This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), by Synectics for Management Decisions, Inc., Arlington, Virginia. Work was performed under Task Order HHSS28320070048I/ HHSS28343001T Reference No. 283-07-4803 (Cathie Alderks, Task Order Officer).
All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. 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, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2000-2010. State Admissions to Substance Abuse Treatment Services, DASIS Series: S-63, HHS Publication No. SMA-12-4729. Rockville, MD; Substance Abuse and Mental Health Services Administration, 2012.
This publication may be downloaded or ordered at store.SAMHSA.gov. Or call SAMHSA at
1-877-SAMHSA-7 (1-877-726-4727) (English and Español).
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road, Room 7-1044
Rockville, Maryland 20857
November 2012
Table of Contents
Chapter 1. Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2000-2010
TablesAppendix A. About the Treatment Episode Data Set (TEDS)
Appendix B. TEDS Data Elements
Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2000-2010
All Admissions
1.1 Number of admissions aged 12 and older, by Census division and State or jurisdiction: 2000-2010
Selected Primary Substance
Substance Abuse Treatment Admissions Aged 12 and Older, by Primary Substance of Abuse: 2010
Characteristics of Substance Abuse Treatment Admissions Aged 12 and Older, by State or Jurisdiction and Primary Substance of Abuse: 2010
Appendix A: About the Treatment Episode Data Set (TEDS)
1 State data system reporting characteristics: 2010
2 Item percentage response rate, by State or jurisdiction: TEDS Minimum Data Set 2010
3 Item percentage response rate, by State or jurisdiction: TEDS Supplemental Data Set 2010
Figure 1 U.S. Census divisions
National Maps: Substance Abuse Treatment Admission Rates per 100,000 Population Aged 12 and Older
Percentage Distribution by State or Jurisdiction
Figure 8 Alabama admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 9 Alaska admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 10 Arizona admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 11 Arkansas admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 12 California admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 13 Colorado admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 14 Connecticut admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 15 Delaware admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 17 Florida admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 18 Georgia admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 19 Hawaii admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 20 Idaho admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 21 Illinois admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 22 Indiana admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 23 Iowa admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 24 Kansas admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 25 Kentucky admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 26 Louisiana admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 27 Maine admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 28 Maryland admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 29 Massachusetts admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 30 Michigan admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 31 Minnesota admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 32 Mississippi admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 33 Missouri admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 34 Montana admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 35 Nebraska admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 36 Nevada admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 37 New Hampshire admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 38 New Jersey admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 39 New Mexico admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 40 New York admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 41 North Carolina admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 42 North Dakota admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 43 Ohio admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 44 Oklahoma admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 45 Oregon admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 46 Pennsylvania admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 47 Puerto Rico admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 48 Rhode Island admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 49 South Carolina admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 50 South Dakota admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 51 Tennessee admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 52 Texas admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 53 Utah admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 54 Vermont admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 55 Virginia admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 56 Washington admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 57 West Virginia admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 58 Wisconsin admissions aged 12 and older, by primary substance of abuse: 2000-2010
Figure 59 Wyoming admissions aged 12 and older, by primary substance of abuse: 2000-2010
This report presents data from the Treatment Episode Data Set (TEDS) by Census division and State for admissions in 2010, and trend data for 2000 to 2010. 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 2010, 1,820,737 substance abuse treatment admissions aged 12 and older were reported to TEDS by 48 States and Puerto Rico (the District of Columbia, Georgia, and Mississippi did not report admissions for 2010) [Table 1.1].
Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2000-2010
All Admissions
Alcohol
Marijuana
Heroin
Cocaine
Methamphetamine/amphetamines
Opiates other than heroin
Substance Abuse Treatment Admissions Aged 12 and Older: 2010
Trends in Substance Abuse Treatment Admissions
Aged 12 and Older: 2000-2010
This report presents data from the Treatment Episode Data Set (TEDS) by Census division and State or jurisdiction for admissions in 2010 and trend data for 2000 to 2010. It is a companion to the report, Treatment Episode Data Set (TEDS): 2000-2010 National Admissions to Substance Abuse Treatment. These reports provide 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. Data include records for admissions during calendar years 2000 through 2010 that were received and processed through October 10, 2011.1
TEDS is an admission-based system, and TEDS admissions do not represent individuals. Thus, for example, an individual admitted to treatment twice within a calendar year would be counted as two admissions.
TEDS does not include all admissions to substance abuse treatment. It includes admissions to facilities that are licensed or certified by the 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.
This chapter details trends in the annual numbers and rates of admissions aged 12 and older for 2000 to 2010. Trend data are invaluable in monitoring changing patterns in substance abuse treatment admissions. These patterns reflect underlying changes in substance abuse in the population as well as changing priorities in the treatment/reporting system. (For example, limited resources and targeted programs may result in a shift of State funds from treatment of alcohol abusers to treatment of drug abusers.) TEDS data thus have important implications for resource allocation and program planning.
While the tables in this report present data by Census division (Figure 1) and by State or jurisdiction, it is important to note that 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, services offered, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion.
Table 1.1 presents the total number of treatment admissions aged 12 and older by Census division and State or jurisdiction for 2000 through 2010.2
Table 1.2 presents the treatment admissions rates per 100,000 population aged 12 and older by Census division and State or jurisdiction for 2000 through 2010.
Table 1.3 presents the treatment admission rate adjusted for age, gender, and race/ethnicity to the U.S. 2010 population by Census division and State or jurisdiction for 2000 through 2010. 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. 2010 population.
For example, the 2010 unadjusted rates (Table 1.2) for Alaska and Rhode Island were 1,147 and 1,122 per 100,000 population aged 12 and older, respectively—these two States had similar rates. However, the adjusted rates (844 per 100,000 for Alaska and 1,199 per 100,000 for Rhode Island; Table 1.3) indicate that, if the population distribution in the two States were similar, Alaska's admission rate would be 30 percent lower than Rhode Island's. This is because Alaska had high admission rates in subgroups that were a large proportion of the State's population but represented relatively small proportions of the U.S. population. In contrast, Rhode Island's population distribution very closely resembles the U.S. population. This example clearly demonstrates that if Alaska's 2010 population distribution were similar to that of the United States in 2010, then one would expect the admission rate to be about three-fourths of what it actually was in 2010.
Six substance groups (alcohol, marijuana, heroin, cocaine, methamphetamine/amphetamines, and opiates other than heroin)3 accounted for 96 percent of all TEDS admissions aged 12 and older in 2010.4
Tables 1.4a–1.9a present the numbers of admissions aged 12 and older by Census division and by State and jurisdiction from 2000 through 2010 for each of the selected primary substances.
Tables 1.4b–1.9b present the admission rate per 100,000 aged 12 and older by Census division and by State and jurisdiction from 2000 through 2010 for each of the selected primary substances.
The admission rates are mapped in Figures 2 through 7. The map categories are based on the median, 75th, 90th, and 99th percentiles of the range of 2000 admission rates for each substance. Therefore, for the 50 States and jurisdictions reporting in 2000, each 2000 map generally shows 1 State in dark red (the 99th percentile and above), about 5 States in light red (the 90th to 98th percentiles), about 8 States in orange (the 75th to 89th percentiles), about 12 States in yellow (the 50th to 74th percentiles), and about 24 States in tan (below the median 2000 U.S. rate). Cross hatched indicate States or jurisdictions where data were not submitted or were incomplete.
Alcohol
Marijuana
Heroin
Cocaine
Methamphetamine/amphetamines
Opiates other than heroin
Substance Abuse Treatment Admissions Aged 12 and Older,
by Primary Substance of Abuse: 2010
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 2010, 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 2010 by service type according to Census division and State or jurisdiction. A State's mix of service types (e.g., outpatient, detoxification, rehabilitation/residential, 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 rehabilitation/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 2010.
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 2010.
Table 2.4 presents the 2010 treatment admission rate by primary substance, adjusted for age, gender, and race/ethnicity to the U.S. 2010 population by Census division and State or jurisdiction, for 2010. 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. 2010 population.
1 See: Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). 2000 - 2010. National Admissions to Substance Abuse Treatment Services, DASIS Series: S-61, HHS Publication No. (SMA) 12-4701, Rockville, MD; Substance Abuse and Mental Health Services Administration, 2012, Table 2.7.
Characteristics of Substance Abuse Treatment Admissions
Aged 12 and Older, by State or Jurisdiction and Primary
Substance of Abuse: 2010
This chapter presents data on the demographic characteristics of substance abuse treatment admissions aged 12 and older from the Treatment Episode Data Set (TEDS) for admissions, primary substance of abuse, and for individual States and jurisdictions.
As noted previously, 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.
Tables 3.1-3.49 present, for each State or jurisdiction reporting TEDS 2010 admissions, the percentage distribution of demographic characteristics (gender, age group, and race/ethnicity) by primary substance of abuse for admissions aged 12 and older.
Figures 8-59 depict, for each individual State or jurisdiction, the percentage distribution of admissions aged 12 and older for selected primary substances for 2000 through 2010.
Figure 8. Alabama admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for Alabama for 2007 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 9. Alaska admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for Alaska for 2004 to 2006 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 10. Arizona admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 11. Arkansas admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for Arkansas for 2004 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services
Administration, Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 12. California admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 13. Colorado admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 14. Connecticut admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 15. Delaware admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 16. District of Columbia admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for the District of Columbia for 2004 to 2010 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 17. Florida admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 18. Georgia admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for Georgia for 2006 to 2010 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 19. Hawaii admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 20. Idaho admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 21. Illinois admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 22. Indiana admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 23. Iowa admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 24. Kansas admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 25. Kentucky admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 26. Louisiana admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 27. Maine admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 28. Maryland admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 29. Massachusetts admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 30. Michigan admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 31. Minnesota admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 32. Mississippi admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for Mississippi for 2010 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 33. Missouri admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 34. Montana admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 35. Nebraska admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 36. Nevada admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 37. New Hampshire admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 38. New Jersey admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 39. New Mexico admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 40. New York admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 41. North Carolina admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 42. North Dakota admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 43. Ohio admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 44. Oklahoma admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 45. Oregon admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 46. Pennsylvania admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 47. Puerto Rico admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for Puerto Rico for 2000 to 2002 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 48. Rhode Island admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 49. South Carolina admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 50. South Dakota admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 51. Tennessee admissions aged 12 and older,
by primary substance of abuse: 2000-2010
Note: Tennessee began disaggregating heroin admissions from other opiates in July 2009. In this figure, all Tennessee's heroin
admissions are included in the other opiates category since there is only one full year of disaggregated heroin data.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 52. Texas admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 53. Utah admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 54. Vermont admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 55. Virginia admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 56. Washington admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 57. West Virginia admissions aged 12 and older,
by primary substance of abuse: 2000-2010
NOTE: Data were not submitted for West Virginia for 2000 to 2002 because of changes to the data collection system.
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 58. Wisconsin admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
Figure 59. Wyoming admissions aged 12 and older,
by primary substance of abuse: 2000-2010
SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration,
Treatment Episode Data Set (TEDS). Data received through 10.10.11.
About the Treatment Episode Data Set (TEDS)
Introduction
This report presents data from the Treatment Episode Data Set (TEDS) on the demographic and substance abuse characteristics of admissions to 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.
The Treatment Episode Data Set (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 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 Admissions 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 Admissions 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 States' option.
The Minimum Data Set consists of 19 items that include:
The Supplemental Data Set items include psychiatric, social, and economic measures.
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.
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.
This requires, however, that clients be assigned unique IDs that can be linked across providers; not all States are legally and/or technologically able to do this. Most States can identify as transfers a change in service type within the structure of a given provider. However, fewer can also identify a transfer involving a change of provider. Several States do not track transfers, but instead report as transfers those clients who are discharged and readmitted within a specified (State-specific) time period.
Because some admission records in fact may represent transfers, the number of admissions reported probably overestimates the number of treatment episodes. Some States reported a limited data set on codependents of substance abusers entering treatment. On average, from 2000 through 2010, 83 percent of all records submitted were client admissions, 15 percent were client transfers, and 2 percent were codependents of substance abusers.
Appendix Tables 2 and 3 indicate the proportions of records by State or jurisdiction for which valid data were received for 2010. States are expected to report all variables in the Minimum Data Set (Appendix Table 2). Variables in the Supplemental Data Set are collected at the States' option (Appendix Table 3).Admissions from facilities that report late to the States will appear in a later data submission to SAMHSA, so the number of annual admissions in a report may be higher in subsequent reports. The number of additional admissions is small because of the time lag in issuing the report. Thus the percentage distributions will change very little in subsequent reports, although Census division- and State-level data may change somewhat more for States with reporting delays (State report only).
States continually review and improve their data collection and processing. When systematic errors are identified, States may revise or replace historical TEDS data files. While this process represents an improvement in the data system, the historical statistics in this report will differ slightly from those in earlier reports.
Report-Specific Considerations
TEDS Data Elements
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.
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.
GUIDELINES: Reporting of data for Codependent/collaterals is optional. If the State opts to report co-dependent/collateral clients, the mandatory fields are State code, Provider identifier, Client identifier, Client transaction type, Co-dependent/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.
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:
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.
TYPE OF SERVICES
Describes the type of service and treatment setting in which the client is placed at the time of admission or transfer.
AGE
Identifies client’s age at admission. Derived from client’s date of birth and date of admission.
SEX
Identifies client’s gender.
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.
MEDICATION-ASSISTED OPIOID THERAPY
Identifies whether the use of methadone or buprenorphine is part of the client’s treatment plan.
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).
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.
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.
GUIDELINES: Seasonal workers are coded in this category based on their employment status at admission.
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.
USUAL ROUTE OF ADMINISTRATION (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)
These fields identify the usual route of administration of the respective Substance problems.
FREQUENCY OF USE (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES)
These fields identify the frequency of use of the respective Substance problems.
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.
PREGNANT AT TIME OF ADMISSION
Specifies whether the client was pregnant at the time of admission.
VETERAN STATUS
Identifies whether the client has served in the uniformed services (Army, Navy, Air Force, Marines, Coast Guard, Public Health Service Commissioned Corps, Coast and Geodetic Survey, etc.).
GUIDELINES: A Veteran is a person 16 years or over who has served (even for a short time), but is not now serving, on active duty in the US Army, Navy, Air Force, Marine Corps, Coast Guard, or Commissioned Corps of the US Public Health Service or National Oceanic and Atmospheric Administration, or who served as a Merchant Marine seaman during World War II. Persons who served in the National Guard or Military Reserves are classified as veterans only if they were ever called or ordered to active duty, not counting the 4-6 months for initial training or yearly summer camps.
PSYCHIATRIC PROBLEM IN ADDITION TO ALCOHOL OR DRUG PROBLEM
Identifies whether the client has a psychiatric problem in addition to his or her alcohol or drug use problem.
DSM CRITERIA DIAGNOSIS
The diagnosis of the substance abuse problem from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. DSM-IV is preferred, but use of the Third Edition or ICD codes is permissible.
MARITAL STATUS
Describes the client’s marital status. The following categories are compatible with the U.S. Census.
LIVING ARRANGEMENTS
Specifies whether the client is homeless, living with parents, living in a supervised setting, or living independently on his or her own.
SOURCE OF INCOME SUPPORT
Identifies the client’s principal source of financial support. For children under 18, this field indicates the parents’ primary source of income/support.
GUIDELINES: States are encouraged to collect and report data for all valid categories, although collecting and reporting a subset of the categories is also acceptable. If the State collects only a subset of the categories, clients not fitting the collected subset must be coded as “Not collected”.
HEALTH INSURANCE
Specifies the client’s health insurance (if any). The insurance may or may not cover alcohol or drug treatment.
GUIDELINES: States are encouraged to collect and report data for all valid categories, although collecting and reporting a subset of the categories is also acceptable. If the State collects only a subset of the categories, clients not fitting the collected subset must be coded as “Not collected”.
DAYS WAITING TO ENTER TREATMENT
Indicates the number of days from the first contact or request for service until the client was admitted and the first clinical service was provided.
GUIDELINES: This item is intended to capture the number of days the client must wait to begin treatment because of program capacity, treatment availability, admissions requirements, or other program requirements. It should not include time delays caused by client unavailability or client failure to meet any requirement or obligation.
EXPECTED/ACTUAL PRIMARY SOURCE OF PAYMENT
Identifies the primary source of payment for this treatment episode.
GUIDELINES: States are encouraged to collect and report data for all valid categories, although collecting and reporting a subset of the categories is also acceptable. If the State collects only a subset of the categories, clients not fitting the collected subset must be coded as “Not collected.” If a State collects Medicare and Medicaid as one category, clients with that Expected Primary Source of Payment should be coded “Unknown.” States operating under a split payment fee arrangement between multiple payment sources are to default to the payment source with the largest percentage. When the payment percentages are equal, the State can select either source.
DETAILED “NOT IN LABOR FORCE”
This field gives more detailed information about those clients who are coded as “Not in labor force” in the TEDS Minimum Data Set item Employment status.
GUIDELINES: This field is to be used only when Employment status is coded “Not in labor force.” For any other employment status code, this field should be coded “Not applicable.” States are encouraged to collect and report data for valid categories, although collecting and reporting a subset of the categories is also acceptable. If the State collects only a subset of the categories, not-in-labor-force clients not fitting the collected subset must be coded as “Unknown.”
NUMBER OF ARRESTS IN 30 DAYS PRIOR TO ADMISSION
The number of arrests in the 30 days preceding the date of admission to treatment services.
GUIDELINES: This item is intended to capture the number of times the client was arrested for any cause during the 30 days preceding the date of admission to treatment. Any formal arrest is to be counted regardless of whether incarceration or conviction resulted and regardless of the status of the arrest proceedings at the time of admission.
DETAILED DRUG CODE (PRIMARY, SECONDARY, AND TERTIARY)
These fields identify, in greater detail, the drug problems recorded in the TEDS Minimum Data Set item Substance problem.
GUIDELINES: The Detailed drug codes are a means for States to report more detailed drug information than is possible in the TEDS Minimum Data Set Substance problem fields. Detailed drug codes also enable distinction between substances in instances where a client uses two or more drugs that are assigned the same substance problem code.
The Substance problem and the Detailed drug codes have been subdivided into “single” and “multiple” drugs. Drugs are considered “single” if they cannot be further subdivided and are considered “multiple” if more than one drug can be placed within this category. Detailed drug codes “LSD” and “Marijuana/hashish” are examples of single drugs. “Aerosols” and “Other benzodiazepines” are examples of multiple drugs.
The distinction between single and multiple drug categories is considered when two or more of a client’s Substance problem codes are the same and their corresponding Routes of administration are also the same. The following standards apply to the submission of the Substance problem, Route of administration, and Detailed drug code fields:
DETAILED CRIMINAL JUSTICE REFERRAL
This field gives more detailed information about those clients who are coded as “Court/criminal justice referral/DUI/DWI” in the TEDS Minimum Data Set item Principal source of referral.
GUIDELINES: This field is to be used only when Principal source of referral is coded “Court/criminal justice referral/DUI/DWI.” For all other Principal source of referral codes, this field should be coded “Not applicable.” States are encouraged to collect and report data for all valid categories, although collecting and reporting a subset of the categories is also acceptable. If the State collects only a subset of the categories, clients not fitting the collected subset must be coded as “Unknown.”
