Treatment Episode Data Set (TEDS)
2010

Discharges from Substance Abuse Treatment Services

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Behavioral Health Statistics and Quality

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Acknowledgments

This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Behavioral Health Statistics and Quality (CBHSQ), by Synectics for Management Decisions, Inc., Arlington, Virginia. Work was performed under Task Order HHSS283200700048I/HHSS28342001T, Reference No. 283-07-4803 (Cathie Alderks, Task Order Officer).

Public Domain Notice

All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, U.S. Department of Health and Human Services.

Recommended Citation

Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS): 2010. Discharges from Substance Abuse Treatment Services. BHSIS Series S-67, HHS Publication No. (SMA) 14-4817. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.

Electronic Access to Publication

This publication may be downloaded from http://store.samhsa.gov.
Hard copies may be obtained from SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727)
(English and Español).

Originating Office
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road, Room 2-1084
Rockville, Maryland 20857

July 2013

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Table of Contents

Title Page

Acknowledgments

List of Tables

List of Figures

Highlights

Chapter 1. Discharge Data Description and Data Overview for All Types of Service: 2010

Chapter 2. Outpatient Treatment Discharges Aged 12 and Older: 2010

Chapter 3. Intensive Outpatient Treatment Discharges Aged 12 and Older: 2010

Chapter 4. Short-Term Residential Treatment Discharges Aged 12 and Older: 2010

Chapter 5. Long-Term Residential Treatment Discharges Aged 12 and Older: 2010

Chapter 6. Hospital Residential Treatment Discharges Aged 12 and Older: 2010

Chapter 7. Detoxification Discharges Aged 12 and Older: 2010

Chapter 8. Outpatient Medication-Assisted Opioid Therapy Discharges Aged 12 and Older: 2010

Chapter 9. Medication-Assisted Opioid Detoxification Discharges Aged 12 and Older: 2010

Appendix A. About the Treatment Episode Data Set (TEDS)

Appendix B. TEDS Data Elements

List of Tables

Discharge Data Description and Data Overview for All Types of Service

1.1a Discharges aged 12 and older, by state or jurisdiction and year of admission: 2010.
Number

1.1b Discharges aged 12 and older, by state or jurisdiction and year of admission: 2010.
Percent distribution

1.2a Discharges aged 12 and older, by state or jurisdiction and type of service: 2010.
Number

1.2b Discharges aged 12 and older, by state or jurisdiction and type of service: 2010.
Percent distribution

1.3a Discharges aged 12 and older, by state or jurisdiction and reason for discharge: 2010.
Number

1.3b Discharges aged 12 and older, by state or jurisdiction and reason for discharge: 2010.
Percent distribution

1.4 Discharges aged 12 and older, by type of service and reason for discharge: 2010.
Number, percent distribution by type of service and reason for discharge, and median length of stay (LOS)

1.5a Discharges aged 12 and older, by characteristics at admission and type of service: 2010
Number

1.5b Discharges aged 12 and older, by selected characteristics at admission and type of service: 2010
Number

1.5c Discharges aged 12 and older, by selected characteristics at discharge and type of service: 2010
Number

1.6a Discharges aged 12 and older, by characteristics at admission and type of service: 2010
Percent distribution of characteristics at admission

1.6b Discharges aged 12 and older, by selected characteristics at admission and type of service: 2010
Percent distribution of selected characteristics at admission

1.6c Discharges aged 12 and older, by selected characteristics at discharge and type of service: 2010
Percent distribution of selected characteristics at discharge

1.7a Discharges aged 12 and older, by characteristics at admission and type of service: 2010
Percent completing treatment or transferring to further treatment

1.7b Discharges aged 12 and older, by selected characteristics at admission and type of service: 2010
Percent completing treatment or transferring to further treatment

1.7c Discharges aged 12 and older, by selected characteristics at discharge and
type of service: 2010
Percent completing treatment or transferring to further treatment

Outpatient Treatment

2.1 Discharges aged 12 and older from outpatient treatment, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

2.2a Discharges aged 12 and older from outpatient treatment. Characteristics at admission, by reason for discharge: 2010.
Number

2.2b Discharges aged 12 and older from outpatient treatment. Selected characteristics at admission, by reason for discharge: 2010
Number

2.2c Discharges aged 12 and older from outpatient treatment. Selected characteristics at discharge, by reason for discharge: 2010
Number

2.3a Discharges aged 12 and older from outpatient treatment. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

2.3b Discharges aged 12 and older from outpatient treatment. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

2.3c Discharges aged 12 and older from outpatient treatment. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Intensive Outpatient Treatment

3.1 Discharges aged 12 and older from intensive outpatient treatment, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

3.2a Discharges aged 12 and older from intensive outpatient treatment. Characteristics at admission, by reason for discharge: 2010
Number

3.2b Discharges aged 12 and older from intensive outpatient treatment. Selected characteristics at admission, by reason for discharge: 2010
Number

3.2c Discharges aged 12 and older from intensive outpatient treatment. Selected characteristics at discharge, by reason for discharge: 2010
Number

3.3a Discharges aged 12 and older from intensive outpatient treatment. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

3.3b Discharges aged 12 and older from intensive outpatient treatment. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

3.3c Discharges aged 12 and older from intensive outpatient treatment. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Short-Term Residential Treatment

4.1 Discharges aged 12 and older from short-term residential treatment, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

4.2a Discharges aged 12 and older from short-term residential treatment. Characteristics at admission, by reason for discharge: 2010
Number

4.2b Discharges aged 12 and older from short-term residential treatment. Selected characteristics at admission, by reason for discharge: 2010
Number

4.2c Discharges aged 12 and older from short-term residential treatment. Selected characteristics at discharge, by reason for discharge: 2010
Number

4.3a Discharges aged 12 and older from short-term residential treatment. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS).

4.3b Discharges aged 12 and older from short-term residential treatment. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

4.3c Discharges aged 12 and older from short-term residential treatment. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Long-Term Residential Treatment

5.1 Discharges aged 12 and older from long-term residential treatment, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

5.2a Discharges aged 12 and older from long-term residential treatment. Characteristics at admission, by reason for discharge: 2010
Number

5.2b Discharges aged 12 and older from long-term residential treatment. Selected characteristics at admission, by reason for discharge: 2010
Number

5.2c Discharges aged 12 and older from long-term residential treatment. Selected characteristics at discharge, by reason for discharge: 2010
Number

5.3a Discharges aged 12 and older from long-term residential treatment. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS).

5.3b Discharges aged 12 and older from long-term residential treatment. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

5.3c Discharges aged 12 and older from long-term residential treatment. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Hospital Residential Treatment

6.1 Discharges aged 12 and older from hospital residential treatment, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

6.2a Discharges aged 12 and older from hospital residential treatment. Characteristics at admission, by reason for discharge: 2010
Number

6.2b Discharges aged 12 and older from hospital residential treatment. Selected characteristics at admission, by reason for discharge: 2010
Number

6.2c Discharges aged 12 and older from hospital residential treatment. Selected characteristics at discharge, by reason for discharge: 2010
Number

6.3a Discharges aged 12 and older from hospital residential treatment. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS).

6.3b Discharges aged 12 and older from hospital residential treatment. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

6.3c Discharges aged 12 and older from hospital residential treatment. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Detoxification

7.1 Discharges aged 12 and older from detoxification, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

7.2a Discharges aged 12 and older from detoxification. Characteristics at admission, by reason for discharge: 2010
Number

7.2b Discharges aged 12 and older from detoxification. Selected characteristics at admission, by reason for discharge: 2010
Number

7.2c Discharges aged 12 and older from detoxification. Selected characteristics at discharge, by reason for discharge: 2010
Number

7.3a Discharges aged 12 and older from detoxification. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

7.3b Discharges aged 12 and older from detoxification. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

7.3c Discharges aged 12 and older from detoxification. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Outpatient Medication-Assisted Opioid Therapy

8.1 Discharges aged 12 and older from outpatient medication-assisted opioid therapy, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

8.2a Discharges aged 12 and older from outpatient medication-assisted opioid therapy. Characteristics at admission, by reason for discharge: 2010
Number

8.2b Discharges aged 12 and older from outpatient medication-assisted opioid therapy. Selected characteristics at admission, by reason for discharge: 2010
Number

8.2c Discharges aged 12 and older from outpatient medication-assisted opioid therapy. Selected characteristics at discharge, by reason for discharge: 2010
Number

8.3a Discharges aged 12 and older from outpatient medication-assisted opioid therapy. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS).

8.3b Discharges aged 12 and older from outpatient medication-assisted opioid therapy. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

8.3c Discharges aged 12 and older from outpatient medication-assisted opioid therapy. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Medication-Assisted Opioid Detoxification

9.1 Discharges aged 12 and older from medication-assisted opioid detoxification, by state or jurisdiction, according to reason for discharge: 2010.
Number and percent distribution

9.2a Discharges aged 12 and older from medication-assisted opioid detoxification. Characteristics at admission, by reason for discharge: 2010
Number

9.2b Discharges aged 12 and older from medication-assisted opioid detoxification. Selected characteristics at admission, by reason for discharge: 2010
Number

9.2c Discharges aged 12 and older from medication-assisted opioid detoxification. Selected characteristics at discharge, by reason for discharge: 2010
Number

9.3a Discharges aged 12 and older from medication-assisted opioid detoxification. Characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS).

9.3b Discharges aged 12 and older from medication-assisted opioid detoxification. Selected characteristics at admission, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

9.3c Discharges aged 12 and older from medication-assisted opioid detoxification. Selected characteristics at discharge, by treatment completion/transfer: 2010
Number, percent distribution, treatment completion/transfer rate, and median length of stay (LOS)

Appendix A: About the Treatment Episode Data Set (TEDS)

Appendix Table 1. State data system reporting characteristics: 2010

Appendix Table 2. Item percentage response rate: Discharge Data Set 2010

List of Figures

Discharge Data Description and Data Overview for All Types of Service

1.1 Type of service at discharge: 2010

1.2 Reason for discharge: 2010

1.3 Reason for discharge, by type of service: 2010

1.4 Median length of stay (LOS), by reason for discharge and type of service: 2010

Outpatient Treatment

2.1 Reason for discharge from outpatient treatment: 2010

2.2 Median length of stay (LOS) in outpatient treatment, by reason for discharge: 2010

Intensive Outpatient Treatment

3.1 Reason for discharge from intensive outpatient treatment: 2010

3.2 Median length of stay (LOS) in intensive outpatient treatment, by reason for discharge: 2010

Short-Term Residential Treatment

4.1 Reason for discharge from short-term residential treatment: 2010

4.2 Median length of stay (LOS) in short-term residential treatment, by reason for discharge: 2010

Long-Term Residential Treatment

5.1 Reason for discharge from long-term residential treatment: 2010

5.2 Median length of stay (LOS) in long-term residential treatment, by reason for discharge: 2010

Hospital Residential Treatment

6.1 Reason for discharge from hospital residential treatment: 2010

6.2 Median length of stay (LOS) in hospital residential treatment, by reason for discharge: 2010

Detoxification

7.1 Reason for discharge from detoxification: 2010

7.2 Median length of stay (LOS) in detoxification, by reason for discharge: 2010

Outpatient Medication-Assisted Opioid Therapy

8.1 Reason for discharge from outpatient medication-assisted opioid therapy: 2010

8.2 Median length of stay (LOS) in outpatient medication-assisted opioid therapy, by reason for discharge: 2010

Medication-Assisted Opioid Detoxification

9.1 Reason for discharge from medication-assisted opioid detoxification: 2010

9.2 Median length of stay (LOS) in medication-assisted opioid detoxification, by reason for discharge: 2010


Highlights

This report presents results from the Treatment Episode Data Set (TEDS) for discharges aged 12 and older from substance abuse treatment in 2010. The report provides information on treatment completion, length of stay in treatment, and demographic and substance abuse characteristics of discharges from alcohol or drug treatment in facilities that reported to individual State administrative data systems. Data are presented for specific service types rather than for treatment episodes, which can involve treatment in multiple service types.1


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Type of Service

Of the 1,697,010 discharges aged 12 and older in 2010 [Table 1.2b]:

Reason for Discharge

Of the 1,697,010 discharges aged 12 and older in 2010 [Table 1.3b]:

For Tables 1.3a-b only, the “Other” category excludes the categories “Death” and “Incarcerated.”

Treatment Completion by Service Type

The treatment completion rate was 44 percent for discharges aged 12 and older from all service types combined. For the individual service types, treatment was completed by [Table 1.4]:

Median Length of Stay (LOS)

The median LOS in treatment by type of service was [Table 1.4]:

The median LOS by type of service, limited to only those who completed treatment, was [Table 1.4]:

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Chapter 1

Discharge Data Description and Data Overview for All Types of Service: 2010

Data Definitions
Data Overview
Reason for Discharge by Type of Service
Median Length of Stay (LOS) by Type of Service and Reason for Discharge
Characteristics at Admission
Selected Characteristics at Admission
Selected Characteristics at Discharge
Treatment Completion or Transfer to Further Treatment

This report presents data from the Treatment Episode Data Set (TEDS) for discharges from treatment in 2010. It is a companion to the reports Treatment Episode Data Set (TEDS): 2000-2010 National Admissions to Substance Abuse Treatment and Treatment Episode Data Set (TEDS): 2000-2010 State Admissions to Substance Abuse Treatment. These reports provide information on the demographic and substance abuse characteristics of substance abuse treatment admissions and discharges aged 12 and older in facilities that report to individual state administrative data systems.1,2 Data in this report include records for discharges during calendar year 2010 that were received and processed through October 15, 2012.3 New to this report is the inclusion of other ‘selected characteristics’ (i.e. arrests in past 30 days, detailed not in labor force, employment status, frequency of use, living arrangements, primary substance of abuse, and self-help programs attended in past 30 days) to analyze changes from admission to discharge among linked admission-discharge records. Primary substance of abuse, frequency of use, and employment status characteristics at admission are repeated in several sections (where the characteristics are compared with total discharges, where completion/transfer rates are discussed, and where median LOS is discussed). This is done so that the characteristics at admission and discharge can be appropriately compared with each other and to ensure the inclusion of important data that might otherwise be overlooked.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 Includes only discharges aged 16 and above for employment status and aged 18 and older for years of education.
3 For researchers interested in more detailed analysis, TEDS public use files are available for online data analysis or download at the Substance Abuse and Mental Health Data Archive, which can be accessed at http://www.datafiles.samhsa.gov.
Summary data for individual states that have submitted the full year of data are available online through the Quick Statistics website at http://wwwdasis.samhsa.gov/webt/NewMapv1.htm.


Category “6 to 96” for the “Arrest in past 30 days” is excluded from the analysis because of the large variance; and the category “Some attendance, but frequency unknown” for the “Self-help program attended in past 30 days” is excluded from the analysis because the actual number of program attendance of an individual is unknown.

TEDS does not include all admissions to substance abuse treatment. It includes admissions to facilities that are licensed or certified by a state substance abuse agency to provide substance abuse treatment (or are administratively tracked for other reasons). In general, facilities reporting TEDS data are those that receive state alcohol and/or drug agency funds (including federal block grant funds) for the provision of alcohol and/or drug treatment services. Additional information on the history and methodology of TEDS and this report as well as important issues related to state data collection systems are detailed in Appendix A.

TEDS is an admission-based system, and TEDS admissions do not represent individuals. Thus, an individual admitted to and discharged from treatment twice within a calendar year is counted as two discharges.

Data in this report are presented for specific service types rather than for treatment episodes, which can involve treatment in multiple service types. States are asked to submit a record for each initial admission to a treatment service, for each transfer from one service to another, and for a discharge corresponding to each admission or transfer. The linked pairs of admission/transfer and discharge records enable analyses of treatment completion and length of stay (LOS) in treatment in specific service types.

This chapter describes the discharge data and provides an overview of the linked admission/discharge records for discharges aged 12 and older in 2010. Some tables in this report present data by state or jurisdiction. It is important to note that comparisons between and across states and jurisdictions should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi-service episodes, services offered, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion.

Data Definitions

Type of Service

Data are presented for each of eight different types of service (listed below). The first six service types exclude records where medication-assisted (i.e., with methadone or buprenorphine) opioid therapy or detoxification was planned as part of treatment; the other two service types include only medication-assisted opioid therapy or detoxification records:

Medication-assisted opioid therapy discharges from short- and long-term residential treatment and hospital residential treatment represented less than 1 percent of all records. They are excluded from this report.

Reason for Discharge

The reasons for discharge from substance abuse treatment tabulated in this report include:

Because both treatment completion and transfer to further treatment represent positive conclusions to a treatment episode or component of a treatment episode, their rates are combined in some of the analyses.

Length of Stay (LOS) in Treatment

The length of stay (LOS) in days was calculated for each record by subtracting the date of admission from the date of last contact. For all outpatient service types, one day was added so that both the day of admission and the day of last contact were counted as days on which services were delivered. For hospital and residential service types, this was not done, and records where the date of admission and the date of last contact were the same (LOS = 0 days) were excluded from the analysis. The measure of LOS used in this report is the median—the number of days at which half of all discharges had taken place.

Linkage of discharge records from 2010 to admission records from 2000 to 2010 means that the maximum LOS in treatment included in this report is 11 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 11 years may differ from those of admissions who remain in outpatient medication-assisted opioid therapy for longer than 11 years.

Data Overview

Forty-seven States and jurisdictions submitted 1,839,079 eligible records for clients aged 12 and older discharged in 2010. (The District of Columbia, Georgia, Mississippi, Pennsylvania, and West Virginia submitted no data or incomplete data for 2010 by October 15, 2012, and are excluded from this report.)

Tables 1.1a-b. Of the 1,839,079 eligible discharge records, 92 percent (n = 1,697,010) could be linked to a TEDS admission or transfer record from 2000 through 2010. These 1,697,010 records form the basis of this report. Most of the 2010 discharge records linked to an admission or transfer occurring in 2010 (72 percent of the total discharge records). Eighteen percent linked to an admission or transfer occurring in 2009; 2 percent linked to records from 2000 to 2008.

Type of Service

Tables 1.2a-b.These tables present type of service at discharge by State for 2010 discharges aged 12 and older. There was considerable State-to-State variability in the combination of service types available and in the proportions discharged from each of these service types.

Figure 1.1 illustrates the overall distribution of service type among all 2010 discharges aged 12 and older: the majority were discharged from an outpatient service type—46 percent from outpatient treatment and 12 percent from intensive outpatient treatment, 19 percent were from detoxification, 10 percent were from short-term residential treatment, 8 percent were from long-term residential treatment, 6 percent were from medication-assisted opioid therapy or detoxification, and less than 1 percent were from hospital residential treatment.

Figure 1.1
Type of service at discharge: 2010

Pie chart comparing Type of service at discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Reason for Discharge

Tables 1.3a-b. These tables present reason for discharge by state or jurisdiction. However, the “Other” category does not include data for “Death” and “Incarcerated.”

Figure 1.2 illustrates the overall distribution of reason for discharge among 2010 discharges aged 12 and over. Almost half (44 percent) of all discharges aged 12 and over completed treatment. Another 15 percent were transferred to further substance abuse treatment. Twenty-six percent dropped out of treatment, 7 percent had their treatment terminated at the facility’s request, 2 percent were incarcerated during treatment, and 5 percent failed to complete treatment for other reasons.

Figure 1.2
Reason for discharge: 2010

Pie chart comparing Reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Reason for Discharge by Type of Service

Table 1.4 and Figure 1.3 present reason for discharge by type of service. The treatment completion rate was highest among discharges aged 12 and older from detoxification (67 percent), followed by 52 percent among discharges from medication-assisted opioid detoxification. The completion rates for residential treatment (52 percent for short-term residential treatment, 49 percent for hospital residential treatment, and 46 percent for long-term residential treatment) were higher than in the less structured outpatient settings (38 percent for outpatient treatment, 33 percent for intensive outpatient treatment, and 14 percent for outpatient medication-assisted opioid therapy treatment).

Transfer to further substance abuse treatment was most common among discharges aged 12 and older from hospital residential treatment (24 percent) followed by outpatient medication-assisted opioid therapy (22 percent), intensive outpatient treatment (21 percent), short-term residential treatment (18 percent), and medication-assisted opioid detoxification (17 percent).

Treatment dropout was highest among discharges aged 12 and older from outpatient medication-assisted opioid therapy (39 percent) and outpatient treatment (30 percent).

Figure 1.3
Reason for discharge, by type of service: 2010

Stacked bar chart comparing Reason for discharge, by type of service: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Median Length of Stay (LOS) by Type of Service and Reason for Discharge

Table 1.4. The median LOS was longest for discharges aged 12 and older from outpatient medication-assisted opioid therapy (135 days), followed by outpatient treatment (78 days), long-term residential treatment (58 days), and intensive outpatient treatment (57 days). The median LOS for all discharges from short-term residential treatment was 22 days; from hospital residential treatment, 7 days; from medication-assisted opioid detoxification, 5 days; and from detoxification, 4 days.

Figure 1.4.In all service types except medication-assisted opioid detoxification, the median LOS for discharges aged 12 and older who completed treatment was longer than or equal to those who transferred to further treatment or who did not complete treatment. Among discharges aged 12 and older completing treatment, the median LOS was longest for outpatient medication-assisted opioid therapy (176 days), followed by outpatient treatment (115 days), long-term residential treatment (90 days), and intensive outpatient treatment (85 days). The median LOS for treatment completers in short-term residential treatment was 27 days; in hospital residential treatment, 13 days; in medication-assisted opioid detoxification, 4 days; and in detoxification, 4 days.

Figure 1.4
Median length of stay (LOS), by reason for discharge and type of service: 2010

Bar chart comparing Median length of stay, by reason for discharge and type of service: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Tables 1.5a and 1.6a summarize the number and percent distribution of characteristics at admission, by service type for all discharges aged 12 and older. Summary findings of the admission characteristics of all discharges aged 12 and older combined include:

Selected Characteristics at Admission

Tables 1.5b and 1.6b summarize the number and percent distribution of selected characteristics at admission, by service type for all discharges aged 12 and older. Summary findings of the selected admission characteristics of all discharges aged 12 and older combined include:

Selected Characteristics at Discharge

Tables 1.5c and 1.6c summarize the number and percent distribution of selected characteristics at discharge, by service type for all discharges aged 12 and older. Summary findings of the selected discharge characteristics of all discharges aged 12 and older combined include:

Characteristics at Admission by Type of Service

Table 1.6a. Although the characteristics at admission of discharges aged 12 and older varied by service type, some general observations can be made.

Treatment Completion or Transfer to Further Treatment

Table 1.7a presents the percentage of all discharges aged 12 and older either completing treatment or transferring to further treatment by service type and selected characteristics at admission. For all service types combined, the treatment completion/transfer rate was 60 percent.

Completion/transfer rates were generally similar within admission characteristics, but varied widely by service type. Treatment completion/transfer rates ranged from 36 percent among discharges aged 12 and older from outpatient medication-assisted opioid therapy to 77 percent among discharges aged 12 and older from detoxification, while the largest variation by admission characteristic was for primary substance, ranging from 33 percent for opiates to 66 percent for alcohol.

Some general observations can be made about the completion/transfer rate for all discharges aged 12 and older combined:

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Chapter 2

Outpatient Treatment Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admission
Selected Characteristics at Discharge
Treatment Completion

Chapter 2 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 772,881 discharges aged 12 and older from outpatient treatment in 2010.1 All 47 reporting States and jurisdictions had discharges from this type of service [Table 2.1]. Outpatient treatment in this chapter excludes intensive outpatient treatment (Chapter 3), outpatient detoxification (Chapter 7), and outpatient medication-assisted opioid therapy (Chapter 8).

Reason for Discharge

Table 2.1 and Figure 2.1. Of the 772,881 discharges aged 12 and older from outpatient treatment in 2010:

Figure 2.1
Reason for discharge from outpatient treatment: 2010

Pie chart comparing Reason for discharge from outpatient treatment: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 2.2. Outpatient treatment discharges aged 12 and older had a median LOS of 78 days in 2010. By reason for discharge, the median LOS for outpatient treatment discharges aged 12 and older was:

Figure 2.2
Median length of stay (LOS) in outpatient treatment, by reason for discharge: 2010

Bar chart comparing Median length of stay in outpatient treatment, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. Outpatient treatment discharges aged 12 and older displayed some major differences from all discharges aged 12 and older combined:

Selected Characteristics at Admission

Table 1.6b. Outpatient treatment discharges aged 12 and older displayed these major differences from all discharges aged 12 and older combined. Of outpatient discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Outpatient treatment discharges aged 12 and older displayed these differences from all discharges aged 12 and older combined. Of outpatient discharges aged 12 and older:

Treatment Completion

Tables 2.2a-b-c and 2.3a-b-c. Tables 2.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from outpatient treatment by reason for discharge. Tables 2.3a-b-c are based on Tables 2.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 2.3a-b-c also provide the median LOS among outpatient treatment discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among outpatient treatment discharges aged 12 and older was 53 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing outpatient treatment was 115 days.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Chapter 3

Intensive Outpatient Treatment Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admisson
Selected Characteristics at Discharge
Treatment Completion

Chapter 3 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 208,715 discharges aged 12 and older from intensive outpatient treatment in 2010.1 Forty-six of the 47 reporting States and jurisdictions that offered intensive outpatient treatment and reported these data to TEDS had discharges from this type of service [Table 3.1].

Reason for Discharge

Table 3.1 and Figure 3.1. Of the 208,715 discharges aged 12 and older from intensive outpatient treatment in 2010:

Figure 3.1
Reason for discharge from intensive outpatient treatment: 2010

Pie chart comparing Reason for discharge from intensive outpatient treatment: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 3.2. The median LOS in 2010 for intensive outpatient treatment discharges aged 12 and older was 57 days. By reason for discharge, the median LOS for intensive outpatient treatment discharges was:

Figure 3.2
Median length of stay (LOS) in intensive outpatient treatment, by reason for discharge: 2010

Bar chart comparing Median length of stay in intensive outpatient treatment, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. Intensive outpatient discharges aged 12 and older displayed some differences from all discharges aged 12 and older combined. Of intensive outpatient discharges aged 12 and older:

Selected Characteristics at Admission

Table 1.6b. Intensive outpatient discharges aged 12 and older displayed these major differences from all discharges aged 12 and older combined. Of intensive outpatient discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Intensive outpatient discharges aged 12 and older displayed these major differences from all discharges aged 12 and older combined. Of intensive outpatient discharges aged 12 and older:

Treatment Completion

Tables 3.2a-b-c and 3.3a-b-c. Tables 3.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from intensive outpatient treatment by reason for discharge. Tables 3.3a-b-c are based on Tables 3.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 3.3a-b-c also provide the median LOS among intensive outpatient treatment discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among intensive outpatient treatment discharges aged 12 and older was 54 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing intensive outpatient treatment was 85 days.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Chapter 4

Short-Term Residential Treatment Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admisson
Selected Characteristics at Discharge
Treatment Completion

Chapter 4 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 168,275 discharges aged 12 and older from short-term residential treatment in 2010.1 All 45 of the reporting States and jurisdictions that offered short-term residential treatment and reported these data to TEDS had discharges from this type of service [Table 4.1].

Reason for Discharge

Table 4.1 and Figure 4.1. Of the 168,275 discharges aged 12 and older from short-term residential treatment in 2010 (see footnote 1):

Figure 4.1
Reason for discharge from short-term residential treatment: 2010

Pie chart comparing Reason for discharge from short-term residential treatment: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 4.2. The median LOS in 2010 for short-term residential treatment discharges aged 12 and older was 22 days. By reason for discharge, the median LOS for short-term residential treatment discharges was:

Figure 4.2
Median length of stay (LOS) in short-term residential treatment, by reason for discharge: 2010

Bar chart comparing Median length of stay in short-term residential treatment, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. Short-term residential discharges aged 12 and older displayed some differences from all discharges aged 12 and older combined. Of short-term residential discharges aged 12 and older:

Selected Characteristics at Admission

Table 1.6b. Short-term residential treatment discharges aged 12 and older presented differences from all discharges aged 12 and older combined. Of short-term residential discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Short-term residential treatment discharges aged 12 and older presented differences from all discharges aged 12 and older combined. Of short-term residential discharges aged 12 and older:

Treatment Completion

Tables 4.2a-b-c and 4.3a-b-c. Tables 4.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from short-term residential treatment by reason for discharge. Tables 4.3a-b-c are based on Tables 4.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 4.3a-b-c also provide the median LOS among short-term residential treatment discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among short-term residential treatment discharges aged 12 and older was 70 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing short-term residential treatment was 27 days. For all characteristics at admission, the median LOS was between 25 days and 29 days.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Chapter 5

Long-Term Residential Treatment Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admisson
Selected Characteristics at Discharge
Treatment Completion

Chapter 5 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 131,431 discharges aged 12 and older from long-term residential treatment in 2010.1 All 46 of the reporting States and jurisdictions that offered long-term residential treatment and reported these data to TEDS had discharges from this type of service [Table 5.1].

Reason for Discharge

Table 5.1 and Figure 5.1. Of the 131,431 discharges aged 12 and older from long-term residential treatment in 2010:

Figure 5.1
Reason for discharge from long-term residential treatment: 2010

Pie chart comparing Reason for discharge from long-term residential treatment: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 5.2. The median LOS in 2010 for long-term residential treatment discharges aged 12 and older was 58 days. By reason for discharge, the median LOS for long-term residential treatment discharges was:

Figure 5.2
Median length of stay (LOS) in long-term residential treatment, by reason for discharge: 2010

Bar chart comparing Median length of stay in long-term residential treatment, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. Long-term residential discharges aged 12 and older displayed some major differences from all discharges aged 12 and older combined. Of long-term residential discharges aged 12 and older:

Selected Characteristics at Admission

Table 1.6b. Long-term residential treatment discharges aged 12 and older differed from all discharges aged 12 and older combined. Of long-term residential discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Long-term residential treatment discharges aged 12 and older differed from all discharges aged 12 and older combined. Of long-term residential discharges aged 12 and older:

Treatment Completion

Tables 5.2a-b-c and 5.3a-b-c. Tables 5.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from long-term residential treatment by reason for discharge. Tables 5.3a-b-c are based on Tables 5.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 5.3a-b-c also provide the median LOS among long-term residential treatment discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among long-term residential treatment discharges aged 12 and older was 62 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing long-term residential treatment was 90 days.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Chapter 6

Hospital Residential Treatment Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admisson
Selected Characteristics at Discharge
Treatment Completion

Chapter 6 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 5,483 discharges aged 12 and older from hospital residential treatment in 2010.1 Fourteen of the 47 reporting States and jurisdictions that offered short-term residential treatment and reported these data to TEDS had discharges from this type of service [Table 6.1].

Reason for Discharge

Table 6.1 and Figure 6.1. Of the 5,483 discharges aged 12 and older from hospital residential treatment in 2010:

Figure 6.1
Reason for discharge from hospital residential treatment: 2010

Pie chart comparing Reason for discharge from hospital residential treatment: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 6.2. The median LOS in 2010 for hospital residential treatment discharges aged 12 and older was 7 days. By reason for discharge, the median LOS for hospital residential treatment discharges was:

Figure 6.2
Median length of stay (LOS) in hospital residential treatment, by reason for discharge: 2010

Bar chart comparing Median length of stay in hospital residential treatment, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. Hospital residential discharges aged 12 and older displayed some major differences from all discharges aged 12 and older combined. Of hospital residential discharges aged 12 and older:

Selected Characteristics at Admission

Table 1.6b. Hospital residential discharges aged 12 and older displayed these major differences from all discharges aged 12 and older combined. Of hospital residential discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Hospital residential discharges aged 12 and older displayed these major differences from all discharges aged 12 and older combined. Of hospital residential discharges aged 12 and older:

Treatment Completion

Tables 6.2a-b-c and 6.3a-b-c. Tables 6.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from hospital residential treatment by reason for discharge. Tables 6.3a-b-c are based on Tables 6.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 6.3a-b-c also provide the median LOS among hospital residential treatment discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among hospital residential treatment discharges aged 12 and older was 73 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing hospital residential treatment was 13 days.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Chapter 7

Detoxification Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admisson
Selected Characteristics at Discharge
Treatment Completion

Chapter 7 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 315,021 discharges aged 12 and older from detoxification in 2010.1 Forty-six of the 47 reporting States and jurisdictions that offered detoxification and reported these data to TEDS had discharges from this type of service [Table 7.1]. Detoxification in this chapter includes free-standing residential detoxification, hospital detoxification, and outpatient detoxification (see Chapter 1). Medication-assisted opioid detoxification is excluded and reported in Chapter 9.

Reason for Discharge

Table 7.1 and Figure 7.1. Of the 315,021 discharges aged 12 and older from detoxification in 2010:

Figure 7.1
Reason for discharge from detoxification: 2010

Pie chart comparing Reason for discharge from detoxification: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 7.2. The median LOS in 2010 for detoxification discharges aged 12 and older was 4 days. By reason for discharge, the median LOS for detoxification discharges was:

Figure 7.2
Median length of stay (LOS) in detoxification, by reason for discharge: 2010

Bar chart comparing Median length of stay in detoxification, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. Detoxification discharges aged 12 and older displayed some major differences from all discharges aged 12 and older combined. Of detoxification discharges aged 12 and older:

Selected Characteristics at Admission

Table 1.6b. Detoxification discharges aged 12 and older displayed these major differences from all discharges aged 12 and older combined. Of detoxification discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Detoxification discharges aged 12 and older displayed these major differences from all discharges aged 12 and older combined. Of detoxification discharges aged 12 and older:

Treatment Completion

Tables 7.2a-b-c and 7.3a-b-c. Tables 7.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from detoxification by reason for discharge. Tables 7.3a-b-c are based on Tables 7.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 7.3a-b-c also provide the median LOS among detoxification discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among detoxification discharges aged 12 and older was 77 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing detoxification was 4 days. The median LOS was between 3 days and 6 days for all characteristics.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Chapter 8

Outpatient Medication-Assisted Opioid Therapy Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admisson
Selected Characteristics at Discharge
Treatment Completion

Chapter 8 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 69,191 discharges aged 12 and older from outpatient medication-assisted opioid therapy (i.e., therapy with methadone or buprenorphine) in 2010.1 Forty-one of the 47 reporting States and jurisdictions that offered outpatient medication-assisted opioid therapy and reported these data to TEDS had discharges from this type of service [Table 8.1]. Discharges aged 12 and older from outpatient medication-assisted opioid therapy were from outpatient treatment (95 percent) and intensive outpatient treatment (5 percent) (see Chapter 1).

Reason for Discharge

Table 8.1 and Figure 8.1. Of the 69,191 discharges aged 12 and older from outpatient medication-assisted opioid therapy in 2010:

Figure 8.1
Reason for discharge from outpatient medication-assisted opioid therapy: 2010

Pie chart comparing Reason for discharge from outpatient medication-assisted opioid therapy: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 8.2. The median LOS in 2010 for outpatient medication-assisted opioid therapy discharges aged 12 and older was 135 days. By reason for discharge, the median LOS for outpatient medication-assisted opioid therapy discharges was:

Figure 8.2
Median length of stay (LOS) in outpatient medication-assisted opioid therapy, by reason for discharge: 2010

Bar chart comparing Median length of stay in outpatient medication-assisted opioid therapy, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. 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 and older:

Selected Characteristics at Admission

Table 1.6b. Outpatient medication-assisted opioid therapy discharges aged 12 and older presented differences from all discharges aged 12 and older combined. Of outpatient medication-assisted opioid therapy discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Outpatient medication-assisted opioid therapy discharges aged 12 and older presented differences from all discharges aged 12 and older combined. Of outpatient medication-assisted opioid therapy discharges aged 12 and older:

Treatment Completion

Linkage of discharge records from 2010 to admission records from 2000 to 2010 means that the maximum length of stay (LOS) in treatment included in this report is 11 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 11 years may differ from those of admissions who remain in such therapy for longer than 11 years.

Tables 8.2a-b-c and 8.3a-b-c. Tables 8.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from outpatient medication-assisted opioid therapy by reason for discharge. Tables 8.3a-b-c are based on Tables 8.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 8.3a-b-c also provide the median LOS among outpatient medication-assisted opioid therapy discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among outpatient medication-assisted opioid therapy discharges aged 12 and older was 36 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing outpatient medication-assisted opioid therapy was 176 days.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Chapter 9

Medication-Assisted Opioid Detoxification Discharges Aged 12 and Older: 2010

Reason for Discharge
Median Length of Stay (LOS)
Characteristics at Admission
Selected Characteristics at Admisson
Selected Characteristics at Discharge
Treatment Completion

Chapter 9 presents data on the reason for discharge and median length of stay (LOS) in treatment for the 20,731 discharges aged 12 and older from medication-assisted opioid detoxification (i.e., detoxification with methadone or buprenorphine) in 2010.1 Twenty-seven of the 47
reporting States and jurisdictions that offered medication-assisted opioid detoxification and reported these data to TEDS had discharges for this type of service [Table 9.1]. Discharges aged 12 and older from medication-assisted opioid detoxification included discharges from outpatient
detoxification (43 percent), free-standing residential detoxification (32 percent), and from hospital detoxification (25 percent) (see Chapter 1).

Reason for Discharge

Table 9.1 and Figure 9.1. Of the 20,731 discharges aged 12 and older from medication-assisted opioid detoxification in 2010:

Figure 9.1
Reason for discharge from medication-assisted opioid detoxification: 2010

Pie chart comparing Reason for discharge from medication-assisted opioid detoxification: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.

Median Length of Stay (LOS)

Table 1.4 and Figure 9.2. The median LOS in 2010 for medication-assisted opioid detoxification discharges aged 12 and older was 5 days. By reason for discharge, the median LOS for medication-assisted opioid detoxification discharges was:

Figure 9.2
Median length of stay (LOS) in medication-assisted opioid detoxification, by reason for discharge: 2010

Bar chart comparing Median length of stay in medication-assisted opioid detoxification, by reason for discharge: TEDS 2009

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 10.15.12.

Characteristics at Admission

Table 1.6a. Medication-assisted opioid detoxification discharges aged 12 and older displayed some major differences from all discharges aged 12 and older combined. Of medication-assisted opioid detoxification discharges aged 12 and older:

Selected Characteristics at Admission

Table 1.6b. Medication-assisted opioid detoxification discharges aged 12 and older differed from all discharges aged 12 and older combined. Of medication-assisted opioid detoxification discharges aged 12 and older:

Selected Characteristics at Discharge

Table 1.6c. Medication-assisted opioid detoxification discharges aged 12 and older differed from all discharges aged 12 and older combined. Of medication-assisted opioid detoxification discharges aged 12 and older:

Treatment Completion

Tables 9.2a-b-c and 9.3a-b-c. Tables 9.2a-b-c enumerate the characteristics at admission or discharge of discharges aged 12 and older from medication-assisted opioid detoxification by reason for discharge. Tables 9.3a-b-c are based on Tables 9.2a-b-c. They present two related proportions: a) the percent distribution of characteristics at admission or discharge among discharges completing treatment or transferring to further treatment compared with those who did not complete treatment, and b) the combined rate of completion or transfer to further treatment by characteristic at admission or discharge. Tables 9.3a-b-c also provide the median LOS among medication-assisted opioid detoxification discharges aged 12 and older who completed treatment.

Completion/Transfer Rates and Characteristics at Admission

The overall combined treatment completion/transfer rate among medication-assisted opioid detoxification discharges aged 12 and older was 68 percent.

Completion/Transfer Rates and Selected Characteristics at Admission

Completion/Transfer Rates and Selected Characteristics at Discharge

Median LOS among Discharges Completing Treatment

The overall median LOS in 2010 among discharges aged 12 and older completing medication-assisted opioid detoxification was 4 days.

Median LOS among Discharges Completing Treatment for Selected Characteristics at Admission

Median LOS among Discharges Completing Treatment for Selected Characteristics at Discharge

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Appendix A

About the Treatment Episode Data Set (TEDS)

Introduction
History
State Data Collection Systems
Report-Specific Considerations

Introduction

This report presents results from the Treatment Episode Data Set (TEDS) for discharges from substance abuse treatment. The Center for Behavioral Health Statistics and Quality (CBHSQ), Substance Abuse and Mental Health Services Administration (SAMHSA), coordinates and manages collection of TEDS data from the states.

TEDS is a compilation of client-level data routinely collected by the individual state administrative data systems to monitor their substance abuse treatment systems. Generally, facilities that are required to report to the state substance abuse agency (SSA) are those that receive public funds and/or are licensed or certified by the SSA to provide substance abuse treatment (or are administratively tracked for other reasons).

TEDS is one of the three components of SAMHSA’s Behavioral Health Services Infor­mation System (BHSIS) (formerly known as the Drug and Alcohol Services Information System [DASIS]), the primary source of national data on substance abuse treatment. The other two components are:

The TEDS system comprises two major components, the Admissions Data Set and the Discharge Data Set. The TEDS Admission Data Set includes client-level data on substance abuse treatment admissions from 1992 through the present. The TEDS Discharge Data Set can be linked at record level to admissions, and includes information from clients discharged in 2000 and later. For both data sets, selected data items from the individual state data files are converted to a standardized format consistent across states. These standardized data constitute TEDS.

The TEDS Admission Data System consists of a Minimum Data Set of items collected by all states, and a Supplemental Data Set where individual data items are reported at the state’s option. The Minimum Data Set consists of 19 items that include:

The Supplemental Data Set (not presented in this report) items include psychiatric, social, and economic measures.

The TEDS Discharge Data System was designed to enable TEDS to collect information on entire treatment episodes. Discharge data, when linked to admission data, represent treatment episodes that enable analyses of questions that cannot be answered with admission data alone. Examples are the proportion of discharges that completed treatment and the average length of stay of treatment completers.

History

National-level data collection on admissions to substance abuse treatment was first mandated in 1972 under the Drug Abuse Office and Treatment Act, P.L. 92-255. This act initiated federal funding for drug treatment and rehabilitation, and required reporting on clients entering drug (but not alcohol) abuse treatment. The Client-Oriented Data Acquisition Process (CODAP) was developed to collect admission and discharge data directly from federally-funded drug treatment programs. (Programs for treatment of alcohol abuse were not included.) Reporting was mandatory for all such programs, and data were collected using a standard form. CODAP included all clients in federally-funded programs regardless of individual funding source. Reports were issued from 1973 to 1981 based on data from 1,800 to 2,000 programs, including some 200,000 annual admissions.

In 1981, collection of national-level data on admissions to substance abuse treatment was discontinued because of the introduction of the Alcohol, Drug Abuse, and Mental Health Services (ADMS) Block Grant. The block grant trans­ferred federal funding from individual programs to the states for distribution, and it included no data reporting requirement. Participation in CODAP became voluntary; although several states submitted data through 1984, the data were in no way nationally representative.

In 1988, the Comprehensive Alcohol Abuse, Drug Abuse, and Mental Health Amendments (P.L. 100-690) established a revised Substance Abuse Prevention and Treatment (SAPT) Block Grant and mandated federal data collection on clients receiving treatment for either alcohol or drug abuse. The Treatment Episode Data Set (TEDS) data collection effort represents the federal response to this mandate. TEDS began in 1989 with the issue of 3-year development grants to states.

State Data Collection Systems

TEDS is an exceptionally large and powerful data set that covers a significant proportion of all admissions to substance abuse treatment. TEDS is a compilation of data collected through the individual data collection systems of the state substance abuse agencies (SSAs) for substance abuse treatment. States have cooperated with the federal government in the data collection process, and substantial progress has been made toward developing a standardized data set. However, because each state system is unique and each state has u­nique powers and mandates, significant differences exist among state data collection systems. These differences are compounded by evolving health care payment systems, and state-to-state comparisons must be made with extreme caution.

The number and client mix of TEDS admissions do not represent the total national demand for substance abuse treatment or the prevalence of substance abuse in the general population.

States differ widely in the amount of public funding available for substance abuse treatment and in the constraints placed on the use of funds. States may be directed to target special populations such as pregnant women or adolescents. Where funds are limited, states may be compelled to exercise triage in admitting persons to treatment, admitting only those with the most “severe” problems. In states with higher funding levels, a larger proportion of the population in need of treatment may be admitted, including the less severely impaired.

States may include or exclude reporting by certain sectors of the treatment population, and these sectors may change over time. For example, treat­ment programs based in the criminal justice system may or may not be administered through the state SSA. Detoxification facilities, which can generate large num­bers of admissions, are not uniformly considered treatment facilities and are not uniformly reported by all states.

Appendix Table 1 presents key characteristics of state data collection systems for 2010. However, these characteristics can change ­as state substance abuse treatment systems change, and thus may be responsible for some year-to-year variation within states.

Appendix Table 2 indicates the proportions of records for which valid discharge data were received for 2010. States are expected to report all variables in the Minimum Data Set.

Report-Specific Considerations


1 See: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS). 2000 - 2010. National Admissions to Substance Abuse Treatment Services, BHSIS Series: S-61, HHS Publication No. (SMA) 12-4701, Rockville, MD, 2012

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Appendix B

TEDS Data Elements

TEDS Minimum Data Set
TEDS Discharge Data Set


TEDS Minimum Data Set

AGE OF FIRST USE (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCE)

For drugs other than alcohol, these fields identify the age at which the client first used the respective substance. For alcohol, these fields record the age of first intoxication.

CLIENT OR CODEPENDENT/COLLATERAL

Specifies whether the admission record is for a substance abuse treatment client, or a person being treated for his/her codependency or collateral relationship with a substance abuser.

Client—Must meet all of the following criteria:

A person is not a client if he or she has completed only a screening or intake process or has been placed on a waiting list.

Codependent/collateral—Must meet all of the following criteria:

GUIDELINES: Reporting of data for Codependent/collaterals is optional. If the state opts to report codependent/collateral clients, the mandatory fields are State code, Provider identifier, Client identifier, Client transaction type, Codependent/collateral, and Date of admission. Reporting of the remaining fields in the TEDS Minimum and Supplemental Data Sets is optional. For all items not reported, the data field should be coded with the appropriate “Not collected” or “Not applicable” code.

If a substance abuse client with an existing record in TEDS becomes a codependent, a new client record should be submitted indicating that the client has been admitted as a codependent, and vice versa.

If a record does not include a value for this field, it is assumed to be a substance abuse client record.

DATE OF ADMISSION

The day when the client receives his or her first direct treatment or recovery service. For transfers, this is the date when client receives his or her first direct treatment after the transfer has occurred.


DEMOGRAPHICS

AGE

Identifies client’s age at admission. Derived from client’s date of birth and date of admission.

EDUCATION

Specifies the highest school grade (number of school years) completed by the client.

GUIDELINES: States that use specific categories for designating education level should map their codes to a logical number of years of school completed. For Associate’s Degree, use 14. For Bachelor’s Degree, use 16.

EMPLOYMENT STATUS

Identifies the client’s employment status at the time of admission or transfer.

ETHNICITY

Identifies client’s specific Hispanic origin.

GUIDELINES: If a state does not collect specific Hispanic detail, code Ethnicity for Hispanics as Hispanic (specific origin not specified).

RACE

Specifies the client’s race.

GUIDELINES: If a state does not distinguish between American Indian and Alaska Native, both should be coded as American Indian. If a state does not distinguish between Asian and Native Hawaiian or other Pacific Islander, both should be coded as Asian or Pacific Islander. For states that collect multiple races: a) when a single race is designated, the specific race code should be used; b) if the state collects a primary or preferred race along with additional races, the code for the primary/preferred race should be used; c) if the state uses a system such as an algorithm to select a single race when multiple races have been designated, the same system may be used to determine the race code for TEDS. When two or more races have been designated and neither (b) nor (c) above apply, the TEDS code for Two or more races should be used.

SEX

Identifies client’s gender.


FREQUENCY OF USE (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)

These fields identify the frequency of use of the respective Substance problems.

MEDICATION-ASSISTED OPIOID THERAPY

Identifies whether the use of methadone or buprenorphine is part of the client’s treatment plan.

NUMBER OF PRIOR TREATMENT EPISODES

Indicates the number of previous treatment episodes the client has received in any drug or alcohol program. Changes in service for the same episode (transfers) should not be counted as separate prior episodes.

GUIDELINES: It is preferred that the number of prior treatments be a self-reporting field collected at the time of client intake. However, this data item may be derived from the state data system if the system has that capability and episodes can be counted for at least several years.

PRINCIPAL SOURCE OF REFERRAL

Describes the person or agency referring the client to the alcohol or drug abuse treatment program.

SUBSTANCE PROBLEM (PRIMARY, SECONDARY, OR TERTIARY)

These fields identify the client’s primary, secondary, and tertiary substance problems. Each Substance problem (primary, secondary, and tertiary) has associated fields for Route of administration, Frequency of use, Age at first use, and the TEDS Supplemental Data Set item Detailed drug code.

GUIDELINES: Substance problems are further defined in the TEDS Supplemental Data Set item Detailed drug code. For guidance on which specific substances to include in the substance categories, please refer to the detailed drug categories listed for Detailed drug code.

TRANSACTION TYPE

Identifies whether a record is for an initial admission or a transfer/change in service. Note: Some states may use other terminology such as “initial admission” and “transfer admission” in place of “admission” and “transfer.”

GUIDELINES: For TEDS, a treatment episode is defined as that period of service between the beginning of treatment for a drug or alcohol problem and the termination of services for the prescribed treatment plan. The episode includes one admission (when services begin) and at least one discharge (when services end). Within a treatment episode, a client may transfer to a different service, facility, provider, program, or location. Each admission and transfer record should have an associated discharge record.

When it is feasible for the state to identify transfers, they should be reported as transfers in admissions data submissions. When admissions and transfers cannot be differentiated in a state data system, such changes in service or facility should be reported to TEDS as admissions.

Data set considerations for transfers:

TYPE OF SERVICES

Describes the type of service and treatment setting in which the client is placed at the time of admission or transfer.

USUAL ROUTE OF ADMINISTRATION (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)

These fields identify the usual route of administration of the respective Substance problems.

TEDS Discharge Data Set

DATE OF DISCHARGE

The date when the client was formally discharged from the treatment facility or service. The date may be the same as the date of last contact. In the event of a change of service or provider within an episode of treatment, it is the date the service terminated or the date the treatment ended at a particular provider.

DATE OF LAST CONTACT

The date when the client was last seen for a treatment. The date may be the same as the date of discharge. In the event of a change of service or provider within an episode of treatment, it is the date the client transferred to another service or provider.

DETAILED NOT IN LABOR FORCE AT DISCHARGE

This field gives more detailed information about those clients who are coded as “not in the labor force.”

FREQUENCY OF ATTENDANCE AT SELF-HELP PROGRAMS IN 30 DAYS PRIOR TO DISCHARGE

This field records the number of times the client has attended a self-help program in the 30 days preceding the date of discharge from treatment services.

LIVING ARRANGEMENTS AT DISCHARGE

This field records whether the client is homeless, living with parents, in a supervised setting, or living on his or her own at the time of discharge.

NUMBER OF ARRESTS IN 30 DAYS PRIOR TO DISCHARGE

This field records the number of arrests in the 30 days preceding from treatment services.

REASON FOR DISCHARGE, TRANSFER, OR DISCONTINUANCE OF TREATMENT

Indicates the outcome of treatment or the reason for transfer or discontinuance of treatment.

TYPE OF SERVICE AT DISCHARGE

See TEDS Minimum Data Set item Type of service at admission for definitions.

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At Synectics, Anand Borse, Doren Walker, and Leigh Henderson were responsible for the content, analysis, and writing of the report.