Highlights
of Reports on Treatment and Mental Health Issues
Also
see All
mental health reports and data
Also see
mental health treatment tables
Also see
unmet mental health treatment need
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The
NSDUH Report: Serious Psychological Distress and Receipt of
Mental Health Services
SAMHSA's
2007 National Survey on Drug Use & Health (NSDUH) found that 10.9%
of adults aged 18 or older (24.3 million) experienced serious psychological
distress (SPD) in the past year.
Of
the adults who experienced serious psychological distress in the past
year, less than half (44.6%) received mental health services during
that time. Young
adults aged 18 to 25 with serious psychological distress were less
likely than other adults with serious psychological distress to
have received mental health services: 29.4% of those aged 18 to 25;
47.2% of those aged 26 to 49, and 53.8% of those aged 50 or older with
past year serious psychological distress received mental health services
in the past year.
Of
the adults with past year serious psychological distress, 6.9% received
all three types of mental health services (inpatient, outpatient, and
prescription medication), 43.3% received only outpatient services and
prescription medication, and 34.7% received only prescription medication.
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The
NSDUH Report: Major Depressive Episode and Treatment for Depression
among Veterans Aged 21 to 39
Combined
data from SAMHSA's 2004 to 2007 National Surveys on Drug Use and Health
indicate than an annual average of 9.3% (312,000) veterans aged 21 to
39 experienced at least one major depressive episode in the past year.
Among
veterans aged 21 to 39 with a major depressive episode in the past year,
51.7% reported severe impairment in at least one of four role
domains (i.e., home management, work, close relationships with others,
and social life) and 23.5% reported very severe impairment in
at least one of the domains.
More
than half (59.6%) of veterans aged 21 to 39 who experienced a major
depressive episode in the past year received treatment for depression
in the past year.
- The
NSDUH Report: Mental Health Service Use among Youths Aged 12
to 17: 2005 and 2006 Combined
2005 and 2006 data from SAMHSA's National Survey on Drug Use and Health
indicate that an annual average of 3.3 million youths aged 12 to 17
(13.3%) received services for emotional or behavioral problems in a
specialty mental health setting in the past year.
About
3 million youth (12%) received services for emotional or behavioral
problems in a school-based setting, and around 752,000 (3%) received
such services in a general medical setting.
Female
youths were more likely than their male counterparts to receive services
for emotional or behavioral problems in a specialty mental health or
educational setting.
- The
NSDUH Report: Out-of-Home Services for Emotional or Behavioral
Problems among Youths Aged 12 to 17: 2002 to 2006
Combined
2002 to 2006 data from SAMHSA's National Survey on Drug Use and Health
indicate that an estimated 2.6% of youths aged 12 to 17 reported receiving
out-of-home services for emotional or behavioral problems in the past
12 months in a hospital, a residential treatment center or a foster
care or therapeutic foster care setting.
Among
youths aged 12 to 17 who received any type of out-of-home services for
emotional or behavioral problems in the past 12 months, about half reported
staying only for one or two nights.
The
reported length of time spent in out-of-home services settings in the
past year varied by gender; in general, male youths aged 12 to 17 were
more likely to report having stayed for one night, while their female
counterparts were more likely to report having stayed for seven nights
or longer.
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The
NSDUH Report: Serious Psychological Distress Among Adults Aged
50 or Older: 2005 and 2006 Combined
data from SAMHSA's 2005 and 2006 National Surveys on Drug Use &
Health (NSDUH) indicate than an annual average of 7% of adults aged
50 or older experienced serious psychological distress in the past year.
Adults aged 50 to 64 were more likely to experience past year serious
psychological distress than those aged 65 or older (8.8% vs. 4.5%). Adults
aged 50 or older were more likely to experience serious psychological
distress in the past year if they had less than a high school education
than if they were college graduates (10.2% vs. 5.2%), had family incomes
less than $20,000 compared with those with $75,000 or more (11.7% vs.
4.4%), and were without health insurance compared with those with health
insurance (12.3% vs. 6.7%). Over
half (53.7%) of the adults aged 50 or older with past year serious psychological
distress received mental health treatment in the past year, 6.2% did
not receive treatment although they felt they needed it, and 40.1% did
not receive treatment and did not perceive a need for it.
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The
NSDUH Report: Treatment for Past Year Depression among Adults
Based
on SAMHSA's National Survey on Drug Use and Health, 67.4% of the adults
who had experienced at least one major depressive episode during the
past year had received treatment for depression in the past year. The
types of treatment received for depression in the past year by the adults
with past year depression were: 69.4% both talked to a professional
and received medication for their depression, 23.8% only talked to a
professional about their depression, and 6.7% only received medication
for their depression. Perceived helpfulness of their treatment
for depression depended upon which treatment they received. Adults with
depression in the past year who received medication as well as talked
to a professional were most likely to perceive their treatment as extremely
helpful or helped alot.
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The
NSDUH Report: Service Utilization for Mental Health Problems
among Adults
SAMHSA's National Surveys on Drug Use and Health in 2003 through
2005 were combined to assess the receipt of treatment for mental health
problems, the perceived unmet need for such treatment, and the reasons
for not receiving treatment for mental health problems among those with
an unmet need for treatment. Among adults aged 18 or older, 13% (27.9
million persons) received treatment or counseling for mental health
problems in the past 12 months. About 5.1% of all adults and 19.2% of
adults who received treatment for mental health problems in the past
year perceived an unmet need for treatment or counseling for mental
health problems in the past year. Of those adults who perceived an unmet
need for treatment for mental health problems in the past year, 48.1%
reported cost or insurance issues as a barrier to treatment receipt.
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The
NSDUH Report: Substance Use Disorder and Serious Psychological
Distress by Employment Status
Among full time employed adults aged 18 to 64 in SAMHSA's National Survey
on Drug Use and Health, 10.6% were classified as having a past year
substance use disorder, 10.2% experienced serious psychological distress
during the past year, and 2.4% had co-occurring serious psychological
distress and a substance use disorder. Full time employed males in this
age group were nearly twice as likely to have a past year substance
use disorder than their female counterparts (13.2% vs. 6.9%). In contrast,
females were nearly twice as likely to have experienced serious psychological
distress during the past year than were the males (14.2% vs. 7.3%).
Of the 2.9 million adults aged 18 to 64 employed full time who had co-occurring
serious psychological distress and a substance use disorder, nearly
60% were not treated for either problem and less than 5% were treated
for both problems.
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The
New DAWN Report: Emergency Department Visits Involving Patients
with Co-occurring Disorders
During
2004, an estimated 192,690 patients in drug-related emergency department
visits were diagnosed with co-occurring substance use and mental disorders.
When emergency department visits involved co-occurring disorders, 40.4%
were treated and released home or referred to detoxification or other
drug treatment and 42.2% were admitted to inpatient units including
chemical dependency or detoxification units. Of the emergency
department visits with co-occurring diagnosis, the drug most frequently
reported were cocaine (31.8%), alcohol (29.3%), opiates/opioids (18.0%),
and marijuana (16.3%).
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The
New DAWN Report: Disposition of Emergency Department Visits
for Drug-Related Suicide Attempts by Adolescents, 2004
According
to SAMHSA's Drug Abuse Warning Network (DAWN), in 2004 there were
over 15,000 emergency department visits by adolescents aged 12 to 17
whose suicide attempts involved drugs. Pain medications
were involved in about half of the suicide attempts. Almost three
quarters of the drug related suicide attempts were serious enough to
merit the patient's admission to the same hospital or transfer to another
health care facility. Antidepressants or other psychotherapeutic
medications were involved in over 40% of the suicide attempts by adolescents
who were admitted to the hospital.
- The
DASIS Report: Adolescents with Co-Occurring Psychiatric Disorders:
2003
Of
the approximately 78,000 admissions aged 12 to 17 in the 26 States that
reported presence or absence of co-occurring problems to SAMHSA's Treatment
Episode Data Set (TEDS), about 16,000 (21%) were admissions with a co-occurring
psychiatric problem in addition to an alcohol and/or drug problem.
Adolescent
admissions with co-occurring disorders were more likely to be female
than adolescent admissions for only substance use disorders (38% vs.
28%). Nearly
three-quarters of adolescent admissions with co-occurring disorders
were White (72%) compared to half of adolescent admissions for only
substance use disorders (51%). Criminal justice system referrals for
treatment were the most common source of referral for both adolescent
admissions with co-occurring disorders (48%) and adolescent admissions
for only substance use disorders (57%).
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The DASIS Report:
Male Admissions with Co-Occurring Psychiatric and Substance Use Problems,
2003
Of
the approximately 668,000 male admissions in the 29 States that reported
presence or absence of co-occurring problems to SAMHSA's Treatment Episode
Data Set (TEDS), about 103,000 (15%) were male admissions with co-occurring
problems. Male
admissions with co-occurring problems were more likely to report alcohol
as the primary substance of abuse than male admissions for substance
abuse alone (48% vs. 43%). Male
admissions with co-occurring problems were more likely to be White than
were male admissions for substance abuse alone (69% vs. 57%). Only 28%
of male admissions with co-occurring problems were referred to treatment
through the criminal justice system compared to 45% of male admissions
for substance abuse alone.
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The
NSDUH Report: Women with Co-Occurring Serious Mental Illness
and a Substance Use Disorder
Based
on SAMHSA's 2002 National Survey on Drug Use and Health, nearly 2 million
women aged 18 or older were estimated to have both serious mental illness
(SMI) and a substance use disorder during the past year. Women with
co-occurring SMI and a substance use disorder were more likely than
men with co-occurring SMI and a substance use disorder to have received
treatment for a mental disorder and/or specialty substance use treatment
during the past year.
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The NSDUH Report: Adults
with Co-Occurring Serious Mental Illness and a Substance Use Disorder SAMHSA's
2002 National Survey on Drug Use and Health found that 17.5 million
adults aged 18 or older (8%) were estimated to have a serious mental
illness in the past year. About 4 million of the adults with a serious
mental illness in 2002 also were dependent on or abused alcohol or an
illicit drug; that is, they had a co-occurring substance abuse and mental
disorder. More
than half of the adults with co-occurring serious mental illness and
a substance use disorder received neither specialty substance use treatment
nor mental health treatment during the past year. Among adults with
co-occurring disorders, 34% received mental health treatment only, 2%
received specialty substance use treatment only, and 12% received both
mental health and specialty substance use treatment during the past
year.
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The
DASIS Report: Admissions
with Co-Occurring Disorders, 1995 and 2001 Between
1995 and 2001, the proportion of substance abuse treatment admissions
with co-occurring substance abuse and psychiatric disorders reported
to SAMHSA's Treatment Episode Data Set (TEDS) increased from 12% to
16%. The proportion of females among admissions with co-occurring disorders
increased from 38% to 44%, while remaining stable at about 30% among
all other admissions. The proportion of admissions reporting alcohol
as the primary substance of abuse decreased for both admissions with
co-occurring disorders (from 51% to 45%) and all other admissions (from
45% to 38%). However, primary use of opiates increased for admissions
with co-occurring disorders (from 13% to 21%) while remaining stable
for all other admissions at 25%.
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2002
NSDUH: Prevalence and Treatment of Mental Health Problems
Based
on SAMHSA's National Survey on Drug Use & Health (NSDUH), in 2002
there were an estimated 17.5 million adults age 18 or older with a serious
mental illness. An estimated 4 million had both a serious mental
illness and substance abuse or dependence problems during the year,
that is co-occurring disorders or dual diagnosis.
About half of the adults with a serious mental
illness (SMI) received treatment or counseling for a mental health problem
during the past year.
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The NSDUH Report: Reasons
for Not Receiving Treatment Among Adults with Serious Mental Illness
Although
mental disorders account for 4 of the 10 leading causes of disability
in the U.S., SAMHSA's Survey on Drug Use and Health found that less
than half of adults (age 18 and older) with a serious mental illness
received treatment or counseling for a mental health problem during
the past year. More
than 2 million adults with a serious mental illness reported that they
did not receive treatment. Cost of treatment was the primary
reason for not getting mental health treatment. Other
reasons included concerns about stigma, not knowing where to go for
treatment, fear of being committed or having to take medicine, and lack
of time or transportation.
- The
DASIS Report: Services Provided by Substance Abuse Treatment
Facilities Based
on SAMHSA's National Survey of Substance Abuse Treatment Services (N-SSATS),
facilities with a specially designed treatment program were likely to
offer related services. For example, those with a specially designed
treatment program or group for clients with co-occurring substance abuse
and mental health disorders were likely to offer mental health assessment
and pharmacotherapy; those for pregnant women were likely to provide
social services, child care assistance, and domestic violence education;
and those for persons with HIV/AIDS to provide testing services, e.g.,
for HIV, TB, hepatitis, and STD.
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The
NHSDA Report: Treatment Among Adults with Serious Mental Illness Based on SAMHSA's 2001 National Household Survey
on Drug Abuse, less than half of adults with a serious mental illness
(SMI) received treatment or counseling for a mental health problem during
the past year. Among adults with a serious mental
illness, whites were more likely than blacks or Hispanics to have received
treatment or counseling during the past year. The rate of unmet
treatment need among adults with SMI who did not receive mental health
treatment or counseling in the past year was higher among persons aged
18 to 49 than those aged 50 or older. The unmet need also was
higher for females than for males.
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The DASIS Report: Admissions
of Persons with Co-Occurring Disorders, 2000
Co-occurring
disorders admissions were less likely to be in the labor force than
substance abuse only admissions (47 percent vs. 58 percent).
Co-occurring disorders admissions to substance
abuse treatment were more likely to have been referred through alcohol,
drug abuse, and other health care providers. In contrast,
substance abuse only admissions were more likely to have been
referred to treatment by the criminal justice system.
- The
DASIS Report: Primary Focus of Facilities Treating Substance
Abuse Nationally,
61 percent of substance abuse treatment facilities focused on substance
abuse treatment services, 25 percent on a mix of mental health and substance
abuse treatment services, and 9 percent on mental health services, and
5 percent on general health care or other services.
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