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The Dasis Report (Drug and Alcohol Information System)
March 5, 2004

Discharges from Hospital Inpatient Treatment: 2000

In Brief
  • More than half (55 percent) of hospital inpatient treatment episodes involved individuals who completed treatment and another 25 percent involved those who were transferred to further treatment
  • The hospital inpatient treatment completion rate was highest, at 59 percent, for episodes involving alcohol as the primary substance of abuse

  • The median length of stay for completed hospital inpatient treatment episodes was 13 days

This report examines substance abuse treatment discharge data in the Treatment Episode Data Set (TEDS).1 TEDS is comprised of two major components, the Admissions Data System and the Discharge Data System. Both admissions and discharge data come primarily from substance abuse treatment facilities that receive some public funding.

States are asked to submit data for all discharges from substance abuse treatment. In 2000, 18 States2 submitted 347,923 records for clients discharged from treatment. Nearly all of these records (94 percent) could be linked to a TEDS admission record. These 326,750 linked admission/discharge records are referred to as treatment episodes. Of these episodes, over 99 percent (323,156) had a valid response for reason for discharge.

This report presents data on the 2 percent (7,794) of these treatment episodes that represent clients who received hospital inpatient treatment3 (Table 1). Clients discharged from detoxification treatment are not included in this report.4


Table 1. Discharges from Hospital Inpatient Treatment, by Reason for Discharge and Primary Substance at Admission: 2000
   
Reason for Discharge
   
Primary substance
at admission
Total

Treatment
Completed

Transferred
to Further
Treatment

Left Against
Professional
Advice

Terminated
by Facility

Other



Alcohol
4,522
2,661
1,137
456
156
112
Opiates
352
189
59
71
27
6
Cocaine
742
398
156
108
57
23
Marijuana/hashish
1,301
632
414
123
80
52
Stimulants
454
225
139
53
16
21
Other/unknown
423
177
73
110
25
38
Total
7,794
4,282
1,978
921
361
252
Source: 2000 SAMHSA Treatment Episode Data Set (TEDS).


Reasons for Discharge
More than half (55 percent) of hospital inpatient treatment episodes involved individuals who completed treatment and another 25 percent involved those who were transferred to further treatment (Figure 1). The remaining hospital inpatient treatment episodes involved clients who left against professional advice (12 percent), whose treatment was terminated by the facility (5 percent), or who were discharged for other reasons (3 percent).

Figure 1. Reasons for Discharge among Hospital Inpatient Treatment Discharges: 2000
Figure 1. Reasons for Discharge among Hospital Inpatient Treatment Discharges: 2000
Source: 2000 SAMHSA Treatment Episode Data Set (TEDS).



Primary Substance
Alcohol was the primary substance of abuse5 in 63 percent of the completed hospital inpatient treatment episodes, followed by marijuana (15 percent), cocaine (9 percent), stimulants (5 percent), opiates (4 percent), and other substances (4 percent) (Figure 2).

Figure 2. Primary Substances of Hospital Inpatient Treatment Completers: 2000
Figure 2. Primary Substances of Hospital Inpatient Treatment Completers: 2000
Source: 2000 SAMHSA Treatment Episode Data Set (TEDS).


Completion of Hospital Inpatient Treatment
The hospital inpatient treatment completion rate was highest, at 59 percent, for episodes involving alcohol as the primary substance of abuse (Figure 3). For hospital inpatient treatment episodes with opiates or cocaine as the primary substance, the completion rate was 53 percent. The hospital inpatient treatment completion rate for episodes where the primary substance was stimulants was 49 percent. Hospital inpatient treatment episodes involving marijuana as the primary substance were least likely to be completed, at 48 percent.

Figure 3. Reasons for Discharge from Hospital Inpatient Treatment, by Primary Substance of Abuse: 2000
Figure 3. Reasons for Discharge from Hospital Inpatient Treatment, by Primary Substance of Abuse: 2000
Source: 2000 SAMHSA Treatment Episode Data Set (TEDS).

Median Length of Stay
The median length of stay for completed hospital inpatient treatment episodes was 13 days, ranging from 8 days for opiates to 15 days for marijuana (Figure 4).

Figure 4. Median Length of Stay among Hospital Inpatient Treatment Completers, by Primary Substance of Abuse: 2000
Figure 4. Median Length of Stay among Hospital InpatientTreatment Completers, by Primary Substance of Abuse: 2000
Source: 2000 SAMHSA Treatment Episode Data Set (TEDS).


End Notes
1 For an earlier report on TEDS discharges, see Substance Abuse and Mental Health Services Administration, Office of Applied Studies. The DASIS report: Treatment completion in the Treatment Episode Data Set (TEDS). Rockville, MD. January 30, 2003.
2 States included: CA, GA, HI, IA, IL, MA, MD, ME, MI, MN, MS, MT, NE, NM, OH, OK, UT, and WY.
3 Twenty-four hour per day medical care in a hospital facility in conjunction with treatment services for alcohol and other drug abuse and dependency. Excludes detoxification for persons with severe medical complications associated with withdrawal.
4 Because treatment completion rates and lengths of stay vary across modalities or types of treatment, reports on other modalities, including outpatient, intensive outpatient, short-term residential, long-term residential, and detoxification treatment are being presented in other DASIS reports.
5 The primary substance of abuse is the main substance abused at the time of admission.

The Drug and Alcohol Services Information System (DASIS) is an integrated data system maintained by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). One component of DASIS is the Treatment Episode Data Set (TEDS). TEDS is a compilation of data on the demographic characteristics and substance abuse problems of those admitted for substance abuse treatment. The information comes primarily from facilities that receive some public funding. Information on treatment admissions is routinely collected by State administrative systems and then submitted to SAMHSA in a standard format. Approximately 1.7 million records are included in TEDS each year. TEDS records represent admissions rather than individuals, as a person may be admitted to treatment more than once.

The DASIS Report is prepared by the Office of Applied Studies, SAMHSA; Synectics for Management Decisions, Inc., Arlington, Virginia; and RTI, Research Triangle Park, North Carolina.

Information and data for this issue are based on data reported to TEDS through April 1, 2002.

Access the latest TEDS reports at:
http://www.oas.samhsa.gov/dasis.htm

Access the latest TEDS public use files at:
http://www.oas.samhsa.gov/SAMHDA.htm

Other substance abuse reports are available at:
http://www.oas.samhsa.gov
The DASIS Report is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Additional copies of this report or other reports from the Office of Applied Studies are available on-line: http://www.oas.samhsa.gov. Citation of the source is appreciated.

This page was last updated on May 16, 2008.