Chapter 8

Outpatient Medication-Assisted Opioid Therapy Discharges Aged 12 and Older: TEDS 2008

Chapter 8 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 62,328 discharges aged 12 and older from outpatient medication-assisted opioid therapy (i.e., therapy with methadone or buprenorphine) in 2008. Thirty-eight of the 47 reporting States and jurisdictions had discharges from this type of service [Table 8.1]. Discharges aged 12 and older from outpatient medication-assisted opioid therapy included 93 percent from outpatient treatment and 7 percent from intensive outpatient treatment (see Chapter 1).

Reason for Discharge

Table 8.1 and Figure 8.1. Of the 62,328 discharges aged 12 and older from outpatient medication-assisted opioid therapy in 2008:

Figure 8.1
Reason for discharge from outpatient medication-assisted opioid therapy: TEDS 2008

Pie chart comparing Reason for discharge from outpatient medication-assisted opioid therapy: TEDS 2008

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 5.06.10.

Median Length of Stay (LOS)

Table 1.4 and Figure 8.2. The median LOS in 2008 for outpatient medication-assisted opioid therapy discharges aged 12 and older was 155 days. By reason for discharge, the median LOS for outpatient medication-assisted opioid therapy discharges was:

Figure 8.2
Median length of stay in outpatient medication-assisted opioid therapy, by reason for discharge: TEDS 2008

Bar chart comparing Median length of stay in outpatient medication-assisted opioid therapy, by reason for discharge: TEDS 2008

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 5.06.10.

Characteristics at Admission

Table 1.6. Outpatient medication-assisted opioid therapy discharges aged 12 and older displayed some major differences from all discharges aged 12 and older combined. Of outpatient medication-assisted opioid therapy discharges aged 12 to 20:

Treatment Completion

Tables 8.2 and 8.3. Table 8.2 enumerates the characteristics at admission of discharges aged 12 and over from outpatient medication-assisted opioid therapy by reason for discharge. Table 8.3 is based on Table 8.2. It presents two related proportions: a) the percent distribution of characteristics at admission among discharges completing treatment or transferring to further treatment compared to those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission. Table 8.3 also provides the median LOS among outpatient medication-assisted opioid therapy discharges aged 12 and over that completed treatment.

Linkage of discharge records from 2008 to admission records from 2000 to 2008 means that the maximum length of stay (LOS) in treatment included in this report is 9 years. However, outpatient medication-assisted opioid therapy can have a much longer duration. Indeed, some admissions may receive this form of treatment for an indefinite period. Because this report includes data only on discharges, it will underestimate LOS in treatment for those receiving outpatient medication-assisted opioid therapy. Similarly, the number and proportion of treatment completers will reflect only those who have been discharged because treatment is complete and not those who successfully remain in long-term outpatient medication-assisted opioid therapy. In addition, the characteristics at admission of those admitted to and discharged from outpatient medication-assisted opioid therapy within 9 years may differ from those of admissions who remain in such therapy for longer than 9 years.

Completion/Transfer Rates and Characteristics at Admissions

The overall combined treatment completion/transfer rate among outpatient medication-assisted opioid therapy discharges aged 12 and over was 33 percent.

Median LOS among Discharges Completing Treatment

The overall median LOS in 2008 among discharges aged 12 and older completing outpatient medication-assisted opioid therapy was 197 days.

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