A new report from the Substance Abuse and Mental Health Services Administration (SAMHSA) on Treatment Episode Data Set (TEDS) provides a detailed snapshot of substance use disorder treatment services across the United States. Findings are drawn from nearly 1.5 million treatment admissions and 1.4 million discharges reported in 2022 and show that
35.5% of admissions were for alcohol use, 16.9% were for heroin use, 13.9% were for methamphetamine use, 11.7% were for other opiates/synthetics use, 9.8% were for marijuana/hashish use, 6.2% were for cocaine use, and 2.3% were for other substances.
The most common treatment services received among admissions were non-intensive outpatient services (41.5%), residential detoxification services (13.3%), intensive outpatient services (11.2%), medications for opioid use disorder (MOUD) outpatient services (9.7%), short-term residential rehabilitation services (9.7%), and long-term residential rehabilitation services (7.0%).Â
This annual report, developed by the Substance Abuse and Mental Health Services Administration (SAMHSA), provides detailed insights into admission and discharge rates among individuals aged 12 and older receiving substance use treatment at facilities licensed or certified by Single State Agencies (SSAs). It also includes aggregate episode-level data, such as demographics, substance(s) used, types and lengths of treatment services, and National Outcome Measures (NOMs; e.g., housing stability, employment status, criminal justice involvement, social support, and abstinence). The report also includes aggregate data from 2018-2022, which includes more than 8.5 million admissions and 7.7 million discharges. Importantly, TEDS tracks data on treatment episodes, not individuals, given that patients can have multiple in a single year.
Other data points include:Â
Age: Admissions and discharges were highest among individuals aged 21-34 years (37.1% and 37.7%) and 35-44 years (28.3% and 28.5%), respectively.
Gender:Â 65.4% of admissions and 64.7% of discharges were male, while females accounted for 34.6% of admissions and 35.3% of discharges.
Employment Status:Â 43.7% of admissions were unemployed, 29.2% were not in the labor force, and 27.1% were employed.
Arrests:Â 93.7% of admissions had no arrests in the past 30 days, 5.4% had one arrest, and 0.9% had two or more arrests.Â
Criminal Justice Referrals:Â 38.9% of admissions were referred through probation or parole, 16.0% through state or federal court, 11.2% through DUI/DWI, 10.0% through other recognized legal entities, 9.5% through formal adjudication processes, 7.7% through other criminal justice referrals, 4.2% through diversionary programs, and 2.4% through prison.Â
Self-Help Group Attendance:Â 78.4% of admissions reported no attendance at self-help groups in the past 30 days, 5.2% reported attending self-help groups 1-3 times, 3.5% reported attending self-help groups 4-7 times, 8.6% reported attending self-help groups 8-30 times, and 4.2% reported some attendance in the past month, however the frequency was unknown.
State Concentration:Â Ten states accounted for 66.0% of admissions to treatment services (New York, Arizona, Maryland, California, New Jersey, Colorado, Michigan, Minnesota, Massachusetts, and Connecticut).Â
Discharges:Â 44.4% completed treatment, 24.4% dropped out, 21.0% were transferred to further treatment, 4.6% were terminated, 4.1% were discharged for other reasons, 1.2% were incarcerated, and 0.3% died.Â