Effectiveness of Care: Mental Health and Substance Abuse

Measure Title

Deaths due to suicide per 100,000 population.

Measure Source

Healthy People 2010.

National Tables

1.91a Suicide deaths per 100,000 population, United States, 1999 and 2004.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System-Mortality (NVSS-M).

National Denominator

U.S. population.

National Numerator

Number of deaths due to suicide (ICD-10-CM codes X60-X84, Y87.0).

State Tables

1.91b Suicide deaths per 100,000 population, by State, 1999 and 2004.

State Data Source

CDC, NCHS, NVSS-M.

State Denominator

Population by State.

State Numerator

Same as national.

Comments

Suicides may be undercounted because of difficulty in the determination of suicidal intent by coroner or medical examiner.

Rates are age adjusted to the 2000 standard population.

This measure is referred to as measure 18-1 in Healthy People 2010 documentation.

Measure Title

Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

1.92 Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year, United States, 2004 and 2005.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 18 or older with a major depressive episode in the past year.

Numerator

Subset of the denominator who received treatment or counseling in the past year.

Comments

Major depressive episode (MDE) is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of the symptoms for depression as described in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Respondents with unknown data for past year MDE measures were excluded.

Measure Title

Adults who receive treatment for a major depressive episode who experience improvement.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

1.93a Perception of help received from treatment or counseling for persons age 12 and over with a past year major depressive episode, United States, 2005.

1.93b Perception of help received from treatment or counseling for persons age 12 and over with a past year major depressive episode, United States, 2004.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 12 or older with serious mental illness who received mental health treatment or counseling in the past year.

Numerator

Subset of the denominator who experienced improvement.

Comments

Serious mental illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that meets criteria set forth in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and which resulted in functional impairment that significantly impeded one or more major life activities. For further information see AppendixB, Section B.4, of the Results from the 2003 National Survey on Drug Use and Health: National Findings, available at http://www.oas.samhsa.gov.

Measure Title

Persons age 12 or over who needed treatment for any illicit drug use and who received such treatment at a specialty facility in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

1.94 Persons age 12 and over who needed treatment for any illicit drug use and who received such treatment at a specialty facility in the past year, United States, 2003 and 2005.

Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

Denominator

Persons age 12 or older who needed treatment for any illicit drug use.

Numerator

Subset of the denominator who received treatment for illicit drug use at a specialty facility in the past year.

Comments

Treatment at a specialty facility refers to inpatient hospital, inpatient or outpatient rehabilitation facility, or mental health center treating drug use or medical problems associated with drug use.

Respondents were classified as needing treatment for an illicit drug problem if they met any of three criteria during the past year: (1) dependent on any illicit drug, (2)abuse of any illicit drug, or (3) received treatment for an illicit drug problem at a specialty facility. Illicit drugs include marijuana/hashish, cocaine (including crack), inhalants, hallucinogens, heroin, or nonmedical use of prescription psychotherapeutic drugs.

Estimates by family income are only available for persons age 18 or older. Negative or poor refers to household incomes below the Federal poverty line; near poor/low, over the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over. Estimates by education are only available for persons age 18 or older.

Measure Title

Persons age 12 and over who receive substance abuse treatment who complete treatment course.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

1.95 Number of discharges from substance abuse treatment for persons age 12 and over and percent who completed treatment, United States, 2002 and 2004.

Data Source

SAMHSA, Office of Applied Studies, Substance Abuse Treatment Episode Data Set (TEDS).

Denominator

Persons receiving treatment for any illicit drug use at a State-certified facility.

Numerator

Subset of the denominator who completed treatment.