Treatment Episode Data Set (TEDS) Highlights - 2002

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Office of Applied Studies

Acknowledgments

This publication was developed for the Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies (OAS), by Leigh Henderson of Synectics for Management Decisions, Inc., Arlington, Virginia, under Contract No. 283-02-9026. The report was reviewed by OAS staff Deborah Trunzo, Anita Gadzuk, and Cathie Alderks. Deborah Trunzo also served as the SAMHSA Project Officer.

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Originating Office

Highlights

This report presents summary results from the Treatment Episode Data Set (TEDS) for 2002. 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 1992-2002. 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 2002: alcohol (43 percent), opiates (18 percent; primarily heroin), marijuana/hashish (15 percent), cocaine (13 percent), and stimulants (7 percent; primarily methamphetamine) [Table 1b].

Alcohol

• Alcohol as a primary substance accounted for just over two-fifths (43 percent) of all TEDS admissions in 2002, down from three-fifths (59 percent) in 1992. 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 (76 percent and 74 percent, respectively) [Table 2a].
   
• Almost three-quarters (71 percent) of alcohol-only admissions were White, followed by Blacks and Hispanics (13 percent and 11 percent, respectively). Among admissions for alcohol with secondary drug abuse, 59 percent were White, followed by 26 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 34 years among admissions for primary alcohol with secondary drug abuse [Table 2a].

Heroin

• TEDS admissions for primary heroin abuse increased from 11 percent of all admissions in 1992 to 15 percent in 2002, exceeding the proportion of admissions for primary cocaine abuse for the fourth consecutive year [Table 1b].
   
• About two-thirds (69 percent ) of primary heroin admissions were male [Table 2a].

• Nearly half (48 percent) of primary heroin admissions were White, followed by 25 percent who were Hispanic and 24 percent who were Black [Table 2a].

• For primary heroin admissions, the average age at admission was 36 years [Table 2a].

• Sixty-two percent of primary heroin admissions reported injection as the route of administration; 33 percent reported inhalation, and 3 percent reported smoking [Table 3].

Other Opiates

• TEDS admissions for primary abuse of opiates other than heroin increased from less than 1 percent of all admissions in 1992 to 2 percent in 2002 [Table 1b].

• Just over half (54 percent) of primary non-heroin opiate admissions were male [Table 2a].

• Most primary non-heroin opiate admissions (88 percent) were White [Table 2a].

• For primary non-heroin opiate admissions, the average age at admission was 35 years [Table 2a].

• Three-quarters (75 percent) of primary non-heroin opiate admissions reported oral as the route of administration; 13 percent reported injection, and 9 percent reported inhalation [Table 3].

Cocaine/Crack

• The proportion of admissions for primary cocaine abuse declined from 18 percent in 1992 to 13 percent in 2002 [Table 1b].

• Smoked cocaine (crack) represented 73 percent of all primary cocaine admissions in 2002 [Tables 1a and 1b].

• Fifty-nine percent of primary smoked cocaine admissions were male, compared with 67 percent of non-smoked cocaine admissions [Table 2a].

• Among primary smoked cocaine admissions, 57 percent were Black, 34 percent were White, and 7 percent were Hispanic. Whites predominated (47 percent) among primary non-smoked cocaine admissions, followed by Blacks (33 percent) and Hispanics (17 percent) [Table 2a].

• For primary smoked cocaine admissions, the average age at admission was 37 years, compared with 34 years for non-smoked cocaine admissions [Table 2a].

• Among primary non-smoked cocaine admissions, 73 percent reported inhalation as the route of administration; 14 percent reported injection, and 10 percent reported oral [Table 3].

Marijuana/Hashish

• The proportion of admissions for primary marijuana abuse increased from 6 percent in 1992 to 15 percent in 2002 [Table 1b].

• About three-quarters (76 percent) of primary marijuana admissions were male [Table 2a].

• Over half (55 percent) of primary marijuana admissions were White, followed by 28 percent who were Black and 12 percent who were Hispanic [Table 2a].

• For primary marijuana admissions, the average age at admission was 23 years [Table 2a].

Methamphetamine/Amphetamine and Other Stimulants

• The proportion of admissions for abuse of methamphetamine/amphetamine and other stimulants increased from 1 percent to 7 percent between 1992 and 2002 [Table 1b].

• Over half (55 percent) of primary methamphetamine/amphetamine admissions were male [Table 2a].

• Three-quarters (74 percent) of primary methamphetamine/amphetamine admissions were White, followed by 15 percent who were Hispanic and 3 percent each who were Black and Asian/Pacific Islander [Table 2a].

• For primary methamphetamine/amphetamine admissions, the average age at admission was 31 years [Table 2a].

• Fifty-one percent of primary methamphetamine/amphetamine admissions reported smoking as the route of administration; 23 percent reported injection, and 17 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 (48 percent) was followed by marijuana (14 percent), heroin (12 percent), methamphetamine/amphetamine (8 percent), and smoked cocaine (5 percent) [Table 2b].
   

• Among Blacks, alcohol (34 percent) was followed by smoked cocaine (23 percent), marijuana (18 percent), heroin (15 percent), and methamphetamine/amphetamine (less than 1 percent) [Table 2b].
   

• Among persons of Mexican origin, alcohol (41 percent) was followed by heroin (19 percent), marijuana (16 percent), methamphetamine/amphetamine (15 percent), and smoked cocaine (4 percent) [Table 2b].
   

• Among persons of Puerto Rican origin, heroin (49 percent) was the most frequently reported substance at admission. This was followed by alcohol (28 percent), marijuana (10 percent), smoked and non-smoked cocaine (5 percent each), and methamphetamine/amphetamine (less than 1 percent) [Table 2b].
   

• Among persons of Cuban origin, alcohol (40 percent) was followed by marijuana (17 percent), heroin (14 percent), smoked cocaine (12 percent), non-smoked cocaine (10 percent), and methamphetamine/amphetamine (2 percent) [Table 2b].
   

• Among Alaska Natives, alcohol (63 percent) was followed by heroin (18 percent), marijuana (8 percent), and methamphetamine/amphetamine and smoked cocaine (3 percent each) [Table 2b].
   

• Among American Indians, alcohol (63 percent) was followed by marijuana (14 percent), methamphetamine/amphetamine (9 percent), heroin (5 percent), and smoked cocaine (3 percent) [Table 2b].
   

• Among Asian/Pacific Islanders, alcohol (33 percent) was followed by methamphetamine/amphetamine (25 percent), marijuana (20 percent), heroin (8 percent), and smoked cocaine (7 percent) [Table 2b].

Appendix A
TEDS Minimum Data Set