Issue 21 | 2006 |
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In 2004, admissions of young adults—those aged 18 to 25—accounted for almost 390,000 of the approximately 1.9 million annual admissions to substance abuse treatment facilities in the Treatment Episode Data Set (TEDS). The facilities that report to TEDS are primarily those that receive some public funding. The 18 to 25 age group constituted 21 percent of all admissions in TEDS in 2004. This report will compare young adult admissions to admissions of youths aged 12 to 17, who accounted for 8 percent of TEDS admissions in 2004. The report will further break down the young adult admissions into two subgroups: those aged 18 to 21 (9 percent of all admissions) and those aged 22 to 25 (12 percent of all admissions).
Within the group of young adult admissions, primary marijuana abuse was more likely to be reported by admissions aged 18 to 21 than those aged 22 to 25 (33 vs. 22 percent). In contrast, young adult admissions aged 22 to 25 years were more likely than young adult admissions aged 18 to 21 to report opiates (20 vs. 14 percent) as their primary substance of abuse, and about as likely to report alcohol (33 vs. 30 percent), stimulants (12 vs. 11 percent), cocaine (9 vs. 7 percent), or other drugs (4 vs. 5 percent).
Source: 2004 SAMHSA Treatment Episode Data Set (TEDS). |
Primary Substance | Young Adult | Youth |
---|---|---|
Alcohol | 32% | 19% |
Marijuana | 27% | 64% |
Opiates | 17% | 2% |
Stimulants | 12% | 5% |
Cocaine | 8% | 2% |
Other | 4% | 8% |
Source: 2004 SAMHSA Treatment Episode Data Set (TEDS). |
Among young adults, admissions aged 18 to 21 were more likely to be White than those aged 22 to 25 (71 vs. 67 percent), but there were only small differences between the two young adult age groups for all other racial/ethnic groups.
The overall difference between young adult and youth admissions in the proportion of females was small (32 vs. 31 percent, respectively).
The percentage of young adult admissions with a psychiatric problem in addition to substance abuse2 was 17 percent compared with 20 percent of youth admissions.
Source: 2004 SAMHSA Treatment Episode Data Set (TEDS). |
Race/Ethnicity | Youth 12-17 |
Young Adults 18-25 |
Young Adults 18-21 |
Young Adults 22-25 |
---|---|---|---|---|
White | 58% | 69% | 71% | 67% |
Black | 19% | 14% | 13% | 15% |
Hispanic | 17% | 12% | 11% | 13% |
American Indian/Alaska Native | 2% | 2% | 2% | 2% |
Asian/Pacific Islander | 2% | 1% | 1% | 1% |
Other | 2% | 2% | 2% | 2% |
Source: 2004 SAMHSA Treatment Episode Data Set (TEDS). |
Young adult admissions for marijuana were more likely to have had no use in the past month than were youth admissions for marijuana (37 vs. 30 percent) (Table 1). For all other substances young adult admissions were less likely than youth admissions to have had no use in the past month. For all primary substances, young adult admissions were more likely than youth admissions to have used the substance daily.
Primary Substance | No Use in Past Month | Daily Use in Past Month | ||
---|---|---|---|---|
Young Adults |
Youth | Young Adults |
Youth | |
Alcohol | 35 | 41 | 17 | 7 |
Marijuana | 37 | 30 | 28 | 24 |
Opiates | 14 | 28 | 74 | 45 |
Stimulants | 37 | 38 | 32 | 26 |
Cocaine | 29 | 34 | 35 | 26 |
Other | 55 | 66 | 26 | 12 |
Source: 2004 SAMHSA Treatment Episode Data Set (TEDS). |
The criminal justice system was the principal source of referral3 to treatment for 47 percent of young adult admissions compared to 52 percent of youth admissions (Figure 3). The proportion of criminal justice referrals was the same for young adults aged 18 to 21 and youth admissions (52 percent each), while the proportion of young adult admissions aged 22 to 25 referred by the criminal justice system was 45 percent. In contrast, young adult admissions were more likely than youth admissions to have been self or individually referred to treatment (27 vs. 17 percent).
Source: 2004 SAMHSA Treatment Episode Data Set (TEDS). |
Source of Referral | Youth 12-17 |
Young Adults 18-25 |
Young Adults 18-21 |
Young Adults 22-25 |
---|---|---|---|---|
Criminal Justice System | 52% | 47% | 52% | 45% |
Self/Individual | 17% | 27% | 24% | 28% |
School | 11% | 1% | 1% | 1% |
Other Community | 9% | 10% | 9% | 11% |
Alcohol/Drug Abuse Care Provider | 5% | 9% | 8% | 9% |
Other Health Care Provider | 5% | 5% | 5% | 5% |
Employer/EAP | 1% | 1% | 1% | 1% |
Source: 2004 SAMHSA Treatment Episode Data Set (TEDS). |
1 The primary substance of abuse is the main substance reported at the time of admission.
2 Psychiatric problem in addition to alcohol or drug problem, a Supplemental Data Set item, was reported in 2004 for at
least 75 percent of all admissions in 28 States and jurisdictions: CA, CO, DE, FL, GA, IA, ID, KS, KY, LA, MA, MD, ME, MI, MO, MS, NC, ND, NM, NV,
OH, OK, PR, RI, SC, TN, UT, and WV. These 28 States accounted for about 48 percent of all substance abuse treatment admissions in 2004.
3 Principal source of referral describes the person or agency referring the client to the alcohol or drug abuse treatment program.
4 Service settings are of three types: ambulatory, residential/rehabilitative, and detoxification.
Ambulatory settings include intensive outpatient, non-intensive outpatient, and ambulatory detoxification. Residential/rehabilitative settings include
hospital (other than detoxification), short-term (30 days or fewer), and long-term (more than 30 days). Detoxification includes 24-hour hospital inpatient
and 24-hour free-standing residential.
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. TEDS records
represent admissions rather than individuals, as a person may be
admitted to treatment more than once. State admission data are reported
to TEDS by the Single State Agencies (SSAs) for substance abuse
treatment. There are significant differences among State data
collection systems. Sources of State variation include completeness of
reporting, facilities reporting TEDS data, clients included, and
treatment resources available. See the annual TEDS reports for details.
Approximately 1.8 million records are included in TEDS each year. The DASIS Report is prepared by the Office of Applied Studies, SAMHSA; Synectics for Management Decisions, Inc., Arlington, Virginia; and by RTI International in Research Triangle Park, North Carolina (RTI International is a trade name of Research Triangle Institute). Information and data for this issue are based on data reported to TEDS through April 11, 2005. Access the latest TEDS reports
at: |
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. For questions about this report please e-mail: shortreports@samhsa.hhs.gov |
This page was last updated on December 31, 2008. |
SAMHSA, an agency in the Department of Health and Human Services, is the Federal Government's lead agency for improving the quality and availability of substance abuse prevention, addiction treatment, and mental health services in the United States.
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