Section 1 PE Tables – Results from the 2018 National Survey on Drug Use and Health: Detailed Tables, Sections 1

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Table 11.1A – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17: Numbers in Thousands, 2002-2018
Setting Where Mental Health Service Was Received	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SPECIALTY MENTAL HEALTH SERVICE¹	2,898^a	3,065^a	3,348^a	3,362^a	3,255^a	3,104^a	3,129^a	2,925^a	2,920^a	3,101^a	3,118^a	3,341^a	3,369^a	3,253^a	3,598^a	3,646^a	3,901
Outpatient	2,662^a	2,795^a	3,015^a	3,048^a	2,931^a	2,787^a	2,837^a	2,650^a	2,635^a	2,842^a	2,846^a	3,064^a	3,110^a	2,958^a	3,239^a	3,328	3,547
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor	2,254^a	2,347^a	2,523^a	2,573^a	2,416^a	2,365^a	2,408^a	2,296^a	2,265^a	2,409^a	2,427^a	2,572^a	2,698^a	2,532^a	2,819^a	2,908	3,080
Mental Health Clinic or Center	611^a	635^a	716^a	657^a	587^a	583^a	567^a	537^a	547^a	547^a	610^a	731^a	760^a	792^a	929	995	977
Partial Day Hospital or Day Treatment Program	440	425	439	449	471	416	374^a	340^a	362^a	393^a	431	477	467	455	489	505	484
In-Home Therapist, Counselor, or Family Preservation Worker	693^a	656^a	762^a	731^a	719^a	707^a	716^a	657^a	674^a	767^a	776^a	787^a	836	830	845	840	951
Inpatient or Residential¹	509^a	542^a	629	619	596	581^a	539^a	524^a	531^a	526^a	547^a	574^a	606	642	737	708	683
Hospital	422^a	467^a	515	529	516	511^a	469^a	440^a	447^a	438^a	463^a	504^a	547	588	666	622	608
Residential Treatment Center	224^a	233^a	299	229^a	225^a	199^a	198^a	213^a	217^a	240	238	206^a	252	271	311	318	300
NONSPECIALTY MENTAL HEALTH SERVICE²	nc	nc	nc	nc	nc	nc	nc	3,430^a	3,465^a	3,463^a	3,649^a	3,634^a	3,736	3,691^a	3,732^a	3,810	3,977
Education^2,3	nc	nc	nc	nc	nc	nc	nc	2,931^a	2,957^a	2,920^a	3,157^a	3,147^a	3,229	3,206^a	3,193^a	3,231	3,444
School Social Worker, School Psychologist, or School Counselor	nc	nc	nc	nc	nc	nc	nc	2,286	2,214	2,188^a	2,389	2,284	2,379	2,239	2,278	2,249	2,395
Special School or Program within a Regular School for Students with Emotional or Behavioral Problems	nc	nc	nc	nc	nc	nc	nc	975^a	1,054^a	1,063^a	1,142^a	1,218^a	1,207^a	1,357	1,319	1,345	1,461
General Medicine
Pediatrician or Other Family Doctor	657^a	732	840	810	694	692	710	605^a	601^a	619^a	629^a	686	700	668	708	805	767
Juvenile Justice
Juvenile Detention Center, Prison, or Jail	--	--	--	--	--	--	--	109^a	80^a	103^a	83^a	59	63	53	53	45	48
Child Welfare
Foster Care or Therapeutic Foster Care	157^a	179^a	158^a	143^a	129	114	118	92	108	140^a	96	99	92	79	108	92	94
SPECIALTY MENTAL HEALTH SERVICES AND EDUCATION, GENERAL MEDICINE OR CHILD WELFARE SERVICES^1,2,3	nc	nc	nc	nc	nc	nc	nc	1,226^a	1,283^a	1,328^a	1,397^a	1,490^a	1,457^a	1,408^a	1,513^a	1,615	1,706
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of revisions in 2013 to Specialty Mental Health Service estimates, these 2002 to 2012 estimates may differ from estimates published prior to the 2013 NSDUH. ² Because of revisions in 2009 to the questions on the Source of Youth Mental Health Education Services, these estimates are not comparable with the education services estimates published prior to the 2009 NSDUH. ³ 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 services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

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Table 11.1B – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17: Percentages, 2002-2018
Setting Where Mental Health Service Was Received	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SPECIALTY MENTAL HEALTH SERVICE¹	11.8^a	12.4^a	13.4^a	13.4^a	13.0^a	12.4^a	12.7^a	12.0^a	12.1^a	12.6^a	12.7^a	13.6^a	13.7^a	13.3^a	14.7^a	14.8^a	16.0
Outpatient	10.8^a	11.3^a	12.1^a	12.1^a	11.7^a	11.2^a	11.5^a	10.9^a	10.9^a	11.5^a	11.5^a	12.5^a	12.7^a	12.0^a	13.2^a	13.6^a	14.5
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor	9.2^a	9.5^a	10.1^a	10.2^a	9.6^a	9.5^a	9.8^a	9.4^a	9.4^a	9.8^a	9.8^a	10.5^a	11.0^a	10.3^a	11.5^a	11.8	12.6
Mental Health Clinic or Center	2.5^a	2.6^a	2.9^a	2.6^a	2.3^a	2.3^a	2.3^a	2.2^a	2.3^a	2.2^a	2.5^a	3.0^a	3.1^a	3.2^a	3.8	4.0	4.0
Partial Day Hospital or Day Treatment Program	1.8	1.7	1.8	1.8	1.9	1.7	1.5^a	1.4^a	1.5^a	1.6^a	1.7	1.9	1.9	1.8	2.0	2.0	2.0
In-Home Therapist, Counselor, or Family Preservation Worker	2.8^a	2.6^a	3.0^a	2.9^a	2.9^a	2.8^a	2.9^a	2.7^a	2.8^a	3.1^a	3.1^a	3.2^a	3.4	3.4^a	3.4	3.4	3.9
Inpatient or Residential¹	2.1^a	2.2^a	2.5	2.5	2.4	2.3^a	2.2^a	2.1^a	2.2^a	2.1^a	2.2^a	2.3^a	2.5	2.6	3.0	2.9	2.8
Hospital	1.7^a	1.9^a	2.1^a	2.1	2.0^a	2.0^a	1.9^a	1.8^a	1.8^a	1.8^a	1.9^a	2.0^a	2.2	2.4	2.7	2.5	2.5
Residential Treatment Center	0.9^a	0.9^a	1.2	0.9^a	0.9^a	0.8^a	0.8^a	0.9^a	0.9^a	1.0	1.0^a	0.8^a	1.0	1.1	1.3	1.3	1.2
NONSPECIALTY MENTAL HEALTH SERVICE²	nc	nc	nc	nc	nc	nc	nc	14.2^a	14.5^a	14.2^a	15.0^a	15.0^a	15.4^a	15.2^a	15.4^a	15.7	16.5
Education^2,3	nc	nc	nc	nc	nc	nc	nc	12.1^a	12.4^a	11.9^a	12.9^a	13.0^a	13.2	13.2^a	13.1^a	13.3	14.2
School Social Worker, School Psychologist, or School Counselor	nc	nc	nc	nc	nc	nc	nc	9.4	9.2	8.9^a	9.7	9.4	9.7	9.2	9.3	9.2	9.9
Special School or Program within a Regular School for Students with Emotional or Behavioral Problems	nc	nc	nc	nc	nc	nc	nc	4.0^a	4.4^a	4.3^a	4.7^a	5.0^a	4.9^a	5.6	5.4^a	5.5	6.0
General Medicine
Pediatrician or Other Family Doctor	2.7^a	2.9	3.4	3.2	2.8	2.8	2.9	2.5^a	2.5^a	2.5^a	2.5^a	2.8	2.9	2.7	2.9	3.3	3.1
Juvenile Justice
Juvenile Detention Center, Prison, or Jail	--	--	--	--	--	--	--	0.4^a	0.3^a	0.4^a	0.3^a	0.2	0.3	0.2	0.2	0.2	0.2
Child Welfare
Foster Care or Therapeutic Foster Care	0.6^a	0.7^a	0.6^a	0.6^a	0.5	0.5	0.5	0.4	0.4	0.6^a	0.4	0.4	0.4	0.3	0.4	0.4	0.4
SPECIALTY MENTAL HEALTH SERVICES AND EDUCATION, GENERAL MEDICINE OR CHILD WELFARE SERVICES^1,2,3	nc	nc	nc	nc	nc	nc	nc	5.0^a	5.3^a	5.4^a	5.7^a	6.1^a	5.9^a	5.7^a	6.2^a	6.6	7.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of revisions in 2013 to Specialty Mental Health Service estimates, these 2002 to 2012 estimates may differ from estimates published prior to the 2013 NSDUH. ² Because of revisions in 2009 to the questions on the Source of Youth Mental Health Education Services, these estimates are not comparable with the education services estimates published prior to the 2009 NSDUH. ³ 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 services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

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Table 11.2A – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	2,225^a	2,191^a	1,970^a	2,016^a	2,027^a	1,954^a	1,911^a	2,011^a	2,213^a	2,587^a	2,751^a	3,031^a	3,089^a	3,214^a	3,482
AGE GROUP
12-13	445^a	417^a	383^a	337^a	366^a	330^a	330^a	312^a	420^a	470^a	548	587	548	516^a	632
14-15	783^a	811^a	684^a	705^a	706^a	741^a	706^a	710^a	844^a	1,025^a	986^a	1,163	1,115	1,200	1,250
16-17	997^a	964^a	902^a	974^a	955^a	883^a	876^a	989^a	950^a	1,091^a	1,217^a	1,281^a	1,427	1,498	1,600
GENDER
Male	637^a	571^a	539^a	586^a	540^a	577^a	536^a	566^a	581^a	657^a	710^a	725^a	786^a	845	946
Female	1,588^a	1,620^a	1,431^a	1,430^a	1,487^a	1,377^a	1,375^a	1,446^a	1,632^a	1,930^a	2,042^a	2,306^a	2,303^a	2,369	2,537
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,848^a	1,802^a	1,614^a	1,691^a	1,681^a	1,594^a	1,537^a	1,586^a	1,648^a	1,970^a	2,123^a	2,323^a	2,366^a	2,419	2,601
White	1,413^a	1,390^a	1,220^a	1,284^a	1,266^a	1,180^a	1,186^a	1,167^a	1,231^a	1,449^a	1,578^a	1,742	1,781	1,785	1,905
Black or African American	287	288	245^a	292	261	285	236^a	238^a	269	289	306	302	301	313	334
AIAN	13	10	12	7^a	13	9	10	15	7^a	7^a	11	*	16	24	23
NHOPI	*	*	*	*	*	*	1	*	*	*	*	*	*	*	*
Asian	82^a	63^a	77^a	66^a	73^a	73^a	57^a	90^a	49^a	123	124	118^a	152	145	189
Two or More Races	51^a	41^a	52^a	41^a	59^a	41^a	48^a	75^a	81^a	95^a	93^a	121	109	138	137
Hispanic or Latino	377^a	389^a	356^a	325^a	347^a	360^a	374^a	425^a	566^a	617^a	628^a	708^a	724^a	795	882
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

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Table 11.2B – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	9.0^a	8.8^a	7.9^a	8.2^a	8.3^a	8.1^a	8.0^a	8.2^a	9.1^a	10.7^a	11.4^a	12.5^a	12.8^a	13.3^a	14.4
AGE GROUP
12-13	5.4^a	5.2^a	4.9^a	4.3^a	4.9^a	4.6^a	4.3^a	4.1^a	5.4^a	6.1^a	7.2	7.8	7.3	6.9^a	8.4
14-15	9.2^a	9.5^a	7.9^a	8.4^a	8.5^a	8.8^a	9.0^a	8.6^a	10.2^a	12.4^a	11.9^a	13.8	13.3^a	14.5	15.3
16-17	12.3^a	11.5^a	10.7^a	11.5^a	11.2^a	10.4^a	10.6^a	11.7^a	11.4^a	13.2^a	14.6^a	15.5^a	17.2	17.7	19.0
GENDER
Male	5.0^a	4.5^a	4.2^a	4.6^a	4.3^a	4.7^a	4.4^a	4.5^a	4.7^a	5.3^a	5.7^a	5.8^a	6.4^a	6.8	7.7
Female	13.1^a	13.3^a	11.8^a	11.9^a	12.5^a	11.7^a	11.9^a	12.1^a	13.7^a	16.2^a	17.3^a	19.5^a	19.4^a	20.0	21.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.9^a	8.7^a	7.9^a	8.4^a	8.5^a	8.2^a	8.1^a	8.3^a	8.7^a	10.4^a	11.3^a	12.5^a	12.8^a	13.1^a	14.2
White	9.2^a	9.1^a	8.2^a	8.7^a	8.8^a	8.4^a	8.6^a	8.6^a	9.1^a	10.9^a	12.0^a	13.4^a	13.8	14.0	15.1
Black or African American	7.7^a	7.6^a	6.4^a	7.8^a	7.1^a	7.9^a	6.8^a	7.0^a	7.9^a	8.6	9.1	9.0	9.1	9.5	10.3
AIAN	7.8	6.1^a	9.3	4.6^a	10.1	7.5	7.4	11.4	5.2^a	4.5^a	6.9	*	11.5	16.3	15.2
NHOPI	*	*	*	*	*	*	1.8	*	*	*	*	*	*	*	*
Asian	8.3^a	6.0^a	7.7^a	6.6^a	7.7^a	7.6^a	5.5^a	7.6^a	4.2^a	10.2	10.4	9.7	11.9	11.3	13.6
Two or More Races	11.7^a	10.5^a	13.0	9.9^a	12.0^a	8.0^a	9.4^a	10.6^a	11.3^a	13.0	12.5^a	15.6	13.8	16.9	17.7
Hispanic or Latino	9.1^a	9.1^a	8.0^a	7.1^a	7.5^a	7.7^a	7.8^a	8.1^a	10.5^a	11.4^a	11.5^a	12.6^a	12.7^a	13.8	15.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

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Table 11.3A – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	1,358^a	1,371^a	1,460^a	1,404^a	1,350^a	1,388^a	1,544^a	1,868^a	1,990^a	2,129^a	2,168^a	2,265	2,423
AGE GROUP
12-13	211^a	200^a	239^a	235^a	232^a	218^a	285^a	314	375	388	354	332	382
14-15	518^a	500^a	505^a	521^a	479^a	487^a	590^a	752^a	707^a	826	789	861	891
16-17	629^a	671^a	716^a	648^a	639^a	683^a	669^a	801^a	909^a	915^a	1,025	1,072	1,150
GENDER
Male	335^a	386^a	359^a	391^a	395^a	397^a	373^a	435^a	461^a	477^a	539	581	628
Female	1,023^a	986^a	1,101^a	1,013^a	954^a	991^a	1,172^a	1,432^a	1,529^a	1,652	1,629^a	1,684	1,795
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,118^a	1,141^a	1,226^a	1,150^a	1,093^a	1,113^a	1,152^a	1,425^a	1,540^a	1,651^a	1,703	1,694	1,841
White	871^a	873^a	944^a	858^a	853^a	799^a	883^a	1,046^a	1,167^a	1,258	1,290	1,256	1,354
Black or African American	150^a	193	171	204	157^a	183	164^a	207	214	198	196	233	225
AIAN	9	4	8	5	7	13	4	6	8	*	8	6	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	54^a	39^a	44^a	48^a	44^a	60^a	30^a	98	80	67^a	118	101	127
Two or More Races	32^a	32^a	50^a	31^a	30^a	57^a	64^a	61^a	66^a	98	86	89	109
Hispanic or Latino	240^a	230^a	233^a	254^a	257^a	275^a	392^a	442^a	450^a	477^a	465^a	571	582
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

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Table 11.3B – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	5.5^a	5.5^a	6.0^a	5.8^a	5.7^a	5.7^a	6.3^a	7.7^a	8.2^a	8.8^a	9.0^a	9.4	10.0
AGE GROUP
12-13	2.7^a	2.5^a	3.2^a	3.2^a	3.0^a	2.8^a	3.7^a	4.1^a	4.9	5.1	4.7	4.4	5.1
14-15	6.0^a	6.0^a	6.1^a	6.2^a	6.1^a	5.9^a	7.1^a	9.1^a	8.5^a	9.8	9.4^a	10.4	10.9
16-17	7.5^a	7.9^a	8.4^a	7.7^a	7.7^a	8.1^a	8.0^a	9.7^a	10.9^a	11.1^a	12.4	12.7	13.7
GENDER
Male	2.6^a	3.0^a	2.9^a	3.2^a	3.2^a	3.2^a	3.0^a	3.5^a	3.7^a	3.8^a	4.4	4.7	5.1
Female	8.4^a	8.2^a	9.3^a	8.6^a	8.2^a	8.3^a	9.8^a	12.0^a	13.0^a	14.0	13.7^a	14.2	15.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.5^a	5.7^a	6.2^a	5.9^a	5.7^a	5.8^a	6.1^a	7.6^a	8.2^a	8.9^a	9.2	9.2	10.1
White	5.8^a	5.9^a	6.5^a	6.1^a	6.2^a	5.9^a	6.5^a	7.8^a	8.9^a	9.7	10.0	9.8	10.7
Black or African American	3.9^a	5.1^a	4.6^a	5.7	4.5^a	5.4	4.8^a	6.2	6.4	5.9	6.0	7.1	6.9
AIAN	6.6	2.6	6.5	4.3	5.4	9.8	2.6	3.8	4.9	*	5.7	3.9	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	5.3	3.9^a	4.7^a	5.0^a	4.3^a	5.0^a	2.6^a	8.1	6.6	5.5^a	9.3	7.9	9.2
Two or More Races	8.0^a	7.8^a	10.2	6.0^a	5.9^a	8.1^a	9.0^a	8.4^a	8.9^a	12.6	10.9	10.9	14.2
Hispanic or Latino	5.4^a	5.1^a	5.1^a	5.4^a	5.4^a	5.2^a	7.3^a	8.2^a	8.2^a	8.5	8.2^a	9.9	10.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.4A – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic Characteristics: Numbers in Thousands, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	895^a	822^a	760^a	782^a	764^a	673^a	721^a	769^a	813^a	977^a	1,122^a	1,186^a	1,249^a	1,330	1,432
AGE GROUP
12-13	169^a	136^a	133^a	137^a	122^a	98^a	106^a	112^a	127^a	181^a	194	185^a	189^a	193	251
14-15	278^a	329^a	263^a	259^a	236^a	244^a	271^a	258^a	307^a	376^a	394^a	472	455	453	514
16-17	448^a	357^a	364^a	386^a	405^a	331^a	343^a	400^a	379^a	420^a	535^a	530^a	605	684	667
GENDER
Male	239^a	193^a	189^a	214^a	183^a	168^a	171^a	199^a	163^a	193^a	265^a	262^a	260^a	274^a	351
Female	656^a	629^a	571^a	568^a	581^a	505^a	549^a	570^a	650^a	784^a	857^a	924^a	989	1,056	1,081
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	756^a	700^a	634^a	691^a	658^a	555^a	577^a	645^a	642^a	753^a	918^a	936^a	1,008	1,072	1,100
White	633^a	544^a	502^a	545^a	545^a	444^a	487^a	482^a	500^a	598^a	723^a	702^a	799	847	870
Black or African American	82	113	70^a	116	85	67^a	54^a	97	90	83	123	127	102	110	115
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	55	*	62	48
Hispanic or Latino	139^a	122^a	126^a	91^a	105^a	118^a	144^a	125^a	171^a	224^a	204^a	251	241^a	258	332
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.4B – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic Characteristics: Percentages, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	40.3	37.8	38.8	39.0	37.7	34.6^a	37.8	38.4	37.0^a	38.1	41.2	39.3	40.9	41.5	41.4
AGE GROUP
12-13	38.2	32.9	35.1	41.5	33.5	30.0^a	32.5	36.3	30.7^a	39.1	35.9	31.9^a	35.3	37.6	40.7
14-15	35.5	41.1	38.4	36.8	33.6^a	33.2^a	38.4	36.3	36.6	37.2	40.1	40.6	41.3	37.9	41.2
16-17	45.0	37.1	40.7	39.8	42.4	37.5	39.3	40.5	40.0	38.6	44.4	41.5	42.6	45.8	41.8
GENDER
Male	37.7	34.1	35.3	36.7	34.0	29.2^a	32.0	35.3	28.3^a	29.7^a	37.7	36.3	33.5	32.5	37.5
Female	41.3	39.0	40.2	40.0	39.1	36.9^a	40.1	39.5	40.1	40.9	42.4	40.3	43.4	44.8	42.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	41.0	39.0	39.5	41.1	39.3	35.0^a	37.6^a	40.7	39.0	38.5^a	43.5	40.5	42.9	44.4	42.6
White	44.9	39.3^a	41.3	42.7	43.1	37.7^a	41.1	41.4	40.7^a	41.6	46.1	40.6^a	45.1	47.5	46.1
Black or African American	28.9	39.3	29.1	39.7	32.4	23.9^a	23.0^a	41.0	33.5	28.6	40.6	42.0	34.5	35.1	34.6
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	46.7	*	44.8	34.8
Hispanic or Latino	36.8	31.8	35.9	28.2^a	30.4	33.0	38.4	29.4	30.8	36.9	33.1	35.5	34.1	32.7	37.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.5A – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year, by Demographic Characteristics: Numbers in Thousands, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	627^a	601^a	622^a	542^a	554^a	602^a	633^a	832^a	882^a	945^a	1,001	1,074	1,133
AGE GROUP
12-13	92^a	85^a	91^a	78^a	66^a	91^a	91^a	150	143	142	131	153	177
14-15	232^a	216^a	194^a	184^a	215^a	200^a	239^a	320^a	307^a	374	369	364	406
16-17	304^a	300^a	336^a	280^a	273^a	311^a	302^a	363^a	433^a	429^a	501	558	550
GENDER
Male	134^a	154^a	132^a	132^a	132^a	147^a	127^a	157^a	189^a	206^a	208^a	208^a	274
Female	493^a	447^a	489^a	410^a	422^a	455^a	506^a	675^a	693^a	739^a	793	866	859
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	535^a	534^a	550^a	443^a	448^a	502^a	506^a	645^a	725^a	755^a	827	868	882
White	432^a	439^a	461^a	352^a	380^a	379^a	403^a	504^a	572^a	563^a	668	679	695
Black or African American	53^a	72	65	58	42^a	82	56^a	72	99	97	71	97	90
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	92^a	67^a	72^a	99^a	106^a	100^a	127^a	187	158^a	190	174^a	206	251
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.5B – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year, by Demographic Characteristics: Percentages, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	46.5	43.9	42.6	38.8^a	41.1^a	43.5	41.0^a	45.0	44.7	44.6	46.7	47.5	46.9
AGE GROUP
12-13	44.1	42.3	38.3	33.8^a	28.7^a	42.3	32.0^a	48.5	38.7	37.0^a	37.6	46.2	47.2
14-15	44.8	43.2	38.6	35.6^a	45.0	41.0	40.5	43.2	43.4	45.4	47.5	42.3	45.6
16-17	48.8	44.9	46.9	43.2	42.7	45.5	45.4	45.3	48.1	47.1	49.2	52.0	47.8
GENDER
Male	40.1	40.2	36.9	34.0^a	33.4^a	37.3	34.4^a	36.4	41.2	43.1	39.0	35.8	43.7
Female	48.6	45.4	44.5	40.7^a	44.3	45.9	43.2	47.6	45.7	45.1	49.3	51.5	48.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	48.0	46.8	44.9	38.7^a	41.1^a	45.2	43.9	45.6	47.3	46.0	48.9	51.3	48.1
White	49.8	50.4	48.9	41.1^a	44.5^a	47.4	45.7^a	48.6	49.2	45.0^a	52.1	54.1	51.6
Black or African American	35.5	37.4	38.0	28.9	26.9^a	44.6	34.4	34.9	46.9	48.8	37.1	41.6	40.1
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	39.4	29.4^a	30.8^a	39.3	41.3	36.4	32.6^a	43.1	35.6	40.0	38.4	36.1	43.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.6A – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Numbers in Thousands, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	955^a	979^a	942^a	1,138
Marijuana	601^a	553^a	483^a	473^a	485^a	472^a	481^a	523^a	547^a	664^a	664^a	675^a	751^a	724^a	878
Cocaine	66^a	73^a	64	69^a	61	43	46	54	53	28	41	34	35	37	35
Crack	15^a	12^a	16^a	17^a	12^a	9^a	9^a	11^a	7	2	11^a	*	4	2	0
Heroin	9	10	11	6	9	10	10	11	11	7	12	5	3	6	3
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	129	127	145	112
LSD	36	38	18^a	16^a	28^a	43	24^a	30^a	40	29^a	48	63	41	72	62
PCP	21	16	11	8	20^a	12	8	12	9	6	11	2	6	12	6
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	45	59	47	46
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	193	159	145	178
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	14	6	14	8
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	370	411	369	375
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	236	283^a	210	214
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	166	142	158	126
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	117^a	168	167	168
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	103^a	149	164	153
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	26	43	22	34
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	96^a	142	154	145
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	236	285^a	212	214
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	563	553	515	547
PAST MONTH USE
Alcohol	632	606	523	553	509	473	460^a	482	503	490	556	524	508	524	558
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	288	268	293	295
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	51^a	52^a	39	22
Cigarette Use	508^a	450^a	378^a	388^a	354^a	336^a	302^a	317^a	284^a	288^a	254	241	239	214	212
Daily Cigarette Use	171^a	116^a	102^a	96^a	75^a	70^a	59^a	81^a	61^a	46^a	45	55^a	27	25	23
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.6B – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Percentages, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	31.5	31.7	29.3	32.7
Marijuana	27.0	25.2	24.5	23.5	23.9	24.2	25.2	26.0	24.7	25.7	24.1	22.3	24.3	22.5	25.2
Cocaine	3.0^a	3.4^a	3.3^a	3.4^a	3.0^a	2.2^a	2.4^a	2.7^a	2.4^a	1.1	1.5	1.1	1.1	1.1	1.0
Crack	0.7^a	0.6^a	0.8^a	0.9^a	0.6^a	0.5^a	0.5^a	0.5^a	0.3	0.1	0.4^a	*	0.1	0.1	0.0
Heroin	0.4	0.4	0.5^a	0.3	0.4	0.5^a	0.5^a	0.5^a	0.5^a	0.3	0.4	0.2	0.1	0.2	0.1
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	4.2	4.1	4.5	3.2
LSD	1.6	1.7	0.9^a	0.8^a	1.4	2.2	1.2	1.5	1.8	1.1	1.8	2.1	1.3	2.2	1.8
PCP	0.9^a	0.7^a	0.6	0.4	1.0^a	0.6	0.4	0.6	0.4	0.2	0.4	0.1	0.2	0.4	0.2
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.5	1.9	1.5	1.3
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	6.4	5.1	4.5	5.1
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.5	0.2	0.4	0.2
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	12.2	13.3^a	11.5	10.8
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7.8	9.2^a	6.5	6.1
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	5.5^a	4.6	4.9	3.6
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3.9	5.5	5.2	4.8
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3.4	4.8	5.1	4.4
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.8	1.4	0.7	1.0
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3.2	4.6	4.8	4.2
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7.8	9.2^a	6.6	6.1
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	18.6	17.9	16.0	15.7
PAST MONTH USE
Alcohol	28.4^a	27.6^a	26.6^a	27.4^a	25.1^a	24.2^a	24.0^a	23.9^a	22.7^a	18.9^a	20.2^a	17.3	16.5	16.3	16.0
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	9.5	8.7	9.1	8.5
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.7^a	1.7^a	1.2	0.6
Cigarette Use	22.8^a	20.5^a	19.2^a	19.2^a	17.4^a	17.2^a	15.8^a	15.8^a	12.8^a	11.1^a	9.2^a	8.0	7.8	6.7	6.1
Daily Cigarette Use	7.7^a	5.3^a	5.2^a	4.8^a	3.7^a	3.6^a	3.1^a	4.0^a	2.7^a	1.8^a	1.6^a	1.8^a	0.9	0.8	0.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.7A – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year: Numbers in Thousands, 2006-2018
Substance	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	774	757^a	720^a	885
Marijuana	362^a	339^a	384^a	366^a	327^a	375^a	414^a	495^a	510^a	545^a	572^a	547^a	678
Cocaine	47	54^a	48	35	35	36	45	17	32	32	30	27	27
Crack	10^a	17^a	5^a	6^a	7^a	11^a	7	2	6	*	4	2	0
Heroin	9	6	8	6	9	8	11	7	12	2	3	4	3
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	116	102	122	96
LSD	13^a	13^a	23^a	30	20^a	23^a	36	19^a	45	56	31	58	52
PCP	10	5	16	6	4	7	8	6	11	2	6	11	6
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	43	46	42	42
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	151	124	119	145
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	10	5	14	6
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	325	349	285	301
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	201	237^a	170	172
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	148	130	122	106
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	103^a	148	131	151
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	89^a	131	127	136
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	25	41	19	30
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	82^a	125	119	129
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	201	238^a	172	172
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	477	450	406	435
PAST MONTH USE
Alcohol	386	404	385	372	318^a	331^a	370	365	421	396	373	398	433
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	228	199	220	238
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	49^a	40^a	29	17
Cigarette Use	290^a	285^a	275^a	276^a	219	225	217	221	203	213	194	168	177
Daily Cigarette Use	83^a	75^a	56^a	55^a	46^a	58^a	44^a	32	40	50^a	19	18	17
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.7B – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year: Percentages, 2006-2018
Substance	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	36.3	34.9	31.8^a	36.5
Marijuana	26.6	24.7	26.3	26.0	24.3	27.0	26.8	26.5	25.6	25.6	26.4	24.1^a	28.0
Cocaine	3.5^a	4.0^a	3.3^a	2.5^a	2.6^a	2.6^a	2.9^a	0.9	1.6	1.5	1.4	1.2	1.1
Crack	0.8^a	1.2^a	0.4^a	0.5^a	0.5^a	0.8^a	0.4	0.1	0.3	*	0.2	0.1	0.0
Heroin	0.6	0.5	0.6	0.4	0.6	0.6	0.7^a	0.4	0.6	0.1	0.1	0.2	0.1
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	5.5	4.7	5.4	4.0
LSD	0.9^a	0.9^a	1.6	2.1	1.5	1.7	2.3	1.0^a	2.2	2.6	1.4	2.6	2.1
PCP	0.8	0.4	1.1^a	0.4	0.3	0.5	0.5	0.3	0.5	0.1	0.3	0.5	0.2
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	2.0	2.1	1.9	1.7
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	7.1	5.7	5.2	6.0
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.5	0.2	0.6	0.3
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	15.3	16.1^a	12.6	12.4
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	9.4	10.9^a	7.5	7.1
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	6.9^a	6.0	5.4	4.4
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	4.8	6.8	5.8	6.2
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	4.2	6.0	5.6	5.6
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.2	1.9	0.8	1.2
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	3.8	5.8	5.2	5.3
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	9.4	11.0^a	7.6	7.1
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	22.4^a	20.8	17.9	18.0
PAST MONTH USE
Alcohol	28.4^a	29.5^a	26.4^a	26.5^a	23.6^a	23.8^a	24.0^a	19.5	21.1	18.6	17.2	17.6	17.9
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	10.7	9.2	9.7	9.8
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	2.3^a	1.8^a	1.3	0.7
Cigarette Use	21.3^a	20.8^a	18.8^a	19.7^a	16.2^a	16.2^a	14.1^a	11.8^a	10.2^a	10.0^a	8.9	7.4	7.3
Daily Cigarette Use	6.1^a	5.5^a	3.8^a	3.9^a	3.4^a	4.2^a	2.9^a	1.7^a	2.0^a	2.3^a	0.9	0.8	0.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.8A – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with No Major Depressive Episode in Past Year: Numbers in Thousands, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3,251^a	2,823	3,010	2,888
Marijuana	2,998^a	2,763^a	2,803^a	2,629^a	2,693^a	2,810^a	2,836^a	2,962^a	2,746^a	2,561^a	2,479^a	2,366	2,136	2,283	2,164
Cocaine	335^a	335^a	337^a	302^a	238^a	196^a	178^a	165^a	123^a	93	115^a	115^a	91	87	66
Crack	44^a	37^a	57^a	45^a	22^a	18^a	9^a	18^a	12	7	5	5	4	14	1
Heroin	37^a	23^a	26^a	15^a	27^a	25^a	18	36^a	20	20^a	13	14	9	7	5
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	371^a	308	346^a	254
LSD	117	108	86^a	108	150	97	103	113	106	108	163	177	157	173	136
PCP	47^a	64^a	47^a	48^a	40^a	35^a	26^a	26^a	36^a	20^a	22^a	29^a	12	10	7
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	151^a	111	121	80
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	457	378	418	460
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	22	23	31	32
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1,044^a	851	824	767
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	700^a	556^a	526	444
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	305^a	275	280	231
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	315	285	313	275
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	277	260	282	253
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	73^a	50	50	29
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	260	250	280	243
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	710^a	563^a	526	448
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1,610^a	1,335	1,373	1,284
PAST MONTH USE
Alcohol	3,741^a	3,515^a	3,635^a	3,413^a	3,088^a	3,114^a	2,793^a	2,759^a	2,660^a	2,316^a	2,219^a	1,823^a	1,726	1,862^a	1,618
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1,127^a	901	990^a	843
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	165^a	132	129	105
Cigarette Use	2,420^a	2,221^a	2,214^a	2,047^a	1,858^a	1,825^a	1,659^a	1,557^a	1,294^a	1,042^a	900^a	755^a	574^a	538^a	427
Daily Cigarette Use	628^a	568^a	583^a	527^a	417^a	433^a	388^a	349^a	285^a	212^a	229^a	141^a	94	68	73
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.8B – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with No Major Depressive Episode in Past Year: Percentages, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	15.3^a	13.4	14.3	14.0
Marijuana	13.3^a	12.1^a	12.2^a	11.6^a	12.0^a	12.7^a	12.9^a	13.2^a	12.4^a	11.8^a	11.6^a	11.1	10.1	10.9	10.5
Cocaine	1.5^a	1.5^a	1.5^a	1.3^a	1.1^a	0.9^a	0.8^a	0.7^a	0.6^a	0.4	0.5^a	0.5^a	0.4	0.4	0.3
Crack	0.2^a	0.2^a	0.2^a	0.2^a	0.1^a	0.1^a	0.0^a	0.1^a	0.1	0.0	0.0	0.0	0.0	0.1	0.0
Heroin	0.2^a	0.1^a	0.1^a	0.1	0.1^a	0.1^a	0.1	0.2^a	0.1	0.1^a	0.1	0.1	0.0	0.0	0.0
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.7^a	1.5	1.6^a	1.2
LSD	0.5	0.5	0.4^a	0.5	0.7	0.4^a	0.5	0.5	0.5	0.5	0.8	0.8	0.7	0.8	0.7
PCP	0.2^a	0.3^a	0.2^a	0.2^a	0.2^a	0.2^a	0.1^a	0.1^a	0.2^a	0.1	0.1^a	0.1^a	0.1	0.0	0.0
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.7^a	0.5	0.6	0.4
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	2.2	1.8^a	2.0	2.2
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1	0.1	0.1	0.2
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	4.9^a	4.0	3.9	3.7
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3.3^a	2.6^a	2.5	2.2
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.4	1.3	1.3	1.1
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.5	1.3	1.5	1.3
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.3	1.2	1.3	1.2
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.3^a	0.2	0.2	0.1
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.2	1.2	1.3	1.2
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3.3^a	2.7^a	2.5	2.2
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7.6^a	6.3	6.5	6.2
PAST MONTH USE
Alcohol	16.5^a	15.4^a	15.8^a	15.0^a	13.8^a	14.1^a	12.8^a	12.3^a	12.0^a	10.7^a	10.3^a	8.6	8.2	8.9^a	7.8
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	5.3^a	4.3	4.7	4.1
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.8^a	0.6	0.6	0.5
Cigarette Use	10.7^a	9.8^a	9.7^a	9.0^a	8.3^a	8.2^a	7.6^a	7.0^a	5.8^a	4.8^a	4.2^a	3.6^a	2.7^a	2.6^a	2.1
Daily Cigarette Use	2.8^a	2.5^a	2.5^a	2.3^a	1.9^a	2.0^a	1.8^a	1.6^a	1.3^a	1.0^a	1.1^a	0.7^a	0.4	0.3	0.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190419

Table 11.9A – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Numbers in Thousands, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	350	333	345	358
Male	87	72^a	101	114
Female	263	261	244	244
Illicit Drug Use Disorder	241	236	260	279
Male	57	59	80	87
Female	184	177	180	193
Alcohol Use Disorder	202	182	164	159
Male	51	27	47	*
Female	151	156^a	118	108
NO SUBSTANCE USE DISORDER	2,681^a	2,756^a	2,869^a	3,124
Male	638^a	714	744	832
Female	2,043^a	2,042^a	2,125	2,292
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.9B – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Percentages, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	29.1^a	33.0^a	35.9	40.6
Male	14.8^a	15.0^a	22.6	26.4
Female	42.8^a	49.5	47.6	54.4
Illicit Drug Use Disorder	28.9^a	31.8^a	36.2	42.8
Male	13.7^a	15.4^a	22.7	25.9
Female	43.9^a	49.0^a	49.1^a	60.5
Alcohol Use Disorder	33.0	39.5	38.5	40.8
Male	17.4	14.6	26.7	*
Female	47.0	55.8	46.8	48.1
NO SUBSTANCE USE DISORDER	11.6^a	11.9^a	12.3^a	13.4
Male	5.4^a	6.0	6.2	7.0
Female	18.2^a	18.0^a	18.7	20.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.10A – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Numbers in Thousands, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	303	278	276	288
Male	70	56	81	82
Female	232	222	195	207
Illicit Drug Use Disorder	219	202	215	227
Male	48	44	66	60
Female	172	158	149	167
Alcohol Use Disorder	172	152	124	132
Male	43	22	34	*
Female	129	130	90	93
NO SUBSTANCE USE DISORDER	1,826^a	1,890^a	1,989	2,135
Male	407^a	483	500	546
Female	1,419	1,407^a	1,489	1,588
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.10B – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Percentages, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	25.2^a	27.5	28.8	32.7
Male	12.0	11.6^a	18.1	18.9
Female	37.8	42.2	38.1	46.0
Illicit Drug Use Disorder	26.3^a	27.3^a	29.9	34.8
Male	11.5	11.7	18.8	18.0
Female	40.9^a	43.6	40.6^a	52.4
Alcohol Use Disorder	28.2	32.8	29.1	33.9
Male	14.7	11.9	19.6	*
Female	40.2	46.5	35.7	41.3
NO SUBSTANCE USE DISORDER	7.9^a	8.2^a	8.5	9.2
Male	3.4^a	4.1	4.2	4.6
Female	12.6	12.4^a	13.1	14.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.11A – Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Gender: Numbers in Thousands, 2015-2018
Substance Use Disorder/ MDE Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER
MDE	350	333	345	358
Male	87	72^a	101	114
Female	263	261	244	244
MDE WITH SEVERE IMPAIRMENT	303	278	276	288
Male	70	56	81	82
Female	232	222	195	207
NO MDE	854^a	676^a	615	523
Male	502^a	411^a	346	318
Female	352^a	265^a	268	205
ILLICIT DRUG USE DISORDER
MDE	241	236	260	279
Male	57	59	80	87
Female	184	177	180	193
MDE WITH SEVERE IMPAIRMENT	219	202	215	227
Male	48	44	66	60
Female	172	158	149	167
NO MDE	593^a	506^a	459	374
Male	357^a	321	272	248
Female	235^a	185^a	186^a	126
ALCOHOL USE DISORDER
MDE	202	182	164	159
Male	51	27	47	50
Female	151	156^a	118	108
MDE WITH SEVERE IMPAIRMENT	172	152	124	132
Male	43	22	34	39
Female	129	130	90	93
NO MDE	411^a	279	262	231
Male	240^a	156	129	114
Female	171^a	123	134	117
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

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Table 11.11B – Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Gender: Percentages, 2015-2018
Substance Use Disorder/ MDE Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER
MDE	11.6	10.8	10.7	10.3
Male	12.0	9.2	12.0	12.0
Female	11.4	11.3	10.3	9.6
MDE WITH SEVERE IMPAIRMENT	14.2	12.8	12.2	11.9
Male	14.7	10.4	13.9	13.0
Female	14.1	13.6	11.6	11.5
NO MDE	4.0^a	3.2^a	2.9	2.5
Male	4.3^a	3.6^a	3.0	2.8
Female	3.7^a	2.8	2.8	2.2
ILLICIT DRUG USE DISORDER
MDE	8.0	7.6	8.1	8.0
Male	7.8	7.5	9.5	9.2
Female	8.0	7.7	7.6	7.6
MDE WITH SEVERE IMPAIRMENT	10.3	9.3	9.5	9.4
Male	10.0	8.2	11.4	9.6
Female	10.4	9.7	8.8	9.3
NO MDE	2.8^a	2.4^a	2.2	1.8
Male	3.1^a	2.8	2.4	2.2
Female	2.5^a	1.9^a	2.0^a	1.4
ALCOHOL USE DISORDER
MDE	6.7^a	5.9	5.1	4.6
Male	7.0	3.4	5.5	5.3
Female	6.6^a	6.8^a	5.0	4.3
MDE WITH SEVERE IMPAIRMENT	8.1^a	7.0	5.5	5.5
Male	8.9	4.0	5.9	6.2
Female	7.8	8.0^a	5.3	5.2
NO MDE	1.9^a	1.3	1.2	1.1
Male	2.1^a	1.4	1.1	1.0
Female	1.8	1.3	1.4	1.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

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Table 11.12A – Co-Occurring Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, by Gender: Numbers in Thousands, 2015-2018
Substance Use Disorder (SUD), Illicit Drug Use Disorder (IDUD), or Alcohol Use Disorder (AUD) and MDE/Gender	2015	2016	2017	2018
SUD and MDE	350	333	345	358
Male	87	72^a	101	114
Female	263	261	244	244
SUD and MDE with Severe Impairment	303	278	276	288
Male	70	56	81	82
Female	232	222	195	207
IDUD and MDE	241	236	260	279
Male	57	59	80	87
Female	184	177	180	193
IDUD and MDE with Severe Impairment	219	202	215	227
Male	48	44	66	60
Female	172	158	149	167
AUD and MDE	202	182	164	159
Male	51	27	47	50
Female	151	156^a	118	108
AUD and MDE with Severe Impairment	172	152	124	132
Male	43	22	34	39
Female	129	130	90	93
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

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Table 11.12B – Co-Occurring Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, by Gender: Percentages, 2015-2018
Substance Use Disorder (SUD), Illicit Drug Use Disorder (IDUD), or Alcohol Use Disorder (AUD) and MDE/Gender	2015	2016	2017	2018
SUD and MDE	1.4	1.4	1.4	1.5
Male	0.7	0.6^a	0.8	0.9
Female	2.2	2.2	2.1	2.1
SUD and MDE with Severe Impairment	1.2	1.1	1.1	1.2
Male	0.6	0.5	0.7	0.7
Female	2.0	1.9	1.6	1.8
IDUD and MDE	1.0	1.0	1.1	1.2
Male	0.5	0.5	0.6	0.7
Female	1.6	1.5	1.5	1.6
IDUD and MDE with Severe Impairment	0.9	0.8	0.9	0.9
Male	0.4	0.4	0.5	0.5
Female	1.4	1.3	1.3	1.4
AUD and MDE	0.8	0.8	0.7	0.7
Male	0.4	0.2	0.4	0.4
Female	1.3	1.3	1.0	0.9
AUD and MDE with Severe Impairment	0.7	0.6	0.5	0.5
Male	0.3	0.2	0.3	0.3
Female	1.1	1.1	0.8	0.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

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Table 11.13A – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Numbers in Thousands, 2004-2018
Type of Treatment	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SAW OR TALKED TO A HEALTH PROFESSIONAL OR USED PRESCRIPTION MEDICATION	856^a	778^a	700^a	739^a	731^a	638^a	682^a	724^a	791^a	944^a	1,076^a	1,139^a	1,223	1,286	1,371
Saw or Talked to a Health Professional BUT Did Not Use Prescription Medication	425^a	404^a	407^a	372^a	406^a	358^a	370^a	397^a	431^a	522^a	543^a	596^a	571^a	625^a	749
Used Prescription Medication BUT Did Not See or Talk to a Health Professional	76	58	47	53	60	46^a	58	52	52	94	75	87	59	76	77
Saw or Talked to a Health Professional AND Used Prescription Medication	342^a	308^a	241^a	307^a	259^a	231^a	252^a	272^a	302^a	316^a	447	447	576	570	533
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

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Table 11.13B – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Percentages, 2004-2018
Type of Treatment	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SAW OR TALKED TO A HEALTH PROFESSIONAL OR USED PRESCRIPTION MEDICATION	38.7	35.9^a	35.9^a	37.0	36.3	33.0^a	35.8^a	36.3	36.0^a	36.9	39.6	37.9	40.2	40.3	40.0
Saw or Talked to a Health Professional BUT Did Not Use Prescription Medication	19.3	18.6	20.9	18.6	20.2	18.5^a	19.4	19.9	19.6	20.4	20.0	19.8	18.8	19.6	21.8
Used Prescription Medication BUT Did Not See or Talk to a Health Professional	3.4^a	2.7	2.4	2.7	3.0	2.4	3.0	2.6	2.4	3.7	2.8	2.9	1.9	2.4	2.2
Saw or Talked to a Health Professional AND Used Prescription Medication	15.5	14.1	12.3^a	15.3	12.8	11.9^a	13.2	13.6	13.7	12.3^a	16.4	14.8	18.9^a	17.9	15.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

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Table 11.14A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2015-2018
Substance Use Disorder (SUD) Status/MDE Status/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and MDE
Received SU Tx at a Specialty Facility OR MH Services	221	239	216	234
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	5	*	3
Received MH Services BUT NOT SU Tx at a Specialty Facility	208	219	195	211
Received SU Tx at a Specialty Facility AND MH Services	13	15	20	19
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	129	94	128	122
SUD and MDE with Severe Impairment
Received SU Tx at a Specialty Facility OR MH Services	202	208	181	206
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	5	*	3
Received MH Services BUT NOT SU Tx at a Specialty Facility	189	188	160	190
Received SU Tx at a Specialty Facility AND MH Services	13	15	20	13
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	101	70	95	80
SUD and No MDE
Received SU Tx at a Specialty Facility OR MH Services	277^a	249^a	227	173
Received SU Tx at a Specialty Facility BUT NOT MH Services	12	23	8	12
Received MH Services BUT NOT SU Tx at a Specialty Facility	245^a	205^a	198	145
Received SU Tx at a Specialty Facility AND MH Services	20	21	20	15
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	563^a	422^a	379	338
MDE and No SUD
Received SU Tx at a Specialty Facility OR MH Services	1,283^a	1,440	1,551	1,550
Received SU Tx at a Specialty Facility BUT NOT MH Services	0	0	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,276^a	1,439	1,544	1,547
Received SU Tx at a Specialty Facility AND MH Services	7	1	7	3
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1,389	1,297^a	1,288^a	1,561
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

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Table 11.14B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2015-2018
Substance Use Disorder (SUD) Status/MDE Status/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and MDE
Received SU Tx at a Specialty Facility OR MH Services	63.1	71.9	62.7	65.7
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	1.5	*	0.8
Received MH Services BUT NOT SU Tx at a Specialty Facility	59.4	65.8	56.8	59.5
Received SU Tx at a Specialty Facility AND MH Services	3.8	4.6	5.9	5.4
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	36.9	28.1	37.3	34.3
SUD and MDE with Severe Impairment
Received SU Tx at a Specialty Facility OR MH Services	66.7	74.8	65.6	72.1
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	1.8	*	1.0
Received MH Services BUT NOT SU Tx at a Specialty Facility	62.4	67.5	58.2	66.4
Received SU Tx at a Specialty Facility AND MH Services	4.3	5.5	7.4	4.7
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	33.3	25.2	34.4	27.9
SUD and No MDE
Received SU Tx at a Specialty Facility OR MH Services	33.0	37.1	37.4	33.8
Received SU Tx at a Specialty Facility BUT NOT MH Services	1.3	3.5	1.2	2.4
Received MH Services BUT NOT SU Tx at a Specialty Facility	29.2	30.5	32.7	28.4
Received SU Tx at a Specialty Facility AND MH Services	2.4	3.1	3.3	2.8
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	67.0	62.9	62.6	66.2
MDE and No SUD
Received SU Tx at a Specialty Facility OR MH Services	48.0	52.6	54.6^a	49.8
Received SU Tx at a Specialty Facility BUT NOT MH Services	0.0	0.0	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	47.7	52.6	54.4^a	49.7
Received SU Tx at a Specialty Facility AND MH Services	0.3	0.0	0.2	0.1
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	52.0	47.4	45.4^a	50.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.