Treatment Episode Data Set (TEDS) 2003 - 2013 National 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. Work by Synectics 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): 2003-2013. National Admissions to Substance Abuse Treatment Services. BHSIS Series S-75, HHS Publication No. (SMA) 15-4934. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015. 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 December 2015 ii TABLE OF CONTENTS List of Tables ...................................................................................................................................v List of Figures ............................................................................................................................... ix Highlights ........................................................................................................................................1 Chapter 1. Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2003-2013 ........................................................................................................................................7 Trends in Primary Substance of Abuse: 2003-2013 ...................................................................7 Trends in the Co-Abuse of Alcohol and Drugs ..........................................................................9 Trends in Demographic Characteristics .....................................................................................9 Trends in Employment Status ..................................................................................................12 Chapter 2. Characteristics of Admissions by Primary Substance: 2013 ................................13 All Admissions Aged 12 and Older .........................................................................................14 Alcohol Only ............................................................................................................................15 Alcohol with Secondary Drug Abuse ......................................................................................16 Heroin.......................................................................................................................................17 Opiates Other than Heroin .......................................................................................................18 Smoked Cocaine (Crack) ..........................................................................................................19 Non-Smoked Cocaine ..............................................................................................................20 Marijuana/Hashish ...................................................................................................................21 Methamphetamine/Amphetamines ..........................................................................................22 Tranquilizers ............................................................................................................................23 Sedatives ..................................................................................................................................24 Hallucinogens ...........................................................................................................................25 Phencyclidine (PCP) .................................................................................................................26 Inhalants ...................................................................................................................................27 iii TABLE OF CONTENTS (CONTINUED) Chapter 3. Topics of Special Interest ..........................................................................................29 Adolescent Admissions to Substance Abuse Treatment ..........................................................30 Trends in Heroin Admissions and Medication-Assisted Opioid Therapy ................................32 Polydrug Abuse ........................................................................................................................35 Racial/Ethnic Subgroups..........................................................................................................36 Chapter 4. Type of Service: 2013 ................................................................................................41 Tables .............................................................................................................................................43 Appendix A. About the Treatment Episode Data Set (TEDS) .................................................95 Appendix B. TEDS Data Elements ...........................................................................................109 TEDS Minimum Data Set ......................................................................................................109 TEDS Supplemental Data Set ................................................................................................ 117 iv LIST OF TABLES Trends 2003-2013 1.1a Admissions aged 12 and older, by primary substance of abuse: Number, 2003-2013 .............................................................................................................................45 1.1b Admissions aged 12 and older, by primary substance of abuse: Percent distribution, 2003-2013 .........................................................................................................46 1.2 Admissions aged 12 and older, by alcohol/drug co-abuse: Number and percent distribution, 2003-2013 .........................................................................................................47 1.3a Admissions aged 12 and older, by gender and age at admission: Number and average age at admission, 2003-2013 ...................................................................................48 1.3b Admissions aged 12 and older, by gender and age at admission: Percent distribution, 2003-2013 and 2013 U.S. population aged 12 and older .................................49 1.4 Admissions aged 12 and older, by race/ethnicity: Number and percent distribution, 2003-2013 and 2013 U.S. population aged 12 and older .................................50 1.5 Admissions aged 16 and older, by employment status: Percent distribution, 2003-2013 and 2013 U.S. population aged 16 and older ......................................................51 Characteristics of Admissions 2013 2.1a Gender and age at admission among admissions aged 12 and older, by primary substance of abuse: Column percent distribution and average age at admission, 2013.......................................................................................................................................52 2.1b Gender and age at admission among admissions aged 12 and older, by primary substance of abuse: Row percent distribution, 2013 .............................................................53 2.2 Race/ethnicity among admissions aged 12 and older, by primary substance of abuse: Percent distribution, 2013 ..........................................................................................54 2.3a Selected race/ethnicity/gender/age group among admissions aged 12 and older, by primary substance of abuse: Column percent distribution, 2013 .....................................55 2.3b Selected race/ethnicity/gender/age group among admissions aged 12 and older, by primary substance of abuse: Row percent distribution, 2013 ..........................................59 v LIST OF TABLES (CONTINUED) 2.4 Frequency of use and usual route of administration among admissions aged 12 and older, by primary substance of abuse: Percent distribution, 2013 ....................63 2.5 Age of first use and number of prior treatment episodes among admissions aged 12 and older, by primary substance of abuse: Percent distribution, 2013 ....................64 2.6 Treatment referral source and detailed criminal justice referral among admissions aged 12 and older, by primary substance of abuse: Percent distribution, 2013 ..................................................................................................................65 2.7 Type of service at admission and planned medication-assisted opioid therapy among admissions