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Treatment Episode Data Set (TEDS) Highlights - 2004

Table of Contents

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Title Page and Acknowledgments

Highlights

Tables

1a Admissions by primary substance of abuse: TEDS 1994-2004.
Number


1b Admissions by primary substance of abuse: TEDS 1994-2004.
Percent distribution


2a Admissions by primary substance of abuse, according to sex, race/ethnicity, and age at admission: TEDS 2004.
Percent distribution and average age at admission


2b Admissions by primary substance of abuse, according to sex, race/ethnicity, and age at admission: TEDS 2004.
Percent distribution


3 Admissions by primary substance of abuse, according to frequency of use, route of administration, age at first use, and number of prior treatment episodes: TEDS 2004.
Percent distribution


4 Admissions by primary substance of abuse, according to type of service, source of referral to treatment, and opioid treatment: TEDS 2004.
Percent distribution


5 Admissions by primary substance of abuse, according to employment status (aged 16 and over) and education (aged 18 and over): TEDS 2004.
Percent distribution


6a Admissions by State or jurisdiction, according to primary substance of abuse: TEDS 2004.
Number


6b Admissions by State or jurisdiction, according to primary substance of abuse: TEDS 2004.
Percent distribution

Appendix: TEDS Minimum Data Set


Highlights

This report presents summary results from the Treatment Episode Data Set (TEDS) for 2004. The report provides information on the demographic and substance abuse characteristics of the 1.9 million annual admissions to treatment for abuse of alcohol and drugs in facilities that report to individual State administrative data systems.

This Summary Report is issued in advance of the full TEDS Report for 1994-2004. It includes demographic data and all items from the TEDS Minimum Data Set. The Annual Report also will include data from the Supplemental Data Set, State data, and State rates.

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.


Major Substances of Abuse

  • Five substances accounted for 95 percent of all TEDS admissions in 2004: alcohol (40 percent), opiates (18 percent; primarily heroin), marijuana/hashish (16 percent), cocaine (14 percent), and stimulants (8 percent; primarily methamphetamine) [Table 1b].

Alcohol

  • Alcohol as a primary substance accounted for two in five (40 percent) TEDS admissions in 2004, down from almost three in five (53 percent) in 1994. However, 45 percent of primary alcohol admissions reported secondary drug abuse as well [Tables 1a and 1b].
  • About three-quarters of admissions for abuse of alcohol alone and for abuse of alcohol with secondary drug abuse were male (75 percent and 74 percent, respectively) [Table 2a].
  • Almost three-quarters (70 percent) of alcohol-only admissions were White; Blacks and Hispanics accounted for 12 percent each. Among admissions for alcohol with secondary drug abuse, 60 percent were White, followed by 25 percent who were Black and 10 percent who were Hispanic [Table 2a].
  • For alcohol-only admissions, the average age at admission was 39 years, compared with 35 years among admissions for primary alcohol with secondary drug abuse [Table 2a].

Heroin

  • TEDS admissions for primary heroin abuse increased from 13 percent of all admissions in 1994 to a peak of 16 percent in 2001, and fell to 14 percent in 2004, exceeding the proportion of admissions for primary cocaine abuse for the sixth consecutive year [Table 1b].
  • About two-thirds (68 percent ) of primary heroin admissions were male [Table 2a].
  • Half (50 percent) of primary heroin admissions were White, followed by 24 percent who were Black and 23 percent who were Hispanic [Table 2a].
  • For primary heroin admissions, the average age at admission was 36 years [Table 2a].
  • Sixty-three percent of primary heroin admissions reported injection as the route of administration, 32 percent reported
    inhalation, and 2 percent reported smoking [Table 3].

Other Opiates

  • TEDS admissions for primary abuse of opiates other than heroin increased from 1 percent of all admissions in 1994 to 3 percent in 2004 [Table 1b].
  • Just over half (53 percent) of primary non-heroin opiate admissions were male [Table 2a].
  • Most primary non-heroin opiate admissions (89 percent) were White [Table 2a].
  • For primary non-heroin opiate admissions, the average age at admission was 34 years [Table 2a].
  • Almost three-quarters (73 percent) of primary non-heroin opiate admissions reported oral as the route of administration; 12 percent each reported inhalation and injection [Table 3].

Cocaine/Crack

  • The proportion of admissions for primary cocaine abuse declined from 18 percent in 1994 to 14 percent in 2004 [Table 1b].
  • Smoked cocaine (crack) represented 72 percent of all primary cocaine admissions in 2004 [Tables 1a and 1b].
  • Fifty-nine percent of primary smoked cocaine admissions were male, compared with 66 percent of non-smoked cocaine admissions [Table 2a].
  • Among primary smoked cocaine admissions, 53 percent were Black, 38 percent were White, and 7 percent were Hispanic. Whites predominated (51 percent) among primary non-smoked cocaine admissions, followed by Blacks (29 percent) and Hispanics (16 percent) [Table 2a].
  • For primary smoked cocaine admissions, the average age at admission was 38 years, compared with 34 years for non-smoked cocaine admissions [Table 2a].
  • Among primary non-smoked cocaine admissions, 78 percent reported inhalation as the route of administration, 13 percent reported injection, and 7 percent reported oral [Table 3].

Marijuana/Hashish

  • The proportion of admissions for primary marijuana abuse increased from 9 percent in 1994 to 16 percent in 2004 [Table 1b].
  • Three-quarters (74 percent) of primary marijuana admissions were male [Table 2a].
  • Over half (54 percent) of primary marijuana admissions were White, followed by 29 percent who were Black and 12 percent who were Hispanic [Table 2a].
  • For primary marijuana admissions, the average age at admission was 24 years [Table 2a].

Methamphetamine/Amphetamine and Other Stimulants

  • The proportion of admissions for abuse of methamphetamine/amphetamine and other stimulants increased from 3 percent to 8 percent between 1994 and 2004 [Table 1b].
  • Over half (55 percent) of primary methamphetamine/amphetamine admissions were male [Table 2a].
  • Almost three-quarters (73 percent) of primary methamphetamine/amphetamine admissions were White, followed by 16 percent who were Hispanic and 3 percent each who were Asian/Pacific Islander or Black [Table 2a].
  • For primary methamphetamine/amphetamine admissions, the average age at admission was 30 years [Table 2a].
  • Fifty-nine percent of primary methamphetamine/amphetamine admissions reported smoking as the route of administration, 21 percent reported injection, and 14 percent reported inhalation [Table 3].

 

Race/Ethnicity

Among all racial/ethnic groups except Puerto Ricans, primary alcohol use (alone or in combination with other drugs) was the most frequently reported substance at treatment admission. However, the proportion reporting use of the other four most common substances varied considerably by racial/ethnic group.

  • Among Whites, alcohol (44 percent) was followed by opiates (17 percent), marijuana (14 percent), and stimulants and cocaine (10 percent each) [Table 2b].
  • Among Blacks, alcohol (32 percent) was followed by cocaine (28 percent), marijuana (20 percent), and opiates (16 percent). Only 1 percent reported stimulants as a primary substance [Table 2b].
  • Among persons of Mexican origin, alcohol (38 percent) was followed by stimulants (19 percent), marijuana (17 percent), opiates (16 percent), and cocaine (8 percent) [Table 2b].
  • Among persons of Puerto Rican origin, opiates (47 percent) were the most frequently reported substance at admission. They were followed by alcohol (27 percent), marijuana (12 percent), and cocaine (11 percent). Only 1 percent reported stimulants as a primary substance [Table 2b].
  • Among persons of Cuban origin, alcohol (31 percent) was followed by cocaine (25 percent), marijuana (18 percent), opiates (17 percent), and stimulants (5 percent) [Table 2b].
  • Among American Indians, alcohol (59 percent) was followed by marijuana (13 percent), stimulants (9 percent), opiates (7 percent), and cocaine (6 percent) [Table 2b].
  • Among Asian/Pacific Islanders, alcohol (33 percent) was followed by stimulants (28 percent), marijuana (19 percent), opiates (9 percent), and cocaine (8 percent) [Table 2b].

Type of Service

  • Sixty-two percent of TEDS 2004 admissions were to ambulatory treatment, 20 percent were to detoxification, and 17 percent were to residential/rehabilitation treatment [Table 4].
  • Admissions for primary marijuana had the largest proportion of admissions to ambulatory treatment (84 percent), followed by hallucinogens (72 percent), PCP (71 percent), and stimulants other than methamphetamine/amphetamine and inhalants (68 percent each) [Table 4].
  • Primary heroin and tranquilizer admissions had the largest proportions of admissions to detoxification (33 percent each), followed by alcohol only (30 percent), and opiates other than heroin (26 percent) [Table 4].
  • Admissions for primary smoked cocaine had the largest proportion of admissions to residential/rehabilitation treatment (28 percent), followed by admissions for non-smoked cocaine (26 percent), methamphetamine/amphetamine (25 percent), and PCP (24 percent) [Table 4].

Opioid Treatment

  • Overall, opioid treatment (treatment primarily with methadone, but also including treatment with buprenorphine) was planned for 6 percent of 2004 TEDS admissions. Opioid treatment was planned for 31 percent of primary heroin admissions and for 18 percent of admissions for opiates other than heroin [Table 4].

Source of Referral to Treatment

  • More than one-third (36 percent) of 2004 TEDS admissions were referred to treatment through the criminal justice system. Primary PCP admissions had the largest proportion of admissions referred through the criminal justice system (59 percent), followed by marijuana (57 percent) and methamphetamine/amphetamine and hallucinogens (50 percent each) [Table 4].
  • More than one-third (34 percent) of 2004 TEDS admissions represented self- or individual referrals. Primary heroin admissions had the largest proportion of self- or individual referrals (58 percent), followed by admissions for opiates other than heroin (50 percent), tranquilizers (40 percent), smoked cocaine (38 percent), and sedatives (36 percent) [Table 4].

Employment Status

  • Among 2004 TEDS admissions, admissions for alcohol only were the most likely to be employed (42 percent), followed by admissions for marijuana (31 percent). Admissions for smoked cocaine were the most likely to be unemployed (39 percent), followed by heroin, other opiates, and methamphetamine/amphetamine (35 percent each). Admissions for heroin, tranquilizers, inhalants, and hallucinogens were the most likely to report that they were not in the labor force (48 percent, 48 percent, 47 percent, and 46 percent, respectively) [Table 5].

Educational Level

  • Among 2004 TEDS admissions, educational level was highest (more than 12 years of education) among admissions for sedatives and opiates other than heroin (31 percent each), alcohol only (29 percent), and tranquilizers (28 percent) [Table 5].

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This page was last updated on March 25, 2009.