|April 4, 2003|
Admissions of Persons with Co-Occurring Disorders: 2000
TEDS is an annual compilation of data on the demographic
characteristics and substance abuse problems of those admitted for
substance abuse treatment. The information comes primarily from
facilities that receive some public funding. TEDS records represent
admissions rather than individuals, as a person may be admitted to
treatment more than once.
TEDS includes a Minimum Data Set collected by all States
and a Supplemental Data Set collected by some States. Psychiatric
problem is a Supplemental Data Set item. Only data on admissions from
the 27 States or jurisdictions with a response rate of 75 percent or
higher on this data element in 2000 were used for this report.1
These States accounted for approximately 63 percent of all substance
abuse treatment admissions in 2000, but they accounted for 85 percent of
the substance abuse admissions for which the psychiatric problem data
element was reported. About 17 percent (173,000) of the approximately
992,000 admissions included in this report were of persons diagnosed
with co-occurring disorders in 2000.
Primary Substance of Abuse
Alcohol was more likely to be the primary substance of abuse for co-occurring disorders admissions than for substance abuse only admissions (51 vs. 42 percent) (Figure 1). Opiates were less likely to be the primary substance of abuse for co-occurring disorders admissions than for substance abuse only admissions (15 vs. 20 percent). Cocaine and marijuana were equally likely to be the primary substance of abuse for co-occurring disorders admissions and for substance abuse only admissions.
Age at Admission, Sex, and Marital Status
The average age for both co-occurring disorders admissions and substance abuse only admissions was 34. One-third of each group of admissions (34 percent for co-occurring disorders and 32 percent for substance abuse only) was between 35 and 44 years old. Co-occurring disorders admissions were more likely to be female than substance abuse only admissions (40 vs. 28 percent).2 Co-occurring disorders admissions were more likely to be separated or divorced (28 percent) than substance abuse only admissions (23 percent). Female co-occurring disorders admissions were more likely to be separated or divorced than male co-occurring disorders admissions (30 vs. 24 percent).
The racial/ethnic distribution of co-occurring disorders admissions was 68 percent White, 20 percent Black, 8 percent Hispanic, and 2 percent Other. In contrast, the racial/ethnic distribution of substance abuse only admissions was 54 percent White, 25 percent Black, 14 percent Hispanic, and 5 percent Other.
Co-occurring disorders admissions were more likely than substance abuse only admissions to have been referred through alcohol and drug abuse care providers (17 vs. 13 percent) and other health care providers (17 vs. 6 percent) (Figure 2). 3 In contrast, substance abuse only admissions were more likely than co-occurring disorders admissions to have been referred by the criminal justice system (36 vs. 23 percent).
Number of Prior Treatment Episodes
Co-occurring disorders admissions were more likely to have been in treatment before than substance abuse only admissions (63 vs. 59 percent), and they were more likely to have been in treatment 5 or more times (21 vs. 13 percent) (Figure 3).
Co-occurring disorders admissions were less likely than substance abuse only admissions to be in the labor force (47 vs. 58 percent) (Table 1). One-quarter (25 percent) of co-occurring disorders admissions were employed either full- or part-time, compared with one-third (34 percent) of substance abuse only admissions.
1These 27 States were: Alabama, California, Colorado, Delaware, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Rhode Island, South Carolina, and Tennessee.
2For more on female co-occurring disorders admissions (previously referred to as dually diagnosed admissions), see Substance Abuse and Mental Health Services Administration (2002, October 25). The DASIS Report. Dually Diagnosed Female Substance Abuse Treatment Admissions: 1999. Rockville, MD: Author.
3 Such providers include physicians, psychiatrists, or other licensed health care professionals; or a general hospital, psychiatric hospital, mental health program, or nursing home.
This page was last updated on December 30, 2008.