Chapter 7
Hospital Residential Treatment Discharges: 2005

Chapter 7 presents data on the reasons for discharge and length of stay (LOS) in treatment for the 7,301 linked admission/discharge records of clients discharged from hospital residential treatment in 2005 in 13 States [Table 7.1].

Table 7.1 and Figure 7.1 present the distribution of reasons for discharge among discharges from hospital residential treatment. Overall, 4,877 (67 percent) of hospital residential discharges completed treatment, 1,141 (16 percent) were transferred to further treatment, 842 (12 percent) dropped out of treatment, 290 (4 percent) had treatment terminated by the facility, and 151
(2 percent) failed to complete treatment for other reasons.* Table 7.1 also presents reason for discharge by State.


* Percentages do not sum to 100 percent because of rounding.

Figure 7.1
Reason for discharge from hospital residential treatment: TEDS 2005

Pie chart comparing Reason for discharge from hospital residential treatment in TEDS 2005

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Figure 7.2, Table 2.5, and Appendix Table C.1. The median LOS for hospital residential treatment was 16 days. The average (mean) LOS was longer, 48 days (standard deviation, 147). The average LOS was longer than the median LOS for all reasons for discharge and for all client characteristics [Tables 7.2-711].

Figure 7.2
Median and average lengths of stay in hospital residential treatment, by reason for discharge: TEDS 2005

Bar chart comparing Median and average lengths of stay in hospital residential treatment, by reason for discharge in TEDS 2005

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Hospital residential clients who completed treatment remained in treatment longer than clients who did not complete treatment. Among treatment completers, median LOS was 19 days, and among clients transferred to further treatment, it was 11 days. Among clients who dropped out of treatment, the median LOS was 6 days; among those whose treatment was terminated by the facility, it was 11 days; and among those who failed to complete treatment for other reasons, the median LOS was 16 days.

In comparison with all discharges combined, clients discharged from hospital residential treatment were [Table 2.7]:

Gender

Table 7.2 and Figure 7.3. Sixty-three percent of clients discharged from hospital residential treatment were male.

Males were more likely to complete hospital residential treatment or to transfer to further treatment (84 percent, combined) than were females (80 percent).

The median LOS among clients completing hospital residential treatment was the same for males and females (19 days).

Figure 7.3
Hospital residential treatment completion or transfer to further treatment, by gender: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by gender in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Age at Admission

Table 7.3 and Figure 7.4. The largest age group among clients discharged from hospital residential treatment was ages 41 to 50 at admission (27 percent), followed by ages 31 to 40 (25 percent) and ages 21 to 30 (22 percent). Fifteen percent were under age 21, and 11 percent were over age 50.

The proportions of clients who completed hospital residential treatment or transferred to further treatment displayed no consistent pattern with age and were between 79 percent and 87 percent.

The median LOS among clients completing hospital residential treatment displayed no consistent pattern with age, but was longest among clients in age groups over age 21 (from 19 days to 21 days). It was 9 days among clients under age 21.

Figure 7.4
Hospital residential treatment completion or transfer to further treatment, by age at admission: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by age at admission in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Race/Ethnicity

Table 7.4 and Figure 7.5. Seventy-one percent of clients discharged from hospital residential treatment were non-Hispanic White, 14 percent were non-Hispanic Black, 9 percent were of Hispanic origin, and 6 percent were of other racial/ethnic groups.

Clients of Hispanic origin and non-Hispanic Whites were most likely to complete hospital residential treatment or to transfer to further treatment (86 percent and 84 percent, respectively). The combined completion/transfer rate was 75 percent among non-Hispanic Blacks.

The median LOS among clients completing hospital residential treatment was longest (21 days) among clients of Hispanic origin. It was shortest (19 days) among non-Hispanic Whites.

Figure 7.5
Hospital residential treatment completion or transfer to further treatment, by race/ethnicity: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by race/ethnicity in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Primary Substance

Table 7.5 and Figure 7.6. Forty-four percent of clients discharged from hospital residential treatment reported alcohol as their primary substance of abuse at admission. Cocaine was reported by 15 percent, opiates by 14 percent, marijuana by 12 percent, stimulants by 11 percent, and other substances by 4 percent.

Clients reporting alcohol or marijuana as their primary substances were most likely to complete hospital residential treatment or to transfer to further treatment (87 percent and 85 percent, respectively). The combined completion/transfer rates for the other specific substances were between 79 percent (opiates) and 75 percent (stimulants).

The median LOS among clients completing hospital residential treatment was longest (27 days) among those reporting cocaine as their primary substance of abuse. It was shortest (14 days) among those reporting marijuana.

Figure 7.6
Hospital residential treatment completion or transfer to further treatment, by primary substance: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by primary substance in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Frequency of Use

Table 7.6 and Figure 7.7. Sixty-one percent of clients discharged from hospital residential treatment reported daily use of their primary substance at admission, while 11 percent reported no use in the month before entering treatment.

The proportions of clients who completed hospital residential treatment or transferred to further treatment varied little with frequency of substance use and were between 81 percent and 83 percent.

The median LOS among clients completing hospital residential treatment was longest (27 days) among those reporting no substance use in the month before entering treatment. It was 19 days for all other frequencies of use.

Figure 7.7
Hospital residential treatment completion or transfer to further treatment, by frequency of substance use: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by frequency of substance use in the past month in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Age at First Use

Table 7.7 and Figure 7.8. The peak age at first use of the primary substance among clients discharged from hospital residential treatment was 15 to 17 years (29 percent). Twenty-one percent did not begin use until they were over age 21, and 13 percent began use at age 12 or younger.

The proportions of clients who completed hospital residential treatment or transferred to further treatment varied little with age at first use of the primary substance and were between 80 percent and 85 percent.

The median LOS among clients completing hospital residential treatment varied little with age at first use of the primary substance and was between 17 days and 20 days.

Figure 7.8
Hospital residential treatment completion or transfer to further treatment, by age at first use: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by age at first use in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Prior Treatment

Table 7.8 and Figure 7.9. Thirty-three percent of clients discharged from hospital residential treatment had never been in treatment before, while 15 percent had been in treatment five or more times before.

The proportions of clients who completed hospital residential treatment or transferred to further treatment varied little with the number of prior treatment episodes and were between 78 percent and 86 percent.

The median LOS among clients completing hospital residential treatment was 19 days regardless of the number of prior treatment episodes.

Figure 7.9
Hospital residential treatment completion or transfer to further treatment, by number of prior treatment episodes: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by number of prior treatment episodes in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Treatment Referral Source

Table 7.9 and Figure 7.10. Forty-seven percent of clients discharged from hospital residential treatment were self- or individual referrals to treatment, 17 percent were referred by the criminal justice system, 14 percent by health care providers, and 11 percent each by community sources and alcohol/drug abuse care providers.

Clients referred to treatment by the criminal justice system were most likely to complete hospital residential treatment or to transfer to further treatment (86 percent). The combined completion/transfer rate was lowest for referrals by health care providers (78 percent).

The median LOS among clients completing hospital residential treatment was longest (27 days) for criminal justice system referrals and shortest (13 days) for referrals by alcohol/drug abuse care providers.

Figure 7.10
Hospital residential treatment completion or transfer to further treatment, by treatment referral source: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by treatment referral source in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Employment Status

Table 7.10 and Figure 7.11. Forty-three percent of clients age 16 and older discharged from hospital residential treatment were unemployed, 33 percent were not in the labor force, and 24 percent were employed either full time or part time.

Clients who were employed were most likely to complete hospital residential treatment or to transfer to further treatment (89 percent). The combined completion/transfer rates were 85 percent among those who were unemployed and 77 percent among those who were not in the labor force.

The median LOS among clients completing hospital residential treatment was longest (23 days) among those who were unemployed. It was shortest (15 days) among those who were not in the labor force.

Figure 7.11
Hospital residential treatment completion or transfer to further treatment, by employment status: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by employment status in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

Education

Table 7.11 and Figure 7.12. Forty-two percent of clients age 18 and older discharged from hospital residential treatment had 12 years of education or a GED, 31 percent had more than 12 years of education, and 26 percent had fewer than 12 years of education.*

Clients with more than 12 years of education were more likely to complete hospital residential treatment or to transfer to further treatment (86 percent) than were clients with less education. The combined completion/transfer rate was 82 percent among clients with 12 years of education or a GED and 80 percent among clients with fewer than 12 years of education.

The median LOS among clients completing hospital residential treatment was longest (21 days) among those with fewer than 12 years of education. It was shortest (19 days) among those with more than 12 years of education.


* Percentages do not sum to 100 percent because of rounding.

Figure 7.12
Hospital residential treatment completion or transfer to further treatment, by years of education: TEDS 2005

Stacked bar chart comparing hospital residential treatment completion or transfer to further treatment, by years of education in TEDS 2005

Figure legend

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.03.06.

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