Treatment Episode Data Set (TEDS)
2012

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 by Synectics was performed under Task Order HHSS283200700048I/HHSS28342001T, Reference No. 283-07-4803 (Cathie Alderks, Task Order Officer). See Appendix C of this report for the List of Contributors.

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): 2012. Discharges from Substance Abuse Treatment Services. BHSIS Series S-81, HHS Publication No. (SMA) 16-4976. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015.

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
5600 Fishers Lane, Room 15SEH03
Rockville, Maryland 20857

January 2016

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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: 2012

Chapter 2. Outpatient Treatment Discharges Aged 12 and Older: 2012

Chapter 3. Intensive Outpatient Treatment Discharges Aged 12 and Older: 2012

Chapter 4. Short-Term Residential Treatment Discharges Aged 12 and Older: 2012

Chapter 5. Long-Term Residential Treatment Discharges Aged 12 and Older: 2012

Chapter 6. Hospital Residential Treatment Discharges Aged 12 and Older: 2012

Chapter 7. Detoxification Discharges Aged 12 and Older: 2012

Chapter 8. Outpatient Medication-Assisted Opioid Therapy Discharges Aged 12 and Older: 2012

Chapter 9. Medication-Assisted Opioid Detoxification Discharges Aged 12 and Older: 2012

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

Appendix B. TEDS Data Elements

Appendix C. List of Contributors

List of Tables

Discharge Data Description and Data Overview for All Types of Service

1.1a. Total and linked discharges aged 12 and older, by state or jurisdiction: Number, 2012

1.1b. Total and linked discharges aged 12 and older, by state and jurisdiction: Percent distribution, 2012

1.2a. Discharges aged 12 and older, by type of service and state or jurisdiction: Number, 2012

1.2b. Discharges aged 12 and older, by type of service and state or jurisdiction: Percent distribution, 2012

1.3a. Discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number, 2012

1.3b. Discharges aged 12 and older, by reason for discharge and state or jurisdiction: Percent distribution, 2012

1.4. Discharges aged 12 and older, by reason for discharge and type of service: Number, percent distribution, and median length of stay (LOS),2012

1.5. Discharges aged 12 and older, by type of service and characteristics at admission: Number, 2012

1.6a. Discharges aged 12 and older, by type of service and selected characteristics at admission: Number, 2012

1.6b. Discharges aged 12 and older, by type of service and selected characteristics at discharge: Number, 2012

1.7. Discharges aged 12 and older, by type of service and characteristics at admission: Percent distribution, 2012

1.8a. Discharges aged 12 and older, by type of service and selected characteristics at admission: Percent distribution, 2012

1.8b. Discharges aged 12 and older, by type of service and selected characteristics at discharge: Percent distribution, 2012

1.9. Discharges aged 12 and older completing treatment or transferring to further treatment, by type of service and characteristics at admission: Percent, 2012

1.10a. Discharges aged 12 and older completing treatment or transferring to further treatment, by type of service and selected characteristics at admission: Percent, 2012

1.10b. Discharges aged 12 and older completing treatment or transferring to further treatment, by type of service and selected characteristics at discharge: Percent, 2012

Outpatient Treatment

2.1. Outpatient treatment discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

2.2. Outpatient treatment discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

2.3. Outpatient treatment discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

2.4. Outpatient treatment discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

Intensive Outpatient Treatment

3.1. Intensive outpatient treatment discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

3.2. Intensive outpatient treatment discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

3.3. Intensive outpatient treatment discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

3.4. Intensive outpatient treatment discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

Short-Term Residential Treatment

4.1. Short-term residential treatment discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

4.2. Short-term residential treatment discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

4.3. Short-term residential treatment discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

4.4. Short-term residential treatment discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

Long-Term Residential Treatment

5.1. Long-term residential treatment discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

5.2. Long-term residential treatment discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

5.3. Long-term residential treatment discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

5.4. Long-term residential treatment discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

Hospital Residential Treatment

6.1. Hospital residential treatment discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

6.2. Hospital residential treatment discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

6.3. Hospital residential treatment discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

6.4. Hospital residential treatment discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

Detoxification

7.1. Detoxification discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

7.2. Detoxification discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

7.3. Detoxification discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

7.4. Detoxification discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

Outpatient Medication-Assisted Opioid Therapy

8.1. Outpatient medication-assisted opioid therapy discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

8.2. Outpatient medication-assisted opioid therapy discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

8.3. Outpatient medication-assisted opioid therapy discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

8.4. Outpatient medication-assisted opioid therapy discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

Medication-Assisted Opioid Detoxification

9.1. Medication-assisted opioid detoxification discharges aged 12 and older, by reason for discharge and state or jurisdiction: Number and percent distribution, 2012

9.2. Medication-assisted opioid detoxification discharges aged 12 and older, by reason for discharge, treatment completion/transfer, median length of stay (LOS), and characteristics at admission: Number, percent distribution, and rate, 2012

9.3. Medication-assisted opioid detoxification discharges aged 12 and older, by reason for discharge and selected characteristics at admission and discharge: Number, 2012

9.4. Medication-assisted opioid detoxification discharges aged 12 and older, by treatment completion/transfer, median length of stay (LOS), and selected characteristics at admission and discharge: Number, percent distribution, and rate, 2012

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

Appendix Table 1. State data system reporting characteristics: 2012

Appendix Table 2. Item percentage response rate: Linked Data Set, 2012

List of Figures

Discharge Data Description and Data Overview for All Types of Service

1.1 Type of service at discharge: 2012

1.2 Reason for discharge: 2012

1.3 Reason for discharge, by type of service: 2012

1.4 Median length of stay (LOS), by reason for discharge and type of service: 2012

Outpatient Treatment

2.1 Reason for discharge from outpatient treatment: 2012

2.2 Median length of stay (LOS) in outpatient treatment, by reason for discharge: 2012

Intensive Outpatient Treatment

3.1 Reason for discharge from intensive outpatient treatment: 2012

3.2 Median length of stay (LOS) in intensive outpatient treatment, by reason for discharge: 2012

Short-Term Residential Treatment

4.1 Reason for discharge from short-term residential treatment: 2012

4.2 Median length of stay (LOS) in short-term residential treatment, by reason for discharge: 2012

Long-Term Residential Treatment

5.1 Reason for discharge from long-term residential treatment: 2012

5.2 Median length of stay (LOS) in long-term residential treatment, by reason for discharge: 2012

Hospital Residential Treatment

6.1 Reason for discharge from hospital residential treatment: 2012

6.2 Median length of stay (LOS) in hospital residential treatment, by reason for discharge: 2012

Detoxification

7.1 Reason for discharge from detoxification: 2012

7.2 Median length of stay (LOS) in detoxification, by reason for discharge: 2012

Outpatient Medication-Assisted Opioid Therapy

8.1 Reason for discharge from outpatient medication-assisted opioid therapy: 2012

8.2 Median length of stay (LOS) in outpatient medication-assisted opioid therapy, by reason for discharge: 2012

Medication-Assisted Opioid Detoxification

9.1 Reason for discharge from medication-assisted opioid detoxification: 2012

9.2 Median length of stay (LOS) in medication-assisted opioid detoxification, by reason for discharge: 2012


Highlights

This report presents results from the Treatment Episode Data Set (TEDS) for discharges aged 12 and older from substance abuse treatment in 2012. 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 are 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 1,634,695 discharges in 2012 [Table 1.2b]:

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

Reason for Discharge

Of the 1,634,695 discharges in 2012 [Table 1.3b]:

Treatment Completion by Service Type

The treatment completion rate was 45 percent for discharges 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: 2012

Data Definitions
Data Overview
Reason for Discharge by Type of Service
Median Length of Stay (LOS) by Type of Service and Reason for Discharge
Socio-Demographic and Substance Use Related Characteristics at Time of Admission
Comparison of Selected Characteristics at Admission and Discharge
Treatment Completion or Transfer to Further Treatment

This report presents data from the Treatment Episode Data Set (TEDS) for discharges from treatment in 2012. It is a companion to the reports Treatment Episode Data Set (TEDS): 2002-2012 National Admissions to Substance Abuse Treatment and Treatment Episode Data Set (TEDS): 2002-2012 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 In addition, characteristics used to analyze changes from admission to discharge among the linked admission and discharge records are included. Primary substance of abuse, frequency of use, and employment status at admission are repeated in several tables. This is done so that 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. Data in this report include records for discharges during calendar year 2012 that were received and processed through January 23, 2015.3

Categories for three data items are excluded from the narrative analysis: the “6 to 96” category for the variable “arrests in the past 30 days” is excluded because of large variance, the “other” category for the variable “detailed not in labor force” is excluded because of “unknown” categories, and the “some attendance but frequency unknown” category for the variable “self-help program attended in the past 30 days” is excluded because the actual number of times an individual attended a program 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 in 2012. 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.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.
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://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.


Data Definitions

Type of Service

Data are presented for each of the eight different types of services (listed below). The following types of services exclude records where medication-assisted (with methadone or buprenorphine) opioid therapy or detoxification was planned as part of treatment:

The following 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.

Linking discharge records from 2012 to admission records from 2000 to 2012 means that the maximum LOS in treatment included in this report is 13 years. However, outpatient medication-assisted opioid therapy can have a much longer duration. Indeed, some admissions may receive this form of treatment indefinitely. 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 13 years may differ from those of admissions who remain in outpatient medication-assisted opioid therapy for longer than 13 years.

Data Overview

Forty-nine states and jurisdictions submitted 1,767,243 eligible records for clients discharged in 2012. (Kansas, Mississippi, and New Mexico submitted no data or incomplete data for 2012 by January 23, 2015, and are excluded from this report.)

Tables 1.1a-b. Of the 1,767,243 eligible discharge records, 92 percent (1,634,695) could be linked to a TEDS admission or transfer record from 2000 through 2012. These 1,634,695 records form the basis of this report. Most of the 2012 discharge records linked to an admission or transfer occurring in 2012 (72 percent of the total discharge records), 18 percent linked to a 2011 admission record and 2 percent linked were from a 2000 to 2010 admission record.

Type of Service

Tables 1.2a-b. These tables present type of service at discharge by state for 2012 discharges. 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 2012 discharges: the majority were discharged from an outpatient service type—43 percent from outpatient treatment and 12 percent from intensive outpatient treatment—in addition, 21 percent were discharged from detoxification, 10 percent from short-term residential treatment, 7 percent from long-term residential treatment, 6 percent from medication-assisted opioid therapy or detoxification, and less than 1 percent from hospital residential treatment.

Figure 1.1. Type of service at discharge: 2012

Pie chart comparing Type of service at discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

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 2012 discharges. Almost half (45 percent) of all discharges 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, less than 1 percent died before being discharged, and 5 percent failed to complete treatment for other reasons.

Figure 1.2. Reason for discharge: 2012

Pie chart comparing Reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Reason for Discharge by Type of Service

Table 1.4 and Figure 1.3 present reason for discharge by type of service.

Figure 1.3. Reason for discharge, by type of service: 2012

Stacked bar chart comparing Reason for discharge, by type of service: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

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

Table 1.4.

Figure 1.4.

Figure 1.4. Median length of stay (LOS), by reason for discharge and type of service: 2012

Bar chart comparing Median length of stay, by reason for discharge and type of service: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Related Characteristics at Time of Admission

Tables 1.5 and 1.7 summarize the number and percent distribution of characteristics at admission, by service type for all discharges. Summary findings of the admission characteristics of all discharges combined include:

Comparison of Selected Characteristics at Admission and Discharge

Tables 1.6a-b and 1.8a-b summarize the number and percent distribution of selected characteristics at admission and at discharge, by service type for all discharges. Summary findings for all discharges combined include:

Characteristics at Admission by Type of Service

Table 1.7. Although the characteristics at admission of discharges varied by service type, some general observations can be made.

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of all treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 60 percent.

Table 1.9 and Table 1.3b present the percentage of all discharges either completing treatment or transferring to further treatment by service type and characteristics at admission. For all service types combined, the treatment completion/transfer rate was 60 percent (45 percent completed treatment, 15 percent transferred).

Completion/transfer rates showed some variation both by admission characteristics and by service type. The largest variation in treatment completion/transfer rates by admission characteristic for all discharges for all service types was for primary substance, ranging from 52 percent for marijuana to 67 percent for alcohol. For service type, the rates ranged from 32 percent among discharges from outpatient medication-assisted opioid therapy to 79 percent among discharges from detoxification.

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: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Outpatient Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Outpatient Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 2 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics of the 703,290 outpatient treatment discharges aged 12 and older in 2012.1,2 Each of the 49 reporting states and jurisdictions, reported discharges from outpatient treatment [Table 2.1]. Outpatient treatment in this chapter excludes intensive outpatient treatment (covered in Chapter 3), outpatient detoxification (covered in Chapter 7), and outpatient medication-assisted opioid therapy (covered in Chapter 8).

Reason for Discharge

Table 2.1 and Figure 2.1. For the 703,290 discharges from outpatient treatment, the reasons for discharge were:

Figure 2.1. Reason for discharge from outpatient treatment: 2012

Pie chart comparing Reason for discharge from outpatient treatment: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 2.2. The median length of stay (LOS) for outpatient treatment discharges aged 12 and older in 2012 was 90 days. By reason for discharge, the median LOS for outpatient treatment discharges was:

Figure 2.2. Median length of stay (LOS) in outpatient treatment, by reason for discharge: 2012

Bar chart comparing Median length of stay in outpatient treatment, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of outpatient treatment discharges aged 12 and older include:

Comparison of Outpatient Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from outpatient treatment compared to the characteristics at admission of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Outpatient Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for outpatient discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of outpatient treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 51 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 2.2. For outpatient discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 2.4. For outpatient discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 2.2 and 2.4. The overall median LOS among those completing outpatient treatment (excluding those who were transferred to further treatment) was 129 days. Median LOS for characteristics at admission and at discharge for outpatient discharges that completed treatment include:

At admission:

From Table 2.2,

From Table 2.4,

At discharge:

From Table 2.4,

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Chapter 3

Intensive Outpatient Treatment Discharges Aged 12 and Older: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Intensive Outpatient Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Intensive Outpatient Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 3 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics of the 203,127 intensive outpatient treatment discharges aged 12 and older in 2012.1,2 Of the 49 reporting states and jurisdictions, 46 states and 2 jurisdictions had discharges from intensive outpatient treatment [Table 3.1].

Reason for Discharge

Table 3.1 and Figure 3.1. For the 203,127 discharges from intensive outpatient treatment, the reasons for discharge were:

Figure 3.1. Reason for discharge from intensive outpatient treatment: 2012

Pie chart comparing Reason for discharge from intensive outpatient treatment: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 3.2. The median length of stay (LOS) for intensive outpatient treatment discharges aged 12 and older in 2012 was 56 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: 2012

Bar chart comparing Median length of stay in intensive outpatient treatment, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of intensive outpatient treatment discharges aged 12 and older include:

Comparison of Intensive Outpatient Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from intensive outpatient treatment compared to the characteristics of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Intensive Outpatient Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for outpatient discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of intensive outpatient treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 56 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 3.2. For intensive outpatient discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 3.4. For intensive outpatient discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 3.2 and 3.4. The overall median LOS among those completing intensive outpatient treatment (excluding those who were transferred to further treatment) was 84 days. Median LOS for characteristics at admission and at discharge for intensive outpatient discharges that completed treatment include:

At admission:

From Table 3.2,

From Table 3.4,

At discharge:

From Table 3.4,

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Chapter 4

Short-Term Residential Treatment Discharges Aged 12 and Older: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Short-term Residential Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Short-Term Residential Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 4 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics of the 165,609 short-term residential treatment discharges aged 12 and older in 2012.1,2 Of the 49 reporting states and jurisdictions, 43 states and 1 jurisdiction had discharges from short-term residential treatment [Table 4.1].

Reason for Discharge

Table 4.1 and Figure 4.1. For the 165,609 discharges from short-term residential treatment, the reasons for discharge were:

Figure 4.1. Reason for discharge from short-term residential treatment: 2012

Pie chart comparing Reason for discharge from short-term residential treatment: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 4.2. The median length of stay (LOS) for short-term residential treatment discharges aged 12 and older in 2012 was 21 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: 2012

Bar chart comparing Median length of stay in short-term residential treatment, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of short-term residential treatment discharges aged 12 and older include:

Comparison of Short-term Residential Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from outpatient treatment compared to the characteristics at admission of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Short-Term Residential Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for short-term residential discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of short-term residential treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 71 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 4.2. For short-term residential discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 4.4. For short-term residential discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 4.2 and 4.4. The overall median LOS among those completing short-term residential treatment (excluding those who were transferred to further treatment) was 27 days. Median LOS for characteristics at admission and at discharge for short-term residential discharges that completed treatment include:

At admission:

From Table 4.2,

From Table 4.4,

At discharge:

From Table 4.4,

To Tables

To table of Contents

To Table of Contents


Chapter 5

Long-Term Residential Treatment Discharges Aged 12 and Older: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Long-Term Residential Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Long-Term Residential Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 5 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics of the 122,467 long-term residential treatment discharges aged 12 and older in 2012.1,2 Of the 49 reporting states and jurisdictions, 44 states and 2 jurisdictions had discharges from long-term residential treatment [Table 5.1].

Reason for Discharge

Table 5.1 and Figure 5.1. For the 122,467 discharges from long-term residential treatment, the reasons for discharge were:

Figure 5.1. Reason for discharge from long-term residential treatment: 2012

Pie chart comparing Reason for discharge from long-term residential treatment: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 5.2. The median length of stay (LOS) for long-term residential treatment discharges aged 12 and older in 2012 was 56 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: 2012

Bar chart comparing Median length of stay in long-term residential treatment, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of long-term residential treatment discharges aged 12 and older include:

Comparison of Long-Term Residential Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from long-term residential treatment compared to the characteristics of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Long-Term Residential Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for long-term residential discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of long-term residential treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 61 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 5.2. For long-term residential discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 5.4. For long-term residential discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 5.2 and 5.4. The overall median LOS among those completing long-term residential treatment (excluding those who were transferred to further treatment) was 90 days. Median LOS for characteristics at admission and at discharge for long-term residential discharges that completed treatment include:

At admission:

From Table 5.2,

From Table 5.4,

At discharge:

From Table 5.4,

To Tables

To table of Contents

To Table of Contents


Chapter 6

Hospital Residential Treatment Discharges Aged 12 and Older: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Hospital Residential Treatment Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Hospital Residential Treatment Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 6 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics of the 5,637 discharges from hospital residential treatment aged 12 and older in 2012.1,2 Of the 49 reporting states and jurisdictions, 16 states had discharges from hospital residential treatment [Table 6.1].

Reason for Discharge

Table 6.1 and Figure 6.1. For the 5,637 discharges from hospital residential treatment, the reasons for discharge were:

Figure 6.1. Reason for discharge from hospital residential treatment: 2012

Pie chart comparing Reason for discharge from hospital residential treatment: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 6.2. The median LOS in 2012 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: 2012

Bar chart comparing Median length of stay in hospital residential treatment, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of hospital residential treatment discharges aged 12 and older include:

Comparison of Hospital Residential Treatment Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from hospital residential treatment compared to the characteristics of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Hospital Residential Treatment Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for hospital residential treatment discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of hospital residential treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 70 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 6.2. For hospital residential treatment discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 6.4. For hospital residential treatment discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 6.2 and 6.4. The overall median LOS among those completing hospital residential treatment (excluding those who were transferred to further treatment) was 14 days. Median LOS for selected characteristics at admission and at discharge for hospital residential treatment discharges that completed treatment include:

At admission:

From Table 6.2,

From Table 6.4,

At discharge:

From Table 6.4,

To Tables

To table of Contents

To Table of Contents


Chapter 7

Detoxification Discharges Aged 12 and Older: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Detoxification Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Detoxification Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 7 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics of the 337,160 discharges from detoxification aged 12 and older in 2012.1,2 Of the 49 reporting states and jurisdictions, 44 states and 2 jurisdictions reported discharges from detoxification [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. For the 337,160 discharges from detoxification, the reasons for discharge were:

Figure 7.1. Reason for discharge from detoxification: 2012

Pie chart comparing Reason for discharge from detoxification: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 7.2. The median length of stay (LOS) for detoxification discharges aged 12 and older in 2012 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: 2012

Bar chart comparing Median length of stay in detoxification, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of detoxification discharges aged 12 and older include:

Comparison of Detoxification Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from detoxification treatment compared to the characteristics of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Detoxification Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for detoxification discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of detoxification treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 79 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 7.2. For detoxification discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 7.4. For detoxification discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 7.2 and 7.4. The overall median LOS among those completing detoxification treatment (excluding those who were transferred to further treatment) was 4 days. Median LOS for selected characteristics at admission and at discharge for detoxification discharges that completed treatment include:

At admission:

From Table 7.2,

From Table 7.4,

At discharge:

From Table 7.4,

To Tables

To table of Contents

To Table of Contents


Chapter 8

Outpatient Medication-Assisted Opioid Therapy Discharges Aged 12 and Older: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Outpatient Medication-Assisted Opioid Therapy Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Outpatient Medication-Assisted Opioid Therapy Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 8 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics for the 72,071 discharges aged 12 and older from outpatient medication-assisted opioid therapy (i.e., therapy with methadone or buprenorphine) in 2012.1,2 Of the 49 states and jurisdictions, 40 states and 2 jurisdictions had discharges from outpatient medication-assisted opioid therapy [Table 8.1]. Discharges from outpatient medication-assisted opioid therapy were from outpatient treatment (94 percent) and intensive outpatient treatment (6 percent) (see Chapter 1).

Reason for Discharge

Table 8.1 and Figure 8.1. For the 72,071 outpatient medication-assisted opioid therapy discharges, the reasons for discharge were:

Figure 8.1. Reason for discharge from outpatient medication-assisted opioid therapy: 2012

Pie chart comparing Reason for discharge from outpatient medication-assisted opioid therapy: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 8.2. The median length of stay (LOS) for outpatient medication-assisted opioid therapy treatment discharges aged 12 and older in 2012 was 201 days. By reason for discharge, the median LOS for outpatient medication-assisted opioid therapy treatment discharges was:

Figure 8.2. Median length of stay (LOS) in outpatient medication-assisted opioid therapy, by reason for discharge: 2012

Bar chart comparing Median length of stay in outpatient medication-assisted opioid therapy, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of outpatient medication-assisted opioid therapy discharges aged 12 and older include:

Comparison of Outpatient Medication-Assisted Opioid Therapy Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from outpatient medication-assisted opioid therapy treatment compared to the characteristics of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Outpatient Medication-Assisted Opioid Therapy Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for outpatient medication-assisted opioid therapy discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of outpatient medication-assisted opioid therapy treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 32 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 8.2. For outpatient medication-assisted opioid therapy discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 8.4. For outpatient medication-assisted opioid therapy discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 8.2 and 8.4. The overall median LOS among those completing outpatient medication-assisted opioid therapy treatment (excluding those who were transferred to further treatment) was 201 days. Median LOS for selected characteristics at admission and at discharge for outpatient medication-assisted opioid therapy discharges that completed treatment include:

At admission:

From Table 8.2,

From Table 8.4,

At discharge:

From Table 8.4,

To Tables

To table of Contents

To Table of Contents


Chapter 9

Medication-Assisted Opioid Detoxification Discharges Aged 12 and Older: 2012

Reason for Discharge
Median Length of Stay (LOS)
Socio-Demographic and Substance Use Characteristics at Time of Admission
Comparison of Medication-Assisted Opioid Detoxification Discharges to All Discharges on Characteristics at Admission
Comparison of Selected Characteristics at Admission and at Discharge for Medication-Assisted Opioid Detoxification Discharges
Treatment Completion or Transfer to Further Treatment

Chapter 9 presents data on the reason for discharge, median length of stay (LOS) in treatment, and socio-demographic and substance use characteristics of the 19,484 medication-assisted opioid detoxification discharges aged 12 and older in 2012.1,2 Of the 49 reporting states and jurisdictions, 25 states and 2 jurisdictions had discharges from medication-assisted opioid detoxification [Table 9.1]. Discharges from medication-assisted opioid detoxification included discharges from medication-assisted opioid detoxification (46 percent), free-standing residential detoxification (43 percent), and from hospital detoxification (11 percent) (see Chapter 1).

Reason for Discharge

Table 9.1 and Figure 9.1. For the 19,484 medication-assisted opioid detoxification discharges, the reasons for discharge were:

Figure 9.1. Reason for discharge from medication-assisted opioid detoxification: 2012

Pie chart comparing Reason for discharge from medication-assisted opioid detoxification: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.


1 Percentages in charts, narrative lists, and percentage distributions in tables may not add to 100 percent due to rounding.
2 For employment status and detailed not in labor force, only discharges aged 16 and older are included; for years of education, only discharges aged 18 and older are included.

Median Length of Stay (LOS)

Table 1.4 and Figure 9.2. The median length of stay (LOS) for medication-assisted opioid detoxification treatment discharges aged 12 and older in 2012 was 6 days. By reason for discharge, the median LOS for medication-assisted opioid detoxification treatment discharges was:

Figure 9.2. Median length of stay (LOS) in medication-assisted opioid detoxification, by reason for discharge: 2012

Bar chart comparing Median length of stay in medication-assisted opioid detoxification, by reason for discharge: 2012

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health
Services Administration, Treatment Episode Data Set (TEDS). Data received through 01.23.15.

Socio-Demographic and Substance Use Characteristics at Time of Admission

Table 1.7. Summary findings of characteristics at time of admission of medication-assisted opioid detoxification discharges aged 12 and older include:

Comparison of Medication-Assisted Opioid Detoxification Discharges to All Discharges on Characteristics at Admission

Tables 1.7 and 1.8a. There were some notable differences in the characteristics at admission of discharges from medication-assisted opioid detoxification treatment compared to the characteristics of all discharges combined.

Comparison of Selected Characteristics at Admission and at Discharge for Medication-Assisted Opioid Detoxification Discharges

Tables 1.8a-b. Certain socio-demographic and substance use characteristics were collected at both time of admission and time of discharge. Differences (changes) in status between admission and discharge for medication-assisted opioid detoxification discharges include:

Treatment Completion or Transfer to Further Treatment

Completion/Transfer Rates

In this section, “completion/transfer rate” refers to the number of treatment completions or transfers per 100 discharges. To illustrate, the overall rate is calculated as the sum of all treatment completions and transfers divided by all discharges (which includes those who dropped out, were terminated by facility, or did not complete treatment for other reasons) and the resulting number (fraction) is multiplied by 100. Of medication-assisted opioid detoxification treatment discharges aged 12 and older in 2012, the overall percentage that completed treatment or transferred to further treatment (i.e., completion/transfer rate) was 67 percent. Up to three top rates for each characteristic are presented below.

Completion/Transfer Rates for Characteristics at Admission

Table 9.2. For medication-assisted opioid detoxification discharges in 2012, the completion/transfer rates according to characteristics at admission include:

Completion/Transfer Rates for Selected Characteristics at Discharge

Table 9.4. For medication-assisted opioid detoxification discharges in 2012, the completion/transfer rates according to characteristics at discharge include:

Median Length of Stay (LOS) of Discharges Completing Treatment

Tables 9.2 and 9.4. The overall median LOS among those completing medication-assisted opioid detoxification treatment (excluding those who were transferred to further treatment) was 6 days. Median LOS for selected characteristics at admission and at discharge for medication-assisted opioid detoxification discharges that completed treatment include:

At admission:

From Table 9.2,

From Table 9.4,

At discharge:

From Table 9.4,

To Tables

To table of Contents

To Table of Contents


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 four 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 and mental health abuse treatment. The other three components are:

The TEDS system comprises two major components, the Admissions Data Set and the Linked Data Set. The TEDS Admission Data Set includes client-level data on substance abuse treatment admissions from 1992 through the present. The TEDS Linked Data Set includes discharges that can be linked at record level to admissions; it 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 Set 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 Linked Data Set 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 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 2012. 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 2012. 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 - 2012. National Admissions to Substance Abuse Treatment Services, BHSIS Series: S-71, HHS Publication No. (SMA) 14-4850, Rockville, MD, 2014

To Tables

To table of Contents

To Table of Contents


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 Linked 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

These fields record more detailed information about those clients who are coded as Not in labor force in the TEDS Minimum Dataset item Employment Status.

EMPLOYMENT STATUS AT DISCHARGE

See TEDS Minimum Data Set item Employment status for definitions.

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

These fields record the number of times the client has attended a self-help program in the 30 days preceding the date of admission to and discharge from treatment services.

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

See TEDS Minimum Data Set item Frequency of use for definitions.

LIVING ARRANGEMENTS AT ADMISSION/DISCHARGE

These fields record whether the client is homeless, living with parents, in a supervised setting, or living on his or her own at the time of admission and discharge.

NUMBER OF ARRESTS IN 30 DAYS PRIOR TO DISCHARGE

Records the number of arrests in the 30 days preceding the date of admission to and discharge 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.

SUBSTANCE PROBLEM AT DISCHARGE (PRIMARY, SECONDARY, OR TERTIARY)

See TEDS Minimum Data Set item Substance problem for definitions.

TYPE OF SERVICE AT DISCHARGE

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

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Appendix C

List of Contributors

This report was prepared by Synectics for Management Decisions, Inc. (SMDI), and by the Center for Behavioral Health Statistics and Quality (CBHSQ), Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services (HHS). Work by SMDI was performed under Contract No. HHSS283200700048I/HHSS28342001T.

The report was written by Sarbajit Sinha and Anand Borse under the direction of Doren Walker (Project Director) and Hongwei Zhang (Director of Data Analysis and Reports) at SMDI.

Production of the report at SAMHSA was managed by Cathie Alderks. SAMHSA contributors and reviewers, listed alphabetically, include: Cathie Alderks, Herman Alvarado, Jamie Teufel, and Nichele Waller.

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