2006-2008 National Survey on Drug Use and Health
Substate Region Definitions

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Figure 1. ALABAMA – Substate Regions (defined in terms of counties)

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Table 1. ALABAMA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Alabama Department of Mental Health and Mental Retardation and are defined in terms of the State's 67 counties.

Region 1	Region 2	Region 3	Region 4
Note: The substate regions defined for Alabama in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Cherokee Colbert Cullman De Kalb Etowah Fayette Franklin Jackson Lamar Lauderdale Lawrence Limestone Madison Marion Marshall Morgan Walker Winston	Bibb Blount Calhoun Chilton Clay Cleburne Coosa Jefferson Pickens Randolph Shelby St. Clair Talladega Tuscaloosa	Autauga Bullock Chambers Choctaw Dallas Elmore Greene Hale Lee Lowndes Macon Marengo Montgomery Perry Pike Russell Sumter Tallapoosa Wilcox	Baldwin Barbour Butler Clarke Coffee Conecuh Covington Crenshaw Dale Escambia Geneva Henry Houston Mobile Monroe Washington

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Figure 2. ALASKA – Substate Regions (defined in terms of boroughs or census areas)

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Table 2. ALASKA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of boroughs or census areas)
The substate regions for Alaska are defined based on regions provided by the Alaska Department of Health and Social Services Division of Behavioral Health Planning Regions.

Anchorage	Northern	South Central	Southeast
Note: The substate regions defined for Alaska in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, one region, Southeast, is defined consistently across the two sets of region definitions.
Anchorage Municipality/Borough	Bethel Census Area Denali Borough Fairbanks North Star Borough Nome Census Area North Slope Borough Northwest Arctic Borough Southeast Fairbanks Census Area Wade Hampton Census Area Yukon-Koyukuk Census Area	Aleutians East Borough Aleutians West Census Area Bristol Bay Borough Dillingham Census Area Kenai Peninsula Borough Kodiak Island Borough Lake and Peninsula Borough Matanuska-Susitna Borough Valdez-Cordova Census Area	Haines Borough Juneau City and Borough Ketchikan Gateway Borough Prince of Wales-Outer Ketchikan Census Area Sitka City and Borough Skagway-Hoonah-Angoon Census Area Wrangell-Petersburg Census Area Yakutat City and Borough

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Figure 3. ARIZONA – Substate Regions (defined in terms of counties)

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Table 3. ARIZONA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Behavioral Health Services, Arizona Department of Health Services, and are defined in terms of the State's 15 counties. The region definitions include nonadjacent counties being combined to form the Rural South region.

Maricopa	Pima	Rural North	Rural South
Note: The substate regions defined for Arizona in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Maricopa	Pima	Apache Coconino Mohave Navajo Yavapai	Cochise Gila Graham Greenlee La Paz Pinal Santa Cruz Yuma

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Figure 4. ARKANSAS – Substate Regions (defined in terms of counties)

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Table 4. ARKANSAS – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Arkansas Department of Health and Human Services, Division of Behavioral Health Services, and are defined in terms of the State's 75 counties.

Catchment Area 1	Catchment Area 2	Catchment Area 3	Catchment Area 4	Catchment Area 5	Catchment Area 6	Catchment Area 7	Catchment Area 8
Note: The substate regions defined for Arkansas in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, one region, Catchment Area 8 (formerly called Area 9), is defined consistently across the two sets of region definitions.
Benton Carroll Madison Washington	Baxter Boone Cleburne Fulton Independence Izard Jackson Marion Newton Searcy Sharp Stone Van Buren White Woodruff	Clay Craighead Crittenden Cross Greene Lawrence Lee Mississippi Monroe Phillips Poinsett Randolph St. Francis	Crawford Franklin Logan Polk Scott Sebastian	Clark Conway Faulkner Garland Hot Spring Johnson Montgomery Perry Pike Pope Yell	Arkansas Ashley Bradley Chicot Cleveland Desha Drew Grant Jefferson Lincoln	Calhoun Columbia Dallas Hempstead Howard Lafayette Little River Miller Nevada Ouachita Sevier Union	Lonoke Prairie Pulaski Saline

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Figure 5. CALIFORNIA – Substate Regions (defined in terms of counties and census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)

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Table 5. CALIFORNIA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)
The substate regions defined here were created in consultation with the California Department of Alcohol and Drug Programs and are defined in terms of the State's 58 counties with the exception of Los Angeles County. Los Angeles County is further split into service planning areas (SPAs) that are defined in terms of census tracts (from the 2000 decennial census). As per the State's request, estimates for 27 substate regions along with two aggregate planning areas (Region 11 for Los Angeles County and Regions 13 and 19R) and maps showing all 27 substate regions have been produced. Note that SPA 1 and SPA 5 in Los Angeles County were combined because individually the sample sizes in these regions were too small for reporting purposes.

Region 1R		Region 2R	Region 3R (Sacramento)	Region 4R	Region 5R (San Francisco)	Region 6 (Santa Clara)	Region 7R (Contra Costa)	Region 8R (Alameda)	Region 9R (San Mateo)	Region 10
Butte Colusa Del Norte Glenn Humboldt Lake Lassen Mendocino	Modoc Plumas Shasta Sierra Siskiyou Tehama Trinity	El Dorado Nevada Placer Sutter Yolo Yuba	Sacramento	Marin Napa Solano Sonoma	San Francisco	Santa Clara	Contra Costa	Alameda	San Mateo	Santa Barbara Ventura

Region 11 (Los Angeles)
LA SPA 1 and 5	SPA 1: Tracts 900101 – 910806 and 910901 – 911000 in Los Angeles County (Antelope Valley) SPA 5: Tracts 216400, 217000, 261101 – 270200, 271100 – 278100, 700600 – 703002, and 800401 – 800502 in Los Angeles County (West)
LA SPA 2	Tracts 101110 – 143902, 300100 – 320300, 460501 – 460700, 800101 – 800326, 910807 – 910810, 920013 – 920335, and 930200 in Los Angeles County (San Fernando)
LA SPA 3	Tracts 400203 – 460400, 460800 – 482521, 482600 – 482800, and 930000 – 930100 in Los Angeles County (San Gabriel)
LA SPA 4	Tracts 181000 – 216300, 216700 – 216900, 217100 – 218300, 221110 – 221302, 224010 – 224320, 226000, 270300, 530700, and 700100 – 700500 in Los Angeles County (Metro)
LA SPA 6	Tracts 218400 – 220100, 221400 – 222700, 224410 – 224700, 226410 – 243100, 532800 – 532900, 534900 – 535400, 540000 – 541001, 541100 – 543202, 553501 – 553902, and 703100 – 703200 in Los Angeles County (South)
LA SPA 7	Tracts 482522, 500100 – 530602, 530801 – 532700, 533000 – 534804, 535501 – 536200, 550000 – 553400, 554001 – 555104, 555211 – 570003, 570701 – 571102, 571300 – 571400, and 573401 – 573403 in Los Angeles County (East)
LA SPA 8	Tracts 291110 – 297600, 541002, 543303 – 544000, 555202, 570100 – 570603, 571200, 571501 – 573300, and 573500 – 670702 in Los Angeles County (South Bay)

Region 12R	Regions 13 and 19R		Region 14 (Orange)	Region 15R (Fresno)	Region 16R (San Diego)	Region 17R	Region 18R (San Bernardino)	Region 20R
	Region 13 (Riverside)	Region 19R (Imperial)
Note: The substate regions defined for California in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, the following five regions are defined consistently across the two sets of region definitions: Region 6 (Santa Clara), Region 10, Region 11 (Los Angeles), Region 13 (Riverside), and Region 14 (Orange).
Alpine Amador Calaveras Mono San Joaquin Tuolumne	Riverside	Imperial	Orange	Fresno	San Diego	Inyo Kern Kings Tulare	San Bernardino	Madera Mariposa Merced Stanislaus
Region 21R
Monterey San Benito San Luis Obispo Santa Cruz

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Figure 6. COLORADO – Substate Regions (defined in terms of counties)

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Table 6. COLORADO – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Alcohol and Drug Abuse Division, Colorado Department of Human Services, and are defined in terms of the State's 63 counties (as in the 2000 decennial census).¹ Because of sample size constraints, certain planning areas were combined to form substate regions.

Region 1	Regions 2 and 7	Region 3	Region 4	Regions 5 and 6
Note: The substate regions defined for Colorado in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. 1 Broomfield County, Colorado, was created in 2001. However, the NSDUH sample is based on the counties from the 2000 decennial census when the land area defined by Broomfield County was located in four counties (Adams, Boulder, Jefferson, and Weld); therefore, Broomfield County is not included in this list of substate regions.
Cheyenne Elbert Kit Carson Larimer Lincoln Logan Morgan Phillips Sedgwick Washington Weld Yuma	Region 2 Adams Arapahoe Clear Creek Denver Douglas Gilpin Jefferson   Region 7 Boulder	Chaffee Custer El Paso Fremont Lake Park Teller	Alamosa Baca Bent Conejos Costilla Crowley Huerfano Kiowa Las Animas Mineral Otero Prowers Pueblo Rio Grande Saguache	Region 5 Archuleta Delta Dolores Gunnison Hinsdale La Plata Montezuma Montrose Ouray San Juan San Miguel	Region 6 Eagle Garfield Grand Jackson Mesa Moffat Pitkin Rio Blanco Routt Summit

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Figure 7. CONNECTICUT – Substate Regions (defined in terms of census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)

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Table 7. CONNECTICUT – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)
The Connecticut Department of Mental Health and Addiction Services indicated that planning areas in Connecticut are defined in terms of townships, which in turn are defined in terms of census tracts from the 2000 decennial census within the State's eight counties. Several townships formed a single substate region.

Note: The substate regions defined for Connecticut in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Eastern	Tracts 690100 – 870100 in New London County; Tracts 840100 – 881500 in Tolland County; Tracts 800300 – 908100 in Windham County
North Central	Tracts 400100 – 524100 in Hartford County; Tracts 425300 – 425500 in Litchfield County; Tracts 526100 – 538202, 890100, and 890200 in Tolland County
Northwestern	Tracts 200100 – 257100 in Fairfield County; Tract 330100 in Hartford County; Tracts 250100 – 362102 in Litchfield County; Tracts 341100 – 361300 in New Haven County
South Central	Tracts 110100 – 110600 in Fairfield County; Tracts 541100 – 680100 in Middlesex County; Tracts 120100 – 194202 in New Haven County; Tracts 650100 – 660102 in New London County
Southwest	Tracts 010101 – 105200 in Fairfield County

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Figure 8. DELAWARE – Substate Regions (defined in terms of counties and census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)

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Table 8. DELAWARE – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)
The State's Division of Alcoholism, Drug Abuse and Mental Health, Delaware Department of Health and Social Services, defines its planning regions in terms of the State's three counties, with the exception of the Wilmington City and New Castle regions. The Wilmington City region (that lies in New Castle County) was defined based on all the census tracts from the 2000 decennial census that are either fully or partially contained in Wilmington City. The New Castle region (excluding Wilmington City) comprises all the tracts that are in New Castle County except those in the Wilmington City limits.

Kent	New Castle (excluding Wilmington City)	Sussex	Wilmington City
Note: The substate regions defined for Delaware in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Kent	New Castle (excluding Wilmington City)	Sussex	Part of New Castle County (specified by Tracts 000100 – 002700 and 012900)

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Figure 9. DISTRICT OF COLUMBIA – Substate Regions (defined in terms of census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)

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Table 9. DISTRICT OF COLUMBIA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)
The District of Columbia's Department of Operations, Addiction Prevention and Recovery Administration, indicated that wards could be used as substate regions. These wards can be described in terms of census tracts from the 2000 decennial census. If a tract overlapped ward boundaries, the tract was placed in the ward in which the majority of the tract fell. Ward 7 is made up of nonadjacent tracts.

Note: The substate regions defined for the District of Columbia in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Ward 1	Tracts 002701 – 003200, 003400 – 004002, and 004400
Ward 2	Tracts 000100 – 000202, 004100 – 004300, 004801 – 005800, 006201, and 006202
Ward 3	Tracts 000300 – 001401
Ward 4	Tracts 001402 – 002301, 002400 – 002600, 009505, and 009507
Ward 5	Tracts 002302, 003301, 003302, 004600, 008701 – 009504, 009508, and 009509
Ward 6	Tracts 004700, 005900 – 006100, 006301 – 007200, 007901, and 008001 – 008600
Ward 7	Tracts 007603 – 007809, 007903, 009601 – 009604, and 009901 – 009907
Ward 8	Tracts 007301 – 007601 and 009700 – 009809

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Figure 10. FLORIDA – Substate Regions (defined in terms of counties)

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Table 10. FLORIDA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Substance Abuse Program Office, Florida Department of Children and Families, and are defined in terms of the State's 67 counties. As per the State's request, estimates have been produced for 18 circuits along with 5 aggregate substate regions and maps showing all 18 circuits.

Region A - Northwest			Region B - Northeast
Circuit 1	Circuit 2	Circuit 14	Circuits 3 and 8		Circuit 4	Circuit 7
Escambia Okaloosa Santa Rosa Walton	Franklin Gadsden Jefferson Leon Liberty Wakulla	Bay Calhoun Gulf Holmes Jackson Washington	Circuit 3 Columbia Dixie Hamilton Lafayette Madison Suwannee Taylor	Circuit 8 Alachua Baker Bradford Gilchrist Levy Union	Clay Duval Nassau	Flagler Putnam St. Johns Volusia

Region C - Central
Circuit 5	Circuit 9	Circuit 10	Circuit 18	Circuit 19
Citrus Hernando Lake Marion Sumter	Orange Osceola	Hardee Highlands Polk	Brevard Seminole	Indian River Martin Okeechobee St. Lucie

Region D - Southeast		Region E – Sun Coast				Region F – Southern (Circuits 11 and 16)
Circuit 15	Circuit 17	Circuit 6	Circuit 12	Circuit 13	Circuit 20
Note: The aggregate substate regions defined for Florida in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, the 18 circuits remain unchanged. Four of the aggregate regions were renamed: Region A is now called Region A – Northwest; Region B is now called Region B – Northeast; Region C is now called Region C – Central; and Region E is now called Region E – Sun Coast. Region D was split into two aggregate regions: Region D – Southeast and Region F – Southern (Circuits 11 and 16).
Palm Beach	Broward	Pasco Pinellas	De Soto Manatee Sarasota	Hillsborough	Charlotte Collier Glades Hendry Lee	Circuit 11 Miami-Dade   Circuit 16 Monroe

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Figure 11. GEORGIA – Substate Regions (defined in terms of counties)

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Table 11. GEORGIA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Georgia Department of Human Resources and are defined in terms of the State's 159 counties.

Region 1	Region 2		Region 3	Region 4	Region 5		Region 6
Note: The substate regions defined for Georgia in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Banks Bartow Catoosa Chattooga Cherokee Cobb Dade Dawson Douglas Fannin Floyd Forsyth Franklin Gilmer Gordon Habersham Hall Haralson Hart Lumpkin Murray Paulding Pickens Polk Rabun Stephens Towns Union Walker White Whitfield	Baldwin Barrow Bibb Burke Clarke Columbia Elbert Emanuel Glascock Greene Hancock Jackson Jasper Jefferson Jenkins Jones Lincoln	Madison McDuffie Monroe Morgan Oconee Oglethorpe Putnam Richmond Screven Taliaferro Twiggs Walton Warren Washington Wilkes Wilkinson	Clayton De Kalb Fulton Gwinnett Newton Rockdale	Baker Ben Hill Berrien Brooks Calhoun Colquitt Cook Decatur Dougherty Early Echols Grady Irwin Lanier Lee Lowndes Miller Mitchell Seminole Terrell Thomas Tift Turner Worth	Appling Atkinson Bacon Bleckley Brantley Bryan Bulloch Camden Candler Charlton Chatham Clinch Coffee Dodge Effingham Evans Glynn Jeff Davis Johnson Laurens Liberty Long McIntosh	Montgomery Pierce Pulaski Tattnall Telfair Toombs Treutlen Ware Wayne Wheeler Wilcox	Butts Carroll Chattahoochee Clay Coweta Crawford Crisp Dooly Fayette Harris Heard Henry Houston Lamar Macon Marion Meriwether Muscogee Peach Pike Quitman Randolph Schley Spalding Stewart Sumter Talbot Taylor Troup Upson Webster

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Figure 12. HAWAII – Substate Regions (defined in terms of counties)

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Note: Kalawao County and Kahoolawe Island are not part of the substate planning regions for Hawaii.

Table 12. HAWAII – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions for Hawaii were defined in consultation with the State's Alcohol and Drug Abuse Division, Hawaii Department of Health. As per the State's request, estimates for four substate regions, corresponding to the four counties in the State, along with one aggregate planning area (Kauai and Maui) have been produced.

Hawaii Island	Honolulu	Kauai and Maui
		Kauai	Maui
Note: The substate regions defined for Hawaii in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Hawaii	Honolulu	Kauai	Maui

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Figure 13. IDAHO – Substate Regions (defined in terms of counties)

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Table 13. IDAHO – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Bureau of Mental Health and Substance Abuse, Division of Family and Community Services, Idaho Department of Health and Welfare, and are defined in terms of the State's 44 counties.

Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7
Note: The substate regions defined for Idaho in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Benewah Bonner Boundary Kootenai Shoshone	Clearwater Idaho Latah Lewis Nez Perce	Adams Canyon Gem Owyhee Payette Washington	Ada Boise Elmore Valley	Blaine Camas Cassia Gooding Jerome Lincoln Minidoka Twin Falls	Bannock Bear Lake Bingham Caribou Franklin Oneida Power	Bonneville Butte Clark Custer Fremont Jefferson Lemhi Madison Teton

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Figure 14. ILLINOIS – Substate Regions (defined in terms of counties)

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Table 14. ILLINOIS – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Illinois Department of Human Services and are defined in terms of the State's 102 counties.

Region I (Cook)	Region II	Region III	Region IV	Region V
Note: The substate regions defined for Illinois in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Cook	Boone Carroll De Kalb DuPage Grundy Jo Daviess Kane Kankakee Kendall Lake Lee McHenry Ogle Stephenson Whiteside Will Winnebago	Bureau Champaign Ford Fulton Henderson Henry Iroquois Knox La Salle Livingston Marshall Mason McDonough McLean Mercer Peoria Putnam Rock Island Stark Tazewell Vermilion Warren Woodford	Adams Brown Calhoun Cass Christian Clark Coles Cumberland De Witt Douglas Edgar Effingham Greene Hancock Jersey Logan Macon Macoupin Menard Montgomery Morgan Moultrie Piatt Pike Sangamon Schuyler Scott Shelby	Alexander Bond Clay Clinton Crawford Edwards Fayette Franklin Gallatin Hamilton Hardin Jackson Jasper Jefferson Johnson Lawrence Madison Marion Massac Monroe Perry Pope Pulaski Randolph Richland Saline St. Clair Union	Wabash Washington Wayne White Williamson

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Figure 15. INDIANA – Substate Regions (defined in terms of counties)

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Table 15. INDIANA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Mental Health, Indiana Family and Social Services Administration, and are defined in terms of the State's 92 counties.

Central	East	North Central	Northeast	Northwest	Southeast	Southwest	West
Note: The substate regions defined for Indiana in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Boone Hamilton Hancock Hendricks Johnson Marion Morgan Shelby	Blackford Delaware Fayette Grant Henry Jay Madison Randolph Rush Union Wayne	Cass Elkhart Fulton Howard Kosciusko La Porte Marshall Miami St. Joseph Tipton Wabash	Adams Allen De Kalb Huntington LaGrange Noble Steuben Wells Whitley	Jasper Lake Newton Porter Pulaski Starke	Bartholomew Brown Clark Crawford Dearborn Decatur Floyd Franklin Harrison Jackson Jefferson Jennings Lawrence Ohio Orange Ripley Scott Switzerland Washington	Daviess Dubois Gibson Greene Knox Martin Perry Pike Posey Spencer Vanderburgh Warrick	Benton Carroll Clay Clinton Fountain Monroe Montgomery Owen Parke Putnam Sullivan Tippecanoe Vermillion Vigo Warren White

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Figure 16. IOWA – Substate Regions (defined in terms of counties)

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Table 16. IOWA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Health Promotion, Prevention and Addictive Behaviors, Iowa Department of Public Health, and are defined in terms of the State's 99 counties.

Central	North Central	Northeast	Northwest	Southeast	Southwest
Note: The substate regions defined for Iowa in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Jasper Marion Polk Warren	Boone Cerro Gordo Floyd Franklin Hancock Hardin Kossuth Marshall Mitchell Poweshiek Story Tama Winnebago Worth	Allamakee Benton Black Hawk Bremer Buchanan Butler Chickasaw Clayton Clinton Delaware Dubuque Fayette Grundy Howard Jackson Jones Linn Winneshiek	Audubon Buena Vista Calhoun Carroll Cherokee Clay Crawford Dickinson Emmet Greene Guthrie Hamilton Humboldt Ida Lyon Monona O'Brien Osceola Palo Alto Plymouth Pocahontas Sac Shelby Sioux Webster Woodbury Wright	Appanoose Cedar Davis Des Moines Henry Iowa Jefferson Johnson Keokuk Lee Louisa Lucas Mahaska Monroe Muscatine Scott Van Buren Wapello Washington Wayne	Adair Adams Cass Clarke Dallas Decatur Fremont Harrison Madison Mills Montgomery Page Pottawattamie Ringgold Taylor Union

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Figure 17. KANSAS – Substate Regions (defined in terms of counties)

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Table 17. KANSAS – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Addiction and Prevention Services, Kansas Department of Social and Rehabilitation Services, and are defined in terms of the State's 105 counties.

Kansas City Metro	Northeast	South Central	Southeast	West		Wichita (Sedgwick)
Note: The substate regions defined for Kansas in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Douglas Franklin Johnson Leavenworth Miami Wyandotte	Atchison Brown Clay Cloud Dickinson Doniphan Ellsworth Geary Jackson Jefferson Jewell Lincoln Marshall Mitchell Nemaha Osage Ottawa Pottawatomie Republic Riley Saline Shawnee Wabaunsee Washington	Butler Chase Chautauqua Coffey Cowley Elk Greenwood Harper Harvey Kingman Lyon Marion McPherson Morris Reno Rice Sumner	Allen Anderson Bourbon Cherokee Crawford Labette Linn Montgomery Neosho Wilson Woodson	Barber Barton Cheyenne Clark Comanche Decatur Edwards Ellis Finney Ford Gove Graham Grant Gray Greeley Hamilton Haskell Hodgeman Kearny Kiowa Lane Logan Meade	Morton Ness Norton Osborne Pawnee Phillips Pratt Rawlins Rooks Rush Russell Scott Seward Sheridan Sherman Smith Stafford Stanton Stevens Thomas Trego Wallace Wichita	Sedgwick

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Figure 18. KENTUCKY – Substate Regions (defined in terms of counties)

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Table 18. KENTUCKY – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Kentucky Division of Mental Health and Substance Abuse and are defined in terms of the State's 120 counties.

Adanta, Cumberland River, and Lifeskills		Bluegrass, Comprehend, and North Key		Communicare and River Valley	Four Rivers and Pennyroyal	Kentucky River, Mountain, and Pathways		Seven Counties
Note: The substate regions defined for Kentucky in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Adanta Adair Casey Clinton Cumberland Green McCreary Pulaski Russell Taylor Wayne   Cumberland River Bell Clay Harlan Jackson Knox Laurel Rockcastle Whitley	Lifeskills Allen Barren Butler Edmonson Hart Logan Metcalfe Monroe Simpson Warren	Bluegrass Anderson Bourbon Boyle Clark Estill Fayette Franklin Garrard Harrison Jessamine Lincoln Madison Mercer Nicholas Powell Scott Woodford	Comprehend Bracken Fleming Lewis Mason Robertson   North Key Boone Campbell Carroll Gallatin Grant Kenton Owen Pendleton	Communicare Breckinridge Grayson Hardin Larue Marion Meade Nelson Washington   River Valley Daviess Hancock Henderson McLean Ohio Union Webster	Four Rivers Ballard Calloway Carlisle Fulton Graves Hickman Livingston Marshall McCracken   Pennyroyal Caldwell Christian Crittenden Hopkins Lyon Muhlenberg Todd Trigg	Kentucky River Breathitt Knott Lee Leslie Letcher Owsley Perry Wolfe   Mountain Floyd Johnson Magoffin Martin Pike	Pathways Bath Boyd Carter Elliott Greenup Lawrence Menifee Montgomery Morgan Rowan	Bullitt Henry Jefferson Oldham Shelby Spencer Trimble

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Figure 19. LOUISIANA – Substate Regions (defined in terms of parishes)

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Table 19. LOUISIANA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of parishes)
The substate regions defined here were provided by the State's Office for Addictive Disorders, Louisiana Department of Health and Hospitals, and are defined in terms of the State's 64 parishes.

Regions 1 and 3	Regions 2 and 9	Regions 4, 5, and 6	Regions 7 and 8	Region 10 (Jefferson)
Note: The substate regions defined for Louisiana in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, the following three regions are defined consistently across the two sets of region definitions: Regions 2 and 9, Regions 7 and 8, and Region 10 (Jefferson).
Region 1 Orleans Plaquemines St. Bernard   Region 3 Assumption Lafourche St. Charles St. James St. John the Baptist St. Mary Terrebonne	Region 2 Ascension East Baton Rouge East Feliciana Iberville Pointe Coupee West Baton Rouge West Feliciana   Region 9 Livingston St. Helena St. Tammany Tangipahoa Washington	Region 4 Acadia Evangeline Iberia Lafayette St. Landry St. Martin Vermilion   Region 5 Allen Beauregard Calcasieu Cameron Jefferson Davis   Region 6 Avoyelles Catahoula Concordia Grant La Salle Rapides Vernon Winn	Region 7 Bienville Bossier Caddo Claiborne De Soto Natchitoches Red River Sabine Webster   Region 8 Caldwell East Carroll Franklin Jackson Lincoln Madison Morehouse Ouachita Richland Tensas Union West Carroll	Jefferson

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Figure 20. MAINE – Substate Regions (defined in terms of counties)

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Table 20. MAINE – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were obtained from the State's Office of Substance Abuse, Maine Department of Health and Human Services, and are defined in terms of the State's 16 counties.

Aroostook/Downeast	Central	Cumberland	Midcoast	Penquis	Western	York
Note: The substate regions defined for Maine in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Aroostook Hancock Washington	Kennebec Somerset	Cumberland	Knox Lincoln Sagadahoc Waldo	Penobscot Piscataquis	Androscoggin Franklin Oxford	York

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Figure 21. MARYLAND – Substate Regions (defined in terms of counties)

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Table 21. MARYLAND – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Alcohol and Drug Abuse Administration, Maryland Department of Health and Mental Hygiene, and are defined in terms of the State's 23 counties and the City of Baltimore.

Anne Arundel	Baltimore City	Baltimore County	Montgomery	North Central	Northeast	Prince George's	South	West
Note: The substate regions defined for Maryland in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Anne Arundel	Baltimore City	Baltimore	Montgomery	Carroll Howard	Caroline Cecil Harford Kent Queen Anne's Talbot	Prince George's	Calvert Charles Dorchester St. Mary's Somerset Wicomico Worcester	Allegany Frederick Garrett Washington

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Figure 22. MASSACHUSETTS – Substate Regions (defined in terms of census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)

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Table 22. MASSACHUSETTS – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)
The substate regions defined here are based on information provided by the State's Bureau of Substance Abuse Services, Massachusetts Department of Public Health, and are defined in terms of census tracts from the 2000 decennial census within the State's 14 counties.

Note: The substate regions defined for Massachusetts in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Boston	Tracts 400100 – 401200 in Norfolk County; Tracts 000100 – 180500 in Suffolk County
Central	Tracts 813800 in Hampden County; Tracts 300100 – 302200 and 325100 – 327103 in Middlesex County; Tracts 408101, 408102, and 442101 – 443102 in Norfolk County; Tracts 700100 – 702200, 705100 – 739500, and 743100 – 761100 in Worcester County
Metrowest	Tracts 320101 – 324100, 331101 – 333600, 338100 – 338500, and 350100 – 388100 in Middlesex County; Tracts 402101 – 407100, 409101 – 420302, and 422100 – 441202 in Norfolk County; Tracts 500101 – 501202 and 504101 – 505200 in Plymouth County; Tracts 740101 – 742400 in Worcester County
Northeast	Tracts 201100 – 270100 in Essex County; Tracts 310100 – 318400, 328100 – 330200, 334100 – 337300, and 339100 – 342600 in Middlesex County
Southeast	Tracts 010100 – 015200 in Barnstable County; Tracts 600100 – 655400 in Bristol County; Tracts 200100 – 200400 in Dukes County; Tracts 950100 – 950500 in Nantucket County; Tracts 421100, 421200, and 456101 – 457100 in Norfolk County; Tracts 502101 – 503102 and 506101 – 561100 in Plymouth County
Western	Tracts 900100 – 935100 in Berkshire County; Tracts 040100 – 041500 in Franklin County; Tracts 800100 – 813700 in Hampden County; Tracts 820101 – 822700 in Hampshire County; Tracts 703100 – 704200 in Worcester County

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Figure 23. MICHIGAN – Substate Regions (defined in terms of counties and census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)

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Table 23. MICHIGAN – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and census tracts from the 2000 decennial census, specified by a 6-digit tract identifier)
The substate regions defined here were provided by the State's Bureau of Substance Abuse and Addiction Services, Michigan Department of Community Health. All substate regions for Michigan are defined in terms of the State's 83 counties, with the exception of the Detroit City and Southeast regions. The Detroit City region (which lies in Wayne County) is defined based on all of the census tracts from the 2000 decennial census that are either fully or partially contained in Detroit City. The Southeast region comprises Monroe County and all the tracts that are in Wayne County (except those in the Detroit City limits). Some substate regions for Michigan are defined in terms of nonadjacent counties.

Detroit City	Genesee	Kalamazoo	Kent	Lakeshore	Macomb	Mid South
Part of Wayne County (specified by Tracts 500100 – 546900 and 551600)	Genesee	Barry Branch Calhoun Cass Kalamazoo St. Joseph Van Buren	Kent	Allegan Berrien Muskegon Ottawa	Macomb	Clinton Eaton Gratiot Hillsdale Ingham	Ionia Jackson Lenawee Newaygo

Northern		Oakland	Pathways and Western	Riverhaven	Saginaw	Southeast	St. Clair	Washtenaw
Note: The substate regions defined for Michigan in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. The Pathways and Western regions were combined to create one region. Bay region was renamed to Riverhaven. However, the remaining 13 regions are defined consistently across the two sets of region definitions.
Alcona Alpena Antrim Benzie Charlevoix Cheboygan Clare Crawford Emmet Gladwin Grand Traverse Iosco Isabella Kalkaska Lake	Leelanau Manistee Mason Mecosta Midland Missaukee Montmorency Oceana Ogemaw Osceola Oscoda Otsego Presque Isle Roscommon Wexford	Oakland	Pathways Alger Chippewa Delta Luce Mackinac Marquette Menominee Schoolcraft   Western Baraga Dickinson Gogebic Houghton Iron Keweenaw Ontonagon	Arenac Bay Huron Montcalm Shiawassee Tuscola	Saginaw	Monroe Wayne (excluding Detroit City)	Lapeer Sanilac St. Clair	Livingston Washtenaw

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Figure 24. MINNESOTA – Substate Regions (defined in terms of counties)

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Table 24. MINNESOTA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate planning regions defined here were determined in consultation with the Minnesota Department of Human Services and are defined in terms of the State's 87 counties. These regions are defined such that they are nested within the metropolitan and nonmetropolitan areas for the State.

Regions 1 and 2		Regions 3 and 4		Regions 5 and 6		Region 7A (Hennepin)	Region 7B (Ramsey)	Region 7C
Note: The substate regions defined for Minnesota in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Region 1 Becker Beltrami Clearwater Hubbard Kittson Lake of the Woods Mahnomen Marshall Norman Pennington Polk Red Lake Roseau	Region 2 Aitkin Carlton Cook Itasca Koochiching Lake St. Louis	Region 3 Cass Clay Crow Wing Douglas Grant Otter Tail Pope Stevens Todd Traverse Wadena Wilkin	Region 4 Benton Chisago Isanti Kanabec Mille Lacs Morrison Pine Sherburne Stearns Wright	Region 5 Big Stone Blue Earth Brown Chippewa Cottonwood Faribault Jackson Kandiyohi Lac qui Parle Le Sueur Lincoln Lyon Martin McLeod Meeker Murray Nicollet Nobles Pipestone Redwood Renville Rock Sibley Swift Waseca Watonwan Yellow Medicine	Region 6 Dodge Fillmore Freeborn Goodhue Houston Mower Olmsted Rice Steele Wabasha Winona	Hennepin	Ramsey	Anoka Carver Dakota Scott Washington

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Figure 25. MISSISSIPPI – Substate Regions (defined in terms of counties)

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Table 25. MISSISSIPPI – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Department of Mental Health and are the State's Needs Assessment Project Planning Regions. These regions are defined in terms of the State's 82 counties.

Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7
Note: The substate regions defined for Mississippi in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Alcorn Benton Calhoun Chickasaw DeSoto Itawamba Lafayette Lee Marshall Monroe Panola Pontotoc Prentiss Tate Tippah Tishomingo Union Yalobusha	Attala Bolivar Carroll Coahoma Grenada Holmes Humphreys Issaquena Leflore Montgomery Quitman Sharkey Sunflower Tallahatchie Tunica Warren Washington Yazoo	Choctaw Clarke Clay Jasper Kemper Lauderdale Leake Lowndes Neshoba Newton Noxubee Oktibbeha Scott Smith Webster Winston	Copiah Hinds Madison Rankin Simpson	Adams Amite Claiborne Franklin Jefferson Lawrence Lincoln Pike Walthall Wilkinson	Covington Forrest Greene Jefferson Davis Jones Lamar Marion Perry Wayne	George Hancock Harrison Jackson Pearl River Stone

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Figure 26. MISSOURI – Substate Regions (defined in terms of counties)

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Table 26. MISSOURI – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Missouri Department of Mental Health and are defined in terms of the State's 115 counties, including St. Louis City. As per the State's request, estimates for seven substate regions along with two aggregate planning areas (Eastern and Northwest) and maps showing all seven regions have been produced.

Central		Eastern		Northwest		Southeast		Southwest
		Eastern (St. Louis City and County)	Eastern (excluding St. Louis)	Northwest (Jackson)	Northwest (excluding Jackson)
Note: The substate regions defined for Missouri in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Adair Audrain Boone Callaway Camden Carroll Chariton Clark Cole Cooper Howard Knox Laclede Lewis Macon Marion Miller Moniteau Monroe Montgomery Morgan Osage Pettis Pike	Pulaski Ralls Randolph Saline Schuyler Scotland Shelby	St. Louis St. Louis City	Franklin Jefferson Lincoln St. Charles Warren	Jackson	Andrew Atchison Buchanan Caldwell Cass Clay Clinton Daviess DeKalb Gentry Grundy Harrison Holt Johnson Lafayette Linn Livingston Mercer Nodaway Platte Putnam Ray Sullivan Worth	Bollinger Butler Cape Girardeau Carter Crawford Dent Douglas Dunklin Gasconade Howell Iron Madison Maries Mississippi New Madrid Oregon Ozark Pemiscot Perry Phelps Reynolds Ripley Scott Shannon	St. Francois Ste. Genevieve Stoddard Texas Washington Wayne Wright	Barry Barton Bates Benton Cedar Christian Dade Dallas Greene Henry Hickory Jasper Lawrence McDonald Newton Polk St. Clair Stone Taney Vernon Webster

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Figure 27. MONTANA – Substate Regions (defined in terms of counties)

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Table 27. MONTANA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Chemical Dependency Bureau of the Montana Department of Health and Human Services and are defined in terms of the State's 56 counties.

Region 1	Region 2	Region 3	Region 4	Region 5
Note: The substate regions defined for Montana in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Carter Custer Daniels Dawson Fallon Garfield McCone Phillips Powder River Prairie Richland Roosevelt Rosebud Sheridan Treasure Valley Wibaux	Blaine Cascade Chouteau Glacier Hill Liberty Pondera Teton Toole	Big Horn Carbon Fergus Golden Valley Judith Basin Musselshell Petroleum Stillwater Sweet Grass Wheatland Yellowstone	Beaverhead Broadwater Deer Lodge Gallatin Granite Jefferson Lewis and Clark Madison Meagher Park Powell Silver Bow	Flathead Lake Lincoln Mineral Missoula Ravalli Sanders

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Figure 28. NEBRASKA – Substate Regions (defined in terms of counties)

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Table 28. NEBRASKA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Behavioral Health Services, Nebraska Department of Health and Human Services, and are defined in terms of the State's 93 counties. As per the State's request, estimates for six substate regions along with one aggregate planning area (Regions 1 and 2) and maps showing all six regions have been produced.

Regions 1 and 2		Region 3	Region 4	Region 5	Region 6
Region 1	Region 2
	Note: The substate regions defined for Nebraska in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, separate estimates for Region 1 and Region 2 also are being produced.
Banner Box Butte Cheyenne Dawes Deuel Garden Kimball Morrill Scotts Bluff Sheridan Sioux	Arthur Chase Dawson Dundy Frontier Gosper Grant Hayes Hitchcock Hooker Keith Lincoln Logan McPherson Perkins Red Willow Thomas	Adams Blaine Buffalo Clay Custer Franklin Furnas Garfield Greeley Hall Hamilton Harlan Howard Kearney Loup Merrick Nuckolls Phelps Sherman Valley Webster Wheeler	Antelope Boone Boyd Brown Burt Cedar Cherry Colfax Cuming Dakota Dixon Holt Keya Paha Knox Madison Nance Pierce Platte Rock Stanton Thurston Wayne	Butler Fillmore Gage Jefferson Johnson Lancaster Nemaha Otoe Pawnee Polk Richardson Saline Saunders Seward Thayer York	Cass Dodge Douglas Sarpy Washington

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Figure 29. NEVADA – Substate Regions (defined in terms of counties)

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Table 29. NEVADA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Substance Abuse Prevention and Treatment Agency, Nevada Department of Human Resources, and are defined in terms of the State's 17 counties, including Carson City.

Clark	Rural	Washoe
Note: The substate regions defined for Nevada in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Clark	Carson City Churchill Douglas Elko Esmeralda Eureka Humboldt Lander Lincoln Lyon Mineral Nye Pershing Storey White Pine	Washoe

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Figure 30. NEW HAMPSHIRE – Substate Regions (defined in terms of counties)

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Table 30. NEW HAMPSHIRE – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the New Hampshire Office of Alcohol and Drug Policy, Department of Health and Human Services, and are defined in terms of the State's 10 counties. Estimates for five substate regions along with two aggregate planning areas (Central and Southern) and maps showing three regions (Central, Northern, and Southern) have been produced.

Central		Northern	Southern
Central 1	Central 2		Southern 1 (Rockingham)	Southern 2
Note: The substate regions defined for New Hampshire in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Belknap Strafford	Merrimack Sullivan	Carroll Coos Grafton	Rockingham	Cheshire Hillsborough

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Figure 31. NEW JERSEY – Substate Regions (defined in terms of counties)

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Table 31. NEW JERSEY – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Division of Addiction Services, New Jersey Department of Human Services, and are defined in terms of the State's 21 counties.

Central	Metropolitan	Northern	Southern
Note: The substate regions defined for New Jersey in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Hunterdon Mercer Monmouth Ocean Somerset	Essex Middlesex Union	Bergen Hudson Morris Passaic Sussex Warren	Atlantic Burlington Camden Cape May Cumberland Gloucester Salem

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Figure 32. NEW MEXICO – Substate Regions (defined in terms of counties)

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Table 32. NEW MEXICO – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Behavioral Health Services Division, New Mexico Human Services Department, and are defined in terms of the State's 33 counties.

Region 1	Region 2	Region 3 (Bernalillo)	Region 4	Region 5
Note: The substate regions defined for New Mexico in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Cibola McKinley Sandoval San Juan Valencia	Colfax Guadalupe Los Alamos Mora Rio Arriba San Miguel Santa Fe Taos Union	Bernalillo	Chaves Curry De Baca Eddy Harding Lea Quay Roosevelt	Catron Dona Ana Grant Hidalgo Lincoln Luna Otero Sierra Socorro Torrance

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Figure 33. NEW YORK – Substate Regions (defined in terms of counties)

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Table 33. NEW YORK – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were obtained from the New York State Office of Alcoholism and Substance Abuse Services and are defined in terms of the State's 62 counties. As per the State's request, estimates for 15 substate regions along with 4 aggregate planning areas (Regions A, B, C, and D) and maps showing the 4 planning areas have been produced.

Region A				Region B
Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7
Bronx	Kings Richmond	New York	Queens	Nassau Suffolk	Putnam Rockland Westchester	Dutchess Orange Ulster

Region C					Region D
Region 8	Region 9	Region 10	Region 11	Region 12	Region 13	Region 14	Region 15
Note: The substate regions defined for New York in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Albany Rensselaer Saratoga Schenectady Schoharie Warren Washington	Herkimer Madison Oneida Onondaga Oswego	Broome Chemung Tioga Tompkins	Livingston Monroe Ontario Orleans Wayne	Erie Niagara	Cayuga Chenango Columbia Cortland Delaware Greene Otsego Sullivan	Clinton Essex Franklin Fulton Hamilton Jefferson Lewis Montgomery St. Lawrence	Allegany Cattaraugus Chautauqua Genesee Schuyler Seneca Steuben Wyoming Yates

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Figure 34. NORTH CAROLINA – Substate Regions (defined in terms of counties)

ECCS = Eastern Coastal Care System; PBH = Piedmont Behavioral Health.

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Table 34. NORTH CAROLINA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the North Carolina Division of Mental Health, Development Disabilities and Substance Abuse Services, Department of Health and Human Services, and are defined in terms of the State's 100 counties. As per the State's request, estimates for 12 substate regions, along with 1 aggregate planning area (CenterPoint/Guilford) and maps showing 11 regions have been produced.

CenterPoint/Guilford		Durham	East Carolina		Eastpointe	ECCS	Mecklenburg
CenterPoint	Guilford
Davie Forsyth Rockingham Stokes	Guilford	Cumberland Durham Johnston Wake	Beaufort Bertie Camden Chowan Craven Currituck Dare Gates Hertford Hyde	Jones Martin Northampton Pamlico Pasquotank Perquimans Pitt Tyrrell Washington	Bladen Columbus Duplin Edgecombe Greene Lenoir Nash Robeson Sampson Scotland Wayne Wilson	Brunswick Carteret New Hanover Onslow Pender	Mecklenburg

Pathways	PBH		Sandhills	Smoky Mountain		Western Highlands
ECCS = Eastern Coastal Care System; PBH = Piedmont Behavioral Health. Note: The substate regions defined for North Carolina in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Burke Catawba Cleveland Gaston Iredell Lincoln Surry Yadkin	Alamance Cabarrus Caswell Chatham Davidson Franklin Granville Halifax	Orange Person Rowan Stanly Union Vance Warren	Anson Harnett Hoke Lee Montgomery Moore Randolph Richmond	Alexander Alleghany Ashe Avery Caldwell Cherokee Clay Graham	Haywood Jackson Macon McDowell Swain Watauga Wilkes	Buncombe Henderson Madison Mitchell Polk Rutherford Transylvania Yancey

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Figure 35. NORTH DAKOTA – Substate Regions (defined in terms of counties)

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Table 35. NORTH DAKOTA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Mental Health and Substance Abuse Services, North Dakota Department of Human Services, and are defined in terms of the State's 53 counties.

Badlands and West Central		Lake Region and South Central		North Central and Northwest		Northeast	Southeast
Note: The substate regions defined for North Dakota in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Badlands Adams Billings Bowman Dunn Golden Valley Hettinger Slope Stark	West Central Burleigh Emmons Grant Kidder McLean Mercer Morton Oliver Sheridan Sioux	Lake Benson Cavalier Eddy Ramsey Rolette Towner	South Central Barnes Dickey Foster Griggs LaMoure Logan McIntosh Stutsman Wells	North Central Bottineau Burke McHenry Mountrail Pierce Renville Ward	Northwest Divide McKenzie Williams	Grand Forks Nelson Pembina Walsh	Cass Ransom Richland Sargent Steele Traill

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Figure 36. OHIO – Substate Regions (defined in terms of counties)

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Table 36. OHIO – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The Ohio Department of Alcohol and Drug Addiction Services suggested that it would be useful to provide substance use estimates for Ohio boards, which in turn are defined using the State's 88 counties. Because of sample size constraints, in consultation with the State's Center for Substance Abuse Treatment (CSAT) contact, adjacent boards were combined to form substate regions. Urban and rural counties were not collapsed together to form substate regions.

Boards 2, 46, 55, and 68	Boards 3, 52, and 85	Boards 4 and 78	Boards 5 and 60	Boards 7, 15, 41, 79, and 84	Boards 8, 13, and 83	Board 9 (Butler)	Board 12
Board 2 Allen Auglaize Hardin   Board 46 Champaign Logan   Board 55 Darke Miami Shelby   Board 68 Preble	Board 3 Ashland   Board 52 Medina   Board 85 Holmes Wayne	Board 4 Ashtabula   Board 78 Trumbull	Board 5 Athens Hocking Vinton   Board 60 Coshocton Guernsey Morgan Muskingum Noble Perry	Board 7 Belmont Harrison Monroe   Board 15 Columbiana   Board 41 Jefferson   Board 79 Carroll Tuscarawas   Board 84 Washington	Board 8 Brown   Board 13 Clermont   Board 83 Clinton Warren	Butler	Clark Greene Madison

Boards 18 and 47	Boards 20, 32, 54, and 69	Boards 21, 39, 51, 70, and 80	Boards 22, 74, and 87	Boards 23 and 45	Board 25 (Franklin)	Boards 27, 71, and 73	Boards 28, 43, and 67
Board 18 Cuyahoga   Board 47 Lorain	Board 20 Defiance Fulton Henry Williams   Board 32 Hancock   Board 54 Mercer Paulding Van Wert   Board 69 Putnam	Board 21 Delaware Morrow   Board 39 Huron   Board 51 Crawford Marion   Board 70 Richland   Board 80 Union	Board 22 Erie Ottawa   Board 74 Sandusky Seneca Wyandot   Board 87 Wood	Board 23 Fairfield   Board 45 Knox Licking	Franklin	Board 27 Gallia Jackson Meigs   Board 71 Fayette Highland Pickaway Pike Ross   Board 73 Adams Lawrence Scioto	Board 28 Geauga   Board 43 Lake   Board 67 Portage

Board 31 (Hamilton)	Board 48 (Lucas)	Boards 50 and 76	Board 57 (Montgomery)	Board 77 (Summit)
Note: The substate regions defined for Ohio in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Hamilton	Lucas	Mahoning Stark	Montgomery	Summit

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Figure 37. OKLAHOMA – Substate Regions (defined in terms of counties)

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Table 37. OKLAHOMA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Oklahoma Department of Mental Health and Substance Abuse Services and are defined in terms of the State's 77 counties.

Central	East Central	Northeast	Northwest and Southwest		Oklahoma County	Southeast	Tulsa County
Note: The substate regions defined for Oklahoma in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Canadian Cleveland Grady McClain	Adair Cherokee Creek Lincoln McIntosh Muskogee Okfuskee Okmulgee Sequoyah Wagoner	Craig Delaware Kay Mayes Noble Nowata Osage Ottawa Pawnee Payne Rogers Washington	Northwest Alfalfa Beaver Cimarron Ellis Garfield Grant Harper Kingfisher Logan Major Texas Woods Woodward	Southwest Beckham Blaine Caddo Comanche Cotton Custer Dewey Greer Harmon Jackson Jefferson Kiowa Roger Mills Stephens Tillman Washita	Oklahoma	Atoka Bryan Carter Choctaw Coal Garvin Haskell Hughes Johnston Latimer Le Flore Love Marshall McCurtain Murray Pittsburg Pontotoc Pottawatomie Pushmataha Seminole	Tulsa

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Figure 38. OREGON – Substate Regions (defined in terms of counties)

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Table 38. OREGON – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Office of Mental Health and Addiction Services, Department of Human Services, and are defined in terms of the State's 36 counties.

Region 1 (Multnomah)	Region 2	Region 3	Region 4	Region 5 (Central)	Region 6 (Eastern)
Note: The substate regions defined for Oregon in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, the following four regions are defined consistently across the two sets of region definitions: Region 1 (Multnomah), Region 2, Region 3, and Region 4.
Multnomah	Clackamas Washington	Benton Clatsop Columbia Lane Lincoln Linn Marion Polk Tillamook Yamhill	Coos Curry Douglas Jackson Josephine Klamath	Crook Deschutes Jefferson	Baker Gilliam Grant Harney Hood River Lake Malheur Morrow Sherman Umatilla Union Wallowa Wasco Wheeler

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Figure 39. PENNSYLVANIA – Substate Regions (defined in terms of counties)

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Table 39. PENNSYLVANIA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Bureau of Drug and Alcohol Programs, Department of Health, and are defined in terms of the State's 67 counties.

Region 1 (Allegheny)	Regions 3, 8, 9, and 51	Regions 4, 11, 37, and 49	Regions 5, 18, 23, 24, and 46	Regions 6, 12, 16, 31, 35, 45, and 47	Regions 7, 13, 20, and 33	Regions 10, 15, 27, 32, 43, and 44
Allegheny	Region 3 Beaver   Region 8 Butler   Region 9 Cambria   Region 51 Armstrong Clarion Indiana	Region 4 Berks   Region 11 Carbon Monroe Pike   Region 37 Schuylkill   Region 49 Wayne	Region 5 Blair   Region 18 Cumberland Perry   Region 23 Franklin Fulton   Region 24 Huntingdon Juniata Mifflin   Region 46 Bedford	Region 6 Bradford Sullivan   Region 12 Centre   Region 16 Columbia Montour Snyder Union   Region 31 Clinton Lycoming   Region 35 Northumberland   Region 45 Tioga   Region 47 Potter	Region 7 Bucks   Region 13 Chester   Region 20 Delaware   Region 33 Montgomery	Region 10 Cameron Elk McKean   Region 15 Clearfield Jefferson   Region 27 Lawrence   Region 32 Mercer   Region 43 Forest Warren   Region 44 Venango

Regions 17 and 21	Regions 19, 26, 28, and 42	Regions 22, 38, 40, 41, and 48	Regions 29 and 34	Regions 30 and 50	Region 36 (Philadelphia)
Note: The substate regions defined for Pennsylvania in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, nine regions are defined consistently across the two sets of region definitions. The four regions that changed are Regions 3, 8, 9, and 51; Regions 6, 12, 16, 31, 35, 45, and 47; Regions 10, 15, 27, 32, 43, and 44; and Regions 30 and 50.
Region 17 Crawford   Region 21 Erie	Region 19 Dauphin   Region 26 Lancaster   Region 28 Lebanon   Region 42 Adams York	Region 22 Fayette   Region 38 Somerset   Region 40 Washington   Region 41 Westmoreland   Region 48 Greene	Region 29 Lehigh   Region 34 Northampton	Region 30 Luzerne Wyoming   Region 50 Lackawanna Susquehanna	Philadelphia

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Figure 40. RHODE ISLAND – Substate Regions (defined in terms of counties)

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Table 40. RHODE ISLAND – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate planning areas defined here were determined in consultation with the Rhode Island Department of Mental Health, Retardation and Hospitals and are defined in terms of the State's five counties.

Bristol and Newport	Kent	Providence	Washington
Note: The substate regions defined for Rhode Island in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Bristol Newport	Kent	Providence	Washington

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Figure 41. SOUTH CAROLINA – Substate Regions (defined in terms of counties)

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Table 41. SOUTH CAROLINA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the South Carolina Department of Alcohol and Other Drug Abuse Services and are defined in terms of the State's 46 counties.

Region 1	Region 2	Region 3	Region 4
Note: The substate regions defined for South Carolina in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Anderson Cherokee Greenville Oconee Pickens Spartanburg Union	Abbeville Chester Chesterfield Edgefield Fairfield Greenwood Kershaw Lancaster Laurens Lee Lexington McCormick Newberry Richland Saluda York	Clarendon Darlington Dillon Florence Georgetown Horry Marion Marlboro Sumter Williamsburg	Aiken Allendale Bamberg Barnwell Beaufort Berkeley Calhoun Charleston Colleton Dorchester Hampton Jasper Orangeburg

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Figure 42. SOUTH DAKOTA – Substate Regions (defined in terms of counties)

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Table 42. SOUTH DAKOTA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were determined in consultation with the State's Division of Community Behavioral Health, South Dakota Department of Social Services, and are defined in terms of the State's 66 counties.

Region 1	Region 2	Region 3	Region 4	Region 5	Region 6	Region 7
Note: The substate regions defined for South Dakota in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Aurora Bon Homme Brule Buffalo Charles Mix Clay Davison Douglas Hanson Hutchinson McCook Turner Union Yankton	Lincoln Minnehaha	Beadle Brookings Clark Codington Deuel Grant Hamlin Hand Jerauld Kingsbury Lake Miner Moody Sanborn	Butte Corson Dewey Harding Lawrence Meade Perkins Ziebach	Brown Campbell Day Edmunds Faulk Marshall McPherson Roberts Spink Walworth	Bennett Gregory Haakon Hughes Hyde Jackson Jones Lyman Mellette Potter Stanley Sully Todd Tripp	Custer Fall River Pennington Shannon

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Figure 43. TENNESSEE – Substate Regions (defined in terms of counties)

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Table 43. TENNESSEE – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Bureau of Alcohol and Drug Abuse Services, Tennessee Department of Health, and are defined in terms of the State's 95 counties.

Region 1	Region 2	Region 3	Region 4 (Davidson)	Region 5	Region 6	Region 7 (Shelby)
Note: The substate regions defined for Tennessee in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Carter Greene Hancock Hawkins Johnson Sullivan Unicoi Washington	Anderson Blount Campbell Claiborne Cocke Grainger Hamblen Jefferson Knox Loudon Monroe Morgan Roane Scott Sevier Union	Bledsoe Bradley Cannon Clay Cumberland DeKalb Fentress Franklin Grundy Hamilton Jackson Macon Marion McMinn Meigs Overton Pickett Polk Putnam Rhea Sequatchie Smith Van Buren Warren White	Davidson	Bedford Cheatham Coffee Dickson Giles Hickman Houston Humphreys Lawrence Lewis Lincoln Marshall Maury Montgomery Moore Perry Robertson Rutherford Stewart Sumner Trousdale Wayne Williamson Wilson	Benton Carroll Chester Crockett Decatur Dyer Fayette Gibson Hardeman Hardin Haywood Henderson Henry Lake Lauderdale Madison McNairy Obion Tipton Weakley	Shelby

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Figure 44. TEXAS – Substate Regions (defined in terms of counties)

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Table 44. TEXAS – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate region definitions were obtained from the Texas Department of State Health Services and are defined in terms of the State's 254 counties. As per the State's request, estimates for 15 substate regions along with 4 aggregate planning areas (Regions 3, 6, 7, and 11) and maps showing 11 regions (Regions 1 to 11) have been produced.

Region 1		Region 2	Region 3		Region 4	Region 5
			Region 3a	Region 3bc
Armstrong Bailey Briscoe Carson Castro Childress Cochran Collingsworth Crosby Dallam Deaf Smith Dickens Donley Floyd Garza Gray Hale Hall Hansford Hartley Hemphill Hockley Hutchinson King Lamb Lipscomb	Lubbock Lynn Moore Motley Ochiltree Oldham Parmer Potter Randall Roberts Sherman Swisher Terry Wheeler Yoakum	Archer Baylor Brown Callahan Clay Coleman Comanche Cottle Eastland Fisher Foard Hardeman Haskell Jack Jones Kent Knox Mitchell Montague Nolan Runnels Scurry Shackelford Stephens Stonewall Taylor Throckmorton Wichita Wilbarger Young	Collin Dallas Denton Ellis Hunt Kaufman Navarro Rockwall	Cooke Erath Fannin Grayson Hood Johnson Palo Pinto Parker Somervell Tarrant Wise	Anderson Bowie Camp Cass Cherokee Delta Franklin Gregg Harrison Henderson Hopkins Lamar Marion Morris Panola Rains Red River Rusk Smith Titus Upshur Van Zandt Wood	Angelina Hardin Houston Jasper Jefferson Nacogdoches Newton Orange Polk Sabine San Augustine San Jacinto Shelby Trinity Tyler

Region 6		Region 7		Region 8	Region 9	Region 10	Region 11
Region 6a	Region 6bc	Region 7a	Region 7bcd				Region 11abd	Region 11c (Hidalgo)
Note: The substate regions defined for Texas in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Austin Chambers Colorado Fort Bend Harris Liberty Montgomery Walker Waller Wharton	Brazoria Galveston Matagorda	Bastrop Blanco Burnet Caldwell Fayette Hays Lee Llano Travis Williamson	Bell Bosque Brazos Burleson Coryell Falls Freestone Grimes Hamilton Hill Lampasas Leon Limestone Madison McLennan Milam Mills Robertson San Saba Washington	Atascosa Bandera Bexar Calhoun Comal DeWitt Dimmit Edwards Frio Gillespie Goliad Gonzales Guadalupe Jackson Karnes Kendall Kerr Kinney La Salle Lavaca Maverick Medina Real Uvalde Val Verde Victoria Wilson Zavala	Andrews Borden Coke Concho Crane Crockett Dawson Ector Gaines Glasscock Howard Irion Kimble Loving Martin Mason McCulloch Menard Midland Pecos Reagan Reeves Schleicher Sterling Sutton Terrell Tom Green Upton Ward Winkler	Brewster Culberson El Paso Hudspeth Jeff Davis Presidio	Aransas Bee Brooks Cameron Duval Jim Hogg Jim Wells Kenedy Kleberg Live Oak McMullen Nueces Refugio San Patricio Starr Webb Willacy Zapata	Hidalgo

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Figure 45. UTAH – Substate Regions (defined in terms of counties)

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Table 45. UTAH – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Substance Abuse and Mental Health, Utah Department of Human Services, and are defined in terms of the State's 29 counties.

Bear River, Northeastern, Summit, Tooele, and Wasatch		Central, Four Corners, San Juan, and Southwest		Davis County	Salt Lake County	Utah County	Weber, Morgan
Note: The substate regions defined for Utah in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Bear River Box Elder Cache Rich   Northeastern Daggett Duchesne Uintah	Summit Summit   Tooele Tooele   Wasatch Wasatch	Central Juab Millard Piute Sanpete Sevier Wayne   Four Corners Carbon Emery Grand	San Juan San Juan   Southwest Beaver Garfield Iron Kane Washington	Davis	Salt Lake	Utah	Morgan Weber

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Figure 46. VERMONT – Substate Regions (defined in terms of counties)

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Table 46. VERMONT – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were determined in consultation with the Vermont Department of Health and are defined in terms of the State's 14 counties.

Champlain Valley	Rural Northeast	Rural Southeast	Rural Southwest
Note: The substate regions defined for Vermont in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Addison Chittenden Franklin Grand Isle	Caledonia Essex Lamoille Orleans Washington	Orange Windham Windsor	Bennington Rutland

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Figure 47. VIRGINIA – Substate Regions (defined in terms of counties and independent cities)

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Table 47. VIRGINIA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and independent cities)
The substate regions defined here were provided by the Virginia Department of Behavioral Health and Developmental Services and are defined in terms of the State's 95 counties and 40 independent cities.

Region 1		Region 2	Region 3		Region 4	Region 5
Note: The substate regions defined for Virginia in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, the following three regions are defined consistently across the two sets of region definitions: Region 2, Region 3, and Region 5.
Albemarle Augusta Bath Buena Vista City Caroline Charlottesville City Clarke Culpeper Fauquier Fluvanna Frederick Fredericksburg City Greene Harrisonburg City Highland King George Lexington City Louisa Madison Nelson Orange Page Rappahannock Rockbridge	Rockingham Shenandoah Spotsylvania Stafford Staunton City Warren Waynesboro City Winchester City	Alexandria City Arlington Fairfax Fairfax City Falls Church City Loudoun Manassas City Manassas Park City Prince William	Alleghany Amherst Appomattox Bedford Bedford City Bland Botetourt Bristol City Buchanan Campbell Carroll Clifton Forge City Covington City Craig Danville City Dickenson Floyd Franklin Galax City Giles Grayson Henry Lee Lynchburg City Martinsville City	Montgomery Norton City Patrick Pittsylvania Pulaski Radford City Roanoke Roanoke City Russell Salem City Scott Smyth Tazewell Washington Wise Wythe	Amelia Brunswick Buckingham Charles City Charlotte Chesterfield Colonial Heights City Cumberland Dinwiddie Emporia City Goochland Greensville Halifax Hanover Henrico Hopewell City Lunenburg Mecklenburg New Kent Nottoway Petersburg City Powhatan Prince Edward Prince George Richmond City Surry Sussex	Accomack Chesapeake City Essex Franklin City Gloucester Hampton City Isle of Wight James City King and Queen King William Lancaster Mathews Middlesex Newport News City Norfolk City Northampton Northumberland Poquoson City Portsmouth City Richmond Southampton Suffolk City Virginia Beach City Westmoreland Williamsburg City York

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Figure 48. WASHINGTON – Substate Regions (defined in terms of counties)

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Table 48. WASHINGTON – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by Washington's Division of Alcohol and Substance Abuse, Department of Social and Health Services, and are defined in terms of the State's 39 counties. As per the State's request, estimates for six substate regions along with three aggregate planning areas (Regions 1, 2, and 3) and maps showing the three planning areas have been produced.

Region 1		Region 2		Region 3
East 1 (previously Region 1)	East 2 (previously Region 2)	North 1 (previously Region 3)	North 2 (previously Region 4)	West 1 (previously Region 5)	West 2 (previously Region 6)
Note: The substate regions defined for Washington in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, their names have changed, and three aggregate regions have been added.
Adams Chelan Douglas Ferry Grant Lincoln Okanogan Pend Oreille Spokane Stevens Whitman	Asotin Benton Columbia Franklin Garfield Kittitas Klickitat Walla Walla Yakima	Island San Juan Skagit Snohomish Whatcom	King	Kitsap Pierce	Clallam Clark Cowlitz Grays Harbor Jefferson Lewis Mason Pacific Skamania Thurston Wahkiakum

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Figure 49. WEST VIRGINIA – Substate Regions (defined in terms of counties)

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Table 49. WEST VIRGINIA – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the West Virginia Department of Health and Human Services and are defined in terms of the State's 55 counties.

Region I	Region II	Region III	Region IV	Region V	Region VI
Note: The substate regions defined for West Virginia in this table are different from the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health. However, the following two regions are defined consistently across the two sets of region definitions: Region 1 (formerly called Northern A and B) and Region III (formerly called South Central I).
Brooke Hancock Marshall Ohio Wetzel	Berkeley Grant Hampshire Hardy Jefferson Mineral Morgan Pendleton	Calhoun Jackson Pleasants Ritchie Roane Tyler Wirt Wood	Barbour Braxton Doddridge Gilmer Harrison Lewis Marion Monongalia Preston Randolph Taylor Tucker Upshur	Boone Cabell Clay Kanawha Lincoln Logan Mason Mingo Putnam Wayne	Fayette Greenbrier McDowell Mercer Monroe Nicholas Pocahontas Raleigh Summers Webster Wyoming

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Figure 50. WISCONSIN – Substate Regions (defined in terms of counties)

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Table 50. WISCONSIN – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Mental Health and Substance Abuse Services, Wisconsin Department of Health and Family Services, and are defined in terms of the State's 72 counties.

Milwaukee	Northeastern	Northern	Southeastern	Southern	Western
Note: The substate regions defined for Wisconsin in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Milwaukee	Brown Calumet Door Fond du Lac Green Lake Kewaunee Manitowoc Marinette Marquette Menominee Oconto Outagamie Shawano Sheboygan Waupaca Waushara Winnebago	Ashland Bayfield Florence Forest Iron Langlade Lincoln Marathon Oneida Portage Price Sawyer Taylor Vilas Wood	Jefferson Kenosha Ozaukee Racine Walworth Washington Waukesha	Adams Columbia Crawford Dane Dodge Grant Green Iowa Juneau Lafayette Richland Rock Sauk Vernon	Barron Buffalo Burnett Chippewa Clark Douglas Dunn Eau Claire Jackson La Crosse Monroe Pepin Pierce Polk Rusk St. Croix Trempealeau Washburn

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Figure 51. WYOMING – Substate Regions (defined in terms of counties)

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Table 51. WYOMING – 2006-2008 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Substance Abuse Division, Wyoming Department of Health, and are defined in terms of the State's 23 counties.

Judicial District 1 (Laramie)	Judicial District 2	Judicial District 3	Judicial District 4	Judicial District 5	Judicial District 6	Judicial District 7 (Natrona)	Judicial District 8	Judicial District 9
Note: The substate regions defined for Wyoming in this table are the same as the substate regions defined in Section D of the Substate Estimates from the 2004-2006 National Surveys on Drug Use and Health.
Laramie	Albany Carbon	Lincoln Sweetwater Uinta	Johnson Sheridan	Big Horn Hot Springs Park Washakie	Campbell Crook Weston	Natrona	Converse Goshen Niobrara Platte	Fremont Sublette Teton

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