This report presents data from the Treatment Episode Data Set (TEDS) by Census division and State for admissions in 2009, and trend data for 1999 to 2009. The report provides information on the demographic and substance abuse characteristics of admissions to treatment aged 12 and older for abuse of alcohol and/or drugs in facilities that report to individual State administrative data systems.

For 2009, 1,963,089 substance abuse treatment admissions aged 12 and older were reported to TEDS by 49 States and Puerto Rico (the District of Columbia and Georgia did not report admissions for 2009) [Table 1.1].

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 1999-2009

All Admissions

• Between 1999 and 2009, about 23 percent of all admissions reported were in the Middle Atlantic Census division, and the average rate of admissions was highest in the New England and Middle Atlantic divisions—about 1,400 and 1,300 per 100,000 population, respectively [Table 1.2 and Figure 1].
• Between 1999 and 2009, both the U.S. population aged 12 and older and the number of treatment admissions increased by about 14 percent. Consequently, the treatment admission rate in 2009 (753 per 100,000 population aged 12 and older) was practically the same as the rate in 1999 (759 per 100,000 population) [Table 1.2].

Alcohol

• The treatment admission rate for primary alcohol was 14 percent lower in 2009, at 314 per 100,000 population aged 12 and older, than in 1999 (364 per 100,000). The rate fluctuated between 1999 and 2009 from a low of 294 per 100,000 in 2004 to a high of 364 per 100,000 in 1999 [Table 1.4b and Figure 2].
• Alcohol admission rates were lower in 2009 than in 1999 in six out of nine Census divisions; the exceptions were the East North Central, the West North Central, and the West South Central divisions.
• From 1999 through 2009, alcohol treatment admission rates were generally highest on average in the Middle Atlantic, New England, Mountain, and West North Central divisions.

Marijuana

• The treatment admission rate for primary marijuana was 33 percent higher in 2009, at 136 per 100,000 population aged 12 and older, than in 1999 (102 per 100,000) [Table 1.5b and Figure 3].
• Marijuana admission rates were higher in 2009 than in 1999 in all Census divisions except for the Mountain division.
• From 1999 through 2009, marijuana treatment admission rates were consistently highest in the West North Central and Middle Atlantic divisions.

Heroin

• The treatment admission rate for primary heroin was 5 percent lower in 2009, at 108 per 100,000 population aged 12 and older, than in 1999 (114 per 100,000) [Table 1.6b and Figure 4].
• Heroin admission rates were higher in 2009 than in 1999 in seven of the nine Census divisions and lower in the other two divisions (Pacific and South Atlantic). The rate dropped dramatically in the Pacific division during this period (from 201 per 100,000 to just 86 per 100,000 population).
• From 1999 through 2009, heroin treatment admission rates were consistently highest in the New England and Middle Atlantic divisions.

Cocaine

• The treatment admission rate for primary cocaine was 34 percent lower in 2009, at 71 per 100,000 population aged 12 and older, than in 1999 (107 per 100,000) [Table 1.7b and Figure 5].
• Cocaine admission rates were lower in 2009 than in 1999 in all nine Census divisions.
• From 1999 through 2009, cocaine treatment admission rates were highest in the Middle Atlantic division.

Methamphetamine/amphetamines

• The treatment admission rate for methamphetamine/amphetamines was 38 percent higher in 2009, at 44 per 100,000 population aged 12 and older, than in 1999 (32 per 100,000). Methamphetamine/amphetamine treatment admission rates peaked in 2005 at 69 per 100,000, then declined in every year through 2009 [Table 1.8b and Figure 6].
• Methamphetamine/amphetamine rates were higher in 2009 than in 1999 in all nine Census divisions.
• From 1999 through 2009, methamphetamine/amphetamine treatment admission rates were highest in the Pacific division, followed by the Mountain and West North Central divisions.

Opiates other than heroin

• The treatment admission rate for opiates other than heroin was 430 percent higher in 2009, at 53 per 100,000 population aged 12 and older, than in 1999 (10 per 100,000). Rates increased in every year from 1999 through 2009 [Table 1.9b and Figure 7].
• The admission rates for opiates other than heroin were higher in 2009 compared to 1999 for each of the nine Census divisions.
• From 1999 through 2009, treatment admission rates for opiates other than heroin were highest in the New England division.

Substance Abuse Treatment Admissions Aged 12 and Older: 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 of treatment admissions for illicit drugs in 2009 were for marijuana (136 per 100,000) and heroin (108 per 100,000) [Table 2.3].
• Treatment admission rates for 2009 were higher for primary alcohol abuse than for any of the major illicit drugs in each Census division and in 46 of the 50 reporting States and jurisdictions. The primary illicit drug varied by division: heroin in the New England and Middle Atlantic divisions, methamphetamine/amphetamines in the Pacific division, and marijuana in the other six divisions [Table 2.3].

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