By 2020, an estimated 4.4 million older adults will require substance abuse  treatment compared to 1.7 million in 2000-01. 
This study examined the  availability of special services for older adults, adoption of recommended  treatment approaches, and organizational characteristics of centers that offer  special services. Data were collected via face-to-face interviews with  administrators and/or clinical directors from a nationally representative sample  of 346 private treatment centers participating in the 2006-07 National Treatment  Center Study. 
Results indicated that only 18% provided special services for  older adults; age-specific recommendations were generally adopted; more older  adult-specialty centers offered prescription drug addiction treatment, primary  medical care, and housing assistance. 
The proportion of patients with Medicare  payment predicted availability. 
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