Chapter 2

Substance Treatment Admissions Aged 12 and Older
by Primary Substance of Abuse: TEDS 2009

This chapter presents numbers of substance abuse treatment admissions aged 12 and older and admission rates from the Treatment Episode Data Set (TEDS) by Census division and State or jurisdiction for admissions in 2009, according to primary substance of abuse.

As noted previously, comparisons between and across divisions and States should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi-service episodes, service type, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion.

Table 2.1 indicates the proportions of admissions in 2009 by service type according to Census division and State or jurisdiction. A State's mix of service types (e.g., ambulatory, detoxification, residential/rehabilitation, and medication-assisted opioid therapy) can have a significant effect on its admission rates. There is higher client turnover and therefore more admissions in short-stay services such as detoxification than in long-stay services such as outpatient or long-term residential treatment. Admission rates for individual substances of abuse may be affected as well (e.g., detoxification is more closely associated with alcohol or heroin use than with use of other substances).1

Table 2.2 presents the total number of treatment admissions aged 12 and older by primary substance of abuse, according to Census division and State or jurisdiction for 2009.

Table 2.3 presents the treatment admission rates per 100,000 population aged 12 and older by primary substance of abuse, according to Census division and State or jurisdiction for 2009.

In 2009, the treatment admission rate was higher for primary alcohol abuse than for illicit drugs. The primary alcohol admission rate was 315 per 100,000 population (the rate for alcohol alone was 177 per 100,000 and the rate for alcohol with secondary drug abuse was 138 per 100,000). The highest rates for illicit drugs were for marijuana (136 per 100,000) and heroin (108 per 100,000).

Table 2.4 presents the treatment admission rate by primary substance, adjusted for age, gender, and race/ethnicity to the U.S. 2000 population by Census division and State or jurisdiction, for 2009. Adjustment is a way to make fairer comparisons when there are different admission rates among population subgroups and different proportions of the subgroups in each division, State, or jurisdiction. The adjusted rates are the rates that would have been seen if each division, State, or jurisdiction had the same distribution of subgroups as the U.S. 2000 population.

[To Chapter 2 Tables]


1 See: Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). 1999 - 2009. National Admissions to Substance Abuse Treatment Services, DASIS Series: S-56, HHS Publication No. (SMA) 11-4646, Rockville, MD; Substance Abuse and Mental Health Services Administration, 2011, Table 2.7.

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