|January 9, 2004|
Discharges from Short-term Residential Treatment: 2000
This report examines discharge data in the Treatment Episode Data Set (TEDS).1 TEDS 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 11 percent (36,375) of these treatment episodes that represent clients who received short-term (30 days or fewer) residential treatment (Table 1). Clients discharged from long-term (more than 30 days) residential treatment and residential detoxification are not included in this report.3
Reasons for Discharge
More than three-fifths (61 percent) of short-term residential treatment episodes involved individuals who completed treatment and another 11 percent involved those who were transferred to further treatment (Figure 1). The remaining short-term residential treatment episodes involved clients who left against professional advice (16 percent); whose treatment was terminated by the facility (9 percent); or who were discharged for other reasons (3 percent).
Alcohol was the primary substance of abuse4 in 52 percent of the completed short-term residential treatment episodes (Figure 2), followed by marijuana (15 percent), cocaine (14 percent), opiates (9 percent), stimulants (8 percent), and other substances (2 percent).
Completion of Short-term Residential Treatment
The short-term residential treatment completion rate was highest, at 67 percent, for episodes involving alcohol as the primary substance of abuse (Figure 3). For short-term residential treatment episodes with opiates as the primary substance, the completion rate was 59 percent. Short-term residential treatment completion rates for episodes where the primary substances were marijuana or cocaine were 58 percent and 55 percent, respectively. Short-term residential treatment episodes involving stimulants as the primary substance were least likely to be completed, at 53 percent.
Median Length of Stay
The median length of stay for completed short-term residential treatment episodes was 26 days, ranging from 22 days for alcohol to 28 days for marijuana (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, long-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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