N-SSATS Report (2009): DUI/DWI Admissions to Treatment and Program Resources, The

2009·0.24 MB·English

National Survey of Substance Abuse Treatment Services
The N-SSATS Report
April 30, 2009
DUI/DWI Admissions to Treatment and
Program Resources
I
mpaired driving continues to be a
In Brief
severe and persistent threat to public
health and safety. In 2007, an esti-
● The most commonly reported pri-
mary substance of abuse among mated 2.5 million people were injured
DUI/DWI admissions to substance or killed in motor vehicle accidents.1 Of
abuse treatment was alcohol (90
these, 13,000 were deaths attributable to
percent)
alcohol or drug involved vehicle crashes,
● Treatment services for DUI/DWI and these fatalities accounted for nearly
admissions are available from one third of all vehicular deaths in the
nearly one third of all treatment
United States. Individuals arrested for
facilities
driving under the influence or driving
● The majority of facilities with while intoxicated (DUI/DWI) can be
DUI/DWI programs were privately
diverted to a treatment program either
owned or operated (89 percent)
before formal judgment or after convic-
either by a for-profit entity (47 per-
tion as part of sentencing. DUI/DWI
cent) or a non-profit organization
programs are most often conducted in
(42 percent)
an outpatient setting and can be shorter
● Over three quarters of DUI/DWI
than other outpatient programs. Under-
clients discharged from treat-
standing the characteristics of DUI/DWI
ment completed treatment or
transferred to another treatment clients may help program designers and
program planners to tailor their interventions to
better meet the needs of their clients.
The N-SSATS 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 online: http://oas.samhsa.gov. Citation of the source
is appreciated. For questions about this report, please e-mail: [email protected].
N-SSATS_204
N-SSATS REPORT: DUI/DWI ADMISSIONS TO TREATMENT AND PROGRAM RESOURCES April 30, 2009
Figure 1. Percentage of DUI/DWI Referrals to Substance Abuse Treatment, by Age: 2007 TEDS
15 to 17 1
18 to 20 7
21 to 24 16
25 to 29 16
30 to 34 12
35 to 39 11
40 to 44 12
45 to 49 11
50 to 54 7
55 or Older 7
0 5 10 15 20
Percent
Source: 2007 SAMHSA Treatment Episode Data Set (TEDS).
Similarly, understanding the admissions were male, and
Facilities Offering
distribution and characteristics the majority of admissions (71
DUI/DWI Programs
of programs for these clients percent) were White. Teenagers
may assist policymakers and aged 15 to 17 and young adults Of the 13,648 substance abuse
treatment payers to examine the aged 18 to 24 comprised nearly treatment facilities responding
adequacy of available program one quarter of these admissions, to the 2007 N-SSATS survey,
resources. and nearly one third were 4,241 or 31 percent of facilities
Using data reported in the between the ages of 21 and 29 offered a specially designed
2000, and 2002 through 2007 (Figure 1). Adults between the program or group intended
National Surveys of Substance ages of 30 and 49 made up 46 to address the programmatic
Abuse Treatment Services percent. Just over two thirds (68 needs of DUI/DWI admis-
(N-SSATS) and the 2007 Treat- percent) were employed either sions. Of these facilities, 132 (3
ment Episode Data Set (TEDS), full time or part time. percent) provided services exclu-
this report will describe both By far, the most frequently sively for DUI/DWI clients.
the characteristics of facilities reported primary substance of Nationwide, from 2000 to 2007,
that offer specialized DUI/DWI abuse among DUI/DWI admis the percentage of substance
programs and the admissions sions was alcohol (90 percent); abuse treatment facilities
who access these services.2 however, nearly one quarter offering DUI/DWI programs
of DUI/DWI admissions with decreased slightly from 36 to 31
Demographic alcohol as a primary substance percent (Figure 2).
Characteristics of also used one or more illicit Although DUI/DWI
substances. diversions or court judg-
DUI/DWI Admissions
ments typically derive from
In 2007, there were nearly
local, county, or State judicial
39,000 DUI/DWI admissions
systems, only a small percent-
to substance abuse treatment.3
age of facilities offering DUI/
Eighty percent of these
2
April 30, 2009 N-SSATS REPORT: DUI/DWI ADMISSIONS TO TREATMENT AND PROGRAM RESOURCES
Figure 2. Percentage of Substance Abuse Treatment Facilities Offering DUI/DWI Programs: 2000 and
2002 to 2007 N-SSATS*
50
40 36
35
33
31 31 31 31
30
nt
e
c
er
P
20
10
0
2000 2002 2003 2004 2005 2006 2007
* N-SSATS was not administered in 2001.
Source: 2000 and 2002 to 2007 SAMHSA National Surveys of Substance Abuse Treatment Services (N-SSATS).
DWI programs were operated The majority of facilities
Treatment Outcomes
by local, county, or community offering DUI/DWI programs
governments (6 percent), or by provided drug or alcohol urine The most recent data available
State governments (2 percent). screening and breathalyzer or on the outcome of treatment
An additional 3 percent were other blood alcohol testing (79 for DUI/DWI admissions
operated by the Federal govern- and 63 percent, respectively). comes from the 2007 TEDS
ment. The vast majority of Nearly all facilities offering a discharge data set.4 The data
facilities offering DUI/DWI DUI/DWI program provided show that over three quarters
programs were privately owned screening for substance abuse of all DUI/DWI discharges had
or operated (89 percent) either (97 percent) and comprehensive positive outcomes at the conclu-
by a for-profit entity (47 percent) substance abuse assessment or sion of a treatment episode
or a non-profit organization (42 diagnosis (95 percent). Almost (Figure 3). Among DUI/DWI
percent). two thirds provided screening admissions discharged from
Most facilities offering DUI/ for mental health disorders (64 treatment in 2007, 72 percent
DWI programs provide a range percent), and more than half completed treatment, and an
of services both central to and provided community outreach additional 5 percent were trans-
supportive of the treatment (55 percent) or interim services ferred to another treatment
needs of these clients (Table 1). (52 percent). A smaller percent- program. Most notably, DUI/
Such services include substance age of facilities offering DUI/ DWI discharges who received
abuse education (95 percent), DWI programs provided treatment in a short-term resi-
discharge planning (91 percent), comprehensive mental health dential facility had a 91 percent
and aftercare/continuing care assessment or diagnosis (44 completion rate.
(87 percent). The majority also percent).
provided case management
services, social skills
development, and mental health
services.
3
N-SSATS REPORT: DUI/DWI ADMISSIONS TO TREATMENT AND PROGRAM RESOURCES April 30, 2009
Table 1. Percentage of Substance Abuse Treatment Facilities Offering DUI/DWI Programs, by Type of
Services Provided: 2007 N-SSATS
Services Percent
Assessment and Pre-Treatment Services
Screening for Substance Abuse 97
Comprehensive Substance Abuse Assessment or Diagnosis 95
Screening for Mental Health Disorders 64
Outreach to Persons in the Community Who May Need Treatment 55
Interim Services for Clients When Immediate Admission is Not Possible 52
Comprehensive Mental Health Assessment or Diagnosis 44
Testing
Drug or Alcohol Urine Screening 79
Breathalyzer or Other Blood Alcohol Testing 63
Transitional Services
Discharge Planning 91
Aftercare/Continuing Care 87
Ancillary Services
Substance Abuse Education 95
Case Management Services 73
Social Skills Development 59
Mental Health Services 54
HIV/AIDS Education, Counseling, or Support 47
Assistance with Obtaining Social Services 42
Domestic Violence—Family or Partner Violence Services 42
Health Education Other than HIV/AIDS 39
Mentoring/Peer Support 36
Self-help Groups 36
Assistance in Locating Housing for Clients 33
Transportation Assistance to Treatment 27
Employment Counseling or Training for Clients 26
Child Care for Clients’ Children 6
Source: 2007 SAMHSA National Survey of Substance Abuse Treatment Services (N-SSATS).
4
April 30, 2009 N-SSATS REPORT: DUI/DWI ADMISSIONS TO TREATMENT AND PROGRAM RESOURCES
Figure 3. Percentage of DUI/DWI Discharges from Substance Abuse Treatment, by Treatment Type and
Reason for Discharge: 2007 TEDS
Completed Treatment Transferred to Another Treatment Program Dropped Out of Treatment Terminated by the Facility Other
2
100 6 4 5 4 5 4 12 6 2 8 4
3
13 14 20 12 1
80
5 5 9
11
60 7
nt
e
Perc 40 91 84
72 72 71
57
20
0
Total Outpatient Intensive Short-term Long-term Detox
Outpatient Residential Residential
Source: 2007 SAMHSA Treatment Episode Data Set (TEDS).
sions may have treatment needs hospitalized). Clients may be terminated from
Discussion a treatment program by a facility for a variety
beyond those stemming from
of reasons, such as refusing to follow the
Reductions in the annual the initial charges and ensure prescribed treatment program, failing to follow
facility rules and procedures, and exhibiting
number of lives lost to alco- that those ancillary needs can violent behavior.
hol and drug related vehicle be met as well.
crashes requires a multifaceted Suggested Citation
approach. Prevention education End Notes Substance Abuse and Mental Health Services
Administration, Office of Applied Studies. (April
for young drivers is essential, as 1 Department of Transportation. (2008). Motor Ve-
30, 2009). The N-SSATS Report: DUI/DWI
hicle Traffic Crash Fatality Counts and Estimates
is providing DUI/DWI offend- Admissions to Treatment and Program Resources.
of People Injured for 2007 (DOT HS 811 034).
Rockville, MD.
ers with appropriate treatment Retrieved March 26, 2009, from http://www-nrd.
nhtsa.dot.gov/Pubs/811034.PDF
and support for their recovery.
2 The National Survey of Substance Abuse Treat-
Policymakers, particularly those ment Services (N-SSATS) was not administered
in 2001.
at the State and local level, need
3 DUI/DWI information reported in the Treatment
to be aware of the resources Episode Data Set (TEDS) is from Detailed
Criminal Justice Referral, a Supplemental Data
that are available to address
Set item. The 33 States and jurisdictions in which
the treatment requirements of this item was reported in 2007—AR, CA, CO,
DC, DE, FL, HI, ID, IL, IN, KS, KY, LA, MA, MD,
individuals facing or convicted
MO, MT, ND, NH, NJ, NM, NV, NY, OH, OK, OR,
of DUI/DWI charges and to PA, PR, RI, SD, TX, UT, and WY—accounted
for 76 percent of all substance abuse treatment
ensure that those resources are admissions in 2007.
adequate to meet the needs. 4 The reasons for discharge include completed
treatment, transferred to another substance
Similarly, program designers abuse program or facility, dropped out, termi-
and treatment providers need to nated by facility, incarcerated, death, and other
(i.e., client left treatment for other specified
be aware that DUI/DWI admis- reasons such as changing residence or being
5
For change of address, corrections, or to be removed from
this list please e-mail: [email protected].
Findings from SAMHSA’s National Survey of Substance Abuse Treatment Services (N-SSATS).
The Treatment Episode Data Set (TEDS) and the National Survey on Substance
DUI/DWI Admissions
Abuse Treatment Services (N-SSATS) are components of the Drug and Alcohol
Services Information System (DASIS). DASIS is an integrated data system
maintained by the Office of Applied Studies, Substance Abuse and Mental
to Treatment and Health Services Administration (SAMHSA).
TEDS data are collected through State administrative systems and are then
submitted to SAMHSA. They include information on admissions to substance
Program Resources abuse treatment primarily from facilities that receive some public funding.
The 2007 TEDS data presented in this report are based on data received
through October 6, 2008.
N-SSATS is an annual census of all known substance abuse treatment facilities
in the United States. Information and data for this report are based on data
reported to N-SSATS for the survey reference dates of October 1, 2000,
● The most commonly reported primary substance March 29, 2002, March 31, 2003–2006, and March 30, 2007.
of abuse among DUI/DWI admissions to Definitions for demographic, substance use, and other TEDS measures
substance abuse treatment was alcohol (90 mentioned in this report are available in the following publication: Substance
Abuse and Mental Health Services Administration, Office of Applied Studies.
percent) (December 11, 2008). The TEDS Report: TEDS Report Definitions. Rockville, MD.
The N-SSATS Report is prepared by the Office of Applied Studies, SAMHSA;
● Treatment services for DUI/DWI admissions are
Synectics for Management Decisions, Inc., Arlington, Virginia; and by RTI In-
available from nearly one third of all treatment ternational in Research Triangle Park, North Carolina (RTI International is the
trade name of Research Triangle Institute).
facilities

● The majority of facilities with DUI/DWI programs Access the latest TEDS and N-SSATS reports at:
http://oas.samhsa.gov/dasis.htm
were privately owned or operated (89 percent)
either by a for-profit entity (47 percent) or a non- Access the latest TEDS and N-SSATS public use files at:
profit organization (42 percent) http://oas.samhsa.gov/SAMHDA.htm
● Over three quarters of DUI/DWI clients Other substance abuse reports are available at:
http://oas.samhsa.gov
discharged from treatment completed treatment
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
or transferred to another treatment program
Substance Abuse and Mental Health Services Administration
Office of Applied Studies
www.samhsa.gov