Combined 2004 to 2007 data indicate that 9.7 percent of adults aged 18 or older needed treatment for a substance use problem in the past year, and 10.5 percent of those needing substance use treatment received it in the past year in a specialty facility. Approximately 1 in 12 adults (7.5 percent) had a major depressive episode (MDE) in the past year, and 66.1 percent of them received treatment for depression in the past year. Among those in need of substance use treatment, blacks had higher rates of receipt of treatment in a specialty facility than persons of two or more races, Hispanics, whites, and Asians (17.8 vs. 11.9, 11.3, 9.2, and 5.5 percent, respectively). Among adults with past year MDE, whites were more likely to have received treatment than blacks, Hispanics, and Asians (69.6 vs. 57.4, 53.4, and 48.0 percent, respectively), and persons of two or more races were more likely to have received treatment than Hispanics and Asians (65.2 vs. 53.4 and 48.0 percent, respectively).
This TIP, Treatment for Stimulant Use Disorders, offers to treatment providers detailed information on the general effects and medical aspects of stimulant use disorders. Stimulant users have unique treatment needs for which scientifically validated treatment strategies have been developed; these strategies, as well as recommendations for applying them, are described in the TIP. Also addressed are issues that may arise when treating special populations, such as gay men and individuals with coexisting disorders.
The majority of substance abuse treatment facilities operated by a Tribal government (73 percent) or the Indian Health Service (63 percent) were located in rural areas, while the majority of privately operated or State/local/community government-operated facilities that served the American Indian/Alaska Native (AI/AN) population were located in urban areas (62 percent). Substance abuse treatment facilities operated by a Tribal government were more likely to provide only outpatient services than facilities operated by the Indian Health Service or facilities serving the AI/AN populations that were operated by a private organization or a State/local/community government. Forty-three percent of AI/AN facilities offered treatment services in one or more AI/AN languages.
This illustrated handbook contains worksheets, exercises, and information that complement the content presented in treatment sessions, as well as a brief introduction for clients about what to expect from treatment. The handbook supports clients in recovery and engages them as active participants in treatment.
Combined 2002 to 2007 data indicate that an annual average of 8.3 percent (2.6 million) of Hispanics aged 12 or older were in need of alcohol use treatment in the past year, and 3.4 percent (1.1 million) were in need of illicit drug use treatment. Among Hispanics, the prevalence of need for alcohol use treatment was highest among Mexicans (9.2 percent), and the prevalence of need for illicit drug use treatment was highest among Puerto Ricans (6.1 percent). Among Hispanics in need of alcohol use treatment in the past year, 7.7 percent received alcohol treatment in a specialty facility, and 15.1 percent of those in need of illicit drug use treatment received illicit drug treatment in a specialty facility. The need for alcohol use treatment and illicit drug use treatment, as well as the receipt of illicit drug use treatment among those needing it, were more likely among Hispanics born in the United States than among those not born in the United States.
The opportunity for recovery from mental illness is more likely in a society of acceptance. Many Americans are misinformed about mental illness and respond negatively when confronted with a friends mental illness. According to the 2006 HealthStyles Survey conducted by Porter Novelli, fewer than one-third of adults believe a person with mental illness can recover, and about 1 in 4 adults age 18-24 believes a person with mental illness can recover. To help improve awareness about recovery from mental illness, SAMHSA and the Ad Council have developed an anti-stigma campaign, targeted to men and women 18-24 years old, which focuses on friends as a key component of mental health recovery.
In 2006-2007, almost one in twelve (7.9 percent) fathers living with adolescents aged 12 to 17 had an alcohol use disorder, and 68.1 percent used alcohol in the past year but did not have an alcohol use disorder. The rate of past year alcohol use among adolescents was lower for those who lived with a father who did not use alcohol in the past year than for those who lived with a father who used alcohol but did not have an alcohol use disorder and for those who lived with a father with an alcohol use disorder (21.1 vs. 33.2 and 38.8 percent, respectively). The percentage of adolescents using illicit drugs in the past year increased with the level of paternal alcohol use, with illicit drug use reported by 14.0 percent of adolescents who lived with a father who did not use alcohol in the past year, 18.4 percent of those who lived with a father who used alcohol but did not have an alcohol use disorder, and 24.2 percent of those who lived with a father with an alcohol use disorder.
The booklet gives older adults indicators of possible mental health problems and offers them suggestions to address these problems. It also lists national hotlines and Web sites for more information.
The booklet warns older adults about misusing alcohol and medication and offers signals that may indicate an alcohol- or medication-related problem. It also provides steps people can take if they recognize they have a problem.
Written for health and human services professionals who do not work directly in the substance abuse treatment and prevention fields, this fact sheet defines alcohol problems, abuse, and dependence. It establishes criteria for identifying alcohol dependence and explains treatment approaches.
This TIP, Screening and Assessing Adolescents for Substance Use Disorders, presents information on identifying, screening, and assessing adolescents who use substances. The TIP focuses on the most current procedures and instruments for detecting substance abuse among adolescents, conducting comprehensive assessments, and beginning treatment planning.
TAP 31: Implementing Change in Substance Abuse Treatment Programs provides guidance on integrating evidence-based practices (EBPs) into substance abuse treatment programs. Written for substance abuse treatment administrators, managers, and supervisors, TAP 31 suggests practical and efficient approaches for introducing and implementing EBPs. It includes steps for assessing an organization's readiness to adopt new practices, identifying priorities in adopting EBPs, evaluating progress, and sustaining change overtime. This TAP complements the best practices described in the Center for Substance Abuse Treatment's Treatment Improvement Protocols.
About one fifth of young adults aged 18 to 25 (21.1 percent) were classified as needing treatment for alcohol or illicit drug use; 17.2 percent were in need of alcohol use treatment, 8.4 percent were in need of illicit drug use treatment, and 4.4 percent were in need of both alcohol and illicit drug use treatment. Less than one tenth (7.0 percent) of the young adults who were in need of alcohol or illicit drug use treatment in the past year received it at a specialty facility in the past year. Of the young adults who needed but did not receive alcohol or illicit drug use treatment in a specialty facility in the past year, 96.0 percent did not perceive the need. Less than one third of the young adults who did not receive treatment in a specialty facility but thought they needed it made an attempt to obtain it.
This guide is a companion document to TIP 24. It provides care clinicians with quick, easy access to assessment tools and other vital field-related information.
This report presents results from the Treatment Episode Data Set (TEDS) for approximately 1.5 million discharges from substance abuse treatment in 2006. The report provides information on treatment completion, length of stay in treatment, and demographic and substance abuse characteristics of discharges from alcohol or drug treatment facilities that reported to individual State administrative data systems. Data are presented for specific service types rather than for treatment episodes, which can involve treatment in multiple service types.
TIP 41: Treatment Improvement Protocol, Substance Abuse Treatment: Group Therapy, presents an overview of the role and efficacy of group therapy in substance abuse treatment. Developed through a collaborative, consensus-based process, TIP 41 provides critical research and clinical findings and distills them into practical guidelines for practitioners who utilize group therapy in substance abuse treatment settings. In illustrating the most commonly used types of group therapy, TIP 41 is designed to help treatment professionals expand their awareness and comprehension of dynamics that commonly occur in treatment groups. These insights will prepare councelors to manage their groups and help individual members.
Research consistently shows a high prevalence of suicidal thoughts and suicide attempts among persons with substance abuse problems who are in treatment. TIP 50, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment is designed to assist substance abuse counselors in working with adult clients who may be suicidal, and will help clinical supervisors and administrators support the work of substance abuse counselors. Part I, for counselors, provides the "what" and the "why" and the "how" of working with clients in substance abuse treatment with suicidal thoughts and behaviors. It covers background information about suicide and substance use disorders, including risk factors and warning signs for suicide and a four-step process for addressing suicidal thoughts and behaviors. Part 2, for administrators, clarifies why program administrators should be concerned about this clinical issue. Part 3 is for clinical supervisors, interested counselors, and administrators and consists of three sections: an analysis of the available literature, an annotated bibliography and a general bibliography. Part 3 is available only on line at www.kap.samhsa.gov.
Combined 2002 to 2007 data show that past month alcohol use among women aged 18 to 44 was highest for those who were not pregnant and did not have children living in the household (63.0 percent) but comparatively low for women in the first trimester of pregnancy (19.0 percent), and even lower for those in the second (7.8 percent) or third trimester (6.2 percent); similar patterns were seen with marijuana, cigarette, and binge alcohol use. Data suggest that use of these substances increases following childbirth; for example, marijuana use was higher for recent mothers with children under 3 months old in the household (3.8 percent) than for women in the third trimester of pregnancy (1.4 percent), suggesting resumption of use among mothers in the first 3 months after childbirth.
In 2007, most youths aged 12 to 17 believed that their parents would strongly disapprove of their having one or two drinks of an alcoholic beverage nearly every day (89.6 percent), smoking one or more packs of cigarettes per day (92.1 percent), and using marijuana or hashish once a month or more (93.3 percent). The majority of youths indicated that their parents were involved in their day-to-day activities; for example, 86.2 percent said their parents always or sometimes let them know when they had done a good job, and 80.9 percent of those who were in school said their parents always or sometimes provided help with homework. Youths' perceptions of parental disapproval of their substance use as well as parental involvement generally decreased with age; for example, 95.8 percent of 12 or 13 year olds compared with 93.4 percent of 14 or 15 year olds and 87.4 percent of 16 or 17 year olds thought their parents would strongly disapprove of their smoking one or more packs of cigarettes per day.
Combined 2004 to 2007 data indicate that 9.7 percent of adults aged 18 or older needed treatment for a substance use problem in the past year, and 10.5 percent of those needing substance use treatment received it in the past year in a specialty facility. Approximately 1 in 12 adults (7.5 percent) had a major depressive episode (MDE) in the past year, and 66.1 percent of them received treatment for depression in the past year. Among those in need of substance use treatment, blacks had higher rates of receipt of treatment in a specialty facility than persons of two or more races, Hispanics, whites, and Asians (17.8 vs. 11.9, 11.3, 9.2, and 5.5 percent, respectively). Among adults with past year MDE, whites were more likely to have received treatment than blacks, Hispanics, and Asians (69.6 vs. 57.4, 53.4, and 48.0 percent, respectively), and persons of two or more races were more likely to have received treatment than Hispanics and Asians (65.2 vs. 53.4 and 48.0 percent, respectively).
The opportunity for recovery from mental illness is more likely in a society of acceptance. Many Americans are misinformed about mental illness and respond negatively when confronted with a friends mental illness. According to the 2006 HealthStyles Survey conducted by Porter Novelli, fewer than one-third of adults believe a person with mental illness can recover, and about 1 in 4 adults age 18-24 believes a person with mental illness can recover. To help improve awareness about recovery from mental illness, SAMHSA and the Ad Council have developed an anti-stigma campaign, targeted to men and women 18-24 years old, which focuses on friends as a key component of mental health recovery.
In 2006-2007, almost one in twelve (7.9 percent) fathers living with adolescents aged 12 to 17 had an alcohol use disorder, and 68.1 percent used alcohol in the past year but did not have an alcohol use disorder. The rate of past year alcohol use among adolescents was lower for those who lived with a father who did not use alcohol in the past year than for those who lived with a father who used alcohol but did not have an alcohol use disorder and for those who lived with a father with an alcohol use disorder (21.1 vs. 33.2 and 38.8 percent, respectively). The percentage of adolescents using illicit drugs in the past year increased with the level of paternal alcohol use, with illicit drug use reported by 14.0 percent of adolescents who lived with a father who did not use alcohol in the past year, 18.4 percent of those who lived with a father who used alcohol but did not have an alcohol use disorder, and 24.2 percent of those who lived with a father with an alcohol use disorder.
The booklet gives older adults indicators of possible mental health problems and offers them suggestions to address these problems. It also lists national hotlines and Web sites for more information.
The booklet warns older adults about misusing alcohol and medication and offers signals that may indicate an alcohol- or medication-related problem. It also provides steps people can take if they recognize they have a problem.
Written for health and human services professionals who do not work directly in the substance abuse treatment and prevention fields, this fact sheet defines alcohol problems, abuse, and dependence. It establishes criteria for identifying alcohol dependence and explains treatment approaches.
TAP 31: Implementing Change in Substance Abuse Treatment Programs provides guidance on integrating evidence-based practices (EBPs) into substance abuse treatment programs. Written for substance abuse treatment administrators, managers, and supervisors, TAP 31 suggests practical and efficient approaches for introducing and implementing EBPs. It includes steps for assessing an organization's readiness to adopt new practices, identifying priorities in adopting EBPs, evaluating progress, and sustaining change overtime. This TAP complements the best practices described in the Center for Substance Abuse Treatment's Treatment Improvement Protocols.
About one fifth of young adults aged 18 to 25 (21.1 percent) were classified as needing treatment for alcohol or illicit drug use; 17.2 percent were in need of alcohol use treatment, 8.4 percent were in need of illicit drug use treatment, and 4.4 percent were in need of both alcohol and illicit drug use treatment. Less than one tenth (7.0 percent) of the young adults who were in need of alcohol or illicit drug use treatment in the past year received it at a specialty facility in the past year. Of the young adults who needed but did not receive alcohol or illicit drug use treatment in a specialty facility in the past year, 96.0 percent did not perceive the need. Less than one third of the young adults who did not receive treatment in a specialty facility but thought they needed it made an attempt to obtain it.
This guide is a companion document to TIP 24. It provides care clinicians with quick, easy access to assessment tools and other vital field-related information.
Combined 2002 to 2007 data show that past month alcohol use among women aged 18 to 44 was highest for those who were not pregnant and did not have children living in the household (63.0 percent) but comparatively low for women in the first trimester of pregnancy (19.0 percent), and even lower for those in the second (7.8 percent) or third trimester (6.2 percent); similar patterns were seen with marijuana, cigarette, and binge alcohol use. Data suggest that use of these substances increases following childbirth; for example, marijuana use was higher for recent mothers with children under 3 months old in the household (3.8 percent) than for women in the third trimester of pregnancy (1.4 percent), suggesting resumption of use among mothers in the first 3 months after childbirth.