All Admissions

Selcted Primary Substance

This report presents data from the Treatment Episode Data Set (TEDS) by Census division and State or jurisdiction for admissions in 2010 and trend data for 2000 to 2010. It is a companion to the report, Treatment Episode Data Set (TEDS): 2000-2010 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 2000 through 2010 that were received and processed through October 10, 2011.¹

TEDS is an admission-based system, and TEDS admissions do not represent individuals. Thus, for example, 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 2000 to 2010. 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. (For example, limited resources and targeted programs may result in a shift of State funds from treatment of alcohol abusers to treatment of drug abusers.) 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.

Figure 1. U.S. Census divisions

All Admissions

Table 1.1 presents the total number of treatment admissions aged 12 and older by Census division and State or jurisdiction for 2000 through 2010.²

• For 2010, 1,820,737 admissions aged 12 and older were reported to TEDS by 48 States and Puerto Rico (the District of Columbia, Georgia, and Mississippi did not report admissions for 2010).
• Between 2000 and 2010, the number of treatment admissions aged 12 and older increased by 4 percent.
• Between 2000 and 2010, about 23 percent of all admissions reported were in the Middle Atlantic division. The Pacific, East North Central, and South Atlantic divisions reported 14 to 15 percent of all admissions; the New England, West North Central, and Mountain divisions reported 7 to 10 percent of all admissions; and the East South Central and West South Central divisions reported 3 to 5 percent of all admissions.
  

Table 1.2 presents the treatment admissions rates per 100,000 population aged 12 and older by Census division and State or jurisdiction for 2000 through 2010.

• Between 2000 and 2010, the U.S. 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 2010 (691 per 100,000 population aged 12 and older) was about 6 percent lower than the rate in 2000 (738 per 100,000 population).
• Admission rates were highest in the New England and Middle Atlantic divisions. Between 2000 and 2010, the admission rate per 100,000 population aged 12 and older ranged from 1,132 to 1,479 in the New England division and from 1,246 to 1,318 in the Middle Atlantic division.
• Individual State admission rates (excluding Puerto Rico) varied from approximately 140 per 100,000 population to about 2,400 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 U.S. 2010 population by Census division and State or jurisdiction for 2000 through 2010. 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 U.S. 2010 population.

For example, the 2010 unadjusted rates (Table 1.2) for Alaska and Rhode Island were 1,147 and 1,122 per 100,000 population aged 12 and older, respectively—these two States had similar rates. However, the adjusted rates (844 per 100,000 for Alaska and 1,199 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 30 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 U.S. population. In contrast, Rhode Island's population distribution very closely resembles the U.S. population. This example clearly demonstrates that if Alaska's 2010 population distribution were similar to that of the United States in 2010, then one would expect the admission rate to be about three-fourths of what it actually was in 2010.

Selected Primary Substance

Six substance groups (alcohol, marijuana, heroin, cocaine, methamphetamine/amphetamines, and opiates other than heroin)³ accounted for 96 percent of all TEDS admissions aged 12 and older in 2010.⁴

Tables 1.4a–1.9a present the numbers of admissions aged 12 and older by Census division and by State and jurisdiction from 2000 through 2010 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 2000 through 2010 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 2000 admission rates for each substance. Therefore, for the 50 States and jurisdictions reporting in 2000, each 2000 map generally shows 1 State in red (the 99th percentile and above), about 5 States in light red (the 90th to 98th percentiles), about 8 States in blue (the 75th to 89th percentiles), about 12 States in tan (the 50th to 74th percentiles), and about 24 States in lighter tan (below the median 2000 U.S. rate). Cross hatched indicate States or jurisdictions where data were not submitted or were incomplete.

Alcohol

• The treatment admission rate for primary alcohol was 18 percent lower in 2010, at 282 per 100,000 population aged 12 and older, than in 2000 (342 per 100,000). The rate fluctuated between 2000 and 2010 but 2000 had the highest rate and 2010 had the lowest rate in this time period [Table 1.4b and Figure 2].
• Alcohol admission rates were between 2 to 46 percent lower in 2010 than in 2000 in eight Census divisions. The rate was about 13 percent higher in the West North Central division.
• Among individual states and jurisdictions, alcohol admission rates were lower in 2010 than in 2000 in 32 of the 47 States reporting in both years, higher in 14 States, and the same in 1 State.
• From 2000 through 2010, alcohol treatment admission rates were generally highest in the Middle Atlantic, New England, Mountain, and West North Central divisions.
  

Marijuana

• The treatment admission rate for primary marijuana was 21 percent higher in 2010, at 127 per 100,000 population aged 12 and older, than in 2000 (105 per 100,000) [Table 1.5b and Figure 3].
• Marijuana admission rates were between 12 and 51 percent higher in 2010 than in 2000 in seven of the nine Census divisions. It was 2 and 3 percent lower in the Mountain and South Atlantic divisions.
• Among individual States and jurisdictions, marijuana admission rates were higher in 2010 than in 2000 in 31 of the 47 States reporting in both years, and lower in 16 States.
• From 2000 through 2010, marijuana treatment admission rates were consistently highest in the West North Central and Middle Atlantic divisions.
  

Heroin

• The treatment admission rate for primary heroin was 15 percent lower in 2010, at 97 per 100,000 population aged 12 and older, than in 2000 (114 per 100,000) [Table 1.6b and Figure 4].
• Despite the overall declining trend after 2002, heroin admission rates were between 12 and 167 percent higher in 2010 than in 2000 in five of the nine Census divisions. Rates were lower by between 2 and 54 percent in four divisions.
• Among individual States, heroin admission rates were higher in 2010 than in 2000 in 27 of the 46 States reporting in both years,⁵ lower in 17, and the same in 2.
• From 2000 through 2010, heroin treatment admission rates were consistently highest in the New England and Middle Atlantic divisions.

Cocaine

• The treatment admission rate for primary cocaine was 44 percent lower in 2010, at 56 per 100,000 population aged 12 and older, than in 2000 (100 per 100,000) [Table 1.7b and Figure 5].
• Note that Washington, DC was the only jurisdiction in 2000 that fell in the 99th percentile of cocaine use; however, it does not show on the map (Figure 5).
• Cocaine admission rates were between 23 and 62 percent lower in 2010 than in 2000 in each of the nine Census divisions.
• Among individual States, cocaine admission rates were lower in 2010 than in 2000 in 38 of the 47 States reporting in both years, higher in 9.
• From 2000 through 2010, cocaine treatment admission rates were highest in the Middle Atlantic division.
  

Methamphetamine/amphetamine

• The treatment admission rate for methamphetamine/amphetamines was 26 percent higher in 2010, at 43 per 100,000 population aged 12 and older, than in 2000 (34 per 100,000). Methamphetamine/amphetamine treatment admission rates peaked in 2005 at 69 per 100,000, then declined in every year through 2010 [Table 1.8b and Figure 6].
• Methamphetamine/amphetamine rates were between 11 and 175 percent higher in 2010 than in 2000 in each of the nine Census divisions.
• Among individual States, methamphetamine/amphetamine admission rates were higher in 2010 than in 2000 in 35 of the 47 States reporting in both years, lower in 10, and the same in 2.
• From 2000 through 2010, methamphetamine/amphetamines treatment admission rates in the Pacific division were on average approximately 43 percent higher than in the division with the next highest rates, the West North Central Division.
  

Opiates other than heroin

• The treatment admission rate for opiates other than heroin was 400 percent higher in 2010, at 60 per 100,000 population aged 12 and older, than in 2000 (12 per 100,000). Rates increased in every year from 2000 through 2010 [Table 1.9b and Figure 7].
• The admission rates for opiates other than heroin were between 300 and 771 percent higher in 2010 than in 2000 in each of the nine Census divisions.
• Among individual States and jurisdictions, admission rates for opiates other than heroin were higher in 2010 than in 2000 in all 47 States reporting in both years.
• From 2000 through 2010, 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.
  

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