Treatment Episode Data Set (TEDS) 2001-2011

State Admissions to Substance Abuse Treatment Services

DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), by Synectics for Management Decisions, Inc. (Synectics), Arlington, Virginia. Data collection was performed by Mathematica Policy Research (Mathematica), Princeton, New Jersey. Work by Synectics and Mathematica was performed under Task Order HHSS283200700048I/HHSS28342001T, Reference No. 283-07-4803 (Cathie Alderks, Task Order Officer).

Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, U.S. Department of Health and Human Services.

Recommended Citation Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2001-2011. State Admissions to Substance Abuse Treatment Services. BHSIS Series S-XX, HHS Publication No. (SMA) XX-XXXX. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.

Electronic Access and Copies of Publication This publication may be downloaded or ordered at store.samhsa.gov. Or call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Español).

Originating Office Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration 1 Choke Cherry Road, Room 2-1084 Rockville, Maryland 20857

June 2013

ii Table of Contents

List of Tables ...... v

List of Figures ...... xi

Highlights ...... 1

Chapter 1. Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2001-2011...... 5 All Admissions...... 6 Selected Primary Substance...... 7 Chapter 2. Substance Abuse Treatment Admissions Aged 12 and Older, by Primary Substance of Abuse: 2011...... 17

Chapter 3. Characteristics of Substance Abuse Treatment Admissions Aged 12 and Older, by State or Jurisdiction and Primary Substance of Abuse: 2011...... 19

Tables...... 47

Appendix A. About the Treatment Episode Data Set (TEDS) ...... 137 Introduction...... 137 History...... 138 State Data Collection Systems...... 138 Report-Specific Considerations...... 140 Appendix B. TEDS Data Elements ...... 151 TEDS Minimum Data Set...... 151 TEDS Supplemental Data Set...... 159

iii iv List of Tables

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2001-2011 All Admissions 1.1 Number of admissions aged 12 and older, by Census division and State or jurisdiction: 2001-2011...... 48 1.2 Admissions per 100,000 population aged 12 and older, by Census division and State or jurisdiction: 2001-2011...... 50 1.3 Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity, by Census division and State or jurisdiction: 2001-2011...... 52 Selected Primary Substance 1.4a Primary alcohol admissions, by Census division and State or jurisdiction: 2001-2011. Number of admissions aged 12 and older...... 54 1.4b Primary alcohol admissions, by Census division and State or jurisdiction: 2001-2011. Admissions per 100,000 population aged 12 and older...... 56 1.5a Primary marijuana admissions, by Census division and State or jurisdiction: 2001-2011. Number of admissions aged 12 and older...... 58 1.5b Primary marijuana admissions, by Census division and State or jurisdiction: 2001-2011. Admissions per 100,000 population aged 12 and older...... 60 1.6a Primary heroin admissions, by Census division and State or jurisdiction: 2001-2011. Number of admissions aged 12 and older...... 62 1.6b Primary heroin admissions, by Census division and State or jurisdiction: 2001-2011. Admissions per 100,000 population aged 12 and older ...... 64 1.7a Primary cocaine admissions, by Census division and State or jurisdiction: 2001-2011. Number of admissions aged 12 and older...... 66 1.7b Primary cocaine admissions, by Census division and State or jurisdiction: 2001-2011. Admissions per 100,000 population aged 12 and older...... 68 1.8a Primary methamphetamine/amphetamine admissions, by Census division and State or jurisdiction: 2001-2011. Number of admissions aged 12 and older...... 70 1.8b Primary methamphetamine/amphetamine admissions, by Census division and State or jurisdiction: 2001-2011. Admissions per 100,000 population aged 12 and older ...... 72 1.9a Primary non-heroin opiates/synthetics admissions, by Census division and State or jurisdiction: 2001-2011. Number of admissions aged 12 and older...... 74

v List of Tables (continued)

1.9b Primary non-heroin opiates/synthetics admissions, by Census division and State or jurisdiction: 2001-2011. Admissions per 100,000 population aged 12 and older ...... 76

Substance Abuse Treatment Admissions Aged 12 and Older, by Primary Substance of Abuse: 2011 2.1 Admissions aged 12 and older, by Census division and State or jurisdiction, according to type of service at admission: 2011. Percent distribution...... 78 2.2 Number of admissions aged 12 and older, by Census division and State or jurisdiction, according to primary substance of abuse: 2011...... 81 2.3 Admissions per 100,000 population aged 12 and older, by Census division and State or jurisdiction, according to primary substance of abuse: 2011...... 83 2.4 Admissions per 100,000 population aged 12 and older, adjusted for gender, age, and race/ethnicity, by Census division and State or jurisdiction, according to primary substance of abuse: 2011...... 86

Characteristics of Substance Abuse Treatment Admissions Aged 12 and Older, by State or Jurisdiction and Primary Substance of Abuse: 2011 3.1 Alaska admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 89 3.2 Arizona admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 90 3.3 Arkansas admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 91 3.4 California admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 92 3.5 Colorado admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 93 3.6 Connecticut admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 94

vi List of Tables (continued)

3.7 Delaware admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 95 3.8 District of Columbia admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 96 3.9 Florida admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 97 3.10 Hawaii admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 98 3.11 Illinois admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 99 3.12 Indiana admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 100 3.13 Iowa admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 101 3.14 Kansas admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 102 3.15 Kentucky admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 103 3.16 Louisiana admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 104 3.17 Maine admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 105 3.18 Maryland admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 106

vii List of Tables (continued)

3.19 Massachusetts admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 107 3.20 Michigan admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 108 3.21 Minnesota admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 109 3.22 Missouri admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 110 3.23 Montana admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 111 3.24 Nebraska admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 112 3.25 Nevada admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 113 3.26 New Hampshire admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 114 3.27 New Jersey admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 115 3.28 New Mexico admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 116 3.29 New York admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 117 3.30 North Carolina admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 118

viii List of Tables (continued)

3.31 North Dakota admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 119 3.32 Ohio admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 120 3.33 Oklahoma admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 121 3.34 Oregon admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 122 3.35 Pennsylvania admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 123 3.36 Puerto Rico admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 124 3.37 Rhode Island admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 125 3.38 South Carolina admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 126 3.39 South Dakota admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 127 3.40 Tennessee admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 128 3.41 Texas admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 129 3.42 Utah admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 130

ix List of Tables (continued)

3.43 Vermont admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 131 3.44 Virginia admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 132 3.45 Washington admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 133 3.46 West Virginia admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 134 3.47 Wisconsin admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 135 3.48 Wyoming admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011. Percent distribution...... 136

Appendix A: About the Treatment Episode Data Set (TEDS) 1 State data system reporting characteristics: 2011...... 142 2 Item percentage response rate, by State or jurisdiction: TEDS Minimum Data Set 2011...... 146 3 Item percentage response rate, by State or jurisdiction: TEDS Supplemental Data Set 2011...... 148

x List of Figures

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2001-2011 1 U.S. Census divisions...... 6 National Maps: Substance Abuse Treatment Admission Rates per 100,000 Population Aged 12 and Older 2 Primary alcohol admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)...... 11 3 Primary marijuana admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)...... 12 4 Primary heroin admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)...... 13 5 Primary cocaine admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)...... 14 6 Primary methamphetamine/amphetamine admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)...... 15 7 Primary non-heroin opiates/synthetics admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)...... 16 Percentage Distribution by State or Jurisdiction 8 Alabama admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 20 9 Alaska admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 20 10 Arizona admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 21 11 Arkansas admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 21 12 California admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 22 13 Colorado admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 22 14 Connecticut admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 23 15 Delaware admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 23 16 District of Columbia admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 24 17 Florida admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 24 18 Georgia admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 25 19 Hawaii admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 25 20 Idaho admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 26 21 Illinois admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 26

xi List of Figures (continued)

22 Indiana admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 27 23 Iowa admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 27 24 Kansas admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 28 25 Kentucky admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 28 26 Louisiana admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 29 27 Maine admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 29 28 Maryland admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 30 29 Massachusetts admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 30 30 Michigan admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 31 31 Minnesota admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 31 32 Mississippi admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 32 33 Missouri admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 32 34 Montana admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 33 35 Nebraska admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 33 36 Nevada admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 34 37 New Hampshire admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 34 38 New Jersey admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 35 39 New Mexico admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 35 40 New York admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 36 41 North Carolina admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 36 42 North Dakota admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 37 43 Ohio admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 37 44 Oklahoma admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 38 45 Oregon admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 38 46 Pennsylvania admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 39 47 Puerto Rico admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 39 48 Rhode Island admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 40 49 South Carolina admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 40

xii List of Figures (continued)

50 South Dakota admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 41 51 Tennessee admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 41 52 Texas admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 42 53 Utah admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 42 54 Vermont admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 43 55 Virginia admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 43 56 Washington admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 44 57 West Virginia admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 44 58 Wisconsin admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 45 59 Wyoming admissions aged 12 and older, by primary substance of abuse: 2001-2011...... 45

xiii xiv Highlights

his report presents data from the Treatment Episode Data Set (TEDS) by Census division Tand State or jurisdiction for admissions in 2011, and trend data for 2001 to 2011. The report provides information on the demographic and substance abuse characteristics of admissions to treatment aged 12 and older for abuse of alcohol and/or drugs in facilities that report to individual State administrative data systems. It is important to note that values in charts, narrative lists, and percentage distributions are calculated using actual raw numbers and rounded for presentation in this report; calculations using rounded values may produce different results.

For 2011, a total of 1,844,719 substance abuse treatment admissions aged 12 and older were reported to TEDS by 46 States, the District of Columbia, and Puerto Rico (Alabama, Georgia, Idaho, and Mississippi did not report admissions for 2011) [Table 1.1].

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2001-2011

All Admissions • In the United States, between 2001 and 2011, across the nine Census divisions, about 23 percent of all admissions reported were in the Middle Atlantic division, and the average rate of admissions was highest in the New England and Middle Atlantic divisions—1,507 and 1,219 per 100,000 population aged 12 and older, respectively in 2011 [Tables 1.1 and 1.2 and Figure 1]. • Between 2001 and 2011, the United States population aged 12 and older grew by about 11 percent, but the number of treatment admissions increased by 4 percent [Table 1.1]. Consequently, the treatment admission rate in 2011 (694 per 100,000 population aged 12 and older) was about 6 percent lower than the rate in 2001 (737 per 100,000 population) [Table 1.2].

1 Marijuana • In the United States, the treatment admission rate for primary marijuana was 14 percent higher in 2011, at 125 per 100,000 population aged 12 and older, than in 2001 (110 per 100,000) [Table 1.5b and Figure 3]. • Marijuana admission rates were higher in 2011 than in 2001 in six of the nine divisions, the same in two divisions, and lower in one division (East South Central division). • From 2001 through 2011, marijuana treatment admission rates were consistently highest in the West North Central and Middle Atlantic divisions.

Heroin • In the United States, the treatment admission rate for primary heroin was 9 percent lower in 2011, at 105 per 100,000 population aged 12 and older, than in 2001 (116 per 100,000) [Table 1.6b and Figure 4]. • Heroin admission rates were higher in 2011 than in 2001 in five of the nine Census divisions and lower in the other four divisions (Pacific, South Atlantic, New England, and Middle Atlantic). The rate dropped dramatically in the Pacific division during this period (from 147 per 100,000 to just 88 per 100,000 population). • From 2001 through 2011, heroin treatment admission rates were consistently highest in the New England and Middle Atlantic divisions.

Methamphetamine/amphetamines • In the United States, the treatment admission rate for methamphetamine/amphetamines was 4 percent higher in 2011, at 42 per 100,000 population aged 12 and older, than in 2001 (40 per 100,000). Methamphetamine/amphetamine treatment admission rates peaked in 2005 at 69 per 100,000, then declined in every year through 2011 [Table 1.8b and Figure 6]. • Methamphetamine/amphetamine rates were higher in 2011 than in 2001 in all Census divisions except for the Pacific and East South Central divisions. • From 2001 through 2011, methamphetamine/amphetamine treatment admission rates were highest in the Pacific division, followed by the West North Central or Mountain division.

2 Opiates other than heroin • In the United States, the treatment admission rate for opiates other than heroin was 348 percent higher in 2011, at 70 per 100,000 population aged 12 and older, than in 2001 (16 per 100,000). Rates increased in every year from 2001 through 2011 [Table 1.9b and Figure 7]. • The admission rates for opiates other than heroin were higher in 2011 than in 2001 for all nine Census divisions. • From 2001 through 2011, treatment admission rates for opiates other than heroin were highest in the New England division.

Substance Abuse Treatment Admissions Aged 12 and Older: 2011 • In 2011, the treatment admission rate was higher for primary alcohol abuse than for any primary illicit drug. The primary alcohol admission rate was 272 per 100,000 population (the rate for alcohol alone was 150 per 100,000 and the rate for alcohol with secondary drug abuse was 122 per 100,000). The highest rates of treatment admissions for illicit drugs in 2011 were for marijuana (125 per 100,000) and heroin (105 per 100,000) [Table 2.3]. • Treatment admission rates for 2011 were higher for primary alcohol abuse than for any of the major illicit drugs in 8 of the 9 Census divisions (the exception was the East South Central division), and in 42 of the 48 reporting States and jurisdictions. The primary illicit drug with the highest admission rate varied by division: heroin in the New England and Middle Atlantic divisions, methamphetamine/amphetamines in the Pacific division, non-heroin opiates in the East South Central division, and marijuana in the other five divisions [Table 2.3].

3 4 Chapter 1

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2001-2011

his report presents data from the Treatment Episode Data Set (TEDS) by Census division and TStater o jurisdiction for admissions in 2011 and trend data for 2001 to 2011. It is a companion to the report, Treatment Episode Data Set (TEDS): 2001-2011 National Admissions to Substance Abuse Treatment. These reports provide information on the demographic and substance abuse characteristics of admissions to treatment aged 12 and older for abuse of alcohol and/or drugs in facilities that report to individual State administrative data systems. Data include records for admissions during calendar years 2001 through 2011 that were received and processed through October 15, 2012.1 TEDS is an admission-based system, and TEDS admissions do not represent individuals. Thus, an individual admitted to treatment twice within a calendar year would be counted as two admissions. TEDS does not include all admissions to substance abuse treatment. It includes admissions to facilities that are licensed or certified by the State substance abuse agency to provide substance abuse treatment (or are administratively tracked for other reasons). In general, facilities reporting TEDS data are those that receive State alcohol and/or drug agency funds (including Federal Block Grant funds) for the provision of alcohol and/or drug treatment services. Additional information on the history and methodology of TEDS and this report as well as important issues related to State data collection systems are detailed in Appendix A. This chapter details trends in the annual numbers and rates of admissions aged 12 and older for 2001 to 2011. Trend data are invaluable in monitoring changing patterns in substance abuse treatment admissions. These patterns reflect underlying changes in substance abuse in the population as well as changing priorities in the treatment/reporting system. TEDS data thus have important implications for resource allocation and program planning. While the tables in this report present data by Census division (Figure 1) and by State or jurisdiction, it is important to note that comparisons between and across divisions and States should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi-service episodes, services offered, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion.

1 For researchers interested in more detailed analysis, TEDS public use files are available for online data analysis or download at the Substance Abuse and Mental Health Data Archive, which can be accessed at http://www.datafiles.samhsa.gov. Summary data for individual States that have submitted the full year of data are available online through the TEDS Quick Statistics website at http://wwwdasis.samhsa.gov/webt/NewMapv1.htm.

5 All Admissions Table 1.1 presents the total number of treatment admissions aged 12 and older by Census division and State or jurisdiction for 2001 through 2011.2 • For 2011, a total of 1,844,719 admissions aged 12 and older were reported to TEDS by 46 States, the District of Columbia, and Puerto Rico (Alabama, Georgia, Idaho, and Mississippi did not report admissions for 2011). • Between 2001 and 2011, the number of treatment admissions aged 12 and older increased by 4 percent. • Between 2001 and 2011, about 23 percent of all admissions reported were in the Middle Atlantic division. The East North Central, South Atlantic, and Pacific divisions each reported roughly 14 to 15 percent of all admissions; the Mountain, New England and West North Central divisions each reported 8 to 9 percent of all admissions; and the East South Central and West South Central divisions each reported 3 to 5 percent of all admissions.

Figure 1. United States Census divisions

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2 Data were not submitted or were incomplete for one or more years in some States or jurisdictions because of changes to their data collection systems: Alabama (2007, 2011), Alaska (2004-2006), Arkansas (2004), the District of Columbia (2004-2010), Georgia (2006-2011), Idaho (2011), Mississippi (2010-2011), Puerto Rico (2001-2002), and West Virginia (2001-2002).

6 Table 1.2 presents the treatment admission rates per 100,000 population aged 12 and older by Census division and State or jurisdiction for 2001 through 2011. • Between 2001 and 2011, the United States population aged 12 and older grew by about 11 percent, but the number of treatment admissions increased by only 4 percent. Consequently, the treatment admission rate in 2011 (694 per 100,000 population aged 12 and older) was about 6 percent lower than the rate in 2001 (737 per 100,000 population). • Admission rates were highest in the New England and Middle Atlantic divisions. In New England, the rate was lowest in 2003, at 1,132 per 100,000 population aged 12 and older, and highest in 2011, at 1,507 per 100,000 population aged 12 and older. The rates in the Middle Atlantic division did not vary much over the 11-year period, starting at 1,248 in 2001 and ending at 1,219 per 100,000 population aged 12 and older in 2011. • In 2011, individual State admission rates (excluding Puerto Rico) varied from approximately 182 per 100,000 population to about 2,068 per 100,000. As noted above, there are many possible explanations for this variation (see Appendix A), and comparisons among States should be made with caution. Table 1.3 presents the treatment admission rate adjusted for age, gender, and race/ethnicity to the United States 2000 population by Census division and State or jurisdiction for 2001 through 2011. Adjustment is a way to make fairer comparisons when there are different admission rates among population subgroups and different proportions of the subgroups in each division, State, or jurisdiction. The adjusted rates are the rates that would have been seen if each division, State, or jurisdiction had the same distribution of subgroups as the United States 2000 population. For example, the 2011 unadjusted rates (Table 1.2) for Alaska and Rhode Island were 1,125 and 1,217 per 100,000 population aged 12 and older, respectively—these two States had similar rates. However, the adjusted rates (771 per 100,000 for Alaska and 1,236 per 100,000 for Rhode Island; Table 1.3) indicate that, if the population distribution in the two States were similar, Alaska’s admission rate would be 38 percent lower than Rhode Island’s. This is because Alaska had high admission rates in subgroups that were a large proportion of the State’s population but represented relatively small proportions of the United States population. In contrast, Rhode Island’s population distribution very closely resembles the United States population. This example clearly demonstrates that ifs Alaska’ 2011 population distribution were similar to that of the United States in 2000, then one would expect the admission rate to be about 69 percent of what it actually was in 2011. Selected Primary Substance Six substance groups (alcohol, marijuana, heroin, cocaine, methamphetamine/amphetamines, and opiates other than heroin3) accounted for 98 percent of all TEDS admissions aged 12 and older in 2011.4

3 Opiates other than heroin include methadone, codeine, hydrocodone, hydromorphone, meperidine, morphine, opium, oxycodone, pentazocine, propoxyphene, tramadol, and any other drug with morphine-like effects. 4 See: Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). 2001 - 2011. National Admissions to Substance Abuse Treatment Services, BHSIS Series: S-61, HHS Publication No. (SMA) 12-4701, Rockville, MD; Substance Abuse and Mental Health Services Administration, 2013, Table 1.1b.

7 Tables 1.4a–1.9a present the numbers of admissions aged 12 and older by Census division and by State and jurisdiction from 2001 through 2011 for each of the selected primary substances. Tables 1.4b–1.9b present the admission rate per 100,000 aged 12 and older by Census division and by State and jurisdiction from 2001 through 2011 for each of the selected primary substances. The admission rates are mapped in Figures 2 through 7. The map categories are based on the median, 75th, 90th, and 99th percentiles of the range of 2001 admission rates for each substance. Therefore, assuming that 50 States and jurisdictions reported in 2001, each 2001 map would show 1 State in dark red (the 99th percentile and above), about 5 States in light red (the 90th to 98th percentiles), about 8 States in orange (the 75th to 89th percentiles), about 12 States in yellow (the 50th to 74th percentiles), and about 24 States in tan (below the median 2000 United States rate). Cross-hatching indicate States or jurisdictions where data were not submitted or were incomplete.

Alcohol • In the United States, the treatment admission rate for primary alcohol was 17 percent lower in 2011, at 272 per 100,000 population aged 12 and older, than in 2001 (327 per 100,000). The rate fluctuated between 2001 and 2011 but 2002 had the highest rate and 2011 had the lowest rate in this time period [Table 1.4b and Figure 2]. • Alcohol admission rates were between 19 to 62 percent lower in 2011 than in 2001 in six of the Census divisions. The rate was about 4 to 7 percent higher in the New England, Mountain, and West North Central divisions. • Alcohol admission rates were lower in 2011 than in 2001 in 31 of the 46 States and jurisdictions reportingn i both years and higher in 15 States and jurisdictions. Nebraska experienced a 148 percent increase from 351 per 100,000 in 2001 to 871 per 100,000 in 2011. • From 2001 through 2011, alcohol treatment admission rates were generally highest in the Middle Atlantic, New England, Mountain, and West North Central divisions.

Marijuana • In the United States, the treatment admission rate for primary marijuana was 14 percent higher in 2011, at 125 per 100,000 population aged 12 and older, than in 2001 (110 per 100,000) [Table 1.5b and Figure 3]. • Marijuana admission rates were between 8 and 36 percent higher in 2011 than in 2001 in six of the nine Census divisions. The East South Central division had a 60 percent decline from 2001 (83 per 100,000) to 2011 (33 per 100,000). The East North Central and West South Central divisions had the same rate in 2001 and 2011. • Marijuana admission rates were higher in 2011 than in 2001 in 29 of the 46 States and jurisdictions reporting in both years and lower in 17 States and jurisdictions. The admission rates of Arizona and the District of Columbia were more than doubled from 2001 to 2011. • From 2001 through 2011, marijuana treatment admission rates were consistently highest in the West North Central and Middle Atlantic divisions.

8 Heroin • In the United States, the treatment admission rate for primary heroin was 9 percent lower in 2011, at 105 per 100,000 population aged 12 and older, than in 2001 (116 per 100,000) [Table 1.6b and Figure 4]. • Despite the overall declining trend after 2001, heroin admission rates were between 51 and 206 percent higher in 2011 than in 2001 in five of the nine Census divisions (the East South Central, West North Central, West South Central, East North Central, and Mountain divisions). Rates were between 9 and 40 percent lower in 2011 than in 2001 in the other four divisions. • Heroin admission rates were higher in 2011 than in 2001 in 29 of the 45 States and jurisdictions reporting in both years5 and lower in 16. Alaska, Nebraska, Kentucky, and Wisconsin experienced the largest growth of heroin admissions from 2001 to 2011. • From 2001 through 2011, heroin treatment admission rates were consistently highest in the New England and Middle Atlantic divisions.

Cocaine • In the United States, the treatment admission rate for primary cocaine was 44 percent lower in 2011, at 54 per 100,000 population aged 12 and older, than in 2001 (96 per 100,000) [Table 1.7b and Figure 5]. • Cocaine admission rates were between 13 and 71 percent lower in 2011 than in 2001 in the nine Census divisions. • Cocaine admission rates were lower in 2011 than in 2001 in 40 of the 46 States and jurisdictions reporting in both years and higher in 6. South Dakota had a 122 percent increase in admission rates from 2001 to 2011. • From 2001 through 2011, cocaine treatment admission rates were highest in the Middle Atlantic division.

Methamphetamine/amphetamines • In the United States, the treatment admission rate for methamphetamine/amphetamines was 4 percent higher in 2011, at 42 per 100,000 population aged 12 and older, than in 2001 (40 per 100,000). Methamphetamine/amphetamine treatment admission rates peaked in 2005 at 69 per 100,000, then declined in every year through 2011 [Table 1.8b and Figure 6]. • Methamphetamine/amphetamine rates were between 6 and 91 percent higher in 2011 than in 2001 in seven of the nine Census divisions. The East South Central and Pacific divisions each had an 11 percent decrease in admission rates from 2001 to 2011. • Methamphetamine/amphetamine admission rates were higher in 2011 than in 2001 in 31 of the 46 States and jurisdictions reporting in both years and lower in 15. North Carolina, Alaska,

5 Tennessee reported all heroin admissions as Opiates other than heroin for 2000 through June 2009. Tennessee began disaggregating heroin admissions from other opiates in July 2009 (Figures 4 and 7).

9 Florida, New Mexico, South Carolina, South Dakota, and Michigan experienced the largest increases in admission rates between 2001 and 2011. • From 2001 through 2011, methamphetamine/amphetamine treatment admission rates in the Pacific division were on average approximately 70 percent higher than in the division with the next highest rates, the West North Central Division.

Opiates other than heroin • In the United States, the treatment admission rate for opiates other than heroin was 348 percent higher in 2011, at 70 per 100,000 population aged 12 and older, than in 2001 (16 per 100,000). Rates increased in every year from 2001 through 2011 [Table 1.9b and Figure 7]. • The admission rates for opiates other than heroin were between 207 and 541 percent higher in 2011 than in 2001 in the nine Census divisions. • Admission rates for opiates other than heroin were higher in 2011 than in 2001 in all 46 States reporting in both years. • From 2001 through 2011, treatment admission rates for opiates other than heroin were highest in the New England division. For each of those years, the New England rate was more than twice as high as the rates for most if not all of the other divisions.

Figure 2. Primary alcohol admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)

2001 2003 2005

(range 56 – 1,072) (range 35 – 1,309) (range 20 – 1,472)

2007 2009 2011

(range 36 – 1,844) (range 35 – 1,738) (range 34 – 1,558)

NOTE: See Table 1.4b. < 307 531 – 827 1,035 or more SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data KEY YEAR: 2001 307 - 530 828 – 1,034 Incomplete data Set (TEDS). Data received through 10.15.12.

11 Figure 3. Primary marijuana admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)

2001 2003 2005 (range 23 – 289) (range 9 – 260) (range 7 – 285)

2007 2009 2011 (range 14 – 288) (range 8 – 318) (range 6 – 315)

NOTE: See Table 1.5b. <123 165 – 208 275 or more SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data KEY YEAR: 2001 123 - 164 209 – 274 Incomplete data Set (TEDS). Data received through 10.15.12.

12 Figure 4. Primary heroin admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)

2001 2003 2005 (range <1 – 691) (range <1 – 596) (range <1 – 583)

2007 2009 2011 (range <1 – 641) (range 1 – 655) (range 2 – 665)

NOTE: See Table 1.6b. < 26 107 – 393 658 or more SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data KEY YEAR: 2001 26 - 106 394 – 657 Incomplete data Set (TEDS). Data received through 10.15.12.

13 Figure 5. Primary cocaine admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)

2001 2003 2005 (range 3 – 387) (range 3 – 276) (range 4 – 320)

2007 2009 2011 (range 5 – 304) (range 4 – 228) (range 2 – 312)

NOTE: See Table 1.7b. < 69 99 – 176 323 or more SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data KEY YEAR: 2001 69 - 98 177 – 322 Incomplete data Set (TEDS). Data received through 10.15.12.

14 Figure 6. Primary methamphetamine/amphetamine admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)

2001 2003 2005 (range 1 – 300) (range 0 – 252) (range 0 – 328)

2007 2009 2011 (range <1 – 279) (range 0 – 206) (range <1 – 203)

NOTE: See Table1.8b. <13 86 – 150 254 or more SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data KEY YEAR: 2001 13 - 85 151 – 253 Incomplete data Set (TEDS). Data received through 10.15.12.

15 Figure 7. Primary non-heroin opiates/synthetics admission rates, by State or jurisdiction: 2001-2011 (per 100,000 population aged 12 and older)

2001 2003 2005

(range 3 – 98) (range 0 – 139) (range <1 – 214)

2007 2009 2011

(range 1 – 341) (range 1 – 387) (range <1– 415)

NOTE: See Table 1.9b. < 13 23 – 35 78 or more SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data KEY YEAR: 2001 13 -22 36 – 77 Incomplete data Set (TEDS). Data received through 10.15.12.

16 Chapter 2 Substance Abuse Treatment Admissions Aged 12 and Older, by Primary Substance of Abuse: 2011

his chapter presents numbers of substance abuse treatment admissions aged 12 and older and Tadmission rates from the Treatment Episode Data Set (TEDS) by Census division and State or jurisdiction for admissions in 2011, according to primary substance of abuse. As noted previously, comparisons between and across divisions and States should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi-service episodes, service type, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion. Table 2.1 indicates the proportions of admissions in 2011 by service type according to Census division and State or jurisdiction. A State’s mix of service types (e.g., outpatient, detoxification, rehabilitation/residential, opioid therapy) can have a significant effect on its admission rates. There is higher client turnover and therefore more admissions in short-stay services such as detoxification than in long-stay services such as outpatient or long-term rehabilitation/residential treatment. Admission rates for individual substances of abuse may be affected as well (e.g., detoxification is more closely associated with alcohol or heroin use than with use of other substances).1 Table 2.2 presents the total number of treatment admissions aged 12 and older by primary substance of abuse, according to Census division and State or jurisdiction for 2011. Table 2.3 presents the treatment admission rates per 100,000 population aged 12 and older by primary substance of abuse, according to Census division and State or jurisdiction for 2011. • In 2011, the treatment admission rate was higher for primary alcohol abuse than for illicit drugs. The primary alcohol admission rate was 272 per 100,000 population (the rate for alcohol alone was 150 per 100,000 and the rate for alcohol with secondary drug abuse was 122 per 100,000). The highest rates for illicit drugs were for marijuana (125 per 100,000) and heroin (105 per 100,000). • Treatment admission rates for 2011 were higher for primary alcohol abuse than for illicit drugs in 8 of the 9 Census divisions; the exception was the East South Central division, where the treatment admission rate for opiates other than heroin was higher than the rate for alcohol. The most common primary illicit drugs in each Census division were: • New England—heroin, opiates other than heroin, and marijuana • Middle Atlantic—heroin, marijuana, and cocaine

1 See: Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). 2001 - 2011. National Admissions to Substance Abuse Treatment Services, BHSIS Series: S-61, HHS Publication No. (SMA) 12-4701, Rockville, MD; Substance Abuse and Mental Health Services Administration, 2013, Table 2.7.

17 • East North Central—marijuana, heroin, and opiates other than heroin • West North Central—marijuana, methamphetamine/amphetamines, and opiates other than heroin • South Atlantic—marijuana, opiates other than heroin, and cocaine • East South Central—opiates other than heroin, marijuana, and cocaine • West South Central—marijuana, opiates other than heroin, and cocaine • Mountain—marijuana, methamphetamine/amphetamines, and heroin • Pacific—methamphetamine/amphetamines, marijuana, and heroin • Treatment admission rates for 2011 were higher for primary alcohol abuse than for any of the major illicit drugs in 42 of the 48 reporting States and jurisdictions. The exceptions where an illicit drug admission rate was higher than the alcohol admission rate were Delaware (marijuana), Massachusetts and New Jersey (heroin), Kentucky and West Virginia (opiates other than heroin), and California (methamphetamine/amphetamines). • In the 42 States or jurisdictions where admission rates for primary alcohol were higher than the rate for any illicit drug, the primary illicit drugs with the highest treatment admission rates were: • Marijuana—Alaska, Arizona, Arkansas, Colorado, Florida, Hawaii, Indiana, Iowa, Kansas, Louisiana, Minnesota, Missouri, Montana, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Texas, Virginia, Washington, Wisconsin, and Wyoming • Heroin—Connecticut, the District of Columbia, Illinois, Maryland, Michigan, New York, Pennsylvania, Puerto Rico, and Rhode Island • Opiates other than heroin—Maine, New Hampshire, Tennessee, and Vermont • Methamphetamine/amphetamines—Nebraska, Nevada, New Mexico, and Utah Table 2.4 presents the 2011 treatment admission rate by primary substance, adjusted for age, gender, and race/ethnicity to the United States 2000 population by Census division and State or jurisdiction. Adjustment is a way to make fairer comparisons when there are different admission rates among population subgroups and different proportions of the subgroups in each division, State, or jurisdiction. The adjusted rates are the rates that would have been seen if each division, State, or jurisdiction had the same distribution of subgroups as the United States 2000 population. • Adjustment of the 2011 treatment admission rates for age, gender, and race/ethnicity did not change the relative ranking of alcohol and illicit drugs for the United States as a whole or for mostf o the Census divisions. For the East South Central division, alcohol replaced opiates other than heroin as the most common substance of abuse among treatment admissions. • Adjustment of the 2011 treatment admission rates for age, gender, and race/ethnicity did not change the relative ranking of alcohol and illicit drugs for most States. For Delaware, opiates other than heroin replaced marijuana as the most common illicit substance of abuse among treatment admissions. For West Virginia, alcohol replaced opiates other than heroin as the most common substance of abuse among treatment admissions.

18 Chapter 3

Characteristics of Substance Abuse Treatment Admissions Aged 12 and Older, by State or Jurisdiction and Primary Substance of Abuse: 2011

his chapter presents data on the demographic characteristics of substance abuse treatment Tadmissions aged 12 and older from the Treatment Episode Data Set (TEDS) by primary substance of abuse for individual States and jurisdictions. As noted previously, comparisons between and across States and jurisdictions should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi- service episodes, services offered, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion. Tables 3.1-3.49 present, for each State or jurisdiction reporting admissions for 2011 to TEDS, the percentage distribution of demographic characteristics (gender, age group, and race/ethnicity) by primary substance of abuse for admissions aged 12 and older. Figures 8-59 depict, for each individual State or jurisdiction, the percentage distribution of admissions aged 12 and older for selected primary substances for 2001 through 2011.

19 Figure 8. Alabama admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 9. Alaska admissions aged 12 and older, by primary substance of abuse: 2001-2011 100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for Alabama for 2007 or 2011 or for Alaska for 2004 to 2006 because of changes to the data collection systems. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

20 Figure 10. Arizona admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 11. Arkansas admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for Arkansas for 2004 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

21 Figure 12. California admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 13. Colorado admissions aged 12 and older, by primary substance of abuse: 2001-2011 100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

22 Figure 14. Connecticut admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 15. Delaware admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

23 Figure 16. District of Columbia admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

Percent of District admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 17. Florida admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for the District of Columbia for 2004 to 2010 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

24 Figure 18. Georgia admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 19. Hawaii admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for Georgia for 2006 to 2011 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

25 Figure 20. Idaho admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 21. Illinois admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for Idaho for 2011 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

26 Figure 22. Indiana admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 23. Iowa admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

27 Figure 24. Kansas admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 25. Kentucky admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

28 Figure 26. Louisiana admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 27. Maine admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

29 Figure 28. Maryland admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 29. Massachusetts admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

30 Figure 30. Michigan admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 31. Minnesota admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

31 Figure 32. Mississippi admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 33. Missouri admissions aged 12 and older, by primary substance of abuse: 2001-2011 100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for Mississippi for 2010 and 2011 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

32 Figure 34. Montana admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 35. Nebraska admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

33 Figure 36. Nevada admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 37. New Hampshire admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

34 Figure 38. New Jersey admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 39. New Mexico admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

35 Figure 40. New York admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 41. North Carolina admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

36 Figure 42. North Dakota admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 43. Ohio admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

37 Figure 44. Oklahoma admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 45. Oregon admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

38 Figure 46. Pennsylvania admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 47. Puerto Rico admissions aged 12 and older, by primary substance of abuse: 2001-2011 100

0 Percent of Puerto Rico admissions

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for Puerto Rico for 2001 and 2002 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

39 Figure 48. Rhode Island admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 49. South Carolina admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Prior to 2011, early intervention admissions were included in South Carolina’s data. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

40 Figure 50. South Dakota admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 51. Tennessee admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Other opiates Methamphetamine/ amphetamines Marijuana Cocaine NOTE: Tennessee began disaggregating heroin admissions from other opiates in July 2009. In this figure, all Tennessee’s heroin admissions are included in the other opiates category since there are only two full years of disaggregated heroin data. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

41 Figure 52. Texas admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 53. Utah admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

42 Figure 54. Vermont admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 55. Virginia admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

43 Figure 56. Washington admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 57. West Virginia admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

NOTE: Data were not submitted for West Virginia for 2001 to 2002 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

44 Figure 58. Wisconsin admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

Figure 59. Wyoming admissions aged 12 and older, by primary substance of abuse: 2001-2011

100

20 Percent of State admissions 0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Alcohol Heroin Other opiates Methamphetamine/ amphetamines Marijuana Cocaine

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

45 46 Tables

47 Table 1.1. Number of admissions aged 12 and older, by Census division and State or jurisdiction: 2001-2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 1,768,827 1,887,912 1,865,149 1,808,035 1,896,023 1,914,338 1,918,943 2,016,672 2,000,684 1,871,981 1,844,719 Census division New England 159,889 151,303 136,267 140,825 144,595 179,749 177,152 171,702 169,218 173,010 188,448 Middle Atlantic 417,940 429,763 432,145 426,648 447,277 438,483 440,408 458,570 446,859 443,857 428,142 East North Central 234,037 262,909 259,831 256,168 273,257 295,783 297,947 295,342 296,574 268,428 231,576 West North Central 147,653 145,378 143,193 156,138 163,871 167,745 173,449 175,987 187,799 180,696 172,747 South Atlantic 272,327 294,875 307,596 262,987 270,824 219,703 223,781 268,907 271,677 227,634 293,640 East South Central 63,029 66,910 73,444 61,005 63,055 63,778 42,612 55,847 61,313 55,602 34,023 West South Central 87,221 95,572 93,215 82,492 98,377 95,434 100,478 116,552 115,837 96,865 94,214 Mountain 112,170 132,056 127,364 152,868 159,283 160,374 154,808 161,479 161,780 154,704 143,339 Pacific 274,561 309,146 288,350 266,434 273,200 291,347 304,612 309,026 287,214 269,348 256,647 State or jurisdiction Alabama 17,407 19,492 21,042 19,764 19,809 19,902 ‡ 15,051 21,582 21,709 ‡ Alaska 3,598 5,147 4,043 ‡ ‡ ‡ 3,952 5,437 5,912 6,825 6,701 Arizona 14,120 18,508 15,847 34,611 30,624 26,940 21,160 20,971 19,217 28,739 19,335 Arkansas 12,141 13,838 13,608 ‡ 13,735 13,664 15,012 28,518 24,607 14,158 12,180 California 178,926 213,644 203,516 183,925 183,322 198,436 203,157 202,995 182,542 167,837 158,142 Colorado 42,874 67,684 63,381 69,083 76,890 78,448 79,384 85,802 88,044 78,942 77,090 Connecticut 47,674 46,699 45,260 46,307 47,116 46,451 44,757 47,177 46,067 51,951 62,315 Delaware 6,895 6,954 7,495 7,831 8,197 8,169 8,424 7,935 7,784 6,702 6,957 Dist. of Columbia 5,754 5,652 4,831 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 7,494 Florida 67,212 87,095 81,304 39,757 47,343 50,512 52,657 80,965 80,138 60,247 103,897 Georgia 36,707 34,080 36,039 31,036 44,860 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 6,548 6,447 6,213 5,810 6,778 6,498 6,969 7,381 7,278 6,614 6,832 Idaho 8,429 4,956 3,116 6,162 6,356 6,474 3,697 6,200 6,562 2,200 ‡ Illinois 73,294 80,261 85,692 81,667 78,546 85,141 71,067 76,433 71,482 72,901 57,771 Indiana 28,377 30,410 31,628 37,624 37,378 36,979 29,021 19,084 18,004 23,780 24,080 Iowa 27,033 27,069 27,190 28,189 28,404 28,453 26,927 26,261 30,730 33,216 27,401 Kansas 14,387 14,655 14,194 15,487 15,797 13,034 15,027 16,785 19,127 14,971 13,818 Kentucky 25,333 26,238 30,660 20,319 22,705 24,677 24,076 22,148 21,474 22,142 20,601 Louisiana 27,346 28,634 27,441 28,367 24,935 22,276 24,427 25,289 28,084 26,170 25,171 Maine 11,321 11,883 13,067 13,201 13,889 14,475 15,981 15,626 14,616 12,705 13,880 Maryland 64,464 68,266 70,832 73,870 72,563 67,420 67,415 65,767 63,150 42,544 64,945 Massachusetts 75,424 67,533 52,202 57,135 57,771 92,598 91,267 82,748 84,200 83,723 87,525

Continued. See notes at end of table.

48 Table 1.1. Number of admissions aged 12 and older, by Census division and State or jurisdiction: 2001-2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 52,393 63,653 60,889 60,181 57,303 66,902 66,937 65,370 64,545 61,152 57,224 Minnesota 42,568 40,911 42,549 45,782 45,106 47,505 49,537 49,861 51,991 51,015 51,463 Mississippi 10,473 11,404 10,740 10,059 8,821 8,012 8,241 8,742 8,022 ‡ ‡ Missouri 45,734 41,176 37,620 39,459 43,642 45,375 47,254 49,243 52,503 48,626 45,553 Montana 6,924 6,956 7,746 7,696 8,170 7,921 9,681 7,475 7,366 7,747 9,000 Nebraska 8,979 9,265 10,501 15,106 15,170 14,942 16,509 16,252 16,001 15,727 17,994 Nevada 10,810 10,512 11,696 11,570 10,017 10,003 9,851 9,372 9,902 8,709 9,135 New Hampshire 5,434 4,565 4,983 5,833 5,111 6,017 5,644 6,216 6,352 6,327 5,453 New Jersey 54,658 54,495 55,558 54,204 55,290 55,900 60,471 65,591 69,316 70,395 71,855 New Mexico 7,155 6,697 6,844 5,479 9,077 12,470 11,967 11,515 10,048 7,594 8,927 New York 301,181 312,607 308,930 285,222 314,229 308,263 308,596 314,581 313,617 311,374 304,429 North Carolina 33,846 30,049 27,103 25,222 24,278 17,879 23,339 38,391 53,620 59,848 61,488 North Dakota 2,213 3,282 2,039 2,754 2,303 2,636 2,421 2,520 2,440 2,504 2,325 Ohio 59,819 68,079 57,777 53,878 74,471 75,202 101,102 105,350 113,414 81,243 64,780 Oklahoma 16,988 17,564 16,490 17,075 16,683 15,644 16,461 16,974 16,930 15,026 13,647 Oregon 55,448 55,732 45,078 44,713 47,486 49,101 52,461 53,485 51,617 49,919 48,136 Pennsylvania 62,101 62,661 67,657 87,222 77,758 74,320 71,341 78,398 63,926 62,088 51,858 Puerto Rico ‡ ‡ 3,744 2,470 2,284 1,942 3,696 3,260 2,413 1,837 1,943 Rhode Island 12,969 12,972 13,279 12,679 12,336 11,886 11,365 11,422 10,843 10,299 11,080 South Carolina 30,846 28,564 25,212 23,554 27,089 25,960 26,329 27,184 27,875 27,801 19,205 South Dakota 6,739 9,020 9,100 9,361 13,449 15,800 15,774 15,065 15,007 14,637 14,193 Tennessee 9,816 9,776 11,002 10,863 11,720 11,187 10,295 9,906 10,235 11,751 13,422 Texas 30,746 35,536 35,676 37,050 43,024 43,850 44,578 45,771 46,216 41,511 43,216 Utah 15,910 11,458 12,744 12,600 12,270 13,563 14,258 14,545 14,810 15,067 14,255 Vermont 7,067 7,651 7,476 5,670 8,372 8,322 8,138 8,513 7,140 8,005 8,195 Virginia 26,603 34,215 50,627 57,042 36,647 34,955 31,488 33,751 30,023 26,689 26,730 Washington 30,041 28,176 29,500 31,986 35,614 37,312 38,073 39,728 39,865 38,153 36,836 West Virginia ‡ ‡ 4,153 4,675 9,847 14,808 14,129 14,914 9,087 3,803 2,924 Wisconsin 20,154 20,506 23,845 22,818 25,559 31,559 29,820 29,105 29,129 29,352 27,721 Wyoming 5,948 5,285 5,990 5,667 5,879 4,555 4,810 5,599 5,831 5,706 5,597 ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

49 Table 1.2. Admissions per 100,000 population aged 12 and older, by Census division and State or jurisdiction: 2001-2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State Admissions per 100,000 population aged 12 and older or jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 737 777 760 729 756 756 750 781 768 710 694 Census division New England 1,350 1,266 1,132 1,164 1,191 1,475 1,446 1,394 1,365 1,390 1,507 Middle Atlantic 1,248 1,275 1,274 1,251 1,306 1,275 1,275 1,322 1,283 1,269 1,219 East North Central 620 692 680 666 708 763 765 756 757 685 589 West North Central 914 893 874 947 987 1,003 1,030 1,038 1,101 1,049 996 South Atlantic 615 655 673 565 572 456 459 545 545 448 571 East South Central 441 464 506 416 426 427 282 367 400 358 217 West South Central 334 361 348 304 357 343 355 405 396 323 310 Mountain 732 844 798 936 952 934 882 903 892 846 774 Pacific 730 810 746 681 691 730 756 758 697 641 605 State or jurisdiction Alabama 467 521 559 522 518 515 ‡ 383 545 537 ‡ Alaska 704 986 761 ‡ ‡ ‡ 701 956 1,028 1,161 1,125 Arizona 325 414 345 732 624 530 406 394 355 540 358 Arkansas 541 612 597 ‡ 591 580 632 1,190 1,020 579 494 California 635 747 702 628 620 666 676 669 595 537 500 Colorado 1,165 1,806 1,674 1,801 1,978 1,979 1,967 2,086 2,104 1,871 1,799 Connecticut 1,664 1,615 1,552 1,581 1,603 1,573 1,511 1,583 1,536 1,700 2,029 Delaware 1,038 1,031 1,094 1,125 1,158 1,135 1,154 1,073 1,043 877 901 Dist. of Columbia 1,159 1,134 969 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 1,377 Florida 483 613 561 268 312 327 338 515 506 371 632 Georgia 531 483 501 423 599 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 639 623 594 549 631 600 643 675 663 571 584 Idaho 782 452 279 541 545 541 302 498 521 172 ‡ Illinois 709 772 820 777 744 802 666 712 662 675 533 Indiana 559 595 615 727 717 703 548 358 336 438 441 Iowa 1,100 1,098 1,100 1,136 1,140 1,137 1,071 1,040 1,213 1,294 1,062 Kansas 643 651 628 681 692 568 650 721 816 631 580 Kentucky 743 763 885 581 644 694 671 613 590 604 558 Louisiana 743 775 740 761 667 628 669 682 751 689 658 Maine 1,032 1,071 1,166 1,170 1,225 1,271 1,400 1,364 1,276 1,102 1,200 Maryland 1,443 1,504 1,541 1,590 1,547 1,428 1,420 1,379 1,314 868 1,314 Massachusetts 1,394 1,239 953 1,041 1,049 1,675 1,639 1,474 1,488 1,484 1,541

Continued. See notes at end of table.

50 Table 1.2. Admissions per 100,000 population aged 12 and older, by Census division and State or jurisdiction: 2001-2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State Admissions per 100,000 population aged 12 and older or jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 632 762 724 712 676 787 788 772 763 730 681 Minnesota 1,026 976 1,007 1,075 1,052 1,098 1,136 1,134 1,175 1,144 1,145 Mississippi 446 484 453 422 367 334 341 360 329 ‡ ‡ Missouri 970 866 785 816 894 920 950 982 1,042 962 897 Montana 906 903 995 977 1,026 982 1,186 906 887 918 1,058 Nebraska 629 645 727 1,041 1,040 1,019 1,121 1,097 1,074 1,035 1,176 Nevada 627 589 634 602 504 486 466 435 455 385 401 New Hampshire 515 426 459 531 461 537 500 547 557 557 477 New Jersey 772 763 773 751 763 770 830 896 942 943 959 New Mexico 476 439 443 349 571 773 733 699 604 442 515 New York 1,885 1,942 1,907 1,749 1,918 1,875 1,867 1,897 1,884 1,876 1,826 North Carolina 494 432 385 353 334 241 308 497 685 745 757 North Dakota 411 609 378 507 424 484 444 460 443 436 399 Ohio 629 713 602 559 770 776 1,039 1,081 1,161 832 662 Oklahoma 589 604 565 581 565 524 547 560 553 480 432 Oregon 1,903 1,882 1,505 1,479 1,550 1,576 1,658 1,668 1,591 1,528 1,458 Pennsylvania 596 598 642 825 732 696 665 728 591 568 473 Puerto Rico ‡ ‡ 118 77 70 59 112 98 72 58 62 Rhode Island 1,451 1,436 1,458 1,388 1,355 1,307 1,254 1,260 1,195 1,132 1,217 South Carolina 909 831 724 666 756 710 707 717 726 710 485 South Dakota 1,067 1,419 1,419 1,444 2,059 2,393 2,366 2,240 2,212 2,154 2,068 Tennessee 204 201 224 218 232 218 198 189 193 219 248 Texas 178 202 199 204 232 231 231 233 231 201 206 Utah 883 624 680 657 625 670 684 683 682 695 647 Vermont 1,356 1,454 1,411 1,063 1,564 1,546 1,507 1,573 1,317 1,469 1,498 Virginia 441 560 817 908 576 543 484 514 452 393 389 Washington 602 556 575 616 675 695 699 718 710 670 637 West Virginia ‡ ‡ 268 301 634 952 906 955 580 238 182 Wisconsin 445 448 517 490 545 669 628 610 608 610 573 Wyoming 1,434 1,262 1,422 1,333 1,374 1,052 1,093 1,254 1,283 1,207 1,175 ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2009-agesex-res, SC-EST2011-agesex-res and SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: April 1, 2001 to July 1, 2011. PRC-EST2009-AGESEX-RES and PRC-EST2011-AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: April 1, 2001 to July 1, 2011.

51 Table 1.3. Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity, by Census division and State or jurisdiction: 2001-2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions (excl. Puerto Rico). Comparisons among States should be made with caution.] 1 Census division and State or Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Total 741 783 760 750 770 811 819 834 816 830 836 Census division New England 1,458 1,383 1,170 1,218 1,262 1,541 1,534 1,444 1,414 1,494 1,614 Middle Atlantic 1,201 1,241 1,231 1,200 1,220 1,193 1,197 1,254 1,226 1,243 1,196 East North Central 630 690 674 669 685 763 743 694 639 684 596 West North Central 1,044 1,015 1,004 1,096 1,162 1,217 1,243 1,255 1,282 1,378 1,326 South Atlantic 387 480 579 359 371 378 350 330 359 392 355 East South Central 567 599 609 540 553 539 549 660 667 601 760 West South Central 341 369 352 336 362 349 364 422 416 356 342 Mountain 819 984 861 962 958 967 880 893 883 1,053 1,050 Pacific 862 956 880 825 845 893 898 923 864 831 788 State or jurisdiction Alabama 364 409 441 414 418 424 ‡ 310 453 459 ‡ Alaska 452 654 482 ‡ ‡ ‡ 467 597 630 798 771 Arizona 675 874 538 828 643 548 431 417 366 686 462 Arkansas 494 568 567 ‡ 563 558 613 1,154 1,040 611 522 California 721 865 813 708 701 760 769 767 688 625 582 Colorado 1,197 1,976 1,822 1,954 2,135 2,120 2,133 2,225 2,236 2,495 2,477 Connecticut 1,477 1,521 1,354 1,350 1,251 1,251 1,383 1,482 1,456 1,755 2,088 Delaware 930 957 1,016 1,123 1,123 1,119 1,153 1,122 1,078 940 1,049 Dist. of Columbia 525 462 450 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 438 Florida 512 630 590 307 357 379 392 607 600 499 854 Georgia 379 355 399 353 524 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 806 759 702 654 725 715 773 810 721 716 773 Idaho 743 435 267 453 547 571 318 499 531 224 ‡ Illinois 728 777 799 770 742 787 688 719 640 663 523 Indiana 548 571 607 716 531 716 551 369 330 429 430 Iowa 1,395 1,358 1,356 1,397 1,385 1,397 1,368 1,300 1,544 1,827 1,529 Kansas 747 737 710 768 785 650 722 790 900 716 652 Kentucky 684 1,040 1,429 525 613 658 638 581 554 593 545 Louisiana 622 665 650 675 599 576 597 610 683 619 605 Maine 1,327 1,325 1,410 1,401 1,484 1,480 1,667 1,588 1,538 1,583 1,860 Maryland 1,236 1,296 1,325 1,377 1,353 1,278 1,284 1,263 1,201 849 1,289 Massachusetts 1,592 1,446 999 1,143 1,242 1,865 1,787 1,484 1,484 1,509 1,571 Continued. See notes at end of table.

52 Table 1.3. Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity, by Census division and State or jurisdiction: 2001-2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions (excl. Puerto Rico). Comparisons among States should be made with caution.] 1 Census division and State or Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 626 718 691 692 652 759 763 754 745 695 649 Minnesota 1,299 1,207 1,277 1,336 1,307 1,387 1,417 1,430 1,500 1,682 1,699 Mississippi 458 453 419 383 349 327 331 346 332 ‡ ‡ Missouri 943 842 767 789 856 884 903 939 995 975 912 Montana 967 1,063 1,067 1,034 1,062 1,022 1,296 890 850 1,066 1,262 Nebraska 810 821 981 1,556 1,535 1,558 1,545 1,463 897 1,594 1,816 Nevada 705 676 746 731 595 593 537 495 526 531 555 New Hampshire 582 462 547 598 516 601 519 572 594 652 532 New Jersey 866 855 862 764 749 782 844 923 971 981 999 New Mexico 318 310 364 279 466 592 599 570 401 268 338 New York 1,682 1,753 1,717 1,565 1,691 1,652 1,655 1,698 1,706 1,730 1,696 North Carolina 427 372 339 321 313 228 294 463 639 768 807 North Dakota 382 578 333 446 371 452 441 461 461 532 528 Ohio 601 679 573 539 740 738 883 761 662 781 631 Oklahoma 578 602 561 590 577 532 559 570 576 504 453 Oregon 2,276 2,246 1,779 1,768 1,868 1,936 2,049 2,090 2,020 2,123 1,998 Pennsylvania 625 632 659 866 746 704 675 739 604 600 491 Rhode Island 1,589 1,557 1,600 1,517 1,500 1,436 1,417 1,450 1,329 1,182 1,236 South Carolina 802 752 660 607 697 659 667 679 685 743 514 South Dakota 1,002 1,360 1,343 1,405 2,046 2,436 2,373 2,229 2,157 2,714 2,560 Tennessee 181 177 197 198 208 198 182 171 168 191 226 Texas 164 181 180 182 213 212 217 212 214 201 211 Utah 1,168 801 862 822 1,062 2,253 865 855 880 1,258 1,134 Vermont 1,615 1,634 1,558 1,110 1,874 1,778 1,704 1,763 1,441 1,947 2,053 Virginia 377 479 717 810 507 473 422 446 414 381 381 Washington 695 630 667 719 799 824 840 871 868 906 877 West Virginia ‡ ‡ 291 324 678 1,064 986 990 599 233 114 Wisconsin 492 498 575 531 617 748 686 667 670 751 719 Wyoming 1,458 1,288 1,438 1,339 1,415 1,069 1,051 1,170 1,170 1,379 1,359 1 Adjusted for age, gender, and race/ethnicity to the 2000 U.S. resident population. ‡ No data, or less than a full calendar year of data, submitted.

SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2000-ALLDATA6-ALL through SC-EST2011-ALLDATA6-ALL: Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2000 to July 1, 2011.

53 Table 1.4a. Primary alcohol admissions, by Census division and State or jurisdiction: 2001-2011 Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Number of admissions aged 12 and older Census division and State or jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 784,504 811,846 776,314 729,146 745,915 763,525 784,949 835,771 831,721 758,034 724,382 Census division New England 65,409 59,214 54,492 54,061 54,752 71,565 71,379 68,407 66,072 68,218 72,167 Middle Atlantic 201,884 205,102 198,644 185,235 189,874 183,988 188,047 194,684 189,599 184,462 172,600 East North Central 110,069 120,832 116,258 111,436 115,593 124,079 126,762 124,639 123,138 108,293 90,657 West North Central 76,280 72,466 67,559 74,807 76,066 82,748 88,200 94,897 100,799 94,136 87,365 South Atlantic 113,592 116,694 117,447 99,804 98,601 80,638 83,861 97,403 96,215 77,412 95,911 East South Central 25,175 25,672 27,444 21,553 23,232 23,191 15,936 19,853 21,350 18,506 10,471 West South Central 32,273 34,253 30,578 24,795 27,509 26,675 29,321 37,794 38,111 30,016 28,619 Mountain 66,427 80,949 75,602 80,920 84,707 87,346 88,153 96,688 99,024 88,580 84,802 Pacific 93,395 96,664 87,186 75,911 74,943 83,123 92,088 100,236 96,227 87,570 80,720 State or jurisdiction Alabama 6,510 6,952 6,849 5,991 5,862 5,994 ‡ 5,205 7,532 7,283 ‡ Alaska 2,854 4,192 3,276 ‡ ‡ ‡ 2,844 4,111 4,318 5,060 4,852 Arizona 5,071 3,940 3,480 7,488 6,206 5,761 4,863 6,178 6,276 9,935 7,284 Arkansas 4,964 5,132 4,415 ‡ 4,306 4,664 5,845 11,318 10,109 5,468 4,724 California 43,524 47,628 43,919 36,415 33,611 39,525 42,198 46,122 43,205 38,477 35,427 Colorado 34,063 54,614 49,569 51,730 57,232 58,105 58,778 64,945 67,311 57,285 56,156 Connecticut 18,592 17,314 16,385 15,483 14,705 14,803 15,409 17,093 16,970 19,905 24,050 Delaware 2,307 2,230 2,337 2,334 2,123 1,973 2,230 1,960 1,926 1,512 1,498 District of Columbia 1,109 1,037 882 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 2,169 Florida 27,313 32,661 28,109 12,272 13,479 13,816 15,035 23,433 22,543 14,308 28,535 Georgia 14,698 13,234 13,612 11,114 15,813 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 2,291 2,060 1,621 1,599 1,964 2,014 2,341 2,812 2,574 2,119 2,247 Idaho 4,268 2,323 1,430 2,285 2,360 2,354 1,083 2,311 2,591 647 ‡ Illinois 27,629 29,003 28,386 26,330 25,786 26,798 22,727 24,091 23,255 23,990 17,812 Indiana 15,455 15,834 16,171 18,425 17,566 17,201 13,983 9,022 7,949 8,937 9,280 Iowa 14,156 13,435 12,835 13,237 13,107 13,645 13,848 14,414 16,472 16,430 12,977 Kansas 6,926 6,781 6,292 6,764 6,498 5,223 6,115 7,413 8,489 6,159 5,402 Kentucky 9,678 9,992 11,937 7,070 9,433 9,790 9,451 8,571 7,732 7,399 6,382 Louisiana 9,897 10,487 9,081 8,588 7,137 6,321 6,581 7,633 8,667 7,727 7,003 Maine 7,485 7,192 7,898 7,459 7,688 7,540 8,052 7,356 6,760 5,893 5,911 Maryland 24,943 25,072 24,954 25,672 25,113 24,578 24,047 22,259 20,221 12,299 19,238 Massachusetts 26,727 22,670 18,216 20,421 20,734 37,268 36,449 32,233 31,853 31,570 31,673

Continued. See notes at end of table.

54 Table 1.4a. Primary alcohol admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 26,798 31,978 29,622 27,401 25,172 28,833 28,702 27,848 26,855 24,747 22,450 Minnesota 24,174 22,469 21,771 22,727 21,469 24,170 26,144 27,805 28,822 27,261 26,121 Mississippi 4,360 4,860 4,206 3,707 3,068 2,638 2,685 2,884 2,611 ‡ ‡ Missouri 19,319 16,513 13,304 13,105 13,601 15,206 15,989 19,278 20,891 19,205 17,525 Montana 4,144 4,130 4,525 4,413 4,455 4,522 5,914 4,645 4,582 4,705 5,275 Nebraska 5,006 4,793 5,943 10,861 10,843 11,014 12,379 12,816 12,887 12,307 13,335 Nevada 4,481 4,167 4,573 4,592 3,311 3,576 3,668 3,932 4,120 3,288 3,336 New Hampshire 3,284 2,549 2,722 3,164 2,696 3,123 2,762 3,099 2,993 2,868 2,578 New Jersey 15,248 14,921 15,283 14,972 14,934 16,904 18,671 21,292 22,435 23,009 21,813 New Mexico 3,832 3,773 3,572 2,646 3,992 6,048 5,989 5,844 4,306 2,936 3,815 New York 159,100 163,481 156,649 136,109 145,194 138,827 141,198 143,166 141,670 137,160 131,369 North Carolina 17,425 15,774 13,784 12,060 10,608 7,286 9,886 15,092 18,985 20,162 23,468 North Dakota 1,533 2,046 1,048 1,714 1,291 1,469 1,430 1,498 1,449 1,448 1,316 Ohio 25,817 29,602 24,952 22,409 29,591 29,726 40,399 42,128 44,093 29,616 21,877 Oklahoma 7,730 7,787 6,995 6,588 6,162 5,678 6,267 6,869 6,694 4,986 4,493 Oregon 31,216 30,422 25,338 24,308 24,923 26,437 28,874 30,148 28,469 26,044 23,948 Pennsylvania 27,536 26,700 26,712 34,154 29,746 28,257 28,178 30,226 25,494 24,293 19,418 Puerto Rico ‡ ‡ 1,104 624 638 172 1,202 1,170 1,186 841 1,070 Rhode Island 4,419 4,733 4,616 4,301 4,431 4,579 4,536 4,406 3,987 4,113 4,347 South Carolina 16,719 14,952 13,046 12,876 13,941 13,557 13,803 14,617 15,811 16,603 9,022 South Dakota 5,166 6,429 6,366 6,399 9,257 12,021 12,295 11,673 11,789 11,326 10,689 Tennessee 4,627 3,868 4,452 4,785 4,869 4,769 3,800 3,193 3,475 3,824 4,089 Texas 9,682 10,847 10,087 9,619 9,904 10,012 10,628 11,974 12,641 11,835 12,399 Utah 6,792 4,673 4,733 4,483 3,976 4,332 4,859 5,176 6,089 6,109 5,476 Vermont 4,902 4,756 4,655 3,233 4,498 4,252 4,171 4,220 3,509 3,869 3,608 Virginia 9,078 11,734 18,293 20,914 12,538 11,480 11,511 12,625 12,300 10,956 10,928 Washington 13,510 12,362 13,032 13,589 14,445 15,147 15,831 17,043 17,661 15,870 14,246 West Virginia ‡ ‡ 2,430 2,562 4,986 7,948 7,349 7,417 4,429 1,572 1,053 Wisconsin 14,370 14,415 17,127 16,871 17,478 21,521 20,951 21,550 20,986 21,003 19,238 Wyoming 3,776 3,329 3,720 3,283 3,175 2,648 2,999 3,657 3,749 3,675 3,460 ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

55 Table 1.4b. Primary alcohol admissions, by Census division and State or jurisdiction: 2001-2011 Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 327 334 316 294 297 301 307 323 319 288 272 Census division New England 552 495 453 447 451 587 583 555 533 548 577 Middle Atlantic 603 608 586 543 554 535 544 561 544 527 491 East North Central 292 318 304 290 299 320 326 319 314 276 230 West North Central 472 445 413 454 458 495 524 559 591 546 504 South Atlantic 257 259 257 215 208 168 172 197 193 152 187 East South Central 176 178 189 147 157 155 106 130 139 119 67 West South Central 124 129 114 91 100 96 103 131 130 100 94 Mountain 434 517 474 496 506 509 502 541 546 484 458 Pacific 248 253 225 194 190 208 229 246 234 209 190 State or jurisdiction Alabama 175 186 182 158 153 155 ‡ 132 190 180 ‡ Alaska 558 803 617 ‡ ‡ ‡ 505 723 751 860 814 Arizona 117 88 76 158 127 113 93 116 116 187 135 Arkansas 221 227 194 ‡ 185 198 246 472 419 223 192 California 155 167 152 124 114 133 141 152 141 123 112 Colorado 925 1,458 1,309 1,349 1,472 1,466 1,456 1,579 1,609 1,358 1,311 Connecticut 649 599 562 529 500 501 520 574 566 651 783 Delaware 347 331 341 335 300 274 306 265 258 198 194 District of Columbia 223 208 177 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 399 Florida 196 230 194 83 89 90 96 149 142 88 173 Georgia 212 187 189 151 211 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 224 199 155 151 183 186 216 257 235 183 192 Idaho 396 212 128 200 202 197 89 186 206 51 ‡ Illinois 267 279 272 250 244 253 213 224 215 222 164 Indiana 304 310 314 356 337 327 264 169 148 165 170 Iowa 576 545 519 533 526 545 551 571 650 640 503 Kansas 309 301 278 298 285 227 265 318 362 260 227 Kentucky 284 291 345 202 267 275 263 237 213 202 173 Louisiana 269 284 245 231 191 178 180 206 232 203 183 Maine 682 648 704 661 678 662 705 642 590 511 511 Maryland 558 552 543 553 535 520 507 467 421 251 389 Massachusetts 494 416 333 372 376 674 655 574 563 559 558

Continued. See notes at end of table.

56 Table 1.4b. Primary alcohol admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 323 383 352 324 297 339 338 329 318 295 267 Minnesota 583 536 515 534 501 559 599 633 651 611 581 Mississippi 186 206 178 155 128 110 111 119 107 ‡ ‡ Missouri 410 347 278 271 278 308 321 385 415 380 345 Montana 542 536 581 560 559 560 725 563 552 558 620 Nebraska 351 334 412 748 743 751 840 865 865 810 871 Nevada 260 233 248 239 167 174 173 183 189 145 146 New Hampshire 311 238 251 288 243 279 245 273 262 252 226 New Jersey 215 209 213 207 206 233 256 291 305 308 291 New Mexico 255 247 231 169 251 375 367 355 259 171 220 New York 996 1,016 967 835 886 845 854 863 851 826 788 North Carolina 254 227 196 169 146 98 130 195 242 251 289 North Dakota 284 380 194 315 238 270 262 274 263 252 226 Ohio 272 310 260 233 306 307 415 432 452 303 224 Oklahoma 268 268 240 224 209 190 208 226 219 159 142 Oregon 1,072 1,027 846 804 813 848 913 940 877 797 725 Pennsylvania 264 255 254 323 280 265 263 281 236 222 177 Puerto Rico ‡ ‡ 35 19 20 5 36 35 35 27 34 Rhode Island 494 524 507 471 487 504 500 486 440 452 477 South Carolina 493 435 375 364 389 371 371 386 412 424 228 South Dakota 818 1,011 993 987 1,418 1,821 1,844 1,736 1,738 1,667 1,558 Tennessee 96 79 90 96 96 93 73 61 66 71 75 Texas 56 62 56 53 53 53 55 61 63 57 59 Utah 377 254 253 234 202 214 233 243 281 282 248 Vermont 941 904 878 606 840 790 773 780 647 710 660 Virginia 151 192 295 333 197 178 177 192 185 161 159 Washington 271 244 254 262 274 282 291 308 314 279 247 West Virginia ‡ ‡ 157 165 321 511 471 475 283 98 66 Wisconsin 317 315 371 362 373 456 441 452 438 436 397 Wyoming 910 795 883 772 742 612 681 819 825 777 726 ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2009-agesex-res, SC-EST2011-agesex-res and SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: April 1, 2001 to July 1, 2011. PRC-EST2009-AGESEX-RES and PRC-EST2011- AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: April 1, 2001 to July 1, 2011.

57 Table 1.5a. Primary marijuana admissions, by Census division and State or jurisdiction: 2001-2011 Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 264,239 288,307 291,428 285,136 303,727 305,807 307,053 347,755 362,335 346,268 333,578 Census division New England 12,092 11,567 11,117 11,866 11,995 13,863 13,520 13,407 13,989 16,284 15,542 Middle Atlantic 49,676 52,413 52,968 55,179 60,588 62,623 63,858 71,025 73,291 75,499 70,680 East North Central 44,474 52,729 52,015 53,978 56,883 58,137 56,760 56,629 59,066 56,367 46,418 West North Central 31,227 31,043 30,576 32,156 33,926 34,975 33,869 35,999 40,436 39,197 36,118 South Atlantic 45,060 50,990 55,336 46,772 48,332 41,246 43,498 60,282 63,497 52,106 68,402 East South Central 11,891 12,764 14,452 11,874 12,653 12,673 7,160 11,555 13,196 11,957 5,164 West South Central 17,787 18,626 19,051 17,275 21,097 20,636 21,799 25,930 26,157 22,828 20,658 Mountain 13,205 12,825 12,734 16,092 15,710 15,821 15,994 17,767 17,941 20,038 18,046 Pacific 38,827 45,350 42,894 39,810 42,320 45,608 50,121 54,759 54,507 51,769 52,351 State or jurisdiction Alabama 4,997 5,483 6,218 5,514 5,470 5,641 ‡ 4,192 6,150 6,217 ‡ Alaska 357 459 366 ‡ ‡ ‡ 382 490 510 544 598 Arizona 1,003 1,006 1,013 2,668 2,099 2,037 1,990 2,164 2,183 5,277 4,224 Arkansas 2,757 3,046 2,836 ‡ 2,614 2,602 2,868 5,584 4,584 2,789 2,310 California 21,710 28,232 27,479 24,837 26,643 29,259 32,624 35,554 34,548 32,006 32,605 Colorado 3,314 4,513 4,282 5,583 5,820 5,980 6,468 6,878 7,170 7,271 6,363 Connecticut 3,748 3,999 3,272 3,385 3,425 3,873 4,223 4,905 5,754 8,349 7,822 Delaware 1,367 1,391 1,512 1,509 1,954 1,809 1,716 1,590 1,807 1,755 1,699 District of Columbia 367 273 336 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 1,271 Florida 14,254 19,194 19,954 11,472 13,818 14,203 15,206 24,806 24,928 18,027 27,748 Georgia 4,719 4,726 5,418 4,916 6,909 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 1,423 1,421 1,388 1,209 1,563 1,614 1,775 1,941 2,001 2,045 1,944 Idaho 1,912 1,130 722 1,368 1,278 1,423 787 1,810 1,799 705 ‡ Illinois 14,994 18,400 20,024 20,714 19,645 18,540 14,421 16,208 15,385 17,568 13,544 Indiana 7,025 7,529 7,828 9,250 8,883 8,937 6,899 4,712 4,136 5,099 5,024 Iowa 6,334 6,363 6,426 6,535 6,709 7,106 6,805 6,568 8,065 9,342 8,133 Kansas 3,543 3,671 3,453 3,852 4,126 3,518 3,982 4,474 5,509 4,507 4,249 Kentucky 3,462 3,740 4,598 3,164 4,243 4,399 4,229 3,831 3,768 3,693 2,829 Louisiana 6,094 5,661 5,768 6,296 5,489 4,754 5,407 5,710 6,304 6,024 5,260 Maine 1,469 1,781 1,713 1,756 1,469 1,345 1,445 1,375 1,233 1,096 1,150 Maryland 9,137 9,782 10,276 10,659 10,443 10,223 10,551 11,021 11,452 7,224 13,319 Massachusetts 3,300 2,106 2,331 3,144 3,372 4,961 4,359 3,327 2,956 3,204 3,271

Continued. See notes at end of table.

58 Table 1.5a. Primary marijuana admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 7,736 10,301 9,697 10,375 10,035 11,200 11,244 11,061 11,152 10,804 9,276 Minnesota 8,229 8,339 8,649 8,541 7,774 8,171 8,204 8,446 9,703 9,560 9,244 Mississippi 2,081 2,074 2,175 2,013 1,537 1,327 1,514 1,782 1,474 ‡ ‡ Missouri 11,077 10,160 9,837 10,581 11,881 12,573 11,211 12,713 13,467 12,051 10,474 Montana 1,294 1,354 1,476 1,481 1,548 1,472 1,697 1,395 1,306 1,429 1,729 Nebraska 854 765 848 1,053 1,079 1,023 1,136 1,023 971 1,070 1,322 Nevada 1,385 1,513 1,548 1,461 1,635 1,399 1,503 1,493 1,533 1,544 1,739 New Hampshire 972 752 801 961 777 841 685 812 829 782 610 New Jersey 5,697 5,857 6,314 6,479 7,059 7,537 8,175 9,626 10,877 11,077 11,757 New Mexico 496 345 455 326 545 772 760 816 607 458 662 New York 34,316 37,115 37,124 36,456 42,072 43,508 44,503 48,988 51,466 54,253 50,512 North Carolina 6,617 5,720 4,683 3,425 2,652 1,529 2,511 8,612 11,567 12,748 12,822 North Dakota 408 694 353 483 498 642 611 653 680 702 639 Ohio 12,848 14,442 12,416 11,598 16,002 16,090 21,450 22,033 25,671 20,080 15,887 Oklahoma 2,924 3,023 2,974 2,988 2,875 2,900 3,226 3,557 3,673 2,972 2,833 Oregon 8,423 8,657 6,923 6,893 6,997 7,312 7,635 8,437 8,660 8,625 8,557 Pennsylvania 9,663 9,441 9,530 12,244 11,457 11,578 11,180 12,411 10,948 10,169 8,411 Puerto Rico ‡ ‡ 285 134 223 225 474 402 255 223 199 Rhode Island 1,525 1,677 1,841 1,690 1,716 1,586 1,663 1,735 1,981 1,580 1,510 South Carolina 4,690 4,489 4,194 4,604 4,980 5,474 5,855 6,137 6,394 6,087 5,231 South Dakota 782 1,051 1,010 1,111 1,859 1,942 1,920 2,122 2,041 1,965 2,057 Tennessee 1,351 1,467 1,461 1,183 1,403 1,306 1,417 1,750 1,804 2,047 2,335 Texas 6,012 6,896 7,473 7,991 10,119 10,380 10,298 11,079 11,596 11,043 10,255 Utah 2,805 1,984 2,219 2,265 1,775 1,927 1,950 2,252 2,360 2,409 2,278 Vermont 1,078 1,252 1,159 930 1,236 1,257 1,145 1,253 1,236 1,273 1,179 Virginia 3,909 5,415 8,293 9,428 6,182 6,173 5,733 6,179 6,273 5,796 5,976 Washington 6,914 6,581 6,738 6,871 7,117 7,423 7,705 8,337 8,788 8,549 8,647 West Virginia ‡ ‡ 670 759 1,394 1,835 1,926 1,937 1,076 469 336 Wisconsin 1,871 2,057 2,050 2,041 2,318 3,370 2,746 2,615 2,722 2,816 2,687 Wyoming 996 980 1,019 940 1,010 811 839 959 983 945 1,051 ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

59 Table 1.5b. Primary marijuana admissions, by Census division and State or jurisdiction: 2001-2011 Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 110 119 119 115 121 121 120 135 139 131 125 Census division New England 102 97 92 98 99 114 110 109 113 131 124 Middle Atlantic 148 155 156 162 177 182 185 205 210 216 201 East North Central 118 139 136 140 147 150 146 145 151 144 118 West North Central 193 191 187 195 204 209 201 212 237 228 208 South Atlantic 102 113 121 101 102 86 89 122 127 102 133 East South Central 83 89 100 81 86 85 47 76 86 77 33 West South Central 68 70 71 64 77 74 77 90 89 76 68 Mountain 86 82 80 99 94 92 91 99 99 110 97 Pacific 103 119 111 102 107 114 124 134 132 123 123 State or jurisdiction Alabama 134 146 165 146 143 146 ‡ 107 155 154 ‡ Alaska 70 88 69 ‡ ‡ ‡ 68 86 89 93 100 Arizona 23 22 22 56 43 40 38 41 40 99 78 Arkansas 123 135 124 ‡ 113 111 121 233 190 114 94 California 77 99 95 85 90 98 109 117 113 102 103 Colorado 90 120 113 146 150 151 160 167 171 172 149 Connecticut 131 138 112 116 117 131 143 165 192 273 255 Delaware 206 206 221 217 276 251 235 215 242 230 220 District of Columbia 74 55 67 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 234 Florida 103 135 138 77 91 92 97 158 157 111 169 Georgia 68 67 75 67 92 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 139 137 133 114 146 149 164 178 182 176 166 Idaho 177 103 65 120 110 119 64 145 143 55 ‡ Illinois 145 177 192 197 186 175 135 151 143 163 125 Indiana 138 147 152 179 170 170 130 88 77 94 92 Iowa 258 258 260 263 269 284 271 260 318 364 315 Kansas 158 163 153 170 181 153 172 192 235 190 178 Kentucky 101 109 133 91 120 124 118 106 104 101 77 Louisiana 166 153 156 169 147 134 148 154 169 159 138 Maine 134 160 153 156 130 118 127 120 108 95 99 Maryland 204 216 223 229 223 216 222 231 238 147 269 Massachusetts 61 39 43 57 61 90 78 59 52 57 58

Continued. See notes at end of table.

60 Table 1.5b. Primary marijuana admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 93 123 115 123 118 132 132 131 132 129 110 Minnesota 198 199 205 201 181 189 188 192 219 214 206 Mississippi 89 88 92 84 64 55 63 73 60 ‡ ‡ Missouri 235 214 205 219 243 255 225 254 267 238 206 Montana 169 176 190 188 194 182 208 169 157 169 203 Nebraska 60 53 59 73 74 70 77 69 65 70 86 Nevada 80 85 84 76 82 68 71 69 70 68 76 New Hampshire 92 70 74 87 70 75 61 71 73 69 53 New Jersey 80 82 88 90 97 104 112 132 148 148 157 New Mexico 33 23 29 21 34 48 47 50 37 27 38 New York 215 231 229 224 257 265 269 295 309 327 303 North Carolina 97 82 66 48 37 21 33 111 148 159 158 North Dakota 76 129 65 89 92 118 112 119 123 122 110 Ohio 135 151 129 120 166 166 220 226 263 206 162 Oklahoma 101 104 102 102 97 97 107 117 120 95 90 Oregon 289 292 231 228 228 235 241 263 267 264 259 Pennsylvania 93 90 90 116 108 108 104 115 101 93 77 Puerto Rico ‡ ‡ 9 4 7 7 14 12 8 7 6 Rhode Island 171 186 202 185 188 174 183 191 218 174 166 South Carolina 138 131 121 130 139 150 157 162 167 155 132 South Dakota 124 165 158 171 285 294 288 316 301 289 300 Tennessee 28 30 30 24 28 25 27 33 34 38 43 Texas 35 39 42 44 55 55 53 56 58 54 49 Utah 156 108 118 118 90 95 94 106 109 111 103 Vermont 207 238 219 174 231 234 212 232 228 234 216 Virginia 65 89 134 150 97 96 88 94 94 85 87 Washington 139 130 131 132 135 138 141 151 156 150 150 West Virginia ‡ ‡ 43 49 90 118 124 124 69 29 21 Wisconsin 41 45 44 44 49 71 58 55 57 58 56 Wyoming 240 234 242 221 236 187 191 215 216 200 221 ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2009-agesex-res, SC-EST2011-agesex-res and SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: April 1, 2001 to July 1, 2011. PRC-EST2009-AGESEX-RES and PRC-EST2011- AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: April 1, 2001 to July 1, 2011.

61 Table 1.6a. Primary heroin admissions, by Census division and State or jurisdiction: 2001-2011 Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 277,556 285,036 274,502 262,506 260,690 267,511 261,951 280,692 285,983 264,277 278,481 Census division New England 61,877 60,541 49,465 49,733 48,169 57,256 55,946 55,341 56,707 50,837 58,487 Middle Atlantic 94,623 97,474 101,004 98,540 101,024 94,635 91,817 99,362 98,155 92,055 90,026 East North Central 22,550 25,353 28,370 26,471 28,359 37,116 36,432 42,183 46,152 41,255 38,667 West North Central 3,106 2,770 2,783 3,116 3,717 3,972 4,325 5,376 6,643 7,330 8,560 South Atlantic 30,587 34,234 36,362 33,604 31,055 25,574 24,292 26,033 25,233 19,345 26,010 East South Central 439 497 557 472 691 631 574 879 1,206 1,470 1,471 West South Central 4,356 4,977 4,295 4,325 4,363 4,304 4,608 5,472 7,049 6,880 8,826 Mountain 4,710 4,501 4,810 4,494 5,772 5,796 6,041 6,987 7,777 8,949 8,627 Pacific 55,308 54,689 44,666 40,164 36,287 36,826 36,277 37,765 36,328 35,588 37,319 State or jurisdiction Alabama 206 174 174 200 183 69 ‡ 109 197 212 ‡ Alaska 15 20 18 ‡ ‡ ‡ 62 126 238 237 278 Arizona 812 498 605 602 1,271 1,075 1,174 1,583 1,818 3,103 2,171 Arkansas 31 52 65 ‡ 25 40 41 104 86 53 42 California 48,009 47,428 38,885 34,310 29,912 30,526 29,857 30,675 28,795 27,167 27,157 Colorado 1,136 1,673 1,881 1,609 1,752 1,782 1,656 1,846 2,245 2,505 2,958 Connecticut 17,702 17,978 17,375 17,472 17,142 16,513 15,526 15,543 14,579 11,686 15,531 Delaware 1,897 1,701 1,910 2,114 2,108 2,044 2,041 1,884 1,661 1,278 1,318 District of Columbia 2,184 2,218 2,023 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 1,686 Florida 3,694 5,038 4,003 1,563 1,518 1,861 1,411 2,018 1,777 1,356 2,089 Georgia 733 676 688 559 661 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 199 221 181 156 163 160 148 143 131 106 106 Idaho 84 37 26 66 50 73 72 94 151 58 ‡ Illinois 11,009 12,279 15,392 13,214 12,515 19,286 16,830 19,653 19,489 18,282 15,327 Indiana 502 578 553 825 888 839 589 562 805 1,263 1,618 Iowa 224 252 240 239 186 186 175 177 230 377 288 Kansas 75 66 77 68 81 80 88 115 154 162 146 Kentucky 168 217 290 197 458 515 510 694 946 1,059 1,232 Louisiana 625 676 507 425 258 267 406 640 1,523 1,885 2,307 Maine 753 1,077 1,061 1,193 1,298 1,330 1,259 1,289 1,362 899 1,183 Maryland 19,322 21,190 22,485 23,001 21,975 17,564 17,067 17,715 17,073 12,613 16,280 Massachusetts 37,393 35,758 25,339 25,656 24,812 35,231 35,705 34,676 37,058 34,902 37,797

Continued. See notes at end of table.

62 Table 1.6a. Primary heroin admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 6,901 7,608 7,668 7,709 7,482 9,304 9,319 10,425 11,138 10,569 10,597 Minnesota 973 937 1,053 1,200 1,419 1,682 1,817 1,975 2,311 2,355 3,437 Mississippi 65 106 93 75 50 47 64 76 63 ‡ ‡ Missouri 1,811 1,482 1,378 1,582 2,003 1,999 2,200 3,019 3,861 4,341 4,535 Montana 67 59 62 77 64 80 106 109 98 99 150 Nebraska 11 13 8 ------16 62 53 45 84 Nevada 782 699 693 648 578 607 576 675 888 795 882 New Hampshire 495 520 691 770 644 711 656 789 952 914 857 New Jersey 26,624 26,477 26,038 23,546 23,383 21,418 22,183 23,069 23,949 22,259 22,637 New Mexico 553 589 453 414 778 742 722 742 631 344 365 New York 56,967 58,247 59,158 55,597 61,818 59,156 57,406 60,759 61,960 57,555 56,702 North Carolina 853 889 957 1,133 1,327 1,245 1,190 1,355 1,760 1,731 2,264 North Dakota 9 7 6 14 5 1 4 9 6 10 9 Ohio 3,721 4,368 3,986 4,067 6,542 6,778 8,777 10,560 13,415 9,747 9,263 Oklahoma 185 136 154 137 95 85 118 199 246 184 225 Oregon 4,558 4,619 3,327 2,898 3,196 3,431 3,715 3,729 4,030 4,493 5,187 Pennsylvania 11,032 12,750 15,808 19,397 15,823 14,061 12,228 15,534 12,246 12,241 10,687 Puerto Rico ‡ ‡ 2,190 1,587 1,253 1,401 1,639 1,294 733 568 488 Rhode Island 4,982 4,331 4,297 4,108 3,470 2,905 2,328 2,505 2,336 2,038 2,483 South Carolina 408 432 417 319 435 236 204 231 256 221 244 South Dakota 3 13 21 13 23 24 25 19 28 40 61 Tennessee n/c n/c n/c n/c n/c n/c n/c n/c n/c 199 239 Texas 3,515 4,113 3,569 3,763 3,985 3,912 4,043 4,529 5,194 4,758 6,252 Utah 1,258 937 1,069 1,059 1,257 1,421 1,711 1,893 1,892 1,997 2,044 Vermont 552 877 702 534 803 566 472 539 420 398 636 Virginia 1,496 2,090 3,773 4,756 2,643 2,202 2,081 2,441 2,424 1,994 1,971 Washington 2,527 2,401 2,255 2,800 3,016 2,709 2,495 3,092 3,134 3,585 4,591 West Virginia ‡ ‡ 106 159 388 422 298 389 282 152 158 Wisconsin 417 520 771 656 932 909 917 983 1,305 1,394 1,862 Wyoming 18 9 21 19 22 16 24 45 54 48 57 n/c Not collected. Tennessee began disaggregating heroin admissions from other opiates in July 2009. In this report, Tennessee's 2009 heroin admissions are included in the other opiates category since there is less than a full year of disaggregated heroin data. ‡ No data, or less than a full calendar year of data, submitted. - - Quantity is zero. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

63 Table 1.6b. Primary heroin admissions, by Census division and State or jurisdiction: 2001-2011 Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 116 117 112 106 104 106 102 109 110 100 105 Census division New England 523 506 411 411 397 470 457 449 458 409 468 Middle Atlantic 283 289 298 289 295 275 266 287 282 263 256 East North Central 60 67 74 69 73 96 94 108 118 105 98 West North Central 19 17 17 19 22 24 26 32 39 43 49 South Atlantic 69 76 80 72 66 53 50 53 51 38 51 East South Central 3 3 4 3 5 4 4 6 8 9 9 West South Central 17 19 16 16 16 15 16 19 24 23 29 Mountain 31 29 30 28 35 34 34 39 43 49 47 Pacific 147 143 115 103 92 92 90 93 88 85 88 State or jurisdiction Alabama 6 5 5 5 5 2 ‡ 3 5 5 ‡ Alaska 3 4 3 ‡ ‡ ‡ 11 22 41 40 47 Arizona 19 11 13 13 26 21 23 30 34 58 40 Arkansas 1 2 3 ‡ 1 2 2 4 4 2 2 California 170 166 134 117 101 102 99 101 94 87 86 Colorado 31 45 50 42 45 45 41 45 54 59 69 Connecticut 618 622 596 597 583 559 524 522 486 382 506 Delaware 285 252 279 304 298 284 280 255 222 167 171 District of Columbia 440 445 406 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 310 Florida 27 35 28 11 10 12 9 13 11 8 13 Georgia 11 10 10 8 9 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 19 21 17 15 15 15 14 13 12 9 9 Idaho 8 3 2 6 4 6 6 8 12 5 ‡ Illinois 107 118 147 126 119 182 158 183 181 169 141 Indiana 10 11 11 16 17 16 11 11 15 23 30 Iowa 9 10 10 10 7 7 7 7 9 15 11 Kansas 3 3 3 3 4 3 4 5 7 7 6 Kentucky 5 6 8 6 13 14 14 19 26 29 33 Louisiana 17 18 14 11 7 8 11 17 41 50 60 Maine 69 97 95 106 115 117 110 113 119 78 102 Maryland 432 467 489 495 469 372 360 371 355 257 329 Massachusetts 691 656 463 467 451 637 641 618 655 618 665

Continued. See notes at end of table.

64 Table 1.6b. Primary heroin admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 83 91 91 91 88 109 110 123 132 126 126 Minnesota 23 22 25 28 33 39 42 45 52 53 76 Mississippi 3 4 4 3 2 2 3 3 3 ‡ ‡ Missouri 38 31 29 33 41 41 44 60 77 86 89 Montana 9 8 8 10 8 10 13 13 12 12 18 Nebraska † † † ------1 4 4 3 5 Nevada 45 39 38 34 29 30 27 31 41 35 39 New Hampshire 47 49 64 70 58 63 58 69 83 80 75 New Jersey 376 371 362 326 323 295 304 315 325 298 302 New Mexico 37 39 29 26 49 46 44 45 38 20 21 New York 357 362 365 341 377 360 347 366 372 347 340 North Carolina 12 13 14 16 18 17 16 18 22 22 28 North Dakota 2 1 1 3 † † † 2 1 2 2 Ohio 39 46 42 42 68 70 90 108 137 100 95 Oklahoma 6 5 5 5 3 3 4 7 8 6 7 Oregon 156 156 111 96 104 110 117 116 124 138 157 Pennsylvania 106 122 150 183 149 132 114 144 113 112 98 Puerto Rico ‡ ‡ 69 49 39 43 50 39 22 18 15 Rhode Island 557 479 472 450 381 319 257 276 258 224 273 South Carolina 12 13 12 9 12 6 5 6 7 6 6 South Dakota † 2 3 2 4 4 4 3 4 6 9 Tennessee n/c n/c n/c n/c n/c n/c n/c n/c n/c 4 4 Texas 20 23 20 21 22 21 21 23 26 23 30 Utah 70 51 57 55 64 70 82 89 87 92 93 Vermont 106 167 132 100 150 105 87 100 77 73 116 Virginia 25 34 61 76 42 34 32 37 36 29 29 Washington 51 47 44 54 57 50 46 56 56 63 79 West Virginia ‡ ‡ 7 10 25 27 19 25 18 9 10 Wisconsin 9 11 17 14 20 19 19 21 27 29 38 Wyoming 4 2 5 4 5 4 5 10 12 10 12 n/c Not collected. Tennessee began disaggregating heroin admissions from other opiates in July 2009. In this report, Tennessee's 2009 heroin admissions are included in the other opiates category since there is less than a full year of disaggregated heroin data. - - Quantity is zero. † Less than 1 per 100,000. ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2009-agesex-res, SC-EST2011-agesex-res and SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: April 1, 2001 to July 1, 2011. PRC-EST2009-AGESEX-RES and PRC-EST2011- AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: April 1, 2001 to July 1, 2011.

65 Table 1.7a. Primary cocaine admissions, by Census division and State or jurisdiction: 2001-2011 Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 230,398 245,444 254,880 248,448 268,525 267,256 250,761 230,568 186,994 152,404 143,827 Census division New England 12,138 11,012 11,419 12,269 13,419 17,668 16,435 13,891 11,280 10,285 11,150 Middle Atlantic 56,156 58,176 60,930 65,444 72,876 73,401 69,141 61,570 50,281 46,949 43,698 East North Central 38,562 42,438 43,601 42,571 45,615 48,715 46,059 36,983 30,838 24,690 20,436 West North Central 17,018 16,140 17,023 17,559 18,174 18,556 16,595 14,423 11,052 8,857 8,040 South Atlantic 47,040 51,054 54,318 48,444 53,240 40,615 39,921 40,760 33,355 23,753 29,323 East South Central 9,729 11,109 12,674 10,949 12,968 13,458 7,797 8,581 8,009 6,150 3,102 West South Central 18,859 20,785 20,829 18,779 21,092 20,816 20,855 20,351 16,530 11,272 10,697 Mountain 6,097 6,236 6,442 7,501 8,059 9,178 9,253 9,179 6,921 6,281 5,506 Pacific 24,799 28,494 27,484 24,826 22,927 24,741 24,459 24,591 18,573 14,052 11,774 State or jurisdiction Alabama 3,561 4,060 4,409 4,322 4,323 4,531 ‡ 2,347 3,131 2,925 ‡ Alaska 223 222 141 ‡ ‡ ‡ 167 195 159 169 101 Arizona 721 622 660 1,088 1,483 1,469 1,434 1,505 842 1,200 916 Arkansas 1,652 2,022 2,473 ‡ 2,121 2,174 1,880 3,277 2,145 1,051 918 California 20,536 24,441 23,800 21,334 19,120 20,323 19,837 20,194 15,226 11,324 9,475 Colorado 1,920 2,966 2,960 3,983 4,154 4,787 4,649 4,441 3,629 3,319 3,074 Connecticut 5,495 5,260 5,629 5,455 5,579 6,178 5,831 5,636 4,664 4,612 5,545 Delaware 1,114 1,279 1,324 1,301 1,389 1,359 1,274 996 666 444 352 District of Columbia 1,923 1,884 1,377 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 1,699 Florida 13,310 17,281 16,520 8,628 11,341 12,038 11,755 14,949 11,617 6,720 9,183 Georgia 9,201 7,676 8,537 7,492 11,271 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 360 338 316 279 222 302 245 246 221 153 191 Idaho 131 64 32 66 66 78 61 96 94 27 ‡ Illinois 16,678 17,000 17,594 16,482 15,766 15,751 13,911 12,351 10,185 8,946 7,073 Indiana 3,118 3,288 3,632 4,356 4,513 4,560 3,400 1,766 1,447 1,451 1,514 Iowa 1,572 1,571 1,800 1,886 1,876 2,194 1,863 1,523 1,177 962 779 Kansas 2,317 2,318 2,495 2,501 2,476 2,215 2,340 2,122 1,800 1,207 960 Kentucky 1,639 2,199 3,102 1,813 3,885 4,352 3,796 2,852 2,239 1,783 1,509 Louisiana 7,728 7,891 7,509 7,428 6,685 6,170 6,508 5,662 5,349 3,799 3,591 Maine 284 385 574 661 761 912 1,036 813 549 422 485 Maryland 7,981 8,907 9,280 10,180 10,387 10,090 9,862 8,395 6,916 4,153 5,780 Massachusetts 4,333 3,194 2,791 3,643 4,223 7,449 6,596 4,789 4,003 3,552 3,526

Continued. See notes at end of table.

66 Table 1.7a. Primary cocaine admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 7,931 10,325 10,374 10,360 9,949 11,822 11,249 8,428 6,432 5,249 4,919 Minnesota 4,045 3,869 4,432 4,675 4,790 4,968 4,598 3,770 2,624 2,196 2,136 Mississippi 2,295 2,445 2,430 2,228 2,016 1,922 1,765 1,585 1,133 ‡ ‡ Missouri 8,280 7,558 7,512 7,602 8,118 8,274 6,812 6,228 4,901 3,950 3,542 Montana 175 121 136 115 121 144 166 95 78 90 67 Nebraska 745 704 672 734 686 665 771 555 416 427 505 Nevada 1,392 1,097 1,238 1,116 703 863 883 814 793 519 445 New Hampshire 329 308 452 554 610 854 737 654 463 432 346 New Jersey 5,482 5,307 5,675 5,886 6,081 6,425 6,858 6,114 5,170 4,806 4,650 New Mexico 473 464 472 324 529 742 759 876 494 207 247 New York 40,700 42,846 44,228 44,600 52,434 53,481 50,196 44,471 37,946 36,103 34,218 North Carolina 5,813 5,553 5,526 6,102 6,667 5,296 6,600 7,272 7,768 7,642 8,028 North Dakota 15 35 23 29 24 49 34 35 22 18 12 Ohio 9,240 10,208 9,308 9,210 12,492 12,797 14,390 12,246 10,774 7,260 5,344 Oklahoma 1,682 1,773 1,750 2,150 2,091 1,837 1,727 1,525 1,126 619 577 Oregon 1,659 1,630 1,125 1,050 1,084 1,185 1,284 1,176 896 790 688 Pennsylvania 9,974 10,023 11,027 14,958 14,361 13,495 12,087 10,985 7,165 6,040 4,830 Puerto Rico ‡ ‡ 160 106 155 108 246 239 155 115 101 Rhode Island 1,446 1,493 1,614 1,587 1,622 1,557 1,563 1,424 1,232 877 846 South Carolina 3,981 3,603 3,305 3,605 4,645 4,533 4,207 3,609 2,637 1,953 1,663 South Dakota 44 85 89 132 204 191 177 190 112 97 106 Tennessee 2,234 2,405 2,733 2,586 2,744 2,653 2,236 1,797 1,506 1,442 1,593 Texas 7,797 9,099 9,097 9,201 10,195 10,635 10,740 9,887 7,910 5,803 5,611 Utah 1,161 797 844 725 909 1,005 1,213 1,253 930 850 700 Vermont 251 372 359 369 624 718 672 575 369 390 402 Virginia 3,717 4,871 8,145 10,725 6,696 5,815 5,156 4,765 3,437 2,741 2,553 Washington 2,021 1,863 2,102 2,163 2,501 2,931 2,926 2,780 2,071 1,616 1,319 West Virginia ‡ ‡ 304 411 844 1,484 1,067 774 314 100 65 Wisconsin 1,595 1,617 2,693 2,163 2,895 3,785 3,109 2,192 2,000 1,784 1,586 Wyoming 124 105 100 84 94 90 88 99 61 69 57 ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

67 Table 1.7b. Primary cocaine admissions, by Census division and State or jurisdiction: 2001-2011 Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 96 101 104 100 107 105 98 89 72 58 54 Census division New England 102 92 95 101 111 145 134 113 91 83 89 Middle Atlantic 168 173 180 192 213 213 200 178 144 134 124 East North Central 102 112 114 111 118 126 118 95 79 63 52 West North Central 105 99 104 106 109 111 99 85 65 51 46 South Atlantic 106 113 119 104 112 84 82 83 67 47 57 East South Central 68 77 87 75 88 90 52 56 52 40 20 West South Central 72 78 78 69 77 75 74 71 57 38 35 Mountain 40 40 40 46 48 53 53 51 38 34 30 Pacific 66 75 71 63 58 62 61 60 45 33 28 State or jurisdiction Alabama 96 108 117 114 113 117 ‡ 60 79 72 ‡ Alaska 44 43 27 ‡ ‡ ‡ 30 34 28 29 17 Arizona 17 14 14 23 30 29 28 28 16 23 17 Arkansas 74 89 109 ‡ 91 92 79 137 89 43 37 California 73 86 82 73 65 68 66 67 50 36 30 Colorado 52 79 78 104 107 121 115 108 87 79 72 Connecticut 192 182 193 186 190 209 197 189 156 151 181 Delaware 168 190 193 187 196 189 175 135 89 58 46 District of Columbia 387 378 276 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 312 Florida 96 122 114 58 75 78 75 95 73 41 56 Georgia 133 109 119 102 151 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 35 33 30 26 21 28 23 23 20 13 16 Idaho 12 6 3 6 6 7 5 8 7 2 ‡ Illinois 161 163 168 157 149 148 130 115 94 83 65 Indiana 61 64 71 84 87 87 64 33 27 27 28 Iowa 64 64 73 76 75 88 74 60 46 37 30 Kansas 104 103 110 110 108 96 101 91 77 51 40 Kentucky 48 64 90 52 110 122 106 79 62 49 41 Louisiana 210 214 203 199 179 174 178 153 143 100 94 Maine 26 35 51 59 67 80 91 71 48 37 42 Maryland 179 196 202 219 221 214 208 176 144 85 117 Massachusetts 80 59 51 66 77 135 118 85 71 63 62

Continued. See notes at end of table.

68 Table 1.7b. Primary cocaine admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 96 124 123 123 117 139 132 100 76 63 59 Minnesota 98 92 105 110 112 115 105 86 59 49 48 Mississippi 98 104 103 93 84 80 73 65 46 ‡ ‡ Missouri 176 159 157 157 166 168 137 124 97 78 70 Montana 23 16 17 15 15 18 20 12 9 11 8 Nebraska 52 49 47 51 47 45 52 37 28 28 33 Nevada 81 61 67 58 35 42 42 38 36 23 20 New Hampshire 31 29 42 50 55 76 65 58 41 38 30 New Jersey 77 74 79 82 84 88 94 84 70 64 62 New Mexico 31 30 31 21 33 46 46 53 30 12 14 New York 255 266 273 274 320 325 304 268 228 217 205 North Carolina 85 80 78 85 92 71 87 94 99 95 99 North Dakota 3 6 4 5 4 9 6 6 4 3 2 Ohio 97 107 97 96 129 132 148 126 110 74 55 Oklahoma 58 61 60 73 71 62 57 50 37 20 18 Oregon 57 55 38 35 35 38 41 37 28 24 21 Pennsylvania 96 96 105 141 135 126 113 102 66 55 44 Puerto Rico ‡ ‡ 5 3 5 3 7 7 5 4 3 Rhode Island 162 165 177 174 178 171 172 157 136 96 93 South Carolina 117 105 95 102 130 124 113 95 69 50 42 South Dakota 7 13 14 20 31 29 27 28 17 14 15 Tennessee 46 49 56 52 54 52 43 34 28 27 29 Texas 45 52 51 51 55 56 56 50 40 28 27 Utah 64 43 45 38 46 50 58 59 43 39 32 Vermont 48 71 68 69 117 133 124 106 68 72 74 Virginia 62 80 131 171 105 90 79 73 52 40 37 Washington 40 37 41 42 47 55 54 50 37 28 23 West Virginia ‡ ‡ 20 26 54 95 68 50 20 6 4 Wisconsin 35 35 58 46 62 80 66 46 42 37 33 Wyoming 30 25 24 20 22 21 20 22 13 15 12 ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2009-agesex-res, SC-EST2011-agesex-res and SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: April 1, 2001 to July 1, 2011. PRC-EST2009-AGESEX-RES and PRC-EST2011- AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: April 1, 2001 to July 1, 2011.

69 Table 1.8a. Primary methamphetamine/amphetamine admissions, by Census division and State or jurisdiction: 2001-2011 Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 95,740 122,856 133,733 142,538 172,092 159,254 145,936 127,137 116,793 115,022 110,471 Census division New England 288 335 312 340 448 500 441 387 330 428 433 Middle Atlantic 818 918 1,110 1,331 1,325 1,192 1,344 1,191 1,288 1,423 1,635 East North Central 2,287 3,628 4,696 6,003 6,991 6,397 4,300 3,428 3,531 3,931 4,284 West North Central 13,631 15,804 17,527 21,273 25,105 19,909 17,513 14,649 15,806 17,382 17,847 South Atlantic 2,062 3,142 5,061 5,149 9,158 3,099 2,764 3,016 3,245 3,024 4,213 East South Central 2,099 2,683 3,420 3,673 4,423 3,862 1,812 2,491 3,272 3,483 2,052 West South Central 7,708 9,310 10,329 8,794 14,707 13,042 11,661 11,408 11,546 9,561 9,707 Mountain 11,817 11,960 14,631 19,552 23,719 22,134 19,582 16,609 14,876 16,123 15,154 Pacific 55,030 75,076 76,647 76,423 86,216 89,119 86,517 73,957 62,899 59,667 55,145 State or jurisdiction Alabama 916 1,335 1,708 1,976 1,940 1,714 ‡ 929 1,677 1,932 ‡ Alaska 48 80 72 ‡ ‡ ‡ 119 129 149 184 212 Arizona 1,267 1,277 1,618 3,285 4,533 3,686 3,095 2,862 2,376 3,988 3,223 Arkansas 2,138 2,812 3,015 ‡ 3,464 2,940 2,602 4,326 4,028 2,541 2,180 California 39,910 59,247 62,130 60,334 67,068 71,151 69,000 59,258 49,552 45,931 41,665 Colorado 1,538 2,557 3,317 4,873 6,379 6,069 5,933 5,342 4,955 5,559 5,206 Connecticut 127 110 114 95 110 90 85 119 98 117 125 Delaware 5 12 15 18 32 37 24 22 9 9 9 District of Columbia 33 17 10 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 23 Florida 461 736 1,014 684 1,182 1,138 975 1,227 1,334 1,159 1,921 Georgia 982 1,572 2,796 2,868 5,685 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 2,088 2,239 2,567 2,382 2,623 2,179 2,182 1,922 1,988 1,843 1,920 Idaho 1,763 1,295 814 2,173 2,347 2,298 1,538 1,563 1,495 560 ‡ Illinois 986 1,547 2,156 2,605 2,566 2,395 1,302 1,001 926 1,073 1,060 Indiana 757 1,164 1,415 1,961 2,311 2,203 1,454 993 937 1,172 1,532 Iowa 4,182 4,836 5,333 5,558 5,778 4,507 3,434 2,653 3,295 4,247 3,525 Kansas 1,184 1,415 1,444 1,808 2,190 1,582 1,969 1,822 2,060 1,914 1,983 Kentucky 454 451 691 529 1,306 1,248 1,044 843 832 1,026 1,114 Louisiana 404 680 790 1,051 1,225 943 970 718 745 830 1,011 Maine 38 39 51 62 79 104 80 72 70 87 87 Maryland 104 130 173 204 215 222 219 162 148 94 131 Massachusetts 80 69 101 119 152 190 165 94 69 132 140

Continued. See notes at end of table.

70 Table 1.8a. Primary methamphetamine/amphetamine admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 248 428 567 754 797 605 452 601 706 813 807 Minnesota 2,692 3,237 4,270 5,893 7,127 5,333 4,846 3,668 3,598 4,140 4,471 Mississippi 534 617 653 610 636 486 481 442 425 ‡ ‡ Missouri 3,928 4,028 3,968 4,914 6,154 5,294 4,513 4,544 5,056 5,088 5,348 Montana 895 938 1,116 1,185 1,476 1,128 964 517 425 498 763 Nebraska 1,287 1,465 1,699 2,059 2,094 1,658 1,591 1,147 1,068 1,191 1,645 Nevada 2,560 2,829 3,256 3,338 3,419 3,181 2,776 1,966 1,891 1,884 1,951 New Hampshire 17 74 17 32 54 75 53 51 45 45 30 New Jersey 131 138 137 194 173 189 203 189 245 243 271 New Mexico 197 197 268 315 703 910 1,018 845 614 484 777 New York 459 547 699 673 704 610 783 694 805 938 1,129 North Carolina 187 227 283 333 487 302 319 495 791 850 1,120 North Dakota 153 377 239 374 417 378 249 191 128 146 159 Ohio 187 329 320 424 834 751 737 558 673 565 570 Oklahoma 3,322 3,469 3,555 4,007 4,194 3,728 3,365 2,687 2,965 2,728 2,687 Oregon 8,743 9,454 7,548 8,560 10,061 9,238 8,838 7,416 6,689 6,995 6,705 Pennsylvania 228 233 274 464 448 393 358 308 238 242 235 Puerto Rico ‡ ‡ ------2 1 - - - - 1 Rhode Island 16 21 10 13 16 22 28 32 29 11 24 South Carolina 163 228 300 421 778 712 605 596 551 560 622 South Dakota 205 446 574 667 1,345 1,157 911 624 601 656 716 Tennessee 195 280 368 558 541 414 287 277 338 525 938 Texas 1,844 2,349 2,969 3,736 5,824 5,431 4,724 3,677 3,808 3,462 3,829 Utah 3,002 2,172 3,310 3,367 3,567 3,990 3,611 2,954 2,461 2,497 2,596 Vermont 10 22 19 19 37 19 30 19 19 36 27 Virginia 127 220 413 544 514 350 363 282 298 283 316 Washington 4,241 4,056 4,330 5,147 6,464 6,551 6,378 5,232 4,521 4,714 4,643 West Virginia ‡ ‡ 57 77 265 338 259 232 114 69 71 Wisconsin 109 160 238 259 483 443 355 275 289 308 315 Wyoming 595 695 932 1,016 1,295 872 647 560 659 653 638 - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

71 Table 1.8b. Primary methamphetamine/amphetamine admissions, by Census division and State or jurisdiction: 2001-2011 Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 40 51 54 57 69 63 57 49 45 44 42 Census division New England 2 3 3 3 4 4 4 3 3 3 3 Middle Atlantic 2 3 3 4 4 3 4 3 4 4 5 East North Central 6 10 12 16 18 16 11 9 9 10 11 West North Central 84 97 107 129 151 119 104 86 93 101 103 South Atlantic 5 7 11 11 19 6 6 6 7 6 8 East South Central 15 19 24 25 30 26 12 16 21 22 13 West South Central 30 35 39 32 53 47 41 40 39 32 32 Mountain 77 76 92 120 142 129 112 93 82 88 82 Pacific 146 197 198 195 218 223 215 181 153 142 130 State or jurisdiction Alabama 25 36 45 52 51 44 ‡ 24 42 48 ‡ Alaska 9 15 14 ‡ ‡ ‡ 21 23 26 31 36 Arizona 29 29 35 69 92 73 59 54 44 75 60 Arkansas 95 124 132 ‡ 149 125 110 181 167 104 88 California 142 207 214 206 227 239 230 195 162 147 132 Colorado 42 68 88 127 164 153 147 130 118 132 122 Connecticut 4 4 4 3 4 3 3 4 3 4 4 Delaware † 2 2 3 5 5 3 3 1 1 1 District of Columbia 7 3 2 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 4 Florida 3 5 7 5 8 7 6 8 8 7 12 Georgia 14 22 39 39 76 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 204 216 245 225 244 201 201 176 181 159 164 Idaho 164 118 73 191 201 192 126 125 119 44 ‡ Illinois 10 15 21 25 24 23 12 9 9 10 10 Indiana 15 23 28 38 44 42 27 19 17 22 28 Iowa 170 196 216 224 232 180 137 105 130 165 137 Kansas 53 63 64 80 96 69 85 78 88 81 83 Kentucky 13 13 20 15 37 35 29 23 23 28 30 Louisiana 11 18 21 28 33 27 27 19 20 22 26 Maine 3 4 5 5 7 9 7 6 6 8 8 Maryland 2 3 4 4 5 5 5 3 3 2 3 Massachusetts 1 1 2 2 3 3 3 2 1 2 2

Continued. See notes at end of table.

72 Table 1.8b. Primary methamphetamine/amphetamine admissions, by Census division and State or jurisdiction: 2001-2011 (continued) Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 3 5 7 9 9 7 5 7 8 10 10 Minnesota 65 77 101 138 166 123 111 83 81 93 99 Mississippi 23 26 28 26 26 20 20 18 17 ‡ ‡ Missouri 83 85 83 102 126 107 91 91 100 101 105 Montana 117 122 143 150 185 140 118 63 51 59 90 Nebraska 90 102 118 142 143 113 108 77 72 78 107 Nevada 148 158 176 174 172 155 131 91 87 83 86 New Hampshire 2 7 2 3 5 7 5 4 4 4 3 New Jersey 2 2 2 3 2 3 3 3 3 3 4 New Mexico 13 13 17 20 44 56 62 51 37 28 45 New York 3 3 4 4 4 4 5 4 5 6 7 North Carolina 3 3 4 5 7 4 4 6 10 11 14 North Dakota 28 70 44 69 77 69 46 35 23 25 27 Ohio 2 3 3 4 9 8 8 6 7 6 6 Oklahoma 115 119 122 136 142 125 112 89 97 87 85 Oregon 300 319 252 283 328 296 279 231 206 214 203 Pennsylvania 2 2 3 4 4 4 3 3 2 2 2 Puerto Rico ‡ ‡ ------† † - - - - † Rhode Island 2 2 1 1 2 2 3 4 3 1 3 South Carolina 5 7 9 12 22 19 16 16 14 14 16 South Dakota 32 70 90 103 206 175 137 93 89 97 104 Tennessee 4 6 7 11 11 8 6 5 6 10 17 Texas 11 13 17 21 31 29 24 19 19 17 18 Utah 167 118 177 176 182 197 173 139 113 115 118 Vermont 2 4 4 4 7 4 6 4 4 7 5 Virginia 2 4 7 9 8 5 6 4 4 4 5 Washington 85 80 84 99 123 122 117 95 80 83 80 West Virginia ‡ ‡ 4 5 17 22 17 15 7 4 4 Wisconsin 2 3 5 6 10 9 7 6 6 6 7 Wyoming 143 166 221 239 303 201 147 125 145 138 134 - - Quantity is zero. † Less than 1 per 100,000. ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2009-agesex-res, SC-EST2011-agesex-res and SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: April 1, 2001 to July 1, 2011. PRC-EST2009-AGESEX-RES and PRC-EST2011- AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: April 1, 2001 to July 1, 2011.

73 Table 1.9a. Primary non-heroin opiates/synthetics admissions,1 by Census division and State or jurisdiction: 2001-2011 Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 37,683 45,957 52,765 60,853 71,334 82,875 98,909 122,633 143,404 163,444 186,986 Census division New England 5,476 6,354 7,101 8,557 10,091 13,616 15,203 15,272 14,709 16,604 18,633 Middle Atlantic 6,378 7,607 9,313 12,034 12,949 14,628 18,977 22,614 25,763 33,678 39,161 East North Central 4,603 6,028 6,506 7,740 9,683 12,143 14,497 16,155 19,608 22,798 22,426 West North Central 1,610 2,010 2,310 3,333 3,699 4,236 5,121 6,839 9,277 10,574 11,081 South Atlantic 8,505 10,012 11,220 11,584 14,565 14,604 17,487 25,241 32,270 34,709 52,515 East South Central 3,140 3,896 4,809 4,630 5,936 6,635 5,996 8,442 10,314 12,305 10,567 West South Central 3,063 3,923 4,514 5,128 5,897 6,162 7,917 10,576 11,182 9,987 10,937 Mountain 1,452 1,601 1,960 2,391 2,703 3,288 3,903 4,720 5,823 6,801 6,765 Pacific 3,456 4,526 5,032 5,455 5,809 7,557 9,774 12,738 14,423 15,934 14,877 State or jurisdiction Alabama 937 1,124 1,237 1,360 1,583 1,558 ‡ 1,467 2,148 2,676 ‡ Alaska 49 120 114 ‡ ‡ ‡ 121 169 317 350 381 Arizona 139 161 71 110 157 271 357 495 720 1,392 1,199 Arkansas 376 513 528 ‡ 762 778 1,214 2,885 2,696 1,707 1,524 California 2,327 3,094 3,510 3,467 3,229 5,045 6,304 7,635 8,456 9,661 8,916 Colorado 340 530 629 752 869 1,056 1,218 1,589 1,949 2,357 2,485 Connecticut 889 1,030 1,222 1,606 1,722 1,790 2,050 2,369 2,420 2,567 3,494 Delaware 86 135 173 232 312 568 820 1,101 1,397 1,346 1,687 District of Columbia 24 15 13 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 66 Florida 3,192 4,216 3,448 2,139 2,553 3,686 4,399 8,777 13,152 15,023 26,972 Georgia 671 748 975 802 2,177 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 106 102 104 113 155 133 173 195 212 249 304 Idaho 90 60 48 147 129 194 124 270 325 160 ‡ Illinois 665 715 802 892 899 1,423 1,432 1,660 1,705 2,383 2,202 Indiana 929 967 1,217 1,514 1,765 2,023 1,806 1,480 1,424 2,166 2,645 Iowa 268 359 298 467 438 499 502 622 1,022 1,374 1,237 Kansas 108 140 179 268 255 250 344 579 835 775 819 Kentucky 947 1,116 1,635 1,346 2,183 2,946 3,626 4,298 5,043 6,239 6,685 Louisiana 1,294 1,689 1,906 2,479 2,269 2,004 2,620 2,845 3,179 3,328 4,328 Maine 1,078 1,210 1,560 1,885 2,423 3,082 3,893 4,517 4,436 4,151 4,800 Maryland 1,584 1,792 2,087 2,680 3,201 3,740 4,447 4,956 5,969 5,135 8,575 Massachusetts 2,708 3,090 2,837 3,430 3,697 5,914 6,215 4,717 4,412 5,454 5,608

Continued. See notes at end of table.

74 Table 1.9a. Primary non-heroin opiates/synthetics admissions,1 by Census division and State or jurisdiction: 2001-2011 (continued) Number of admissions aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Number of admissions aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 1,845 2,415 2,460 3,048 3,410 4,594 5,382 6,292 7,290 7,993 8,254 Minnesota 698 751 1,016 1,350 1,466 1,771 2,465 3,012 3,900 4,592 4,964 Mississippi 494 609 570 642 592 602 627 655 654 ‡ ‡ Missouri 388 599 670 900 1,158 1,263 1,346 2,044 2,848 2,922 2,892 Montana 261 272 349 343 402 488 711 599 776 841 920 Nebraska 70 65 73 217 205 208 224 260 290 396 623 Nevada 97 107 233 297 289 266 333 399 543 543 586 New Hampshire 122 150 176 242 221 308 414 696 908 1,162 967 New Jersey 847 1,123 1,255 1,696 2,211 2,692 3,478 4,136 5,265 7,249 8,690 New Mexico 115 130 118 117 196 242 273 291 335 300 434 New York 3,599 4,326 5,050 5,994 6,692 7,425 10,259 11,983 14,621 19,213 23,978 North Carolina 1,008 1,012 1,136 1,477 1,717 1,601 2,088 3,158 5,091 7,122 9,092 North Dakota 50 56 31 52 38 86 72 109 121 157 159 Ohio 932 1,620 1,619 1,747 2,828 3,088 4,624 5,498 7,643 8,547 7,562 Oklahoma 357 418 507 733 768 870 1,141 1,438 1,533 1,629 1,486 Oregon 597 681 611 809 1,016 1,241 1,798 2,222 2,502 2,563 2,617 Pennsylvania 1,932 2,158 3,008 4,344 4,046 4,511 5,240 6,495 5,877 7,216 6,493 Puerto Rico ‡ ‡ - - 1 2 6 34 36 35 54 24 Rhode Island 483 595 793 861 943 1,107 1,108 1,174 1,032 1,362 1,527 South Carolina 812 931 876 990 1,242 1,155 1,284 1,618 1,800 1,981 2,053 South Dakota 28 40 43 79 139 159 168 213 261 358 387 Tennessee2 762 1,047 1,367 1,282 1,578 1,529 1,743 2,022 2,469 3,390 3,882 Texas 1,036 1,303 1,573 1,916 2,098 2,510 2,942 3,408 3,774 3,323 3,599 Utah 357 283 425 520 555 694 766 900 916 950 890 Vermont 196 279 513 533 1,085 1,415 1,523 1,799 1,501 1,908 2,237 Virginia 1,128 1,163 2,034 2,692 1,730 1,531 1,601 1,933 2,306 2,776 2,934 Washington 377 529 693 1,066 1,409 1,138 1,378 2,517 2,936 3,111 2,659 West Virginia ‡ ‡ 478 572 1,633 2,323 2,848 3,698 2,555 1,326 1,136 Wisconsin 232 311 408 539 781 1,015 1,253 1,225 1,546 1,709 1,763 Wyoming 53 58 87 105 106 77 121 177 259 258 251 1 These drugs include codeine, hydrocodone, hydromorphone, meperidine, morphine, opium, oxycodone, pentazocine, propoxyphene, tramadol, and any other drug with morphine- like effects. Non-prescription use of methadone is not included. 2 Tennessee included heroin admissions in other opiates through June 2009. In this report, Tennessee's 2009 heroin admissions are still included in the other opiates category since there is less than a full year of disaggregated heroin data. - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

75 Table 1.9b. Primary non-heroin opiates/synthetics admissions,1 by Census division and State or jurisdiction: 2001-2011 Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.]

Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Total 16 19 21 25 28 33 39 47 55 62 70 Census division New England 46 53 59 71 83 112 124 124 119 133 149 Middle Atlantic 19 23 27 35 38 43 55 65 74 96 111 East North Central 12 16 17 20 25 31 37 41 50 58 57 West North Central 10 12 14 20 22 25 30 40 54 61 64 South Atlantic 19 22 25 25 31 30 36 51 65 68 102 East South Central 22 27 33 32 40 44 40 55 67 79 68 West South Central 12 15 17 19 21 22 28 37 38 33 36 Mountain 9 10 12 15 16 19 22 26 32 37 37 Pacific 9 12 13 14 15 19 24 31 35 38 35 State or jurisdiction Alabama 25 30 33 36 41 40 ‡ 37 54 66 ‡ Alaska 10 23 21 ‡ ‡ ‡ 21 30 55 60 64 Arizona 3 4 2 2 3 5 7 9 13 26 22 Arkansas 17 23 23 ‡ 33 ‡ 51 120 112 70 62 California 8 11 12 12 11 17 21 25 28 31 28 Colorado 9 14 17 20 22 27 30 39 47 56 58 Connecticut 31 36 42 55 59 61 69 80 81 84 114 Delaware 13 20 25 33 44 79 112 149 187 176 219 District of Columbia 5 3 3 ‡ ‡ ‡ ‡ ‡ ‡ ‡ 12 Florida 23 30 24 14 17 24 28 56 83 93 164 Georgia 10 11 14 11 29 ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 10 10 10 11 14 12 16 18 19 21 26 Idaho 8 5 4 13 11 16 10 22 26 12 ‡ Illinois 6 7 8 8 9 13 13 15 16 22 20 Indiana 18 19 24 29 34 38 34 28 27 40 48 Iowa 11 15 12 19 18 20 20 25 40 54 48 Kansas 5 6 8 12 11 11 15 25 36 33 34 Kentucky 28 32 47 39 62 83 101 119 139 170 181 Louisiana 35 46 51 67 61 56 72 77 85 88 113 Maine 98 109 139 167 214 271 341 394 387 360 415 Maryland 35 39 45 58 68 79 94 104 124 105 173 Massachusetts 50 57 52 62 67 107 112 84 78 97 99

Continued. See notes at end of table.

76 Table 1.9b. Primary non-heroin opiates/synthetics admissions,1 by Census division and State or jurisdiction: 2001-2011 (continued) Admissions per 100,000 population aged 12 and older

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Census division and State or Admissions per 100,000 population aged 12 and older jurisdiction 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Michigan 22 29 29 36 40 54 63 74 86 95 98 Minnesota 17 18 24 32 34 41 57 69 88 103 110 Mississippi 21 26 24 27 25 25 26 27 27 ‡ ‡ Missouri 8 13 14 19 24 26 27 41 57 58 57 Montana 34 35 45 44 50 60 87 73 93 100 108 Nebraska 5 5 5 15 14 14 15 18 19 26 41 Nevada 6 6 13 15 15 13 16 19 25 24 26 New Hampshire 12 14 16 22 20 27 37 61 80 102 85 New Jersey 12 16 17 23 31 37 48 57 72 97 116 New Mexico 8 9 8 7 12 15 17 18 20 17 25 New York 23 27 31 37 41 45 62 72 88 116 144 North Carolina 15 15 16 21 24 22 28 41 65 89 112 North Dakota 9 10 6 10 7 16 13 20 22 27 27 Ohio 10 17 17 18 29 32 48 56 78 88 77 Oklahoma 12 14 17 25 26 29 38 47 50 52 47 Oregon 20 23 20 27 33 40 57 69 77 78 79 Pennsylvania 19 21 29 41 38 42 49 60 54 66 59 Puerto Rico ‡ ‡ - - † † † 1 1 1 2 † Rhode Island 54 66 87 94 104 122 122 130 114 150 168 South Carolina 24 27 25 28 35 32 34 43 47 51 52 South Dakota 4 6 7 12 21 24 25 32 38 53 56 Tennessee2 16 22 28 26 31 30 34 39 47 63 72 Texas 6 7 9 11 11 13 15 17 19 16 17 Utah 20 15 23 27 28 34 37 42 42 44 40 Vermont 38 53 97 100 203 263 282 333 277 350 409 Virginia 19 19 33 43 27 24 25 29 35 41 43 Washington 8 10 14 21 27 21 25 45 52 55 46 West Virginia ‡ ‡ 31 37 105 149 183 237 163 83 71 Wisconsin 5 7 9 12 17 22 26 26 32 35 36 Wyoming 13 14 21 25 25 18 27 40 57 55 53 1 These drugs include codeine, hydrocodone, hydromorphone, meperidine, morphine, opium, oxycodone, pentazocine, propoxyphene, tramadol, and any other drug with morphine- like effects. Non-prescription use of methadone is not included. 2 Tennessee included heroin admissions in other opiates through June 2009. In this report, Tennessee's 2009 heroin admissions are still included in the other opiates category since there is less than a full year of disaggregated heroin data. - - Quantity is zero. † Less than 1 per 100,000. ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2009-agesex-res, SC-EST2011-agesex-res and SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: April 1, 2001 to July 1, 2011. PRC-EST2009-AGESEX-RES and PRC-EST2011- AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: April 1, 2001 to July 1, 2011.

77 Table 2.1. Admissions aged 12 and older, by Census division and State or jurisdiction, according to type of service at admission: 2011 Percent distribution

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Type of service at admission Detoxification Medication-assisted opioid Census division and State Ambulatory 1 (24-hour service) 1 Rehabilitation/residential 1 therapy 2 or jurisdiction Short- Free- term Long-term Hospital Out- Intensive standing Hospital Ambu- (<30 (30+ (non- Out- Detox- Resi- Total patient outpatient residential inpatient latory days) days) detox) patient ification dential Total Total 1,844,719 44.6 11.2 17.3 3.4 0.6 9.1 7.3 0.3 4.8 1.2 0.3 100.0 Census division New England 188,448 32.3 8.4 32.7 2.3 0.5 5.5 6.4 0.9 9.8 0.8 0.5 100.0 Middle Atlantic 428,142 42.8 5.7 13.1 11.6 0.3 12.3 7.6 0.1 4.6 1.5 0.4 100.0 East North Central 231,576 59.6 9.8 11.5 1.1 0.1 6.5 4.8 0.1 4.8 1.1 0.7 100.0 West North Central 172,747 25.6 34.0 11.7 0.4 2.5 14.7 7.4 0.9 2.0 0.3 0.7 100.0 South Atlantic 293,640 52.7 9.7 17.2 0.6 0.5 7.6 6.4 0.5 4.5 0.3 0.1 100.0 East South Central 34,023 43.6 11.6 24.8 0.2 - - 12.3 4.4 - - 2.3 0.5 0.2 100.0 West South Central 94,214 37.0 14.0 14.6 2.0 1.6 23.4 5.2 0.1 1.3 0.3 0.4 100.0 Mountain 143,339 40.9 7.4 40.2 0.5 0.2 5.1 3.1 0.4 2.1 * * 100.0 Pacific 256,647 51.5 11.0 9.5 0.1 0.1 3.2 14.3 - - 6.5 3.8 0.1 100.0 State or jurisdiction Alabama ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Alaska 6,701 37.4 8.0 17.8 2.3 * 3.3 12.6 - - 0.8 17.5 0.2 100.0 Arizona 19,335 90.9 * 1.0 0.1 - - 1.8 0.1 1.3 4.7 * * 100.0 Arkansas 12,180 37.8 14.1 19.4 - - - - 14.4 9.6 - - 1.5 2.2 0.9 100.0 California 158,142 51.7 4.5 11.3 - - 0.1 0.8 17.9 - - 8.4 5.3 0.1 100.0 Colorado 77,090 22.8 3.9 62.7 0.8 * 5.6 2.4 * 1.8 - - - - 100.0 Connecticut 62,315 32.7 19.9 17.4 5.7 0.9 4.9 7.2 2.3 9.0 - - - - 100.0 Delaware 6,957 48.7 7.8 24.4 - - - - 0.7 6.0 - - 12.5 - - - - 100.0 District of Columbia 7,494 31.5 9.9 15.1 3.1 - - 29.3 0.7 - - 4.8 2.5 3.0 100.0 Florida 103,897 51.4 3.5 27.7 - - 0.8 1.4 10.9 - - 4.1 0.1 0.2 100.0 Georgia ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 6,832 36.8 28.3 15.1 ------19.3 - - 0.4 - - 0.1 100.0 Idaho ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Illinois 57,771 50.1 11.7 17.0 - - - - 13.7 1.5 - - 5.5 0.1 0.4 100.0 Indiana 24,080 81.4 7.9 4.1 1.0 - - 1.8 0.8 1.0 1.9 - - * 100.0 Iowa 27,401 57.2 23.9 3.8 1.6 * 11.5 1.5 0.1 0.2 0.2 * 100.0

Continued. See notes at end of table.

78 Table 2.1. Admissions aged 12 and older, by Census division and State or jurisdiction, according to type of service at admission: 2011 (continued) Percent distribution

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Type of service at admission

Detoxification Medication-assisted opioid Census division and State Ambulatory 1 (24-hour service) 1 Rehabilitation/residential 1 therapy 2 or jurisdiction Short- Free- term Long-term Hospital Out- Intensive standing Hospital Ambu- (<30 (30+ (non- Out- Detox- Resi- Total patient outpatient residential inpatient latory days) days) detox) patient ification dential Total Kansas 13,818 63.3 10.1 14.0 - - - - 11.8 0.8 ------100.0 Kentucky 20,601 60.3 3.0 27.4 - - - - 2.4 1.9 - - 3.8 0.9 0.4 100.0 Louisiana 25,171 29.5 18.5 3.6 7.4 - - 28.5 10.3 - - 0.9 0.1 1.1 100.0 Maine 13,880 35.1 8.2 6.8 5.3 * 3.1 5.8 * 29.2 4.3 2.2 100.0 Maryland 64,945 39.7 19.4 8.1 0.4 0.3 12.5 8.1 - - 10.7 0.8 - - 100.0 Massachusetts 87,525 26.8 - - 51.7 - - 0.4 5.6 6.9 - - 7.5 0.6 0.6 100.0 Michigan 57,224 53.1 5.5 11.8 - - - - 9.9 7.1 - - 7.1 3.7 1.7 100.0 Minnesota 51,463 0.1 50.2 ------20.9 19.1 3.0 4.8 - - 2.0 100.0 Mississippi ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Missouri 45,553 23.0 42.5 17.5 0.4 - - 14.9 - - - - 1.6 * 0.1 100.0 Montana 9,000 53.5 12.2 24.8 - - 3.2 0.8 2.7 2.9 ------100.0 Nebraska 17,994 30.4 4.0 51.6 - - * 7.3 3.7 - - 0.6 2.0 0.2 100.0 Nevada 9,135 49.2 8.7 26.7 - - - - 14.2 - - - - 1.2 - - - - 100.0 New Hampshire 5,453 50.1 14.6 13.1 0.2 0.1 16.8 2.9 0.7 1.0 0.1 0.3 100.0 New Jersey 71,855 28.8 21.7 8.8 1.5 0.1 10.0 7.7 0.1 10.8 9.2 1.3 100.0 New Mexico 8,927 65.7 18.3 2.5 - - - - 7.9 1.3 - - 4.2 * - - 100.0 New York 304,429 43.4 2.3 13.9 15.9 0.4 12.9 7.5 - - 3.5 * 0.2 100.0 North Carolina 61,488 55.6 10.9 17.0 1.8 0.7 8.3 2.2 2.3 1.2 0.1 * 100.0 North Dakota 2,325 44.4 26.0 2.4 - - - - 15.6 11.6 ------100.0 Ohio 64,780 68.0 13.9 4.3 0.5 0.5 0.1 6.7 - - 5.1 0.4 0.5 100.0 Oklahoma 13,647 59.4 0.2 13.9 - - - - 24.3 1.6 0.6 ------100.0 Oregon 48,136 62.6 15.0 9.0 - - * - - 10.1 - - 3.1 0.2 0.1 100.0 Pennsylvania 51,858 58.7 3.5 14.5 0.7 0.1 12.2 7.8 0.4 2.3 - - - - 100.0 Puerto Rico 1,943 61.8 1.6 - - 3.1 4.1 - - 9.5 - - 18.7 1.2 - - 100.0 Rhode Island 11,080 44.2 8.3 20.4 - - - - 4.8 5.0 1.1 13.8 2.3 - - 100.0

Continued. See notes at end of table.

79 Table 2.1. Admissions aged 12 and older, by Census division and State or jurisdiction, according to type of service at admission: 2011 (continued) Percent distribution

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Type of service at admission

Detoxification Medication-assisted opioid Census division and State Ambulatory 1 (24-hour service) 1 Rehabilitation/residential 1 therapy 2 or jurisdiction Short- Free- term Long-term Hospital Out- Intensive standing Hospital Ambu- (<30 (30+ (non- Out- Detox- Resi- Total patient outpatient residential inpatient latory days) days) detox) patient ification dential Total South Carolina 19,205 63.9 18.9 15.1 - - * 0.7 1.4 ------100.0 South Dakota 14,193 19.2 29.8 - - - - 29.9 9.3 11.1 - - 0.5 * 0.1 100.0 Tennessee 13,422 17.9 24.9 20.9 0.5 - - 27.5 8.3 - - 0.1 - - - - 100.0 Texas 43,216 34.1 15.7 19.9 - - 3.6 22.5 2.3 - - 1.9 - - - - 100.0 Utah 14,255 40.2 18.4 29.8 - - - - 3.1 6.6 * 1.7 0.1 0.1 100.0 Vermont 8,195 55.5 6.3 20.1 - - - - 7.4 0.9 - - 8.3 0.7 0.8 100.0 Virginia 26,730 78.5 1.3 0.3 0.1 - - 19.3 0.5 ------100.0 Washington 36,836 41.6 31.4 ------18.1 3.8 - - 5.1 - - - - 100.0 West Virginia 2,924 78.3 13.3 2.3 - - 0.4 3.9 1.8 ------100.0 Wisconsin 27,721 54.3 6.5 22.1 7.5 * 3.2 5.9 0.1 0.3 - - - - 100.0 Wyoming 5,597 45.4 26.5 0.4 1.0 - - 2.4 24.2 0.2 ------100.0 1 Ambulatory, detoxification, and rehabilitation/residential types of service exclude medication-assisted opioid therapy. 2 Therapy with methadone or buprenorphine is part of client's treatment plan. * Less than 0.05 percent. - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

80 Table 2.2. Number of admissions aged 12 and older, by Census division and State or jurisdiction, according to primary substance of abuse: 2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Primary substance at admission Alcohol Opiates Cocaine Metham- Other/ Census division and State or All admis- With Mari- phetamine/ Tran- Hallu- none jurisdiction sions aged 12 Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total 1,844,719 400,012 324,370 278,481 186,986 99,401 44,426 333,578 110,471 17,875 3,657 1,818 5,784 1,203 36,657 Census division New England 188,448 43,439 28,728 58,487 18,633 6,591 4,559 15,542 433 2,381 176 200 824 101 8,354 Middle Atlantic 428,142 81,916 90,684 90,026 39,161 28,106 15,592 70,680 1,635 5,398 710 310 1,940 93 1,891 East North Central 231,576 50,960 39,697 38,667 22,426 16,158 4,278 46,418 4,284 1,604 427 185 239 134 6,099 West North Central 172,747 51,875 35,490 8,560 11,081 6,163 1,877 36,118 17,847 1,081 208 248 416 221 1,562 South Atlantic 293,640 54,200 41,711 26,010 52,515 20,784 8,539 68,402 4,213 4,010 859 303 1,349 233 10,512 East South Central 34,023 5,614 4,857 1,471 10,567 2,173 929 5,164 2,052 759 84 23 2 35 293 West South Central 94,214 15,276 13,343 8,826 10,937 6,843 3,854 20,658 9,707 1,493 477 104 415 76 2,205 Mountain 143,339 53,757 31,045 8,627 6,765 3,398 2,108 18,046 15,154 586 174 173 19 140 3,347 Pacific 256,647 42,103 38,617 37,319 14,877 9,137 2,637 52,351 55,145 551 537 272 580 170 2,351 State or jurisdiction Alabama ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Alaska 6,701 2,841 2,011 278 381 62 39 598 212 10 12 6 - - 5 246 Arizona 19,335 4,216 3,068 2,171 1,199 506 410 4,224 3,223 78 29 50 - - 9 152 Arkansas 12,180 3,044 1,680 42 1,524 651 267 2,310 2,180 179 105 24 29 21 124 California 158,142 18,675 16,752 27,157 8,916 7,524 1,951 32,605 41,665 349 233 95 531 105 1,584 Colorado 77,090 37,018 19,138 2,958 2,485 1,957 1,117 6,363 5,206 277 43 60 4 55 409 Connecticut 62,315 11,620 12,430 15,531 3,494 3,415 2,130 7,822 125 750 89 146 803 69 3,891 Delaware 6,957 693 805 1,318 1,687 244 108 1,699 9 32 5 5 21 1 330 District of Columbia 7,494 1,087 1,082 1,686 66 1,579 120 1,271 23 4 - - 4 550 2 20 Florida 103,897 19,696 8,839 2,089 26,972 5,828 3,355 27,748 1,921 1,988 382 90 5 55 4,929 Georgia ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 6,832 1,160 1,087 106 304 131 60 1,944 1,920 30 2 1 - - 8 79 Idaho ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Illinois 57,771 9,586 8,226 15,327 2,202 5,715 1,358 13,544 1,060 303 50 61 116 39 184 Indiana 24,080 4,054 5,226 1,618 2,645 925 589 5,024 1,532 342 63 19 29 13 2,001 Iowa 27,401 7,295 5,682 288 1,237 563 216 8,133 3,525 140 40 40 6 28 208 Kansas 13,818 2,363 3,039 146 819 747 213 4,249 1,983 89 26 11 68 20 45 Kentucky 20,601 3,671 2,711 1,232 6,685 1,006 503 2,829 1,114 532 38 10 1 20 249 Louisiana 25,171 3,223 3,780 2,307 4,328 2,609 982 5,260 1,011 490 207 18 45 12 899 Maine 13,880 3,811 2,100 1,183 4,800 248 237 1,150 87 124 34 20 5 5 76 Maryland 64,945 11,056 8,182 16,280 8,575 4,470 1,310 13,319 131 690 28 69 638 18 179 Massachusetts 87,525 21,632 10,041 37,797 5,608 1,991 1,535 3,271 140 1,338 27 18 13 7 4,107

Continued. See notes at end of table.

81 Table 2.2. Number of admissions aged 12 and older, by Census division and State or jurisdiction, according to primary substance of abuse: 2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Primary substance at admission Alcohol Opiates Cocaine Census division and State or All admis- Metham- Other/ jurisdiction sions With Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Michigan 57,224 13,097 9,353 10,597 8,254 4,113 806 9,276 807 465 199 29 3 19 206 Minnesota 51,463 15,135 10,986 3,437 4,964 1,475 661 9,244 4,471 298 72 109 14 46 551 Mississippi ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Missouri 45,553 9,515 8,010 4,535 2,892 2,918 624 10,474 5,348 486 43 71 321 61 255 Montana 9,000 2,190 3,085 150 920 25 42 1,729 763 30 9 17 2 21 17 Nebraska 17,994 10,094 3,241 84 623 401 104 1,322 1,645 48 11 9 7 10 395 Nevada 9,135 2,027 1,309 882 586 315 130 1,739 1,951 79 34 14 13 18 38 New Hampshire 5,453 1,596 982 857 967 164 182 610 30 31 4 2 2 7 19 New Jersey 71,855 13,257 8,556 22,637 8,690 2,642 2,008 11,757 271 1,011 32 36 670 11 277 New Mexico 8,927 2,827 988 365 434 64 183 662 777 12 13 3 - - 14 2,585 New York 304,429 56,817 74,552 56,702 23,978 22,369 11,849 50,512 1,129 3,943 532 163 1,093 57 733 North Carolina 61,488 10,952 12,516 2,264 9,092 5,735 2,293 12,822 1,120 796 272 84 28 126 3,388 North Dakota 2,325 819 497 9 159 9 3 639 159 5 1 3 - - 3 19 Ohio 64,780 10,186 11,691 9,263 7,562 4,137 1,207 15,887 570 408 93 60 89 54 3,573 Oklahoma 13,647 2,519 1,974 225 1,486 309 268 2,833 2,687 171 94 11 74 9 987 Oregon 48,136 15,026 8,922 5,187 2,617 437 251 8,557 6,705 16 239 61 3 29 86 Pennsylvania 51,858 11,842 7,576 10,687 6,493 3,095 1,735 8,411 235 444 146 111 177 25 881 Puerto Rico 1,943 872 198 488 24 48 53 199 1 12 5 ------43 Rhode Island 11,080 2,772 1,575 2,483 1,527 573 273 1,510 24 98 8 7 1 2 227 South Carolina 19,205 5,152 3,870 244 2,053 1,131 532 5,231 622 166 103 8 - - 13 80 South Dakota 14,193 6,654 4,035 61 387 50 56 2,057 716 15 15 5 - - 53 89 Tennessee 13,422 1,943 2,146 239 3,882 1,167 426 2,335 938 227 46 13 1 15 44 Texas 43,216 6,490 5,909 6,252 3,599 3,274 2,337 10,255 3,829 653 71 51 267 34 195 Utah 14,255 3,506 1,970 2,044 890 502 198 2,278 2,596 93 34 26 - - 16 102 Vermont 8,195 2,008 1,600 636 2,237 200 202 1,179 27 40 14 7 - - 11 34 Virginia 26,730 4,974 5,954 1,971 2,934 1,770 783 5,976 316 281 45 36 107 15 1,568 Washington 36,836 4,401 9,845 4,591 2,659 983 336 8,647 4,643 146 51 109 46 23 356 West Virginia 2,924 590 463 158 1,136 27 38 336 71 53 24 7 - - 3 18 Wisconsin 27,721 14,037 5,201 1,862 1,763 1,268 318 2,687 315 86 22 16 2 9 135 Wyoming 5,597 1,973 1,487 57 251 29 28 1,051 638 17 12 3 - - 7 44 - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

82 Table 2.3. Admissions per 100,000 population aged 12 and older, by Census division and State or jurisdiction, according to primary substance of abuse: 2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Admissions per 100,000 population aged 12 and older No. of Primary substance at admission Census division and State or admis- Alcohol Opiates Cocaine Metham- Other/ jurisdiction sions aged With Mari- phetamine/ Tran- Hallu- none 12 and Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- older Total only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total 1,844,719 694 150 122 105 70 37 17 125 42 7 1 † 2 † 14 Census division1 New England 188,448 1,507 347 230 468 149 53 36 124 3 19 1 2 7 † 67 Middle Atlantic 428,142 1,219 233 258 256 111 80 44 201 5 15 2 † 6 † 5 East North Central 231,576 589 130 101 98 57 41 11 118 11 4 1 † † † 16 West North Central 172,747 996 299 205 49 64 36 11 208 103 6 1 1 2 1 9 South Atlantic 293,640 571 105 81 51 102 40 17 133 8 8 2 † 3 † 20 East South Central 34,023 217 36 31 9 68 14 6 33 13 5 † † † † 2 West South Central 94,214 310 50 44 29 36 22 13 68 32 5 2 † 1 † 7 Mountain 143,339 774 290 168 47 37 18 11 97 82 3 † † † † 18 Pacific 256,647 605 99 91 88 35 22 6 123 130 1 1 † 1 † 6 State or jurisdiction Alabama ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Alaska 6,701 1,125 477 338 47 64 10 7 100 36 2 2 1 - - † 41 Arizona 19,335 358 78 57 40 22 9 8 78 60 1 † † - - † 3 Arkansas 12,180 494 124 68 2 62 26 11 94 88 7 4 † 1 † 5 California 158,142 500 59 53 86 28 24 6 103 132 1 † † 2 † 5 Colorado 77,090 1,799 864 447 69 58 46 26 149 122 6 1 1 † 1 10 Connecticut 62,315 2,029 378 405 506 114 111 69 255 4 24 3 5 26 2 127 Delaware 6,957 901 90 104 171 219 32 14 220 1 4 † † 3 † 43 Dist. of Columbia 7,494 1,377 200 199 310 12 290 22 234 4 † - - † 101 † 4 Florida 103,897 632 120 54 13 164 35 20 169 12 12 2 † † † 30 Georgia ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 6,832 584 99 93 9 26 11 5 166 164 3 † † - - † 7 Idaho ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Illinois 57,771 533 88 76 141 20 53 13 125 10 3 † † 1 † 2 Indiana 24,080 441 74 96 30 48 17 11 92 28 6 1 † † † 37 Iowa 27,401 1,062 283 220 11 48 22 8 315 137 5 2 2 † 1 8

Continued. See notes at end of table.

83 Table 2.3. Admissions per 100,000 population aged 12 and older, by Census division and State or jurisdiction, according to primary substance of abuse: 2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Admissions per 100,000 population aged 12 and older No. of Primary substance at admission Census division and State or admis- Alcohol Opiates Cocaine Metham- Other/ jurisdiction sions aged With Mari- phetamine/ Tran- Hallu- none 12 and Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- older Total only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Kansas 13,818 580 99 127 6 34 31 9 178 83 4 1 † 3 † 2 Kentucky 20,601 558 99 73 33 181 27 14 77 30 14 1 † † † 7 Louisiana 25,171 658 84 99 60 113 68 26 138 26 13 5 † 1 † 24 Maine 13,880 1,200 330 182 102 415 21 20 99 8 11 3 2 † † 7 Maryland 64,945 1,314 224 165 329 173 90 26 269 3 14 † 1 13 † 4 Massachusetts 87,525 1,541 381 177 665 99 35 27 58 2 24 † † † † 72 Michigan 57,224 681 156 111 126 98 49 10 110 10 6 2 † † † 2 Minnesota 51,463 1,145 337 244 76 110 33 15 206 99 7 2 2 † 1 12 Mississippi ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Missouri 45,553 897 187 158 89 57 57 12 206 105 10 † 1 6 1 5 Montana 9,000 1,058 257 363 18 108 3 5 203 90 4 1 2 † 2 2 Nebraska 17,994 1,176 659 212 5 41 26 7 86 107 3 † † † † 26 Nevada 9,135 401 89 57 39 26 14 6 76 86 3 1 † † † 2 New Hampshire 5,453 477 140 86 75 85 14 16 53 3 3 † † † † 2 New Jersey 71,855 959 177 114 302 116 35 27 157 4 13 † † 9 † 4 New Mexico 8,927 515 163 57 21 25 4 11 38 45 † † † - - † 149 New York 304,429 1,826 341 447 340 144 134 71 303 7 24 3 † 7 † 4 North Carolina 61,488 757 135 154 28 112 71 28 158 14 10 3 1 † 2 42 North Dakota 2,325 399 141 85 2 27 2 † 110 27 † † † - - † 3 Ohio 64,780 662 104 119 95 77 42 12 162 6 4 † † † † 37 Oklahoma 13,647 432 80 62 7 47 10 8 90 85 5 3 † 2 † 31 Oregon 48,136 1,458 455 270 157 79 13 8 259 203 † 7 2 † † 3 Pennsylvania 51,858 473 108 69 98 59 28 16 77 2 4 1 1 2 † 8 Puerto Rico 1,943 62 28 6 15 † 2 2 6 † † † ------1 Rhode Island 11,080 1,217 304 173 273 168 63 30 166 3 11 † † † † 25

Continued. See notes at end of table.

84 Table 2.3. Admissions per 100,000 population aged 12 and older by Census division and State or jurisdiction, according to primary substance of abuse: 2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Admissions per 100,000 population aged 12 and older No. of Primary substance at admission Census division and State or admis- Alcohol Opiates Cocaine Metham- Other/ jurisdiction sions aged With Mari- phetamine/ Tran- Hallu- none 12 and Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- older Total only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied South Carolina 19,205 485 130 98 6 52 29 13 132 16 4 3 † - - † 2 South Dakota 14,193 2,068 970 588 9 56 7 8 300 104 2 2 † - - 8 13 Tennessee 13,422 248 36 40 4 72 22 8 43 17 4 † † † † † Texas 43,216 206 31 28 30 17 16 11 49 18 3 † † 1 † † Utah 14,255 647 159 89 93 40 23 9 103 118 4 2 1 - - † 5 Vermont 8,195 1,498 367 293 116 409 37 37 216 5 7 3 1 - - 2 6 Virginia 26,730 389 72 87 29 43 26 11 87 5 4 † † 2 † 23 Washington 36,836 637 76 170 79 46 17 6 150 80 3 † 2 † † 6 West Virginia 2,924 182 37 29 10 71 2 2 21 4 3 1 † - - † 1 Wisconsin 27,721 573 290 107 38 36 26 7 56 7 2 † † † † 3 Wyoming 5,597 1,175 414 312 12 53 6 6 221 134 4 3 † - - 1 9 † Less than 1 per 100,000. - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2011-ALLDATA6-ALL: for Annual Estimates of the Resident Population by Single-Year of Age, Sex, Race and Hispanic origin for the United States and States: July 1, 2011. PRC-EST2011-AGESEX-RES: for Annual Estimates of the Resident Population by Single-Year of Age and Sex for Puerto Rico: July 1, 2011.

85 Table 2.4. Admissions per 100,000 population aged 12 and older, adjusted for gender, age, and race/ethnicity, by Census division and State or jurisdiction, according to primary substance of abuse: 2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Admissions per Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity 1 100,000 aged 12 Primary substance at admission No. of and older Census division and admis- Total Alcohol Opiates Cocaine Metham- Other/ State or jurisdiction sions With Mari- phetamine/ Tran- Hallu- none aged 12 Unad- Ad- Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and over justed justed 1 only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total 1,844,719 694 836 197 156 111 87 45 18 144 50 8 2 † 2 † 15 Census division2 New England 188,448 1,507 1,614 367 271 445 163 74 39 151 4 18 1 2 10 † 68 Middle Atlantic 428,142 1,219 1,196 235 260 225 128 79 41 195 5 15 2 † 4 † 5 East North Central 231,576 589 596 138 105 94 58 43 11 117 11 4 1 † † † 15 West North Central 172,747 996 1,326 422 282 67 78 67 15 262 107 6 1 2 5 2 11 South Atlantic 293,640 571 355 60 52 15 105 24 10 56 21 8 1 † † † 3 East South Central 34,023 217 760 141 109 63 151 50 21 169 12 12 2 † 3 † 25 West South Central 94,214 310 342 60 51 25 46 24 11 63 44 6 2 † 1 † 10 Mountain 143,339 774 1,050 408 235 55 43 43 17 135 98 4 1 2 † † 9 Pacific 256,647 605 788 143 139 109 52 40 7 143 142 2 2 † 2 † 6 State or jurisdiction Alabama ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Alaska 6,701 1,125 771 299 211 39 57 13 7 81 30 1 1 † - - † 30 Arizona 19,335 358 462 97 73 46 28 21 9 111 68 2 † 3 - - † 4 Arkansas 12,180 494 522 138 74 2 64 25 11 95 94 7 4 † 1 † 5 California 158,142 500 582 71 67 105 41 39 6 99 144 2 † † 2 † 5 Colorado 77,090 1,799 2,477 1,285 613 74 57 81 34 183 126 7 1 2 † 2 12 Connecticut 62,315 2,029 2,088 385 457 468 127 131 70 265 5 23 3 4 29 2 121 Delaware 6,957 901 1,049 102 127 200 267 41 15 235 1 4 6 † 3 † 48 District of 7,494 1,377 438 89 58 95 5 77 6 72 5 † - - † 28 † 2 Florida 103,897 632 854 161 73 17 241 45 25 215 17 18 3 † † † 39 Georgia ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 6,832 584 773 168 154 21 57 17 7 199 136 4 † † - - † 8 Idaho ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Illinois 57,771 533 523 90 77 130 22 52 12 122 11 3 † † 1 † 2 Indiana 24,080 441 430 76 98 27 40 20 10 93 25 5 † † † † 33 Iowa 27,401 1,062 1,529 369 326 18 51 76 18 509 141 5 1 3 † † 9

Continued. See notes at end of table.

86 Table 2.4. Admissions per 100,000 population aged 12 and older, adjusted for gender, age, and race/ethnicity, by Census division and State or jurisdiction, according to primary substance of abuse: 2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Admissions per Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity 1 100,000 aged 12 Primary substance at admission No. of and older Census division and admis- Total Alcohol Opiates Cocaine Metham- Other/ State or jurisdiction sions With Mari- phetamine/ Tran- Hallu- none aged 12 Unad- Ad- Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and over justed justed 1 only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Kansas 13,818 580 652 109 145 6 34 52 11 198 83 3 1 † 5 † 2 Kentucky 20,601 558 545 98 79 30 156 37 16 82 27 13 † † † † 6 Louisiana 25,171 658 605 83 94 54 124 51 20 101 33 15 5 † † † 22 Maine 13,880 1,200 1,860 491 318 158 554 53 33 206 12 12 4 3 † † 13 Maryland 64,945 1,314 1,289 224 164 314 216 71 25 240 3 17 † 1 10 † 4 Massachusetts 87,525 1,541 1,571 407 204 628 104 45 28 61 3 23 † † † † 69 Michigan 57,224 681 649 152 108 114 99 45 9 102 10 5 2 † † † 2 Minnesota 51,463 1,145 1,699 440 388 128 169 95 26 312 113 7 2 3 † 2 16 Mississippi ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Missouri 45,553 897 912 188 160 92 53 66 13 214 100 9 † 1 8 1 5 Montana 9,000 1,058 1,262 292 422 18 111 3 28 289 90 3 † 2 † 2 2 Nebraska 17,994 1,176 1,816 1,108 303 8 45 62 11 112 125 4 † † 1 1 34 Nevada 9,135 401 555 115 82 54 36 26 8 110 111 5 2 1 1 † 2 New Hampshire 5,453 477 532 147 97 69 89 28 17 77 4 2 † † † † 1 New Jersey 71,855 959 999 180 121 318 139 33 26 152 4 16 † † 7 † 4 New Mexico 8,927 515 338 119 44 13 16 4 8 41 50 † † † - - † 41 New York 304,429 1,826 1,696 335 419 271 174 121 61 269 8 24 3 1 5 † 5 North Carolina 61,488 757 807 145 165 31 132 73 30 158 17 12 4 1 † 2 37 North Dakota 2,325 399 528 189 120 1 36 14 † 139 23 † † † - - † 3 Ohio 64,780 662 631 99 118 83 69 45 11 160 5 4 † † 1 † 35 Oklahoma 13,647 432 453 84 65 7 47 15 10 97 83 6 3 † 3 † 33 Oregon 48,136 1,458 1,998 567 394 202 101 66 18 377 253 † 10 3 † † 4 Pennsylvania 51,858 473 491 110 76 95 60 33 17 83 2 4 1 1 2 † 7 Puerto Rico 1,943 62 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Rhode Island 11,080 1,217 1,236 310 196 238 156 97 31 175 2 10 † † † † 20

Continued. See notes at end of table.

87 Table 2.4. Admissions per 100,000 population aged 12 and older, adjusted for gender, age, and race/ethnicity, by Census division and State or jurisdiction, according to primary substance of abuse: 2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdiction. Comparisons among States should be made with caution.] Admissions per Admissions per 100,000 population aged 12 and older, adjusted for age, gender, and race/ethnicity 1 100,000 aged 12 Primary substance at admission No. of and older State or jurisdiction admis- Total Alcohol Opiates Cocaine Metham- Other/ sions With Mari- phetamine/ Tran- Hallu- none aged 12 Unad- Ad- Alcohol secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and over justed justed 1 only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied South Carolina 19,205 485 514 141 103 7 66 26 13 127 20 5 3 † - - † 2 South Dakota 14,193 2,068 2,560 1,126 736 7 52 54 20 416 117 3 2 † - - 17 10 Tennessee 13,422 248 226 34 35 4 66 18 6 39 17 4 1 † † † † Texas 43,216 206 211 35 31 25 23 18 9 38 26 4 † † 2 † 1 Utah 14,255 647 1,134 366 155 124 47 109 24 136 155 7 2 1 - - † 6 Vermont 8,195 1,498 2,053 524 391 136 456 76 55 383 4 10 2 10 - - 2 5 Virginia 26,730 389 381 70 88 28 46 22 11 83 6 4 † † 1 † 21 Washington 36,836 637 877 98 242 104 68 43 9 204 93 3 1 2 2 † 7 West Virginia 2,924 182 114 27 19 6 37 2 2 15 2 2 † † - - † † Wisconsin 27,721 573 719 346 141 41 37 54 9 77 7 2 † † † † 4 Wyoming 5,597 1,175 1,359 447 394 17 52 16 5 255 161 3 2 † - - 1 6 1 Adjusted for age, gender, and race/ethnicity to the 2000 U.S. resident population. n/a Population detail required for adjustment was not available. † Less than 1 per 100,000. - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12. Population: U.S. Census Bureau, SC-EST2000-ALLDATA6-ALL and SC-EST2011-ALLDATA6-ALL: Annual State Resident Population Estimates for 6 Race Groups (5 Race Alone Groups and Two or More Races) by Age, Sex, and Hispanic Origin: April 1, 2000 and July 1, 2011.

88 Table 3.1. Alaska admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 6,701 2,841 2,011 278 381 62 39 598 212 10 12 6 - - 5 246 Gender Male 60.7 65.8 62.6 43.3 39.6 32.3 46.2 68.2 40.6 20.0 50.0 100.0 - - 80.0 48.8 Female 39.3 34.2 37.4 56.7 60.4 67.7 53.8 31.8 59.4 80.0 50.0 - - - - 20.0 51.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 6,699 2,841 2,010 277 381 62 39 598 212 10 12 6 - - 5 246 Age at admission 12 to 19 years 9.2 3.3 6.2 4.7 2.6 1.6 - - 54.0 6.1 - - 16.7 50.0 - - 100.0 11.0 20 to 24 years 12.4 6.2 14.8 30.6 23.9 8.1 7.7 12.2 25.9 30.0 8.3 ------16.3 25 to 29 years 14.2 8.3 15.7 26.3 33.1 12.9 17.9 13.5 26.9 - - 16.7 16.7 - - - - 19.9 30 to 34 years 10.8 7.9 14.5 16.5 11.8 11.3 10.3 7.5 13.7 10.0 16.7 16.7 - - - - 11.8 35 to 39 years 10.0 9.6 12.0 9.0 10.0 25.8 10.3 3.7 9.4 10.0 8.3 ------10.2 40 to 44 years 11.3 14.3 11.1 4.7 6.3 19.4 23.1 3.0 10.4 40.0 25.0 ------9.3 45 to 49 years 12.0 17.6 11.0 4.3 4.5 9.7 10.3 2.5 4.2 - - 8.3 ------8.1 50 to 54 years 11.1 16.8 9.4 1.8 4.2 9.7 17.9 3.0 2.8 10.0 - - 16.7 - - - - 6.5 55 to 59 years 5.8 10.6 2.8 2.2 1.6 1.6 2.6 0.5 0.5 ------4.5 60 years and older 3.2 5.2 2.5 - - 2.1 ------2.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 6,701 2,841 2,011 278 381 62 39 598 212 10 12 6 - - 5 246 Race/ethnicity White (non-Hispanic) 35.2 29.2 28.0 72.6 64.4 46.6 51.3 37.8 61.5 60.0 50.0 66.7 - - - - 39.8 Black (non-Hispanic) 2.2 2.0 1.9 0.8 0.5 15.5 5.1 4.7 ------2.1 Hispanic origin 2.1 1.5 1.7 5.0 2.9 - - - - 3.6 4.3 10.0 8.3 ------3.4 American Indian/Alaska Native 47.5 58.2 53.4 13.9 19.5 19.0 20.5 32.5 14.4 10.0 25.0 16.7 - - 40.0 37.7 Asian/Pacific Islander 1.3 1.0 1.0 0.4 1.1 1.7 2.6 2.9 2.4 ------1.7 Other 11.7 8.1 13.9 7.3 11.5 17.2 20.5 18.5 17.3 20.0 16.7 16.7 - - 60.0 15.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 6,477 2,740 1,951 259 374 58 39 579 208 10 12 6 - - 5 236 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

89 Table 3.2. Arizona admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 19,335 4,216 3,068 2,171 1,199 506 410 4,224 3,223 78 29 50 - - 9 152 Gender Male 58.6 62.4 62.8 66.3 47.1 55.5 58.8 62.5 44.5 56.4 24.1 42.0 - - 66.7 56.6 Female 41.4 37.6 37.2 33.7 52.9 44.5 41.2 37.5 55.5 43.6 75.9 58.0 - - 33.3 43.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 19,335 4,216 3,068 2,171 1,199 506 410 4,224 3,223 78 29 50 - - 9 152 Age at admission 12 to 19 years 6.3 2.4 5.7 6.6 3.6 1.8 4.1 14.7 2.5 1.3 - - 18.0 - - - - 9.2 20 to 24 years 18.5 10.1 14.8 28.3 16.3 4.3 14.9 28.9 15.9 17.9 27.6 12.0 - - 11.1 26.3 25 to 29 years 17.6 11.8 17.2 21.9 27.6 7.7 15.6 19.0 19.2 12.8 10.3 14.0 - - 33.3 17.8 30 to 34 years 14.4 13.2 13.2 12.8 16.3 11.7 13.4 13.5 18.6 15.4 13.8 26.0 - - 33.3 17.8 35 to 39 years 10.9 12.0 11.9 7.1 11.7 11.1 13.7 7.7 14.9 6.4 17.2 14.0 - - 22.2 8.6 40 to 44 years 10.3 13.1 12.0 6.3 8.2 20.8 13.9 6.3 12.0 10.3 3.4 6.0 - - - - 4.6 45 to 49 years 9.3 13.4 12.0 6.4 6.4 20.2 11.2 4.6 9.2 5.1 10.3 4.0 - - - - 7.2 50 to 54 years 7.3 12.2 8.4 6.2 4.2 14.6 8.3 3.2 5.6 11.5 10.3 4.0 - - - - 3.9 55 to 59 years 3.7 7.8 3.5 2.9 3.4 5.3 3.7 1.5 1.8 14.1 6.9 ------3.3 60 years and older 1.7 4.0 1.4 1.3 2.3 2.6 1.2 0.6 0.4 5.1 - - 2.0 - - - - 1.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 19,335 4,216 3,068 2,171 1,199 506 410 4,224 3,223 78 29 50 - - 9 152 Race/ethnicity White (non-Hispanic) 57.5 54.5 54.3 70.5 76.2 35.0 38.3 48.7 65.0 84.6 86.2 36.0 - - 77.8 65.8 Black (non-Hispanic) 7.0 4.3 6.6 2.2 2.4 34.2 10.7 13.1 3.0 1.3 3.4 48.0 - - - - 4.6 Hispanic origin 26.7 23.3 25.3 24.5 18.6 26.7 45.6 32.7 27.6 11.5 10.3 16.0 - - 22.2 23.0 American Indian/Alaska Native 6.6 15.6 11.1 1.3 1.1 1.8 2.7 2.8 2.7 2.6 ------2.6 Asian/Pacific Islander 0.6 0.8 0.6 0.5 0.7 0.2 0.7 0.7 0.5 ------3.3 Other 1.6 1.6 2.2 1.1 1.0 2.2 2.0 1.9 1.1 ------0.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 19,335 4,216 3,068 2,171 1,199 506 410 4,224 3,223 78 29 50 - - 9 152 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

90 Table 3.3. Arkansas admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 12,180 3,044 1,680 42 1,524 651 267 2,310 2,180 179 105 24 29 21 124 Gender Male 64.4 72.8 73.8 69.0 49.9 58.6 70.0 72.2 51.0 48.0 45.7 83.3 62.1 47.6 54.0 Female 35.6 27.2 26.2 31.0 50.1 41.4 30.0 27.8 49.0 52.0 54.3 16.7 37.9 52.4 46.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 12,179 3,044 1,680 42 1,524 650 267 2,310 2,180 179 105 24 29 21 124 Age at admission 12 to 19 years 8.5 3.6 5.2 4.8 4.7 1.2 7.1 26.0 3.7 9.5 11.4 12.5 3.4 14.3 17.7 20 to 24 years 17.0 13.5 17.7 42.9 20.3 3.5 18.4 23.5 15.6 21.8 20.0 16.7 3.4 9.5 11.3 25 to 29 years 18.3 13.6 19.2 19.0 27.6 8.9 18.7 18.7 19.8 17.9 25.7 29.2 37.9 4.8 16.1 30 to 34 years 15.4 11.7 15.6 14.3 19.4 11.7 13.1 13.6 20.7 16.2 13.3 16.7 34.5 19.0 15.3 35 to 39 years 11.3 12.4 11.0 4.8 9.8 10.6 13.9 6.8 15.9 12.8 1.9 4.2 13.8 28.6 13.7 40 to 44 years 10.0 12.2 9.9 2.4 7.4 21.4 8.2 4.7 11.5 8.4 12.4 12.5 - - 9.5 12.9 45 to 49 years 8.9 12.9 9.5 4.8 5.7 22.1 7.5 3.5 7.7 6.7 6.7 4.2 - - 9.5 4.8 50 to 54 years 5.8 9.7 7.3 - - 2.8 13.5 7.1 1.9 3.3 4.5 3.8 4.2 6.9 - - 2.4 55 to 59 years 3.0 6.0 3.5 7.1 1.4 5.8 3.4 0.8 1.2 1.7 2.9 - - - - 4.8 2.4 60 years and older 1.7 4.4 1.1 - - 0.9 1.2 2.6 0.4 0.5 0.6 1.9 ------3.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 12,180 3,044 1,680 42 1,524 651 267 2,310 2,180 179 105 24 29 21 124 Race/ethnicity White (non-Hispanic) 77.9 82.0 78.0 97.6 94.0 28.7 46.8 62.3 95.0 93.9 86.7 50.0 6.9 90.5 78.2 Black (non-Hispanic) 17.9 12.1 17.8 - - 3.8 70.2 50.2 32.3 1.9 3.4 13.3 50.0 89.7 4.8 15.3 Hispanic origin 3.0 4.4 2.7 - - 1.4 0.8 2.2 4.2 2.2 2.2 ------4.8 4.0 American Indian/Alaska Native 0.7 0.6 1.0 2.4 0.3 0.3 - - 0.8 0.7 0.6 ------2.4 Asian/Pacific Islander 0.4 0.9 0.4 - - 0.4 - - 0.7 0.3 0.2 ------Other * - - 0.2 ------0.1 ------3.4 - - - - Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 12,180 3,044 1,680 42 1,524 651 267 2,310 2,180 179 105 24 29 21 124 - - Quantity is zero. * Less than 0.05 percent. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

91 Table 3.4. California admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 158,142 18,675 16,752 27,157 8,916 7,524 1,951 32,605 41,665 349 233 95 531 105 1,584 Gender Male 62.0 60.9 62.9 69.2 53.6 62.0 75.7 69.7 53.2 41.0 42.5 74.7 58.0 46.7 51.5 Female 38.0 39.1 37.1 30.8 46.4 38.0 24.3 30.3 46.8 59.0 57.5 25.3 42.0 53.3 48.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 158,007 18,658 16,735 27,135 8,907 7,517 1,946 32,587 41,625 349 233 95 531 105 1,584 Age at admission 12 to 19 years 19.4 14.2 16.1 3.9 3.5 1.1 10.3 63.1 5.2 9.5 9.0 50.5 1.3 61.9 46.5 20 to 24 years 12.1 5.3 8.6 18.2 18.7 3.1 16.5 11.3 13.3 16.9 11.6 13.7 6.4 10.5 6.3 25 to 29 years 13.8 7.8 12.0 15.4 22.6 5.1 15.5 8.7 20.2 13.2 12.4 11.6 9.4 7.6 9.0 30 to 34 years 12.0 9.1 12.0 10.9 15.7 7.6 15.4 5.7 18.9 11.2 14.2 3.2 17.5 3.8 7.6 35 to 39 years 9.0 8.8 9.8 8.5 9.5 9.3 10.6 3.3 13.2 7.7 13.3 4.2 18.8 1.9 6.4 40 to 44 years 9.8 11.9 12.6 9.4 7.5 17.1 10.0 2.9 12.4 10.9 11.2 5.3 18.8 3.8 6.5 45 to 49 years 9.6 13.7 12.1 11.3 7.4 23.3 8.5 2.3 9.6 9.7 9.0 6.3 13.9 6.7 7.2 50 to 54 years 7.4 12.9 9.2 10.4 7.1 19.4 7.2 1.6 5.0 10.3 8.2 2.1 10.9 1.9 4.4 55 to 59 years 4.3 8.9 5.0 7.4 5.0 9.7 4.1 0.8 1.7 8.0 6.9 3.2 2.3 - - 3.5 60 years and older 2.6 7.3 2.5 4.5 3.0 4.4 2.1 0.4 0.6 2.6 4.3 - - 0.6 1.9 2.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 158,142 18,675 16,752 27,157 8,916 7,524 1,951 32,605 41,665 349 233 95 531 105 1,584 Race/ethnicity White (non-Hispanic) 42.2 46.6 44.8 55.4 71.1 12.8 21.3 22.6 46.9 74.8 57.9 41.1 3.2 20.0 19.4 Black (non-Hispanic) 14.1 14.1 15.5 8.1 4.8 69.2 27.3 18.7 5.0 2.3 6.9 11.6 38.8 6.7 13.4 Hispanic origin 32.5 29.0 28.8 28.4 15.0 10.6 40.3 47.3 34.6 16.6 24.0 29.5 44.8 65.7 20.3 American Indian/Alaska Native 1.4 1.6 2.2 1.2 1.5 0.6 0.9 1.0 1.7 0.9 0.9 2.1 1.3 - - 0.4 Asian/Pacific Islander 2.2 2.6 1.6 1.0 1.9 2.3 3.2 2.0 3.4 1.1 1.3 5.3 2.4 2.9 2.0 Other 7.6 6.2 7.0 5.9 5.8 4.5 7.1 8.4 8.5 4.3 9.0 10.5 9.4 4.8 44.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 158,142 18,675 16,752 27,157 8,916 7,524 1,951 32,605 41,665 349 233 95 531 105 1,584 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

92 Table 3.5. Colorado admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 77,090 37,018 19,138 2,958 2,485 1,957 1,117 6,363 5,206 277 43 60 4 55 409 Gender Male 73.3 77.8 75.1 66.8 51.2 55.7 69.3 76.6 54.4 45.8 44.2 83.3 100.0 65.5 72.1 Female 26.7 22.2 24.9 33.2 48.8 44.3 30.7 23.4 45.6 54.2 55.8 16.7 - - 34.5 27.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 77,090 37,018 19,138 2,958 2,485 1,957 1,117 6,363 5,206 277 43 60 4 55 409 Age at admission 12 to 19 years 6.3 2.9 4.1 7.5 6.6 0.8 4.6 35.7 3.7 5.1 2.3 30.0 - - 32.7 10.8 20 to 24 years 13.2 10.8 12.4 26.9 21.3 5.7 12.3 20.9 14.5 13.7 11.6 41.7 - - 5.5 18.1 25 to 29 years 13.9 11.5 13.5 21.7 21.5 12.0 15.2 15.6 21.9 14.4 14.0 6.7 25.0 9.1 15.9 30 to 34 years 11.8 10.4 11.1 14.7 16.6 13.3 13.9 10.7 20.7 14.1 16.3 6.7 - - 7.3 14.2 35 to 39 years 10.1 10.0 9.9 8.8 9.2 15.3 12.8 5.7 15.8 13.0 11.6 3.3 50.0 14.5 8.6 40 to 44 years 12.0 13.7 12.7 6.1 7.0 16.8 12.7 5.1 10.6 11.6 7.0 6.7 - - 12.7 7.3 45 to 49 years 12.3 14.4 14.0 4.4 7.2 19.1 13.1 2.9 7.2 9.4 18.6 - - 25.0 10.9 10.3 50 to 54 years 11.1 13.9 12.8 5.0 4.9 10.3 10.6 1.9 4.1 7.9 9.3 3.3 - - 3.6 6.4 55 to 59 years 5.7 7.3 6.4 3.2 3.6 5.4 3.8 1.2 1.2 7.2 7.0 - - - - 3.6 4.6 60 years and older 3.5 5.1 3.2 1.6 1.9 1.4 1.1 0.4 0.3 3.6 2.3 1.7 - - - - 3.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 77,090 37,018 19,138 2,958 2,485 1,957 1,117 6,363 5,206 277 43 60 4 55 409 Race/ethnicity White (non-Hispanic) 60.2 59.8 59.2 79.1 73.7 34.6 41.5 48.8 76.2 78.3 62.8 75.0 25.0 70.9 58.2 Black (non-Hispanic) 8.2 6.6 9.4 2.8 2.7 33.0 19.0 12.9 2.7 2.2 2.3 8.3 75.0 1.8 11.5 Hispanic origin 23.6 22.9 23.9 14.6 20.8 28.1 35.1 33.2 18.0 15.2 30.2 13.3 - - 18.2 24.4 American Indian/Alaska Native 4.7 6.4 4.7 1.3 0.9 1.7 1.5 2.4 1.4 3.2 2.3 1.7 - - 7.3 2.4 Asian/Pacific Islander 2.7 3.7 2.2 1.3 1.0 2.0 2.0 1.8 1.3 1.1 2.3 1.7 - - 1.8 1.2 Other 0.6 0.4 0.5 0.9 0.9 0.7 1.0 0.8 0.4 ------2.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 77,090 37,018 19,138 2,958 2,485 1,957 1,117 6,363 5,206 277 43 60 4 55 409 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

93 Table 3.6. Connecticut admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 62,315 11,620 12,430 15,531 3,494 3,415 2,130 7,822 125 750 89 146 803 69 3,891 Gender Male 70.5 72.2 71.3 70.0 63.3 57.1 70.3 78.2 68.8 65.9 62.9 65.1 61.9 68.1 69.7 Female 29.5 27.8 28.7 30.0 36.7 42.9 29.7 21.8 31.2 34.1 37.1 34.9 38.1 31.9 30.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 62,219 11,614 12,426 15,525 3,489 3,414 2,125 7,804 125 750 89 146 801 69 3,842 Age at admission 12 to 19 years 4.3 1.2 4.6 1.9 3.5 0.9 1.5 14.6 6.4 2.1 2.2 11.6 2.7 20.3 6.6 20 to 24 years 15.3 5.8 13.2 17.4 22.7 6.7 10.2 29.7 16.0 10.8 19.1 24.7 18.8 27.5 15.8 25 to 29 years 16.3 8.4 13.4 20.4 23.8 9.4 15.4 22.4 14.4 22.0 13.5 19.2 39.1 14.5 13.9 30 to 34 years 13.3 9.8 12.0 14.3 16.3 13.2 17.1 14.7 14.4 18.9 20.2 12.3 24.4 10.1 12.5 35 to 39 years 10.6 9.7 10.6 11.7 9.0 13.8 12.5 8.3 15.2 12.0 10.1 8.9 10.3 10.1 11.1 40 to 44 years 12.9 15.0 14.5 13.5 8.1 20.5 17.1 4.8 14.4 9.2 9.0 12.3 3.6 4.3 13.1 45 to 49 years 12.6 19.1 15.3 10.3 7.7 20.4 14.2 3.3 4.0 13.1 11.2 5.5 0.7 10.1 11.7 50 to 54 years 8.5 15.6 10.0 6.5 5.5 10.6 8.2 1.4 7.2 8.0 9.0 3.4 0.1 1.4 8.1 55 to 59 years 4.3 9.8 4.7 2.8 2.5 3.8 3.1 0.5 1.6 2.7 3.4 0.7 0.1 - - 4.3 60 years and older 2.0 5.5 1.8 1.2 0.9 0.8 0.7 0.2 6.4 1.2 2.2 1.4 - - 1.4 3.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 62,315 11,620 12,430 15,531 3,494 3,415 2,130 7,822 125 750 89 146 803 69 3,891 Race/ethnicity White (non-Hispanic) 58.6 70.2 63.9 61.2 82.9 41.9 51.8 31.5 70.4 79.9 69.3 50.0 13.2 40.6 53.4 Black (non-Hispanic) 16.8 10.1 19.5 8.9 2.4 34.0 19.0 33.3 13.6 2.4 13.6 26.8 46.6 24.6 19.7 Hispanic origin 18.7 11.6 13.2 24.7 8.4 13.9 22.2 28.9 8.8 14.3 14.8 21.1 32.4 21.7 23.3 American Indian/Alaska Native 0.5 0.4 0.7 0.3 0.6 0.6 0.5 0.5 0.8 0.3 - - - - 0.9 - - 0.4 Asian/Pacific Islander 0.4 0.5 0.4 0.3 0.4 0.4 0.2 0.6 2.4 ------0.8 - - 0.6 Other 4.9 7.1 2.2 4.7 5.3 9.3 6.2 5.2 4.0 3.1 2.3 2.1 6.1 13.0 2.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 61,516 11,493 12,307 15,330 3,455 3,383 2,099 7,706 125 748 88 142 789 69 3,782 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

94 Table 3.7. Delaware admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 6,957 693 805 1,318 1,687 244 108 1,699 9 32 5 5 21 1 330 Gender Male 71.7 74.5 74.6 71.5 65.5 70.5 67.6 78.0 77.8 46.9 80.0 80.0 47.6 100.0 64.0 Female 28.3 25.5 25.4 28.5 34.5 29.5 32.4 22.0 22.2 53.1 20.0 20.0 52.4 - - 36.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 6,953 693 804 1,318 1,686 244 108 1,699 9 32 5 5 21 1 328 Age at admission 12 to 19 years 15.4 7.8 6.1 2.3 5.2 0.8 1.9 47.0 11.1 6.3 - - 20.0 - - 100.0 13.3 20 to 24 years 21.4 6.1 16.5 13.4 30.8 8.6 9.3 29.5 11.1 34.4 20.0 20.0 23.8 - - 19.4 25 to 29 years 17.7 9.5 15.4 21.9 28.0 9.0 13.9 10.2 11.1 18.8 40.0 - - 33.3 - - 17.0 30 to 34 years 14.3 11.1 11.8 22.0 17.7 9.0 26.9 6.4 22.2 18.8 20.0 40.0 4.8 - - 19.1 35 to 39 years 8.0 10.0 11.1 11.9 6.9 10.7 11.1 2.9 11.1 - - - - 20.0 14.3 - - 9.1 40 to 44 years 8.0 13.3 13.4 11.2 4.7 20.9 9.3 1.9 11.1 6.3 20.0 - - 23.8 - - 7.3 45 to 49 years 7.3 17.7 13.4 7.7 3.8 23.4 15.7 1.3 11.1 ------4.8 50 to 54 years 4.4 13.9 7.8 4.2 1.4 12.3 8.3 0.5 11.1 9.4 ------5.2 55 to 59 years 2.3 7.4 3.6 3.4 1.1 3.3 2.8 0.2 - - 3.1 ------0.9 60 years and older 1.2 3.3 0.9 1.8 0.4 2.0 0.9 - - - - 3.1 ------3.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 6,957 693 805 1,318 1,687 244 108 1,699 9 32 5 5 21 1 330 Race/ethnicity White (non-Hispanic) 67.1 72.4 65.6 71.3 88.6 45.7 57.9 46.4 88.9 81.3 20.0 100.0 38.1 - - 58.2 Black (non-Hispanic) 25.8 21.0 29.1 18.6 7.2 48.1 38.3 44.4 - - 18.8 - - - - 57.1 - - 36.5 Hispanic origin 4.3 3.6 2.0 6.9 2.3 2.1 1.9 6.6 - - - - 20.0 - - - - 100.0 1.9 American Indian/Alaska Native 0.8 0.4 1.1 0.8 0.7 1.6 - - 0.7 - - - - 40.0 ------1.3 Asian/Pacific Islander 0.6 0.7 0.4 0.8 0.2 0.4 1.9 0.6 - - - - 20.0 ------0.3 Other 1.4 1.9 1.9 1.6 0.9 2.1 - - 1.2 11.1 ------4.8 - - 1.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 6,934 692 802 1,316 1,685 243 107 1,698 9 32 5 5 21 1 318 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

95 Table 3.8. District of Columbia admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 7,494 1,087 1,082 1,686 66 1,579 120 1,271 23 4 - - 4 550 2 20 Gender Male 70.5 81.3 75.5 73.1 50.0 59.3 81.5 78.7 82.6 - - - - 75.0 45.6 100.0 55.0 Female 29.5 18.7 24.5 26.9 50.0 40.7 18.5 21.3 17.4 100.0 - - 25.0 54.4 - - 45.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 100.0 100.0 No. of admissions 7,487 1,086 1,081 1,686 66 1,576 119 1,270 23 4 - - 4 550 2 20 Age at admission 12 to 19 years 7.0 0.8 1.3 - - 3.0 0.3 0.8 38.5 ------0.4 100.0 15.0 20 to 24 years 5.1 4.1 3.3 1.4 6.1 0.9 5.8 14.2 30.4 - - - - 50.0 10.9 - - 5.0 25 to 29 years 8.7 8.6 7.7 3.0 13.6 3.9 5.8 15.1 8.7 - - - - 25.0 27.6 - - 10.0 30 to 34 years 8.2 8.1 9.7 3.5 3.0 4.1 10.8 9.7 13.0 - - - - 25.0 28.2 - - 20.0 35 to 39 years 7.9 11.8 6.9 4.3 7.6 7.1 13.3 7.5 8.7 25.0 - - - - 15.1 - - 10.0 40 to 44 years 12.4 12.3 14.9 9.0 3.0 19.7 14.2 6.6 17.4 50.0 - - - - 11.6 - - - - 45 to 49 years 20.4 19.0 24.1 24.9 25.8 32.8 18.3 4.3 13.0 ------3.8 - - 20.0 50 to 54 years 15.6 14.4 19.4 24.9 21.2 18.9 19.2 2.8 8.7 ------1.8 - - 10.0 55 to 59 years 10.0 13.9 9.1 19.9 13.6 8.0 7.5 1.3 - - 25.0 - - - - 0.5 - - 5.0 60 years and older 4.6 6.9 3.5 9.1 3.0 4.4 4.2 0.1 ------5.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 100.0 100.0 No. of admissions 7,494 1,087 1,082 1,686 66 1,579 120 1,271 23 4 - - 4 550 2 20 Race/ethnicity White (non-Hispanic) 2.6 6.4 2.7 3.7 9.1 0.9 1.7 0.2 39.1 ------0.2 - - 15.0 Black (non-Hispanic) 90.7 75.7 89.8 93.8 83.3 96.5 88.2 91.3 43.5 100.0 - - 100.0 97.8 100.0 85.0 Hispanic origin 5.5 14.6 6.9 1.4 6.1 2.0 9.2 7.6 17.4 ------1.5 - - - - American Indian/Alaska Native 0.1 0.3 0.1 0.1 - - 0.1 - - 0.2 ------0.2 - - - - Asian/Pacific Islander 0.1 0.3 ------0.1 - - 0.1 ------Other 0.9 2.8 0.6 1.0 1.5 0.4 0.8 0.6 ------0.4 - - - - Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 100.0 100.0 No. of admissions 7,460 1,083 1,076 1,669 66 1,576 119 1,269 23 4 - - 4 549 2 20 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

96 Table 3.9. Florida admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 103,897 19,696 8,839 2,089 26,972 5,828 3,355 27,748 1,921 1,988 382 90 5 55 4,929 Gender Male 60.9 66.1 66.9 65.1 47.8 52.8 57.6 73.1 44.2 41.3 56.3 61.1 100.0 65.5 56.9 Female 39.1 33.9 33.1 34.9 52.2 47.2 42.4 26.9 55.8 58.7 43.7 38.9 - - 34.5 43.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 103,897 19,696 8,839 2,089 26,972 5,828 3,355 27,748 1,921 1,988 382 90 5 55 4,929 Age at admission 12 to 19 years 22.4 3.5 8.3 2.8 5.4 1.7 4.7 62.4 8.8 13.2 8.1 46.7 - - 36.4 45.8 20 to 24 years 14.2 6.4 8.5 15.1 24.0 5.7 11.7 14.7 16.3 18.5 9.7 18.9 - - 12.7 9.2 25 to 29 years 15.5 9.2 12.6 20.2 27.6 11.7 18.5 9.4 22.1 20.0 6.8 12.2 - - 1.8 10.1 30 to 34 years 12.3 10.8 13.3 21.2 18.3 12.4 16.9 5.6 20.3 16.6 12.0 14.4 - - 9.1 9.5 35 to 39 years 8.3 10.3 11.7 13.2 8.9 13.8 14.1 2.9 13.3 8.7 12.0 1.1 80.0 18.2 6.8 40 to 44 years 7.9 13.9 13.3 9.2 5.8 16.3 12.4 2.0 9.1 6.4 11.8 3.3 20.0 9.1 4.9 45 to 49 years 8.0 16.4 14.2 8.2 4.7 18.4 10.7 1.5 5.5 6.6 12.3 1.1 - - 5.5 5.2 50 to 54 years 6.2 14.8 11.0 5.6 3.1 11.9 6.8 0.8 3.3 5.1 13.4 - - - - 5.5 4.7 55 to 59 years 3.4 9.0 4.7 3.2 1.7 5.5 2.8 0.5 0.8 2.8 8.6 2.2 - - 1.8 2.4 60 years and older 1.8 5.7 2.3 1.3 0.6 2.4 1.4 0.2 0.4 2.1 5.2 ------1.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 103,897 19,696 8,839 2,089 26,972 5,828 3,355 27,748 1,921 1,988 382 90 5 55 4,929 Race/ethnicity White (non-Hispanic) 68.9 77.7 71.4 71.2 90.9 44.9 47.5 47.6 88.8 85.0 69.9 68.9 100.0 78.2 55.5 Black (non-Hispanic) 17.3 10.0 17.6 6.7 2.3 43.6 32.8 30.2 2.9 3.5 9.2 7.8 - - 9.1 29.8 Hispanic origin 8.7 7.6 6.3 14.8 4.3 7.0 12.7 13.9 6.3 6.6 18.1 14.4 - - 9.1 9.4 American Indian/Alaska Native 0.3 0.4 0.3 0.4 0.2 0.4 0.3 0.3 0.4 0.5 0.3 ------0.4 Asian/Pacific Islander 0.4 0.5 0.4 0.1 0.3 0.4 0.4 0.6 0.2 0.4 0.8 2.2 - - - - 0.5 Other 4.5 3.7 4.0 6.7 2.1 3.7 6.3 7.5 1.5 4.0 1.8 6.7 - - 3.6 4.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 103,897 19,696 8,839 2,089 26,972 5,828 3,355 27,748 1,921 1,988 382 90 5 55 4,929 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

97 Table 3.10. Hawaii admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 6,832 1,160 1,087 106 304 131 60 1,944 1,920 30 2 1 - - 8 79 Gender Male 65.8 64.9 64.3 68.9 65.5 80.9 78.3 67.5 64.6 43.3 - - 100.0 - - 87.5 55.7 Female 34.2 35.1 35.7 31.1 34.5 19.1 21.7 32.5 35.4 56.7 100.0 - - - - 12.5 44.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 6,831 1,160 1,087 106 304 131 60 1,944 1,919 30 2 1 - - 8 79 Age at admission 12 to 19 years 35.3 29.8 35.7 4.7 5.3 3.8 13.3 76.8 3.8 23.3 50.0 100.0 - - 12.5 87.3 20 to 24 years 9.5 5.5 9.0 18.9 27.0 9.9 20.0 6.5 12.1 3.3 ------3.8 25 to 29 years 11.2 8.5 10.8 12.3 18.1 9.2 11.7 5.8 17.9 16.7 50.0 ------1.3 30 to 34 years 9.9 7.5 8.3 14.2 17.8 8.4 8.3 3.5 17.4 23.3 ------2.5 35 to 39 years 7.4 7.2 8.9 15.1 7.2 4.6 13.3 2.0 12.1 ------40 to 44 years 8.7 9.9 7.7 6.6 6.6 7.6 15.0 1.5 16.3 13.3 ------2.5 45 to 49 years 7.3 9.2 8.4 7.5 4.3 25.2 10.0 1.5 11.0 6.7 ------1.3 50 to 54 years 6.3 11.6 6.8 9.4 7.6 24.4 5.0 1.5 5.9 10.0 ------75.0 1.3 55 to 59 years 3.1 6.6 2.9 9.4 3.6 6.9 3.3 0.6 3.0 ------12.5 - - 60 years and older 1.3 4.2 1.6 1.9 2.6 - - - - 0.2 0.5 3.3 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 6,832 1,160 1,087 106 304 131 60 1,944 1,920 30 2 1 - - 8 79 Race/ethnicity White (non-Hispanic) 24.7 38.7 30.4 69.2 58.6 28.3 29.3 13.9 16.1 39.3 50.0 100.0 - - - - 11.8 Black (non-Hispanic) 1.9 2.1 3.1 - - 0.7 7.9 1.7 2.5 0.6 ------1.3 Hispanic origin 5.5 5.3 5.8 3.8 5.7 7.1 8.6 6.0 4.5 14.3 ------5.3 American Indian/Alaska Native 0.8 1.3 1.1 1.0 2.0 - - - - 0.4 0.4 ------1.3 Asian/Pacific Islander 58.3 46.8 51.4 20.2 28.3 48.0 53.4 64.9 70.1 39.3 50.0 - - - - 87.5 65.8 Other 8.8 5.7 8.2 5.8 4.7 8.7 6.9 12.3 8.2 7.1 ------12.5 14.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 6,688 1,142 1,064 104 297 127 58 1,911 1,870 28 2 1 - - 8 76 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

98 Table 3.11. Illinois admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 57,771 9,586 8,226 15,327 2,202 5,715 1,358 13,544 1,060 303 50 61 116 39 184 Gender Male 64.0 68.6 69.7 54.4 46.6 56.0 61.3 76.2 55.0 42.6 42.0 72.1 42.2 41.0 64.1 Female 36.0 31.4 30.3 45.6 53.4 44.0 38.7 23.8 45.0 57.4 58.0 27.9 57.8 59.0 35.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 57,771 9,586 8,226 15,327 2,202 5,715 1,358 13,544 1,060 303 50 61 116 39 184 Age at admission 12 to 19 years 15.6 5.3 10.9 2.3 5.1 0.9 6.2 49.9 7.5 15.2 26.0 26.2 4.3 43.6 40.8 20 to 24 years 13.1 9.0 14.0 11.2 17.7 4.1 10.2 20.3 16.5 21.5 20.0 29.5 19.0 12.8 12.5 25 to 29 years 13.3 11.7 15.6 14.0 24.9 6.7 15.1 12.1 22.5 20.5 22.0 26.2 19.8 7.7 15.2 30 to 34 years 11.6 13.4 14.3 10.2 21.3 10.2 16.9 7.6 22.2 13.9 10.0 6.6 37.9 12.8 14.1 35 to 39 years 9.8 11.8 11.1 10.9 11.4 13.1 13.5 4.0 13.3 10.6 14.0 3.3 12.9 5.1 7.1 40 to 44 years 11.4 12.7 11.6 15.7 7.8 20.6 14.2 2.7 7.8 5.3 4.0 3.3 2.6 10.3 5.4 45 to 49 years 11.2 14.3 10.4 15.3 5.4 22.0 11.9 1.8 6.8 5.6 4.0 4.9 1.7 5.1 1.6 50 to 54 years 8.0 11.7 8.2 10.8 3.9 14.3 7.6 1.0 2.8 3.6 ------2.6 1.6 55 to 59 years 4.0 6.3 2.9 6.3 1.8 5.9 3.2 0.4 0.5 2.0 - - - - 0.9 - - - - 60 years and older 2.0 3.8 1.0 3.4 0.8 2.2 1.2 0.2 0.1 2.0 - - - - 0.9 - - 1.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 57,771 9,586 8,226 15,327 2,202 5,715 1,358 13,544 1,060 303 50 61 116 39 184 Race/ethnicity White (non-Hispanic) 47.2 61.2 55.0 37.0 88.8 25.4 46.3 41.9 91.2 87.1 86.0 63.9 10.3 71.8 82.6 Black (non-Hispanic) 39.0 20.8 31.0 51.5 5.4 68.3 32.0 40.3 4.8 4.0 6.0 23.0 62.9 12.8 4.9 Hispanic origin 11.7 16.0 12.3 9.7 4.7 5.0 18.7 14.8 2.5 6.9 6.0 11.5 21.6 12.8 10.9 American Indian/Alaska Native 0.4 0.6 0.5 0.2 0.3 0.4 0.6 0.5 0.2 0.7 - - 1.6 0.9 2.6 - - Asian/Pacific Islander 0.3 0.5 0.3 0.2 0.3 0.2 0.3 0.5 0.8 ------1.1 Other 1.3 1.0 0.9 1.3 0.5 0.7 2.1 2.0 0.5 1.3 2.0 - - 4.3 - - 0.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 57,771 9,586 8,226 15,327 2,202 5,715 1,358 13,544 1,060 303 50 61 116 39 184 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

99 Table 3.12. Indiana admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 24,080 4,054 5,226 1,618 2,645 925 589 5,024 1,532 342 63 19 29 13 2,001 Gender Male 63.7 71.4 69.4 58.8 46.4 47.4 67.4 69.4 52.0 46.2 34.9 84.2 58.6 61.5 65.0 Female 36.3 28.6 30.6 41.2 53.6 52.6 32.6 30.6 48.0 53.8 65.1 15.8 41.4 38.5 35.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 24,080 4,054 5,226 1,618 2,645 925 589 5,024 1,532 342 63 19 29 13 2,001 Age at admission 12 to 19 years 8.2 3.3 5.3 8.8 3.5 0.8 6.1 19.1 4.4 7.0 4.8 10.5 6.9 23.1 11.3 20 to 24 years 19.3 12.5 16.1 25.9 20.6 4.6 15.3 28.2 15.8 23.1 11.1 42.1 6.9 23.1 22.3 25 to 29 years 18.7 12.7 15.8 27.6 28.8 10.3 17.3 19.6 20.6 19.9 25.4 21.1 34.5 15.4 18.4 30 to 34 years 15.3 12.4 15.1 15.8 20.8 14.7 15.1 13.3 21.5 15.8 19.0 5.3 27.6 7.7 14.2 35 to 39 years 10.7 11.3 11.3 8.5 11.4 15.4 12.7 7.4 14.4 10.2 9.5 10.5 10.3 7.7 10.9 40 to 44 years 8.9 12.5 11.4 4.1 5.2 19.5 10.9 4.9 10.9 9.4 12.7 5.3 6.9 15.4 7.1 45 to 49 years 8.6 14.1 11.3 3.6 4.2 16.9 12.2 3.9 8.6 6.4 7.9 - - 3.4 7.7 7.5 50 to 54 years 6.0 10.9 8.4 2.3 3.4 12.4 5.9 2.2 3.1 4.4 4.8 5.3 - - - - 4.9 55 to 59 years 2.9 6.1 4.0 2.3 1.4 4.0 3.2 1.0 0.3 2.3 3.2 - - 3.4 - - 2.1 60 years and older 1.4 4.0 1.3 1.0 0.8 1.5 1.2 0.4 0.4 1.5 1.6 ------1.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 24,080 4,054 5,226 1,618 2,645 925 589 5,024 1,532 342 63 19 29 13 2,001 Race/ethnicity White (non-Hispanic) 78.6 75.5 77.4 85.0 94.5 47.6 63.8 69.5 94.7 92.6 84.7 77.8 70.4 92.3 89.1 Black (non-Hispanic) 14.9 16.9 15.3 8.7 2.6 47.0 22.4 23.4 1.4 4.6 8.5 11.1 11.1 7.7 4.4 Hispanic origin 4.4 5.5 4.7 4.9 1.7 3.4 11.5 4.6 2.5 1.2 6.8 5.6 18.5 - - 3.6 American Indian/Alaska Native 0.3 0.3 0.5 0.4 0.2 - - 0.2 0.3 0.1 ------0.3 Asian/Pacific Islander 0.2 0.5 0.1 0.3 0.1 0.1 - - 0.1 0.4 ------0.5 Other 1.6 1.2 1.8 0.6 1.0 1.9 2.1 2.1 0.8 1.5 - - 5.6 - - - - 2.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 22,937 3,909 5,036 1,476 2,455 881 567 4,824 1,464 326 59 18 27 13 1,882 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

100 Table 3.13. Iowa admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 27,401 7,295 5,682 288 1,237 563 216 8,133 3,525 140 40 40 6 28 208 Gender Male 67.9 70.9 72.2 61.5 48.2 46.9 63.9 73.6 54.2 43.6 40.0 72.5 100.0 53.6 59.6 Female 32.1 29.1 27.8 38.5 51.8 53.1 36.1 26.4 45.8 56.4 60.0 27.5 - - 46.4 40.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 27,400 7,294 5,682 288 1,237 563 216 8,133 3,525 140 40 40 6 28 208 Age at admission 12 to 19 years 15.8 5.2 12.3 6.9 7.6 1.2 5.6 35.1 4.5 15.0 15.0 37.5 16.7 67.9 23.6 20 to 24 years 19.3 13.4 20.8 24.3 20.8 4.6 15.3 26.1 15.1 19.3 12.5 30.0 - - 17.9 22.1 25 to 29 years 16.2 13.4 17.2 20.1 22.1 11.9 19.0 15.1 21.5 15.0 15.0 10.0 - - - - 18.3 30 to 34 years 13.1 12.0 13.8 20.5 18.1 11.0 12.0 9.8 19.2 15.7 17.5 10.0 66.7 3.6 12.5 35 to 39 years 9.1 10.9 9.3 8.0 9.9 14.6 13.4 5.1 13.4 10.0 10.0 5.0 - - - - 3.8 40 to 44 years 8.1 11.5 8.1 4.9 7.3 16.9 9.7 3.4 11.2 8.6 5.0 - - 16.7 3.6 6.3 45 to 49 years 7.9 12.3 8.9 6.3 5.7 22.7 13.4 2.6 8.0 7.1 10.0 ------6.3 50 to 54 years 5.8 10.5 6.0 4.5 4.8 10.3 6.0 1.9 4.9 7.9 12.5 5.0 - - - - 3.4 55 to 59 years 2.9 6.4 2.4 1.7 2.3 5.3 2.3 0.8 1.6 0.7 2.5 2.5 - - 7.1 2.9 60 years and older 1.7 4.5 1.1 2.8 1.5 1.4 3.2 0.1 0.5 0.7 ------1.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 27,401 7,295 5,682 288 1,237 563 216 8,133 3,525 140 40 40 6 28 208 Race/ethnicity White (non-Hispanic) 80.9 85.7 80.3 81.6 92.3 50.0 64.8 72.8 91.4 93.6 94.9 80.0 50.0 85.7 85.0 Black (non-Hispanic) 8.6 4.5 8.2 13.2 2.5 41.1 23.6 14.6 0.7 0.7 - - 17.5 50.0 - - 1.9 Hispanic origin 4.3 4.1 4.7 2.4 2.0 3.0 5.1 5.4 2.9 1.4 - - 2.5 - - 7.1 0.5 American Indian/Alaska Native 0.8 1.0 1.2 - - 0.6 0.4 - - 0.6 0.8 0.7 ------Asian/Pacific Islander 0.6 0.8 0.5 - - 0.3 1.1 - - 0.6 0.4 ------0.5 Other 4.8 3.9 5.2 2.8 2.4 4.4 6.5 5.9 3.9 3.6 5.1 - - - - 7.1 12.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 27,322 7,278 5,672 288 1,228 562 216 8,102 3,516 140 39 40 6 28 207 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

101 Table 3.14. Kansas admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 13,818 2,363 3,039 146 819 747 213 4,249 1,983 89 26 11 68 20 45 Gender Male 65.3 71.2 69.1 57.5 44.7 49.5 64.8 73.2 52.8 47.2 38.5 72.7 55.9 75.0 46.7 Female 34.7 28.8 30.9 42.5 55.3 50.5 35.2 26.8 47.2 52.8 61.5 27.3 44.1 25.0 53.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,818 2,363 3,039 146 819 747 213 4,249 1,983 89 26 11 68 20 45 Age at admission 12 to 19 years 19.5 4.3 10.7 8.9 6.0 0.9 8.9 46.6 7.0 18.0 23.1 81.8 - - 45.0 33.3 20 to 24 years 16.4 10.9 15.7 24.0 21.7 4.3 10.8 21.0 16.4 19.1 15.4 9.1 14.7 15.0 17.8 25 to 29 years 15.2 11.4 16.2 25.3 24.7 7.4 15.0 12.0 22.9 15.7 23.1 - - 27.9 5.0 15.6 30 to 34 years 13.2 13.2 13.5 12.3 20.3 11.2 17.8 8.7 19.4 12.4 11.5 9.1 36.8 15.0 4.4 35 to 39 years 9.1 10.9 10.9 8.9 9.5 12.2 13.1 4.2 12.8 6.7 15.4 - - 13.2 5.0 11.1 40 to 44 years 8.1 12.4 9.8 6.2 5.4 17.1 13.1 2.5 10.0 7.9 3.8 - - 5.9 - - 4.4 45 to 49 years 8.3 13.6 10.6 2.1 5.3 22.0 12.2 2.7 7.2 6.7 3.8 - - 1.5 - - 2.2 50 to 54 years 6.2 11.5 7.9 6.2 3.7 18.1 6.6 1.6 3.5 11.2 3.8 - - - - 15.0 8.9 55 to 59 years 2.5 6.4 3.3 4.1 2.2 4.3 2.3 0.4 0.8 1.1 ------60 years and older 1.5 5.5 1.3 2.1 1.3 2.5 - - 0.2 0.1 1.1 ------2.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,818 2,363 3,039 146 819 747 213 4,249 1,983 89 26 11 68 20 45 Race/ethnicity White (non-Hispanic) 71.0 77.1 73.6 75.3 86.9 45.1 51.6 60.2 88.0 87.6 69.2 90.9 19.1 90.0 80.0 Black (non-Hispanic) 14.5 8.3 11.9 11.0 3.7 48.1 31.0 20.3 2.1 4.5 19.2 9.1 73.5 - - 4.4 Hispanic origin 10.1 9.9 9.5 11.6 6.6 4.3 14.1 14.2 6.3 4.5 11.5 - - 4.4 10.0 8.9 American Indian/Alaska Native 2.3 3.1 3.0 0.7 1.7 0.9 1.4 2.2 1.9 1.1 ------2.2 Asian/Pacific Islander 0.7 0.6 0.7 1.4 0.4 0.7 0.5 0.7 0.9 ------1.5 - - 2.2 Other 1.4 1.0 1.2 - - 0.7 0.9 1.4 2.5 0.8 2.2 - - - - 1.5 - - 2.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,818 2,363 3,039 146 819 747 213 4,249 1,983 89 26 11 68 20 45 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

102 Table 3.15. Kentucky admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 20,601 3,671 2,711 1,232 6,685 1,006 503 2,829 1,114 532 38 10 1 20 249 Gender Male 58.7 75.2 67.5 59.4 49.4 52.8 54.5 60.9 49.7 43.9 36.8 50.0 100.0 65.0 45.8 Female 41.3 24.8 32.5 40.6 50.6 47.2 45.5 39.1 50.3 56.1 63.2 50.0 - - 35.0 54.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 20,589 3,671 2,710 1,232 6,676 1,006 503 2,828 1,114 531 38 10 1 20 249 Age at admission 12 to 19 years 4.6 2.9 3.0 3.6 2.8 0.6 2.0 15.4 2.0 4.9 5.3 10.0 - - 30.0 8.8 20 to 24 years 17.5 8.7 13.3 25.6 22.3 4.9 8.9 24.4 19.2 10.7 18.4 50.0 - - 25.0 19.7 25 to 29 years 20.0 10.5 15.2 28.2 27.0 10.8 16.1 20.0 19.8 21.1 13.2 10.0 100.0 10.0 26.5 30 to 34 years 17.6 11.6 14.9 19.9 20.7 16.0 19.5 16.9 21.9 22.4 21.1 20.0 - - 15.0 20.1 35 to 39 years 12.0 12.0 14.6 9.9 11.2 17.8 15.7 8.9 15.6 12.2 10.5 10.0 - - 10.0 8.0 40 to 44 years 9.9 15.7 13.6 6.1 6.3 16.9 12.5 5.5 10.7 10.9 5.3 - - - - 10.0 7.6 45 to 49 years 8.5 15.8 13.6 2.5 4.5 16.8 11.3 4.1 5.7 11.1 5.3 ------5.6 50 to 54 years 5.7 11.7 7.9 2.0 3.1 11.0 7.6 3.0 3.9 3.6 18.4 ------1.6 55 to 59 years 2.9 6.7 3.1 1.5 1.7 3.7 5.8 1.2 1.1 2.1 2.6 ------1.6 60 years and older 1.3 4.4 0.8 0.6 0.5 1.5 0.6 0.5 0.2 1.1 ------0.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 20,601 3,671 2,711 1,232 6,685 1,006 503 2,829 1,114 532 38 10 1 20 249 Race/ethnicity White (non-Hispanic) 87.6 88.0 83.1 90.7 96.4 46.8 71.2 80.5 96.6 95.9 97.4 90.0 100.0 95.0 95.6 Black (non-Hispanic) 9.6 8.5 13.3 6.7 1.4 50.6 25.4 16.1 1.3 1.9 - - 10.0 - - 5.0 2.0 Hispanic origin 1.0 1.6 1.4 0.6 0.6 0.6 1.0 1.4 0.4 0.2 2.6 ------1.2 American Indian/Alaska Native 0.2 0.2 0.4 - - 0.1 - - - - 0.3 0.1 0.2 ------Asian/Pacific Islander 0.1 0.1 0.1 0.1 0.1 0.1 0.4 0.1 0.1 ------Other 1.6 1.6 1.7 2.0 1.5 1.9 2.0 1.6 1.6 1.9 ------1.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 20,599 3,671 2,711 1,232 6,685 1,006 503 2,828 1,113 532 38 10 1 20 249 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

103 Table 3.16. Louisiana admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 25,171 3,223 3,780 2,307 4,328 2,609 982 5,260 1,011 490 207 18 45 12 899 Gender Male 67.2 75.6 73.6 71.3 52.9 63.7 68.1 75.7 57.5 42.0 42.5 77.8 71.1 83.3 57.4 Female 32.8 24.4 26.4 28.7 47.1 36.3 31.9 24.3 42.5 58.0 57.5 22.2 28.9 16.7 42.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 25,171 3,223 3,780 2,307 4,328 2,609 982 5,260 1,011 490 207 18 45 12 899 Age at admission 12 to 19 years 8.9 1.6 2.5 1.3 3.2 0.7 1.6 32.0 4.9 8.8 7.7 16.7 - - 58.3 9.3 20 to 24 years 14.4 5.9 8.8 15.2 19.8 3.1 13.2 23.7 15.9 23.3 23.2 22.2 13.3 16.7 10.7 25 to 29 years 18.6 11.4 14.2 24.8 28.4 7.9 20.0 18.8 22.5 30.8 27.1 11.1 42.2 8.3 13.5 30 to 34 years 15.8 12.0 14.9 25.7 20.7 11.7 19.7 11.1 22.0 14.7 12.6 33.3 17.8 - - 13.0 35 to 39 years 11.2 12.3 13.8 14.2 11.2 14.1 13.8 5.3 16.1 7.8 9.7 11.1 13.3 - - 9.6 40 to 44 years 10.2 14.6 15.1 6.4 6.4 21.5 12.9 3.5 10.0 2.9 6.8 5.6 2.2 16.7 10.0 45 to 49 years 9.0 16.2 13.7 4.7 4.8 19.8 10.4 2.5 4.4 5.1 3.4 - - 11.1 - - 9.3 50 to 54 years 6.9 13.5 10.6 4.4 3.1 14.0 5.3 1.8 3.6 5.5 7.7 ------8.6 55 to 59 years 3.3 8.0 4.6 2.0 1.9 5.1 2.2 0.8 0.5 1.0 1.0 ------7.6 60 years and older 1.8 4.6 1.9 1.3 0.6 2.3 0.8 0.4 0.2 0.2 1.0 ------8.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 25,171 3,223 3,780 2,307 4,328 2,609 982 5,260 1,011 490 207 18 45 12 899 Race/ethnicity White (non-Hispanic) 60.8 65.6 63.1 60.7 88.7 36.6 44.6 39.9 93.6 82.4 78.3 55.6 - - 75.0 60.8 Black (non-Hispanic) 35.9 29.7 34.0 35.8 8.3 61.6 52.2 56.6 3.0 13.3 21.3 44.4 100.0 16.7 36.5 Hispanic origin 1.7 3.0 1.4 2.4 1.7 0.7 1.8 1.8 1.3 1.0 ------8.3 1.2 American Indian/Alaska Native 0.6 0.7 1.0 0.2 0.5 0.7 0.3 0.7 1.2 1.2 0.5 ------0.3 Asian/Pacific Islander 0.4 0.6 0.2 0.6 0.4 0.3 0.5 0.2 1.0 1.0 ------0.7 Other 0.4 0.5 0.3 0.3 0.5 0.2 0.5 0.7 - - 1.0 ------0.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 25,170 3,223 3,780 2,307 4,328 2,609 982 5,260 1,011 490 207 18 45 12 898 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

104 Table 3.17. Maine admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 13,880 3,811 2,100 1,183 4,800 248 237 1,150 87 124 34 20 5 5 76 Gender Male 62.1 69.1 72.3 56.0 53.5 52.0 58.2 69.8 49.4 42.7 26.5 65.0 20.0 60.0 63.2 Female 37.9 30.9 27.7 44.0 46.5 48.0 41.8 30.2 50.6 57.3 73.5 35.0 80.0 40.0 36.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,880 3,811 2,100 1,183 4,800 248 237 1,150 87 124 34 20 5 5 76 Age at admission 12 to 19 years 6.8 1.6 7.5 3.0 3.6 2.4 4.2 40.4 8.0 8.1 5.9 15.0 - - 20.0 22.4 20 to 24 years 15.3 5.2 12.9 20.9 22.3 9.3 16.0 18.7 13.8 17.7 14.7 10.0 100.0 - - 22.4 25 to 29 years 20.7 8.3 14.2 32.1 32.0 17.7 26.2 13.7 27.6 16.9 23.5 45.0 - - 20.0 19.7 30 to 34 years 14.5 9.8 13.0 23.2 17.5 18.1 18.1 9.5 21.8 19.4 23.5 10.0 - - - - 11.8 35 to 39 years 9.9 9.8 11.0 9.8 9.5 22.6 16.9 6.0 10.3 6.5 11.8 10.0 - - 20.0 5.3 40 to 44 years 9.2 13.4 13.8 3.7 6.4 7.3 8.9 4.3 3.4 12.9 14.7 5.0 - - 20.0 9.2 45 to 49 years 9.9 18.9 13.2 3.9 4.5 17.3 5.1 3.3 9.2 12.1 - - 5.0 - - 20.0 1.3 50 to 54 years 7.3 16.1 9.6 2.2 2.3 4.4 3.4 2.7 5.7 1.6 2.9 ------2.6 55 to 59 years 3.7 9.2 3.2 0.9 1.3 0.4 0.8 1.0 - - 2.4 2.9 ------2.6 60 years and older 2.7 7.7 1.6 0.3 0.7 0.4 0.4 0.3 - - 2.4 ------2.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,880 3,811 2,100 1,183 4,800 248 237 1,150 87 124 34 20 5 5 76 Race/ethnicity White (non-Hispanic) 92.8 94.0 92.5 93.3 93.8 87.5 92.8 86.9 90.8 94.4 91.2 90.0 100.0 80.0 82.9 Black (non-Hispanic) 2.4 2.3 3.2 2.2 1.3 6.0 3.4 5.4 2.3 0.8 - - 5.0 - - - - 5.3 Hispanic origin 2.4 2.0 2.0 3.0 2.0 4.8 3.0 4.3 2.3 2.4 5.9 5.0 - - - - 6.6 American Indian/Alaska Native 1.7 1.0 1.5 0.8 2.4 1.2 0.8 1.9 4.6 1.6 ------20.0 3.9 Asian/Pacific Islander 0.3 0.2 0.6 0.4 0.1 - - - - 0.5 - - - - 2.9 ------Other 0.4 0.4 0.2 0.2 0.4 0.4 - - 1.0 - - 0.8 ------1.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,880 3,811 2,100 1,183 4,800 248 237 1,150 87 124 34 20 5 5 76 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

105 Table 3.18. Maryland admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 64,945 11,056 8,182 16,280 8,575 4,470 1,310 13,319 131 690 28 69 638 18 179 Gender Male 66.2 71.4 71.6 61.0 53.5 54.3 66.9 78.2 61.1 45.2 35.7 75.4 66.5 72.2 65.9 Female 33.8 28.6 28.4 39.0 46.5 45.7 33.1 21.8 38.9 54.8 64.3 24.6 33.5 27.8 34.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 64,945 11,056 8,182 16,280 8,575 4,470 1,310 13,319 131 690 28 69 638 18 179 Age at admission 12 to 19 years 14.1 3.6 7.2 2.9 8.3 0.5 2.7 50.6 13.0 6.5 14.3 23.2 3.0 44.4 38.0 20 to 24 years 16.4 10.2 12.6 15.8 28.4 4.2 13.4 21.3 17.6 14.9 7.1 15.9 20.8 11.1 14.5 25 to 29 years 14.7 11.7 14.6 15.7 23.5 7.9 15.7 11.5 31.3 18.4 14.3 24.6 24.5 11.1 15.6 30 to 34 years 11.1 11.2 13.0 10.9 14.0 9.9 13.7 7.2 14.5 17.5 14.3 11.6 22.9 5.6 6.7 35 to 39 years 8.3 10.2 9.6 9.6 7.9 11.8 11.1 3.2 5.3 9.1 14.3 8.7 9.6 5.6 5.6 40 to 44 years 11.0 12.0 12.5 15.9 6.7 21.5 14.6 2.7 6.9 9.1 3.6 8.7 8.3 - - 8.9 45 to 49 years 11.1 15.0 14.7 14.5 5.4 21.3 14.7 1.6 3.8 10.6 21.4 - - 7.1 22.2 5.6 50 to 54 years 8.1 13.8 10.6 9.0 3.7 15.7 9.3 1.1 3.8 8.4 10.7 4.3 3.1 - - 2.8 55 to 59 years 3.5 6.7 3.9 4.3 1.5 5.0 3.7 0.6 3.1 4.6 - - 2.9 0.8 - - 1.1 60 years and older 1.8 5.4 1.5 1.4 0.7 2.2 0.9 0.2 0.8 0.7 ------1.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 64,945 11,056 8,182 16,280 8,575 4,470 1,310 13,319 131 690 28 69 638 18 179 Race/ethnicity White (non-Hispanic) 55.8 63.6 55.4 53.8 88.4 36.3 53.3 37.6 57.3 85.2 75.0 50.7 20.7 88.9 65.4 Black (non-Hispanic) 38.2 25.9 38.1 42.6 7.8 60.3 41.0 54.7 36.6 10.9 7.1 46.4 74.3 11.1 30.2 Hispanic origin 4.1 8.1 4.2 2.4 2.2 2.0 4.0 4.9 4.6 2.3 3.6 1.4 2.7 - - 2.8 American Indian/Alaska Native 0.3 0.3 0.4 0.2 0.2 0.3 0.3 0.2 0.8 0.1 - - - - 0.5 - - - - Asian/Pacific Islander 0.5 0.8 0.3 0.4 0.3 0.5 0.4 0.7 0.8 0.3 - - - - 0.3 - - - - Other 1.2 1.4 1.6 0.6 1.0 0.7 1.1 1.9 - - 1.2 14.3 1.4 1.6 - - 1.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 64,945 11,056 8,182 16,280 8,575 4,470 1,310 13,319 131 690 28 69 638 18 179 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

106 Table 3.19. Massachusetts admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 87,525 21,632 10,041 37,797 5,608 1,991 1,535 3,271 140 1,338 27 18 13 7 4,107 Gender Male 68.5 70.9 73.0 68.6 61.5 51.1 59.9 74.6 82.9 56.6 37.0 66.7 84.6 85.7 64.8 Female 31.5 29.1 27.0 31.4 38.5 48.9 40.1 25.4 17.1 43.4 63.0 33.3 15.4 14.3 35.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 87,490 21,620 10,032 37,791 5,607 1,989 1,535 3,266 140 1,338 27 18 13 7 4,107 Age at admission 12 to 19 years 4.2 1.6 3.6 2.4 6.7 1.8 5.0 33.8 6.4 4.1 3.7 33.3 - - - - 10.1 20 to 24 years 17.8 8.3 11.6 21.7 28.8 8.0 14.5 25.0 12.1 17.3 7.4 27.8 23.1 - - 33.3 25 to 29 years 19.5 10.0 13.5 26.4 23.8 11.4 19.0 15.2 17.1 23.2 18.5 11.1 30.8 14.3 22.7 30 to 34 years 14.8 9.7 13.1 18.6 14.8 13.1 18.4 9.6 17.9 22.1 18.5 16.7 15.4 - - 13.1 35 to 39 years 10.3 9.9 11.6 10.8 8.2 16.4 12.8 5.3 9.3 9.3 14.8 - - 15.4 - - 7.3 40 to 44 years 11.0 15.1 16.4 8.7 6.4 20.3 12.0 3.9 16.4 9.6 7.4 11.1 - - 57.1 4.8 45 to 49 years 10.0 17.3 15.0 6.1 5.2 16.7 10.3 3.7 12.1 7.2 - - - - 15.4 14.3 3.7 50 to 54 years 7.0 14.7 10.1 3.4 3.4 8.4 5.9 2.1 3.6 4.6 14.8 - - - - 14.3 3.0 55 to 59 years 3.5 8.1 3.8 1.5 1.9 2.7 1.7 0.9 3.6 1.7 7.4 ------1.4 60 years and older 1.9 5.4 1.4 0.6 0.8 1.1 0.5 0.4 1.4 1.0 7.4 ------0.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 87,525 21,632 10,041 37,797 5,608 1,991 1,535 3,271 140 1,338 27 18 13 7 4,107 Race/ethnicity White (non-Hispanic) 79.2 79.0 73.1 79.9 91.8 58.1 68.4 63.0 91.4 92.1 96.3 77.8 46.2 100.0 92.7 Black (non-Hispanic) 6.6 7.7 13.2 4.0 2.1 24.9 8.0 12.1 2.2 2.2 - - - - 15.4 - - 1.6 Hispanic origin 9.4 7.4 8.6 11.6 3.1 10.7 17.6 17.4 - - 3.6 3.7 16.7 30.8 - - 2.9 American Indian/Alaska Native 0.4 0.4 0.5 0.3 0.6 0.4 0.7 0.3 0.7 0.3 ------0.2 Asian/Pacific Islander 0.6 1.0 0.4 0.6 0.2 0.3 0.3 1.1 1.4 0.1 ------0.3 Other 3.8 4.5 4.1 3.6 2.2 5.6 5.0 6.1 4.3 1.7 - - 5.6 7.7 - - 2.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 86,974 21,467 9,985 37,623 5,557 1,973 1,526 3,219 139 1,334 27 18 13 7 4,086 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

107 Table 3.20. Michigan admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 57,224 13,097 9,353 10,597 8,254 4,113 806 9,276 807 465 199 29 3 19 206 Gender Male 61.9 66.7 68.2 59.5 47.6 54.5 61.2 70.0 50.1 40.0 43.2 79.3 66.7 57.9 59.2 Female 38.1 33.3 31.8 40.5 52.4 45.5 38.8 30.0 49.9 60.0 56.8 20.7 33.3 42.1 40.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 57,224 13,097 9,353 10,597 8,254 4,113 806 9,276 807 465 199 29 3 19 206 Age at admission 12 to 19 years 8.4 2.8 6.3 2.7 3.8 0.7 2.5 32.0 5.7 14.0 16.6 41.4 - - 36.8 35.0 20 to 24 years 15.1 9.1 12.6 17.5 18.0 3.8 10.3 25.8 12.4 22.8 25.1 27.6 33.3 15.8 11.7 25 to 29 years 17.5 12.2 15.6 22.6 27.3 7.6 16.6 15.5 27.3 22.2 19.1 10.3 - - 15.8 12.6 30 to 34 years 13.5 12.2 12.8 13.9 19.9 10.8 17.0 10.4 21.7 15.7 18.6 3.4 - - 21.1 9.2 35 to 39 years 10.2 12.4 11.0 8.1 10.2 12.9 14.5 6.7 14.9 7.5 9.5 3.4 33.3 - - 12.6 40 to 44 years 9.8 13.5 12.5 6.3 7.1 19.3 14.8 4.0 8.9 7.3 6.0 13.8 - - 5.3 4.4 45 to 49 years 10.3 16.0 13.6 6.7 6.3 21.0 13.3 2.7 4.1 3.4 2.0 - - 33.3 5.3 4.9 50 to 54 years 8.7 13.0 10.2 9.2 4.4 16.1 7.7 1.9 3.8 4.1 1.0 ------4.4 55 to 59 years 4.6 5.9 4.3 8.9 2.1 5.7 2.2 0.8 1.2 2.2 2.0 ------1.9 60 years and older 1.9 2.8 1.1 4.1 0.9 2.1 1.1 0.3 - - 0.9 ------3.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 57,224 13,097 9,353 10,597 8,254 4,113 806 9,276 807 465 199 29 3 19 206 Race/ethnicity White (non-Hispanic) 68.6 74.0 66.1 70.3 88.1 35.0 56.3 56.3 94.4 87.0 87.3 82.8 100.0 84.2 79.8 Black (non-Hispanic) 25.3 19.3 27.3 25.9 5.7 60.8 35.7 35.8 1.3 4.1 4.6 10.3 - - 10.5 10.3 Hispanic origin 2.6 3.1 2.7 1.8 2.0 1.9 3.0 3.6 1.4 4.3 2.5 6.9 - - 5.3 4.9 American Indian/Alaska Native 1.2 1.6 1.5 0.5 2.0 0.5 0.8 1.0 1.9 0.9 1.5 ------1.5 Asian/Pacific Islander 0.2 0.3 0.2 0.2 0.1 0.2 0.5 0.2 0.4 - - 0.5 ------Other 2.1 1.6 2.3 1.4 2.1 1.6 3.8 3.1 0.6 3.7 3.6 ------3.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 56,688 12,957 9,271 10,532 8,151 4,087 798 9,193 785 463 197 29 3 19 203 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

108 Table 3.21. Minnesota admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 51,463 15,135 10,986 3,437 4,964 1,475 661 9,244 4,471 298 72 109 14 46 551 Gender Male 66.1 66.0 69.4 67.2 52.3 55.7 72.8 75.5 57.4 54.4 37.5 84.4 100.0 52.2 64.1 Female 33.9 34.0 30.6 32.8 47.7 44.3 27.2 24.5 42.6 45.6 62.5 15.6 - - 47.8 35.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 51,463 15,135 10,986 3,437 4,964 1,475 661 9,244 4,471 298 72 109 14 46 551 Age at admission 12 to 19 years 12.9 1.6 8.6 9.6 8.6 0.6 12.3 44.2 5.7 12.8 6.9 48.6 7.1 41.3 25.2 20 to 24 years 17.1 8.4 18.3 31.5 22.0 3.9 11.5 23.0 19.5 20.5 11.1 22.9 7.1 6.5 18.9 25 to 29 years 15.0 11.4 15.9 17.9 20.8 8.9 13.9 12.9 23.4 13.4 13.9 14.7 50.0 2.2 16.3 30 to 34 years 12.4 11.2 13.9 11.0 17.0 8.9 14.1 7.6 19.4 14.4 6.9 5.5 21.4 15.2 11.6 35 to 39 years 9.1 10.5 9.8 8.2 9.3 13.4 13.8 4.6 11.2 9.4 13.9 1.8 7.1 6.5 8.0 40 to 44 years 9.8 13.8 10.6 7.1 6.9 20.3 13.3 3.2 9.9 8.7 13.9 3.7 - - 10.9 8.5 45 to 49 years 9.6 15.2 10.3 6.1 6.3 23.3 10.9 2.3 6.3 9.1 18.1 - - - - 8.7 4.7 50 to 54 years 7.4 13.0 7.9 4.9 5.1 13.7 7.0 1.3 3.3 3.7 6.9 0.9 7.1 4.3 3.1 55 to 59 years 3.9 7.9 3.3 2.7 2.4 5.2 2.4 0.6 1.1 5.4 6.9 0.9 - - 4.3 2.2 60 years and older 2.8 7.1 1.5 1.0 1.7 1.8 0.9 0.3 0.2 2.7 1.4 0.9 - - - - 1.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 51,463 15,135 10,986 3,437 4,964 1,475 661 9,244 4,471 298 72 109 14 46 551 Race/ethnicity White (non-Hispanic) 73.8 82.2 70.8 70.9 77.2 32.7 57.2 63.6 85.6 91.6 88.9 77.1 21.4 76.1 79.3 Black (non-Hispanic) 10.5 6.6 11.2 16.5 2.4 52.5 24.8 15.4 1.2 1.3 1.4 12.8 64.3 6.5 3.6 Hispanic origin 2.8 2.6 2.8 2.5 1.2 3.7 7.4 4.1 2.3 1.7 1.4 2.8 7.1 2.2 4.4 American Indian/Alaska Native 8.4 5.5 10.9 6.4 15.7 5.5 4.8 9.6 4.6 3.4 5.6 3.7 7.1 15.2 8.3 Asian/Pacific Islander 1.2 1.1 0.8 0.9 1.1 0.8 1.4 1.2 2.8 0.3 ------2.2 Other 3.4 2.1 3.4 2.9 2.5 4.7 4.4 6.1 3.5 1.7 2.8 3.7 - - - - 2.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 51,463 15,135 10,986 3,437 4,964 1,475 661 9,244 4,471 298 72 109 14 46 551 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

109 Table 3.22. Missouri admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 45,553 9,515 8,010 4,535 2,892 2,918 624 10,474 5,348 486 43 71 321 61 255 Gender Male 67.5 77.2 74.5 58.8 48.0 62.0 65.2 72.7 54.4 37.4 51.2 73.2 63.9 52.5 59.2 Female 32.5 22.8 25.5 41.2 52.0 38.0 34.8 27.3 45.6 62.6 48.8 26.8 36.1 47.5 40.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 45,552 9,515 8,010 4,535 2,892 2,918 624 10,473 5,348 486 43 71 321 61 255 Age at admission 12 to 19 years 9.3 1.7 4.2 4.8 5.5 0.3 6.6 27.5 4.6 14.4 7.0 28.2 1.9 44.3 27.1 20 to 24 years 14.3 7.6 11.8 20.4 19.8 2.5 10.9 21.5 14.8 15.6 25.6 14.1 10.9 6.6 15.7 25 to 29 years 17.0 11.1 15.2 23.9 25.6 7.3 15.2 18.7 21.0 21.2 16.3 18.3 23.7 8.2 21.6 30 to 34 years 15.4 11.9 15.4 22.2 20.4 9.2 14.1 12.2 21.8 17.1 20.9 16.9 30.5 23.0 14.5 35 to 39 years 10.9 11.5 11.3 11.2 11.0 12.4 13.3 7.3 14.4 9.9 11.6 7.0 19.9 6.6 6.3 40 to 44 years 10.4 14.1 13.0 5.4 5.9 20.9 13.9 5.5 10.7 4.7 4.7 9.9 7.5 - - 6.7 45 to 49 years 10.5 16.3 13.9 4.8 5.8 24.3 13.9 4.1 7.5 9.5 9.3 4.2 5.3 11.5 3.1 50 to 54 years 7.3 13.8 9.9 3.4 3.6 15.5 7.4 2.1 4.0 4.7 - - 1.4 - - - - 2.7 55 to 59 years 3.4 7.3 3.9 2.6 1.7 5.7 4.2 0.9 1.0 2.1 4.7 - - 0.3 - - 1.2 60 years and older 1.6 4.8 1.4 1.2 0.7 1.9 0.5 0.2 0.2 0.8 ------1.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 45,553 9,515 8,010 4,535 2,892 2,918 624 10,474 5,348 486 43 71 321 61 255 Race/ethnicity White (non-Hispanic) 72.9 83.4 74.4 60.5 92.3 26.6 52.9 65.8 94.8 92.4 83.7 84.5 6.2 98.4 90.6 Black (non-Hispanic) 22.3 11.9 20.9 35.2 4.4 69.5 40.2 28.0 1.4 3.1 9.3 8.5 90.0 - - 5.1 Hispanic origin 1.5 1.9 1.5 1.2 1.1 0.7 1.3 1.6 1.3 1.2 - - 1.4 1.6 - - 0.8 American Indian/Alaska Native 0.2 0.3 0.3 * 0.1 0.1 0.3 0.2 0.2 ------Asian/Pacific Islander 0.2 0.2 0.1 0.1 0.1 - - - - 0.3 0.2 0.2 - - - - 0.3 - - 0.4 Other 2.9 2.3 2.8 3.0 2.0 3.1 5.3 4.2 2.1 3.1 7.0 5.6 1.9 1.6 3.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 45,553 9,515 8,010 4,535 2,892 2,918 624 10,474 5,348 486 43 71 321 61 255 - - Quantity is zero. * Less than 0.05 percent. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

110 Table 3.23. Montana admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 9,000 2,190 3,085 150 920 25 42 1,729 763 30 9 17 2 21 17 Gender Male 71.2 71.6 74.8 66.7 49.0 80.0 83.3 80.5 63.0 50.0 22.2 70.6 100.0 57.1 64.7 Female 28.8 28.4 25.2 33.3 51.0 20.0 16.7 19.5 37.0 50.0 77.8 29.4 - - 42.9 35.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 9,000 2,190 3,085 150 920 25 42 1,729 763 30 9 17 2 21 17 Age at admission 12 to 19 years 11.7 3.7 7.9 8.7 3.6 - - 4.8 35.4 4.6 20.0 22.2 47.1 100.0 38.1 47.1 20 to 24 years 15.4 9.8 14.2 24.7 17.8 20.0 9.5 22.6 15.7 6.7 22.2 17.6 - - 9.5 17.6 25 to 29 years 16.5 11.2 17.3 20.0 25.2 20.0 26.2 15.3 20.1 13.3 22.2 17.6 - - 4.8 11.8 30 to 34 years 13.6 11.7 14.4 12.7 20.1 16.0 14.3 9.7 17.8 10.0 - - 5.9 - - 9.5 5.9 35 to 39 years 10.1 10.9 11.5 11.3 8.9 20.0 7.1 5.6 14.4 3.3 11.1 - - - - 4.8 5.9 40 to 44 years 9.9 12.9 10.4 7.3 7.6 4.0 14.3 5.4 12.3 13.3 11.1 5.9 - - 14.3 - - 45 to 49 years 9.7 14.6 11.4 7.3 6.1 12.0 11.9 3.1 8.9 3.3 ------9.5 - - 50 to 54 years 6.7 10.7 7.7 4.7 6.3 - - 7.1 1.8 3.7 10.0 - - 5.9 - - 4.8 - - 55 to 59 years 3.7 7.7 3.5 2.7 2.7 - - 2.4 0.6 1.7 16.7 ------5.9 60 years and older 2.7 6.8 1.7 0.7 1.6 8.0 2.4 0.6 0.8 3.3 11.1 - - - - 4.8 5.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 9,000 2,190 3,085 150 920 25 42 1,729 763 30 9 17 2 21 17 Race/ethnicity White (non-Hispanic) 69.6 71.4 66.9 79.3 70.2 68.0 64.3 69.5 72.2 100.0 77.8 94.1 50.0 47.6 76.5 Black (non-Hispanic) 0.8 0.5 0.7 - - 0.2 - - 9.5 1.7 0.1 ------Hispanic origin 4.4 3.7 3.9 2.7 4.0 - - 11.9 5.9 5.9 ------11.8 American Indian/Alaska Native 22.0 22.1 25.4 10.7 21.8 28.0 11.9 19.2 18.2 - - 22.2 5.9 50.0 42.9 5.9 Asian/Pacific Islander 0.2 0.2 0.1 0.7 0.2 - - - - 0.3 0.4 ------Other 3.0 2.3 2.9 6.7 3.5 4.0 2.4 3.4 3.1 ------9.5 5.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 9,000 2,190 3,085 150 920 25 42 1,729 763 30 9 17 2 21 17 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

111 Table 3.24. Nebraska admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 17,994 10,094 3,241 84 623 401 104 1,322 1,645 48 11 9 7 10 395 Gender Male 69.4 78.0 67.6 63.1 54.4 59.6 72.1 61.8 44.2 45.8 54.5 66.7 42.9 50.0 34.3 Female 30.6 22.0 32.4 36.9 45.6 40.4 27.9 38.2 55.8 54.2 45.5 33.3 57.1 50.0 65.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 17,993 10,094 3,241 84 623 401 104 1,322 1,645 48 11 9 7 10 394 Age at admission 12 to 19 years 5.1 4.5 5.0 2.4 2.2 - - 1.0 14.4 1.8 4.2 ------14.4 20 to 24 years 16.8 15.7 17.2 16.7 21.0 3.5 19.2 27.2 15.7 12.5 18.2 55.6 14.3 20.0 17.2 25 to 29 years 16.5 13.3 17.2 17.9 25.0 15.0 18.3 24.9 25.0 16.7 - - 33.3 42.9 - - 19.0 30 to 34 years 12.0 10.0 13.5 10.7 13.3 11.7 11.5 13.2 19.0 20.8 27.3 11.1 42.9 40.0 15.7 35 to 39 years 11.0 10.3 12.7 17.9 8.7 8.7 8.7 7.1 16.6 2.1 36.4 - - - - 20.0 9.9 40 to 44 years 10.4 10.8 11.0 3.6 10.6 17.5 16.3 4.2 10.0 12.5 ------20.0 9.1 45 to 49 years 11.6 13.4 12.2 4.8 5.6 23.7 13.5 5.1 6.7 10.4 ------4.6 50 to 54 years 8.6 10.5 7.2 7.1 8.3 12.5 8.7 2.6 3.6 14.6 18.2 ------7.1 55 to 59 years 5.2 7.4 3.2 10.7 3.4 3.5 2.9 0.8 1.2 4.2 ------1.3 60 years and older 2.8 4.1 0.9 8.3 1.8 4.0 - - 0.3 0.2 2.1 ------1.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 17,994 10,094 3,241 84 623 401 104 1,322 1,645 48 11 9 7 10 395 Race/ethnicity White (non-Hispanic) 73.7 72.1 76.3 78.0 87.3 33.9 60.2 74.4 83.4 85.4 90.9 55.6 - - 60.0 72.4 Black (non-Hispanic) 11.5 12.2 8.0 14.6 6.3 60.0 28.2 13.1 1.9 6.3 - - 33.3 100.0 10.0 9.3 Hispanic origin 4.5 3.2 5.9 3.7 4.0 4.6 6.8 7.2 6.7 4.2 - - 11.1 - - 10.0 9.0 American Indian/Alaska Native 6.2 7.2 7.0 3.7 2.1 0.8 1.0 3.3 4.7 2.1 ------20.0 5.4 Asian/Pacific Islander 1.0 1.2 0.7 - - 0.3 - - 1.0 0.9 0.9 ------0.8 Other 3.1 4.1 2.1 - - - - 0.8 2.9 1.0 2.5 2.1 9.1 ------3.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 17,862 10,073 3,204 82 620 395 103 1,301 1,612 48 11 9 7 10 387 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

112 Table 3.25. Nevada admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 9,135 2,027 1,309 882 586 315 130 1,739 1,951 79 34 14 13 18 38 Gender Male 64.7 69.5 70.9 67.3 55.3 66.3 70.0 72.3 50.8 54.4 32.4 64.3 53.8 55.6 63.2 Female 35.3 30.5 29.1 32.7 44.7 33.7 30.0 27.7 49.2 45.6 67.6 35.7 46.2 44.4 36.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 9,135 2,027 1,309 882 586 315 130 1,739 1,951 79 34 14 13 18 38 Age at admission 12 to 19 years 18.3 6.7 14.8 12.0 10.6 0.3 10.8 55.4 7.2 12.7 17.6 42.9 15.4 72.2 42.1 20 to 24 years 15.3 7.2 11.3 39.8 19.6 2.9 14.6 19.0 13.1 20.3 14.7 14.3 - - - - 7.9 25 to 29 years 13.8 8.5 13.4 18.6 22.4 6.7 10.0 9.9 19.6 17.7 23.5 21.4 7.7 5.6 7.9 30 to 34 years 12.8 11.0 14.4 9.8 16.6 9.2 13.1 5.5 20.8 12.7 11.8 7.1 30.8 11.1 13.2 35 to 39 years 9.0 10.4 9.2 4.3 6.5 12.1 12.3 4.3 13.6 10.1 14.7 7.1 38.5 - - 2.6 40 to 44 years 9.1 13.5 10.8 3.7 6.7 17.5 11.5 2.1 11.5 10.1 - - - - 7.7 - - 5.3 45 to 49 years 9.6 16.7 10.8 4.0 6.3 28.3 14.6 2.0 8.6 7.6 11.8 - - - - 5.6 7.9 50 to 54 years 6.4 13.5 8.4 4.1 4.8 12.7 4.6 0.6 3.9 2.5 5.9 ------7.9 55 to 59 years 3.7 7.1 5.3 2.4 4.8 6.7 5.4 0.9 1.3 5.1 - - 7.1 - - 5.6 - - 60 years and older 2.0 5.6 1.4 1.4 1.9 3.8 3.1 0.2 0.4 1.3 ------5.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 9,135 2,027 1,309 882 586 315 130 1,739 1,951 79 34 14 13 18 38 Race/ethnicity White (non-Hispanic) 62.9 67.3 62.2 77.2 79.7 21.3 36.4 46.9 70.6 62.0 72.7 42.9 7.7 61.1 57.9 Black (non-Hispanic) 11.6 7.1 11.4 3.4 3.4 66.0 31.8 19.1 5.5 11.4 3.0 21.4 69.2 - - 5.3 Hispanic origin 16.3 18.2 16.8 10.7 9.3 7.6 21.7 21.7 15.0 19.0 12.1 7.1 7.7 33.3 5.3 American Indian/Alaska Native 2.1 2.9 4.2 1.5 1.9 0.3 0.8 1.5 1.3 ------2.6 Asian/Pacific Islander 1.4 1.1 1.2 1.5 1.2 1.0 3.9 1.4 1.8 2.5 3.0 7.1 ------Other 5.7 3.4 4.3 5.7 4.5 3.8 5.4 9.2 5.7 5.1 9.1 21.4 15.4 5.6 28.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 9,084 2,019 1,301 877 582 315 129 1,730 1,936 79 33 14 13 18 38 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

113 Table 3.26. New Hampshire admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 5,453 1,596 982 857 967 164 182 610 30 31 4 2 2 7 19 Gender Male 61.8 65.6 69.0 54.7 50.5 61.0 54.9 70.8 83.3 61.3 - - 50.0 - - 42.9 42.1 Female 38.2 34.4 31.0 45.3 49.5 39.0 45.1 29.2 16.7 38.7 100.0 50.0 100.0 57.1 57.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 5,453 1,596 982 857 967 164 182 610 30 31 4 2 2 7 19 Age at admission 12 to 19 years 8.5 1.6 7.4 4.1 7.9 - - 7.1 36.2 6.7 32.3 25.0 100.0 - - 28.6 26.3 20 to 24 years 19.0 8.7 18.0 30.1 29.4 4.9 14.3 21.6 20.0 9.7 ------21.1 25 to 29 years 19.8 9.3 16.9 35.1 27.9 21.3 25.3 15.9 33.3 12.9 - - - - 50.0 - - 21.1 30 to 34 years 12.7 10.2 13.7 15.3 14.3 19.5 14.3 9.3 23.3 9.7 ------10.5 35 to 39 years 9.3 10.7 9.5 7.6 8.5 12.2 14.8 6.6 6.7 19.4 ------42.9 5.3 40 to 44 years 9.8 14.4 11.0 4.1 5.4 26.8 13.7 5.4 6.7 6.5 25.0 - - 50.0 28.6 5.3 45 to 49 years 8.7 17.2 10.1 3.0 3.4 7.9 4.4 3.0 3.3 ------5.3 50 to 54 years 7.3 15.4 9.8 0.7 2.2 4.9 6.0 1.1 - - 3.2 ------5.3 55 to 59 years 2.7 6.5 3.0 - - 0.8 2.4 - - 0.2 - - - - 50.0 ------60 years and older 2.0 6.0 0.6 - - 0.3 - - - - 0.7 - - 6.5 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 5,453 1,596 982 857 967 164 182 610 30 31 4 2 2 7 19 Race/ethnicity White (non-Hispanic) 94.4 94.6 94.2 95.7 95.9 88.4 95.6 91.3 86.7 100.0 75.0 100.0 100.0 85.7 100.0 Black (non-Hispanic) 1.0 0.8 1.1 0.2 0.3 5.5 0.6 2.5 3.3 ------Hispanic origin 2.2 2.1 1.8 2.7 1.9 4.3 1.7 2.5 6.7 ------14.3 - - American Indian/Alaska Native 0.6 0.4 0.7 0.1 0.7 0.6 0.6 1.0 ------Asian/Pacific Islander 0.3 0.4 0.3 0.2 ------0.7 ------Other 1.6 1.7 1.8 1.1 1.2 1.2 1.7 2.1 3.3 - - 25.0 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 5,450 1,596 981 857 966 164 181 610 30 31 4 2 2 7 19 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

114 Table 3.27. New Jersey admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 71,855 13,257 8,556 22,637 8,690 2,642 2,008 11,757 271 1,011 32 36 670 11 277 Gender Male 67.5 69.6 70.5 64.7 64.7 53.4 71.2 75.2 74.1 54.0 28.1 75.0 50.7 45.5 61.4 Female 32.5 30.4 29.5 35.3 35.3 46.6 28.8 24.8 25.9 46.0 71.9 25.0 49.3 54.5 38.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 71,847 13,256 8,556 22,633 8,690 2,642 2,008 11,755 270 1,011 32 36 670 11 277 Age at admission 12 to 19 years 9.2 2.0 6.2 3.6 6.9 0.9 2.5 35.0 11.1 8.2 15.6 38.9 4.2 27.3 10.5 20 to 24 years 19.0 7.9 15.4 21.5 32.9 4.2 9.1 23.5 24.7 24.4 21.9 27.8 21.5 9.1 16.6 25 to 29 years 16.2 9.6 15.0 18.4 21.4 9.3 15.6 16.7 18.5 17.4 - - 8.3 36.4 9.1 18.1 30 to 34 years 13.0 10.6 13.8 13.4 14.9 13.9 16.2 11.1 17.7 14.7 15.6 - - 27.3 18.2 20.2 35 to 39 years 9.2 11.1 10.2 9.4 7.3 12.5 13.7 6.0 12.5 7.8 12.5 5.6 7.2 27.3 11.2 40 to 44 years 10.7 14.2 12.2 12.1 6.2 21.8 16.4 3.7 5.5 7.7 3.1 11.1 2.2 9.1 9.4 45 to 49 years 10.3 16.9 13.3 10.7 4.2 21.1 13.8 2.0 5.5 8.5 3.1 2.8 1.0 - - 6.5 50 to 54 years 7.2 14.3 8.8 6.7 3.5 11.5 8.1 1.3 3.0 5.3 12.5 5.6 0.1 - - 2.9 55 to 59 years 3.5 8.4 3.6 3.2 1.6 3.4 3.3 0.5 1.1 3.4 9.4 ------1.8 60 years and older 1.7 5.1 1.5 1.0 1.0 1.4 1.3 0.2 0.4 2.5 6.3 ------2.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 71,855 13,257 8,556 22,637 8,690 2,642 2,008 11,757 271 1,011 32 36 670 11 277 Race/ethnicity White (non-Hispanic) 62.3 70.9 62.3 64.2 89.2 36.2 53.4 36.4 65.7 87.8 90.6 83.3 15.2 90.9 64.6 Black (non-Hispanic) 22.4 13.8 24.2 21.0 4.3 50.4 25.3 40.3 14.4 5.2 - - 8.3 51.5 - - 19.5 Hispanic origin 13.0 12.7 11.7 13.0 5.1 11.9 18.5 19.5 15.9 5.4 9.4 8.3 29.3 9.1 12.6 American Indian/Alaska Native 0.1 0.2 0.2 0.1 0.1 0.1 0.1 0.1 - - 0.1 ------Asian/Pacific Islander 0.6 1.2 0.5 0.3 0.4 0.2 0.5 0.9 3.0 0.3 ------0.7 Other 1.6 1.3 1.2 1.4 0.9 1.2 2.2 2.8 1.1 1.1 - - - - 4.0 - - 2.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 71,855 13,257 8,556 22,637 8,690 2,642 2,008 11,757 271 1,011 32 36 670 11 277 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

115 Table 3.28. New Mexico admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 8,927 2,827 988 365 434 64 183 662 777 12 13 3 - - 14 2,585 Gender Male 67.8 73.0 73.2 58.2 58.1 51.6 75.4 75.3 53.8 91.7 53.8 33.3 - - 50.0 59.0 Female 32.2 27.0 26.8 41.8 41.9 48.4 24.6 24.7 46.2 8.3 46.2 66.7 - - 50.0 41.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 7,061 2,823 987 364 434 64 183 653 777 12 13 3 - - 14 734 Age at admission 12 to 19 years 3.6 1.7 2.5 3.8 3.5 - - 1.1 12.5 2.3 - - - - 33.3 - - 28.6 4.3 20 to 24 years 15.3 12.2 15.8 21.1 22.4 7.8 20.8 29.8 12.4 16.7 23.1 33.3 - - 21.4 13.5 25 to 29 years 18.4 17.0 20.5 22.7 18.0 15.6 24.0 17.2 21.4 8.3 30.8 33.3 - - 7.1 17.7 30 to 34 years 15.9 13.7 15.8 20.8 15.4 9.4 13.7 13.4 20.7 33.3 7.7 - - - - 21.4 17.1 35 to 39 years 12.2 12.6 12.7 8.8 11.1 21.9 14.8 8.3 15.4 - - 7.7 ------12.0 40 to 44 years 10.7 11.9 9.5 5.8 9.7 17.2 9.3 4.4 10.4 16.7 7.7 - - - - 7.1 12.4 45 to 49 years 10.8 13.3 11.7 5.2 7.6 9.4 8.2 3.8 10.8 8.3 7.7 - - - - 14.3 11.2 50 to 54 years 6.9 9.3 5.9 4.4 7.4 14.1 4.9 5.9 5.1 8.3 ------5.9 55 to 59 years 3.9 5.4 4.4 4.7 3.9 3.1 1.6 2.9 1.0 8.3 ------3.4 60 years and older 2.3 3.1 1.2 2.7 1.2 1.6 1.6 1.8 0.4 - - 15.4 ------2.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 8,927 2,827 988 365 434 64 183 662 777 12 13 3 - - 14 2,585 Race/ethnicity White (non-Hispanic) 30.5 22.7 26.0 24.5 33.1 33.3 20.0 36.4 49.5 58.3 30.8 100.0 - - 7.1 46.0 Black (non-Hispanic) 1.4 1.0 0.9 1.6 - - 7.9 4.4 3.3 1.1 - - 7.7 ------1.3 Hispanic origin 45.6 42.5 40.8 70.1 60.2 54.0 66.7 47.2 43.4 25.0 46.2 - - - - 57.1 37.6 American Indian/Alaska Native 16.4 25.9 25.9 2.7 2.9 - - - - 6.7 2.8 16.7 ------21.4 10.2 Asian/Pacific Islander 0.3 0.4 0.3 ------0.3 0.8 ------Other 5.8 7.4 6.2 1.1 3.8 4.8 8.9 6.1 2.5 - - 15.4 - - - - 14.3 4.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 6,946 2,792 974 364 420 63 180 657 758 12 13 3 - - 14 696 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

116 Table 3.29. New York admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 304,429 56,817 74,552 56,702 23,978 22,369 11,849 50,512 1,129 3,943 532 163 1,093 57 733 Gender Male 74.8 76.3 79.0 75.5 63.1 64.9 75.3 76.9 77.5 66.5 42.7 81.6 72.3 63.2 69.3 Female 25.2 23.7 21.0 24.5 36.9 35.1 24.7 23.1 22.5 33.5 57.3 18.4 27.7 36.8 30.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 304,429 56,817 74,552 56,702 23,978 22,369 11,849 50,512 1,129 3,943 532 163 1,093 57 733 Age at admission 12 to 19 years 6.6 1.4 2.8 2.1 7.1 0.5 2.3 26.4 9.0 6.0 5.3 25.8 4.1 19.3 12.4 20 to 24 years 12.5 5.4 7.7 14.0 28.3 3.4 8.2 23.3 21.9 12.7 8.8 27.6 16.6 8.8 21.4 25 to 29 years 12.6 7.9 9.6 14.4 22.7 6.6 12.7 17.3 20.4 14.4 7.7 21.5 23.4 12.3 20.3 30 to 34 years 11.5 9.1 10.6 12.9 14.6 9.3 14.0 12.4 14.7 13.7 8.1 10.4 21.5 29.8 15.6 35 to 39 years 9.5 9.3 10.3 10.1 7.7 11.1 12.3 7.3 11.8 8.5 5.5 7.4 12.2 1.8 5.9 40 to 44 years 13.3 13.5 16.8 14.5 6.1 22.2 16.5 5.7 9.5 11.4 7.5 1.8 9.8 3.5 6.5 45 to 49 years 14.9 18.2 20.1 14.7 5.1 24.9 16.9 4.2 6.6 11.6 9.6 3.7 9.0 15.8 7.6 50 to 54 years 10.6 16.1 13.7 9.7 4.0 15.2 10.7 2.2 4.0 9.7 7.7 0.6 2.9 7.0 5.0 55 to 59 years 5.3 10.0 5.8 5.2 2.6 4.9 4.5 0.8 1.2 8.0 7.3 0.6 0.5 1.8 3.1 60 years and older 3.3 9.1 2.6 2.6 1.7 2.0 2.0 0.3 1.1 4.1 32.5 0.6 - - - - 2.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 304,429 56,817 74,552 56,702 23,978 22,369 11,849 50,512 1,129 3,943 532 163 1,093 57 733 Race/ethnicity White (non-Hispanic) 45.1 54.8 38.8 45.5 87.6 28.7 37.8 29.3 66.7 70.7 84.4 76.1 14.0 77.2 69.4 Black (non-Hispanic) 31.7 22.3 41.2 19.7 4.1 57.2 34.7 45.0 16.1 8.1 5.8 9.8 51.7 7.0 11.3 Hispanic origin 20.0 18.3 17.2 32.3 5.8 12.0 24.6 22.0 12.1 18.3 7.3 12.3 31.7 12.3 12.0 American Indian/Alaska Native 0.6 0.7 0.7 0.3 0.7 0.5 0.5 0.6 0.7 0.5 0.2 - - 0.3 - - 0.5 Asian/Pacific Islander 0.6 1.2 0.4 0.3 0.5 0.3 0.5 0.5 2.1 0.5 0.4 1.2 0.1 1.8 1.9 Other 2.0 2.8 1.7 1.8 1.4 1.4 1.8 2.5 2.2 2.0 1.9 0.6 2.3 1.8 4.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 304,429 56,817 74,552 56,702 23,978 22,369 11,849 50,512 1,129 3,943 532 163 1,093 57 733 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

117 Table 3.30. North Carolina admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 61,488 10,952 12,516 2,264 9,092 5,735 2,293 12,822 1,120 796 272 84 28 126 3,388 Gender Male 67.8 75.9 70.5 64.1 54.5 56.3 63.6 75.6 53.8 49.2 46.1 71.4 67.9 70.6 72.4 Female 32.2 24.1 29.5 35.9 45.5 43.7 36.4 24.4 46.2 50.8 53.9 28.6 32.1 29.4 27.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 61,486 10,951 12,516 2,264 9,092 5,735 2,293 12,822 1,120 796 271 84 28 126 3,388 Age at admission 12 to 19 years 6.0 1.8 1.8 2.2 3.9 0.5 2.8 20.1 2.8 6.3 1.8 9.5 3.6 5.6 2.9 20 to 24 years 15.0 7.3 8.1 20.5 21.2 5.0 12.2 29.0 17.4 17.0 16.5 21.4 35.7 17.5 8.7 25 to 29 years 16.3 10.4 12.1 25.8 26.4 10.4 16.4 19.8 22.1 17.2 12.9 17.9 35.7 23.8 10.7 30 to 34 years 14.0 11.3 13.0 18.6 17.4 13.2 17.5 12.9 21.0 20.7 22.1 26.2 7.1 17.5 12.8 35 to 39 years 11.5 12.7 12.6 12.4 11.2 14.8 14.6 7.3 15.1 11.3 10.3 6.0 3.6 13.5 10.5 40 to 44 years 12.0 14.9 15.6 8.8 8.0 19.2 14.6 4.9 11.1 7.2 14.0 9.5 - - 3.2 16.9 45 to 49 years 11.3 16.8 16.7 4.2 5.9 18.4 10.7 3.1 6.5 7.5 9.9 1.2 3.6 3.2 15.5 50 to 54 years 8.3 13.2 12.4 4.0 3.8 11.6 7.5 1.9 2.7 7.7 6.6 3.6 - - 9.5 13.3 55 to 59 years 3.8 7.0 5.5 2.8 1.5 4.8 2.6 0.6 0.9 3.0 5.1 1.2 10.7 5.6 6.3 60 years and older 1.9 4.6 2.2 0.8 0.8 2.0 1.2 0.3 0.5 2.1 0.7 3.6 - - 0.8 2.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 61,488 10,952 12,516 2,264 9,092 5,735 2,293 12,822 1,120 796 272 84 28 126 3,388 Race/ethnicity White (non-Hispanic) 62.9 66.0 66.1 85.9 92.4 45.6 52.2 42.6 93.9 92.2 85.3 75.0 32.1 80.2 40.7 Black (non-Hispanic) 31.8 27.6 29.3 10.2 3.5 49.1 42.0 50.7 2.0 3.8 6.6 20.2 60.7 13.5 56.7 Hispanic origin 1.9 3.1 1.7 2.2 1.2 1.0 1.2 2.4 1.3 0.8 2.2 1.2 - - 5.6 1.4 American Indian/Alaska Native 2.0 1.9 1.8 0.8 2.1 3.7 2.8 2.1 1.7 1.6 2.6 - - - - 0.8 0.6 Asian/Pacific Islander 0.2 0.2 0.2 0.4 0.2 0.1 0.3 0.4 0.4 0.8 ------0.1 Other 1.0 1.1 0.9 0.6 0.7 0.5 1.4 1.7 0.7 0.9 3.3 3.6 7.1 - - 0.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 61,468 10,950 12,512 2,263 9,088 5,734 2,292 12,816 1,120 796 272 84 28 126 3,387 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

118 Table 3.31. North Dakota admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 2,325 819 497 9 159 9 3 639 159 5 1 3 - - 3 19 Gender Male 62.1 63.9 63.0 77.8 46.8 50.0 66.7 67.6 44.7 40.0 100.0 100.0 - - 66.7 42.1 Female 37.9 36.1 37.0 22.2 53.2 50.0 33.3 32.4 55.3 60.0 ------33.3 57.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 2,314 814 497 9 158 8 3 635 159 5 1 3 - - 3 19 Age at admission 12 to 19 years 17.8 6.8 13.3 22.2 6.9 - - - - 41.5 3.8 20.0 ------66.7 26.3 20 to 24 years 18.2 10.7 20.3 22.2 20.8 - - - - 26.4 16.4 40.0 - - 66.7 - - - - 5.3 25 to 29 years 15.9 12.7 17.3 33.3 25.2 22.2 - - 13.5 27.7 ------26.3 30 to 34 years 12.5 12.2 15.1 - - 18.9 11.1 - - 7.5 18.2 40.0 - - 33.3 - - 33.3 21.1 35 to 39 years 9.0 12.2 9.5 22.2 7.5 11.1 - - 4.2 13.2 ------40 to 44 years 8.0 11.8 8.9 - - 7.5 11.1 - - 2.2 9.4 ------15.8 45 to 49 years 7.6 11.2 8.5 - - 8.2 - - 66.7 3.1 5.0 ------50 to 54 years 6.1 11.8 4.8 - - 3.8 22.2 33.3 0.8 3.8 ------5.3 55 to 59 years 3.3 6.8 1.6 - - 1.3 22.2 - - 0.6 2.5 ------60 years and older 1.5 3.5 0.8 ------0.2 - - - - 100.0 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 2,325 819 497 9 159 9 3 639 159 5 1 3 - - 3 19 Race/ethnicity White (non-Hispanic) 73.2 76.1 67.1 77.8 71.1 55.6 100.0 72.5 84.3 60.0 100.0 66.7 - - 33.3 63.2 Black (non-Hispanic) 1.8 1.6 1.6 - - 1.9 22.2 - - 2.5 ------Hispanic origin 1.8 1.5 1.6 11.1 - - 11.1 - - 2.0 2.5 20.0 - - 33.3 ------American Indian/Alaska Native 21.0 19.0 27.0 11.1 23.3 11.1 - - 20.3 12.6 20.0 ------33.3 36.8 Asian/Pacific Islander 0.6 0.6 0.6 - - 1.3 - - - - 0.6 ------Other 1.7 1.2 2.0 - - 2.5 - - - - 2.0 0.6 ------33.3 - - Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 2,322 819 496 9 159 9 3 637 159 5 1 3 - - 3 19 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

119 Table 3.32. Ohio admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 64,780 10,186 11,691 9,263 7,562 4,137 1,207 15,887 570 408 93 60 89 54 3,573 Gender Male 61.6 69.1 68.6 51.5 46.1 46.6 56.3 71.2 50.4 39.0 44.1 76.7 56.2 61.1 56.2 Female 38.4 30.9 31.4 48.5 53.9 53.4 43.7 28.8 49.6 61.0 55.9 23.3 43.8 38.9 43.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 64,779 10,186 11,691 9,262 7,562 4,137 1,207 15,887 570 408 93 60 89 54 3,573 Age at admission 12 to 19 years 14.4 6.0 8.1 4.0 5.1 0.8 3.4 36.3 8.2 9.8 16.1 23.3 1.1 48.1 28.0 20 to 24 years 17.5 11.4 14.6 23.5 21.0 5.2 10.4 23.0 18.1 19.1 15.1 26.7 1.1 13.0 14.0 25 to 29 years 17.6 12.0 14.3 28.6 27.2 8.3 19.0 15.5 20.2 25.0 12.9 20.0 23.6 14.8 14.4 30 to 34 years 14.3 12.9 13.7 18.7 19.7 12.7 17.1 10.6 23.2 19.1 15.1 15.0 40.4 3.7 12.1 35 to 39 years 9.8 11.9 11.5 9.3 10.4 14.3 15.6 5.8 12.1 6.4 9.7 - - 21.3 7.4 8.3 40 to 44 years 8.6 12.9 11.7 5.6 6.1 19.0 12.4 3.9 9.1 6.4 8.6 10.0 3.4 3.7 6.9 45 to 49 years 7.8 13.5 12.2 3.7 4.6 18.5 7.6 2.5 6.3 7.8 6.5 5.0 1.1 5.6 6.7 50 to 54 years 6.0 10.7 8.9 3.3 3.6 14.1 9.0 1.5 2.5 4.4 15.1 - - 6.7 1.9 4.6 55 to 59 years 2.9 5.8 3.6 2.3 1.9 5.4 4.0 0.7 0.4 1.5 1.1 - - - - 1.9 3.0 60 years and older 1.2 2.9 1.3 0.9 0.6 1.6 1.5 0.2 - - 0.5 - - - - 1.1 - - 1.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 64,780 10,186 11,691 9,263 7,562 4,137 1,207 15,887 570 408 93 60 89 54 3,573 Race/ethnicity White (non-Hispanic) 72.4 81.3 69.6 91.6 94.9 43.5 66.2 54.0 95.1 94.8 88.0 91.5 11.2 92.3 70.6 Black (non-Hispanic) 25.0 15.8 27.9 5.7 3.8 54.1 30.3 42.8 3.9 3.7 10.9 6.8 88.8 3.8 27.1 Hispanic origin 1.8 2.0 1.6 2.2 0.9 1.5 2.8 2.2 0.9 1.5 - - 1.7 - - 3.8 1.3 American Indian/Alaska Native 0.2 0.2 0.3 0.1 0.2 0.3 - - 0.1 ------0.1 Asian/Pacific Islander 0.2 0.4 0.2 0.1 0.2 0.1 0.2 0.1 0.2 - - 1.1 ------0.3 Other 0.4 0.3 0.4 0.3 0.1 0.5 0.5 0.7 ------0.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 64,247 10,127 11,627 9,178 7,522 4,102 1,197 15,702 566 407 92 59 89 52 3,527 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

120 Table 3.33. Oklahoma admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 13,647 2,519 1,974 225 1,486 309 268 2,833 2,687 171 94 11 74 9 987 Gender Male 57.2 69.5 62.3 59.1 49.7 47.2 59.3 64.1 49.1 43.9 40.4 81.8 55.4 33.3 35.1 Female 42.8 30.5 37.7 40.9 50.3 52.8 40.7 35.9 50.9 56.1 59.6 18.2 44.6 66.7 64.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,647 2,519 1,974 225 1,486 309 268 2,833 2,687 171 94 11 74 9 987 Age at admission 12 to 19 years 9.3 3.3 5.1 4.9 3.8 1.0 3.4 29.0 2.8 7.0 9.6 27.3 2.7 22.2 8.1 20 to 24 years 14.6 7.3 12.9 36.4 20.3 4.2 8.6 19.8 13.5 17.0 23.4 18.2 21.6 - - 14.7 25 to 29 years 19.2 12.6 20.1 26.7 27.3 7.1 10.4 18.9 23.7 21.1 23.4 18.2 32.4 33.3 13.1 30 to 34 years 16.1 13.3 18.0 15.6 16.8 10.0 13.1 12.5 22.7 16.4 16.0 18.2 20.3 22.2 13.2 35 to 39 years 10.9 11.4 13.5 4.9 10.7 10.7 13.1 7.7 12.7 11.1 5.3 - - 12.2 - - 10.2 40 to 44 years 9.9 14.1 10.1 5.8 7.6 20.7 17.9 4.7 11.8 9.4 6.4 - - 2.7 - - 8.3 45 to 49 years 8.6 14.8 10.1 3.1 6.3 20.7 16.8 3.4 7.3 10.5 9.6 9.1 4.1 - - 7.6 50 to 54 years 6.5 13.5 6.7 1.8 4.9 17.2 11.9 2.4 4.0 4.7 4.3 - - 2.7 - - 6.5 55 to 59 years 3.1 6.8 2.3 - - 2.1 5.5 3.7 1.2 1.3 2.3 2.1 - - - - 22.2 6.8 60 years and older 1.8 2.8 1.2 0.9 0.3 2.9 1.1 0.3 0.3 0.6 - - 9.1 1.4 - - 11.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,647 2,519 1,974 225 1,486 309 268 2,833 2,687 171 94 11 74 9 987 Race/ethnicity White (non-Hispanic) 67.9 69.1 63.4 85.8 84.5 27.5 48.5 54.4 78.7 77.8 74.5 27.3 6.8 33.3 75.4 Black (non-Hispanic) 12.7 8.8 13.8 2.2 2.9 61.5 33.6 24.3 1.6 5.8 2.1 63.6 81.1 - - 10.1 Hispanic origin 3.9 4.2 3.6 3.1 2.2 2.6 6.0 5.9 2.8 1.8 5.3 9.1 6.8 11.1 3.2 American Indian/Alaska Native 10.1 12.8 13.3 6.2 6.4 5.2 6.0 8.7 11.0 9.4 13.8 - - 1.4 55.6 7.6 Asian/Pacific Islander 0.4 0.8 0.4 0.9 0.2 0.6 0.4 0.4 0.3 0.6 ------0.3 Other 5.0 4.3 5.4 1.8 3.8 2.6 5.6 6.3 5.6 4.7 4.3 - - 4.1 - - 3.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,647 2,519 1,974 225 1,486 309 268 2,833 2,687 171 94 11 74 9 987 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

121 Table 3.34. Oregon admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 48,136 15,026 8,922 5,187 2,617 437 251 8,557 6,705 16 239 61 3 29 86 Gender Male 64.0 68.8 69.4 62.8 43.3 62.2 68.5 70.2 48.6 43.8 35.6 67.2 66.7 55.2 58.1 Female 36.0 31.2 30.6 37.2 56.7 37.8 31.5 29.8 51.4 56.3 64.4 32.8 33.3 44.8 41.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 48,136 15,026 8,922 5,187 2,617 437 251 8,557 6,705 16 239 61 3 29 86 Age at admission 12 to 19 years 13.9 3.8 8.6 6.7 5.8 1.6 16.7 50.2 6.1 - - 5.9 59.0 - - 62.1 38.4 20 to 24 years 16.9 13.1 18.7 28.7 16.7 5.0 16.3 16.9 15.6 12.5 12.1 16.4 - - 10.3 8.1 25 to 29 years 16.5 14.7 16.7 21.6 23.9 6.4 17.9 11.6 20.3 37.5 19.7 8.2 - - 3.4 11.6 30 to 34 years 13.4 12.4 13.5 14.8 18.8 12.8 14.3 8.0 19.4 12.5 18.0 8.2 - - 13.8 4.7 35 to 39 years 9.8 11.1 10.8 8.3 10.4 11.2 9.6 4.7 13.1 - - 9.2 3.3 33.3 - - 5.8 40 to 44 years 8.9 12.0 9.9 5.5 7.8 18.3 10.0 2.7 11.2 6.3 9.2 1.6 33.3 - - 10.5 45 to 49 years 8.1 11.7 9.2 4.5 6.8 19.9 6.0 2.4 8.1 18.8 8.8 - - - - 10.3 8.1 50 to 54 years 6.4 10.0 7.4 5.0 4.5 14.9 4.0 2.0 4.2 - - 5.0 ------3.5 55 to 59 years 3.5 6.0 3.2 3.3 3.4 7.3 4.0 1.1 1.5 6.3 5.0 1.6 33.3 - - 5.8 60 years and older 2.5 5.3 1.9 1.7 1.8 2.5 1.2 0.4 0.5 6.3 7.1 1.6 - - - - 3.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 48,136 15,026 8,922 5,187 2,617 437 251 8,557 6,705 16 239 61 3 29 86 Race/ethnicity White (non-Hispanic) 78.0 77.7 77.3 87.2 87.9 36.2 55.0 69.6 82.5 100.0 86.6 68.9 33.3 62.1 76.7 Black (non-Hispanic) 4.0 2.5 4.3 3.1 2.7 54.5 20.7 6.0 1.7 - - 4.6 8.2 33.3 - - 5.8 Hispanic origin 9.1 11.0 7.7 3.5 3.8 1.8 15.1 14.6 6.8 - - 1.7 8.2 - - 27.6 4.7 American Indian/Alaska Native 5.4 5.0 7.7 3.0 3.5 3.0 3.6 5.5 5.9 - - 2.5 4.9 33.3 10.3 3.5 Asian/Pacific Islander 1.6 2.2 1.2 1.1 0.9 1.6 2.4 1.5 1.3 - - 0.4 4.9 - - - - 3.5 Other 1.9 1.6 1.7 2.0 1.2 3.0 3.2 2.8 1.7 - - 4.2 4.9 - - - - 5.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 48,136 15,026 8,922 5,187 2,617 437 251 8,557 6,705 16 239 61 3 29 86 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

122 Table 3.35. Pennsylvania admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 51,858 11,842 7,576 10,687 6,493 3,095 1,735 8,411 235 444 146 111 177 25 881 Gender Male 68.0 72.4 71.2 64.7 61.0 52.0 68.0 75.6 64.3 52.7 47.3 68.5 58.8 64.0 70.0 Female 32.0 27.6 28.8 35.3 39.0 48.0 32.0 24.4 35.7 47.3 52.7 31.5 41.2 36.0 30.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 51,858 11,842 7,576 10,687 6,493 3,095 1,735 8,411 235 444 146 111 177 25 881 Age at admission 12 to 19 years 10.1 3.6 6.6 3.8 7.0 0.8 3.4 36.5 11.1 12.6 14.4 20.7 2.8 40.0 16.7 20 to 24 years 18.7 11.0 14.5 25.5 25.9 5.6 12.5 24.7 11.9 20.5 19.9 29.7 24.3 4.0 21.8 25 to 29 years 18.9 12.9 16.1 29.0 26.6 9.0 16.7 14.8 19.1 21.2 20.5 24.3 32.2 16.0 20.0 30 to 34 years 14.1 12.2 14.1 17.9 16.2 12.8 17.0 9.4 23.0 19.4 15.1 9.0 18.6 20.0 14.1 35 to 39 years 9.6 11.0 11.4 8.6 8.1 14.9 16.0 5.7 9.4 6.1 3.4 6.3 15.8 12.0 8.5 40 to 44 years 9.4 13.0 12.8 6.4 5.8 20.1 13.0 3.8 11.9 7.9 4.8 4.5 2.3 - - 6.7 45 to 49 years 8.9 14.8 12.3 4.2 5.0 19.6 11.4 2.6 8.1 5.9 8.2 4.5 1.7 4.0 5.3 50 to 54 years 6.2 11.8 8.1 2.8 3.2 11.8 6.4 1.7 3.0 4.3 6.2 0.9 1.7 4.0 3.7 55 to 59 years 2.7 5.9 3.0 1.3 1.5 3.8 2.7 0.6 2.1 1.6 5.5 - - 0.6 - - 1.8 60 years and older 1.4 3.7 1.1 0.5 0.6 1.6 0.9 0.2 0.4 0.7 2.1 ------1.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 51,858 11,842 7,576 10,687 6,493 3,095 1,735 8,411 235 444 146 111 177 25 881 Race/ethnicity White (non-Hispanic) 78.4 84.3 75.3 86.7 94.6 50.6 66.3 62.6 94.4 89.7 82.9 79.4 23.2 100.0 77.1 Black (non-Hispanic) 14.6 10.0 18.2 4.4 3.1 43.5 22.4 27.5 1.3 5.3 10.7 13.1 54.2 - - 16.7 Hispanic origin 5.7 4.3 5.2 7.9 1.4 4.8 9.3 8.0 2.1 4.1 3.6 4.7 20.9 - - 4.5 American Indian/Alaska Native 0.3 0.4 0.5 0.2 0.3 0.3 0.4 0.3 0.4 0.2 ------0.3 Asian/Pacific Islander 0.3 0.3 0.3 0.2 0.2 0.2 0.5 0.4 0.4 - - - - 2.8 0.6 - - 0.4 Other 0.7 0.7 0.5 0.6 0.4 0.6 1.0 1.2 1.3 0.7 2.9 - - 1.1 - - 0.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 50,391 11,363 7,429 10,519 6,365 3,052 1,693 8,164 233 438 140 107 177 24 687 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

123 Table 3.36. Puerto Rico admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 1,943 872 198 488 24 48 53 199 1 12 5 ------43 Gender Male 91.7 94.0 90.4 91.2 75.0 83.3 92.5 93.5 100.0 91.7 80.0 ------67.4 Female 8.3 6.0 9.6 8.8 25.0 16.7 7.5 6.5 - - 8.3 20.0 ------32.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 ------100.0 No. of admissions 1,943 872 198 488 24 48 53 199 1 12 5 ------43 Age at admission 12 to 19 years 2.7 1.3 1.5 0.8 - - 2.1 3.8 14.6 - - 8.3 ------2.3 20 to 24 years 11.3 7.3 6.1 5.3 - - 18.8 20.8 46.7 - - 16.7 20.0 ------4.7 25 to 29 years 13.9 10.2 16.2 15.8 16.7 22.9 26.4 15.6 - - 25.0 40.0 ------16.3 30 to 34 years 15.9 12.5 11.6 24.0 20.8 25.0 17.0 10.1 - - 25.0 20.0 ------20.9 35 to 39 years 12.8 10.1 14.6 20.5 20.8 4.2 9.4 5.5 100.0 ------18.6 40 to 44 years 11.8 12.7 10.6 12.7 20.8 14.6 11.3 4.0 - - 8.3 ------18.6 45 to 49 years 11.2 14.3 14.6 9.8 16.7 6.3 7.5 0.5 - - 8.3 ------4.7 50 to 54 years 7.8 10.4 10.6 5.7 4.2 4.2 1.9 1.5 - - - - 20.0 ------7.0 55 to 59 years 6.0 9.1 7.1 4.5 - - 2.1 - - 0.5 ------60 years and older 6.7 12.0 7.1 0.8 - - - - 1.9 1.0 - - 8.3 ------7.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 ------100.0 No. of admissions 1,943 872 198 488 24 48 53 199 1 12 5 ------43 Race/ethnicity White (non-Hispanic) 0.1 - - - - 0.4 ------Black (non-Hispanic) ------Hispanic origin 99.7 100.0 100.0 99.2 95.8 100.0 100.0 100.0 100.0 100.0 100.0 ------100.0 American Indian/Alaska Native ------Asian/Pacific Islander ------Other 0.2 - - - - 0.4 4.2 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 ------100.0 No. of admissions 1,932 871 198 483 24 48 52 197 1 12 5 ------41 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

124 Table 3.37. Rhode Island admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 11,080 2,772 1,575 2,483 1,527 573 273 1,510 24 98 8 7 1 2 227 Gender Male 69.5 70.0 75.3 70.2 62.5 53.9 67.8 76.8 54.2 51.0 50.0 85.7 - - 50.0 64.8 Female 30.5 30.0 24.7 29.8 37.5 46.1 32.2 23.2 45.8 49.0 50.0 14.3 100.0 50.0 35.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 11,080 2,772 1,575 2,483 1,527 573 273 1,510 24 98 8 7 1 2 227 Age at admission 12 to 19 years 7.1 1.6 4.1 1.0 3.2 0.9 2.9 35.7 - - 12.2 - - 42.9 - - - - 18.9 20 to 24 years 14.0 6.9 12.5 15.9 18.1 4.9 12.1 25.2 8.3 21.4 25.0 14.3 - - - - 12.3 25 to 29 years 15.3 8.5 14.1 18.7 22.8 12.9 12.1 17.2 33.3 15.3 12.5 - - - - 50.0 13.7 30 to 34 years 14.3 11.4 13.8 18.7 18.1 17.1 17.9 8.2 8.3 13.3 - - 14.3 - - - - 10.1 35 to 39 years 11.4 10.5 13.5 14.6 10.6 15.5 16.5 4.6 16.7 10.2 25.0 14.3 - - - - 6.2 40 to 44 years 12.8 16.6 14.9 12.8 9.7 19.5 12.5 4.2 25.0 9.2 12.5 - - 100.0 50.0 14.1 45 to 49 years 11.1 17.2 13.3 10.3 5.8 15.0 13.6 2.5 8.3 9.2 12.5 ------10.6 50 to 54 years 8.4 14.0 9.5 5.6 7.9 10.8 7.7 1.7 - - 6.1 12.5 14.3 - - - - 8.4 55 to 59 years 3.6 8.4 3.2 1.9 2.1 1.9 3.3 0.5 ------2.6 60 years and older 2.0 4.9 1.1 0.6 1.6 1.4 1.5 0.2 - - 3.1 ------3.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 11,080 2,772 1,575 2,483 1,527 573 273 1,510 24 98 8 7 1 2 227 Race/ethnicity White (non-Hispanic) 79.5 84.5 76.6 81.1 91.6 65.5 71.4 63.2 95.5 94.9 87.5 100.0 100.0 100.0 80.0 Black (non-Hispanic) 7.1 5.5 10.9 3.7 2.1 18.3 11.5 12.7 ------7.0 Hispanic origin 10.5 7.1 9.0 14.2 4.2 9.8 12.2 19.4 4.5 3.1 12.5 ------10.3 American Indian/Alaska Native 0.8 0.7 1.0 0.3 0.4 3.6 0.4 1.2 ------Asian/Pacific Islander 0.7 1.0 0.7 0.2 0.5 0.2 0.4 1.3 - - 2.0 ------1.1 Other 1.4 1.2 1.8 0.4 1.1 2.7 4.2 2.2 ------1.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 10,771 2,691 1,535 2,455 1,507 562 262 1,436 22 98 8 7 1 2 185 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

125 Table 3.38. South Carolina admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 19,205 5,152 3,870 244 2,053 1,131 532 5,231 622 166 103 8 - - 13 80 Gender Male 65.0 75.3 72.0 66.4 45.1 45.6 55.5 66.8 42.9 36.1 42.7 75.0 - - 53.8 62.5 Female 35.0 24.7 28.0 33.6 54.9 54.4 44.5 33.2 57.1 63.9 57.3 25.0 - - 46.2 37.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 19,205 5,152 3,870 244 2,053 1,131 532 5,231 622 166 103 8 - - 13 80 Age at admission 12 to 19 years 17.2 4.0 8.6 5.3 4.2 1.4 2.8 48.0 7.2 7.2 17.5 25.0 - - 46.2 40.0 20 to 24 years 12.9 6.7 12.0 18.0 16.9 5.0 10.2 18.9 17.2 21.1 18.4 25.0 - - 23.1 15.0 25 to 29 years 14.6 10.2 13.9 26.2 26.0 11.5 19.4 13.5 24.3 18.1 15.5 12.5 - - 7.7 10.0 30 to 34 years 13.1 12.0 14.3 19.3 20.4 13.7 20.1 8.4 20.1 17.5 13.6 37.5 - - 7.7 12.5 35 to 39 years 9.7 10.8 11.5 11.9 11.9 14.9 13.3 4.4 14.1 12.7 11.7 - - - - 7.7 5.0 40 to 44 years 9.4 12.8 12.0 2.5 7.1 19.3 11.8 3.2 8.8 9.6 8.7 - - - - 7.7 7.5 45 to 49 years 9.1 14.8 12.0 6.1 6.1 16.0 9.8 1.9 4.8 4.8 5.8 ------3.8 50 to 54 years 7.5 13.6 9.6 5.3 4.5 11.8 7.7 1.1 1.8 5.4 1.9 ------3.8 55 to 59 years 4.0 8.3 4.5 5.3 2.0 4.6 3.8 0.4 0.8 1.8 3.9 ------2.5 60 years and older 2.5 6.9 1.4 - - 0.9 1.9 1.1 0.1 0.8 1.8 2.9 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 19,205 5,152 3,870 244 2,053 1,131 532 5,231 622 166 103 8 - - 13 80 Race/ethnicity White (non-Hispanic) 64.6 66.8 63.6 77.5 92.6 46.6 50.6 50.9 96.8 94.0 92.2 75.0 - - 84.6 95.0 Black (non-Hispanic) 32.1 29.0 33.3 20.5 5.0 51.3 45.5 45.3 1.6 4.2 5.8 25.0 - - 7.7 5.0 Hispanic origin 2.0 2.9 1.9 0.8 0.8 1.0 2.6 2.2 0.8 1.2 1.0 - - - - 7.7 - - American Indian/Alaska Native 0.4 0.5 0.4 0.4 0.4 0.5 0.6 0.4 0.2 0.6 1.0 ------Asian/Pacific Islander 0.3 0.3 0.3 0.4 0.3 0.1 - - 0.2 0.3 ------Other 0.7 0.5 0.5 0.4 0.8 0.5 0.8 1.0 0.3 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 19,205 5,152 3,870 244 2,053 1,131 532 5,231 622 166 103 8 - - 13 80 - - Quantity is zero. NOTES: Percentages may not sum to 100 due to rounding. Prior to 2011, early intervention admissions were included in South Carolina's data. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

126 Table 3.39. South Dakota admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 14,193 6,654 4,035 61 387 50 56 2,057 716 15 15 5 - - 53 89 Gender Male 71.3 75.0 71.3 54.1 52.2 44.0 67.9 72.9 48.9 53.3 60.0 60.0 - - 50.9 59.6 Female 28.7 25.0 28.7 45.9 47.8 56.0 32.1 27.1 51.1 46.7 40.0 40.0 - - 49.1 40.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 14,193 6,654 4,035 61 387 50 56 2,057 716 15 15 5 - - 53 89 Age at admission 12 to 19 years 13.8 3.3 14.8 3.3 7.5 4.0 5.4 47.8 5.9 13.3 33.3 20.0 - - 73.6 37.1 20 to 24 years 14.7 9.8 17.1 31.1 19.9 8.0 17.9 23.8 15.5 26.7 6.7 40.0 - - 7.5 21.3 25 to 29 years 14.8 11.1 19.7 24.6 25.1 20.0 19.6 12.9 21.5 - - 13.3 - - - - 3.8 12.4 30 to 34 years 12.0 10.9 14.2 13.1 17.6 10.0 10.7 6.9 21.9 20.0 6.7 - - - - 1.9 11.2 35 to 39 years 10.0 12.8 8.0 4.9 8.0 20.0 10.7 3.0 16.2 - - 13.3 - - - - 3.8 6.7 40 to 44 years 9.2 12.1 8.0 8.2 8.0 20.0 14.3 2.1 9.6 13.3 6.7 - - - - 1.9 1.1 45 to 49 years 10.7 15.3 9.1 6.6 5.9 8.0 8.9 1.9 5.9 6.7 20.0 40.0 - - 3.8 1.1 50 to 54 years 7.4 11.4 5.5 6.6 5.2 2.0 5.4 0.9 2.2 13.3 ------3.8 3.4 55 to 59 years 4.2 7.0 2.5 1.6 1.8 8.0 1.8 0.5 1.1 ------3.4 60 years and older 3.3 6.2 1.1 - - 1.0 - - 5.4 * 0.1 6.7 ------2.2 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 14,193 6,654 4,035 61 387 50 56 2,057 716 15 15 5 - - 53 89 Race/ethnicity White (non-Hispanic) 48.8 40.5 49.6 78.7 79.1 40.0 62.5 58.2 74.3 60.0 93.3 80.0 - - 24.5 66.3 Black (non-Hispanic) 2.4 1.7 2.5 - - 0.5 28.0 7.1 4.4 1.1 6.7 ------7.5 - - Hispanic origin 3.0 2.6 3.1 1.6 2.6 4.0 1.8 3.6 4.5 ------1.9 5.6 American Indian/Alaska Native 43.9 53.4 42.8 18.0 17.6 26.0 25.0 31.2 18.4 33.3 6.7 20.0 - - 62.3 24.7 Asian/Pacific Islander 0.4 0.2 0.5 ------0.6 0.4 ------Other 1.6 1.5 1.6 1.6 0.3 2.0 3.6 2.0 1.3 ------3.8 3.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 14,193 6,654 4,035 61 387 50 56 2,057 716 15 15 5 - - 53 89 - - Quantity is zero. * Less than 0.05 percent. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

127 Table 3.40. Tennessee admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 13,422 1,943 2,146 239 3,882 1,167 426 2,335 938 227 46 13 1 15 44 Gender Male 64.7 73.1 72.4 67.4 55.7 57.2 67.1 74.0 57.8 41.0 37.0 76.9 100.0 60.0 65.9 Female 35.3 26.9 27.6 32.6 44.3 42.8 32.9 26.0 42.2 59.0 63.0 23.1 - - 40.0 34.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,422 1,943 2,146 239 3,882 1,167 426 2,335 938 227 46 13 1 15 44 Age at admission 12 to 19 years 9.1 2.2 3.1 0.8 4.2 0.8 1.9 36.1 3.5 14.1 13.0 15.4 - - 26.7 40.9 20 to 24 years 14.4 4.9 9.8 20.9 21.6 3.6 10.3 19.2 15.9 17.6 13.0 30.8 - - 13.3 6.8 25 to 29 years 19.8 10.7 15.8 22.2 28.7 11.8 25.6 17.5 23.7 23.3 15.2 15.4 - - 13.3 15.9 30 to 34 years 15.8 11.9 15.0 20.1 20.5 10.7 19.7 11.2 20.9 16.3 23.9 15.4 - - 20.0 13.6 35 to 39 years 11.4 12.0 14.0 13.8 10.3 14.8 16.0 6.7 15.2 7.0 8.7 7.7 - - 6.7 6.8 40 to 44 years 10.5 14.8 15.1 5.9 6.7 19.2 10.3 4.4 12.4 9.3 10.9 7.7 - - 13.3 4.5 45 to 49 years 9.3 16.8 14.4 6.7 4.3 21.3 8.5 2.7 5.1 7.9 8.7 7.7 100.0 6.7 2.3 50 to 54 years 6.3 16.1 8.8 5.0 2.6 12.0 4.7 1.7 2.2 2.2 4.3 ------6.8 55 to 59 years 2.4 6.8 3.0 3.8 0.9 4.9 1.9 0.4 0.7 1.8 2.2 ------60 years and older 1.0 3.9 1.0 0.8 0.2 0.9 1.2 0.1 0.3 0.4 ------2.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,422 1,943 2,146 239 3,882 1,167 426 2,335 938 227 46 13 1 15 44 Race/ethnicity White (non-Hispanic) 66.7 66.1 61.9 56.9 87.3 30.1 35.0 51.3 88.0 85.5 93.5 76.9 100.0 86.7 84.1 Black (non-Hispanic) 16.6 11.8 20.0 13.0 2.7 45.1 35.4 31.3 0.9 4.0 - - 7.7 - - - - 13.6 Hispanic origin 15.6 21.2 17.4 28.0 9.4 24.2 28.9 14.7 10.5 8.8 4.3 15.4 - - 6.7 2.3 American Indian/Alaska Native 0.1 0.3 * 0.4 0.1 0.1 0.2 0.2 0.2 - - 2.2 ------Asian/Pacific Islander 0.1 0.3 0.1 0.4 0.1 - - - - 0.2 0.1 1.3 ------Other 0.8 0.3 0.6 1.3 0.6 0.5 0.5 2.3 0.3 0.4 ------6.7 - - Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 13,398 1,941 2,142 239 3,875 1,166 426 2,329 934 227 46 13 1 15 44 - - Quantity is zero. * Less than 0.05 percent. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

128 Table 3.41. Texas admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 43,216 6,490 5,909 6,252 3,599 3,274 2,337 10,255 3,829 653 71 51 267 34 195 Gender Male 59.6 69.8 65.5 60.4 42.4 50.5 48.1 70.7 39.6 34.5 40.8 64.7 42.3 61.8 56.9 Female 40.4 30.2 34.5 39.6 57.6 49.5 51.9 29.3 60.4 65.5 59.2 35.3 57.7 38.2 43.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 43,216 6,490 5,909 6,252 3,599 3,274 2,337 10,255 3,829 653 71 51 267 34 195 Age at admission 12 to 19 years 15.6 1.9 4.8 6.0 2.1 1.2 5.9 52.2 4.2 18.1 8.5 21.6 0.4 64.7 11.8 20 to 24 years 14.4 6.4 12.2 20.3 14.4 5.0 14.5 19.2 15.4 24.3 22.5 21.6 16.1 5.9 13.3 25 to 29 years 17.8 10.8 16.5 24.9 26.0 10.8 23.4 13.0 25.6 21.6 12.7 19.6 32.2 2.9 28.2 30 to 34 years 14.5 12.0 16.3 16.4 21.3 13.5 20.5 7.6 20.9 15.9 23.9 13.7 32.6 11.8 11.8 35 to 39 years 10.0 12.4 12.2 9.7 12.5 12.9 12.6 3.6 14.1 6.0 11.3 5.9 14.6 2.9 11.3 40 to 44 years 9.3 16.0 12.5 7.2 8.8 17.5 9.8 2.0 10.7 5.2 8.5 5.9 2.6 - - 8.7 45 to 49 years 8.3 16.1 12.5 5.9 6.4 19.3 7.1 1.1 5.7 4.9 5.6 7.8 0.7 2.9 7.7 50 to 54 years 6.1 13.8 8.6 5.6 5.3 12.4 4.0 0.9 2.4 2.5 1.4 2.0 - - 2.9 4.6 55 to 59 years 2.9 7.2 3.2 3.1 2.3 5.4 1.7 0.3 0.9 1.2 4.2 2.0 0.7 5.9 2.1 60 years and older 1.1 3.4 1.1 1.0 0.9 2.0 0.6 0.1 0.1 0.3 1.4 ------0.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 43,216 6,490 5,909 6,252 3,599 3,274 2,337 10,255 3,829 653 71 51 267 34 195 Race/ethnicity White (non-Hispanic) 45.5 55.7 50.5 41.0 75.1 29.1 21.9 25.9 80.3 55.6 62.0 51.0 3.4 35.3 62.1 Black (non-Hispanic) 16.4 8.4 15.7 7.4 6.5 48.9 24.1 22.0 2.0 15.5 8.5 25.5 88.8 11.8 21.0 Hispanic origin 35.9 32.2 31.8 49.1 16.6 20.6 51.0 50.0 15.6 27.3 29.6 19.6 6.4 52.9 16.4 American Indian/Alaska Native 0.5 0.8 0.6 0.3 0.5 0.4 0.6 0.4 0.8 - - - - 2.0 0.4 - - - - Asian/Pacific Islander 0.5 0.7 0.2 0.5 0.4 0.3 0.3 0.5 0.7 1.1 - - - - 0.7 - - - - Other 1.3 2.1 1.2 1.7 0.9 0.7 2.2 1.3 0.5 0.6 - - 2.0 0.4 - - 0.5 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 43,125 6,474 5,898 6,244 3,593 3,270 2,333 10,218 3,824 653 71 51 267 34 195 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

129 Table 3.42. Utah admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 14,255 3,506 1,970 2,044 890 502 198 2,278 2,596 93 34 26 - - 16 102 Gender Male 68.3 78.4 69.7 66.5 51.0 67.9 64.6 75.9 55.2 53.8 38.2 88.5 - - 75.0 68.6 Female 31.7 21.6 30.3 33.5 49.0 32.1 35.4 24.1 44.8 46.2 61.8 11.5 - - 25.0 31.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 14,255 3,506 1,970 2,044 890 502 198 2,278 2,596 93 34 26 - - 16 102 Age at admission 12 to 19 years 14.3 5.2 16.6 6.3 4.6 0.6 3.0 53.0 3.9 4.3 2.9 23.1 - - 25.0 22.5 20 to 24 years 14.8 7.6 13.2 28.5 14.3 10.6 24.2 17.6 12.8 8.6 20.6 15.4 - - 12.5 21.6 25 to 29 years 16.2 10.0 16.0 24.6 26.1 9.4 16.2 11.2 20.6 21.5 2.9 15.4 - - 18.8 18.6 30 to 34 years 14.2 11.7 13.8 16.1 21.0 10.0 15.7 7.0 20.8 20.4 14.7 7.7 - - 18.8 11.8 35 to 39 years 9.8 10.2 10.7 7.4 11.1 18.3 11.1 2.8 14.7 6.5 20.6 3.8 - - 18.8 6.9 40 to 44 years 9.2 13.8 9.4 4.8 7.6 15.3 8.6 2.8 11.4 12.9 8.8 ------4.9 45 to 49 years 9.1 16.0 9.5 3.7 6.5 18.3 11.1 2.3 8.8 8.6 20.6 ------3.9 50 to 54 years 7.4 14.5 6.4 5.6 5.5 12.7 7.1 1.5 4.9 8.6 2.9 3.8 - - 6.3 5.9 55 to 59 years 3.5 6.8 3.4 1.5 2.7 4.2 2.5 1.7 2.0 6.5 5.9 30.8 - - - - 2.0 60 years and older 1.6 4.2 1.0 1.6 0.6 0.6 0.5 0.1 0.3 2.2 ------2.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 14,255 3,506 1,970 2,044 890 502 198 2,278 2,596 93 34 26 - - 16 102 Race/ethnicity White (non-Hispanic) 71.7 62.6 70.7 82.0 87.1 61.5 66.7 67.0 76.4 88.2 90.9 80.8 - - 81.3 81.2 Black (non-Hispanic) 3.7 3.7 3.8 2.5 1.0 21.2 9.6 3.2 2.0 3.2 ------3.0 Hispanic origin 12.0 11.2 12.1 10.4 6.6 8.2 14.1 16.7 13.0 3.2 3.0 7.7 - - 6.3 9.9 American Indian/Alaska Native 5.5 15.4 5.0 1.3 1.2 3.0 1.0 2.5 1.5 ------6.3 - - Asian/Pacific Islander 1.3 1.8 1.5 0.5 0.2 0.8 3.0 1.6 1.5 ------2.0 Other 5.8 5.4 6.9 3.3 3.8 5.4 5.6 9.0 5.6 5.4 6.1 11.5 - - 6.3 4.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 14,236 3,505 1,964 2,042 889 501 198 2,275 2,593 93 33 26 - - 16 101 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

130 Table 3.43. Vermont admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 8,195 2,008 1,600 636 2,237 200 202 1,179 27 40 14 7 - - 11 34 Gender Male 61.7 66.4 69.6 53.9 50.9 49.7 54.5 71.0 51.9 60.0 42.9 100.0 - - 81.8 50.0 Female 38.3 33.6 30.4 46.1 49.1 50.3 45.5 29.0 48.1 40.0 57.1 - - - - 18.2 50.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 8,192 2,007 1,600 636 2,236 199 202 1,179 27 40 14 7 - - 11 34 Age at admission 12 to 19 years 13.7 7.7 15.4 3.3 5.6 2.0 5.0 45.6 11.1 10.0 21.4 14.3 - - 27.3 26.5 20 to 24 years 21.6 11.7 18.4 30.2 30.9 11.5 14.9 24.0 18.5 10.0 14.3 42.9 - - 9.1 20.6 25 to 29 years 18.4 8.9 15.3 31.8 28.8 17.5 25.7 10.8 7.4 30.0 21.4 14.3 - - - - 17.6 30 to 34 years 12.7 9.5 11.9 17.8 16.0 19.5 15.3 7.2 33.3 25.0 14.3 - - - - 45.5 20.6 35 to 39 years 8.1 9.3 10.6 5.2 6.8 17.5 13.4 4.4 18.5 10.0 14.3 ------5.9 40 to 44 years 8.2 12.5 9.8 6.4 5.6 13.5 12.4 3.1 3.7 5.0 7.1 28.6 - - 9.1 2.9 45 to 49 years 7.0 13.9 8.8 2.5 3.0 10.0 8.4 2.3 3.7 7.5 7.1 ------2.9 50 to 54 years 5.2 11.3 5.8 2.0 2.2 5.5 3.5 1.7 3.7 2.5 ------2.9 55 to 59 years 2.9 8.1 2.9 0.5 0.8 1.5 - - 0.6 ------9.1 - - 60 years and older 2.2 7.2 1.1 0.3 0.2 1.5 1.5 0.3 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 8,195 2,008 1,600 636 2,237 200 202 1,179 27 40 14 7 - - 11 34 Race/ethnicity White (non-Hispanic) 94.1 94.7 93.7 95.2 96.4 91.9 93.0 89.4 100.0 95.0 100.0 57.1 - - 100.0 100.0 Black (non-Hispanic) 2.2 2.1 2.1 1.4 0.9 4.6 3.5 4.5 - - 2.5 - - 42.9 ------Hispanic origin 2.4 1.8 3.0 2.4 1.6 2.5 2.5 4.2 - - 2.5 ------American Indian/Alaska Native 0.8 0.7 0.8 0.3 0.8 1.0 0.5 1.0 ------Asian/Pacific Islander 0.4 0.6 0.3 0.5 0.2 - - - - 0.5 ------Other 0.1 0.1 0.1 0.2 0.1 - - 0.5 0.3 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 8,112 1,995 1,591 627 2,201 197 200 1,168 27 40 14 7 - - 11 34 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

131 Table 3.44. Virginia admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 26,730 4,974 5,954 1,971 2,934 1,770 783 5,976 316 281 45 36 107 15 1,568 Gender Male 67.1 73.1 72.8 59.7 49.5 55.3 68.1 73.9 58.9 34.4 26.7 69.4 61.7 53.3 64.0 Female 32.9 26.9 27.2 40.3 50.5 44.7 31.9 26.1 41.1 65.6 73.3 30.6 38.3 46.7 36.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 26,688 4,971 5,951 1,967 2,930 1,770 780 5,967 316 279 45 36 107 15 1,554 Age at admission 12 to 19 years 11.9 4.3 6.8 1.8 3.2 0.6 2.7 33.5 4.1 7.1 6.7 19.4 0.9 6.7 23.2 20 to 24 years 14.8 7.6 13.1 13.7 19.3 3.8 9.1 24.7 14.6 12.5 11.1 19.4 20.6 33.3 15.0 25 to 29 years 16.5 11.3 15.7 21.3 27.0 7.6 16.3 17.3 24.7 22.8 26.7 25.0 28.0 6.7 13.7 30 to 34 years 13.2 11.3 12.6 14.8 20.1 10.7 19.3 10.3 20.3 21.7 11.1 22.2 23.4 26.7 13.1 35 to 39 years 10.0 11.1 10.7 13.1 11.9 12.3 15.3 5.5 12.0 10.7 13.3 8.3 9.3 6.7 7.9 40 to 44 years 10.2 13.7 12.5 11.5 6.5 20.9 12.6 3.6 12.3 10.3 13.3 2.8 9.3 6.7 8.0 45 to 49 years 10.4 15.0 13.4 9.8 5.9 22.9 12.8 2.9 8.2 7.5 11.1 2.8 4.7 6.7 8.0 50 to 54 years 7.5 13.3 9.9 7.3 3.9 13.7 8.6 1.5 3.2 2.8 4.4 - - 3.7 - - 5.3 55 to 59 years 3.6 7.5 3.8 5.0 1.4 5.2 2.8 0.5 0.6 2.1 2.2 - - - - 6.7 4.1 60 years and older 1.9 5.2 1.7 1.8 0.7 2.3 0.5 0.2 - - 2.5 ------1.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 26,730 4,974 5,954 1,971 2,934 1,770 783 5,976 316 281 45 36 107 15 1,568 Race/ethnicity White (non-Hispanic) 58.8 60.0 60.9 57.8 90.8 32.8 47.8 46.6 91.8 87.1 86.7 57.1 20.6 66.7 59.7 Black (non-Hispanic) 29.2 19.8 27.1 35.6 5.8 62.0 45.5 38.9 3.5 4.3 8.9 25.7 69.2 26.7 29.1 Hispanic origin 7.3 14.4 7.5 3.2 1.5 2.2 3.5 8.3 0.9 3.9 2.2 8.6 4.7 - - 6.5 American Indian/Alaska Native 0.3 0.3 0.6 0.3 0.1 0.2 0.3 0.3 0.6 ------0.2 Asian/Pacific Islander 0.9 1.5 0.8 0.7 0.2 0.3 0.6 1.3 1.9 0.7 - - 2.9 - - - - 1.1 Other 3.3 4.0 3.1 2.5 1.5 2.4 2.3 4.7 1.3 3.9 2.2 5.7 5.6 6.7 3.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 26,373 4,939 5,914 1,962 2,924 1,765 776 5,881 316 280 45 35 107 15 1,414 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

132 Table 3.45. Washington admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 36,836 4,401 9,845 4,591 2,659 983 336 8,647 4,643 146 51 109 46 23 356 Gender Male 62.4 65.5 68.5 57.3 45.1 52.4 53.3 71.3 50.1 44.5 51.0 52.3 47.8 39.1 40.2 Female 37.6 34.5 31.5 42.7 54.9 47.6 46.7 28.7 49.9 55.5 49.0 47.7 52.2 60.9 59.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 36,836 4,401 9,845 4,591 2,659 983 336 8,647 4,643 146 51 109 46 23 356 Age at admission 12 to 19 years 20.3 5.7 9.7 8.8 7.4 2.0 12.2 58.0 9.2 30.1 9.8 40.4 6.5 43.5 16.9 20 to 24 years 14.8 10.1 12.4 26.6 22.0 4.4 11.6 13.1 14.9 9.6 21.6 11.0 26.1 8.7 6.7 25 to 29 years 15.5 12.1 14.7 22.4 25.0 8.4 10.7 10.0 21.0 9.6 21.6 20.2 34.8 8.7 5.3 30 to 34 years 12.1 12.2 12.8 12.2 18.7 11.9 12.5 6.3 17.9 10.3 11.8 14.7 10.9 4.3 8.1 35 to 39 years 8.6 10.5 10.3 7.3 8.2 9.6 11.3 3.7 13.5 8.2 9.8 3.7 15.2 - - 6.7 40 to 44 years 9.1 13.0 11.8 6.8 6.6 18.7 17.0 3.6 11.2 4.8 5.9 4.6 - - 8.7 11.2 45 to 49 years 8.3 12.4 12.5 6.1 4.4 20.1 11.9 2.7 7.6 10.3 3.9 2.8 6.5 8.7 12.1 50 to 54 years 6.3 11.6 9.3 5.4 4.1 16.6 8.0 1.7 3.3 11.6 3.9 1.8 - - 8.7 11.2 55 to 59 years 3.2 6.9 4.5 3.2 2.9 6.6 3.6 0.6 1.2 4.1 7.8 0.9 - - 8.7 7.9 60 years and older 1.6 5.5 2.0 1.1 0.8 1.6 1.2 0.2 0.2 1.4 3.9 ------13.8 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 36,836 4,401 9,845 4,591 2,659 983 336 8,647 4,643 146 51 109 46 23 356 Race/ethnicity White (non-Hispanic) 64.4 55.2 64.6 76.5 70.3 35.7 54.0 56.6 77.5 83.1 68.1 74.3 23.9 76.2 68.3 Black (non-Hispanic) 8.4 5.5 8.3 4.5 3.7 44.2 21.8 12.0 3.2 4.9 6.4 5.7 45.7 4.8 4.0 Hispanic origin 11.3 19.4 9.6 5.7 4.3 5.9 13.2 17.0 8.2 7.0 6.4 8.6 6.5 9.5 8.8 American Indian/Alaska Native 10.0 13.7 11.5 9.1 16.8 7.0 4.3 7.9 6.1 1.4 12.8 7.6 17.4 4.8 5.2 Asian/Pacific Islander 2.8 2.8 2.9 1.9 2.0 4.7 3.1 3.2 2.5 2.1 2.1 1.9 6.5 4.8 9.8 Other 3.0 3.4 3.1 2.2 2.9 2.6 3.7 3.3 2.5 1.4 4.3 1.9 - - - - 4.0 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 36,006 4,262 9,676 4,520 2,607 973 326 8,399 4,554 142 47 105 46 21 328 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

133 Table 3.46. West Virginia admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 2,924 590 463 158 1,136 27 38 336 71 53 24 7 - - 3 18 Gender Male 55.4 72.0 65.2 48.1 44.5 33.3 44.7 60.4 52.1 35.8 37.5 85.7 - - 66.7 44.4 Female 44.6 28.0 34.8 51.9 55.5 66.7 55.3 39.6 47.9 64.2 62.5 14.3 - - 33.3 55.6 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 2,924 590 463 158 1,136 27 38 336 71 53 24 7 - - 3 18 Age at admission 12 to 19 years 6.9 2.7 3.5 1.9 4.3 - - 7.9 31.8 5.6 3.8 4.2 - - - - 33.3 5.6 20 to 24 years 18.7 8.8 14.9 28.5 24.1 11.1 15.8 21.4 9.9 26.4 12.5 - - - - 66.7 5.6 25 to 29 years 20.5 9.8 15.3 34.8 27.9 11.1 5.3 15.8 25.4 24.5 16.7 28.6 - - - - 22.2 30 to 34 years 16.5 11.7 17.5 15.2 20.4 3.7 31.6 8.0 25.4 11.3 25.0 14.3 - - - - 27.8 35 to 39 years 11.7 13.6 14.7 10.8 10.7 7.4 13.2 6.8 18.3 7.5 12.5 14.3 - - - - 16.7 40 to 44 years 9.4 15.1 14.5 3.2 6.3 18.5 2.6 7.1 8.5 5.7 8.3 14.3 - - - - 5.6 45 to 49 years 6.8 13.9 10.8 2.5 3.0 22.2 10.5 3.0 4.2 5.7 8.3 28.6 ------50 to 54 years 4.9 11.0 6.3 1.3 1.7 18.5 10.5 3.0 2.8 7.5 12.5 ------5.6 55 to 59 years 2.6 6.8 2.2 1.3 1.0 7.4 - - 2.1 - - 3.8 ------11.1 60 years and older 1.8 6.6 0.4 0.6 0.5 - - 2.6 0.9 - - 3.8 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 2,924 590 463 158 1,136 27 38 336 71 53 24 7 - - 3 18 Race/ethnicity White (non-Hispanic) 97.1 97.4 94.8 97.4 99.0 70.0 88.9 95.9 100.0 100.0 100.0 100.0 - - 100.0 92.9 Black (non-Hispanic) 2.8 2.6 4.6 2.6 1.0 30.0 11.1 4.1 ------7.1 Hispanic origin ------American Indian/Alaska Native 0.1 - - 0.7 ------Asian/Pacific Islander ------Other ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 2,092 501 307 116 724 20 27 270 44 47 17 3 - - 2 14 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

134 Table 3.47. Wisconsin admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 27,721 14,037 5,201 1,862 1,763 1,268 318 2,687 315 86 22 16 2 9 135 Gender Male 70.1 72.4 75.2 65.1 50.5 52.0 68.2 75.7 60.3 39.5 45.5 93.8 - - 88.9 60.7 Female 29.9 27.6 24.8 34.9 49.5 48.0 31.8 24.3 39.7 60.5 54.5 6.3 100.0 11.1 39.3 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 27,721 14,037 5,201 1,862 1,763 1,268 318 2,687 315 86 22 16 2 9 135 Age at admission 12 to 19 years 4.9 2.9 3.8 3.4 4.0 0.6 2.5 20.8 7.9 1.2 4.5 - - 50.0 33.3 9.6 20 to 24 years 13.6 8.6 13.6 26.6 24.8 3.9 11.3 27.7 19.4 15.1 9.1 50.0 50.0 - - 11.1 25 to 29 years 15.5 11.9 16.1 25.5 27.7 7.8 15.4 20.7 20.0 27.9 27.3 - - - - 22.2 16.3 30 to 34 years 12.8 11.2 13.5 16.6 19.4 10.3 11.3 12.5 21.3 16.3 4.5 25.0 - - 33.3 17.0 35 to 39 years 9.8 10.0 11.1 9.4 6.5 15.9 15.4 5.4 9.5 9.3 4.5 6.3 - - - - 11.9 40 to 44 years 11.9 12.9 13.3 9.2 5.2 20.7 22.3 5.3 10.5 10.5 9.1 ------5.9 45 to 49 years 13.0 15.8 14.5 3.8 5.0 22.0 13.2 4.4 5.7 3.5 18.2 6.3 - - - - 14.1 50 to 54 years 10.2 13.7 9.0 2.8 4.7 14.0 7.5 1.9 4.1 8.1 18.2 ------6.7 55 to 59 years 5.0 7.4 3.5 2.1 1.8 4.4 0.9 0.8 1.3 3.5 4.5 - - - - 11.1 3.7 60 years and older 3.3 5.6 1.5 0.5 0.9 0.5 - - 0.5 0.3 4.7 - - 12.5 - - - - 3.7 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 27,721 14,037 5,201 1,862 1,763 1,268 318 2,687 315 86 22 16 2 9 135 Race/ethnicity White (non-Hispanic) 75.7 81.1 73.9 75.4 89.3 26.9 58.5 64.9 93.0 97.7 68.2 81.3 50.0 88.9 74.1 Black (non-Hispanic) 16.3 10.6 18.7 13.7 5.1 68.9 27.7 27.1 1.0 - - 9.1 18.8 - - - - 14.8 Hispanic origin 4.8 4.8 4.0 9.6 3.7 3.5 10.7 4.1 2.2 - - 9.1 - - 50.0 11.1 5.9 American Indian/Alaska Native 2.5 2.7 3.0 0.6 1.6 0.7 3.1 3.2 1.6 2.3 13.6 ------3.7 Asian/Pacific Islander 0.6 0.7 0.5 0.3 0.3 - - - - 0.7 2.2 ------1.5 Other 0.1 0.1 0.1 0.4 ------0.1 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 No. of admissions 27,721 14,037 5,201 1,862 1,763 1,268 318 2,687 315 86 22 16 2 9 135 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

135 Table 3.48. Wyoming admissions aged 12 and older, by gender, age at admission, and race/ethnicity, according to primary substance: 2011 Percent distribution Primary substance at admission Alcohol Opiates Cocaine Gender, age at admission, and All admis- Metham- Other/ race/ethnicity sions Mari- phetamine/ Tran- Hallu- none aged 12 Alcohol Secondary Other Smoked Other juana/ amphet- quil- Seda- cino- Inhal- speci- and older only drug Heroin opiates cocaine route hashish amines izers tives gens PCP ants fied Total admissions aged 12 and older 5,597 1,973 1,487 57 251 29 28 1,051 638 17 12 3 - - 7 44 Gender Male 66.8 70.2 70.1 56.1 47.0 55.2 64.3 71.9 51.4 23.5 33.3 33.3 - - 71.4 65.9 Female 33.2 29.8 29.9 43.9 53.0 44.8 35.7 28.1 48.6 76.5 66.7 66.7 - - 28.6 34.1 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 5,597 1,973 1,487 57 251 29 28 1,051 638 17 12 3 - - 7 44 Age at admission 12 to 19 years 16.0 5.6 14.0 21.1 11.6 10.3 3.6 43.7 6.4 5.9 - - 33.3 - - 85.7 52.3 20 to 24 years 16.8 12.5 16.9 36.8 21.9 13.8 46.4 22.2 16.8 17.6 - - 33.3 - - - - 15.9 25 to 29 years 15.8 12.8 18.9 26.3 20.7 10.3 7.1 13.3 20.2 5.9 41.7 33.3 - - - - 11.4 30 to 34 years 13.3 12.5 15.5 3.5 12.0 13.8 10.7 8.7 19.6 17.6 16.7 ------11.4 35 to 39 years 8.9 10.4 8.5 8.8 11.2 17.2 - - 3.0 14.6 17.6 8.3 - - - - 14.3 - - 40 to 44 years 8.8 10.9 9.1 1.8 9.2 13.8 14.3 2.7 11.6 17.6 16.7 ------2.3 45 to 49 years 8.3 12.8 7.8 - - 6.8 13.8 3.6 2.8 5.8 11.8 16.7 ------4.5 50 to 54 years 7.0 11.6 6.3 1.8 4.8 3.4 14.3 2.4 3.9 5.9 ------55 to 59 years 3.1 5.9 2.2 - - 2.0 3.4 - - 1.0 1.1 ------2.3 60 years and older 2.0 4.9 0.7 ------0.3 ------Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 5,597 1,973 1,487 57 251 29 28 1,051 638 17 12 3 - - 7 44 Race/ethnicity White (non-Hispanic) 76.4 76.3 74.5 87.7 86.5 58.6 46.4 74.4 82.3 82.4 91.7 100.0 - - 57.1 61.4 Black (non-Hispanic) 1.3 0.7 2.1 - - 0.4 10.3 - - 1.7 1.1 ------Hispanic origin 12.7 12.1 12.8 5.3 9.2 24.1 39.3 14.8 10.5 17.6 ------28.6 27.3 American Indian/Alaska Native 4.7 7.5 4.0 - - 0.8 3.4 14.3 3.3 2.2 ------Asian/Pacific Islander 0.4 0.2 0.4 3.5 0.4 - - - - 0.5 0.3 ------Other 4.5 3.2 6.1 3.5 2.8 3.4 - - 5.4 3.6 - - 8.3 - - - - 14.3 11.4 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 - - 100.0 100.0 No. of admissions 5,581 1,967 1,484 57 251 29 28 1,045 637 17 12 3 - - 7 44 - - Quantity is zero. NOTE: Percentages may not sum to 100 due to rounding. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

136 Appendix A

About the Treatment Episode Data Set (TEDS)

Introduction his report presents data from the Treatment Episode Data Set (TEDS) on the demographic and Tsubstance abuse characteristics of admissions to substance abuse treatment. The Center for Behavioral Health Statistics and Quality (CBHSQ), Substance Abuse and Mental Health Services Administration (SAMHSA), coordinates and manages collection of TEDS data from the States. The Treatment Episode Data Set (TEDS) is a compilation of client-level data routinely collected by the individual State administrative data systems to monitor their substance abuse treatment systems. Generally, facilities that are required to report to the State substance abuse agency (SSA) are those that receive public funds and/or are licensed or certified by the SSA to provide substance abuse treatment (or are administratively tracked for other reasons). TEDSs i one of the three components of SAMHSA’s Behavioral Health Services Information System (BHSIS), the primary source of national data on substance abuse treatment. The other two components are: • The Inventory of Substance Abuse Treatment Services (I‑SATS), a continuously-updated compre hensive listing of all known public and private substance abuse treatment facilities. • The National Survey of Substance Abuse Treatment Services (N‑SSATS), an annual survey of the location, characteristics, services offered, and utilization of alcohol and drug abuse treatment facilities in I‑SATS. The TEDS system comprises two major components, the Admissions Data Set and the Discharge Data Set. The TEDS Admissions Data Set includes client-level data on substance abuse treatment admissions from 1992 through the present. The TEDS Discharge Data Set can be linked at record level to admissions, and includes information from clients discharged in 2000 and later. For both data sets, selected data items from the individual State data files are converted to a standardized format consistent across States. These standardized data constitute TEDS. The TEDS Admissions Data System consists of a Minimum Data Set of items collected by all States, and a Supplemental Data Set where individual data items are reported at the States’ option. The Minimum Data Set consists of 19 items that include: • Demographic information • Primary, secondary, and tertiary substances and their route of administration, frequency of use, and age at first use • Source of referral to treatment

137 • Number of prior treatment episodes • Service type, including planned use of medication-assisted opioid therapy The Supplemental Data Set consists of 17 items that include psychiatric, social, and economic measures.

History National-level data collection on admissions to substance abuse treatment was first mandated in 1972 under the Drug Abuse Office and Treatment Act, P.L. 92-255. This act initiated Federal funding for drug treatment and rehabilitation, and required reporting on clients entering drug (but not alcohol) abuse treatment. The Client-Oriented Data Acquisition Process (CODAP) was developed to collect admission and discharge data directly from Federally-funded drug treatment programs. (Programs for treatment of alcohol abuse were not included.) Reporting was mandatory for all such programs, and data were collected using a standard form. CODAP included all clients in Federally-funded programs regardless of individual funding source. Reports were issued from 1973 to 1981 based on data from 1,800 to 2,000 programs, including some 200,000 annual admissions. In 1981, collection of national-level data on admissions to substance abuse treatment was discontin- ued because of the introduction of the Alcohol, Drug Abuse, and Mental Health Services (ADMS) Block Grant. The Block Grant transferred Federal funding from individual programs to the States for distribution, and it included no data reporting requirement. Participation in CODAP became voluntary; although several States submitted data through 1984, the data were in no way nationally representative. In 1988, the Comprehensive Alcohol Abuse, Drug Abuse, and Mental Health Amendments (P.L. 100-690) established a revised Substance Abuse Prevention and Treatment (SAPT) Block Grant and mandated Federal data collection on clients receiving treatment for either alcohol or drug abuse. The Treatment Episode Data Set (TEDS) data collection effort represents the Federal response to this mandate. TEDS began in 1989 with the issue of 3-year development grants to States.

State Data Collection Systems TEDS is an exceptionally large and powerful data set that covers a significant proportion of all admissions to substance abuse treatment. TEDS is a compilation of data collected through the individual data collection systems of the State substance abuse agencies (SSAs) for substance abuse treatment. States have cooperated with the Federal Government in the data collection process, and substantial progress has been made toward developing a standardized data set. However, because each State system is unique and each State has unique powers and mandates, significant differences exist among State data collection systems. These differences are compounded by evolving health care payment systems, and State-to-State comparisons must be made with extreme caution. The number and client mix of TEDS admissions do not represent the total national demand for substance abuse treatment or the prevalence of substance abuse in the general population. States differ widely in the amount of public funding available for substance abuse treatment and in the constraints placed on the use of funds. States may be directed to target special populations such

138 as pregnant women or adolescents. Where funds are limited, States may be compelled to exercise triage in admitting persons to treatment, admitting only those with the most “severe” problems. In States with higher funding levels, a larger proportion of the population in need of treatment may be admitted, including the less severely impaired. States may include or exclude reporting by certain sectors of the treatment population, and these sectors may change over time. For example, treatment programs based in the criminal justice system may or may not be administered through the State SSA. Detoxification facilities, which can generate large numbers of admissions, are not uniformly considered treatment facilities and are not uniformly reported by all States. Appendix Table 1 presents key characteristics of State data collection systems for 2011. However, these characteristics can change as State substance abuse treatment systems change, and thus may be responsible for some year-to-year variation within States. • Facilities included. The scope of facilities included in TEDS is affected by differences in State licensure, certification, and accreditation practices, and disbursement of public funds. Most SSAs require facilities that receive State/public funding (including Federal Block Grant funds) for the provision of alcohol and/or drug treatment services to report data to the SSA. Generally this funding is distributed by the SSA but may be distributed by another public agency. • Some SSAs regulate private facilities, methadone clinics, and/or individual practitioners and require them to report TEDS data. Others do not because of the difficulty in obtaining data from these facilities, although these facilities may report voluntarily. Facilities operated by Federal agencies (e.g., the Bureau of Prisons, the Department of Defense, and the Department of Veterans Affairs) generally do not report TEDS data to the SSA, although some facilities operated by the Indian Health Service are included. Hospital-based substance abuse treatment facilities are frequently not licensed through the SSA and do not report TEDS data. Correctional facilities (State prisons and local jails) are monitored by the SSA and report TEDS data in some States but not in others. • The primary goal of TEDS is to monitor the characteristics of clients admitted to planned, continuing treatment regimens. Thus early intervention and crisis intervention programs that do not lead to enrollment in continued treatment are excluded from TEDS. • Clients included. 0 About 6 percent of States reported data on all admissions to all eligible facilities, although some reported only, or largely, admissions financed by public funds. TEDS is an admission-based system; therefore, TEDS admissions do not represent individuals. For example, an individual admitted to treatment twice within a calendar year would be counted as two admissions. • Ability to track multi-service episodes. The goal for the TEDS system is to enumerate treatment episodes by distinguishing the initial admission of a client from his/her subsequent transfer to a different service type (e.g., from rehabilitation/residential treatment to outpatient) within a single continuous treatment episode. Thus TEDS records are ideally coded as admissions if they represent the initial treatment service in a treatment episode and as transfers if they represent a change in service type or a change in provider without an interruption in treatment.

139 This requires, however, that clients be assigned unique IDs that can be linked across providers; not all States are legally and/or technologically able to do this. Most States can identify as transfers a change in service type within the structure of a given provider. However, fewer can also identify a transfer involving a change of provider. Several States do not track transfers, but instead report as transfers those clients who are discharged and readmitted within a specified (State-specific) time period. Because some admission records in fact may represent transfers, the number of admissions reported probably overestimates the number of treatment episodes. Some States reported a limited data set on codependents of substance abusers entering treatment. On average, from 2001 through 2011, 85 percent of all records submitted were client admissions, 13 percent were client transfers, and 2 percent were codependents of substance abusers. • Services offered. A State’s mix of service types (e.g., outpatient, detoxification, rehabilitation/ residential, opioid therapy) can have a significant effect on its admission rate. There is higher client turnover and therefore more admissions in short-stay services such as detoxification than in long-stay services such as outpatient or long-term residential treatment. Admission rates for individual substances of abuse may be affected as well (e.g., detoxification is more closely associated with alcohol or heroin use than with use of other substances). • Completeness and timeliness of reporting. SAMHSA, in reporting national-level TEDS data, must balance timeliness of reporting and completeness of the data set. There may be a time lag in the publication of SAMHSA’s annual report because preparation cannot begin until States have completed their data submission for that year. States in turn rely on individual facilities to report in a timely manner so they can submit TEDS data to SAMHSA at regular intervals. Admissions from facilities that report late to the States will appear in a later data submission to SAMHSA, so the number of annual admissions in a report may be higher in subsequent reports. The number of additional admissions is small because of the time lag in issuing the report. Thus the percentage distributions will change very little in subsequent reports, although Census division- and State-level data may change somewhat more for States with reporting delays (State report only). States continually review and improve their data collection and processing. When systematic errors are identified, States may revise or replace historical TEDS data files. While this process represents an improvement in the data system, the historical statistics in this report will differ slightly from those in earlier reports. Appendix Tables 2 and 3 indicate the proportions of records by State or jurisdiction for which valid data were received for 2011. States are expected to report all variables in the Minimum Data Set (Appendix Table 2). Variables in the Supplemental Data Set are collected at the States’ option (Appendix Table 3).

Report-Specific Considerations • The report focuses on treatment admissions for substance abusers, so admissions for treatment as a codependent of a substance abuser are excluded. Records for identifiable transfers within a single treatment episode are also excluded.

140 • Records with partially complete data have been retained. Where records include missing or invalid data for a specific variable other than primary, secondary, or tertiary substance, those records are excluded from tabulations of that variable. For substance variables, missing or unknown responses were included in the category “Other.” The total number of admissions on which a percentage distribution is based is reported in each table. • Records with partially complete data have been retained. If a variable is coded with a value indicating the data were missing or miscoded, the record is excluded from tabulations of that variable. The total number of records on which a percentage distribution is based is reported in each table. • Variables in the Supplemental Data Set are not collected by all States. States that did not collect a specific variable are excluded from tabulations of that variable. The total number of admissions on which a percentage distribution is based is reported in each table. • The primary, secondary, and tertiary substances of abuse reportedo t TEDS are those substances that led to the treatment episode and not necessarily a complete enumeration of all drugs used at the time of admission. • Primary alcohol admissions are classified as “Alcohol only” or “Alcohol with secondary drug abuse.” The latter indicates a primary alcohol admission with a specified secondary and/or tertiary drug. All other primary alcohol admissions are classified as “Alcohol only.” • Cocaine admissions are classified according to route of administration as smoked and other route. Smoked cocaine primarily represents crack or rock cocaine, but can also include cocaine hydrochloride (powder cocaine) when it is free-based. Non-smoked cocaine includes all cocaine admissions where cocaine is injected, inhaled, or taken orally; it also includes admissions where the route of administration is unknown or not collected. Thus the TEDS estimate of admissions for smoked cocaine is conservative. • Methamphetamine/amphetamine admissions include admissions for both substances, but are primarily for methamphetamine. In 2011, methamphetamine constituted about 92 percent of combined methamphetamine/amphetamine admissions. Oregon and Texas, States with large numbers of methamphetamine admissions, reported them as Other amphetamines until 2005 and 2006, respectively. • For this report, secondary and tertiary substances (see Appendix B) are grouped and referred to as secondary substances. • Significant changes in the clients or facilities reported to TEDS by some States and jurisdictions can result in changes in the number of admissions large enough to influence trends.

141 Appendix Table 1. State data system reporting characteristics: 2011

Admission (for All clients in facility who receive substance most providers) Alaska Facilities that receive State/public funding None Admission abuse treatment services Transfer (for some providers)

Arizona Facilities that receive State/public funding None State/public-funded clients only n/a 2 n/a 2 State Community Correction Arkansas Facilities that are licensed by State SSA facilities All clients in a licensed facility Transfer Admission Some private facilities Facilities that receive State funding California None All clients in facility except DUI Transfer Transfer All licensed narcotic treatment facilities State-licensed facilities Methadone facilities All clients receiving substance abuse Colorado None Admission Admission Community-based juvenile and adult justice treatment programs, treatment services in facility except institutionally-based Facilities that receive State/public funding (including corrections) Facilities serving adults that are licensed by State Dept of Public Connecticut Health None All clients in facility Admission Admission Some facilities treating youth < 18 General hospitals funded by SSA Facilities that receive State/public funding, excluding: - Child/youth services Delaware None State/public-funded clients only Admission Admission - Most Medicaid-funded services - Most criminal justice system services Dist. of Columbia Facilities that receive State/public funding None State/public-funded clients only Transfer Admission Florida Facilities that receive State/public funding None All clients in facility Transfer Admission

Facilities that receive SAPT/BG, State and Medicaid funding SSA funded clients with Substance Abuse Georgia through the State SSA (this includes Medicaid for foster None or co-occurring Substance Abuse and n/a 3 Admission children, aged, blind, and disabled individuals) Mental Health disorders

Hawaii Facilities that receive State/public funding None All clients in facility Admission Admission

Continued. See notes at end of table. 142 Appendix Table 1. State data system reporting characteristics: 2011 (continued)

Facilities that receive State/Federal/public funding Some private substance Maine All clients in facility Admission Admission Facilities licensed by the State abuse providers report

Maryland Facilities that receive state/public funding None All clients in facility Transfer Admission Houses of corrections and some private Opioid Facilities that are licensed/certified and hold a contract with the Massachusetts treatment programs that All clients in facility Admission Admission State SSA do not have a contract with the State Clients whose services are Facilities that receive State/public funding supported by State/public funds Michigan None Transfer Transfer Medicaid providers of substance abuse treatment through the Dept of Community Health, including Medicaid Minnesota Providers serving publicly-funded clients None All clients in facility Admission Admission Facilities that receive State/public funding Mississippi None All clients in facility Transfer Admission Facilities certified by Mental Health Department Missouri Facilities that receive State/public funding None State/public-funded clients only Transfer Admission Facilities that receive State/public funding Montana None All clients in facility except DUI clients Transfer Admission Facilities that are licensed/certified by State SSA

Continued. See notes at end of table. 143 Appendix Table 1. State data system reporting characteristics: 2011 (continued)

Change of Facilities reporting TEDS data to the State SSA Change of State or provider Eligible clients service within jurisdiction Facilities reporting within Facilities required to report to the State SSA 1 episode voluntarily to the State SSA episode Nebraska Facilities that receive SSA-administered State/public funding None State/public-funded clients only Admission Admission Nevada Facilities that receive State/public funding None All clients in facility Transfer Transfer Facilities that receive State/public funding New Hampshire None State/public-funded clients only Transfer Admission Methadone maintenance facilities Facilities that receive State/public funding Some private facilities and New Jersey Facilities that are licensed/certified by State SSA All clients in facility Admission Admission solo practitioners Facilities in State intoxicated driver program SSA funded clients with Substance Abuse New Mexico Facilities that receive SSA substance abuse funding None or co-occurring Substance Abuse and Transfer Transfer Mental Health disorders Facilities that receive State/public funding New York None All clients in facility Admission Admission Facilities that are licensed/certified by State SSA North Carolina Facilities that receive State/public funding None All clients in facility Transfer Transfer All clients in State Hospital and Eight State Divisional service centers and other facilities Regional Human Services Centers North Dakota receiving SAPT block grant funds Some private facilities n/a 3 Admission Small privates report only SAPT- One State hospital funded clients Ohio Facilities that receive State/public funding None State/public-funded clients only Admission Admission Oklahoma Facilities that receive State/public funding None State/public-funded clients only Transfer Admission Facilities that receive State/public funding or are required Oregon None All clients in facility Admission Admission because they provide DUI or methadone treatment Some, but not all, county State/public-funded clients only are Facilities that receive SAPT BG/State funds through the Dept of prisons, hospitals, and required; data on all clients are Pennsylvania Health; this includes some but not all Medicaid funds spent on Admission Admission private providers and solo requested and received from some substance abuse diagnoses practitioners facilities Puerto Rico Facilities that receive State/public funding None All clients in facility Admission Admission

Facilities that receive State/public funding Rhode Island None All clients in facility Admission Admission Facilities that are licensed/certified by State SSA

South Carolina Facilities that receive State/public funding None All clients in facility Transfer Admission

Continued. See notes at end of table.

144 Appendix Table 1. State data system reporting characteristics: 2011 (continued)

Facilities reporting TEDS data to the State SSA Change of Change of State or provider Eligible clients service within jurisdiction Facilities reporting within Facilities required to report to the State SSA 1 episode voluntarily to the State SSA episode

Facilities that receive State/public funding South Dakota Facilities that are licensed/certified by State SSA Medicare- None All clients in facility Transfer Admission certified facilities Tennessee Facilities that receive State/public funding None State/public-funded clients only Transfer Admission Texas Facilities that receive State/public funding None State/public-funded clients only Admission Admission Utah Facilities that receive State/public funding None All clients in facility Transfer Transfer Vermont Facilities that receive State/public funding None All clients in facility Transfer Admission

Virginia Facilities that receive State/public funding None All clients in facility n/a 3 Admission State/public-funded clients only are State-certified privately Facilities that receive State/public funding required; data on all clients are Washington funded methadone Transfer Transfer Medicare-certified facilities requested and received from some treatment programs facilities West Virginia Facilities that receive State/public funding None All clients in facility Transfer Transfer Wisconsin Facilities that receive State/public funding None State/public-funded clients only Admission Admission Wyoming Facilities that receive State/public funding None All clients in a facility Admission Admission 1 "State/public funding" generally refers to funding by the State Substance Abuse Agency but may also include funding by another public agency. 2 Neither an admission nor transfer record results from a change in service or provider. 3 Neither an admission nor transfer record results from a change in service within a provider. 4 Not reporting as of July 1, 2011. n/a Not applicable. SOURCE: State Substance Abuse Agencies, January 2012.

145 Appendix Table 2. Item percentage response rate, by State or jurisdiction: TEDS Minimum Data Set 2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Primary substance Secondary substance Tertiary substance Medi- Type cation- State or Prior Refer- Edu- Em- Fre- Age Fre- Age Fre- Age of assisted jurisdiction treat- ral Gen- Ethni- ca- ploy- Sub- quen- at 1st Sub- quen- at 1st Sub- quen- at 1st ser- opioid ment source Age der Race city tion ment stance Route 1 cy 1 use 1 stance Route 2 cy 2 use 2 stance Route 3 cy 3 use 3 vices therapy Total 92 98 100 100 99 98 98 97 100 99 99 99 98 97 97 97 87 94 96 95 100 98 Alabama ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Alaska 100 97 100 100 98 87 91 94 97 99 94 92 99 99 96 96 98 99 98 98 100 100 Arizona 100 95 100 100 100 100 100 100 100 97 100 100 100 98 100 100 100 99 100 100 100 100 Arkansas 100 100 100 100 100 99 99 100 100 100 100 100 100 100 52 100 100 100 100 100 100 100 California 99 100 100 100 100 100 99 100 100 100 100 100 100 100 100 100 ------100 97 Colorado 100 100 100 100 100 100 97 98 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Connecticut 87 91 100 100 99 94 92 93 97 99 100 100 100 98 100 100 100 98 100 100 100 100 Delaware 10 90 100 100 99 99 96 98 99 86 95 85 91 61 97 59 87 27 97 25 100 90 Dist. of Columbia 100 96 100 100 99 96 92 97 100 100 100 98 100 100 100 99 100 100 100 99 100 100 Florida 97 97 100 100 100 100 98 75 100 100 100 100 100 100 100 99 100 100 100 99 100 100 Georgia ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 100 100 100 100 98 93 100 100 100 100 99 99 100 100 100 100 100 100 100 100 100 100 Idaho ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Illinois 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 59 100 100 100 100 100 Indiana 100 100 100 100 94 95 96 99 100 94 99 93 100 94 99 82 100 93 99 70 100 100 Iowa 100 100 100 100 99 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Kansas 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Kentucky 100 100 100 100 100 100 100 100 100 100 99 98 100 100 100 99 100 100 100 99 100 100 Louisiana 100 100 100 100 100 100 100 100 100 98 98 98 100 99 98 99 100 99 99 99 100 100 Maine 100 100 100 100 100 100 100 100 100 100 100 100 100 59 59 59 100 32 32 32 100 100 Maryland 100 99 100 100 100 100 100 100 100 100 100 99 100 100 100 100 100 100 100 100 100 100 Massachusetts 100 99 100 100 99 98 96 97 100 99 99 99 100 99 99 99 100 99 99 99 100 100 Michigan 100 100 100 100 99 100 100 100 100 100 100 100 100 53 53 53 100 21 20 21 100 100 Minnesota 99 100 100 100 100 100 98 97 99 99 100 100 99 99 100 100 99 100 100 100 100 100 Mississippi ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Missouri 100 99 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Montana 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Nebraska 100 100 100 100 99 98 95 100 100 100 92 100 100 100 97 100 100 100 98 100 100 100 Nevada 100 100 100 100 100 95 99 100 100 98 96 100 100 52 98 53 100 19 99 19 100 100 New Hampshire 100 100 100 100 100 100 100 100 100 100 100 99 100 100 100 100 100 100 100 100 100 100

Continued. See notes at end of table.

146 Appendix Table 2. Item percentage response rate, by State or jurisdiction: TEDS Minimum Data Set 2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Primary substance Secondary substance Tertiary substance Medi- Type cation- State or Prior Refer- Edu- Em- Fre- Age Fre- Age Fre- Age of assisted jurisdiction treat- ral Gen- Ethni- ca- ploy- Sub- quen- at 1st Sub- quen- at 1st Sub- quen- at 1st ser- opioid ment source Age der Race city tion ment stance Route 1 cy 1 use 1 stance Route 2 cy 2 use 2 stance Route 3 cy 3 use 3 vices therapy New Jersey 100 98 100 100 100 100 97 96 100 100 100 100 100 100 100 100 100 100 100 100 100 89 New Mexico 46 39 100 79 73 76 69 72 79 89 57 100 79 96 87 100 79 98 96 100 100 43 New York 70 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 North Carolina 100 100 100 100 100 100 100 100 100 99 100 100 100 100 99 100 100 78 100 100 100 99 North Dakota 98 100 100 100 100 100 99 100 100 100 99 100 100 100 100 98 100 100 100 100 100 100 Ohio 96 98 100 100 99 99 99 98 100 99 97 100 100 99 98 100 100 100 99 100 100 95 Oklahoma 100 100 100 100 100 100 100 100 100 100 100 99 86 100 100 99 78 100 100 100 100 100 Oregon 99 91 100 100 91 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Pennsylvania 100 100 100 100 97 82 95 95 100 100 95 100 47 100 96 100 21 100 95 100 100 100 Puerto Rico 38 98 100 100 54 99 97 99 100 100 98 97 100 100 99 36 100 100 99 14 100 100 Rhode Island 100 98 100 100 88 98 97 97 98 99 98 95 98 100 99 98 98 100 99 99 100 100 South Carolina 100 94 100 100 100 100 100 100 100 100 99 100 100 100 100 100 99 100 100 100 100 100 South Dakota 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Tennessee 100 100 100 100 100 97 99 98 100 100 99 98 100 100 99 99 100 100 100 99 100 100 Texas 97 99 100 100 98 100 96 100 100 97 97 97 100 100 100 100 100 100 100 100 100 100 Utah 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 Vermont 94 96 100 100 99 98 98 99 100 100 99 99 59 80 99 99 25 58 99 98 100 99 Virginia 82 90 100 100 99 96 93 96 97 98 95 97 89 98 95 97 80 99 96 98 100 100 Washington 100 95 100 100 98 94 98 100 100 99 99 100 100 100 99 100 100 100 100 100 100 100 West Virginia 100 99 100 100 88 - - 100 29 100 99 100 100 100 100 99 100 100 100 100 100 100 - - Wisconsin - - 100 100 100 100 100 99 100 100 100 100 99 99 100 100 98 99 100 100 99 100 100 Wyoming 100 100 100 100 100 96 99 99 100 88 100 98 100 46 100 60 100 20 100 35 100 ** 1 Percent of admissions reporting a specified primary substance. 2 Percent of admissions reporting a specified secondary substance. 3 Percent of admissions reporting a specified tertiary substance. ** Less than 1 percent. - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

147 Appendix Table 3. Item percentage response rate, by State or jurisdiction: TEDS Supplemental Data Set 2011

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Frequency Detailed Detailed Days of State or jurisdiction Primary Secondary Tertiary DSM Psych- Living Health Pay- not-in- criminal waiting Arrests attendance detailed detailed detailed diag- iatric Preg- arrange- Income insur- ment labor- justice Marital for treat- in past at self-help drug 1 drug 2 drug 3 nosis problem nant 4 Veteran ments source ance source force 5 referral 6 status ment 30 days programs Total 42 44 51 42 74 94 88 95 66 44 33 86 74 81 53 90 68 Alabama ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Alaska ------97 100 96 90 89 89 85 96 100 100 95 100 97 70 Arizona ------100 100 100 26 97 ------100 - - 45 100 100 100 Arkansas ------81 97 99 98 100 94 87 99 100 97 99 100 100 72 California ------99 99 99 100 ------100 - - 99 100 - - Colorado 100 100 100 97 88 100 100 100 90 94 100 100 100 100 38 100 100 Connecticut ------89 - - 93 93 91 ------100 - - 83 - - 95 89 Delaware ------60 97 91 89 98 87 98 96 80 64 98 10 94 - - District of Columbia 100 100 100 100 100 98 96 99 91 96 89 93 99 98 100 100 97 Florida 100 100 100 93 100 100 100 98 67 - - - - 100 100 98 100 100 92 Georgia ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Hawaii 100 100 100 95 76 99 100 100 97 90 100 100 100 100 100 100 96 Idaho ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Illinois ------100 100 100 100 100 100 100 38 100 100 100 100 100 98 Indiana ------100 6 99 98 98 - - 95 - - 100 96 99 - - 99 92 Iowa ------100 100 100 100 100 100 98 100 100 98 100 100 100 Kansas 100 100 100 - - 100 100 100 100 100 100 100 100 100 100 100 100 100 Kentucky 100 99 98 100 100 100 100 100 99 100 100 100 100 100 - - 100 99 Louisiana ------92 100 100 100 100 100 100 63 100 100 100 100 100 100 Maine 98 98 98 - - 100 100 100 100 84 100 16 75 - - 100 84 100 84 Maryland 100 100 100 - - 100 97 - - 100 69 86 - - 100 99 99 100 100 - - Massachusetts ------100 100 100 97 92 100 - - 100 100 99 54 92 75 Michigan ------97 100 100 100 100 ------100 - - 100 100 100 93 Minnesota ------100 99 99 96 - - - - 100 - - 99 - - 99 96 Mississippi ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ Missouri 100 100 100 42 100 98 100 97 100 100 100 100 100 100 96 100 100 Montana 100 100 100 99 100 100 100 100 100 100 100 100 100 100 100 100 100 Nebraska 100 100 100 95 100 100 100 97 99 100 98 100 100 98 100 100 99 Nevada ------73 - - 97 99 99 97 92 94 41 92 97 100 100 100 New Hampshire 100 100 100 99 100 99 95 98 99 98 98 84 99 100 100 100 33

Continued. See notes at end of table.

148 Appendix Table 3. Item percentage response rate, by State or jurisdiction: TEDS Supplemental Data Set 2011 (continued)

[Based on administrative data reported to TEDS by all reporting States and jurisdictions. Comparisons among States should be made with caution.] Frequency Detailed Detailed Days of State or jurisdiction Primary Secondary Tertiary DSM Psych- Living Health Pay- not-in- criminal waiting Arrests attendance detailed detailed detailed diag- iatric Preg- arrange- Income insur- ment labor- justice Marital for treat- in past at self-help drug 1 drug 2 drug 3 nosis problem nant 4 Veteran ments source ance source force 5 referral 6 status ment 30 days programs New Jersey 100 100 100 - - 65 67 100 98 74 94 98 100 97 98 85 100 56 New Mexico 97 96 98 100 100 49 72 75 66 71 25 67 89 74 73 12 18 New York 100 100 100 - - 70 77 100 100 100 - - - - 100 96 70 - - 70 70 North Carolina ------98 100 100 100 100 - - 5 - - 100 - - 100 - - 97 82 North Dakota 100 100 100 100 100 99 98 99 97 98 95 96 94 98 100 100 100 Ohio 3 29 51 98 100 100 100 97 97 - - 100 100 25 99 100 99 88 Oklahoma ------81 100 100 99 100 - - 21 - - 100 98 99 - - 100 100 Oregon ------100 - - 100 100 100 - - 100 100 90 - - 100 2 Pennsylvania ------100 100 - - 90 93 97 100 73 100 ------Puerto Rico 80 70 78 79 99 100 97 94 86 97 98 95 1 77 100 100 99 Rhode Island ------99 90 90 85 98 - - - - 100 100 98 98 - - 92 88 South Carolina ------89 100 100 100 100 100 100 100 100 - - 100 100 100 100 South Dakota 95 95 95 99 94 99 100 100 98 96 100 100 100 100 100 100 99 Tennessee 131 131 131 99 100 98 93 98 97 97 - - 100 - - 99 100 100 95 Texas ------98 100 98 100 100 100 100 100 100 100 100 100 Utah ------75 100 100 - - 100 98 100 99 100 100 100 100 100 94 Vermont ------100 - - 91 - - 92 - - - - 99 100 ------100 11 Virginia ------94 - - 93 - - 93 ------100 ------90 73 Washington ------100 100 99 100 ------100 - - 100 - - 99 66 West Virginia ------100 100 98 100 99 79 - - 81 100 88 91 ------Wisconsin ------100 - - 78 ------100 ------89 49 Wyoming ------100 100 98 98 100 99 100 19 100 100 99 52 99 84 1 Percent of admissions reporting a specified primary substance. 4 Percent of female admissions. 2 Percent of admissions reporting a specified secondary substance. 5 Percent of admissions reporting employment status as "Not in labor force." 3 Percent of admissions reporting a specified tertiary substance. 6 Percent of admissions reporting referral source as "Criminal justice system." - - Quantity is zero. ‡ No data, or less than a full calendar year of data, submitted. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

149 150 Appendix B TEDS Data Elements

TEDS Minimum Data Set

AGE OF FIRST USE (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCE)

For drugs other than alcohol, these fields identify the age at which the client first used the respective substance. For alcohol, these fields record the age of first intoxication. • 0—Indicates a newborn with a substance dependency problem • 1-96—Indicates the age at first use

CLIENT OR CODEPENDENT/COLLATERAL

Specifies whether the admission record is for a substance abuse treatment client, or a person being treated for his/her codependency or collateral relationship with a substance abuser. • Client—Must meet all of the following criteria: • Has an alcohol or drug related problem • Has completed the screening and intake process • Has been formally admitted for treatment or recovery service in an alcohol or drug treatment unit • Has his or her own client record

A person is not a client if he or she has completed only a screening or intake process or has been placed on a waiting list. • Codependent/collateral—Must meet all of the following criteria: • Has no alcohol or drug related problem • Is seeking services because of problems arising from his or her relationship with an alcohol or drug user • Has been formally admitted for service to a treatment unit • Has his or her own client record or has a record within a primary client record

GUIDELINES: Reporting of data for Codependent/collaterals si optional. If the State opts to report codependent/collateral clients, the mandatory fields are State code, Provider identifier, Client identifier, Client transaction type, Codependent/collateral, and Date of admission. Reporting of the

151 remaining fields in the TEDS Minimum and Supplemental Data Sets is optional. For all items not reported, the data field should be coded with the appropriate “Not collected” or “Not applicable” code. If a substance abuse client with an existing record in TEDS becomes a codependent, a new client record should be submitted indicating that the client has been admitted as a codependent, and vice versa. If a record does not include a value for this field, it is assumed to be a substance abuse client record.

DATE OF ADMISSION

The day when the client receives his or her first direct treatment or recovery service. For transfers, this is the date when client receives his or her first direct treatment after the transfer has occurred.

DEMOGRAPHICS

AGE

Identifies client’s age at admission. Derived from client’s date of birth and date of admission. • 0—Indicates a newborn with a substance dependency problem • 1-96—Indicates the age at admission

EDUCATION

Specifies the highest school grade (number of school years) completed by the client. • 0—Less than one grade completed • 1-25—Years of school (highest grade) completed. For General Equivalency Degree, use 12. GUIDELINES: States that use specific categories for designating education level should map their codes to a logical number of years of school completed. For Associate’s Degree, use 14. For Bachelor’s Degree, use 16.

EMPLOYMENT STATUS

Identifies the client’s employment status at the time of admission or transfer. • Full time—Working 35 hours or more each week, including active duty members of the uniformed services • Part time—Working fewer than 35 hours each week • Unemployed—Looking for work during the past 30 days, or on layoff from a job • Not in labor force—Not looking for work during the past 30 days, or a student, homemaker, disabled, retired, or an inmate of an institution. Clients in this category are further defined in the TEDS Supplemental Data Set item Detailed not-in-labor-force.

152 GUIDELINES: Seasonal workers are coded in this category based on their employment status at admission.

ETHNICITY

Identifies client’s specific Hispanic origin. • Cuban—Of Cuban origin, regardless of race • Hispanic (specific origin not specified)—Of Hispanic origin, but specific origin not known or not specified • Mexican—Of Mexican origin, regardless of race • Not of Hispanic origin • Other specific Hispanic—Of known Central or South American or any other Spanish cultural origin (including Spain), other than Puerto Rican, Mexican, or Cuban, regardless of race • Puerto Rican—Of Puerto Rican origin, regardless of race GUIDELINES: If a State does not collect specific Hispanic detail, code Ethnicity for Hispanics as Hispanic (specific origin not specified).

RACE

Specifies the client’s race. • Alaska Native (Aleut, Eskimo, Indian)—Origins in any of the original people of Alaska • American Indian (other than Alaska Native)—Origins in any of the original people of North America and South America (including Central America) and who maintain cultural identification through tribal affiliation or community attachment • Asian or Pacific Islander—Origins in any of the original people of the Far East, the Indian subcontinent, Southeast Asia, or the Pacific Islands • Asian—Origins in any of the original people of the Far East, the Indian subcontinent, or Southeast Asia, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Philippine Islands, Thailand, and Vietnam • Native Hawaiian or other Pacific Islander—Origins in any of the original people of Hawaii, Guam, Samoa, or other Pacific Islands • Black or African American—Origins in any of the black racial groups of Africa • White—Origins in any of the original people of Europe, North Africa, or the Middle East • Other single race—Client is not classified in any category above or whose origin group, because of area custom, is regarded as a racial class distinct from the above categories

153 • Two or more races—For use when the State data system allows multiple race selection and more than one race is indicated GUIDELINES: If a State does not distinguish between American Indian and Alaska Native, both should be coded as American Indian. If a State does not distinguish between Asian and Native Hawaiian or other Pacific Islander, both should be coded as Asian or Pacific Islander.For States that collect multiple races: a) when a single race is designated, the specific race code should be used; b) if the State collects a primary or preferred race along with additional races, the code for the primary/preferred race should be used; c) if the State uses a system such as an algorithm to select a single race when multiple races have been designated, the same system may be used to determine the race code for TEDS. When two or more races have been designated and neither (b) nor (c) above apply, the TEDS code for Two or more races should be used.

SEX

Identifies client’s gender. • Male • Female

FREQUENCY OF USE (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)

These fields identify the frequency of use of the respective Substance problems. • No use in the past month • 1-3 times in the past month • 1-2 times in the past week • 3-6 times in the past week • Daily

MEDICATION-ASSISTED OPIOID THERAPY

Identifies whether the use of methadone or buprenorphine is part of the client’s treatment plan. • Yes • No

NUMBER OF PRIOR TREATMENT EPISODES

Indicates the number of previous treatment episodes the client has received in any drug or alcohol program. Changes in service for the same episode (transfers) should not be counted as separate prior episodes. • 0 previous episodes • 1 previous episode 154 • 2 previous episodes • 3 previous episodes • 4 previous episodes • 5 or more previous episodes

GUIDELINES: It is preferred that the number of prior treatments be a self-reporting field collected at the time of client intake. However, this data item may be derived from the State data system if the system has that capability and episodes can be counted for at least several years.

PRINCIPAL SOURCE OF REFERRAL

Describes the person or agency referring the client to the alcohol or drug abuse treatment program. • Alcohol/drug abuse care provider—Any program, clinic, or other health care provider whose principal objective is treating clients with substance abuse problems, or a program whose activi- ties are related to alcohol or other drug abuse prevention, education, or treatment • Court/criminal justice referral/DUI/DWI—Any police official, judge, prosecutor, probation officer,r o other person affiliated with a Federal, State, or county judicial system. Includes referral by a court for DWI/DUI, clients referred in lieu of or for deferred prosecution, or during pretrial release, or before or after official adjudication. Includes clients on pre-parole, pre-release, work or home furlough, or TASC. Client need not be officially designated as “on parole.” Includes clients referred through civil commitment. Client referrals on this category are further defined in the TEDS Supplemental Data Set item Detailed criminal justice referral. • Employer/EAP—A supervisor or an employee counselor • Individual (includes self-referral)—Includes the client, a family member, friend, or any other individual who would not be included in any of the following categories; includes self-referral due to pending DWI/DUI • Other community referral—Community or religious organization or any Federal, State, or local agency that provides aid in the areas of poverty relief, unemployment, shelter, or social welfare. Self-help groups such as Alcoholics Anonymous (AA), Al-Anon, and Narcotics Anony- mous (NA) are also included in this category. Defense attorneys are included in this category. • Other health care provider—A physician, psychiatrist, or other licensed health care profes- sional; or a general hospital, psychiatric hospital, mental health program, or nursing home • School (educational)—A school principal, counselor, or teacher; or a student assistance program (SAP), the school system, or an educational agency

SUBSTANCE PROBLEM (PRIMARY, SECONDARY, OR TERTIARY)

These fields identify the client’s primary, secondary, and tertiary substance problems. Each Sub- stance problem ,(primary secondary, and tertiary) has associated fields for Route of administration, Frequency of use, Age at first use, and the TEDS Supplemental Data Set item Detailed drug code.

155 • Alcohol • Barbiturates—Amobarbital, pentobarbital, phenobarbital, secobarbital, etc. • Benzodiazepines—Includes alprazolam, chlordiazepoxide, clonazepam, clorazepate, diazepam, flunitrazepam, flurazepam, halazepam, lorazepam, oxazepam, prazepam, temazepam, triazolam, and other unspecified benzodiazepines • Cocaine/crack • Heroin • Inhalants—Includes chloroform, ether, gasoline, glue, nitrous oxide, paint thinner, etc. • Marijuana/hashish—Includes THC and any other cannabis sativa preparations • Methamphetamine • Non-prescription methadone • Other amphetamines—Includes amphetamines, MDMA, phenmetrazine, and other unspecified amines and related drugs • Other hallucinogens—Includes LSD, DMT, STP, hallucinogens, mescaline, peyote, psilocybin, etc. • Other non-barbiturate sedatives or hypnotics—Includes chloral hydrate, ethchlorvynol, glutethimide, methaqualone, and other non-barbiturate sedatives or hypnotics • Other non-benzodiazepine tranquilizers—Includes meprobamate and other non-benzodiazepine tranquilizers • Other opiates and synthetics—Includes buprenorphine, codeine, hydrocodone, hydromorphone, meperidine, morphine, opium, oxycodone, pentazocine, propoxyphene, tramadol, and any other drug with morphine-like effects • Other stimulants—Includes methylphenidate and any other stimulants • Over-the-counter medications—Includes aspirin, cough syrup, diphenhydramine and other antihistamines, sleep aids, and any other legally obtained nonprescription medication • PCP—Phencyclidine • Other—Includes diphenylhydantoin/phenytoin, GHB/GBL, ketamine, etc. • None

GUIDELINES: Substance problems are further defined in the TEDS Supplemental Data Set item Detailed drug code. For guidance on which specific substances to include in the substance categories, please refer to the detailed drug categories listed for Detailed drug code. • Substance problem and Route of administration:

156 • For States that do collect Detailed drug code—Records may have duplicate Substance problems and identical Route of administration IF the corresponding Detailed drug codes are different or are ‘‘multiple’’ drug codes • For States that do not collect Detailed drug code—A record may not have duplicate Substance problems with identical Routes of administration

TRANSACTION TYPE

Identifies whether a record is for an initial admission or a transfer/change in service. Note: Some States may use other terminology such as “initial admission” and “transfer admission” in place of “admission” and “transfer.” • A—Admission • T—Transfer/change in service

GUIDELINES: For TEDS, a treatment episode is defined as that period of service between the beginning of treatment for a drug or alcohol problem and the termination of services for the pre- scribed treatment plan. The episode includes one admission (when services begin) and at least one discharge (when services end). Within a treatment episode, a client may transfer to a different service, facility, provider, program, or location. Each admission and transfer record should have an associated discharge record. When it is feasible for the State to identify transfers, they should be reported as transfers in admissions data submissions. When admissions and transfers cannot be differentiated in a State data system, such changes in service or facility should be reported to TEDS as admissions. Data set considerations for transfers: • All fields from the transfer record should be updated to reflect values at the time of transfer except the following fields, which must have the same values as in the associated (preceding) admission record: Client ID, Codependent/collateral, Date of birth, Sex, Race, and Ethnicity. If a field cannot be updated, it should be transmitted to TEDS with its value from the associated (preceding) admission record. • Date of admission is defined as the date services begin after the transfer to another service or facility.

157 TYPE OF SERVICES

Describes the type of service and treatment setting in which the client is placed at the time of admission or transfer. • Ambulatory, detoxification—Outpatient treatment services providing for safe withdrawal in an ambulatory setting (pharmacological or non-pharmacological) • Ambulatory, intensive outpatient—As a minimum, the client must receive treatment lasting two or more hours per day for three or more days per week • Ambulatory, non-intensive outpatient—Ambulatory treatment services including individual, family, and/or group services, and may include pharmacological therapies • Detoxification, 24-hour service, free-standing residential—24-hour per day services in a non-hospital setting providing for safe withdrawal and transition to ongoing treatment • Detoxification, 24-hour service, hospital inpatient—24-hour per day medical acute care services in a hospital setting for detoxification of persons with severe medical complications associated with withdrawal • Rehabilitation/residential, hospital (other than detoxification)—24-hour per day medical care in a hospital facility in conjunction with treatment services for alcohol and other drug abuse and dependency • Rehabilitation/residential, short-term (30 days or fewer)—Typical, ly 30 days or less of non- acute care in a setting with treatment services for alcohol and other drug abuse and dependency • Rehabilitation/residential, long-term (more than 30 days)—Typically, more than 30 days of non-acute care in a setting with treatment services for alcohol and other drug abuse and dependency; this may include transitional living arrangements such as halfway houses

USUAL ROUTE OF ADMINISTRATION (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)

These fields identify the usual route of administration of the respective Substance problems. • Inhalation • Injection (IV or intramuscular) • Oral • Smoking • Other

158 TEDS Supplemental Data Set

DAYS WAITING TO ENTER TREATMENT

Indicates the number of days from the first contact or request for service until the client was admitted and the first clinical service was provided. • 0-996. Number of days waiting GUIDELINES: This item is intended to capture the number of days the client must wait to begin treatment because of program capacity, treatment availability, admissions requirements, or other program requirements. It should not include time delays caused by client unavailability or client failure to meet any requirement or obligation.

DETAILED CRIMINAL JUSTICE REFERRAL

This item gives more detailed information about those clients who are coded as “Court/criminal justice referral/DUI/DWI” in the TEDS Minimum Data Set item Principal source of referral. • Diversionary program (e.g., TASC) • DUI/DWI • Other court (not State or Federal) • Other recognized legal entity (e.g., local law enforcement agency, corrections agency, youth services, review board/agency) • Prison • Probation/parole • State/Federal court • Other • Not applicable

DETAILED DRUG CODE (PRIMARY, SECONDARY, AND TERTIARY)

These fields identify, in greater detail, the drug problems recorded in the TEDS Minimum Data Set item Substance problem. • Aerosols • Alcohol

159 • Alprazolam (Xanax) • Amphetamine • Anesthetics • Chlordiazepoxide (Librium) • Clonazepam (Klonopin, Rivotril) • Clorazepate (Tranxene) • Codeine • Crack • Diazepam (Valium) • Diphenhydramine • Diphenylhydantoin/phenytoin (Dilantin) • Ethchlorvynol (Placidyl) • Flunitrazepam (Rohypnol) • Flurazepam (Dalmane) • GHB/GBL (gamma-hydroxybutyrate, gamma-butyrolactone) • Glutethimide (Doriden) • Heroin • Hydrocodone (Vicodin) • Hydromorphone (Dilaudid) • Ketamine (Special K) • Lorazepam (Ativan) • LSD • Marijuana/hashish • Meperidine (Demerol) • Meprobamate (Miltown) • Methadone (non-prescription) • Methamphetamine/speed • Methaqualone • Methylenedioxymethamphetamine (MDMA, Ecstasy) • Methylphenidate (Ritalin) • Nitrites

DETAILED “NOT IN LABOR FORCE”

This item gives more detailed information about those clients who are coded as “Not in labor force” in the TEDS Minimum Data Set item Employment Status. • Disabled • Homemaker • Inmate of institution (prison or institution that keeps a person, otherwise able, from entering the labor force) • Retired • Student

160 • Other • Not applicable

DSM CRITERIA DIAGNOSIS

The diagnosis of the substance abuse problem from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. DSM-IV is preferred, but use of the Third Edition or ICD codes is permissible.

EXPECTED/ACTUAL PRIMARY SOURCE OF PAYMENT

Identifies the primary source of payment for this treatment episode. • Blue Cross/Blue Shield • Medicaid • Medicare • Other government payments • Other health insurance companies • Self-pay • Worker’s Compensation • No charge (free, charity, special research, or teaching) • Other

FREQUENCY OF ATTENDANCE AT SELF-HELP PROGRAMS

This field records the number of times the client has attended a self-help program in the 30 days preceding the date of admission to treatment services.

• No attendance in the past month • 1-3 times in the past month • 4-7 times in the past month • 8-15 times in the past month • 16-30 times in the past month • Some attendance in the past month, but frequency unknown

HEALTH INSURANCE

Specifies the client’s health insurance (if any). The insurance may or may not cover alcohol or drug treatment.

161 • Blue Cross/Blue Shield • Health maintenance organization (HMO) • Medicaid • Medicare • Private insurance (other than Blue Cross/Blue Shield or an HMO) • Other (e.g., TRICARE) • None

LIVING ARRANGEMENTS

Specifies whether the client is homeless, living with parents, in a supervised setting, or living on his or her own. • Dependent living. Clients living in a supervised setting such as a residential institution, halfway house, or group home, and children (under age 18) living with parents, relatives, or guardians, or in foster care • Homeless. Clients with no fixed address; includes shelters • Independent living. Clients living alone or with others without supervision

MARITAL STATUS

Describes the client’s marital status. The following categories are compatible with the U.S. Census. • Divorced • Never married. Includes clients whose only marriage was annulled • Now married. Includes those living together as married • Separated. Includes those separated legally or otherwise absent from spouse because of marital discord • Widowed

NUMBER OF ARRESTS IN 30 DAYS PRIOR TO ADMISSION

This field records the number of arrests in the 30 days preceding the date of admission to treatment services.

• 00-96—Number of arrests

162 PREGNANT AT TIME OF ADMISSION

Specifies whether the client was pregnant at the time of admission. • Yes • No • Not applicable. Use this code for male clients

PSYCHIATRIC PROBLEM IN ADDITION TO ALCOHOL OR DRUG PROBLEM

Identifies whether the client has a psychiatric problem in addition to his or her alcohol or drug use problem. • Yes • No

SOURCE OF INCOME SUPPORT

Identifies the client’s principal source of financial support. For children under 18, this field indicates the parents’ primary source of income/support. • Disability • Public assistance • Retirement/pension • Wages/salary • Other • None

VETERAN STATUS

Identifies whether the client has served in the uniformed services (Army, Navy, Air Force, Marines, Coast Guard, Public Health Service Commissioned Corps, Coast and Geodetic Survey, etc.). • Yes • No

At Synectics, Hongwei Zhang, Sarbajit Sinha, Doren Walker, and Leigh Henderson were responsible for the content, analysis, and writing of the report.

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