This report, based on the National Survey of Drug Use and Health (NSDUH), found that, in 2007, 8.2 percent of adolescents (an estimated 2.0 million youths aged 12 to 17) experienced at least one major depressive episode (MDE) in the past year, and about two fifths (38.9 percent) of those received treatment for depression in the past year. Among adolescents with past year MDE, those with no health insurance coverage were much less likely than those with Medicaid/Children's Health Insurance Program or private health insurance to have received treatment (17.2 vs. 42.9 and 40.6 percent, respectively). 

Download the report from SAMHSA's OAS here: http://www.oas.samhsa.gov/2k9/youthDepression/MDEandTXTforADOL.pdf 

The SAMHSA Report examines the need for and receipt of alcohol and illicit drug use treatment among young adults in 2007. 

From the report:

“Substance use disorders are preventable and treatable yet we continue as a Nation to allow the lives of 1 in 5 young people and their families be torn apart by substance abuse,” said SAMHSA Acting Administrator, Eric Broderick, D.D.S., M.P.H. 

The report reveals substantial differences among young adults receiving specialized treatment in terms of their medical health insurance coverage. Young adults covered by Medicaid/Children’s Health Insurance Program (CHIP) were more than three times as likely to receive treatment for alcohol or illicit drug use in a specialty facility as were their counterparts with private insurance (13.2 percent versus 4.0 percent).  Young adults without insurance or with other forms of insurance also received treatment at higher levels than those with private insurance (10.6 percent and 8.7 percent respectively).
 
Young Adult’s Need for and Receipt of Alcohol and Illicit Drug Use Treatment: 2007 is based on 2007 data drawn from the National Survey on Drug Use and Health (NSDUH), involving responses from 22,187 persons aged 18 to 25.

Download the full report from SAMHSA here: http://oas.samhsa.gov/2k9/157/YoungAdultsDrugTxTHTML.pdf 

This 2004 report examines mental health and substance abuse service utilization among individuals served by multiple public agencies in Delaware, Oklahoma and Washington. 

From the abstract:

This study examines the extent to which populations with MH and/or SA conditions utilize treatment services through Medicaid and State MH/SA Agencies. Data are from the SAMHSA Integrated Database, a multi-year file for three states combining Medicaid and State MH/SA Agency administrative data into a uniform database. Although populations with co-occurring conditions and those served by both Medicaid and State MH/SA Agencies have substantial contact with the public treatment system, a majority of the MH/SA populations examined here utilize few services over brief periods of time. Utilization is most limited among individuals with MH-only conditions and those served exclusively by Medicaid. While a lack of data on clinical outcomes prevents us from drawing conclusions about the effectiveness of MH/SA services, results of this analysis do indicate that public programs in the states examined here do not provide services that are primarily utilized on a frequent or chronic basis.

Download the full report (PDF): Mental Health and Substance Abuse Treatment Utilization Among Individuals Served by Multiple Public Agencies.pdf (231.15 kb)

This 1999 report provides a detailed description of the activities involved in the development of the Integrated Data Base (IDB), which integrates mental health services, drug and alcohol services, and Medicaid data for three states (Delaware, Oklahoma, and Washington).

Volume 1 describes the general concept of the data base and the detailed design including extensive file definitions and information, flow charts and crosswalks. Separate sections detail the State-specific preprocessing activities, and other aspects of the data base. These are intended to help the researcher understand the approach we took in processing data for each State and data source. Since source data received for this project varied in terms of layout and content, each was processed separately according to the contents of the file. This volume also contains appendixes with detailed information on the selection of the population and contents of the final files.

Volume 2 contains all source code used in processing the data, including programs used to load State data into SAS and routines for linking person-level data. These programs can be viewed in any text editor (such as Notepad, BBEdit, or Emacs). This code is primarily of interest to programmers and other parties interested in how files were processed and constructed. Also included in Volume 2 is the users guide, which provides users of the data base with detailed technical information regarding the structure and composition of the data base. Electronic versions of the data dictionary with State-specific documentation are also included as part of this volume. 

Download Volume 1 (PDF): IDB_Report_Volume_1.pdf (539.03 kb)

Download Volume 2 (PDF): IDB_Report_Volume_2.pdf (195.98 kb)

For this report, published in 2001, the Center for Substance Abuse Treatment (CSAT) and the Center for Mental Health Services (CMHS) of the Substance Abuse and Mental Health Services Administration (SAMHSA) initiated an effort five years ago to integrate Medicaid, State mental health, and State substance abuse agency data. Now under confidentiality agreements with the States, data from this CSAT/CMHS Integrated Data Base (IDB) Project has been analyzed and is the subject of this first report.

The IDB, currently built for the year 1996, assembles information from three types of State organizations – State MH, State SA, and Medicaid agencies. The IDB contains data from these types of organizations on mental health and substance abuse clients, their use of services, and level of expenditures. The IDB is assembled separately for three participating States –Delaware, Oklahoma, and Washington – and links person-level and service-level information across the multiple organizations in each State into one uniform data base.

This report presents findings from analyses of a subset of IDB records - persons with a primary mental or substance abuse disorder who are under age 65. Information about three groups of clients is presented: clients with mental disorders only (MH-only clients), clients with substance abuse disorders only (SA-only clients), and clients with dual MH+SA disorders (MH+SA clients). The study answers questions about the treatment services received by these populations under three different State auspices - the State MH and/or SA agency, Medicaid, or multiple auspices. 

Download the full report (PDF): Mental Health and Substance Abuse Treatment Results from a Study Integrating Data from State Mental Health, Substance Abuse, and Medicaid Agencies.pdf (381.78 kb)

This report is a compilation of papers presented at the State Health System Interoperability Meeting sponsored by the Centers for Medicare and Medicaid Services (CMS) and SAMHSA and held January 24-25, 2007. 

Download the full report (PDF): Increasing Interoperability in Health Information Systems for Medicaid, Mental Health, and Substance Abuse Treatment.pdf (351.56 kb)