Chapter 8
Detoxification Discharges: 2005

Chapter 8 presents data on the reasons for discharge and length of stay (LOS) in treatment for the 315,075 linked admission/discharge records of clients discharged from detoxification in 2005 in 33 States [Table 8.1].

Table 8.1 and Figure 8.1 present the distribution of reasons for discharge among discharges from detoxification. Overall, 203,394 (65 percent) of ­detoxification discharges completed detoxification, 38,412 (12 percent) were transferred to further treatment, 51,196 (16 percent) dropped out of treatment, 8,450 (3 percent) had treatment terminated by the facility, and 13,623 (4 percent) failed to complete treatment for other reasons. Table 8.1 also presents reason for discharge by State.

Figure 8.1
Reason for discharge from detoxification: TEDS 2005

Pie chart comparing Reason for discharge from detoxification 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 8.2, Table 2.5, and Appendix Table C.1. The median LOS for detoxification was 3 days. The average (mean) LOS was longer, 9 days (standard deviation, 56). The average LOS was longer than the median LOS for all reasons for discharge and for all client characteristics [Tables 8.2-8.11].

Figure 8.2
Median and average lengths of stay in detoxification, by reason for discharge: TEDS 2005

Bar chart comparing Median and average lengths of stay in detoxification, 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.

Among detoxification clients who completed treatment, the median LOS was the same as those who transferred to further treatment (4 days). Among clients who dropped out of treatment, it was 2 days; among those whose treatment was terminated by the facility, it was 3 days; and among those who failed to complete treatment for other reasons, the median LOS was 1 day.

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

Gender

Table 8.2 and Figure 8.3. Seventy-six percent of clients discharged from detoxification were male.

Males and females were equally likely to complete detoxification or to transfer to further treatment (77 percent, combined, for each).

Males and females who completed detoxification had the same median LOS (4 days).

Figure 8.3
Detoxification completion or transfer to further treatment, by gender: TEDS 2005

Stacked bar chart comparing detoxification 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 8.3 and Figure 8.4. The largest age group among clients discharged from detoxification was ages 41 to 50 at admission (33 percent), followed by ages 31 to 40 (30 percent) and ages 21 to 30 (21 percent). Thirteen percent were over age 50, and 4 percent were under age 21.*

Clients over age 50 were most likely to complete detoxification or to transfer to further treatment (82 percent), followed by clients aged 41 to 50 (79 percent) and those aged 31 to 40 (76 percent). The combined completion/transfer rates were 72 percent in the two youngest age groups.

The median LOS among clients completing detoxification was 4 days in all age groups.


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

Figure 8.4
Detoxification completion or transfer to further treatment, by age at admission: TEDS 2005

Stacked bar chart comparing detoxification 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 8.4 and Figure 8.5. Fifty-two percent of clients discharged from detoxification were non-Hispanic White, 24 percent were non-Hispanic Black, 19 percent were of Hispanic origin, and 5 percent were of other racial/ethnic groups.

Non-Hispanic Blacks were most likely to complete detoxification or to transfer to further treatment (79 percent). The combined completion/transfer rate was 78 percent among clients of Hispanic origin and 75 percent among non-Hispanic Whites.

The median LOS among clients completing detoxification was 3 days to 4 days for all racial/ethnic groups.

Figure 8.5
Detoxification completion or transfer to further treatment, by race/ethnicity: TEDS 2005

Stacked bar chart comparing detoxification 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 8.5 and Figure 8.6. Fifty-three percent of clients discharged from detoxification reported alcohol as their primary substance of abuse at admission. Opiates were reported by 28 percent, cocaine by 10 percent, stimulants by 4 percent, marijuana by 2 percent, and other substances by 3 percent.

Clients reporting alcohol, cocaine, or marijuana as their primary substances were most likely to complete detoxification or to transfer to further treatment (80 percent, 78 percent, and 77 percent, respectively.) The combined completion/transfer rates for the other substances were between 74 percent (stimulants) and 70 percent (opiates).

The median LOS among clients completing detoxification was 3 days to 5 days for all primary substances at admission.

Figure 8.6
Detoxification completion or transfer to further treatment, by primary substance: TEDS 2005

Stacked bar chart comparing detoxification 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 8.6 and Figure 8.7. Seventy-five percent of clients discharged from detoxification reported daily use of their primary substance at admission, while 2 percent reported no use in the month before entering treatment.

The proportions of clients who completed detoxification or transferred to further treatment displayed no consistent pattern with frequency of substance use and were between 75 percent and 89 percent.

The median LOS among clients completing detoxification displayed no consistent pattern with frequency of substance use and was between 1 day and 6 days.

Figure 8.7
Detoxification completion or transfer to further treatment, by frequency of substance use: TEDS 2005

Stacked bar chart comparing detoxification 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 8.7 and Figure 8.8. The peak age at first use of the primary substance among clients discharged from detoxification was 15 to 17 years (28 percent). Twenty-three percent did not begin use until after age 21, and 12 percent began use at age 12 or younger.

The proportions of clients who completed detoxification or transferred to further treatment varied little by age at first use of the primary substance and were between 76 percent and 79 percent.

The median LOS among clients completing detoxification varied little with age at first use of the primary substance and was between 3 days and 5 days.

Figure 8.8
Detoxification completion or transfer to further treatment, by age at first use: TEDS 2005

Stacked bar chart comparing detoxification 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 8.8 and Figure 8.9. Forty percent of clients discharged from detoxification had never been in treatment before, while 20 percent had been in treatment five or more times before.

Clients with five or more prior treatment episodes were least likely to complete detoxification or to transfer to further treatment (71 percent). The combined completion/transfer rates for fewer treatment episodes varied little and were between 77 percent and 79 percent.

The median LOS among clients completing detoxification was longest (4 days) among clients with three, four, or five or more prior treatment episodes. It was 3 days among those with one or two prior episodes, and shortest (2 days) among those with no prior episodes.


* Number of prior treatment episodes was reported for 66 percent of clients discharged from detoxification.

Figure 8.9
Detoxification completion or transfer to further treatment, by number of prior treatment episodes: TEDS 2005

Stacked bar chart comparing detoxification 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 8.9 and Figure 8.10. Fifty-seven percent of clients discharged from detoxification were self- or individual referrals to treatment, 12 percent were referred by the criminal justice system, 11 percent by community sources, 10 percent by alcohol/drug abuse care providers, and 9 percent by health care providers.*

Clients referred to treatment by community sources were most likely to complete detoxification or to transfer to further treatment (88 percent). The combined completion/transfer rate was lowest for self- or individual referrals (73 percent).

The median LOS among clients completing detoxification was 1 day to 4 days for all referral sources.


* Percentages do not sum to 100 percent because of rounding.
Figure 8.10
Detoxification completion or transfer to further treatment, by treatment referral source: TEDS 2005

Stacked bar chart comparing detoxification 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 8.10 and Figure 8.11. Fifty-three percent of clients age 16 and older discharged from detoxification were not in the labor force, 29 percent were unemployed, and 18 percent were employed either full time or part time.

Clients who were unemployed were most likely to complete detoxification or to transfer to further treatment (81 percent). The combined completion/transfer rates were 79 percent among those who were employed and 74 percent among those who were not in the labor force.

The median LOS among clients completing detoxification was 2 days to 4 days for all employment categories.

Figure 8.11
Detoxification completion or transfer to further treatment, by employment status: TEDS 2005

Stacked bar chart comparing detoxification 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 8.11 and Figure 8.12. Forty-six percent of clients age 18 and older discharged from detoxification had 12 years of education or a GED, 33 percent had fewer than 12 years of education, and 22 percent had more than 12 years of education.*

Clients with more than 12 years of education were more likely to complete detoxification or to transfer to further treatment than were clients with 12 years or fewer. The combined completion/transfer rate was highest (78 percent) among those with more than 12 years of education. It was 76 percent among both clients with 12 years of education or a GED and among clients with fewer than 12 years of education.

The median LOS among clients completing detoxification was the same (4 days) at all levels of education.


* Percentages do not sum to 100 percent because of rounding.
Figure 8.12
Detoxification completion or transfer to further treatment, by years of education: TEDS 2005

Stacked bar chart comparing detoxification 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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