treatment episode data set (teds) 2003-2013treatment episode data set (teds) 2003-2013. state...

Treatment Episode Data Set (TEDS) 2003-2013

State Admissions to Substance Abuse Treatment Services

DEPARTMENT OF HEALTH AND HUMAN SERVICESSubstance Abuse and Mental Health Services Administration

ii

AcknowledgmentsThis report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), by Synectics for Manage-ment Decisions, Inc. (Synectics), Arlington, Virginia. Work was performed under Task Order HHSS283200700048I/HHSS28342001T, Reference No. 283-07-4803 (Cathie Alderks, Task Order Officer).

Public domAin noticeAll 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 citAtionSubstance Abuse and Mental Health Services Administration, Center for Behavioral Health Statis-tics and Quality. Treatment Episode Data Set (TEDS): 2003-2013. State Admissions to Substance Abuse Treatment Services. BHSIS Series S-80, HHS Publication No. (SMA) 16-4964. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015.

electRonic Access And coPies of PublicAtionThis publication may be downloaded or ordered at store.samhsa.gov.

Or call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Español).

oRiginAting officeCenter for Behavioral Health Statistics and Quality

Substance Abuse and Mental Health Services Administration 5600 Fishers Lane, Room 15SEH03

Rockville, Maryland 20857

December 2015

iii

tAble of contents

List of Tables ..................................................................................................................................v

List of Figures .............................................................................................................................. xi

Highlights ......................................................................................................................................1

Chapter 1. Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2003-2013 ..................................................................................................................................5All Admissions ...........................................................................................................................6Selected Primary Substance .......................................................................................................7

Chapter 2. Substance Abuse Treatment Admissions Aged 12 and Older, by Primary Substance of Abuse: 2013 .................................................................................17

Chapter 3. Characteristics of Substance Abuse Treatment Admissions Aged 12 and Older, by State or Jurisdiction and Primary Substance of Abuse: 2013 ...................21

Tables.............................................................................................................................................49

Appendix A. About the Treatment Episode Data Set (TEDS) ..............................................143Introduction ............................................................................................................................ 143History ...................................................................................................................................143State Data Collection Systems ...............................................................................................144Report-Specific Considerations .............................................................................................. 146

Appendix B. TEDS Data Elements ..........................................................................................157TEDS Minimum Data Set ......................................................................................................157TEDS Supplemental Data Set ................................................................................................165

v

list of tAbles

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2003-2013All Admissions

1.1 Admissions aged 12 and older, by Census division and state or jurisdiction: Number, 2003-2013 ........................................................................................................................50

1.2 Admissions aged 12 and older, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 ............................................................................52

1.3 Admissions aged 12 and older, adjusted for age, gender, and race/ethnicity, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 ..........54

Selected Primary Substance

1.4a Primary alcohol admissions aged 12 and older, by Census division and state or jurisdiction: Number, 2003-2013 ....................................................................................................56

1.4b Primary alcohol admissions aged 12 and older, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 ........................................................58

1.5a Primary marijuana admissions aged 12 and older, by Census division and state or jurisdiction: Number, 2003-2013 ....................................................................................................60

1.5b Primary marijuana admissions aged 12 and older, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 ........................................................62

1.6a Primary heroin admissions aged 12 and older, by Census division and state or jurisdiction: Number, 2003-2013 ....................................................................................................64

1.6b Primary heroin admissions aged 12 and older, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 ........................................................66

1.7a Primary cocaine admissions aged 12 and older, by Census division and state or jurisdiction: Number, 2003-2013 ....................................................................................................68

1.7b Primary cocaine admissions aged 12 and older, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 ........................................................70

1.8a Primary methamphetamine/amphetamine admissions aged 12 and older, by Census division and state or jurisdiction: Number, 2003-2013...................................................................72

1.8b Primary methamphetamine/amphetamine admissions aged 12 and older, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 .......................74

1.9a Primary non-heroin opiates/synthetics admissions aged 12 and older, by Census division and state or jurisdiction: Number, 2003-2013...................................................................76

1.9b Primary non-heroin opiates/synthetics admissions aged 12 and older, by Census division and state or jurisdiction: Admissions per 100,000 population, 2003-2013 .......................78

vi

List of tabLes (continued)

Substance Abuse Treatment Admissions Aged 12 and Older, by Primary Substance of Abuse: 20132.1 Admissions aged 12 and older, by type of service at admission and Census

division and state or jurisdiction: Percent distribution, 2013 .........................................................80

2.2 Admissions aged 12 and older, by primary substance of abuse and Census division and state or jurisdiction: Number, 2013. ...........................................................................83

2.3 Admissions aged 12 and older, by primary substance of abuse and Census division and state or jurisdiction: Admissions per 100,000 population, 2013 ..............................................85

2.4 Admissions aged 12 and older, adjusted for, age, gender, and race/ethnicity, by primary substance of abuse and Census division and state or jurisdiction: Admissions per 100,00 population, 2013. ......................................................................................88

Characteristics of Substance Abuse Treatment Admissions Aged 12 and Older, by State or Jurisdiction and Primary Substance of Abuse: 20133.1 Alabama admissions aged 12 and older, by primary substance of abuse and gender, age

at admission, and race/ethnicity: Percent distribution, 2013 ..........................................................91

3.2 Alaska admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..........................................................92

3.3 Arizona admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..........................................................93

3.4 Arkansas admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ....................................................94

3.5 California admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ....................................................95

3.6 Colorado admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..........................................................96

3.7 Connecticut admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ....................................................97

3.8 Delaware admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..........................................................98

3.9 District of Columbia admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ................................99

3.10 Florida admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................100

3.11 Georgia admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................101

vii


3.12 Hawaii admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................102

3.13 Idaho admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................103

3.14 Illinois admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................104

3.15 Indiana admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................105

3.16 Iowa admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................106

3.17 Kansas admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................107

3.18 Kentucky admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................108

3.19 Louisiana admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................109

3.20 Maine admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................110

3.21 Maryland admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................ 111

3.22 Massachusetts admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................112

3.23 Michigan admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................113

3.24 Minnesota admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................114

3.25 Mississippi admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................115

3.26 Missouri admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................116

3.27 Montana admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................117

3.28 Nebraska admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................118

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3.29 Nevada admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................119

3.30 New Hampshire admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 .....................................120

3.31 New Jersey admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................121

3.32 New Mexico admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................122

3.33 New York admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................123

3.34 North Carolina admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 .....................................124

3.35 North Dakota admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 .....................................125

3.36 Ohio admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................126

3.37 Oklahoma admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................127

3.38 Oregon admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................128

3.39 Puerto Rico admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................129

3.40 Rhode Island admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................130

3.41 South Carolina admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 .....................................131

3.42 South Dakota admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 .....................................132

3.43 Tennessee admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................133

3.44 Texas admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................134

3.45 Utah admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................135

ix


3.46 Vermont admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................136

3.47 Virginia admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................137

3.48 Washington admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................138

3.49 West Virginia admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ..................................................139

3.50 Wisconsin admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................140

3.51 Wyoming admissions aged 12 and older, by primary substance of abuse and gender, age at admission, and race/ethnicity: Percent distribution, 2013 ........................................................141

Appendix A. About the Treatment Episode Data Set (TEDS)1 State data system reporting characteristics: 2013 .........................................................................148

2 Item percentage response rate, by state or jurisdiction: TEDS Minimum Data Set 2013 ............152

3 Item percentage response rate, by state or jurisdiction: TEDS Supplemental Data Set 2013 ......154

xi

List of figures

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2003-20131 Census regions and divisions of the United States ...........................................................................6

National Maps: Substance Abuse Treatment Admission Rates per 100,000 Population Aged 12 and Older

2 Primary alcohol admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older) ...................................................................................11

3 Primary marijuana admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older) ...................................................................................12

4 Primary heroin admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older) ...................................................................................13

5 Primary cocaine admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older) ...................................................................................14

6 Primary methamphetamine/amphetamine admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older) .................................................................15

7 Primary non-heroin opiates/synthetics admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older) ...................................................................................16

Characteristics of Substance Abuse Treatment Admissions Aged 12 and Older, by State or Jurisdiction and Primary Substance of Abuse: 2013Percentage Distribution by State or Jurisdiction

8 Alabama admissions aged 12 and older, by primary substance of abuse: 2003-2013 ....................22

9 Alaska admissions aged 12 and older, by primary substance of abuse: 2003-2013 .......................22

10 Arizona admissions aged 12 and older, by primary substance of abuse: 2003-2013 .....................23

11 Arkansas admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...................23

12 California admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..................24

13 Colorado admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...................24

14 Connecticut admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...............25

15 Delaware admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...................25

16 District of Columbia admissions aged 12 and older, by primary substance of abuse: 2003-2013 .......................................................................................................................................26

17 Florida admissions aged 12 and older, by primary substance of abuse: 2003-2013 .......................26

18 Georgia admissions aged 12 and older, by primary substance of abuse: 2003-2013 .....................27

19 Hawaii admissions aged 12 and older, by primary substance of abuse: 2003-2013 .......................27

xii

List of figures (continued)

20 Idaho admissions aged 12 and older, by primary substance of abuse: 2003-2013 .........................28

21 Illinois admissions aged 12 and older, by primary substance of abuse: 2003-2013 .......................28

22 Indiana admissions aged 12 and older, by primary substance of abuse: 2003-2013 ......................29

23 Iowa admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..........................29

24 Kansas admissions aged 12 and older, by primary substance of abuse: 2003-2013 .......................30

25 Kentucky admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...................30

26 Louisiana admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..................31

27 Maine admissions aged 12 and older, by primary substance of abuse: 2003-2013 ........................31

28 Maryland admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...................32

29 Massachusetts admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...........32

30 Michigan admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...................33

31 Minnesota admissions aged 12 and older, by primary substance of abuse: 2003-2013 .................33

32 Mississippi admissions aged 12 and older, by primary substance of abuse: 2003-2013 ................34

33 Missouri admissions aged 12 and older, by primary substance of abuse: 2003-2013 ....................34

34 Montana admissions aged 12 and older, by primary substance of abuse: 2003-2013 ....................35

35 Nebraska admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...................35

36 Nevada admissions aged 12 and older, by primary substance of abuse: 2003-2013 ......................36

37 New Hampshire admissions aged 12 and older, by primary substance of abuse: 2003-2013 ........36

38 New Jersey admissions aged 12 and older, by primary substance of abuse: 2003-2013 ................37

39 New Mexico admissions aged 12 and older, by primary substance of abuse: 2003-2013 .............37

40 New York admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..................38

41 North Carolina admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..........38

42 North Dakota admissions aged 12 and older, by primary substance of abuse: 2003-2013 ............39

43 Ohio admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..........................39

44 Oklahoma admissions aged 12 and older, by primary substance of abuse: 2003-2013..................40

45 Oregon admissions aged 12 and older, by primary substance of abuse: 2003-2013 ......................40

46 Pennsylvania admissions aged 12 and older, by primary substance of abuse: 2003-2013 .............41

47 Puerto Rico admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...............41

xiii

List of figures (continued)

48 Rhode Island admissions aged 12 and older, by primary substance of abuse: 2003-2013 .............42

49 South Carolina admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..........42

50 South Dakota admissions aged 12 and older, by primary substance of abuse: 2003-2013 ............43

51 Tennessee admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..................43

52 Texas admissions aged 12 and older, by primary substance of abuse: 2003-2013 .........................44

53 Utah admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..........................44

54 Vermont admissions aged 12 and older, by primary substance of abuse: 2003-2013 ....................45

55 Virginia admissions aged 12 and older, by primary substance of abuse: 2003-2013 .....................45

56 Washington admissions aged 12 and older, by primary substance of abuse: 2003-2013 ...............46

57 West Virginia admissions aged 12 and older, by primary substance of abuse: 2003-2013 ............46

58 Wisconsin admissions aged 12 and older, by primary substance of abuse: 2003-2013 .................47

59 Wyoming admissions aged 12 and older, by primary substance of abuse: 2003-2013 ..................47

1

HigHligHts

This report uses data from the Treatment Episode Data Set (TEDS) to examine treatment admis-sion data in 2013, and trend data from 2003 to 2013, nationally, regionally (by the nine Census divisions), and by state or jurisdiction. The report provides information on the demographic and substance abuse characteristics of admissions to treatment aged 12 and older for abuse of alcohol and/or drugs in facilities that report to individual state administrative data systems. It is important to note that values in charts, narrative lists, and percentage distributions are calculated using actual raw numbers and rounded for presentation in this report; calculations using rounded values may produce different results.

For 2013, a total of 1,683,451 substance abuse treatment admissions aged 12 and older were re-ported to TEDS by 49 states, the District of Columbia, and Puerto Rico (Pennsylvania, which is in the Middle Atlantic Census division, did not report admissions for 2013) [Table 1.1].

Trends in Substance Abuse Treatment Admissions Aged 12 and Older: 2003-2013

All Admissions• Between 2003 and 2013, across the nine Census divisions, about 22 percent of all admissions

reported were in the Middle Atlantic division, and the average rate of admissions was highest in the New England and Middle Atlantic divisions—1,518 and 1,011 per 100,000 population aged 12 and older, respectively, in 2013 [Tables 1.1 and 1.2 and Figure 1].

• The U.S. population aged 12 and older grew about 9 percent between 2003 and 2013,* but the number of annual treatment admissions was 10 percent lower in 2013 than in 2003 [Table 1.1]. The treatment admission rate in 2013 (625 per 100,000 population aged 12 and older) was about 18 percent lower than the rate in 2003 (760 per 100,000 population) [Table 1.2].

Alcohol• The treatment admission rate for primary alcohol was 26 percent lower in 2013, at 234 per

100,000 population aged 12 and older, than in 2003 (316 per 100,000). The rate fluctuated be-tween 2003 and 2013, but 2008 had the highest rate and 2013 had the lowest rate in this time period [Table 1.4b and Figure 2].

• Alcohol treatment admission rates were lower in 2013 than in 2003 in seven of the nine Census divisions; except in the New England and West North Central divisions.

* See the source on page 53.

2

• From 2003 to 2013, alcohol treatment admission rates were highest in the New England, Middle Atlantic, Mountain, and West North Central divisions.

Marijuana• The treatment admission rate for primary marijuana was 12 percent lower in 2013, at 105 per

100,000 population aged 12 and older, than in 2003 (119 per 100,000) [Table 1.5b and Figure 3].

• Marijuana treatment admission rates were lower in 2013 than in 2003 in six of the nine divisions; they were higher in the Middle Atlantic, New England, and Mountain divisions.

• From 2003 to 2013, marijuana treatment admission rates were consistently highest in the West North Central and Middle Atlantic divisions.

Heroin• The treatment admission rate for primary heroin was 5 percent higher in 2013, at 118 per 100,000

population aged 12 and older, than in 2003 (112 per 100,000) [Table 1.6b and Figure 4].

• Heroin treatment admission rates were higher in 2013 than in 2003 in six of the nine Census divisions; they were lower in the Pacific, South Atlantic, and Middle Atlantic divisions.

• From 2003 to 2013, heroin treatment admission rates were consistently highest in the New England and Middle Atlantic divisions.

Cocaine• The treatment admission rate for primary cocaine was 63 percent lower in 2013, at 38 per


• Cocaine treatment admission rates were lower in 2013 than in 2003 in all nine Census divisions.

• From 2003 through 2013, cocaine treatment admission rates were consistently highest in the Middle Atlantic division.

Methamphetamine/amphetamines• The treatment admission rate for methamphetamine/amphetamines was 6 percent lower in 2013,

at 51 per 100,000 population aged 12 and older, than in 2003 (54 per 100,000). Methamphet-amine/amphetamine treatment admission rates peaked in 2005 at 69 per 100,000, then declined every year through 2011 and increased in 2012 and 2013 [Table 1.8b and Figure 6].

• Methamphetamine/amphetamine treatement admission rates were higher in 2013 than in 2003 in six of the nine Census divisions, the same in two divisions, and lower in one division (the Pacific division).

• From 2003 to 2013, methamphetamine/amphetamine treatment admission rates were highest in the Pacific division, followed by the West North Central and Mountain divisions.

3

Opiates other than heroin• The treatment admission rate for opiates other than heroin was 167 percent higher in 2013, at

57 per 100,000 population aged 12 and older, than in 2003 (21 per 100,000). Rates increased every year from 2003 through 2011 and decreased in 2012 and 2013 [Table 1.9b and Figure 7].

• The treatment admission rates for opiates other than heroin were higher in 2013 than in 2003 for all nine Census divisions.

• From 2003 to 2013, treatment admission rates for opiates other than heroin were highest in the New England division.

Substance Abuse Treatment Admissions Aged 12 and Older: 2013• In 2013, the treatment admission rate was higher for primary alcohol abuse than for any primary

illicit drug. The primary alcohol admission rate was 234 per 100,000 population (the rate for alcohol alone was 132 per 100,000 and the rate for alcohol with secondary drug abuse was 103 per 100,000). The highest rates of treatment admissions for illicit drugs in 2013 were for heroin (118 per 100,000) and marijuana (105 per 100,000) [Table 2.3].

• Treatment admission rates for 2013 were higher for primary alcohol abuse than for an illicit drug in eight Census divisions, and in 43 of the 51 reporting states and jurisdictions. The pri-mary illicit drug with the highest treatment admission rate varied by division: heroin in the New England and Middle Atlantic divisions, methamphetamine/amphetamines in the Pacific and Mountain divisions, non-heroin opiates in the East South Central division, and marijuana in the other four divisions [Table 2.3].

5

CHapter 1

trends in substanCe abuse treatment admissions aged 12 and older: 2003-2013

This report uses data from the Treatment Episode Data Set (TEDS) to examine treatment admis-sion data in 2013, and trend data from 2003 to 2013, nationally, regionally (by the nine Census divisions), and by state or jurisdiction. It is a companion to the report, Treatment Episode Data Set (TEDS): 2003-2013 National Admissions to Substance Abuse Treatment. These reports provide information on the demographic and substance abuse characteristics of admissions to treatment aged 12 and older for abuse of alcohol and/or drugs in facilities that report to individual state ad-ministrative data systems. Data include records for admissions during calendar years 2003 through 2013 that were received and processed through January 23, 2015.1

TEDS is an admission-based system, and TEDS admissions do not represent individuals. Thus, 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 fa-cilities that are licensed or certified by the state substance abuse agency to provide substance abuse treatment (or are administratively tracked for other reasons). In general, facilities reporting TEDS data are those that receive state alcohol and/or drug agency funds (including Federal Block Grant funds) for the provision of alcohol and/or drug treatment services. Additional information on the history and methodology of TEDS and this report as well as important issues related to state data collection systems are detailed in Appendix A.

This chapter details trends in the annual numbers and rates of admissions aged 12 and older for 2003 to 2013. Trend data are used to monitor changing patterns in substance abuse treatment ad-missions. These patterns reflect underlying changes in substance abuse in the population as well as changing priorities in the treatment/reporting system. TEDS data thus have important implications for resource allocation and program planning.

While the tables in this report present data by Census division (Figure 1) and by state or jurisdic-tion, it is important to note that comparisons between and across divisions and states should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi-service episodes, services offered, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion.

1 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://www.datafiles.samhsa.gov. Summary data for individual states that have submitted the full year of data are available online through the TEDS Quick Statistics website at http://wwwdasis.samhsa.gov/webt/NewMapv1.htm.

6

All Admissions

Table 1.1 presents the total number of treatment admissions aged 12 and older by Census division and state or jurisdiction for 2003 through 2013.2

• For 2013, a total of 1,683,451 admissions aged 12 and older were reported to TEDS by 49 states, the District of Columbia, and Puerto Rico (Pennsylvania, which is in the Middle Atlantic Census division, did not report admissions for 2013).

• The number of treatment admissions aged 12 and older was 10 percent lower in 2013 than in 2003.

• From 2003 to 2013, about 22 percent of all admissions reported were in the Middle Atlantic division. The East North Central, South Atlantic, and Pacific divisions each reported roughly 14 to 15 percent of all admissions; the Mountain, New England, and West North Central divi-sions each reported about 8 to 9 percent of all admissions; and the East South Central and West South Central divisions each reported about 3 to 5 percent of all admissions.

Figure 1. Census regions and divisions of the United States

2 Data were not submitted or were incomplete for one or more years in some states or jurisdictions because of changes to their data collection systems: Alabama (2007), Alaska (2004-2006), Arkansas (2004), the District of Columbia (2004-2006 and 2009), Mississippi (2009), and Pennsylvania (2013).

7

Table 1.2 presents the treatment admission rates per 100,000 population aged 12 and older by Census division and state or jurisdiction for 2003 through 2013.

• Between 2003 and 2013, the U.S. population aged 12 and older grew by about 9 percent,* but the number of annual treatment admissions was 10 percent lower in 2013 than in 2003 [Table 1.1]. The treatment admission rate in 2013 (625 per 100,000 population aged 12 and older) was about 18 percent lower than the rate in 2003 (760 per 100,000 population).

• Admission rates were highest in the New England and Middle Atlantic divisions. In New Eng-land, the rate was lowest in 2003, at 1,132 per 100,000 population aged 12 and older, and highest in 2013, at 1,518 per 100,000 population aged 12 and older. The rates in the Middle Atlantic division were at 1,274 in 2003 and 1,011 per 100,000 population aged 12 and older in 2013.

• In 2013, individual state admission rates (excluding Puerto Rico) varied from approximately 134 per 100,000 population to about 2,072 per 100,000. As noted above, there are many possible explanations for this variation (see Appendix A), and comparisons among states should be made with caution.

Table 1.3 presents the treatment admission rate adjusted for age, gender, and race/ethnicity to the U.S. population in 2000 by Census division and state or jurisdiction for 2003 to 2013. Adjusted rates take into account the different admission rates among population subgroups and the different proportions of the subgroups in each division, state, or jurisdiction. The adjusted rates are the rates that would be observed if each division, state, or jurisdiction had the same distribution of subgroups as the standardized U.S. population in 2000.

For example, the 2013 unadjusted rates for Alaska and Maryland were similar (1,090 and 1,024 per 100,000 population aged 12 and older, respectively; Table 1.2), but the adjusted rates were not (622 per 100,000 for Alaska and 1,025 per 100,000 for Maryland; Table 1.3). Alaska’s adjusted rate was much lower than its unadjusted rate because Alaska had high admission rates in subgroups that were a large proportion of the state’s population but represented relatively small proportions of the U.S. population in 2000. In contrast, the population distribution in Maryland closely resembled the population distribution in the U.S.; therefore, Maryland’s adjusted and unadjusted rates were similar. This example demonstrates that the difference between adjusted rates and unadjusted rates can vary depending on the state’s population distribution.

Selected Primary Substance

Six substance groups (alcohol, marijuana, heroin, cocaine, methamphetamine/amphetamines, and opiates other than heroin3) accounted for 97 percent of all TEDS admissions aged 12 and older in 2013.4

Tables 1.4a–1.9a present the numbers of admissions aged 12 and older by Census division and by state and jurisdiction from 2003 to 2013 for each of the selected primary substances. * See the source on page 53.3 Opiates other than heroin include methadone, codeine, hydrocodone, hydromorphone, meperidine, morphine, opium,

oxycodone, pentazocine, propoxyphene, tramadol, and any other drug with morphine-like effects. 4 See: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Qual-

ity. Treatment Episode Data Set (TEDS): 2003-2013. National Admissions to Substance Abuse Treatment Services. BHSIS Series S-75, HHS Publication No. (SMA) 15-4934. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015, Table 1.1b.

8

Tables 1.4b–1.9b present the admission rates per 100,000 aged 12 and older by Census division and by state and jurisdiction from 2003 to 2013 for each of the selected primary substances.

The admission rates are mapped in Figures 2–7. The map categories are based on the median, 75th, 90th, and 99th percentiles of the range of 2003 admission rates for each substance. Each map shows 1 in dark red (the 99th percentile and above), about 5 in light red (the 90th to 98th percentiles), about 8 states in orange (the 75th to 89th percentiles), about 12 in yellow (the 50th to 74th percentiles), and about 24 in tan (below the median 2003 U.S. rate). Cross-hatching indicate states or jurisdic-tions where no data or less than a full calendar year of data were submitted.

Alcohol• The treatment admission rate for primary alcohol was 26 percent lower in 2013, at 234 per

100,000 population aged 12 and older, than in 2003 (316 per 100,000). The rate fluctuated be-tween 2003 and 2013, but 2008 had the highest rate and 2013 had the lowest rate in this time period [Table 1.4b and Figure 2].

• Alcohol treatment admission rates were between 3 and 54 percent lower in 2013 than in 2003 in seven of the Census divisions. The rate was 8 and 16 percent higher in the West North Central and New England divisions, respectively.

• Alcohol treatment admission rates were lower in 2013 than in 2003 in 36 of the 51 states and jurisdictions reporting in both years and higher in 15 states and jurisdictions. Nebraska experi-enced a 90 percent increase from 412 per 100,000 in 2003 to 780 per 100,000 in 2013.

• From 2003 to 2013, alcohol treatment admission rates were generally highest in the New Eng-land, Middle Atlantic, Mountain, and West North Central divisions.

Marijuana• The treatment admission rate for primary marijuana was 12 percent lower in 2013, at 105 per


• Marijuana admission rates were between 1 and 47 percent lower in 2013 than in 2003 in six of the nine Census divisions. The Mountain, New England, and Middle Atlantic divisions had 18, 17, and 2 percent increases, respectively, from 2003 to 2013.

• Marijuana admission rates were lower in 2013 than in 2003 in 32 of the 51 states and jurisdic-tions reporting in both years and higher in 19 states and jurisdictions. The admission rates of Arizona, North Carolina, and Puerto Rico were more than double from 2003 to 2013.

• From 2003 to 2013, marijuana treatment admission rates were consistently highest in the West North Central and Middle Atlantic divisions.

Heroin• The treatment admission rate for primary heroin was 5 percent higher in 2013, at 118 per 100,000

population aged 12 and older, than in 2003 (112 per 100,000) [Table 1.6b and Figure 4].

• Heroin treatment admission rates were between 22 and 634 percent higher in 2013 than in 2003 in six Census divisions (East South Central, West North Central, Mountain, West South Central,

9

New England, and East North Central). Rates were between 8 and 28 percent lower in 2013 than in 2003 in the other three divisions.

• Heroin treatment admission rates were higher in 2013 than in 2003 in 37 of the 50 states and jurisdictions reporting in both years,5 lower in 11 states and jurisdictions, and the same in 2 states. Alaska, Nebraska, Kentucky, Wyoming, Arizona, Idaho, and Minnesota experienced the largest growth of heroin admissions from 2003 to 2013.

• From 2003 to 2013, heroin treatment admission rates were consistently highest in the New England and Middle Atlantic divisions.

Cocaine• The treatment admission rate for primary cocaine was 63 percent lower in 2013, at 38 per


• Cocaine treatment admission rates were between 24 and 73 percent lower in 2013 than in 2003 in the nine Census divisions.

• Cocaine admission rates were lower in 2013 than in 2003 in 49 of the 51 states and jurisdictions reporting in both years, the same in Arizona, and higher in Puerto Rico.

• From 2003 to 2013, cocaine treatment admission rates were consistently highest in the Middle Atlantic division.

Methamphetamine/amphetamines • The treatment admission rate for methamphetamine/amphetamines was 6 percent lower in 2013,

at 51 per 100,000 population aged 12 and older, than in 2003 (54 per 100,000). Methamphet-amine/amphetamine treatment admission rates peaked in 2005 at 69 per 100,000, then declined in every year through 2011 and increased in 2012 and 2013 [Table 1.8b and Figure 6].

• Methamphetamine/amphetamine treatment rates were between 5 and 60 percent higher in 2013 than in 2003 in six of the nine Census divisions. The rate was same for the East North Central and East South Central divisions. In the Pacific division, the treatment admission rate was 28 percent lower in 2013 than in 2003.

• Methamphetamine/amphetamine treatment admission rates were higher in 2013 than in 2003 in 32 of the 50 states and jurisdictions reporting in both years, lower in 16 states, and the same in 2 states. The increase in admission rates between 2003 and 2013 was more than 200 percent for Alaska, Rhode Island, and North Carolina, and more than 100 percent for New Hampshire, Tennessee, South Carolina, New Jersey, Arizona, Colorado, and Vermont.

• The Pacific division had the highest methamphetamine/amphetamine treatment admission rate from 2003 through 2012 (ranging from 132 to 223 per 100,000 population aged 12 and older), but the West North Central division had a higher rate in 2013 (145 per 100,000).

5 Tennessee reported all heroin admissions as Opiates other than heroin through June 2009. Tennessee began disag-gregating heroin admissions from other opiates in July 2009 (Figures 4 and 7).

10

Opiates other than heroin• The treatment admission rate for opiates other than heroin was 167 percent higher in 2013, at

57 per 100,000 population aged 12 and older, than in 2003 (21 per 100,000). Rates increased in every year from 2003 through 2011 and decreased in 2012 and 2013 [Table 1.9b and Figure 7].

• The treatment admission rates for opiates other than heroin were between 62 and 335 percent higher in 2013 than in 2003 in all nine Census divisions.

• Treatment admission rates for opiates other than heroin were higher in 2013 than in 2003 in the 50 states reporting in both years.

• From 2003 to 2013, treatment admission rates for opiates other than heroin were highest in the New England division. For each of those years, the New England rate was more than twice as high as the rates for most of the other divisions. In 2003, the New England rate was 59 per 100,000 population aged 12 and older while the rates for the other divisions ranged from 12 per 100,000 (Mountain) to 33 per 100,000 (East South Central). In 2013, the New England rate was 148 per 100,000 population aged 12 and older while the rates for the other divisions ranged from 27 per 100,000 (West South Central) to 80 per 100,000 (Middle Atlantic).

11

Figure 2. Primary alcohol admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older)

(range 20 – 1,472)2005

(range 35 – 1,309)2003

(range 7 – 1,844)2007

(range 35 – 1,738)2009

(range 38 – 1,571)2011

(range 39 – 1,459)2013

< 267

267 – 509

510 – 832

833 – 1,148

1,149 or more

Incomplete DataKEY YEAR: 2003

NOTES: See Chapter 1.

SOURCE: Center for Behavioral Health Statisticsand Quality, Substance Abuse and Mental HealthServices Administration, Treatment Episode DataSet (TEDS). Data received through 1.23.15.

12

Figure 3. Primary marijuana admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older)

(range 7 – 285)2005

(range 9 – 260)2003

(range

13

Figure 4. Primary heroin admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older)

(range

14

Figure 5. Primary cocaine admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older)

(range 4 – 320)2005

(range 3 – 276)2003

(range 6 – 304)2007

(range 4 – 228)2009

(range 2 – 316)2011

(range

15

Figure 6. Primary methamphetamine/amphetamine admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older)

(range 2 – 329)2005

(range 1 – 252)2003

(range

16

Figure 7. Primary non-heroin opiates/synthetics admission rates, by state or jurisdiction: 2003-2013 (per 100,000 population aged 12 and older)

(range

17

Chapter 2

SubStanCe abuSe treatment admiSSionS aged 12 and older, by primary SubStanCe of abuSe: 2013

This chapter presents numbers of substance abuse treatment admissions aged 12 and older and admission rates from the Treatment Episode Data Set (TEDS) by Census division and state or jurisdiction for admissions in 2013, according to primary substance of abuse.

As noted previously, comparisons between and across divisions and states should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi-service episodes, service type, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion.

Table 2.1 indicates the proportions of admissions in 2013 by service type according to Census division and state or jurisdiction. A state’s mix of service types (e.g., outpatient, detoxification, rehabilitation/residential, opioid therapy) can have a significant effect on its admission rates. There is higher client turnover and therefore more admissions in short-stay services such as detoxifica-tion than in long-stay services such as outpatient or long-term rehabilitation/residential treatment. Admission rates for individual substances of abuse may be affected as well (e.g., detoxification is more closely associated with alcohol, heroin, or tranquilizer use than with use of other substances).1

Table 2.2 presents the total number of treatment admissions aged 12 and older by primary substance of abuse, according to Census division and state or jurisdiction for 2013.

Table 2.3 presents the treatment admission rates per 100,000 population aged 12 and older by primary substance of abuse, according to Census division and state or jurisdiction for 2013.

• In 2013, the treatment admission rate was higher for primary alcohol abuse than for illicit drugs. The primary alcohol admission rate was 234 per 100,000 population (the rate for alcohol alone was 132 per 100,000 and the rate for alcohol with secondary drug abuse was 103 per 100,000). The highest rates for illicit drugs were for heroin (118 per 100,000) and marijuana (105 per 100,000).

• Treatment admission rates for 2013 were higher for primary alcohol abuse than for illicit drugs in eight of the nine Census divisions. The most common primary illicit drugs in each Census division were:

• New England—heroin, opiates other than heroin, and marijuana

1 See: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2003-2013. National Admissions to Substance Abuse Treatment Services. BHSIS Series S-75, HHS Publication No. (SMA) 15-4934. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015, Table 2.7.

18

• Middle Atlantic—heroin, marijuana, and cocaine

• East North Central—marijuana, heroin, and opiates other than heroin

• West North Central—marijuana, methamphetamine/amphetamines, and opiates other than heroin

• South Atlantic—marijuana, opiates other than heroin, and heroin

• East South Central—opiates other than heroin, marijuana, and heroin

• West South Central—marijuana, methamphetamine/amphetamines, and opiates other than heroin

• Mountain—methamphetamine/amphetamines, marijuana, and heroin

• Pacific—methamphetamine/amphetamines, marijuana, and heroin

• Treatment admission rates for 2013 were higher for primary alcohol abuse than for any of the major illicit drugs in 43 of the 51 reporting states and jurisdictions. The exceptions where an illicit drug admission rate was higher than the alcohol admission rate were California (meth-amphetamine/amphetamines), Delaware (heroin), Hawaii (methamphetamine/amphetamines), Maryland, Massachusetts, and New Jersey (heroin), Tennessee, and West Virginia (opiates other than heroin).

• In the 43 states and jurisdictions where admission rates for primary alcohol were higher than the rate for any illicit drug, the primary illicit drugs with the highest treatment admission rates were:

• Marijuana—Alabama, Alaska, Georgia, Illinois, Indiana, Iowa, Kansas, Minnesota, Missis-sippi, Missouri, Montana, North Carolina, North Dakota, Ohio, Puerto Rico, South Carolina, South Dakota, Texas, Virginia, Washington, Wisconsin, and Wyoming

• Heroin—Connecticut, District of Columbia, Michigan, New Hampshire, New York, and Rhode Island

• Opiates other than heroin—Florida, Kentucky, Louisiana, Maine, and Vermont

• Methamphetamine/amphetamines—Arizona, Arkansas, Colorado, Idaho, Nebraska, Nevada, Oklahoma, Oregon, and Utah

• Other/none specified—New Mexico

Table 2.4 presents the 2013 treatment admission rates by primary substance, adjusted for age, gender, and race/ethnicity to the U.S. population in 2000 by Census division and state or jurisdiction. Adjusted rates take into account the different admission rates among population subgroups and the different proportions of the subgroups in each division, state, or jurisdiction. The adjusted rates are the rates that would be observed if each division, state, or jurisdiction had the same distribution of subgroups as the standardized U.S. population in 2000.

• Adjustment of the 2013 treatment admission rates for age, gender, and race/ethnicity did not change the relative ranking of alcohol and illicit drugs for the United States as a whole or for most of the Census divisions.

19

• Adjustment of the 2013 treatment admission rates for age, gender, and race/ethnicity did not change the relative ranking of alcohol and illicit drugs for most states.

21

Chapter 3

CharaCteriStiCS of SubStanCe abuSe treatment admiSSionS aged 12 and older, by State or JuriSdiCtion and primary

SubStanCe of abuSe: 2013

This chapter presents data on the demographic characteristics of substance abuse treatment admissions aged 12 and older from the Treatment Episode Data Set (TEDS) by primary sub-stance of abuse for individual states and jurisdictions.

As noted previously, comparisons between and across states and jurisdictions should be made with caution. There are many factors (e.g., facilities included, clients included, ability to track multi-service episodes, services offered, and completeness and timeliness of reporting) that can affect comparability. See Appendix A for a full discussion.

Tables 3.1-3.51 present, for each state or jurisdiction reporting admissions to TEDS for 2013, the percentage distribution of demographic characteristics (gender, age group, and race/ethnicity) by primary substance of abuse for admissions aged 12 and older.

Figures 8-59 depict, for each individual state or jurisdiction, the percentage distribution of admis-sions aged 12 and older for selected primary substances for 2003 through 2013.

22

Figure 8. Alabama admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 9. Alaska admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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NOTE: Data were not submitted for Alabama for 2007 or for Alaska for 2004 to 2006 because of changes to the data collection systems.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

23

Figure 10. Arizona admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 11. Arkansas admissions aged 12 and older, by primary substance of abuse: 2003-2013


2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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NOTE: Data were not submitted for Arkansas for 2004 because of changes to the data collection system.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

24

Figure 12. California admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 13. Colorado admissions aged 12 and older, by primary substance of abuse: 2003-2013

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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25

Figure 14. Connecticut admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 15. Delaware admissions aged 12 and older, by primary substance of abuse: 2003-2013


2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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Figure 16. District of Columbia admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 17. Florida admissions aged 12 and older, by primary substance of abuse: 2003-2013

NOTE: Data were not submitted for District of Columbia for 2004 to 2006 and 2009 because of changes to the data collection system.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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27

Figure 18. Georgia admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 19. Hawaii admissions aged 12 and older, by primary substance of abuse: 2003-2013


2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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Figure 20. Idaho admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 21. Illinois admissions aged 12 and older, by primary substance of abuse: 2003-2013


2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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29

Figure 22. Indiana admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 23. Iowa admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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30

Figure 24. Kansas admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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Figure 25. Kentucky admissions aged 12 and older, by primary substance of abuse: 2003-2013


31

Figure 26. Louisiana admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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Figure 27. Maine admissions aged 12 and older, by primary substance of abuse: 2003-2013


32

Figure 28. Maryland admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 29. Massachusetts admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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Figure 30. Michigan admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 31. Minnesota admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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34

Figure 32. Mississippi admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 33. Missouri admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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NOTE: Data were not submitted for Mississippi for 2009 because of changes to the data collection system. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

35

Figure 34. Montana admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 35. Nebraska admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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Figure 36. Nevada admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 37. New Hampshire admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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37

Figure 38. New Jersey admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 39. New Mexico admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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Figure 40. New York admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 41. North Carolina admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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39

Figure 42. North Dakota admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 43. Ohio admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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40

Figure 44. Oklahoma admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 45. Oregon admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

of s

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41

Figure 46. Pennsylvania admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 47. Puerto Rico admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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cent

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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NOTE: Data were not submitted for Pennsylvania for 2013 because of changes to the data collection system.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

42

Figure 48. Rhode Island admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 49. South Carolina admissions aged 12 and older, by primary substance of abuse: 2003-2013

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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NOTE: Prior to 2011, early intervention admissions were included in South Carolina’s data. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

43

Figure 50. South Dakota admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 51. Tennessee admissions aged 12 and older, by primary substance of abuse: 2003-2013

NOTE: Tennessee began disaggregating heroin admissions from other opiates in July 2009. In this figure, all Tennessee’s 2009 heroin admissions are included in the other opiates category since there is less than a full year of disaggregated heroin data.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS). Data received through 1.23.15.

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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Figure 52. Texas admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 53. Utah admissions aged 12 and older, by primary substance of abuse: 2003-2013

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Figure 54. Vermont admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 55. Virginia admissions aged 12 and older, by primary substance of abuse: 2003-2013

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Figure 56. Washington admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 57. West Virginia admissions aged 12 and older, by primary substance of abuse: 2003-2013

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Figure 58. Wisconsin admissions aged 12 and older, by primary substance of abuse: 2003-2013

Figure 59. Wyoming admissions aged 12 and older, by primary substance of abuse: 2003-2013

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tableS

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Total 1,865,145 1,808,030 1,895,342 1,960,068 1,965,970 2,062,705 2,047,041 1,930,301 1,928,792 1,801,385 1,683,451

Census division

New England 136,287 140,831 144,643 179,722 177,272 172,068 169,897 172,553 182,353 182,225 192,016

Middle Atlantic 432,150 426,664 447,326 438,488 440,416 458,584 446,937 444,047 428,885 389,132 358,250

East North Central 259,956 256,316 273,468 296,074 298,961 299,973 305,504 278,189 254,277 217,654 189,548

West North Central 143,212 156,142 163,873 167,752 173,470 176,010 187,766 175,473 161,321 167,372 166,402

South Atlantic 307,596 262,989 270,829 264,657 268,042 314,000 313,922 274,757 340,127 289,665 251,480

East South Central 73,444 61,006 62,701 63,181 41,443 50,819 53,307 58,970 49,222 46,066 47,497

West South Central 93,215 82,492 98,369 95,434 100,476 116,546 115,833 95,770 94,020 86,753 77,016

Mountain 127,366 152,874 159,287 161,853 157,344 161,728 162,529 156,855 152,722 161,490 152,425

Pacific 288,175 266,246 272,562 290,965 304,850 309,717 288,933 271,850 263,299 257,938 245,768

State or jurisdiction

Alabama 21,042 19,765 19,812 19,903 ‡ 15,063 21,604 21,736 8,078 9,519 10,225

Alaska 4,047 ‡ ‡ ‡ 3,978 5,493 6,050 6,951 6,939 6,159 6,365

Arizona 15,847 34,611 30,624 26,940 21,160 20,971 19,217 28,739 23,290 24,163 21,248

Arkansas 13,608 ‡ 13,727 13,664 15,010 28,512 24,603 14,158 12,180 12,535 11,602

California 203,337 183,737 182,594 197,852 203,077 202,999 182,642 168,421 161,185 164,110 160,313

Colorado 63,383 69,089 76,894 78,453 79,397 85,822 88,251 79,150 77,779 87,814 86,017

Connecticut 45,260 46,307 47,116 46,451 44,757 47,177 46,067 51,951 62,315 61,993 64,040

Delaware 7,495 7,831 8,197 8,169 8,424 7,935 7,784 6,702 6,957 7,801 6,701

District of Columbia 4,831 ‡ ‡ ‡ 1,938 4,539 ‡ 3,305 7,597 5,742 5,204

Florida 81,304 39,757 47,343 50,532 52,666 80,982 80,226 61,001 104,094 64,314 48,047

Georgia 36,039 31,036 44,860 44,934 42,309 40,500 42,066 42,302 43,707 44,560 44,408

Hawaii 6,213 5,810 6,778 6,498 6,969 7,373 7,275 6,611 6,838 6,846 6,697

Idaho 3,116 6,162 6,356 7,953 6,239 6,456 7,122 4,146 4,784 6,381 4,277

Illinois 85,692 81,667 78,546 85,141 71,067 76,433 71,538 73,267 59,365 36,374 32,761

Indiana 31,649 37,665 37,436 37,104 29,629 21,614 25,720 27,237 27,448 25,298 25,960

Iowa 27,190 28,189 28,404 28,453 26,927 26,261 30,743 33,270 27,628 28,119 29,470

Kansas 14,213 15,491 15,799 13,041 15,042 16,804 19,078 14,992

treatment episode data set (teds) 2003-2013treatment episode data set (teds) 2003-2013. state...

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