|February 20, 2004|
Discharges from Long-term Residential Treatment: 2000
This report examines discharge data in the Treatment Episode Data Set (TEDS).1The TEDS system is comprised of two major components, the Admission Data System and the Discharge Data System. Both admission and discharge data come primarily from facilities that receive some public funding.
States are asked to submit data for all discharges from substance abuse treatment. In 2000, 18 States2 submitted 347,923 records for clients discharged from treatment. Nearly all of these records (94 percent) could be linked to a TEDS admission record. These 326,750 linked admission/discharge records are referred to as treatment episodes. Of these episodes, over 99 percent (323,156) had a valid response for reason for discharge.
This report presents data on the 8 percent (26,603) of these treatment episodes that represent clients who received long-term (more than 30 days) residential treatment (Table 1). Clients discharged from short-term residential (30 days or fewer) and residential detoxification are not included in this report.3
Reasons for Discharge
About one-third (33 percent) of long-term residential treatment episodes involved individuals who completed treatment and another 9 percent involved those who were transferred to further treatment (Figure 1). The remaining long-term residential treatment episodes involved clients who left against professional advice (29 percent), whose treatment was terminated by the facility (25 percent), or who were discharged for other reasons (4 percent).
Alcohol was the primary substance of abuse4 in 44 percent of the completed long-term residential treatment episodes (Figure 2), followed by cocaine (20 percent), opiates (13 percent), marijuana (12 percent), stimulants (7 percent), and other substances (4 percent).
Completion of Long-term Residential Treatment
The long-term residential treatment completion rate was highest, at 38 percent, for episodes involving alcohol as the primary substance of abuse (Figure 3). For long-term residential treatment episodes with marijuana as the primary substance, the completion rate was 32 percent. The long-term residential treatment completion rate for episodes where the primary substance was a stimulant was 30 percent. Long-term residential treatment episodes involving opiates or cocaine as the primary substance were least likely to be completed, at 29 percent for both types of drugs.
Median Length of Stay
The median length of stay for completed long-term residential treatment episodes was 75 days, ranging from 73 days for cocaine to 91 days for opiates (Figure 4).
1 For an earlier report on TEDS discharges, see Substance Abuse and Mental Health Services Administration, Office of Applied Studies. The DASIS report: Treatment Completion in the Treatment Episode Data Set (TEDS). Rockville, MD. January 30, 2003.
2 States included are CA, GA, HI, IA, IL, MA, MD, ME, MI, MN, MS, MT, NE, NM, OH, OK, UT, and WY.
3 Because treatment completion rates and lengths of stay vary across modalities or types of treatment, reports on other modalities, including hospital inpatient, outpatient, intensive outpatient, short-term residential, and detoxification treatment are being presented in other DASIS reports.
4 The primary substance of abuse is the main substance abused at the time of admission.
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