific Designs



American Bio Medica



Bioscan Screening Systems



Biosite Diagnostics



Dade Behring



Medtox Scientific, Inc.



Orasure Technologies



Phamatech



Princeton Biomeditech



Psychemedics Corp.



Roche Diagnostics



Sun Biomedical



Worldwide Medical



Table 14 Point-Of-Care Drug Diagnostic Testing Products



Home Substance Abuse Diagnostic Testing



Tobacco Testing



Table 15 Nicotine Home Diagnostic Testing Products



Alcohol Testing



Table 16 Alcohol Home Diagnostic Testing Products



Drug Testing



Psychemedics



Dr. Brown's



American Medical Screening



Phamatech



Parents At Home



Advantage Diagnostics



Forefront Diagnostics



Princeton Biomeditech



Sun Biomedical Laboratories



Worldwide Medical



Table 17 Drug Home Diagnostic Testing Products


Market Size And Growth

Table 18 Market Size Of U.S. Addiction And Substance Abuse Treatments And Diagnostic Market Revenues At U.S. Manufacturer Sales Levels, Through 2008 ($ Millions)



Figure 35 Market Size Of U.S. Addiction And Substance Abuse Treatments And Diagnostic Market Revenues At U.S. Manufacturer Sales Levels, 2001-2008 ($ Millions)



Prescription And Over-The-Counter Pharmaceutical Treatments



Stimulants



Depressants



Hallucinogens



Table 19 Market Size Of U.S. Addiction And Substance Abuse Pharmaceutical Treatments By Type At U.S. Manufacturer Sales Levels, Through 2008 ($ Millions)



Figure 36 Market Size Of U.S. Addiction And Substance Abuse Pharmaceutical Treatments By Type At U.S. Manufacturer Sales Levels, 2001-2008 ($ Millions)



Diagnostic Testing



Table 20 Market Size Of Substance Abuse Diagnostics By Type At U.S. Manufacturer Sales Levels, Through 2008 ($ Millions)



Figure 37 Market Size Of Substance Abuse Diagnostics By Type At U.S. Manufacturers' Sales Levels, 2001-2008 ($ Millions)


Research And Development

Goals



Areas Of Concentration



Industry Needs



Current Drugs In Clinical Trials



Alcohol Treatment



Opiate Treatment



General Addiction



Tobacco Treatment



Cocaine Treatment



Table 21 Substance Abuse Products In Development



Miscellaneous Substance Abuse Treatment Discoveries



Industry Structure

Market Leaders



Glaxosmithkline



Roxane Laboratories



Novartis



Reckitt Benckiser



Pfizer



Barr Laboratories



Psychemedics



Wyeth



Roche



Other Companies



Table 22 Total Manufacturer Market Share Of Substance Abuse Treatments And Diagnostics By Revenues At U.S. Manufacturer Sales Levels, Estimated 2003 ($ Millions, %)



Figure 38 Total Manufacturers Market Share Of Substance Abuse Treatments And Diagnostics At U.S. Manufacturer Sales Levels, Estimated 2003 (%)



Table 23 Total Manufacturers Market Share Of Substance Abuse Pharmaceutical Treatments By Revenues At U.S. Manufacturer Sales Levels, Estimated 2003 ($ Millions, %)



Figure 39 Total Manufacturers Market Share Of Substance Abuse Pharmaceutical Treatments At U.S. Manufacturer Sales Levels, Estimated 2003 (%)



Table 24 Total Manufacturers Market Share Of Substance Abuse Diagnostics By Revenues At U.S. Manufacturer Sales Levels, Estimated 2003 ($ Millions, %)



Figure 40 Total Manufacturers Market Share Of Substance Abuse Diagnostics By Revenues At U.S. Manufacturer Sales Levels, Estimated 2003 (%)



Industry Participants By Product Type



Table 25 Substance Abuse Pharmaceutical Treatment And Diagnostic Testing Manufacturers By Product Type, 2003




Market Analysis



Anti-Depressant Market



Additional Therapies



Opportunities


Company Profiles

Advantage Diagnostics



Barr Laboratories



Chematics



Drugabuse Sciences



Glaxosmithkline Plc



Novartis Pharmaceuticals Corp.



Odyssey Pharmaceuticals, Inc.



Pfizer, Inc.



Phamatech, Inc.



Psychemedics Corp.



Reckitt Benckiser Plc



Roxane Laboratories, Inc.



Sun Biomedical Laboratories, Inc.



Roche



Worldwide Medical Corp.



Wyeth


Appendices

Treatment Facility Admissions By State



Table 26 Number Of Admissions To Treatment Facilities By Primary Substance And State, Primary Substances




Table 27 Number Of Admissions To Treatment Facilities By Primary Substance And State, Secondary Substances




Table 28 Number Of Admissions To Treatment Facilities By Primary Substance And State, Other Substances




List Of Companies


Abstract

This BCC report details the complicated and frustrating world of substance abuse. The increased prevalence of substance abuse poses a threat to the health and welfare of many populations throughout the world. Recreational drugs play a major role in crime and corruption. Abuse of prescription drugs and alcohol places a heavy burden on health resources because of the subsequent medical problems. Breaking the substance abuse cycle is a difficult and tedious process. Pharmaceutical manufacturers have developed several products to assist in recovery from substance abuse. Those products are detailed in the report along with up-and-coming products that may provide even better alternatives. Revenues are presented for 2000, 2001, 2002, and 2008. Revenues include both prescription and OTC products. Competitor market share will be presented for 2002.

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