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D rug and A lcohol S ervices I nformation S ystem

The DASIS Report


March 2001 April 23, 2004

Treatment Admissions for Primary


Alcohol Abuse Among Youth Aged
18-20: 2001

A
ccording to the 2002 National
In Brief Survey on Drug Use and Health
(NSDUH), over 80 percent of
z In 2001, 60 percent of the youth aged 18-20 have used alcohol in
112,000 substance abuse their lifetime.1 In 2001, there were
treatment admissions aged 18-
112,000 admissions to substance abuse
20 involved alcohol
treatment among this age group. Of
z Admissions aged 18-20 for these, 33 percent (36,600 admissions)
alcohol only were more likely to involved alcohol as a primary substance
have been referred by the of abuse—13 percent (15,100) for the
criminal justice system (70 abuse of alcohol only and 20 percent
percent) than admissions for (21,500) for the abuse of alcohol in con-
alcohol with a secondary drug junction with other drugs (Figure 1).2
(56 percent)

z Twelve percent of admissions Demographics


aged 18-20 for alcohol only
started using alcohol before the Overall, the differences in major demo-
age of 13 compared with 23 graphic characteristics between alcohol
percent of admissions for only admissions aged 18-20 and those for
alcohol with a secondary drug alcohol with a secondary substance were
quite small. Among admissions aged

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.
DASIS REPORT: TREATMENT ADMISSIONS FOR PRIMARY ALCOHOL ABUSE AMONG YOUTH AGED 18-20: 2001 April 23, 2004

Figure 1. Substance of Abuse among Figure 2. Source of Referral among


Admissions Aged 18-20: 2001 Admissions for Primary Alcohol Aged 18-20:
2001

Primary 100
Primary Drug Alcohol Alone 16
with Secondary 13% 25
Alcohol 80 14
27%
Primary 19 Other
60

Percent
Alcohol with Self/Individual
Secondary
Drug 40 Criminal Justice
20% 70 System
56
20

Primary Drug 0
Alone Alcohol Alcohol with
40% Alone Secondary Drug

Source: 2001 SAMHSA Treatment Episode Data Set (TEDS).

18-20, admissions for abuse of tation services (8 percent) than


alcohol only differed little from Source of Referral admissions for alcohol with a
admissions for primary alcohol Among primary alcohol admis- secondary drug (17 percent).
abuse with a secondary drug in sions aged 18-20, alcohol only
terms of race/ethnicity. Alcohol admissions were more likely to
only admissions were slightly have been referred by the Prior Treatment
less likely to be Black (6 percent) criminal justice system (70 Alcohol only admissions aged
than admissions for alcohol percent) than admissions for 18-20 were more likely to be
with a secondary drug (10 alcohol with a secondary drug first-time admissions (74 per-
percent). All remaining differ- (56 percent). Alcohol only cent) than admissions aged 18-
ences between alcohol only and admissions were less likely to be 20 for alcohol with a secondary
alcohol with a secondary drug self- or individual referrals (14 drug (56 percent). Seventeen
admissions were less than percent) than admissions for percent of alcohol only admis-
3 percent. alcohol with a secondary drug sions had one previous admis-
Almost one quarter (23 (19 percent) (Figure 2). sion compared with 25 percent
percent) of primary alcohol of admissions for alcohol with a
admissions aged 18-20 were secondary drug. A very small
Type of Service proportion of both groups (2
female (23 percent of alcohol
only admissions; 22 percent of The majority of primary alco- percent of alcohol only; 3
admissions with alcohol with a hol admissions aged 18-20 were percent of alcohol with a
secondary drug). This was admitted to ambulatory care secondary drug) had five or
notably lower than the propor- (80 percent for alcohol only more previous admissions for
tion of females among TEDS admissions and 74 percent for substance abuse treatment.
admissions as a whole in 2001 admissions for alcohol with a
(30 percent). secondary drug).3 Alcohol only
admissions were less likely to be
admitted to residential/rehabili-
April 23, 2004 DASIS REPORT: TREATMENT ADMISSIONS FOR PRIMARY ALCOHOL ABUSE AMONG YOUTH AGED 18-20: 2001

Figure 3. Age at First Use of Alcohol among


Admissions for Primary Alcohol Aged 18-20:
2001

100
12
26
80
34 19-20
17-18 End Notes
Percent

60
39 15-16 1
Substance Abuse and Mental Health Services Administration, Office of Applied
13-14 Studies. Results from the 2002 National Survey on Drug Use and Health:
40 30 11-12 Detailed Tables. Rockville, MD., 2003, table 2.8B.
2
10 or younger The primary substance of abuse is the main substance reported at the time of
20 19 admission.
14 3
Service settings are of three types: ambulatory, residential/rehabilitative, and
7
9 detoxification. Ambulatory settings include intensive outpatient, non-intensive
0 outpatient, and ambulatory detoxification. Residential/rehabilitative settings
Alcohol Alcohol with include hospital (other than detoxification), short-term (30 days or fewer), and
Alone Secondary Drug long-term (more than 30 days). Detoxification includes 24-hour hospital
inpatient and 24-hour free-standing residential.

3). Twelve percent of alcohol


Frequency of Use only admissions aged 18-20
Among primary alcohol admis- started using alcohol before the
sions aged 18-20, the frequency age of 13 compared with 23
of alcohol use differed between percent of admissions for
admissions for alcohol only and alcohol with a secondary drug.
admissions for alcohol with a
secondary drug. Admissions for The Drug and Alcohol Services Information System (DASIS) is an integrated data
alcohol only were less likely to system maintained by the Office of Applied Studies, Substance Abuse and Mental Health
Services Administration (SAMHSA). One component of DASIS is the Treatment Episode
have used alcohol daily (10 Data Set (TEDS). TEDS is a compilation of data on the demographic characteristics and
percent) than admissions for substance abuse problems of those admitted for substance abuse treatment. The
information comes primarily from facilities that receive some public funding. Information
alcohol with a secondary drug on treatment admissions is routinely collected by State administrative systems and then
(20 percent). submitted to SAMHSA in a standard format. Approximately 1.7 million records are
included in TEDS each year. TEDS records represent admissions rather than individuals,
as a person may be admitted to treatment more than once.
The DASIS Report is prepared by the Office of Applied Studies, SAMHSA; Synectics for
Age at First Use Management Decisions, Inc., Arlington, Virginia; and RTI, Research Triangle Park, North
Carolina.
The average age of first use of Information and data for this issue are based on data reported to TEDS through
May 31, 2003.
alcohol was slightly older (15
Access the latest TEDS reports at:
years old) for alcohol only http://www.oas.samhsa.gov/dasis.htm
admissions than for admissions
Access the latest TEDS public use files at:
for alcohol with a secondary http://www.oas.samhsa.gov/SAMHDA.htm
drug (14 years old). Alcohol
Other substance abuse reports are available at:
only admissions aged 18-20 http://www.oas.samhsa.gov
were less likely to have started
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
using alcohol prior to the age of Substance Abuse and Mental Health Services Administration
Office of Applied Studies
13 than admissions for alcohol www.samhsa.gov
with a secondary drug (Figure