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100719
Table 2.1A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Age Group: Numbers in Thousands, 2008 and 2009
Source of Mental Health Service1 Total
(2008)
Total
(2009)
Aged 12-13
(2008)
Aged 12-13
(2009)
Aged 14-15
(2008)
Aged 14-15
(2009)
Aged 16-17
(2008)
Aged 16-17
(2009)
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive.
2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
5 A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
6 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
SPECIALTY MENTAL HEALTH 3,126a 2,920 983a 851 1,111 1,043 1,032 1,026
Outpatient 2,811 2,635 878 778 991 925 942 932
Private Therapist, Psychologist,
Psychiatrist, Social Worker, or
Counselor
2,386 2,281 698 647 847 804 842 830
Mental Health Clinic or Center 560 533 127 161 219 190 214 182
Partial Day Hospital or Day
Treatment Program
370 339 118 105 153 128 99 106
In-Home Therapist, Counselor, or
Family Preservation Worker
707 651 274 221 223 210 210 220
Inpatient or Residential (Overnight or
Longer Stay)
598 565 181 137 224 223 192 205
Hospital 462 435 141 104 174 175 148 156
Residential Treatment Center 195 211 53 47 64 77 77 88
Foster Care or Therapeutic Foster
Care Home
118 92 33 22 46 38 39 32
EDUCATION2,3 -- 2,919 -- 965 -- 1,107 -- 846
School Social Worker, School
Psychologist, or School Counselor
-- 2,276 -- 768 -- 866 -- 642
Special School or Program
within a Regular School for Students
with Emotional or Behavioral Problems
-- 970 -- 301 -- 389 -- 280
MEDICAL                
Pediatrician or Other Family Doctor 706a 603 214 165 240 199 252 239
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4 -- 1,190 -- 376 -- 425 -- 388
JUVENILE JUSTICE5                
Juvenile Detention Center, Prison, or Jail6 -- 109 -- 21 -- 32 -- 56
100719
Table 2.1B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Age Group: Percentages, 2008 and 2009
Source of Mental Health Service1 Total
(2008)
Total
(2009)
Aged 12-13
(2008)
Aged 12-13
(2009)
Aged 14-15
(2008)
Aged 14-15
(2009)
Aged 16-17
(2008)
Aged 16-17
(2009)
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive.
2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
5 A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
6 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
SPECIALTY MENTAL HEALTH 12.7 12.0 12.9 11.6 13.3 12.3 12.0 12.1
Outpatient 11.4 10.8 11.4 10.6 11.8 10.9 11.0 11.0
Private Therapist, Psychologist,
Psychiatrist, Social Worker, or
Counselor
9.7 9.3 9.1 8.7 10.1 9.5 9.8 9.8
Mental Health Clinic or Center 2.3 2.2 1.6 2.2 2.6 2.2 2.5 2.1
Partial Day Hospital or Day
Treatment Program
1.5 1.4 1.5 1.4 1.8 1.5 1.2 1.2
In-Home Therapist, Counselor, or
Family Preservation Worker
2.9 2.7 3.6 3.0 2.7 2.5 2.4 2.6
Inpatient or Residential (Overnight or
Longer Stay)
2.4 2.3 2.4 1.8 2.7 2.6 2.2 2.4
Hospital 1.9 1.8 1.8 1.4 2.1 2.1 1.7 1.8
Residential Treatment Center 0.8 0.9 0.7 0.6 0.8 0.9 0.9 1.0
Foster Care or Therapeutic Foster
Care Home
0.5 0.4 0.4 0.3 0.5 0.4 0.5 0.4
EDUCATION2,3 -- 12.1 -- 13.3 -- 13.1 -- 10.0
School Social Worker, School
Psychologist, or School Counselor
-- 9.4 -- 10.5 -- 10.2 -- 7.6
Special School or Program
within a Regular School for Students
with Emotional or Behavioral Problems
-- 4.0 -- 4.1 -- 4.6 -- 3.3
MEDICAL                
Pediatrician or Other Family Doctor 2.9a 2.5 2.8 2.2 2.9 2.3 2.9 2.8
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4 -- 4.9 -- 5.1 -- 5.0 -- 4.6
JUVENILE JUSTICE5                
Juvenile Detention Center, Prison, or Jail6 -- 0.4 -- 0.3 -- 0.4 -- 0.7
100719
Table 2.2A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2008 and 2009
Demographic Characteristic SPECIALTY MENTAL HEALTH SERVICE EDUCATION3,4 MEDICAL5 SPECIALTY
MENTAL
HEALTH AND
EDUCATION OR
MEDICAL4,6
JUVENILE
JUSTICE7
Total Outpatient1 Inpatient or
Residential2
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker.
2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home.
3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
5 Includes treatment/counseling from a pediatrician or other family doctor.
6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 3,126a 2,920 2,811 2,635 598 565 -- 2,919 706a 603 -- 1,190 -- 109
GENDER                            
Male 1,349 1,249 1,170 1,066 292 300 -- 1,306 324a 252 -- 453 -- 65
Female 1,778 1,671 1,641 1,569 306 265 -- 1,613 382 350 -- 737 -- 44
AGE GROUP                            
12-13 983a 851 878 778 181 137 -- 965 214 165 -- 376 -- 21
14-15 1,111 1,043 991 925 224 223 -- 1,107 240 199 -- 425 -- 32
16-17 1,032 1,026 942 932 192 205 -- 846 252 239 -- 388 -- 56
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 2,580 2,439 2,356 2,205 462 452 -- 2,331 576a 492 -- 973 -- 72
White 1,994a 1,819 1,847a 1,684 317 288 -- 1,549 457a 366 -- 728 -- 40
Black or African American 413 444 354 362 109 122 -- 594 81 94 -- 174 -- 24
American Indian or Alaska Native 22 19 17 18 9 5 -- 14 5 1 -- 5 -- 1
Native Hawaiian or Other Pacific Islander * * * * * * -- * * * -- * -- *
Asian 69 64 61 55 10 15 -- 99 11 11 -- 26 -- 0
Two or More Races 74 86 71 78 15 22 -- 70 15 20 -- 39 -- 6
Hispanic or Latino 546 481 455 430 136 113 -- 587 130 110 -- 217 -- 37
100719
Table 2.2B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2008 and 2009
Demographic Characteristic SPECIALTY MENTAL HEALTH SERVICE EDUCATION3,4 MEDICAL5 SPECIALTY
MENTAL
HEALTH AND
EDUCATION OR
MEDICAL4,6
JUVENILE
JUSTICE7
Total Outpatient1 Inpatient or
Residential2
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker.
2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home.
3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
5 Includes treatment/counseling from a pediatrician or other family doctor.
6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 12.7 12.0 11.4 10.8 2.4 2.3 -- 12.1 2.9a 2.5 -- 4.9 -- 0.4
GENDER                            
Male 10.7 10.1 9.3 8.6 2.3 2.4 -- 10.6 2.6a 2.0 -- 3.7 -- 0.5
Female 14.8 14.0 13.6 13.1 2.5 2.2 -- 13.6 3.2 2.9 -- 6.2 -- 0.4
AGE GROUP                            
12-13 12.9 11.6 11.4 10.6 2.4 1.8 -- 13.3 2.8 2.2 -- 5.1 -- 0.3
14-15 13.3 12.3 11.8 10.9 2.7 2.6 -- 13.1 2.9 2.3 -- 5.0 -- 0.4
16-17 12.0 12.1 11.0 11.0 2.2 2.4 -- 10.0 2.9 2.8 -- 4.6 -- 0.7
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 12.9 12.4 11.8 11.3 2.3 2.3 -- 11.9 2.9 2.5 -- 5.0 -- 0.4
White 13.7 12.8 12.7 11.8 2.2 2.0 -- 10.9 3.1a 2.6 -- 5.1 -- 0.3
Black or African American 11.1 12.2 9.5 9.9 2.9 3.3 -- 16.4 2.2 2.6 -- 4.8 -- 0.7
American Indian or Alaska Native 16.4 14.9 12.6 14.5 6.6 3.9 -- 10.8 3.6 1.1 -- 3.9 -- 0.6
Native Hawaiian or Other Pacific Islander * * * * * * -- * * * -- * -- *
Asian 7.3 6.6 6.4 5.7 1.0 1.5 -- 10.3 1.1 1.1 -- 2.6 -- 0.0
Two or More Races 14.9 16.4 14.4 14.9 3.0 4.1 -- 13.5 3.0 3.8 -- 7.4 -- 1.1
Hispanic or Latino 11.7 10.2 9.7 9.1 2.9 2.4 -- 12.6 2.8 2.3 -- 4.6 -- 0.8
100719
Table 2.3A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008 and 2009
Geographic/Socioeconomic
Characteristic
SPECIALTY MENTAL HEALTH SERVICE EDUCATION3,4 MEDICAL5 SPECIALTY
MENTAL
HEALTH AND
EDUCATION OR
MEDICAL4,6
JUVENILE
JUSTICE7
Total Outpatient1 Inpatient or
Residential2
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker.
2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home.
3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
5 Includes treatment/counseling from a pediatrician or other family doctor.
6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
8 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 3,126a 2,920 2,811 2,635 598 565 -- 2,919 706a 603 -- 1,190 -- 109
GEOGRAPHIC REGION                            
Northeast 609 551 575 510 83 91 -- 549 111 102 -- 242 -- 16
Midwest 707 689 634 615 160 131 -- 681 159 136 -- 285 -- 28
South 1,026 987 905 857 199 234 -- 1,023 273 242 -- 402 -- 36
West 785 693 697 652 156a 110 -- 666 163 123 -- 261 -- 29
COUNTY TYPE                            
Large Metro 1,638 1,567 1,492 1,417 282 281 -- 1,583 310 273 -- 623 -- 53
Small Metro 971 916 878 834 190 169 -- 907 258 209 -- 374 -- 38
250K - 1 Mil. Pop. 640 618 588 563 102 114 -- 622 152 135 -- 248 -- 27
< 250K Pop. 332 297 290 271 88 56 -- 285 107a 74 -- 126 -- 11
Nonmetro 516a 437 441 384 126 115 -- 429 138 122 -- 193 -- 18
Urbanized 225 203 204 186 46 44 -- 194 62 53 -- 89 -- 7
Less Urbanized 253 201 201 166 71 64 -- 194 66 66 -- 93 -- 10
Completely Rural 39 34 35 32 8 7 -- 41 10 3 -- 11 -- 1
FAMILY INCOME                            
Less Than $20,000 562 528 463 431 161 154 -- 585 129 113 -- 207 -- 34
$20,000 - $49,999 999 914 875 811 233 207 -- 1,014 215 208 -- 426 -- 53
$50,000 - $74,999 514 502 472 459 77 83 -- 434 105 84 -- 191 -- 16
$75,000 or More 1,051 976 999 933 127 121 -- 886 257a 198 -- 366 -- 6
GOVERNMENT ASSISTANCE8                            
Yes 744 772 640 648 201 216 -- 822 177 164 -- 318 -- 53
No 2,382a 2,148 2,171a 1,987 397 349 -- 2,097 529a 439 -- 872 -- 56
100719
Table 2.3B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Percentages, 2008 and 2009
Geographic/Socioeconomic
Characteristic
SPECIALTY MENTAL HEALTH SERVICE EDUCATION3,4 MEDICAL5 SPECIALTY
MENTAL
HEALTH AND
EDUCATION OR
MEDICAL4,6
JUVENILE
JUSTICE7
Total Outpatient1 Inpatient or
Residential2
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker.
2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home.
3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
5 Includes treatment/counseling from a pediatrician or other family doctor.
6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
8 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 12.7 12.0 11.4 10.8 2.4 2.3 -- 12.1 2.9a 2.5 -- 4.9 -- 0.4
GEOGRAPHIC REGION                            
Northeast 14.1 13.0 13.3 12.0 1.9 2.1 -- 13.0 2.5 2.4 -- 5.7 -- 0.4
Midwest 13.0 12.9 11.6 11.5 2.9 2.4 -- 12.8 2.9 2.5 -- 5.3 -- 0.5
South 11.5 11.1 10.1 9.6 2.2 2.6 -- 11.5 3.0 2.7 -- 4.5 -- 0.4
West 13.3 11.9 11.8 11.2 2.6a 1.9 -- 11.5 2.8 2.1 -- 4.5 -- 0.5
COUNTY TYPE                            
Large Metro 12.5 12.2 11.4 11.0 2.1 2.2 -- 12.4 2.4 2.1 -- 4.8 -- 0.4
Small Metro 13.2 12.1 11.9 11.0 2.6 2.2 -- 12.0 3.5a 2.7 -- 4.9 -- 0.5
250K - 1 Mil. Pop. 13.1 12.2 12.0 11.1 2.1 2.2 -- 12.3 3.1 2.7 -- 4.9 -- 0.5
< 250K Pop. 13.4 11.7 11.7 10.7 3.5a 2.2 -- 11.3 4.3a 2.9 -- 5.0 -- 0.4
Nonmetro 12.5 11.3 10.7 9.9 3.0 2.9 -- 11.1 3.3 3.1 -- 5.0 -- 0.5
Urbanized 12.7 11.9 11.5 10.9 2.6 2.5 -- 11.4 3.5 3.1 -- 5.2 -- 0.4
Less Urbanized 12.7 11.3 10.1 9.3 3.5 3.6 -- 11.0 3.3 3.7 -- 5.2 -- 0.6
Completely Rural 10.8 8.6 9.6 8.1 2.3 1.9 -- 10.4 2.8 0.8 -- 2.9 -- 0.2
FAMILY INCOME                            
Less Than $20,000 15.3 13.5 12.6 11.0 4.4 3.9 -- 15.2 3.5 2.9 -- 5.3 -- 0.9
$20,000 - $49,999 13.1 12.4 11.5 11.0 3.0 2.8 -- 13.8 2.8 2.8 -- 5.8 -- 0.7
$50,000 - $74,999 11.3 11.4 10.3 10.4 1.7 1.9 -- 9.9 2.3 1.9 -- 4.3 -- 0.4
$75,000 or More 12.0 11.3 11.4 10.8 1.4 1.4 -- 10.3 2.9a 2.3 -- 4.2 -- 0.1
GOVERNMENT ASSISTANCE8                            
Yes 16.0 14.7 13.7 12.4 4.3 4.1 -- 15.8 3.8 3.1 -- 6.1 -- 1.0
No 11.9 11.3 10.9 10.4 2.0 1.8 -- 11.0 2.6 2.3 -- 4.6 -- 0.3
100719
Table 2.4A – Past Year Receipt of Mental Health Services and Reasons for Receiving Most Recent Mental Health Service in the Past Year among Persons Aged 12 to 17 Who Received Respective Mental Health Services in the Past Year: Numbers in Thousands, 2008 and 2009
Reason for Receipt of
Mental Health Services1
SPECIALTY MENTAL HEALTH SERVICE EDUCATION4,5 MEDICAL6 SPECIALTY
MENTAL HEALTH
AND EDUCATION
OR MEDICAL5,7
Total Outpatient2 Inpatient or
Residential3
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents were asked the reasons for the last time they received mental health care from each of the reported mental health services and could indicate multiple reasons for the last time they received mental health care; thus, these response categories are not mutually exclusive. Respondents who did not indicate receiving mental health care from a particular mental health service category for any of the reasons listed in this table were excluded for that service.
2 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker.
3 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home.
4 The Received Mental Health Services estimate includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. The Reason for Receipt of Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling or reasons for mental health care from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
5 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
6 Includes treatment/counseling from a pediatrician or other family doctor.
7 The Received Mental Health Services estimate includes receipt of any specialty mental health services and receipt of any services from either education or medical sources. The Reason for Receipt of Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems.
8 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known.
9 Respondent reported in the other-specify question that he or she has been diagnosed with a mental or neurological disorder as a reason for having received mental health treatment/counseling. This reason is one of the most commonly reported other reasons for having received treatment/counseling.
10 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Treatment/Counseling were classified as not having received treatment/ counseling for Some Other Reason.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
RECEIVED MENTAL HEALTH SERVICES8 3,126a 2,920 2,811 2,635 598 565 -- 2,919 706a 603 -- 1,190
Thought about Killing Self or Tried to Kill Self 539 533 486 469 147 153 -- 203 103 74 -- 141
Felt Depressed 1,356a 1,190 1,289b 1,111 167 209 -- 780 230 238 -- 424
Felt Very Afraid and Tense 562 513 533 487 63 66 -- 353 95 106 -- 165
Had Eating Problems 252 205 228 179 48 39 -- 91 85 56 -- 50
Had Other Diagnosed Mental/ Neurological Disorder9 58 66 54 64 4 3 -- 11 26 21 -- 4
Broke Rules and "Acted Out" 714 673 668 622 101 103 -- 535 104a 69 -- 190
Had Trouble Controlling Anger 449 447 419 425 49 42 -- 263 63 53 -- 114
Got into Physical Fights 130 156 116 131 19 29 -- 135 21 11 -- 44
Had Problems with Home/Family 796 716 754 688 66 44 -- 382 76 59 -- 147
Had Problems with Friends 384 339 371 329 19 16 -- 451 25 37 -- 113
Had Problems with People Other Than Family/Friends 272 229 259 223 24 14 -- 226 36 20 -- 55
Had Problems at School 522 492 485 461 56 42 -- 453 85 67 -- 139
Some Other Reason10 275 286 230 266 57a 25 -- 184 79 52 -- 36
100719
Table 2.4B – Past Year Receipt of Mental Health Services and Reasons for Receiving Most Recent Mental Health Service in the Past Year among Persons Aged 12 to 17 Who Received Respective Mental Health Services in the Past Year: Percentages, 2008 and 2009
Reason for Receipt of
Mental Health Services1
SPECIALTY MENTAL HEALTH SERVICE EDUCATION4,5 MEDICAL6 SPECIALTY
MENTAL HEALTH
AND EDUCATION
OR MEDICAL5,7
Total Outpatient2 Inpatient or
Residential3
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents were asked the reasons for the last time they received mental health care from each of the reported mental health services and could indicate multiple reasons for the last time they received mental health care; thus, these response categories are not mutually exclusive. Respondents who did not indicate receiving mental health care from a particular mental health service category for any of the reasons listed in this table were excluded for that service.
2 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker.
3 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home.
4 The Received Mental Health Services estimate includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. The Reason for Receipt of Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling or reasons for mental health care from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
5 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
6 Includes treatment/counseling from a pediatrician or other family doctor.
7 The Received Mental Health Services estimate includes receipt of any specialty mental health services and receipt of any services from either education or medical sources. The Reason for Receipt of Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems.
8 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known.
9 Respondent reported in the other-specify question that he or she has been diagnosed with a mental or neurological disorder as a reason for having received mental health treatment/counseling. This reason is one of the most commonly reported other reasons for having received treatment/counseling.
10 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Treatment/Counseling were classified as not having received treatment/ counseling for Some Other Reason.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
RECEIVED MENTAL HEALTH SERVICES8 12.7 12.0 11.4 10.8 2.4 2.3 -- 12.1 2.9a 2.5 -- 4.9
Thought about Killing Self or Tried to Kill Self 19.6 20.7 18.7 19.3 35.4 37.5 -- 9.4 17.1 15.0 -- 13.4
Felt Depressed 48.6 46.0 49.0 45.6 39.9a 51.4 -- 36.2 38.2a 48.0 -- 40.8
Felt Very Afraid and Tense 20.4 19.9 20.5 20.0 15.1 16.3 -- 16.4 15.9 21.3 -- 15.7
Had Eating Problems 9.2 8.0 8.8 7.4 11.6 9.7 -- 4.3 14.2 11.3 -- 4.7
Had Other Diagnosed Mental/ Neurological Disorder9 2.1 2.6 2.1 2.6 0.9 0.6 -- 0.5 4.4 4.3 -- 0.4
Broke Rules and "Acted Out" 25.7 26.1 25.5 25.6 24.3 25.2 -- 24.9 17.4 14.0 -- 18.1
Had Trouble Controlling Anger 16.3 17.3 16.1 17.4 11.8 10.3 -- 12.2 10.6 10.7 -- 10.9
Got into Physical Fights 4.8 6.1 4.5 5.4 4.5 7.1 -- 6.3 3.6 2.2 -- 4.2
Had Problems with Home/Family 28.9 27.8 28.9 28.3 16.0 11.0 -- 17.8 12.7 11.9 -- 14.2
Had Problems with Friends 14.0 13.2 14.3 13.6 4.7 4.1 -- 21.0 4.2 7.5 -- 10.8
Had Problems with People Other Than Family/Friends 9.9 8.9 10.0 9.2 5.7 3.4 -- 10.5 6.1 4.0 -- 5.2
Had Problems at School 18.9 19.1 18.6 19.0 13.3 10.5 -- 21.1 14.1 13.6 -- 13.3
Some Other Reason10 10.0 11.2 8.8 11.0 13.8a 6.3 -- 8.6 13.2 10.5 -- 3.4
100609
Table 2.5A – Number of Visits or Overnight Stays in the Past Year for Specialty Mental Health Services among Persons Aged 12 to 17 Who Received Respective Specialty Mental Health Services in the Past Year: Numbers in Thousands, 2008 and 2009
Source of Specialty
Mental Health Service1
NUMBER OF VISITS OR OVERNIGHT STAYS FOR SPECIALTY MENTAL HEALTH SERVICES
1 2 3-6 7-24 25 or More
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
NOTE: Receipt of specialty mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of specialty mental health service information or unknown number of visits/stays were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
SPECIALTY MENTAL HEALTH 569 566 423 365 754 667 657 594 356 360
Outpatient 456 473 394 341 726 651 626 562 296 293
Private Therapist, Psychologist,
Psychiatrist, Social Worker, or
Counselor
504 502 318 299 645 599 504 466 184 176
Mental Health Clinic or Center 167 152 82 68 96a 140 140a 86 25 35
Partial Day Hospital or Day
Treatment Program
133 112 64 60 62 47 65 66 14 16
In-Home Therapist, Counselor, or
Family Preservation Worker
177 187 111 90 170 142 134 105 37 47
Inpatient or Residential (Overnight or
Longer Stay)
187 168 71 51 92 116 101 87 67 73
Hospital 201 174 48 49 73 97 75 53 20 21
Residential Treatment Center 63 62 13 22 33 31 43 45 24 35
Foster Care or Therapeutic Foster
Care Home
19 * * * * * * * * *
100609
Table 2.5B – Number of Visits or Overnight Stays in the Past Year for Specialty Mental Health Services among Persons Aged 12 to 17 Who Received Respective Specialty Mental Health Services in the Past Year: Percentages, 2008 and 2009
Source of Specialty
Mental Health Service1
NUMBER OF VISITS OR OVERNIGHT STAYS FOR SPECIALTY MENTAL HEALTH SERVICES
1 2 3-6 7-24 25 or More
2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
*Low precision; no estimate reported.
NOTE: Receipt of specialty mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of specialty mental health service information or unknown number of visits/stays were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
SPECIALTY MENTAL HEALTH 20.6 22.2 15.3 14.3 27.3 26.1 23.8 23.3 12.9 14.1
Outpatient 18.3 20.4 15.8 14.7 29.1 28.1 25.1 24.2 11.8 12.6
Private Therapist, Psychologist,
Psychiatrist, Social Worker, or
Counselor
23.4 24.6 14.8 14.6 29.9 29.3 23.4 22.8 8.6 8.6
Mental Health Clinic or Center 32.7 31.6 16.1 14.2 18.9b 29.1 27.5b 17.8 4.8 7.3
Partial Day Hospital or Day
Treatment Program
39.4 37.3 18.9 20.0 18.2 15.6 19.2 22.0 4.3 5.2
In-Home Therapist, Counselor, or
Family Preservation Worker
28.2 32.7 17.6 15.7 27.0 24.8 21.4 18.5 5.8 8.3
Inpatient or Residential (Overnight or
Longer Stay)
36.0 34.0 13.7 10.3 17.7 23.4 19.6 17.5 13.0 14.7
Hospital 48.2 44.2 11.6 12.5 17.5 24.7 18.0 13.3 4.7 5.3
Residential Treatment Center 36.1 31.6 7.4 11.4 18.5 15.8 24.5 23.2 13.5 18.0
Foster Care or Therapeutic Foster
Care Home
18.1 * * * * * * * * *
100607
Table 2.6A – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Gender and Detailed Age Category: Numbers in Thousands, 2008 and 2009
Gender/Age Had MDE
(2008)
Had MDE
(2009)
Had MDE
with Severe
Impairment1
(2008)
Had MDE
with Severe
Impairment1
(2009)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE2
(2008)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE2
(2009)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE with
Severe
Impairment1,2
(2008)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE with
Severe
Impairment1,2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents with unknown Severe Impairment data were excluded.
2 Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 2,014 1,950 1,452 1,401 758 674 617 539
12 143 127 93 92 47 38 * *
13 220 203 144 141 75 62 54 47
14 310 287 233 194 98 84 77 61
15 393 452 270 326 138 159 117 121
16 496a 411 374a 301 215b 146 181a 129
17 451 470 338 348 186 185 153 151
MALE 538 574 358 390 181 167 131 132
12 52 33 32 16 * * * *
13 62 44 37 35 * * * *
14 81 74 64 47 * * * *
15 88b 146 51b 90 * 34 * *
16 118 128 89 96 * 38 * *
17 136 149 85 106 45 52 * *
FEMALE 1,476 1,376 1,094 1,011 577 507 486 408
12 92 95 61 76 * * * *
13 158 159 107 106 53 50 * *
14 229 213 169 147 79 63 59 47
15 305 306 219 236 112 124 101 98
16 377b 283 285b 205 161a 108 139a 96
17 315 321 253 241 141 132 119 109
100607
Table 2.6B – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Gender and Detailed Age Category: Percentages, 2008 and 2009
Gender/Age Had MDE
(2008)
Had MDE
(2009)
Had MDE
with Severe
Impairment1
(2008)
Had MDE
with Severe
Impairment1
(2009)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE2
(2008)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE2
(2009)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE with
Severe
Impairment1,2
(2008)
Received
Treatment for
Depression in
the Past Year
among Persons
with MDE with
Severe
Impairment1,2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents with unknown Severe Impairment data were excluded.
2 Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 8.3 8.1 6.0 5.8 37.7 34.7 42.6 38.7
12 3.9 3.6 2.5 2.6 32.9 29.9 * *
13 5.7 5.5 3.8 3.8 33.9 30.9 37.6 34.1
14 7.7 7.1 5.8 4.8 31.6 29.5 33.1 31.7
15 9.2 10.4 6.3 7.5 35.2 35.5 43.2 37.6
16 11.6 9.9 8.8 7.2 43.5 35.5 48.3 43.0
17 10.6 10.9 7.9 8.1 41.2 39.4 45.2 43.4
MALE 4.3 4.7 2.9 3.2 33.8 29.3 36.7 34.0
12 2.8 1.8 1.7 0.9 * * * *
13 3.2 2.4 1.9 1.9 * * * *
14 3.8 3.6 3.0 2.3 * * * *
15 3.9b 6.4 2.3b 3.9 * 23.4 * *
16 5.6 5.8 4.2 4.3 * 29.6 * *
17 6.3 7.0 3.9 5.0 33.1 35.2 * *
FEMALE 12.4 11.7 9.2 8.6 39.2 37.0 44.5 40.6
12 5.0 5.4 3.3 4.3 * * * *
13 8.5 8.5 5.8 5.7 33.6 31.4 * *
14 11.9 10.6 8.8 7.4 34.5 29.8 35.1 31.6
15 14.9 14.9 10.7 11.5 37.0 41.4 46.2 42.2
16 17.6a 14.6 13.3a 10.6 42.6 38.2 48.7 46.7
17 15.1 14.8 12.1 11.1 44.7 41.3 47.0 45.2
100607
Table 2.7A – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Hispanic Origin and Race: Numbers in Thousands, 2008 and 2009
Hispanic Origin and Race Had MDE
(2008)
Had MDE
(2009)
Had MDE
with Severe
Impairment1
(2008)
Had MDE
with Severe
Impairment1
(2009)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE2
(2008)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE2
(2009)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2008)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents with unknown Severe Impairment data were excluded.
2 Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 2,014 1,950 1,452 1,401 758 674 617 539
Not Hispanic or Latino 1,666 1,589 1,218 1,145 653a 556 545b 440
White 1,253 1,174 934 853 540a 440 456b 349
Black or African American 260 286 172 205 85 72 65 59
American Indian or Alaska Native 13 9 8 5 * * * *
Native Hawaiian or Other Pacific Islander * * * * * * * *
Asian 72 73 44 48 * * * *
Two or More Races 59 41 50 31 * * * *
Hispanic or Latino 348 361 234 255 105 118 72 100
100607
Table 2.7B – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Hispanic Origin and Race: Percentages, 2008 and 2009
Hispanic Origin and Race Had MDE
(2008)
Had MDE
(2009)
Had MDE
with Severe
Impairment1
(2008)
Had MDE
with Severe
Impairment1
(2009)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE2
(2008)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE2
(2009)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2008)
Received
Treatment for
Depression in
the Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents with unknown Severe Impairment data were excluded.
2 Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 8.3 8.1 6.0 5.8 37.7 34.7 42.6 38.7
Not Hispanic or Latino 8.4 8.2 6.2 5.9 39.3 35.1 44.9a 38.6
White 8.7 8.3 6.5 6.0 43.1a 37.6 48.9a 41.0
Black or African American 7.0 7.9 4.7 5.7 32.6 25.4 37.7 29.1
American Indian or Alaska Native 10.1 7.5 6.5 4.3 * * * *
Native Hawaiian or Other Pacific Islander * * * * * * * *
Asian 7.6 7.6 4.7 5.0 * * * *
Two or More Races 12.0 7.9 10.2a 6.0 * * * *
Hispanic or Latino 7.5 7.7 5.1 5.4 30.3 33.1 30.6 39.3
100607
Table 2.8A – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Geographic, Socioeconomic, and Health Characteristics: Numbers in Thousands, 2008 and 2009
Geographic/Socioeconomic/
Health Characteristic
Had MDE
(2008)
Had MDE
(2009)
Had MDE
with Severe
Impairment1
(2008)
Had MDE
with Severe
Impairment1
(2009)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE2
(2008)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE2
(2009)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2008)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents with unknown Severe Impairment data were excluded.
2 Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded.
3 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan.
6 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance.
7 Respondents with unknown health data were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 2,014 1,950 1,452 1,401 758 674 617 539
GEOGRAPHIC REGION                
Northeast 312 293 233 223 109 127 92 109
Midwest 449 455 331 319 171 167 137 125
South 741 667 521 485 290b 197 229a 164
West 512 536 367 374 188 184 159 141
COUNTY TYPE                
Large Metro 1,014 1,017 725 735 368 335 304 266
Small Metro 649 607 484 423 265 221 217 169
Nonmetro 351 326 244 243 125 118 95 104
FAMILY INCOME                
Less Than $20,000 302 275 216 209 128 103 96 85
$20,000 - $49,999 649 651 486 455 241 204 189 160
$50,000 - $74,999 359 363 250 265 115 125 103 105
$75,000 or More 703 661 500 473 275 241 230 189
GOVERNMENT ASSISTANCE3                
Yes 404 438 307 316 169 143 130 111
No 1,610 1,512 1,145 1,085 590 532 487 428
HEALTH INSURANCE4                
Private 1,359a 1,193 969a 833 515a 418 436b 327
Medicaid/CHIP5 495 562 359 421 202 200 147 163
Other6 113 95 92 81 * * * *
No Coverage 135 179 94 122 39 45 * *
OVERALL HEALTH7                
Excellent 431 464 302 325 166 136 137 115
Very Good 859 841 607 594 294 291 243 228
Good 569 521 417 386 232 188 183 145
Fair/Poor 155 124 126 95 65 59 * *
100607
Table 2.8B – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Geographic, Socioeconomic, and Health Characteristics: Percentages, 2008 and 2009
Geographic/Socioeconomic/
Health Characteristic
Had MDE
(2008)
Had MDE
(2009)
Had MDE
with Severe
Impairment1
(2008)
Had MDE
with Severe
Impairment1
(2009)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE2
(2008)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE2
(2009)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2008)
Received
Treatment for
Depression in the
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents with unknown Severe Impairment data were excluded.
2 Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded.
3 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan.
6 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance.
7 Respondents with unknown health data were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 8.3 8.1 6.0 5.8 37.7 34.7 42.6 38.7
GEOGRAPHIC REGION                
Northeast 7.3 7.0 5.5 5.3 35.0 43.6 39.5 49.3
Midwest 8.3 8.6 6.1 6.0 38.3 36.7 41.7 39.4
South 8.4 7.6 5.9 5.5 39.2b 29.6 43.9a 33.9
West 8.7 9.3 6.3 6.5 36.7 34.6 43.4 38.0
COUNTY TYPE                
Large Metro 7.8 8.0 5.6 5.8 36.4 33.1 42.1 36.4
Small Metro 8.9 8.1 6.6 5.6 40.9 36.6 44.9 40.3
Nonmetro 8.6 8.5 6.0 6.3 35.8 36.4 39.3 42.8
FAMILY INCOME                
Less Than $20,000 8.3 7.1 5.9 5.4 42.4 37.9 44.4 41.3
$20,000 - $49,999 8.6 8.9 6.4 6.2 37.2 31.6 39.1 35.6
$50,000 - $74,999 7.9 8.3 5.5 6.1 32.0 34.5 41.0 39.8
$75,000 or More 8.1 7.7 5.8 5.5 39.1 36.5 45.9 40.0
GOVERNMENT ASSISTANCE3                
Yes 8.7 8.4 6.6 6.1 41.8 32.9 42.5 35.5
No 8.1 8.0 5.8 5.7 36.7 35.2 42.6 39.6
HEALTH INSURANCE4                
Private 8.5 7.8 6.1 5.5 38.0 35.1 45.0 39.3
Medicaid/CHIP5 7.9 8.1 5.7 6.1 41.1 36.0 41.0 39.2
Other6 10.2 8.9 8.3 7.5 * * * *
No Coverage 6.9a 9.8 4.9 6.7 29.0 25.6 * *
OVERALL HEALTH7                
Excellent 5.1 5.6 3.6 3.9 38.6a 29.3 45.5 35.3
Very Good 8.5 8.3 6.0 5.9 34.4 34.7 40.0 38.6
Good 11.3 10.9 8.3 8.1 40.9 36.4 43.9 38.0
Fair/Poor 17.3 15.0 14.1 11.6 42.2 48.1 * *
100607
Table 2.9A – Substance Use in the Past Year and Past Month among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Numbers in Thousands, 2008 and 2009
Substance Total1
(2008)
Total1
(2009)
MDE
(2008)
MDE
(2009)
No MDE
(2008)
No MDE
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Estimates in the Total column represent persons aged 12 to 17, including those with unknown past year MDE information.
2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from the methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings.
3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs.
4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in NSDUH reports prior to the 2007 National Findings Report. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings.
5 Past Month Daily Cigarette Use is defined as smoking on each of the past 30 days.
6 Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
PAST YEAR USE            
Illicit Drugs2 4,726 4,809 753 697 3,853 3,994
Marijuana and Hashish 3,238 3,339 481 472 2,678 2,787
Cocaine 305 240 60 43 238 194
Crack 33 28 12 9 22 18
Heroin 42 34 9 10 28 25
Hallucinogens 690 735 109 133 560 580
LSD 183 142 28 43 148b 96
PCP 61 47 20 12 40 35
Ecstasy 353 416 59 75 284 329
Inhalants 978 956 206 157 744 755
Nonmedical Use of Psychotherapeutics3,4 1,913 1,885 356 375 1,506 1,463
Pain Relievers 1,608 1,616 306 313 1,258 1,260
OxyContin® 223 223 56 52 160 165
Tranquilizers 482 460 107 111 355 338
Stimulants4 374 333 73 96 292a 229
Methamphetamine4 94 85 22 27 67 55
Sedatives 113 126 34 39 74 79
Illicit Drugs Other Than Marijuana2 2,850 2,835 485 486 2,282 2,273
PAST MONTH USE            
Daily Cigarette Use5 505 506 73 70 413 428
Heavy Alcohol Use6 491 517 68 82 409 428
100607
Table 2.9B – Substance Use in the Past Year and Past Month among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Percentages, 2008 and 2009
Substance Total1
(2008)
Total1
(2009)
MDE
(2008)
MDE
(2009)
No MDE
(2008)
No MDE
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Estimates in the Total column represent persons aged 12 to 17, including those with unknown past year MDE information.
2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from the methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings.
3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs.
4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in NSDUH reports prior to the 2007 National Findings Report. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings.
5 Past Month Daily Cigarette Use is defined as smoking on each of the past 30 days.
6 Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
PAST YEAR USE            
Illicit Drugs2 19.0 19.5 37.4 35.7 17.2 18.0
Marijuana and Hashish 13.0 13.6 23.9 24.2 12.0 12.6
Cocaine 1.2 1.0 3.0 2.2 1.1 0.9
Crack 0.1 0.1 0.6 0.5 0.1 0.1
Heroin 0.2 0.1 0.5 0.5 0.1 0.1
Hallucinogens 2.8 3.0 5.4 6.8 2.5 2.6
LSD 0.7 0.6 1.4 2.2 0.7b 0.4
PCP 0.2 0.2 1.0 0.6 0.2 0.2
Ecstasy 1.4 1.7 2.9 3.8 1.3 1.5
Inhalants 3.9 3.9 10.2 8.0 3.3 3.4
Nonmedical Use of Psychotherapeutics3,4 7.7 7.7 17.7 19.2 6.7 6.6
Pain Relievers 6.5 6.6 15.2 16.0 5.6 5.7
OxyContin® 0.9 0.9 2.8 2.7 0.7 0.7
Tranquilizers 1.9 1.9 5.3 5.7 1.6 1.5
Stimulants4 1.5 1.4 3.6 4.9 1.3 1.0
Methamphetamine4 0.4 0.3 1.1 1.4 0.3 0.2
Sedatives 0.5 0.5 1.7 2.0 0.3 0.4
Illicit Drugs Other Than Marijuana2 11.4 11.5 24.1 24.9 10.2 10.3
PAST MONTH USE            
Daily Cigarette Use5 2.0 2.1 3.6 3.6 1.8 1.9
Heavy Alcohol Use6 2.0 2.1 3.4 4.2 1.8 1.9
100607
Table 2.10A – Substance Dependence or Abuse in the Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Numbers in Thousands, 2008 and 2009
Dependence/Abuse Total1
(2008)
Total1
(2009)
MDE
(2008)
MDE
(2009)
No MDE
(2008)
No MDE
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Estimates in the Total column represent persons aged 12 to 17, including those with unknown past year MDE information.
2 Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
3 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates are based on data from the original questions not including methamphetamine items added in 2005 and 2006.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
DEPENDENCE OR ABUSE2            
Illicit Drugs3 1,149 1,058 293 246 824 776
Marijuana 840 830 178 161 645 645
Illicit Drugs Other Than Marijuana3 501b 393 170 136 313a 236
Alcohol 1,212 1,130 263 231 924 864
Both Illicit Drugs and Alcohol3 464 454 127 110 326 321
Illicit Drugs or Alcohol3 1,897 1,733 429 368 1,422 1,319
DEPENDENCE2            
Illicit Drugs3 639 571 175 164 445 388
Marijuana 450 444 82 102 360 331
Illicit Drugs Other Than Marijuana3 258a 197 120 80 127 107
Alcohol 468 477 127 126 336 341
Both Illicit Drugs and Alcohol3 146 140 49 53 96 81
Illicit Drugs or Alcohol3 961 908 253 237 685 648
100607
Table 2.10B – Substance Dependence or Abuse in the Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Percentages, 2008 and 2009
Dependence/Abuse Total1
(2008)
Total1
(2009)
MDE
(2008)
MDE
(2009)
No MDE
(2008)
No MDE
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Estimates in the Total column represent persons aged 12 to 17, including those with unknown past year MDE information.
2 Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
3 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates are based on data from the original questions not including methamphetamine items added in 2005 and 2006.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
DEPENDENCE OR ABUSE2            
Illicit Drugs3 4.6 4.3 14.6 12.6 3.7 3.5
Marijuana 3.4 3.4 8.8 8.3 2.9 2.9
Illicit Drugs Other Than Marijuana3 2.0b 1.6 8.4 7.0 1.4a 1.1
Alcohol 4.9 4.6 13.1 11.9 4.1 3.9
Both Illicit Drugs and Alcohol3 1.9 1.8 6.3 5.6 1.5 1.4
Illicit Drugs or Alcohol3 7.6 7.0 21.3 18.9 6.4 6.0
DEPENDENCE2            
Illicit Drugs3 2.6 2.3 8.7 8.4 2.0 1.8
Marijuana 1.8 1.8 4.1 5.2 1.6 1.5
Illicit Drugs Other Than Marijuana3 1.0a 0.8 5.9 4.1 0.6 0.5
Alcohol 1.9 1.9 6.3 6.5 1.5 1.5
Both Illicit Drugs and Alcohol3 0.6 0.6 2.4 2.7 0.4 0.4
Illicit Drugs or Alcohol3 3.9 3.7 12.6 12.2 3.1 2.9
100607
Table 2.11A – Type of Professional Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year Who Saw or Talked to a Medical Doctor or Other Professional about Depression in the Past Year: Numbers in Thousands, 2008 and 2009
Type of Professional1 MDE
(2008)
MDE
(2009)
MDE with Severe
Impairment2
(2008)
MDE with Severe
Impairment2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple professionals; thus, these response categories are not mutually exclusive.
2 Respondents with unknown Severe Impairment data were excluded.
3 Estimates in the Total row represent all persons aged 12 to 17 with past year MDE or past year MDE with severe impairment who saw or talked to a medical doctor or professional about depression in the past year, including those with unknown type of professional data.
4 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
5 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
6 Religious or Spiritual Advisor includes ministers, priests, or rabbis.
7 Respondents with unknown or invalid responses to the other-specify question on Other Type of Professionals Seen for Depression were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL3 700 629 570 502
General Practitioner or Family Doctor 173 147 152 123
Other Medical Doctor4 35 28 29 26
Psychologist 243 203 215 163
Psychiatrist or Psychotherapist 190a 132 171b 112
Social Worker 112 114 98 97
Counselor 417 360 351 305
Other Mental Health Professional5 63a 32 59a 30
Nurse, Occupational Therapist, or Other Health Professional 62 43 48 36
Religious or Spiritual Advisor6 121a 77 109a 64
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 19 13 18 11
Other7 14a 3 14a 2
100607
Table 2.11B – Type of Professional Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year Who Saw or Talked to a Medical Doctor or Other Professional about Depression in the Past Year: Percentages, 2008 and 2009
Type of Professional1 MDE
(2008)
MDE
(2009)
MDE with Severe
Impairment2
(2008)
MDE with Severe
Impairment2
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment.
NOTE: Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple professionals; thus, these response categories are not mutually exclusive.
2 Respondents with unknown Severe Impairment data were excluded.
3 Estimates in the Total row represent all persons aged 12 to 17 with past year MDE or past year MDE with severe impairment who saw or talked to a medical doctor or professional about depression in the past year, including those with unknown type of professional data.
4 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
5 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
6 Religious or Spiritual Advisor includes ministers, priests, or rabbis.
7 Respondents with unknown or invalid responses to the other-specify question on Other Type of Professionals Seen for Depression were excluded.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL3 100.0 100.0 100.0 100.0
General Practitioner or Family Doctor 25.2 23.9 27.1 24.9
Other Medical Doctor4 5.0 4.6 5.2 5.3
Psychologist 35.5 32.8 38.3 33.1
Psychiatrist or Psychotherapist 27.7 21.4 30.4a 22.7
Social Worker 16.3 18.4 17.5 19.6
Counselor 60.8 58.2 62.4 61.7
Other Mental Health Professional5 9.1 5.2 10.6 6.0
Nurse, Occupational Therapist, or Other Health Professional 9.1 7.0 8.6 7.3
Religious or Spiritual Advisor6 17.6 12.5 19.3a 13.0
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 2.8 2.1 3.1 2.3
Other7 2.1a 0.4 2.6a 0.5
100607
Table 2.12A – Type of Treatment Received in the Past Year for Depression among Persons Aged 12 to 17 with a Past Year Major Depressive Episode (MDE), by Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2008 and 2009
Demographic/Socioeconomic
Characteristic
Saw or Talked
to Medical
Doctor or
Other
Professional
OR Used
Prescription
Medication
(2008)
Saw or Talked
to Medical
Doctor or
Other
Professional
OR Used
Prescription
Medication
(2009)
Saw or Talked
to Medical
Doctor or
Other
Professional
Only
(2008)
Saw or Talked
to Medical
Doctor or
Other
Professional
Only
(2009)
Used
Prescription
Medication
Only
(2008)
Used
Prescription
Medication
Only
(2009)
Saw or Talked
to Medical
Doctor or
Other
Professional
AND Used
Prescription
Medication
(2008)
Saw or Talked
to Medical
Doctor or
Other
Professional
AND Used
Prescription
Medication
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Respondents with unknown past year treatment data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan.
4 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 758 674 436 394 57 45 264 234
GENDER                
Male 181 167 89 107 25a 8 68 52
Female 577 507 348 287 33 38 196 182
HISPANIC ORIGIN OR RACE                
Not Hispanic or Latino 653a 556 367 324 49 30 237 200
White 540a 440 284 237 41 26 214 178
Black or African American 85 72 66 55 6 4 12 *
Other or Two or More Races 29 * 17 * 1 1 11 9
Hispanic or Latino 105 118 69 70 9 15 27 33
FAMILY INCOME                
Less Than $20,000 128 103 76 61 8 8 44 34
$20,000 - $49,999 241 204 161a 108 23 20 57 76
$50,000 - $74,999 115 125 63 76 4 4 48 43
$75,000 or More 275 241 137 149 23 12 115 80
GOVERNMENT ASSISTANCE1                
Yes 169 143 105 79 14 11 49 54
No 590 532 331 315 43 35 215 180
HEALTH INSURANCE2                
Private 515a 418 282 246 40b 14 194 156
Medicaid/CHIP3 202 200 130 116 13 18 58 67
Other4 * * * * * * * *
No Coverage 39 45 30 22 * * 7 11
100607
Table 2.12B – Type of Treatment Received in the Past Year for Depression among Persons Aged 12 to 17 with a Past Year Major Depressive Episode (MDE), by Demographic and Socioeconomic Characteristics: Percentages, 2008 and 2009
Demographic/Socioeconomic
Characteristic
Saw or Talked
to Medical
Doctor or
Other
Professional
OR Used
Prescription
Medication
(2008)
Saw or Talked
to Medical
Doctor or
Other
Professional
OR Used
Prescription
Medication
(2009)
Saw or Talked
to Medical
Doctor or
Other
Professional
Only
(2008)
Saw or Talked
to Medical
Doctor or
Other
Professional
Only
(2009)
Used
Prescription
Medication
Only
(2008)
Used
Prescription
Medication
Only
(2009)
Saw or Talked
to Medical
Doctor or
Other
Professional
AND Used
Prescription
Medication
(2008)
Saw or Talked
to Medical
Doctor or
Other
Professional
AND Used
Prescription
Medication
(2009)
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms.
NOTE: Respondents with unknown past year treatment data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan.
4 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009.
TOTAL 37.7 34.7 21.7 20.3 2.9 2.3 13.1 12.0
GENDER                
Male 33.8 29.3 16.6 18.8 4.6a 1.4 12.6 9.1
Female 39.2 37.0 23.6 20.9 2.2 2.7 13.3 13.2
HISPANIC ORIGIN OR RACE                
Not Hispanic or Latino 39.3 35.1 22.1 20.5 2.9 1.9 14.2 12.6
White 43.1a 37.6 22.7 20.2 3.3 2.2 17.1 15.2
Black or African American 32.6 25.4 25.6 19.4 2.3 1.2 4.6 *
Other or Two or More Races 19.0 * 11.1 * 0.9 0.6 7.0 6.9
Hispanic or Latino 30.3 33.1 20.0 19.5 2.5 4.3 7.7 9.3
FAMILY INCOME                
Less Than $20,000 42.4 37.9 25.1 22.4 2.7 3.0 14.5 12.5
$20,000 - $49,999 37.2 31.6 24.9b 16.7 3.5 3.1 8.8 11.7
$50,000 - $74,999 32.0 34.5 17.6 21.1 1.1 1.2 13.3 12.0
$75,000 or More 39.1 36.5 19.4 22.5 3.2 1.9 16.4 12.1
GOVERNMENT ASSISTANCE1                
Yes 41.8 32.9 26.1a 18.1 3.5 2.4 12.2 12.2
No 36.7 35.2 20.6 20.9 2.7 2.3 13.3 11.9
HEALTH INSURANCE2                
Private 38.0 35.1 20.7 20.7 2.9a 1.2 14.3 13.1
Medicaid/CHIP3 41.1 36.0 26.3 20.8 2.7 3.1 11.8 11.9
Other4 * * * * * * * *
No Coverage 29.0 25.6 22.2 12.5 * * 5.2 6.3
100609
Table 2.13A – Had at Least One Major Depressive Episode (MDE) in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2004-2009
Demographic Characteristic 2004 2005 2006 2007 2008 2009
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms. Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2004-2009.
TOTAL 2,225b 2,191b 1,969 2,016 2,014 1,950
AGE            
12-13 445b 417a 383 336 364 331
14-15 783 811 685 706 703 739
16-17 997 964 901 973 947 881
GENDER            
Male 637 571 540 582 538 574
Female 1,588b 1,620b 1,429 1,433 1,476 1,376
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 1,848b 1,802b 1,610 1,691 1,666 1,589
White 1,413b 1,390b 1,215 1,282 1,253 1,174
Black or African American 287 288 245 293 260 286
American Indian or Alaska Native 13 10 12 7 13 9
Native Hawaiian or Other Pacific Islander * * * * * *
Asian 82 63 77 67 72 73
Two or More Races 51 41 53 41 59 41
Hispanic or Latino 377 389 359 324 348 361
100609
Table 2.13B – Had at Least One Major Depressive Episode (MDE) in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2004-2009
Demographic Characteristic 2004 2005 2006 2007 2008 2009
*Low precision; no estimate reported.
NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies 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 specified depression symptoms. Respondents with unknown past year MDE data were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2004-2009.
TOTAL 9.0a 8.8 7.9 8.2 8.3 8.1
AGE            
12-13 5.4 5.2 4.9 4.3 4.8 4.6
14-15 9.2 9.5 7.9 8.4 8.4 8.8
16-17 12.3b 11.5 10.7 11.5 11.1 10.4
GENDER            
Male 5.0 4.5 4.2 4.6 4.3 4.7
Female 13.1a 13.3b 11.8 11.9 12.4 11.7
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 8.9 8.7 7.9 8.4 8.4 8.2
White 9.2a 9.1 8.1 8.7 8.7 8.3
Black or African American 7.7 7.6 6.4 7.8 7.0 7.9
American Indian or Alaska Native 7.8 6.1 9.3 4.6 10.1 7.5
Native Hawaiian or Other Pacific Islander * * * * * *
Asian 8.3 6.0 7.6 6.8 7.6 7.6
Two or More Races 11.7 10.5 13.0 10.0 12.0 7.9
Hispanic or Latino 9.1 9.1 8.0 7.1 7.5 7.7
100719
Table 2.14A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17: Numbers in Thousands, 2002-2009
Source of Mental Health Service1 2002 2003 2004 2005 2006 2007 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive.
2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
5 A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
6 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002-2009.
SPECIALTY MENTAL HEALTH 2,934 3,104 3,378b 3,394b 3,295b 3,113 3,126a 2,920
Outpatient 2,662 2,795 3,015b 3,048b 2,934b 2,781 2,811 2,635
Private Therapist, Psychologist,
Psychiatrist, Social Worker, or
Counselor
2,254 2,347 2,523b 2,573b 2,418 2,362 2,386 2,281
Mental Health Clinic or Center 611 635a 716b 657b 589 579 560 533
Partial Day Hospital or Day
Treatment Program
440b 425a 439b 449b 473b 416a 370 339
In-Home Therapist, Counselor, or
Family Preservation Worker
693 656 762a 731 717 703 707 651
Inpatient or Residential (Overnight or
Longer Stay)
588 626 705b 696b 670a 628 598 565
Hospital 422 467 515 529a 517 510 462 435
Residential Treatment Center 224 233 299b 229 225 199 195 211
Foster Care or Therapeutic Foster
Care Home
157b 179b 158b 143a 129 112 118 92
EDUCATION2,3 -- -- -- -- -- -- -- 2,919
School Social Worker, School Psychologist or School Counselor -- -- -- -- -- -- -- 2,276
Special School or Program
within a Regular School for Students
with Emotional or Behavioral Problems
-- -- -- -- -- -- -- 970
MEDICAL                
Pediatrician or Other Family Doctor 657 732b 840b 810b 694 692 706a 603
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4 -- -- -- -- -- -- -- 1,190
JUVENILE JUSTICE5                
Juvenile Detention Center, Prison, or Jail6 -- -- -- -- -- -- -- 109
100719
Table 2.14B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17: Percentages, 2002-2009
Source of Mental Health Service1 2002 2003 2004 2005 2006 2007 2008 2009
*Low precision; no estimate reported.
-- Not available.
NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use.
NOTE: Respondents with unknown receipt of mental health service information were excluded.
a Difference between estimate and 2009 estimate is statistically significant at the 0.05 level.
b Difference between estimate and 2009 estimate is statistically significant at the 0.01 level.
1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive.
2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source.
3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH.
4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources.
5 A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available for 2008.
6 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system.
Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002-2009.
SPECIALTY MENTAL HEALTH 12.0 12.5 13.5b 13.5b 13.1b 12.5 12.7 12.0
Outpatient 10.8 11.3 12.1b 12.1b 11.7a 11.1 11.4 10.8
Private Therapist, Psychologist,
Psychiatrist, Social Worker, or
Counselor
9.2 9.5 10.1a 10.2a 9.6 9.4 9.7 9.3
Mental Health Clinic or Center 2.5 2.6a 2.9b 2.6a 2.3 2.3 2.3 2.2
Partial Day Hospital or Day
Treatment Program
1.8b 1.7a 1.8a 1.8b 1.9b 1.7 1.5 1.4
In-Home Therapist, Counselor, or
Family Preservation Worker
2.8 2.6 3.0 2.9 2.8 2.8 2.9 2.7
Inpatient or Residential (Overnight or
Longer Stay)
2.4 2.5 2.8a 2.8a 2.7 2.5 2.4 2.3
Hospital 1.7 1.9 2.1 2.1 2.0 2.0 1.9 1.8
Residential Treatment Center 0.9 0.9 1.2b 0.9 0.9 0.8 0.8 0.9
Foster Care or Therapeutic Foster
Care Home
0.6b 0.7b 0.6b 0.6a 0.5 0.4 0.5 0.4
EDUCATION2,3 -- -- -- -- -- -- -- 12.1
School Social Worker, School Psychologist or School Counselor -- -- -- -- -- -- -- 9.4
Special School or Program
within a Regular School for Students
with Emotional or Behavioral Problems
-- -- -- -- -- -- -- 4.0
MEDICAL                
Pediatrician or Other Family Doctor 2.7 2.9a 3.4b 3.2b 2.8 2.8 2.9a 2.5
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4 -- -- -- -- -- -- -- 4.9
JUVENILE JUSTICE5                
Juvenile Detention Center, Prison, or Jail6 -- -- -- -- -- -- -- 0.4

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