Focus Area 26: Substance Abuse: Objectives and Subobjectives

As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:

Changes in the wording of an objective to more accurately describe what is being measured.
Changes to reflect a different data source or new science.
Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
Deletion of an objective or subobjective that lacked a data source.
Correction of errors and omissions in Healthy People 2010.

Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.¹

When changes were made to an objective, three sections are displayed:

In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
In the Revised Objective section, the objective appears as revised as a result of the midcourse review.

Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.

¹See Technical Appendix for more information on baseline and target revisions.

Adverse Consequences of Substance Use and Abuse

ORIGINAL OBJECTIVE

26-1.

Reduce deaths and injuries caused by alcohol- and drug-related motor vehicle crashes.

Target and baseline:

Objective	Reduction in Consequences of Motor Vehicle Crashes	1998 Baseline Per 100,000 Population	2010 Target Per 100,000 Population
26-1a.	Alcohol-related deaths	5.3¹	4.8²
26-1b.	Alcohol-related injuries	113	65
26-1c.	Drug-related deaths	Developmental	Developmental
26-1d.	Drug-related injuries	Developmental	Developmental

Target setting method: Consistent with the U.S. Department of Transportation for 26-1a; 47 percent improvement for 26-1b.

Data sources: Fatality Analysis Reporting System (FARS), DOT, NHTSA; General Estimates System (GES), DOT.

¹ Baseline revised from 5.9 after November 2000 publication.
² Target revised from 4 because of baseline revision after November 2000 publication.

OBJECTIVE WITH REVISIONS
(Including subobjectives deleted)

26-1.

Reduce deaths ~~and injuries~~ caused by alcohol- ~~and drug-~~related motor vehicle crashes.

Target and baseline:

Objective*	Reduction in ~~Consequences of Motor~~ ~~Vehicle Crashes~~Deaths	1998 Baseline Per 100,000 Population	2010 Target Per 100,000 Population
26-1a.	Alcohol-related motor vehicle crash deaths	5.3¹	4.8²
~~26-1b.~~	(Subobjective deleted due to lack of datasource)* ~~Alcohol-related injuries~~	~~113~~	65
~~26-1c.~~	(Subobjective deleted due to lack of data source)* ~~Drug-related deaths~~	~~Developmental~~	~~Developmental~~
~~26-1d.~~	(Subobjective deleted due to lack of data source)* ~~Drug-related injuries~~	~~Developmental~~	~~Developmental~~

* For data control purposes, subobjectives are not renumbered.

Target setting method: Consistent with the U.S. Department of Transportation.

Data source: Fatality Analysis Reporting System (FARS), DOT, NHTSA.

¹ Baseline revised from 5.9 after November 2000 publication.
² Target revised from 4 because of baseline revision after November 2000 publication.

REVISED OBJECTIVE

26-1.

Reduce deaths caused by alcohol-related motor vehicle crashes.

Target and baseline:

Objective*	Reduction in Deaths	1998 Baseline Per 100,000 Population	2010 Target Per 100,000 Population
26-1a.	Alcohol-related motor vehicle crash deaths	5.3¹	4.8²

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

26-2.

Reduce cirrhosis deaths.

Target: 3.2¹ deaths per 100,000 population.

Baseline: 9.6² cirrhosis deaths per 100,000 population occurred in 1999² (age adjusted to the year 2000 standard population).

Target setting method: Better than the best.

Data source: National Vital Statistics System (NVSS), CDC, NCHS.

¹ Target revised from 3.0 because of baseline revision after November 2000 publication.
² Baseline and baseline year revised from 9.5 and 1998 after November 2000 publication.

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

26-3.

Reduce drug-induced deaths.

Target: 1.2¹ deaths per 100,000 population.

Baseline: 6.8² drug-induced deaths per 100,000 population occurred in 1999² (age adjusted to the year 2000 standard population).

Target setting method: Better than the best.

Data source: National Vital Statistics System (NVSS), CDC, NCHS.

¹ Target revised from 1.0 because of baseline revision after November 2000 publication.
² Baseline and baseline year revised from 6.3 and 1998 after November 2000 publication.

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

26-4.

Reduce drug-related hospital emergency department visits.

Target: 349,810¹ visits per year.

Baseline: 542,250² hospital emergency department visits by patients aged 6 to 97 years were drug-related in 1998.

Target setting method: 35 percent improvement.

Data source: Drug Abuse Warning Network (DAWN), SAMHSA.

¹ Target revised from 350,000 because of baseline revision after November 2000 publication.
² Baseline revised from 542,544 after November 2000 publication.

NO CHANGE IN OBJECTIVE
26-5.	(Developmental) Reduce alcohol-related hospital emergency department visits. Potential data source: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS.

NO CHANGE IN OBJECTIVE

26-6.

Reduce the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol.

Target: 30 percent.

Baseline: 33 percent of students in grades 9 through 12 reported riding during the previous 30 days with a driver who had been drinking alcohol in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.

NO CHANGE IN OBJECTIVE
26-7.	(Developmental) Reduce intentional injuries resulting from alcohol- and illicit drug-related violence. Potential data source: National Crime Victimization Survey (NCVS), U.S. Department of Justice, Bureau of Justice Statistics.

ORIGINAL OBJECTIVE

26-8.

(Developmental) Reduce the cost of lost productivity in the workplace due to alcohol and drug use.

Potential data source: Periodic estimates of economic costs of alcohol and drug use, NIH, NIAAA and NIDA.

OBJECTIVE WITH REVISIONS

26-8.

~~(Developmental)~~ Reduce the cost of lost productivity in the workplace due to alcohol and drug use.

Target and baseline:

Objective	Reduction in the Cost of Lost Productivity in the Workplace	1998 Baseline Dollars per Capita	2010 Target Dollars per Capita
26-8a.	Due to alcohol abuse	$468	$435
26-8b.	Due to drug abuse	$360	$335

Target setting method: 7 percent improvement.

~~Potential d~~Data sources: Office of National Drug Control Policy (ONDCP); ~~Periodic estimates of economic costs of alcohol and drug use,~~ NIH, NIAAA ~~and NIDA~~.

REVISED OBJECTIVE

26-8.

Reduce the cost of lost productivity in the workplace due to alcohol and drug use.

Target and baseline:

Objective	Reduction in the Cost of Lost Productivity in the Workplace	1998 Baseline Dollars per Capita	2010 Target Dollars per Capita
26-8a.	Due to alcohol abuse	$468	$435
26-8b.	Due to drug abuse	$360	$335

Target setting method: 7 percent improvement.

Data sources: Office of National Drug Control Policy (ONDCP); NIH, NIAAA.

Substance Use and Abuse

ORIGINAL OBJECTIVE

26-9.

Increase the age and proportion of adolescents who remain alcohol and drug free.

Target and baseline:

Objective	Increase in Average Age of First Use in Adolescents Aged 12 to 17 Years	1998 Baseline Average Age in Years	2010 Target Average Age in Years
26-9a.	Alcohol	13.1	16.1
26-9b.	Marijuana	13.7	17.4

Target setting method: Better than the best for alcohol use; consistent with Office of National Drug Control Policy for marijuana use.
Data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA.

Target and baseline:

Objective	Increase in High School Seniors Never Using Substances	1998 Baseline Percent	2010 Target Percent
26-9c.	Alcoholic beverages	19	29
26-9d.	Illicit drugs	46	56

Target setting method: Better than the best.

Data source: Monitoring the Future Study, NIH, NIDA.

OBJECTIVE WITH REVISIONS

26-9.

Increase the age and proportion of adolescents who remain alcohol and drug free.

Target and baseline:

Objective	Increase in Average Age of First Use in Adolescents Aged 12 to 17 Years	~~1998~~2002 Baseline Average Age in Years	2010 Target Average Age in Years
26-9a.	Alcohol	13.01	16.1
26-9b.	Marijuana	13.76	17.4

~~Target setting method:~~ ~~Better than the best for alcohol use; consistent with Office~~ ~~of National Drug Control Policy for marijuana use~~.

~~Data sources:~~ ~~National Household Survey on Drug Abuse and Health (NSDUHSDA),~~ ~~SAMHSA.~~

Target and baseline:

Objective	Increase in High School Seniors Never Using Substances	1998 Baseline Percent	2010 Target Percent
26-9c.	Alcoholic beverages	19	29
26-9d.	Illicit drugs	46	56

Target Setting Method: Better than the best.

Data sources: National Survey on Drug Use and Health (NSDUH), SAMHSA; Monitoring the Future Study, NIH, NIDA.

REVISED OBJECTIVE

26-9.

Increase the age and proportion of adolescents who remain alcohol and drug free.

Target and baseline:

Objective	Increase in Average Age of First Use in Adolescents Aged 12 to 17 Years	2002 Baseline Average Age in Years	2010 Target Average Age in Years
26-9a.	Alcohol	13.0	16.1
26-9b.	Marijuana	13.6	17.4

Target and baseline:

Objective	Increase in High School Seniors Never Using Substances	1998 Baseline Percent	2010 Target Percent
26-9c.	Alcoholic beverages	19	29
26-9d.	Illicit drugs	46	56

Target setting method: Better than the best.

Data sources: National Survey on Drug Use and Health (NSDUH), SAMHSA; Monitoring the Future Study, NIH, NIDA.

ORIGINAL OBJECTIVE
26-10.	Reduce past-month use of illicit substances. 26-10a. Increase the proportion of adolescents not using alcohol or any illicit drug during the past 30 days. Target: 89 percent. Baseline: 79 percent of adolescents aged 12 to 17 years reported no alcohol or illicit drug use in the past 30 days in 1998. Target setting method: Better than the best. Data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA. 26-10b. Reduce the proportion of adolescents reporting use of marijuana during the past 30 days. Target: 0.7 percent. Baseline: 8.3 percent of adolescents aged 12 to 17 years reported marijuana use in the past 30 days in 1998. Target setting method: Better than the best (consistent with the Office of National Drug Control Policy). Data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA. 26-10c. Reduce the proportion of adults using any illicit drug during the past 30 days. Target: 2.0 percent. Baseline: 5.8 percent of adults aged 18 years and older used any illicit drug during the past 30 days in 1998. Target setting method: Better than the best (consistent with Office of National Drug Control Policy). Data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA.
OBJECTIVE WITH REVISIONS
26-10.	Reduce past-month use of illicit substances. 26-10a. Increase the proportion of adolescents not using alcohol or any illicit drugs during the past 30 days. Target:9189 percent. Baseline: 798 percent of adolescents aged 12 to 17 years reported no alcohol or illicit drug use in the past 30 days in ~~1998~~2002. Target setting method: Better than the best. Data source:National Survey on Drug Use and Health (NSDUH)~~National Household~~ ~~Survey on Drug Abuse (NHSDA)~~, SAMHSA. 26-10b. Reduce the proportion of adolescents reporting use of marijuana during the past 30 days. Target: 0.7 percent. Baseline: 8.32 percent of adolescents aged 12 to 17 years reported marijuana use in the past 30 days in ~~1998~~2002. Target setting method: Better than the best ~~(consistent with the Office of National~~ ~~Drug Control Policy)~~. Data source:~~National Household Survey on Drug Abuse (NHSDA)~~National Survey on Drug Use and Health (NSDUH), SAMHSA. 26-10c. Reduce the proportion of adults using any illicit drug during the past 30 days. Target:~~2.0~~3.2 percent. Baseline:~~5.8~~7.9 percent of adults aged 18 years and older used any illicit drug during the past 30 days in ~~1998~~2002. Target setting method: Better than the best ~~(consistent with Office of National Drug~~ ~~Control Policy)~~. Data source: National Survey on Drug Use and Health (NSDUH)~~National Household~~ ~~Survey on Drug Abuse (NHSDA)~~, SAMHSA.
REVISED OBJECTIVE
26-10.	Reduce past-month use of illicit substances. 26-10a. Increase the proportion of adolescents not using alcohol or any illicit drugs during the past 30 days. Target: 91 percent. Baseline: 78 percent of adolescents aged 12 to 17 years reported no alcohol or illicit drug use in the past 30 days in 2002. Target setting method: Better than the best. Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA. 26-10b. Reduce the proportion of adolescents reporting use of marijuana during the past 30 days. Target: 0.7 percent. Baseline: 8.2 percent of adolescents aged 12 to 17 years reported marijuana use in the past 30 days in 2002. Target setting method: Better than the best. Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA. 26-10c. Reduce the proportion of adults using any illicit drug during the past 30 days. Target: 3.2 percent. Baseline: 7.9 percent of adults aged 18 years and older used any illicit drug during the past 30 days in 2002. Target setting method: Better than the best. Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA.

ORIGINAL OBJECTIVE

26-11.

Reduce the proportion of persons engaging in binge drinking of alcoholic beverages.

Target and baseline:

Objective	Reduction in Students Engaging in Binge Drinking During Past 2 Weeks	1998 Baseline Percent	2010 Target Percent
26-11a.	High school seniors	32	11
26-11b.	College students	39	20

Target setting method: Better than the best for 26-11a; 49 percent improvement for 26-11b. (Better than the best will be used when data are available.)

Data source: Monitoring the Future Study, NIH, NIDA.

Target and baseline:

Objective	Reduction in Adults and Adolescents Engaging in Binge Drinking During Past Month	1998 Baseline Percent	2010 Target Percent
26-11c.	Adults aged 18 years and older	16.6	6.0
26-11d.	Adolescents aged 12 to 17 years	7.7	2.0

Target setting method: Better than the best.

Data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA.

OBJECTIVE WITH REVISIONS

26-11.

Reduce the proportion of persons engaging in binge drinking of alcoholic beverages.

Target and baseline:

Objective	Reduction in Students Engaging in Binge Drinking During the Past 2 Weeks	1998 Baseline Percent	2010 Target Percent
26-11a.	High school seniors	32	11
26-11b.	College students	39	20

Target and baseline:

Objective	Reduction in Adults and Adolescents Engaging in Binge Drinking During the Past Month	~~1998~~2002 Baseline Percent	2010 Target Percent
26-11c.	Adults aged 18 years and older	~~16.6~~24.3	~~6.0~~13.4
26-11d.	Adolescents aged 12 to 17 years	~~7.7~~10.7	~~2.0~~3.1

Target setting method: Better than the best.

Data source:National Survey on Drug Use and Health (NSDUH)~~National Household~~ ~~Survey on Drug Abuse (NHSDA)~~, SAMHSA.

REVISED OBJECTIVE

26-11.

Reduce the proportion of persons engaging in binge drinking of alcoholic beverages.

Target and baseline:

Objective	Reduction in Students Engaging in Binge Drinking During the Past 2 Weeks	1998 Baseline Percent	2010 Target Percent
26-11a.	High school seniors	32	11
26-11b.	College students	39	20

Objective	Reduction in Adults and Adolescents Engaging in Binge Drinking During the Past Month	2002 Baseline Percent	2010 Target Percent
26-11c.	Adults aged 18 years and older	24.3	13.4
26-11d.	Adolescents aged 12 to 17 years	10.7	3.1

Target setting method: Better than the best.

Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA.

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

26-12.

Reduce average annual alcohol consumption.

Target: 1.96¹ gallons.

Baseline: 2.14² gallons of ethanol per person aged 14 years and older were consumed in 1997.

Target setting method: 8.3³ percent improvement.

Data source: Alcohol Epidemiologic Data System (AEDS), NIH, NIAAA.

¹ Target revised from 2 because of baseline revision after November 2000 publication.
² Baseline revised from 2.18 after November 2000 publication.
³ Target setting method corrected after November 2000 publication.

NO CHANGE IN OBJECTIVE

26-13.

Reduce the proportion of adults who exceed guidelines for low-risk drinking.

Target and baseline:

Objective	Reduction in Adults Aged 21 Years and Older Exceeding Guidelines for Low-Risk Drinking	1992 Baseline Percent	2010 Target Percent
26-13a.	Females	72	50
26-13b.	Males	74	50

Target setting method: Better than the best.

Data source: National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), NIH, NIAAA.

NO CHANGE IN OBJECTIVE

26-14.

Reduce steroid use among adolescents.

Target and baseline:

Objective	Reduction in Steroid Use Among Adolescents in Past Year	1998 Baseline Percent	2010 Target Percent
26-14a.	8th graders	1.2	0.4
26-14b.	10th graders	1.2	0.4
26-14c.	12th graders	1.7	0.4

Target setting method: Better than the best.

Data source: Monitoring the Future Study, NIH, NIDA.

ORIGINAL OBJECTIVE
26-15.	Reduce the proportion of adolescents who use inhalants. Target: 0.7 percent. Baseline: 2.9 percent of adolescents aged 12 to 17 years used inhalants in the past year in 1998. Target setting method: Better than the best. Data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA.
OBJECTIVE WITH REVISIONS
26-15.	Reduce the proportion of adolescents who use inhalants. Target: ~~0.7~~2.2 percent. Baseline: 2.4.49 percent of adolescents aged 12 to 17 years used inhalants in the past year in ~~1998~~2002. Target setting method: Better than the best. Data source: National Survey on Drug Use and Health (NSDUH)~~National Household~~ ~~Survey on Drug Abuse (NHSDA)~~, SAMHSA.
REVISED OBJECTIVE
26-15.	Reduce the proportion of adolescents who use inhalants. Target: 2.2 percent. Baseline: 4.4 percent of adolescents aged 12 to 17 years used inhalants in the past year in 2002. Target setting method: Better than the best. Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA.

Risk of Substance Use and Abuse

NO CHANGE IN OBJECTIVE

26-16.

Increase the proportion of adolescents who disapprove of substance abuse.

Target and baseline:

Objective	Increase in Adolescents Who Disapprove of Having One or Two Alcoholic Drinks Nearly Every Day	1998 Baseline Percent	2010 Target Percent
26-16a.	8th graders	77	83
26-16b.	10th graders	75	83
26-16c.	12th graders	69	83

Target setting method: Better than the best.

Data source: Monitoring the Future Study, NIH, NIDA.

Target and baseline:

Objective	Increase in Adolescents Who Disapprove of Trying Marijuana or Hashish Once or Twice	1998 Baseline Percent	2010 Target Percent
26-16d.	8th graders	69	72
26-16e.	10th graders	56	72
26-16f.	12th graders	52	72

Target setting method: Better than the best.

Data source: Monitoring the Future Study, NIH, NIDA.

ORIGINAL OBJECTIVE

26-17.

Increase the proportion of adolescents who perceive great risk associated with substance abuse.

Target and baseline:

Objective	Increase in Adolescents Aged 12 to 17 Years Perceiving Great Risk Associated With Substance Abuse	1998 Baseline Percent	2010 Target Percent
26-17a.	Consuming five or more alcoholic drinks at a single occasion once or twice a week	47	80
26-17b.	Smoking marijuana once per month	31	80
26-17c.	Using cocaine once per month	54	80

Target setting method: Better than the best (consistent with Office of National Drug Control Policy).

Data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA.

OBJECTIVE WITH REVISIONS

26-17.

Increase the proportion of adolescents who perceive great risk associated with substance abuse.

Target and baseline:

Objective	Increase in Adolescents Aged 12 to 17 Years Perceiving Great Risk Associated With Substance Abuse	~~1998~~2002 Baseline Percent	2010 Target Percent
26-17a.	Consuming five or more alcoholic drinks at a single occasion once or twice a week	4738	8050
26-17b.	Smoking marijuana once per month	3132	8036
26-17c.	Using cocaine once per month	5451	8057

Target setting method: Better than the best ~~(consistent with Office of National Drug~~ ~~Control Policy)~~.

Data source: National Survey on Drug Use and Health (NSDUH)~~National Household~~ ~~Survey on Drug Abuse (NHSDA)~~, SAMHSA.

REVISED OBJECTIVE

26-17.

Increase the proportion of adolescents who perceive great risk associated with substance abuse.

Target and baseline:

Objective	Increase in Adolescents Aged 12 to 17 Years Perceiving Great Risk Associated With Substance Abuse	2002 Baseline Percent	2010 Target Percent
26-17a.	Consuming five or more alcoholic drinks at a single occasion once or twice a week	38	50
26-17b.	Smoking marijuana once per month	32	36
26-17c.	Using cocaine once per month	51	57

Target setting method: Better than the best.

Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA.

Treatment for Substance Abuse

ORIGINAL OBJECTIVE

26-18.

(Developmental) Reduce the treatment gap for illicit drugs in the general population.

Potential data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA.

OBJECTIVE WITH REVISIONS

26-18.

~~(Developmental) Reduce the treatment gap for illicit drugs in the~~ ~~general~~Increase the proportion of persons who need alcohol and/or illicit drug treatment and received specialty treatment for abuse or dependence in the past year~~population~~.

Target and baseline:

Objective	Increase in Persons Aged 12 Years and Older Who Need Alcohol or Illicit Drug Treatment and Received Specialty Treatment for Abuse or Dependence in the Past Year	2002 Baseline Percent	2010 Target Percent
26-18a.	Illicit drug treatment	18	24
26-18b.	Alcohol and illicit drug treatment	10	16

Target setting method: Better than the best.

~~Potential d~~Data source: National Survey on Drug Use and Health (NSDUH)~~National~~ ~~Household Survey on Drug Abuse (NHSDA)~~, SAMHSA.

REVISED OBJECTIVE

26-18.

Increase the proportion of persons who need alcohol and/or illicit drug treatment and received specialty treatment for abuse or dependence in the past year.

Target and baseline:

Objective	Increase in Persons Aged 12 Years and Older Who Need Alcohol or Illicit Drug Treatment and Received Specialty Treatment for Abuse or Dependence in the Past Year	2002 Baseline Percent	2010 Target Percent
26-18a.	Illicit drug treatment	18	24
26-18b.	Alcohol and illicit drug treatment	10	16

Target setting method: Better than the best.

Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA.

ORIGINAL OBJECTIVE
26-19.	(Developmental) Increase the proportion of inmates receiving substance abuse treatment in correctional institutions. Potential data source: Uniform Facilities Data Set Survey of Correctional Facilities, SAMHSA, OAS.
OBJECTIVE WITH REVISIONS
26-19.	(Developmental) Increase the proportion of inmates receiving substance abuse treatment in correctional institutions. Potential data source: ~~Uniform Facilities Data Set Survey of Correctional Facilities,~~ ~~OAS, SAMHSA~~Survey of Inmates in State and Federal Correctional Facilities and Survey of Inmates in Local Jails, Department of Justice, Bureau of Justice Statistics.
REVISED OBJECTIVE
26-19.	(Developmental) Increase the proportion of inmates receiving substance abuse treatment in correctional institutions. Potential data source: Survey of Inmates in State and Federal Correctional Facilities and Survey of Inmates in Local Jails, Department of Justice, Bureau of Justice Statistics.

NO CHANGE IN OBJECTIVE
(Data updated and footnoted)

26-20.

Increase the number of admissions to substance abuse treatment for injection drug use.

Target: 256,680¹ admissions.

Baseline: 215,560² admissions for injection drug use were reported in 1997.

Target setting method: 19 percent improvement.

Data source: Treatment Episodes Data System, SAMHSA, OAS.

¹ Target revised from 200,000 because of baseline revision after November 2000 publication.
² Baseline revised from 167,960 after November 2000 publication.

ORIGINAL OBJECTIVE
26-21.	(Developmental) Reduce the treatment gap for alcohol problems. Potential data source: National Household Survey on Drug Abuse, SAMHSA.
OBJECTIVE WITH REVISIONS
26-21.	~~(Developmental) Reduce the treatment gap for alcohol problems~~Increase the proportion of persons who needed and received specialty treatment for alcohol abuse or dependence in the past year. Target: 11.9 percent. Baseline: 8.3 percent of persons aged 12 years and older received specialty treatment for alcohol abuse or dependence in 2002. Target setting method: Better than the best. ~~Potential d~~Data source: National Survey on Drug Use and Health (NSDUH)~~National~~ ~~Household Survey on Drug Abuse,~~ SAMHSA.
REVISED OBJECTIVE
26-21.	Increase the proportion of persons who needed and received specialty treatment for alcohol abuse or dependence in the past year. Target: 11.9 percent. Baseline: 8.3 percent of persons aged 12 years and older received specialty treatment for alcohol abuse or dependence in 2002. Target setting method: Better than the best. Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA.

State and Local Efforts

ORIGINAL OBJECTIVE
26-22.	(Developmental) Increase the proportion of persons who are referred for followup care for alcohol problems, drug problems, or suicide attempts after diagnosis or treatment for one of these conditions in a hospital emergency department. Potential data source: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS.
OBJECTIVE WITH REVISIONS
26-22.	(Developmental) Increase the proportion of persons who are referred for followup care for alcohol problems, drug problems, or suicide attempts after diagnosis or treatment for one of these conditions in a hospital emergency department. 26-22a. Increase in the proportion of persons who are referred for followup care for alcohol problems, drug problems after diagnosis, or treatment for one of these conditions in a hospital emergency department. 26-22b. Increase in the proportion of persons who are referred for followup care for suicide attempts after diagnosis or treatment in a hospital emergency department. Potential data source: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS.
REVISED OBJECTIVE
26-22.	(Developmental) Increase the proportion of persons who are referred for followup care for alcohol problems, drug problems, or suicide attempts after diagnosis or treatment for one of these conditions in a hospital emergency department. 26-22a. Increase in the proportion of persons who are referred for followup care for alcohol problems, drug problems after diagnosis, or treatment for one of these conditions in a hospital emergency department. 26-22b. Increase in the proportion of persons who are referred for followup care for suicide attempts after diagnosis or treatment in a hospital emergency department. Potential data source: National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS.

NO CHANGE IN OBJECTIVE
26-23.	(Developmental) Increase the number of communities using partnerships or coalition models to conduct comprehensive substance abuse prevention efforts. Potential data source: Community Partnerships Data, SAMHSA.

NO CHANGE IN OBJECTIVE

26-24.

Extend administrative license revocation laws, or programs of equal effectiveness, for persons who drive under the influence of intoxicants.

Target: All States and the District of Columbia.

Baseline: 41 States and the District of Columbia had administrative license revocation laws for persons who drive under the influence of intoxicants in 1998.

Target setting method: Total coverage.

Data source: DOT, NHTSA.

NO CHANGE IN OBJECTIVE

26-25.

Extend legal requirements for maximum blood alcohol concentration levels of 0.08 percent for motor vehicle drivers aged 21 years and older.

Target: All States and the District of Columbia.

Baseline: 16 States had legal requirements for maximum blood alcohol concentration levels of 0.08 percent for motor vehicle drivers aged 21 years and older in 1998.

Target setting method: Total coverage.

Data source: DOT, NHTSA.

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