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Treatment Episode Data Set (TEDS) Highlights 2007, National Admissions to Substance Abuse Treatment Services
This report presents summary results from the Treatment Episode Data Set (TEDS) for 2007. The report provides information on the demographic and substance abuse characteristics of the 1.8 million annual admissions to treatment for abuse of alcohol and drugs. Data are presented for the Nation as a whole and for individual States.
The NSDUH Report March 5, 2009: Smokeless Tobacco Use, Initiation, and Relationship to Cigarette Smoking: 2002 to 2007
SAMHSA's National Survey on Drug Use and Health provides trend data from 2002 to 2007 on smokeless tobacco use in the general population aged 12 and older. The rate of past month smokeless tobacco use remained relatively stable in the range of 3.0% to 3.3% between 2002 and 2007 among persons aged 12 or older; however, there were increases among certain subpopulations - - in particular, among adolescent males. Among past month smokeless tobacco users, 85.8% used cigarettes at some time in their lives and 38.8% used cigarettes in the past month. Among persons who had used both smokeless tobacco and cigarettes in their lifetime, 31.8% started using smokeless tobacco first, 65.5% started using cigarettes first, and 2.7% initiated use of smokeless tobacco and cigarettes at about the same time.
The NSDUH Report March 16, 2009: Trends in Adolescent Inhalant Use: 2002 to 2007
SAMHSA's National Survey on Drug Use and Health (NSDUH) defines inhalants as "liquids, sprays, and gases that people sniff or inhale to get high or to make them feel good." In 2007, almost one million youth used inhalants in the past year. The percentage of youths aged 12 to 17 who used inhalants in the past year was lower in 2007 (3.9%) than in 2003 (4.5%), 2004 (4.6%), and 2005 (4.5%). Among youth who used inhalants for the first time in the past year, the rate of the use of nitrous oxide or "whippets" declined between 2002 and 2007 among both males (40.2% to 20.2%) and females (22.3% to 12.2%). In 2007, 17.2% of youth who initiated illicit drug use during the past year indicated that inhalants were the first drug that they used; this rate remained relatively stable between 2002 and 2007. Past year dependence on or abuse of inhalants remained relatively stable between 2002 and 2007 with around 99,000 youth meeting the criteria for dependence or abuse in 2007.
SAMHSA News (January/February 2009, Vol. 17, No. 1): Drug Free Communities: Coming Together To Prevent Teen Drug Use
This issue of SAMHSA News launches our print redesign with a new masthead, connections to SAMHSA News online (at www.samhsa.gov/samhsaNewsletter), and more. The cover story describes SAMHSA’s successful Drug Free Communities Support program with more than 750 grantees nationwide. Local problems demand local solutions. That’s the basic philosophy behind SAMHSA’s Drug Free Community Support program, which harnesses the power of community coalitions to reduce and ultimately prevent substance abuse among young people. A Maryland grantee’s positive experiences are included. Prevention works!
Features in this issue include suicide prevention, older adults, Assertive Community Treatment to help people with mental illness live in the community, a Treatment Improvement Protocol (TIP) on depressive symptoms in clients with substance abuse issues, and informational briefs on cost-effective ways for employers to maintain a drug-free workplace. You can download a PDF of this publication at www.samhsa.gov/samhsaNewsletter.
Surgeon General's Call To Action to Prevent and Reduce Underage Drinking
The Surgeon General's Call to Action seeks to raise awareness of and promote action on underage drinking and its effects. In addition to bringing attention to underage drinking and its consequences, the Call to Action identifies six goals for prevention and reducing youth drinking. The Report was developed in collaboration with the National Institute on Alcohol Abuse and Alcoholism and the Substance Abuse and Mental Health Services Administration.
The TEDS Report February 26, 2009: Predictors of Substance Abuse Treatment Completion or Transfer to Further Treatment, by Service Type
In 2005, clients discharged from short-term residential treatment were more likely to complete treatment than clients discharged from long-term residential, outpatient, or intensive outpatient treatment settings. Significant predictors of treatment completion or transfer among clients who were discharged from outpatient, intensive outpatient, long-term residential, or short-term residential treatment included: alcohol as the primary substance of abuse, less than daily use at admission, being over age 40, having 12 or more years of education, being White, referral to treatment by the criminal justice system, and being employed. Among clients who were discharged from intensive outpatient treatment, men were more likely than women to complete treatment or transfer to another program or facility; however, among clients who were discharged from outpatient or long-term residential treatment, women were more likely than men to complete treatment or transfer to another facility.
The NSDUH Report February 19, 2009: Adolescent Mental Health: Service Settings and Reasons for Receiving Care
In the past year, one in eight (12.5 percent) adolescents (i.e., youths aged 12 to 17) received treatment or counseling in a specialty mental health setting for problems with behavior or emotions, 11.5 percent received services in an educational setting, and 2.8 percent received services in a general medical setting. One in twenty (5.1 percent) adolescents received services in both a specialty mental health setting and an educational or general medical setting in the past year. Feeling depressed was the most common reason for receiving mental health services in a specialty mental health setting (50.0 percent), a general medical setting (44.3 percent), or an educational setting (38.0 percent).
The TEDS Report February 12, 2009: Treatment Outcomes among Clients Discharged from Residential Substance Abuse Treatment: 2005
In 2005, clients discharged from short-term residential treatment were more likely to complete treatment and less likely to drop out of treatment than clients discharged from long-term residential treatment. Treatment completion among clients discharged from short-term residential treatment was highest among those who reported primary alcohol abuse (66 percent) and lowest among those who reported primary stimulant abuse (46 percent). Treatment completion among clients discharged from long-term residential treatment was also highest among those reporting primary alcohol abuse (46 percent), but lowest among those reporting primary cocaine abuse (33 percent) or primary opiate abuse (35 percent). As educational level increased, the proportion of client discharges completing either short-term or long-term residential treatment increased.
TIP 43: Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs
Opioid addiction is a problem with high costs to individuals, families, and society. This TIP provides a detailed description of medication-assisted treatment for opioid addiction, including optional approaches such as comprehensive maintenance treatment, detoxification, and medically supervised withdrawal.
TIP 48: Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery
This TIP, Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery, provides substance abuse counselors the "what," "why," and "how-to" of working with clients with depressive symptoms and substance use disorders, covering topics such as counseling approaches, clinical settings, cultural concerns, counselor roles and responsibilities, screening and assessment, treatment planning and processes, and continuing care. This TIP also provides administrators information about incorporating the management of depressive symptoms into their substance abuse programs, complete with a systematic approach to designing and implementing a supportive infrastructure. The Literature Review synthesizes the most current knowledge and scientific findings on the topic and is only available online at www.kap.samhsa.gov.
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