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The N-SSATS Report - Substance Abuse Treatment Facilities Affiliated with a Religious Organization - In 2008, there were 527 faith-based substance abuse treatment facilities or facilities affiliated with a religious organization that were not located in or operated by a hospital.  On the survey reference date of March 31, 2008, there was an average of 74 clients enrolled in faith-based facilities compared with an average of 88 clients enrolled in non-faith-based facilities.   Faith-based facilities were more than twice as likely as non-faith-based facilities to provide a halfway house or other transitional housing (24.1 vs. 10.4 percent)and were more likely than non-faith-based facilities to provide free treatment to all clients (10.6 vs. 3.4 percent) or to offer treatment at no charge to clients who could not afford to pay (59.4 vs. 45.2 percent).

The DAWN Report -The 2008 Drug Abuse Warning Network (DAWN) report on drug-related mortality, titled “Drug Abuse Warning Network, 2008: Area Profiles of Drug-Related Mortality” is now available. This publication provides detailed information about drug-related deaths based on reports from participating medical examiners and coroners across the nation. The report contains statewide coverage for 12 states (Maine, Maryland, Massachusetts, New Hampshire, New Mexico, Oklahoma, Oregon, Rhode Island, Utah, Vermont, Virginia, and West Virginia), and 373 jurisdictions in 153 metropolitan areas throughout the nation.

State Estimates of Substance Use from the 2007-2008 National Surveys on Drug Use and Health (HTML) (PDF Format)

2008 National Survey on Drug Use & Health - provides the latest data on prevalence and correlates of substance use, serious psychological distress, depression, related problems, and treatment in the civilian population aged 12 or older in the U.S.

• Full Report (HTML) (PDF | File size 1.4 mbytes)
• Detailed Tables (HTML) (PDF | File size 85 kbytes)

Persons with disabilities experiencing problems accessing OAS files should contact our Help Desk through e-mail at: oaspubs@samhsa.hhs.gov or call 1.240.276.1212. 

For all OAS reports, click on "what's new" on the OAS header.

The DAWN Report - TEmergency Department Visits Involving Methamphetamine: 2004 to 2008 - In 2004, 8.2 percent (or 132,576 visits) of all ED visits involving drug misuse or abuse were related to methamphetamine use; however, by 2008, only 3.3 percent (or 66,308 visits) of such visits involved methamphetamine. More than one quarter (27.6 percent) of methamphetamine-related ED visits during 2008 involved methamphetamine combined with one other drug, and 34.2 percent involved methamphetamine combined with two or more other drugs. Almost one quarter of the methamphetamine-related ED visits also involved alcohol (24.0 percent) or marijuana (22.9 percent). Of all methamphetamine-involved ED visits, 6 in 10 (60.0 percent) resulted in patients being treated and released.

The NSDUH Report - Violent Behaviors and Family Income among Adolescents - Combined 2004 to 2008 national data indicate that 22.6 percent of adolescents aged 12 to 17 participated in a serious fight at school or work in the past year; 16.1 percent participated in a group-against-group fight; and, 7.6 percent attacked others with the intent to seriously hurt them; 30.9 percent, or an estimated 7.8 million youths, engaged in at least one of these violent behaviors. An estimated 40.5 percent of adolescents in families with annual incomes of less than $20,000 and 24.6 percent of those in families with incomes of $75,000 or more participated in any of these violent behaviors. The pattern of lower rates of violent behaviors with higher family income generally held among students with a “C” or better grade average, but among students with a “D” average or lower, those with higher family incomes were no less likely to participate in violent behaviors than those with lower incomes.

The TEDS Report - Sociodemographic Characteristics of Substance Abuse Treatment Admissions Aged 50 or Older: 1992 to 2008 - Between 1992 and 2008, the number of admissions to substance abuse treatment aged 50 or older more than doubled (from approximately 102,700 in 1992 to 231,200 in 2008). Unemployment among older treatment admissions rose from nearly one fifth (19.4 percent) in 1992 to nearly one third (31.0 percent) in 2008, while full-time employment declined (from 23.4 percent in 1992 to 16.7 percent in 2008). Among admissions aged 50 or older, wages/salary as a principal source of income dropped from 32.3 percent in 1992 to 24.4 percent in 2008.

The NSDUH Report - Substance Use Disorders in Substate Regions - Data collected from more than 200,000 people between 2006 and 2008 show that substance use disorders vary extensively among regions within each State and throughout the country. For example, past year alcohol use disorders ranged from 4.8 percent in a substate region in southern Pennsylvania to 14.6 percent in a region in the District of Columbia, and past year illicit drug use disorders ranged from 1.5 percent in 2 substate regions in southern Pennsylvania to 6.7 percent in a region in the District of Columbia.

The TEDS Report - Gender Differences among Older Black Admissions to Treatment - In 2007, there were approximately 58,800 non-Hispanic Black substance abuse treatment admissions aged 50 or older. Of these, males were more likely than females to have reported any abuse of alcohol (64.3 vs. 52.2 percent); however, females were more likely than males to have reported any abuse of smoked cocaine (50.5 vs. 42.4 percent) or heroin (34.7 vs. 29.6 percent). Nearly three fifths (59.6 percent) of older Black male admissions and close to half (48.3 percent) of older Black female admissions did not have health insurance.

2009 National Survey of Substance Abuse Treatment Services (N-SSATS) - provides the latest national and State-level data on the location, characteristics and use of alcohol and drug abuse treatment facilities and services throughout the 50 States, the District of Columbia and other U.S. jurisdictions. 13,513 eligible substance abuse treatment facilities responded to the 2009 N-SSATS survey and reported a total of nearly 1.2 million clients in treatment in their facilities on March 31, 2009.

The DAWN Report - Emergency Department Visits Involving Underage Alcohol Use: 2008 - In 2008, about one third of all drug-related ED visits (32.9 percent) made by patients aged 12 to 20 were alcohol-related. This was an estimated 188,981 ED visits . Of these, 70.0 percent involved alcohol only, and 30.0 percent involved alcohol in combination with other drugs. Nearly one in five (19.1 percent) alcohol-related ED visits made by patients aged 12 to 20 had evidence of follow-up care.

The TEDS Report - Employed Female Admissions to Substance Abuse Treatment - In 2008, less than one quarter (22.9 percent) of female substance abuse treatment admissions aged 18 or older were employed. Alcohol was the most commonly reported primary substance of abuse among these admissions (47.3 percent), and they were about half as likely as other female admissions to have reported primary heroin abuse (8.0 vs. 17.2 percent) or primary cocaine abuse (9.1 vs. 17.3 percent). Employed female admissions were more likely than other female admissions to have been referred to treatment by the criminal justice system (41.5 vs. 26.3 percent).

The NSDUH Report - Substance Use and Treatment Need among Women Employed Full Time - 19.8 percent of women aged 18 to 64 who were employed full time engaged in binge alcohol use and 6.4 percent used illicit drugs in the past month; this translates into 9.9 million binging on alcohol and 3.2 million using illicit drugs. Among women employed full time, the rates of past month binge alcohol use and illicit drug use decreased with age; for example, 37.3 percent of women aged 18 to 25 reported past month binge alcohol use compared with 25.9 percent of those aged 26 to 34, 18.1 percent of those aged 35 to 49, and 9.3 percent of those aged 50 to 64. About 3.6 million employed women (7.2 percent) were classified as being in need of treatment for an alcohol or drug use problem in the past year; of those, only 5.8 percent received treatment at a specialty facility.

The TEDS Report - Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 2008 - The proportion of all substance abuse treatment admissions aged 12 or older that reported any pain reliever abuse increased more than fourfold between 1998 and 2008, from 2.2 to 9.8 percent. Increases in percentages of admissions reporting pain reliever abuse cut across age, gender, race/ethnicity, education, employment, and region. Among admissions for which medication-assisted opioid therapy was planned, reports of pain reliever abuse more than tripled, from 6.8 percent in 1998 to 26.5 percent in 2008.

TEDS 2007: Discharges from Substance Abuse Treatment Services provides information on treatment completion, length of stay in treatment, and demographic and substance abuse characteristics of the approximately 1.7 million treatment discharges occurring in 2007 at state-licensed substance abuse treatment facilities in 46 States. (HTML version) (PDF version)

The TEDS Report - Homeless Young Adult Treatment Admissions - Heroin (26.9 Percent) and alcohol (25.0 Percent) were the most frequently reported primary substances of abuse among homeless young adult admissions in 2008. Homeless young adult admissions were more likely than non-homeless young adult admissions to have had five or more treatment episodes (17.3 vs. 6.2 Percent). Among these admissions, individual/self referrals were the most common source of referral to treatment (41.5 Percent); among non-homeless young adult admissions, the most common source of referral was the criminal justice system (50.6 Percent).

The TEDS Report - Gender Differences among American Indian Treatment Admissions Aged 18 to 25 - Among American Indian substance abuse treatment admissions aged 18 to 25 in 2007, males were more likely than females to report alcohol (61.1 vs. 44.7 percent) or marijuana (22.4 vs. 16.0 percent) as the primary substance of abuse; however, young adult female American Indian admissions were almost three times more likely than their male counterparts to report primary methamphetamine abuse (17.5 vs. 5.9 percent). Over half of young adult American Indian male and female admissions (54.7 percent each) had been in treatment at least once before. Among young adult American Indian admissions, only about one third (34.1 percent) of males and less than one fifth (19.3 percent) of females were employed.

The NSDUH Report - Substance Use among American Indian or Alaska Native Adults - The rate of past month alcohol use was lower among American Indian or Alaska Native adults than the national average for adults (43.9 vs. 55.2 percent); the rates of past month binge alcohol use and illicit drug use, however, were higher among American Indian or Alaska Native adults than the national averages (30.6 vs. 24.5 percent and 11.2 vs. 7.9 percent, respectively). The percentage of American Indian or Alaska Native adults who needed treatment for an alcohol or illicit drug use problem in the past year was higher than the national average for adults (18.0 vs. 9.6 percent). One in eight (12.6 percent) American Indian or Alaska Native adults in need of alcohol or illicit drug use treatment in the past year received treatment at a specialty facility; this rate did not differ significantly from the national average of 10.4 percent.

The DAWN Report - Trends in Emergency Department Visits Involving Nonmedical Use of Narcotic Pain Relievers - The estimated number of emergency department (ED) visits involving nonmedical use of narcotic pain relievers rose from 144,644 in 2004 to 305,885 in 2008, an increase of 111 percent. ED visits involving oxycodone products, hydrocodone products, and methadone—the three most frequently listed narcotic pain relievers in each year—increased 152, 123, and 73 percent, respectively, between 2004 and 2008. While ED visits involving hydromorphone products showed the largest increase between 2004 and 2008 (259 percent), far fewer visits involved these products.

The TEDS Report - Changing Substance Abuse Patterns among Older Admissions: 1992 and 2008 - Treatment admissions aged 50 or older increased from 6.6 percent of all admissions 12 years of age or older in 1992 to 12.2 percent in 2008. Between 1992 and 2008, the proportion of older admissions that reported primary alcohol abuse decreased from 84.6 to 59.9 percent, while the proportion that reported primary heroin abuse more than doubled (from 7.2 to 16.0 percent). The proportion of older admissions that reported multiple substances of abuse nearly tripled, increasing from 13.7 percent in 1992 to 39.7 percent in 2008. In 2008, older admissions who initiated use of their primary substance of abuse within the past 5 years were more likely than those in 1992 to have reported prescription pain relievers as their primary substance (25.8 vs. 5.4 percent).

The NSDUH Report - State Estimates of Adolescent Cigarette Use and Perceptions of Risk from Smoking - Combined 2007 and 2008 data indicate that the rates of past month cigarette use among adolescents aged 12 to 17 ranged from a low of 5.77 percent in Utah to a high of 14.47 percent in Kentucky. Rates of perceptions of great risk of harm from smoking one or more packs of cigarettes per day ranged from a low of 63.30 percent in Alabama to a high of 77.00 percent in Utah. Comparisons of combined 2002 and 2003 data with combined 2007 and 2008 data showed that 35 States experienced a statistically significant reduction in the rate of adolescent past month cigarette use, and 35 States and the District of Columbia had an increase in the percentage of adolescents perceiving great risk from smoking; 27 States experienced both of these trends, and there were no States with a statistically significant increase in adolescent smoking or decrease in perceived risk.

Treatment Episode Data Set (TEDS) 1998-2008: National Admissions to Substance Abuse Treatment Services – provides national data on the demographic and substance abuse characteristics of admissions to substance abuse treatment in 2008 and trend data for 1998-2008. Five substance groups accounted for 96 percent of the 1.9 million TEDS admissions in 2008: alcohol (41 percent), opiates (20 percent), marijuana (17 percent), cocaine (11 percent) and methamphetamine (6 percent). Available at: http://wwwdasis.samhsa.gov/teds08/teds2k8natweb.pdf and http://wwwdasis.samhsa.gov/teds08/tedsn2k8_index.htm.

The NSDUH Report - Substance Use among Hispanic Adults - Rates of past month alcohol and illicit drug use were lower among Hispanic adults than the national averages for adults (46.1 vs. 55.2 percent and 6.6 vs. 7.9 percent, respectively); however, past month binge alcohol use was higher among Hispanics than the national average (26.3 vs. 24.5 percent).  Among Hispanic adults, substance use varied greatly by subgroup; past month illicit drug use, for example, ranged from a high of 13.1 percent among adults of Spanish origin (from Spain) to a low of 3.9 percent among those of Dominican origin.  Hispanic adults who were born in the United States had higher rates of past month substance use than Hispanic adults who were not born in the United States, regardless of age.  Among Hispanics who needed treatment for an alcohol or illicit drug problem, the percentage who received such treatment did not differ significantly from the national average.

The DAWN Report - Emergency Department Visits for Drug-related Suicide Attempts by Young Adults Aged 18 to 24: 2008 - During 2008, 6.3 percent of drug-related emergency department (ED) visits made by young adults aged 18 to 24 involved suicide attempts. Almost three of every five (57.6 percent) ED visits for drug-related suicide attempts among young adults were made by females. Pharmaceuticals were involved in 92.8 percent of drug-related suicide attempts among young adults. Slightly less than three fourths (72.1 percent) of the ED visits for drug-related suicide attempts among young adults ended with evidence of follow-up care.

Metropolitan Area Substance Abuse Treatment Admissions and Resources - This page includes links to brief reports on 27 major metropolitan areas in the U.S. Each report describes many of the characteristics of substance abuse treatment admissions such as socio-demographic characteristics, primary substances of abuse and referral sources. The information on facilities includes an overall pciture of the characteristics of the metropolitan area's facilities and the services which they provide. All information is derived from the Drug Abuse Services Information System (DASIS). Links to further information are included in each report.

The TEDS Report - Gender Differences among Asian and Pacific Islander Treatment Admissions Aged 18 to 25 - Among Asian or Pacific Islander treatment admissions aged 18 to 25 in 2007, more than one third of females (37.3 percent) and one fifth of males (21.8 percent) reported methamphetamine as the primary substance of abuse. Nearly two thirds (65.0 percent) of young adult Asian/Pacific Islander male admissions were referred to treatment by the criminal justice system, as were more than two fifths (44.3 percent) of their female counterparts. Overall, more than one third (39.2 percent) of young adult Asian admissions had been in treatment at least once before, including 38.1 percent of males and 42.1 percent of females.

The NSDUH Report - Substance Use among Asian Adults - Rates of past month alcohol use, binge alcohol use, and illicit drug use were lower among Asian adults than the national averages (39.8 vs. 55.2 percent, 13.2 vs. 24.5 percent, and 3.4 vs. 7.9 percent, respectively). Among Asian adults, substance use varied greatly among Asian subgroups; past month binge alcohol use, for example, ranged from a high of 25.9 percent among Korean adults to a low of 8.4 percent among Chinese adults. Among Asian adults, those who were born in the United States generally had higher rates of past month substance use than those who were not born in the United States, regardless of age. The percentage who needed treatment for a substance use problem in the past year was lower among Asian adults than for the national average of adults (4.8 vs. 9.6 percent).

The DAWN Report - Emergency Department Visits for Drug-related Suicide Attempts by Adolescents: 2008 - During 2008, nearly one tenth (8.8 percent) of all drug-related emergency department (ED) visits made by adolescents aged 12 to 17 involved suicide attempts.  Of these visit, almost three of every four (72.3 percent) ED visits for drug-related suicide attempts among adolescents were made by females.  Pharmaceuticals were involved in 95.4 percent of drug-related suicide attempts among adolescents, and more than three fourths (77.0 percent) of the ED visits for drug-related suicide attempts among adolescents ended with evidence of follow-up care.

The TEDS Report - Differences in Substance Abuse Treatment Admissions between Mexican-American Males and Females - Among Mexican admissions, males reported alcohol as their primary substance of abuse more often than other substances, and females most commonly reported methamphetamine.  The majority of Mexican admissions reported that they first used their primary substance of abuse before the age of 18 (60.7 percent for males and 56.1 percent for females); overall, 7.4 percent reported using their first substance before the age of 12.  About three quarters of Mexican admissions had no health insurance (78.8 percent for males and 71.5 percent for females), a substantially higher proportion than non-Mexican admissions (62.6 percent for males and 50.9 percent for females).

The NSDUH Report - Adolescent Smoking and Maternal Risk Factors - Among adolescents living with their mothers, 9.7 percent lived with mothers who had major depressive episode (MDE) in the past year, and 25.6 percent lived with mothers who used cigarettes in the past month. Adolescents living with mothers who had past year MDE had a higher rate of past month smoking than those living with mothers who did not have MDE (14.3 vs. 7.9 percent), and adolescents were more likely to smoke if their mothers smoked than if their mothers did not smoke (16.9 vs. 5.8 percent). The rate of smoking among adolescents living with their mothers was 5.6 percent for adolescents whose mothers neither smoked in the past month nor had a past year MDE, 8.1 percent for those whose mothers had MDE only, 15.5 percent for those whose mothers smoked only, and 25.3 percent for adolescents exposed to both maternal MDE and maternal smoking.

The OAS Report -A Day in the Life of American Adolescents: Substance Use Facts Update - This report uses multiple data sources to look at how many adolescents aged 12 to 17 engaged in a variety of substance abuse activities, including consuming alcohol, smoking cigarettes, receiving substance abuse treatment, and being seen in a hospital emergency department for a drug or alcohol related problem.

The TEDS Report - Puerto Rican Admissions to Substance Abuse Treatment - In 2007, heroin was the most common primary substance of abuse among Puerto Rican substance abuse treatment admissions (43.5 percent), while alcohol was the most common substance of abuse among other Hispanic admissions (36.9 percent). Among Puerto Rican admissions re-porting primary abuse of heroin, more than two thirds reported secondary or tertiary abuse of other substances (68.6 percent), including 47.0 percent that reported secondary or tertiary abuse of cocaine. Most Puerto Rican admissions (70.5 percent) had at least one prior treatment episode, but most other His-panic admissions (41.7 percent) did not.

The N-SSATS Report - Free Substance Abuse Treatment - Private non-profit organizations operated the majority of facilities offering “all free” care and “partial free” facilities (73.8 and 68.1 percent, respectively). Among facilities offering “no free” care, approximately equal percentages were operated by private for-profit (46.9 percent) and private non-profit (46.4 percent) organizations. Facilities offering “all free” care (51.6 percent) were more likely than those in the “partial free” (30.5 percent) or “no free” (20.6 percent) groups to offer non- hospital residential care. “All free” facilities were less likely than either “partial free” or “no free” facilities to have a specially designed group or program for DUI/DWI clients (5.2 vs. 28.5 vs. 30.5 percent).

The NSDUH Report - -Recent Smoking Cessation - Among people who smoked cigarettes 13 to 24 months prior to the survey interview (i.e., year-before-last smokers), 4.1 percent (2.2 million persons) had successfully stopped smoking by the next year (i.e., did not smoke in the year prior to the survey interview). The past year smoking cessation rate was higher among females than males, higher among adults aged 26 to 34 than among persons in other age groups, and increased with increasing levels of education and income. Past year smoking cessation rates varied by State, ranging from a high of 6.8 percent in Vermont to a low of 1.8 percent in South Carolina.

The NSDUH Report - State Estimates of Underage Alcohol Use and Self-Purchase of Alcohol - Combined 2006 to 2008 data indicate that 27.6 percent of persons aged 12 to 20 drank alcohol in the past month. Rates of underage past month alcohol use were among the lowest in Utah (13.7 percent) and among the highest in North Dakota (40.6 percent) and Vermont (40.4 percent).  Approximately 8.6 percent of past month drinkers aged 12 to 20 purchased their own alcohol the last time they drank.  The percentages of past month drinkers aged 12 to 20 who bought their own alcohol were among the lowest in Alaska (3.1 percent) and New Mexico (3.7 percent) and among the highest in Louisiana and the District of Columbia (both at 18.8 percent).

The NSDUH Report - Adolescent Inhalant Use and Selected Respiratory Conditions - Combined 2006 to 2008 data indicate that an estimated 1.0 million adolescents aged 12 to 17 (4.1 percent) used an inhalant in the past year. Nearly one tenth (9.8 percent) of adolescents had asthma in the past year, 3.2 percent had bronchitis, 0.9 percent had pneumonia, and 0.8 percent had sinusitis; at least one of these respiratory conditions was indicated by 13.5 percent of adolescents. Approximately 143,000 adolescents (0.6 percent) both used inhalants and had at least one of the four respiratory conditions in the past year. Nearly 1 in 20 adolescents with at least one of the four respiratory conditions in the past year (4.4 percent) also used an inhalant in the past year.

The TEDS Report - Pregnant Teen Admissions to Substance Abuse Treatment: 1992 and 2007 - Between 1992 and 2007, the proportion of pregnant teen admissions to treatment that were Hispanic increased (15.7 vs. 21.4 percent), while the proportion that were non-Hispanic Black decreased (24.0 vs. 14.7 percent). Primary marijuana abuse among pregnant teen admissions more than doubled, from 19.3 percent in 1992 to 45.9 percent in 2007, while primary methamphetamine abuse more than quadrupled, from 4.3 to 18.8 percent. In both 1992 and 2007, almost one in six pregnant teen admissions had at least two prior treatment admissions (15.6 and 15.7 percent, respectively).

OAS Spotlight on Inhalant Use by 12 Year Olds. (HTML version).
OAS Spotlight on Inhalant Use by 12 Year Olds. (pdf version | 148 kbytes).

The NSDUH Report - Substance Use among Black Adults - Among black adults aged 18 or older, rates of past month alcohol use and binge alcohol use were lower than the national average for adults (44.3 vs. 55.2 percent and 21.7 vs. 24.5 percent, respectively); the rate of past month illicit drug use, however, was higher than the national average (9.5 vs. 7.9 percent). The rate of need for treatment for an alcohol use problem in the past year among black adults was similar to that of the national average among adults (7.7 and 8.1 percent); however, the rate of need for treatment for an illicit drug use problem was higher among blacks than the national average (4.4 vs. 2.9 percent). One in seven (14.2 percent) black adults in need of alcohol treatment in the past year and 24.2 percent of those in need of illicit drug treatment received treatment at a specialty facility; both of these rates were higher than the national averages for adults.

The TEDS Report - Uninsured Employed Admissions to Treatment - In 2007, almost two thirds (61.5 per-cent) of substance abuse treatment admissions working full time did not have health insurance. The criminal justice system was the most common source of referral among both employed uninsured admissions (59.8 percent) and employed insured admissions (46.1 percent); a very small proportion of both groups were referred to treatment by their employers or an employee assistance program (1.0 and 3.2 percent). Uninsured employed admissions were more than three times as likely as their insured counterparts to have reported government funding as the primary source of payment for treatment (45.1 vs. 13.5 percent); more than two fifths of both employed uninsured and employed insured admissions were self-pay clients (41.7 percent each).

The TEDS Report - Treatment Admissions Reporting Abuse of Both Alcohol and Drugs: 1997-2007 - Between 1997 and 2007, the proportion of substance abuse treatment admissions reporting co-abuse of alcohol and drugs declined from 45.3 to 39.4 percent.   The most common combinations reported by co-abuse admissions in both 1997 and 2007 were alcohol and marijuana and alcohol and cocaine; however, the proportion of co-abuse admissions reporting alcohol and cocaine decreased between 1997 and 2007, from 51.1 percent to 44.8 percent.  Nearly two thirds of co-abuse admissions had been in treatment at least once before (61.3 in 1997 and 59.6 percent in 2007).

The N-SSATS Report - Infectious Disease Screening - In 2007, fewer than half of all substance abuse treatment facilities reported the availability of on-site infectious disease screening. The facilities that were most likely to provide infectious disease screening were operated by the Federal Government, followed by those operated by a State government. Over half of the approximately 1,100 OTPs provided on-site screening for hepatitis B (62.1 percent), hepatitis C (64.1 percent), HIV (69.8 percent), STDs (67.8 percent), or tuberculosis (93.3 percent).

The NSDUH Report - Substance Use Treatment Need among Uninsured Workers - More than 18.4 million full-time employees aged 18 to 64 (15.5 percent of the full-time adult workers in that age range) had no health insurance coverage and represented the majority (54.5 percent) of adults under age 65 without health insurance coverage. An estimated 3.0 million uninsured full-time workers (16.3 percent) needed substance use treatment in the past year; specifically, 13.3 percent needed alcohol use treatment, 5.6 percent needed illicit drug use treatment, and 2.7 percent needed both alcohol and illicit drug use treatment. Of the uninsured workers who needed substance use treatment in the past year, 12.6 percent (378,000 persons) received treatment at a specialty facility.

The N-SSATS Report - Similarities and Differences in Opioid Treatment Programs that Provide Methadone Maintenance or Buprenorphine Maintenance - A total of 1,132 substance abuse treatment facilities (or 8 percent of all substance abuse treatment facili­ties) operated an Opioid Treatment Program (OTP) in 2008, a percent­age that has remained constant since 2002. Of OTPs that provided methadone maintenance and/or buprenorphine maintenance services, 52.4 percent served only clients in the mainte­nance program and 47.6 percent served clients in the maintenance program as well as other substance abuse clients. Facilities with OTPs that served clients in addition to those in the maintenance program also offered a greater variety of treatment types and services than those that served only the maintenance client.

The NSDUH Report - Substance Use Treatment Need and Receipt among People Living in Poverty - Combined 2006 to 2008 data indicate that 3.7 million persons aged 12 or older living in poverty were in need of substance use treatment in the past year. Of these, 17.9 percent received treatment at a specialty facility during this time period. Males living in poverty were nearly twice as likely as their female counterparts to need treatment in the past year (17.1 vs. 8.9 percent), but were only as likely as their female counterparts to have received treatment. Among persons living in poverty, those aged 18 to 25 had the highest rate of past year treatment need; however, this age group had the lowest rate of treatment receipt.

The TEDS Report - Trends in Adult Female Substance Abuse Treatment Admissions Reporting Primary Alcohol Abuse: 1992 to 2007 - Between 1992 and 2007, the proportion of all adult female substance abuse treat­ment admissions with primary alcohol abuse declined from 47.4 per­cent to 33.4 percent; of these. During that same time, the propor­tion of adult female alcohol admissions aged 25 to 34 decreased from 43.2 to 23.2 percent, while the proportion aged 45 to 54 almost tripled from 9.4 to 24.1 percent. The proportion of adult female admis­sions that reported primary alcohol abuse and the secondary or tertiary abuse of other substances increased from 40.5 percent in 1992 to 44.6 percent in 2007.

The N-SSATS Report - Overview of Opioid Treatment Programs within the United States: 2008 - In 2008, 1,132 (8 percent) of all substance abuse treatment facilities were certified as Opioid Treatment Programs (OTPs). Of these, 1,044 (92 percent) offered outpatient treatment. On March 31, 2008, there were 268,071 clients who received methadone and 4,280 clients who received buprenorphine in facilities with OTPs. In addition, 654 (58 percent) facilities with OTPs provided substance abuse treatment services in a language other than English, either by a staff counselor or through an on-call interpreter; and 498 (44 percent of all OTPs) provided these services by a staff counselor in Spanish.

The TEDS Report - Gender Differences among Black Treatment Admissions Aged 18 to 25 - In 2007, among non-Hispanic Black substance abuse treatment admissions aged 18 to 25, males were more likely than females to report marijuana as the primary substance of abuse (62.8 vs. 49.5 percent); however, females were three times more likely than males to report smoked cocaine as the primary substance of abuse (12.6 vs. 4.2 percent). More than two thirds (69.5 percent) of young adult Black male admissions were referred to treatment by the criminal justice system, compared to only about one third (35.7 percent) of female admissions. More than half of all young adult admissions had not completed high school or obtained a GED (50.9 per-cent for males and 55.1 percent for females) and most were either unemployed (42.5 percent for males and 43.4 percent for females) or not in the labor force (30.1 percent for males and 38.4 percent for females).

2008 National Survey of Substance Abuse Treatment Services (N-SSATS) - 13,688 eligible substance abuse treatment facilities responded to the 2008 N-SSATS survey and reported a total of nearly 1.2 million clients in treatment in their facilities on March 31, 2008. Private non-profit run facilities made up the bulk of treatment facilities (58 percent) while private for-profit facilities made up 29 percent of these services in 2008. The remaining facilities were operated by local governments (6 percent), state governments (3 percent), the Federal government (2 percent) and tribal governments (1 percent). This report is available at: http://wwwdasis.samhsa.gov/08nssats/nssats2k8.pdf.

The NSDUH Report - Illicit Drug Use among Older Adults - An estimated 4.3 million adults aged 50 or older, or 4.7 percent of adults in that age range, had used an illicit drug in the past year, based on data from the 2006 to 2008 NSDUH surveys. Marijuana use was more common than the nonmedical use of prescription-type drugs for adults aged 50 to 54 and those aged 55 to 59 (6.1 vs. 3.4 percent and 4.1 vs. 3.2 percent, respectively), but among those aged 65 or older, nonmedical use of prescription-type drugs was more common than marijuana use (0.8 vs. 0.4 percent). Marijuana use was more common than the nonmedical use of prescription-type drugs among males aged 50 or older (4.2 vs. 2.3 percent, respectively), but among females, the rates of marijuana use and nonmedical use of prescription-type drugs were similar (1.7 and 1.9 percent).

The NSDUH Report - Violent Behaviors among Adolescent Females - Combined 2006 to 2008 data indicate that about one quarter (26.7 percent) of adolescent females engaged in at least one of the following violent behaviors in the past year. 18.6 percent of adolescent females got into a serious fight at school or work in the past year; 14.1 percent participated in a group-against-group fight; and, 5.7 percent attacked others with the intent to seriously hurt them.   Adolescent females who engaged in at least one of these violent behaviors were more likely than those who did not to have indicated past month binge alcohol use (15.1 vs. 6.9 percent), marijuana use (11.4 vs. 4.1 percent), and use of illicit drugs other than marijuana (9.2 vs. 3.2 percent).  The rate of substance use was higher the more types of violent behaviors the girls engaged in (e.g., binge drinking in the past month was reported by 6.9 percent of girls with none of the violent behaviors, 12.6 percent of those with one type of violent behavior, 17.3 percent of those with two types, and 27.2 percent of those with three types).

The NSDUH Report - Alcohol Use Before and After the 21st Birthday - Among young adults approaching their 21st birthdays, 86.1 percent had used alcohol in their lifetime, including 62.8 percent who had initiated use before their 18th birthdays.  Rates of past month and binge alcohol use were higher among young adults who had recently turned 21 than among those who were still 20 years old.  Rates of past month and binge alcohol use among 21 year olds declined and then stabilized in the months following their 21st birthdays, but their rates still remained higher than those for 20 year olds.

The TEDS Report - Characteristics of Adolescent Heroin Admissions - In 2007, the Treatment Episode Data Set recorded just over 1,600 adolescent substance abuse treatment admissions for heroin abuse. On average, adolescent heroin admissions were 14.8 years old when they first used heroin and 16.3 years old at admission to treatment, indicating approximately 18 months of use before entering treatment.  More than half (56 percent) of adolescent heroin admissions had had at least one prior treatment episode.

The NSDUH Report - Perceptions of Risk from Substance Use among Adolescents - Only 40 percent of adolescents perceive great risk from having five or more drinks of alcohol once or twice a week and just over one third perceived great risk from smoking marijuana once a month. The percentage of adolescents who perceived great risk from smoking one or more packs of cigarettes per day was stable across age groups; howeverm the perception of the risk associated with having five or more drinks of alcohol once or twice a week and smoking marijuana once a month decreased with age.

The NSDUH Report - Use of Menthol Cigarettes - Among current smokers, the rate of smoking menthol cigarettes increased from 31.0 percent in 2004 to 33.9 percent in 2008 with increases most pronounced for adolescents aged 12 to 17 (43.5 percent in 2004 vs. 47.7 percent in 2008), young adults aged 18 to 25 (34.1 vs. 40.8 percent), and males (26.9 vs. 30.8 percent).  Menthol cigarettes smoking was more likely among those who were recent smoking initiates (i.e., began smoking in the past year) than among longer term smokers (i.e., initiated use more than a year ago) (44.6 vs. 31.8 percent, respectively).  For blacks, past month use of menthol cigarettes was less likely among recent smoking initiates than among their counterparts who were longer term smokers (73.9 vs. 82.8 percent).

The N-SSATS Report - Substance Abuse Treatment Facilities Operated by the Department of Veterans Affairs - In the most recent survey of substance abuse treatment facilities in 2007, those facilities operated by the Veterans Administration were more likely than other facilities to offer: specially designed programs for clients with co-occurring psychological and substance abuse problems (60 vs. 39 percent); testing services including HIV testing (92 vs. 29 percent), TB screening (91 vs. 34 percent), hepatitis B or C screening (91 vs. 22 percent), and STD testing (89 vs. 20 percent); and, mental health services (93 vs. 54 percent) and HIV/AIDS education, counseling, or support (86 vs. 56 percent).

The TEDS Report - Female Substance Abuse Treatment Admissions Aged 12 to 17 - In 2007, adolescent female admissions comprised less than one third (30 percent) of the nearly 132,000 substance abuse treatment admissions aged 12 to 17.  For these admissions, marijuana and alcohol accounted for 80 percent of all primary substances of abuse.  60 percent of adolescent female admissions reported first using their primary substances of abuse between the ages of 12 and 14.

The NSDUH Report - Injection Drug Use and Related Risk Behavior - Combined 2006 to 2008 data indicate that an annual average of 425,000 persons aged 12 or older (0.17 percent) used a needle to inject heroin, cocaine, methamphetamine, or other stimulants during the past year. 13.0 percent of past year injection drug users had used a needle that they knew or suspected someone else had used before them the last time they used a needle to inject drugs, and less than one third (29.0 percent) of them cleaned the needle with bleach prior to their last injection. More than one half (52.8 percent) of past year injection drug users purchased the last needle they used from a pharmacy, and 12.4 percent obtained the needle through a needle exchange program.

The NSDUH Report - -Trends in Tobacco Use among Adolescents: 2002 to 2008 -Between 2002 and 2008, the prevalence of past month use of any tobacco product by adolescents declined from 15.2 to 11.4 percent. This decline can be attributed primarily to a decline in past month cigarette use—the most frequently used tobacco product—with 13.0 percent of adolescents using cigarettes in 2002 compared with 9.1 percent in 2008. Despite this decline, the rate of recent initiation of cigarette use (i.e., first-time use of cigarettes in the 12 months before the survey interview among adolescents who had not used them previously) remained relatively stable.

The N-SSATS Report - Residential Substance Abuse Treatment Facilities Offering Residential Beds for Clients’ Children - In 2007, 515 residential substance abuse treatment facilities (14 percent of all residential facilities) offered beds for both mothers and their children. Facilities with beds for clients’ children were more likely than those without to offer motivational interviewing (68 vs. 57 percent), trauma-related counseling (53 vs. 27 percent), and anger manage-ment (72 vs. 55 percent). Residential facilities that provided beds for clients’ children were more likely than those that did not to use a sliding fee scale (63 vs. 52 percent), to offer treatment at no charge to clients who could not af-ford to pay (75 vs. 61 percent), or to accept Medicaid payments (52 vs. 38 percent).

The N-SSATS Report - Outpatient Substance Abuse Treatment Facilities that Provide Child Care for Their Clients’ Children - In 2007, 7 percent of outpatient treatment facilities also offered child care services for their clients’ children. Outpatient-only facilities that provided child care for clients’ children were more likely than facilities that did not to use a sliding fee scale (81 vs. 67 percent), to offer treatment at no charge to clients who cannot afford to pay (75 vs. 47 percent), or to accept Medicaid payments (75 vs. 58 percent). Outpatient-only facilities that offered child care were more likely than those that did not to provide trauma-related counseling (37 vs. 20 percent) and anger management counseling (54 vs. 42 percent).

The NSDUH Report - -Mental Health Support and Self-Help Groups - An annual average of 2.4 million adults aged 18 or older (1.1 percent of the population in that age group) received support from a mental health self-help group for their emotions, nerves, or mental health problems in the past year. Of them, 61.2 percent were female; 89.4 percent were over the age of 25; 75.2 percent were white; and, 46.8 percent were employed full time. Two thirds (65.6 percent) of adults who received support from mental health self-help groups also received traditional treatment (i.e., inpatient, outpatient, or prescription medication) in the past year; an estimated 829,000 users of self-help groups (34.4 percent) did not receive past year traditional mental health treatment.

The TEDS Report - -Trends in Methamphetamine Admissions to Treatment: 1997-2007 - Admissions to substance abuse treatment for primary methamphetamine abuse were more than twice as likely in 2007 to be aged 40 or older (23 percent) compared with admissions in 1997 (10 percent). The percentage of primary methamphetamine admissions that were Hispanic more than doubled from 9 percentin 1997 to (21 percent in 2007 The percentage of methamphetamine admissions who smoked the drug increased each year from 1997 to 2007 and increased overall from 27 percent in 1997 to 67 percent in 2007.

The NSDUH Report - Cigarette Use among Adults Employed Full Time, by Occupational Category - Based on combined 2006 to 2008 NsdUH data, an estimated 33.6 million full-time employees aged 18 to 64 smoked cigarettes in the past month.  Of the 22 major occupational categories, the highest rates of past month cigarette use among full-time workers aged 18 to 64 were found in the food preparation and serving-related occupations (44.7 percent) and the construction and extraction occupations (42.9 percent); the occupational categories with the lowest rates were the education, training, and library occupations (12.3 percent) and the life, physical, and social science occupations (15.4 percent).  Among full-time employees, the rate of past month cigarette use was higher among those aged 18 to 25 (40.1 percent) than among those in older age groups.

The DAWN Report -The 2007 Drug Abuse Warning Network (DAWN) report on drug-related mortality, titled “Drug Abuse Warning Network, 2007:  Area Profiles of Drug-Related Mortality” is now available.  This publication provides detailed information about drug-related deaths based on reports from participating medical examiners and coroners across the nation.   The report contains statewide coverage for 10 states (Maine, Maryland, Massachusetts, New Hampshire, New Mexico, Oklahoma, Oregon, Utah, Vermont, and Virginia), 63 major metropolitan statistical areas and 479 jurisdictions throughout the nation.

The NSDUH Report - Suicidal Thoughts and Behaviors among Adults
In 2008, an estimated 8.3 million adults aged 18 or older (3.7 percent of the adult population) had serious thoughts of suicide in the past year; 2.3 million (1.0 percent) made a suicide plan; and, 1.1 million (0.5 percent) attempted suicide.  Young adults aged 18 to 25 were more likely than adults aged 26 to 49 and those aged 50 or older to have had serious thoughts of suicide (6.7 vs. 3.9 and 2.3 percent, respectively), to have made any plans for suicide (1.9 vs. 1.1 and 0.7 percent), and to have attempted suicide (1.2 vs. 0.4 and 0.3 percent). Of the adults who attempted suicide in the past year, 62.3 percent received medical attention for their suicide attempts, and 46.0 percent stayed overnight or longer in a hospital for their suicide attempts.

Treatment Episode Data Set (TEDS) Admissions 2007 (PDF | File size 4.2 mbytes)
In 2007, the Treatment Episode Data Set (TEDS) collected information on over 1.8 million admissions to substance abuse treatment. Five substances accounted for 96 percent of these admissions: alcohol (40 percent), opiates (19 percent, primarily heroin), marijuana (16 percent), cocaine (13 percent), and stimulants (8 percent, primarily methamphetamine). More than half (55 percent) of all TEDS 2007 admissions reported abuse of multiple substances.

Treatment Episode Data Set (TEDS) Admissions 2007 (PDF | File size 4.2 mbytes)
In 2007, the Treatment Episode Data Set (TEDS) collected information on over 1.8 million admissions to substance abuse treatment. Five substances accounted for 96 percent of these admissions: alcohol (40 percent), opiates (19 percent, primarily heroin), marijuana (16 percent), cocaine (13 percent), and stimulants (8 percent, primarily methamphetamine). More than half (55 percent) of all TEDS 2007 admissions reported abuse of multiple substances.

2008 National Survey on Drug Use & Health provides the latest data on prevalence and correlates of substance use, serious psychological distress, depression, related problems, and treatment in the civilian population aged 12 or older in the U.S.

• Full Report (HTML) (PDF | File size 1.4 mbytes)
• Detailed Tables (HTML) (PDF | File size 85 kbytes)

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This page was last updated on September 2, 2010.

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