130626

Table 2.1A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Age Group: Numbers in Thousands, 2011 and 2012

Source of Mental Health Service1	Total (2011)	Total (2012)	Aged 12-13 (2011)	Aged 12-13 (2012)	Aged 14-15 (2011)	Aged 14-15 (2012)	Aged 16-17 (2011)	Aged 16-17 (2012)
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of mental health service information were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive. 2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 5 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
SPECIALTY MENTAL HEALTH	3,129	3,135	912	938	1,113	1,145	1,104	1,053
Outpatient	2,842	2,846	821	844	1,008	1,055	1,013	947
Private Therapist, Psychologist, Psychiatrist, Social Worker,    or Counselor	2,409	2,427	663	673	867	896	879	858
Mental Health Clinic or Center	547	610	126	154	190a	244	231	212
Partial Day Hospital or Day Treatment Program	393	431	111	134	157	173	125	125
In-Home Therapist, Counselor, or Family Preservation Worker	767	776	249	241	277	295	241	240
Inpatient or Residential (Overnight or Longer Stay)	602	588	180	155	228	200	194	233
Hospital	438	463	125	128	175	159	139	175
Residential Treatment Center	240	238	61	50	97	92	83	95
Foster Care or Therapeutic Foster Care Home	140a	96	49a	22	42	30	50	43
EDUCATION2,3	2,920a	3,157	1,063	1,162	1,023a	1,162	835	834
School Social Worker, School Psychologist, or School Counselor	2,188a	2,389	798	868	759b	913	631	609
Special School or Program within a Regular School for Students    with Emotional or Behavioral Problems	1,063	1,142	371	419	389	395	303	328
MEDICAL
Pediatrician or Other Family Doctor	619	629	179	180	207	238	233	211
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4	1,283	1,361	372	425	459	534	452	402
JUVENILE JUSTICE
Juvenile Detention Center, Prison, or Jail5	103	83	17	8	35	30	51	44

130626

Table 2.1B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Age Group: Percentages, 2011 and 2012

Source of Mental Health Service1	Total (2011)	Total (2012)	Aged 12-13 (2011)	Aged 12-13 (2012)	Aged 14-15 (2011)	Aged 14-15 (2012)	Aged 16-17 (2011)	Aged 16-17 (2012)
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of mental health service information were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive. 2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 5 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
SPECIALTY MENTAL HEALTH	12.7	12.7	11.8	11.9	13.3	13.8	13.0	12.5
Outpatient	11.5	11.5	10.6	10.6	12.0	12.7	11.9	11.2
Private Therapist, Psychologist, Psychiatrist, Social Worker,    or Counselor	9.8	9.8	8.6	8.5	10.3	10.8	10.3	10.2
Mental Health Clinic or Center	2.2	2.5	1.6	1.9	2.3a	2.9	2.7	2.5
Partial Day Hospital or Day Treatment Program	1.6	1.7	1.4	1.7	1.9	2.1	1.5	1.5
In-Home Therapist, Counselor, or Family Preservation Worker	3.1	3.1	3.2	3.0	3.3	3.5	2.8	2.8
Inpatient or Residential (Overnight or Longer Stay)	2.4	2.4	2.3	2.0	2.7	2.4	2.3	2.8
Hospital	1.8	1.9	1.6	1.6	2.1	1.9	1.6	2.1
Residential Treatment Center	1.0	1.0	0.8	0.6	1.1	1.1	1.0	1.1
Foster Care or Therapeutic Foster Care Home	0.6a	0.4	0.6a	0.3	0.5	0.4	0.6	0.5
EDUCATION2,3	11.9a	12.9	13.9	14.9	12.3a	14.1	9.8	9.9
School Social Worker, School Psychologist, or School Counselor	8.9a	9.7	10.4	11.1	9.1b	11.0	7.4	7.2
Special School or Program within a Regular School for Students    with Emotional or Behavioral Problems	4.3	4.7	4.8	5.3	4.6	4.8	3.6	3.9
MEDICAL
Pediatrician or Other Family Doctor	2.5	2.5	2.3	2.3	2.5	2.9	2.7	2.5
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4	5.2	5.5	4.8	5.4	5.5	6.4	5.3	4.8
JUVENILE JUSTICE
Juvenile Detention Center, Prison, or Jail5	0.4	0.3	0.2	0.1	0.4	0.4	0.6	0.5

130501

Table 2.2A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2011 and 2012

Demographic Characteristic	SPECIALTY MENTAL HEALTH SERVICE						EDUCATION3,4		MEDICAL5		SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL4,6		JUVENILE JUSTICE7
	Total		Outpatient1		Inpatient or Residential2
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. NOTE: Respondents with unknown receipt of mental health service information were excluded. NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker. 2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home. 3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 5 Includes treatment/counseling from a pediatrician or other family doctor. 6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	3,129	3,135	2,842	2,846	602	588	2,920a	3,157	619	629	1,283	1,361	103	83
GENDER
Male	1,388a	1,248	1,216a	1,093	330	288	1,362	1,336	271	217	521	455	49	57
Female	1,741	1,887	1,626	1,753	272	299	1,558b	1,821	347	412	761b	907	54a	26
AGE GROUP
12-13	912	938	821	844	180	155	1,063	1,162	179	180	372	425	17	8
14-15	1,113	1,145	1,008	1,055	228	200	1,023a	1,162	207	238	459	534	35	30
16-17	1,104	1,053	1,013	947	194	233	835	834	233	211	452	402	51	44
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2,544	2,461	2,328	2,243	481	447	2,334	2,455	519	499	1,061	1,060	78	64
White	1,893	1,793	1,761	1,680	287	281	1,548	1,575	383	375	779	729	39	29
Black or African American	416	431	351	359	149	112	516	607	74	80	186	227	32	22
American Indian or Alaska Native	21	16	18	13	6	4	20	24	7	1	7	6	2	1
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	81	53	76	45	11	14	123	112	24	10	43	17	1	3
Two or More Races	126	155	116	135	22	35	119	126	26	27	41a	74	5	8
Hispanic or Latino	585	675	515	603	121	140	586a	702	99	130	221a	301	25	19

130501

Table 2.2B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2011 and 2012

Demographic Characteristic	SPECIALTY MENTAL HEALTH SERVICE						EDUCATION3,4		MEDICAL5		SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL4,6		JUVENILE JUSTICE7
	Total		Outpatient1		Inpatient or Residential2
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. NOTE: Respondents with unknown receipt of mental health service information were excluded. NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker. 2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home. 3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 5 Includes treatment/counseling from a pediatrician or other family doctor. 6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	12.7	12.7	11.5	11.5	2.4	2.4	11.9a	12.9	2.5	2.5	5.2	5.5	0.4	0.3
GENDER
Male	11.1a	9.9	9.7a	8.7	2.6	2.3	10.9	10.7	2.2	1.7	4.2	3.6	0.4	0.4
Female	14.5	15.6	13.5	14.5	2.3	2.5	13.0b	15.2	2.9	3.4	6.3b	7.5	0.4a	0.2
AGE GROUP
12-13	11.8	11.9	10.6	10.6	2.3	2.0	13.9	14.9	2.3	2.3	4.8	5.4	0.2	0.1
14-15	13.3	13.8	12.0	12.7	2.7	2.4	12.3a	14.1	2.5	2.9	5.5	6.4	0.4	0.4
16-17	13.0	12.5	11.9	11.2	2.3	2.8	9.8	9.9	2.7	2.5	5.3	4.8	0.6	0.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13.2	12.8	12.1	11.7	2.5	2.3	12.1	12.8	2.7	2.6	5.5	5.5	0.4	0.3
White	13.8	13.2	12.8	12.3	2.1	2.1	11.3	11.6	2.8	2.7	5.7	5.3	0.3	0.2
Black or African American	12.1	12.5	10.2	10.4	4.3	3.2	15.0a	17.5	2.1	2.3	5.4	6.6	0.9	0.6
American Indian or Alaska Native	15.5	11.0	13.7	9.0	4.1	2.6	14.9	16.8	5.0	0.8	4.8	3.9	1.2	0.8
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	6.8	4.5	6.3	3.8	0.9	1.2	10.3	9.7	2.0	0.9	3.6	1.5	0.1	0.3
Two or More Races	17.9	21.5	16.5	18.7	3.1	4.8	17.0	17.6	3.7	3.7	5.9a	10.4	0.6	1.2
Hispanic or Latino	11.0	12.5	9.7	11.1	2.3	2.6	11.2a	13.1	1.9	2.4	4.2a	5.6	0.5	0.3

130626

Table 2.3A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2011 and 2012

Geographic/Socioeconomic Characteristic	SPECIALTY MENTAL HEALTH SERVICE						EDUCATION3,4		MEDICAL5		SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL4,6		JUVENILE JUSTICE7
	Total		Outpatient1		Inpatient or Residential2
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of mental health service information were excluded. NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker. 2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home. 3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 5 Includes treatment/counseling from a pediatrician or other family doctor. 6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. 8 Estimates are based on a definition of Poverty Level that incorporates information on family income, size, and composition and is calculated as a percentage of the U.S. Census Bureau's poverty thresholds. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	3,129	3,135	2,842	2,846	602	588	2,920a	3,157	619	629	1,283	1,361	103	83
GEOGRAPHIC REGION
Northeast	635	600	576	551	129	108	583	619	113	125	281	303	13	10
Midwest	731	690	665	646	135	116	643	653	114	138	268	283	23	16
South	1,013a	1,141	899	999	230	255	999a	1,127	243	236	432	468	48	48
West	750	704	702	651	106	109	695	759	149	130	301	307	18	9
COUNTY TYPE
Large Metro	1,641	1,728	1,505	1,573	292	317	1,577b	1,824	346	324	695	771	56	44
Small Metro	1,019	952	935	867	189	165	876	914	179	184	397	398	32	33
250K - 1 Mil. Pop.	722a	615	661a	566	137	94	607	609	102	123	276	257	22	20
< 250K Pop.	297	338	274	301	52	71	270	305	78	61	121	141	10	12
Nonmetro	469	455	402	407	120	106	467	419	93	121	190	193	14	6
Urbanized	217	222	192	199	51	55	213	216	50	73	97	103	7	2
Less Urbanized	212	198	180	179	55	39	217	168	35	41	77	79	6	2
Completely Rural	40	35	30	29	14	12	37	34	8	6	15	10	1	2
POVERTY LEVEL8
Less Than 100%	699	808	602	679	207	226	740a	861	149	175	315	390	37	38
100-199%	744	656	650	586	169	144	697	698	121	111	292	276	33	26
200% or More	1,687	1,671	1,590	1,582	225	218	1,483	1,598	348	344	676	696	33	18

130626

Table 2.3B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Percentages, 2011 and 2012

Geographic/Socioeconomic Characteristic	SPECIALTY MENTAL HEALTH SERVICE						EDUCATION3,4		MEDICAL5		SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL4,6		JUVENILE JUSTICE7
	Total		Outpatient1		Inpatient or Residential2
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of mental health service information were excluded. NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker. 2 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home. 3 Includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 4 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 5 Includes treatment/counseling from a pediatrician or other family doctor. 6 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 7 Includes treatment/counseling received in juvenile detention centers, prisons, or jails, and often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. 8 Estimates are based on a definition of Poverty Level that incorporates information on family income, size, and composition and is calculated as a percentage of the U.S. Census Bureau's poverty thresholds. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	12.7	12.7	11.5	11.5	2.4	2.4	11.9a	12.9	2.5	2.5	5.2	5.5	0.4	0.3
GEOGRAPHIC REGION
Northeast	15.0	14.3	13.6	13.1	3.1	2.6	13.9	14.9	2.7	3.0	6.7	7.2	0.3	0.2
Midwest	13.6	12.9	12.4	12.1	2.5	2.2	12.0	12.2	2.1	2.6	5.0	5.3	0.4	0.3
South	11.1	12.4	9.9	10.9	2.5	2.8	11.0a	12.3	2.7	2.6	4.7	5.1	0.5	0.5
West	12.7	11.9	11.9	11.0	1.8	1.8	11.9	13.0	2.5	2.2	5.1	5.2	0.3	0.2
COUNTY TYPE
Large Metro	12.5	12.9	11.5	11.7	2.2	2.3	12.1b	13.7	2.6	2.4	5.3	5.7	0.4	0.3
Small Metro	13.2	13.0	12.1	11.8	2.4	2.3	11.4	12.5	2.3	2.5	5.1	5.4	0.4	0.4
250K - 1 Mil. Pop.	13.6	12.2	12.5	11.2	2.6	1.9	11.5	12.1	1.9	2.4	5.2	5.1	0.4	0.4
< 250K Pop.	12.2a	14.9	11.2	13.3	2.1	3.1	11.1a	13.5	3.2	2.7	5.0	6.2	0.4	0.5
Nonmetro	12.5	11.7	10.7	10.5	3.2	2.7	12.5	10.9	2.5	3.1	5.0	5.0	0.4	0.2
Urbanized	13.0	12.4	11.4	11.1	3.0	3.0	12.8	12.2	3.0	4.1	5.8	5.7	0.4	0.1
Less Urbanized	12.2	11.9	10.4	10.7	3.2	2.3	12.5	10.2	2.0	2.5	4.5	4.7	0.4	0.1
Completely Rural	11.2	8.4	8.7	7.1	4.1	2.9	10.6	8.4	2.3	1.5	4.2	2.5	0.2	0.5
POVERTY LEVEL8
Less Than 100%	13.6	14.5	11.7	12.1	4.0	4.0	14.5	15.6	2.9	3.1	6.1	7.0	0.7	0.7
100-199%	13.2	12.7	11.5	11.3	3.0	2.8	12.5	13.6	2.2	2.1	5.2	5.3	0.6	0.5
200% or More	12.2	12.0	11.5	11.4	1.6	1.6	10.7	11.6	2.5	2.5	4.9	5.0	0.2	0.1

130626

Table 2.4A – Past Year Receipt of Mental Health Services and Reasons for Receiving Most Recent Mental Health Service in the Past Year among Persons Aged 12 to 17 Who Received Respective Mental Health Services in the Past Year: Numbers in Thousands, 2011 and 2012

Reason for Receipt of Mental Health Service1	SPECIALTY MENTAL HEALTH SERVICE						EDUCATION4,5		MEDICAL6		SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL5,7
	Total		Outpatient2		Inpatient or Residential3
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of mental health service information were excluded. NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents were asked the reasons for the last time they received mental health care from each of the reported mental health services and could indicate multiple reasons for the last time they received mental health care; thus, these response categories are not mutually exclusive. Respondents who did not indicate receiving mental health care from a particular mental health service category for any of the reasons listed in this table were excluded for that service. 2 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker. 3 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home. 4 The Received Mental Health Services estimate includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. The Reason for Receipt of Mental Health Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling or reasons for mental health care from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 5 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 6 Includes treatment/counseling from a pediatrician or other family doctor. 7 The Received Mental Health Services estimate includes receipt of any specialty mental health services and receipt of any services from either education or medical sources. The Reason for Receipt of Mental Health Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems. 8 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known. 9 Respondent reported in the other-specify question that he or she has been diagnosed with a mental or neurological disorder as a reason for having received mental health treatment/counseling. This reason is one of the most commonly reported other reasons for having received treatment/counseling. 10 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Treatment/Counseling were classified as not having received treatment/counseling for Some Other Reason. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
RECEIVED MENTAL HEALTH SERVICES8	3,129	3,135	2,842	2,846	602	588	2,920a	3,157	619	629	1,283	1,361
Thought about Killing Self or Tried to Kill Self	622	666	545	579	195	204	225	231	92	103	177	179
Felt Depressed	1,311	1,417	1,226	1,324	203	229	784	862	230	275	441a	532
Felt Very Afraid and Tense	642	628	607	588	78	84	362	379	96	105	212	195
Had Eating Problems	236	255	202	234	48	43	86	118	65a	101	63	75
Had Other Diagnosed Mental/Neurological Disorder9	73	85	72	78	1a	7	5	3	14	15	3	5
Broke Rules and "Acted Out"	667	670	606	628	111	115	405	453	95	74	156	178
Had Trouble Controlling Anger	468	526	453	498	41	62	201	256	44	46	78	105
Got into Physical Fights	122	128	106	115	23	22	103	90	10	10	24	24
Had Problems with Home/Family	784	810	747	782	71	57	365	412	36	51	145	171
Had Problems with Friends	346	351	337	339	15	23	408	461	17	34	91a	139
Had Problems with People Other Than Family/Friends	240	285	228	267	19	29	209	253	13	21	49a	82
Had Problems at School	499	546	466	512	47	55	488	554	51	60	120a	179
Some Other Reason10	264	304	242	276	30	45	169	164	66	65	46	47

130626

Table 2.4B – Past Year Receipt of Mental Health Services and Reasons for Receiving Most Recent Mental Health Service in the Past Year among Persons Aged 12 to 17 Who Received Respective Mental Health Services in the Past Year: Percentages, 2011 and 2012

Reason for Receipt of Mental Health Service1	SPECIALTY MENTAL HEALTH SERVICE						EDUCATION4,5		MEDICAL6		SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL5,7
	Total		Outpatient2		Inpatient or Residential3
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of mental health service information were excluded. NOTE: Respondents could indicate multiple service sources; thus, the response categories are not mutually exclusive. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents were asked the reasons for the last time they received mental health care from each of the reported mental health services and could indicate multiple reasons for the last time they received mental health care; thus, these response categories are not mutually exclusive. Respondents who did not indicate receiving mental health care from a particular mental health service category for any of the reasons listed in this table were excluded for that service. 2 Includes treatment/counseling from a (1) private therapist, psychologist, psychiatrist, social worker, or counselor; (2) mental health clinic or center; (3) partial day hospital or day treatment program; or (4) in-home therapist, counselor, or family preservation worker. 3 Includes treatment/counseling from an overnight or longer stay in a (1) hospital, (2) residential treatment center, or (3) foster care or therapeutic foster care home. 4 The Received Mental Health Services estimate includes treatment/counseling from a (1) school social worker, school psychologist, or school counselor or (2) a special school or program within a regular school for students with emotional or behavioral problems. The Reason for Receipt of Mental Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems. Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling or reasons for mental health care from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 5 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 6 Includes treatment/counseling from a pediatrician or other family doctor. 7 The Received Mental Health Services estimate includes receipt of any specialty mental health services and receipt of any services from either education or medical sources. The Reason for Receipt of Mental Health Services excludes treatment or counseling from a special school or program within a regular school for students with emotional or behavioral problems. 8 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known. 9 Respondent reported in the other-specify question that he or she has been diagnosed with a mental or neurological disorder as a reason for having received mental health treatment/counseling. This reason is one of the most commonly reported other reasons for having received treatment/counseling. 10 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Treatment/Counseling were classified as not having received treatment/counseling for Some Other Reason. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
RECEIVED MENTAL HEALTH SERVICES8	12.7	12.7	11.5	11.5	2.4	2.4	11.9a	12.9	2.5	2.5	5.2	5.5
Thought about Killing Self or Tried to Kill Self	22.6	23.8	20.9	22.0	43.2	47.3	11.1	10.2	17.7	19.2	16.1	14.8
Felt Depressed	47.3	50.7	46.8	50.3	45.5	54.3	38.6	37.9	44.2	51.2	40.1	44.3
Felt Very Afraid and Tense	23.4	22.7	23.3	22.4	17.6	20.2	17.8	16.7	18.4	19.6	19.1	16.2
Had Eating Problems	8.6	9.2	7.8	8.9	11.0	10.2	4.2	5.2	12.4a	18.9	5.7	6.2
Had Other Diagnosed Mental/Neurological Disorder9	2.7	3.1	2.8	3.0	0.2a	1.7	0.2	0.1	2.8	2.9	0.2	0.5
Broke Rules and "Acted Out"	24.4	24.2	23.3	23.9	24.7	27.3	20.0	19.9	18.3	13.7	14.2	14.8
Had Trouble Controlling Anger	17.1	18.9	17.4	18.9	9.3	14.8	9.9	11.2	8.4	8.6	7.0	8.7
Got into Physical Fights	4.5	4.7	4.1	4.4	5.2	5.4	5.1	3.9	1.9	1.9	2.1	2.0
Had Problems with Home/Family	28.6	29.1	28.7	29.6	16.1	13.6	18.0	18.1	6.9	9.5	13.2	14.2
Had Problems with Friends	12.7	12.7	13.0	13.0	3.5	5.5	20.1	20.3	3.2	6.3	8.2	11.5
Had Problems with People Other Than Family/Friends	8.8	10.3	8.8	10.2	4.3	7.0	10.3	11.1	2.4	3.9	4.4	6.8
Had Problems at School	18.3	19.7	17.9	19.5	10.8	13.1	24.0	24.4	9.9	11.2	10.9a	14.8
Some Other Reason10	9.7	11.0	9.3	10.6	6.9	10.8	8.3	7.2	12.7	12.1	4.1	3.9

130626

Table 2.5A – Number of Visits or Overnight Stays in the Past Year for Specialty Mental Health Services among Persons Aged 12 to 17 Who Received Respective Specialty Mental Health Services in the Past Year: Numbers in Thousands, 2011 and 2012

Source of Specialty Mental Health Service1	NUMBER OF VISITS OR OVERNIGHT STAYS FOR SPECIALTY MENTAL HEALTH SERVICES
	1		2		3-6		7-24		25 or More
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of specialty mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of specialty mental health service information or unknown number of visits/stays were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
SPECIALTY MENTAL HEALTH	531	542	417	402	671a	786	723	684	434	423
Outpatient	443	427	393	368	652b	795	685	645	367	365
Private Therapist, Psychologist, Psychiatrist, Social Worker,    or Counselor	459	426	322	355	612a	717	564	536	241	221
Mental Health Clinic or Center	173	179	65	85	122	142	93	105	51	53
Partial Day Hospital or Day Treatment Program	120	134	66	51	71	89	61	93	29	23
In-Home Therapist, Counselor, or Family Preservation Worker	185	166	116	153	162	197	187a	134	44	53
Inpatient or Residential (Overnight or Longer Stay)	174	192	63	69	89	87	121	112	73	51
Hospital	189	213	41	49	61	80	87	75	24	19
Residential Treatment Center	73	63	25	31	35	43	55	62	32	26
Foster Care or Therapeutic Foster Care Home	*	*	18	*	8	*	12	*	*	*

130626

Table 2.5B – Number of Visits or Overnight Stays in the Past Year for Specialty Mental Health Services among Persons Aged 12 to 17 Who Received Respective Specialty Mental Health Services in the Past Year: Percentages, 2011 and 2012

Source of Specialty Mental Health Service1	NUMBER OF VISITS OR OVERNIGHT STAYS FOR SPECIALTY MENTAL HEALTH SERVICES
	1		2		3-6		7-24		25 or More
	2011	2012	2011	2012	2011	2012	2011	2012	2011	2012
*Low precision; no estimate reported. NOTE: Receipt of specialty mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown receipt of specialty mental health service information or unknown number of visits/stays were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
SPECIALTY MENTAL HEALTH	19.1	19.1	15.0	14.2	24.2a	27.7	26.0	24.1	15.6	14.9
Outpatient	17.4	16.4	15.5	14.2	25.7b	30.6	27.0	24.8	14.4	14.0
Private Therapist, Psychologist, Psychiatrist, Social Worker,    or Counselor	20.9	18.9	14.6	15.7	27.9a	31.8	25.6	23.8	11.0	9.8
Mental Health Clinic or Center	34.3	31.7	12.9	15.2	24.2	25.1	18.5	18.6	10.0	9.4
Partial Day Hospital or Day Treatment Program	34.6	34.5	19.0	13.1	20.5	22.8	17.5	23.8	8.4	5.8
In-Home Therapist, Counselor, or Family Preservation Worker	26.6	23.6	16.7	21.8	23.4	28.0	26.9a	19.1	6.4	7.5
Inpatient or Residential (Overnight or Longer Stay)	33.5	37.5	12.2	13.6	17.0	17.0	23.2	21.9	14.0	10.0
Hospital	46.9	49.0	10.2	11.3	15.2	18.3	21.6	17.1	6.0	4.3
Residential Treatment Center	33.2	27.9	11.3	14.0	15.8	19.1	25.0	27.7	14.5	11.4
Foster Care or Therapeutic Foster Care Home	*	*	15.0	*	7.2	*	10.0	*	*	*

130502

Table 2.6A – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Gender and Detailed Age Category: Numbers in Thousands, 2011 and 2012

Gender/Age	Had MDE (2011)	Had MDE (2012)	Had MDE with Severe Impairment1 (2011)	Had MDE with Severe Impairment1 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 2 Treatment is defined as seeing or talking to a professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	2,011a	2,213	1,388a	1,544	769	813	602	633
12	104	141	70	83	*	46	*	*
13	208a	278	147a	203	66	81	53	58
14	318	357	228	246	120	122	104	91
15	393a	487	259a	345	138	184	95a	148
16	515	488	366	353	210	207	172	164
17	474	461	317	316	190	172	139	138
MALE	566	581	397	373	199	163	147	127
12	27	42	17	16	*	*	*	*
13	46	49	34	35	*	*	*	*
14	99	93	73	67	*	*	*	*
15	132	140	91	96	*	34	*	*
16	123	120	91	77	*	42	*	*
17	139	137	91	82	41	32	*	*
FEMALE	1,446b	1,632	991b	1,172	570	650	455	506
12	78	99	53	67	*	*	*	*
13	162a	229	114a	168	48	65	39	46
14	219	265	154	179	90	92	77	68
15	261a	347	169b	248	93b	150	63b	121
16	392	368	274	276	158	166	134	131
17	334	324	227	234	149	139	111	113

130502

Table 2.6B – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Gender and Detailed Age Category: Percentages, 2011 and 2012

Gender/Age	Had MDE (2011)	Had MDE (2012)	Had MDE with Severe Impairment1 (2011)	Had MDE with Severe Impairment1 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 2 Treatment is defined as seeing or talking to a professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	8.2a	9.1	5.7a	6.3	38.4	37.0	43.5	41.0
12	2.9	3.7	2.0	2.1	*	32.9	*	*
13	5.1b	7.1	3.6a	5.2	32.5	29.6	36.4	28.9
14	7.7	8.6	5.5	5.9	37.7	34.7	45.9	37.2
15	9.4a	11.8	6.2b	8.4	35.1	38.0	36.8	42.9
16	12.0	11.8	8.5	8.5	40.9	42.6	47.0	46.8
17	11.4	10.9	7.6	7.5	40.1	37.3	43.9	43.8
MALE	4.5	4.7	3.2	3.0	35.3	28.3	37.3	34.4
12	1.5	2.1	0.9	0.8	*	*	*	*
13	2.2	2.5	1.6	1.8	*	*	*	*
14	4.7	4.4	3.5	3.2	*	*	*	*
15	6.1	6.6	4.2	4.5	*	24.9	*	*
16	5.6	5.7	4.2	3.6	*	35.1	*	*
17	6.7	6.4	4.3	3.8	29.2	23.7	*	*
FEMALE	12.1b	13.7	8.3b	9.8	39.5	40.1	45.9	43.2
12	4.4	5.4	3.0	3.6	*	*	*	*
13	8.3a	11.8	5.8a	8.7	30.2	29.2	34.9	27.4
14	11.0	13.1	7.8	8.9	41.1	35.3	49.8	37.8
15	13.0b	17.4	8.4b	12.5	35.5	43.3	37.4	48.7
16	18.5	18.3	13.0	13.7	40.4	45.0	48.8	47.6
17	16.1	15.4	10.9	11.2	44.6	43.0	49.0	48.1

130502

Table 2.7A – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Hispanic Origin and Race: Numbers in Thousands, 2011 and 2012

Hispanic Origin and Race	Had MDE (2011)	Had MDE (2012)	Had MDE with Severe Impairment1 (2011)	Had MDE with Severe Impairment1 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 2 Treatment is defined as seeing or talking to a professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	2,011a	2,213	1,388a	1,544	769	813	602	633
Not Hispanic or Latino	1,586	1,648	1,113	1,152	645	642	502	506
White	1,167	1,231	799	883	482	500	379	403
Black or African American	238	269	183	164	97	90	82	56
American Indian or Alaska Native	15	7	13	4	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	90	49	60	30	*	*	*	*
Two or More Races	75	81	57	64	*	*	*	*
Hispanic or Latino	425b	566	275b	392	125	171	100	127

130502

Table 2.7B – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Hispanic Origin and Race: Percentages, 2011 and 2012

Hispanic Origin and Race	Had MDE (2011)	Had MDE (2012)	Had MDE with Severe Impairment1 (2011)	Had MDE with Severe Impairment1 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 2 Treatment is defined as seeing or talking to a professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	8.2a	9.1	5.7a	6.3	38.4	37.0	43.5	41.0
Not Hispanic or Latino	8.3	8.7	5.8	6.1	40.7	39.0	45.2	43.9
White	8.6	9.1	5.9	6.5	41.4	40.7	47.4	45.7
Black or African American	7.0	7.9	5.4	4.8	41.0	33.5	44.6	34.4
American Indian or Alaska Native	11.4	5.2	9.8	2.6	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	7.6	4.2	5.0	2.6	*	*	*	*
Two or More Races	10.6	11.3	8.1	9.0	*	*	*	*
Hispanic or Latino	8.1b	10.5	5.2b	7.3	29.4	30.8	36.4	32.6

130502

Table 2.8A – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Geographic, Socioeconomic, and Health Characteristics: Numbers in Thousands, 2011 and 2012

Geographic/Socioeconomic/ Health Characteristic	Had MDE (2011)	Had MDE (2012)	Had MDE with Severe Impairment1 (2011)	Had MDE with Severe Impairment1 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 2 Treatment is defined as seeing or talking to a professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded. 3 Estimates are based on a definition of Poverty Level that incorporates information on family income, size, and composition and is calculated as a percentage of the U.S. Census Bureau's poverty thresholds. 4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. 5 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan. 6 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance. 7 Respondents with unknown health data were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	2,011a	2,213	1,388a	1,544	769	813	602	633
GEOGRAPHIC REGION
Northeast	308	326	222	221	140	137	115	105
Midwest	449	457	300	331	193	188	145	151
South	705b	845	502a	590	262	287	204	224
West	549	586	365	403	174	201	138	152
COUNTY TYPE
Large Metro	1,080	1,189	762	831	405	438	319	341
Small Metro	636	660	415	456	242	241	180	181
Nonmetro	295	364	211	257	122	134	103	111
POVERTY LEVEL3
Less Than 100%	411b	561	300	362	155	200	129	143
100-199%	494	461	348	321	193	162	150	132
200% or More	1,106	1,191	740a	861	421	451	323	358
HEALTH INSURANCE4
Private	1,139	1,262	780a	890	460	479	362	372
Medicaid/CHIP5	706	794	512	541	282	290	229	220
Other6	116	129	73	92	*	*	*	*
No Coverage	152	151	104	109	*	35	*	*
OVERALL HEALTH7
Excellent	500	530	319	352	155	170	118	126
Very Good	888	917	607	650	356	326	271	250
Good	501a	610	369	421	207	251	168	199
Fair/Poor	123	157	93	122	53	66	*	*

130502

Table 2.8B – Had at Least One Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in the Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in the Past Year, by Geographic, Socioeconomic, and Health Characteristics: Percentages, 2011 and 2012

Geographic/Socioeconomic/ Health Characteristic	Had MDE (2011)	Had MDE (2012)	Had MDE with Severe Impairment1 (2011)	Had MDE with Severe Impairment1 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE2 (2012)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2011)	Received Treatment for Depression in the Past Year among Persons with MDE with Severe Impairment1,2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 2 Treatment is defined as seeing or talking to a professional or using prescription medication for depression in the past year. Respondents with unknown treatment data were excluded. 3 Estimates are based on a definition of Poverty Level that incorporates information on family income, size, and composition and is calculated as a percentage of the U.S. Census Bureau's poverty thresholds. 4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. 5 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan. 6 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance. 7 Respondents with unknown health data were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	8.2a	9.1	5.7a	6.3	38.4	37.0	43.5	41.0
GEOGRAPHIC REGION
Northeast	7.4	7.8	5.3	5.3	45.4	42.2	52.0	47.8
Midwest	8.4	8.6	5.6	6.2	43.2	41.2	48.6	45.8
South	7.8a	9.3	5.5a	6.5	37.2	34.1	40.6	37.9
West	9.4	10.0	6.2	6.9	31.9	34.9	37.9	38.0
COUNTY TYPE
Large Metro	8.3	8.9	5.9	6.2	37.6	37.2	41.9	41.1
Small Metro	8.3	9.1	5.4	6.3	38.1	36.6	43.4	39.7
Nonmetro	7.9	9.5	5.7	6.7	41.8	36.9	49.1	43.2
POVERTY LEVEL3
Less Than 100%	8.1b	10.2	5.9	6.6	37.9	35.7	43.1	39.4
100-199%	8.9	9.0	6.2	6.3	39.1	35.9	43.2	41.2
200% or More	8.1	8.7	5.4a	6.3	38.2	38.0	43.7	41.7
HEALTH INSURANCE4
Private	7.8a	8.7	5.3a	6.1	40.5	38.1	46.4	41.9
Medicaid/CHIP5	8.9	9.8	6.5	6.7	40.1	36.9	44.7	40.8
Other6	9.8	11.3	6.2	8.1	*	*	*	*
No Coverage	9.1	9.4	6.2	6.8	*	23.0	*	*
OVERALL HEALTH7
Excellent	5.9	6.2	3.8	4.1	30.9	32.1	37.0	35.9
Very Good	8.7	9.2	5.9	6.5	40.2	35.6	44.7	38.6
Good	10.3a	12.4	7.6	8.6	41.3	41.8	45.6	47.5
Fair/Poor	13.9	17.8	10.5	13.9	43.4	42.4	*	*

130626

Table 2.9A – Substance Use in the Past Year and Past Month among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Numbers in Thousands, 2011 and 2012

Substance	Total1 (2011)	Total1 (2012)	MDE (2011)	MDE (2012)	No MDE (2011)	No MDE (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent all persons aged 12 to 17, including those with unknown past year MDE information. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from new methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs. 4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from new methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in NSDUH reports prior to the 2007 National Findings Report. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 5 Daily Cigarette Use is defined as smoking on each of the past 30 days. 6 Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple hours of each other) on each of 5 or more days in the past 30 days. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
PAST YEAR USE
Illicit Drugs2	4,735a	4,468	724	753	3,893a	3,617
Marijuana and Hashish	3,553	3,363	523	547	2,962	2,746
Cocaine	229	180	54	53	165	123
Crack	29	19	11	7	18	12
Heroin	54	31	11	11	36	20
Hallucinogens	648a	553	122	146	499b	383
LSD	159	152	30	40	113	106
PCP	39	48	12	9	26	36
Ecstasy	419b	288	82	78	320b	193
Inhalants	820b	647	174	153	612b	473
Nonmedical Use of Psychotherapeutics3,4	1,749	1,642	327	342	1,364	1,243
Pain Relievers	1,484a	1,333	275	272	1,157a	1,010
OxyContin®	219	187	54	44	159	132
Tranquilizers	475	452	124	126	345	308
Stimulants4	299	324	79	83	210	228
Methamphetamine4	106	82	28	22	73	52
Sedatives	84	81	20	27	62	49
Illicit Drugs Other Than Marijuana2	2,565b	2,297	476	475	2,001b	1,756
PAST MONTH USE
Daily Cigarette Use5	440a	360	81	61	349	285
Heavy Alcohol Use6	379	326	50	50	322	270

130626

Table 2.9B – Substance Use in the Past Year and Past Month among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Percentages, 2011 and 2012

Substance	Total1 (2011)	Total1 (2012)	MDE (2011)	MDE (2012)	No MDE (2011)	No MDE (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent all persons aged 12 to 17, including those with unknown past year MDE information. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from new methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs. 4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from new methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in NSDUH reports prior to the 2007 National Findings Report. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 5 Daily Cigarette Use is defined as smoking on each of the past 30 days. 6 Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple hours of each other) on each of 5 or more days in the past 30 days. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
PAST YEAR USE
Illicit Drugs2	19.0a	17.9	36.0	34.0	17.4a	16.3
Marijuana and Hashish	14.2	13.5	26.0	24.7	13.2	12.4
Cocaine	0.9	0.7	2.7	2.4	0.7	0.6
Crack	0.1	0.1	0.5	0.3	0.1	0.1
Heroin	0.2	0.1	0.5	0.5	0.2	0.1
Hallucinogens	2.6	2.2	6.1	6.6	2.2b	1.7
LSD	0.6	0.6	1.5	1.8	0.5	0.5
PCP	0.2	0.2	0.6	0.4	0.1	0.2
Ecstasy	1.7b	1.2	4.1	3.5	1.4b	0.9
Inhalants	3.3b	2.6	8.6	6.9	2.7b	2.1
Nonmedical Use of Psychotherapeutics3,4	7.0	6.6	16.3	15.5	6.1	5.6
Pain Relievers	5.9a	5.3	13.7	12.3	5.2a	4.6
OxyContin®	0.9	0.7	2.7	2.0	0.7	0.6
Tranquilizers	1.9	1.8	6.1	5.7	1.5	1.4
Stimulants4	1.2	1.3	3.9	3.7	0.9	1.0
Methamphetamine4	0.4	0.3	1.4	1.0	0.3	0.2
Sedatives	0.3	0.3	1.0	1.2	0.3	0.2
Illicit Drugs Other Than Marijuana2	10.3b	9.2	23.7	21.5	8.9b	7.9
PAST MONTH USE
Daily Cigarette Use5	1.8a	1.4	4.0	2.7	1.6	1.3
Heavy Alcohol Use6	1.5	1.3	2.5	2.3	1.4	1.2

130626

Table 2.10A – Substance Dependence or Abuse in the Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Numbers in Thousands, 2011 and 2012

Dependence or Abuse	Total1 (2011)	Total1 (2012)	MDE (2011)	MDE (2012)	No MDE (2011)	No MDE (2012)
*Low precision; no estimate reported. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent all persons aged 12 to 17, including those with unknown past year MDE information. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, including data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
DEPENDENCE
Illicit Drugs2	631b	499	153	145	455a	345
Marijuana	470	396	96	107	354	283
Illicit Drugs Other Than Marijuana2	224b	148	89	59	125a	85
Alcohol	359	311	84	94	262	211
Both Illicit Drugs and Alcohol2	117	89	39	34	75	52
Illicit Drugs or Alcohol2	874b	721	199	205	642b	505
DEPENDENCE OR ABUSE
Illicit Drugs2	1,157a	996	247	246	876a	728
Marijuana	879	806	158	191	695	601
Illicit Drugs Other Than Marijuana2	437b	307	143	107	279b	190
Alcohol	947	855	224	206	700	635
Both Illicit Drugs and Alcohol2	386	334	104	99	269	229
Illicit Drugs or Alcohol2	1,718a	1,518	367	354	1,307a	1,134

130626

Table 2.10B – Substance Dependence or Abuse in the Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE): Percentages, 2011 and 2012

Dependence or Abuse	Total1 (2011)	Total1 (2012)	MDE (2011)	MDE (2012)	No MDE (2011)	No MDE (2012)
*Low precision; no estimate reported. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent all persons aged 12 to 17, including those with unknown past year MDE information. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, including data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
DEPENDENCE
Illicit Drugs2	2.5b	2.0	7.6	6.6	2.0a	1.6
Marijuana	1.9	1.6	4.8	4.8	1.6	1.3
Illicit Drugs Other Than Marijuana2	0.9b	0.6	4.4a	2.7	0.6a	0.4
Alcohol	1.4	1.2	4.2	4.2	1.2	1.0
Both Illicit Drugs and Alcohol2	0.5	0.4	1.9	1.6	0.3	0.2
Illicit Drugs or Alcohol2	3.5b	2.9	9.9	9.3	2.9b	2.3
DEPENDENCE OR ABUSE
Illicit Drugs2	4.6a	4.0	12.3	11.1	3.9a	3.3
Marijuana	3.5	3.2	7.9	8.6	3.1	2.7
Illicit Drugs Other Than Marijuana2	1.7b	1.2	7.1a	4.9	1.2b	0.9
Alcohol	3.8	3.4	11.2	9.3	3.1	2.9
Both Illicit Drugs and Alcohol2	1.5	1.3	5.2	4.5	1.2	1.0
Illicit Drugs or Alcohol2	6.9a	6.1	18.2	16.0	5.8a	5.1

130502

Table 2.11A – Type of Professional Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year Who Saw or Talked to a Professional about Depression in the Past Year: Numbers in Thousands, 2011 and 2012

Type of Professional1	MDE (2011)	MDE (2012)	MDE with Severe Impairment2 (2011)	MDE with Severe Impairment2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple professionals; thus, these response categories are not mutually exclusive. 2 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 3 Estimates in the Total row represent all persons aged 12 to 17 with past year MDE or past year MDE with severe impairment who saw or talked to a professional about depression in the past year, including those whose response to type of professional seen was unknown. 4 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors. 5 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified. 6 Religious or Spiritual Advisor includes ministers, priests, or rabbis. 7 Respondents with unknown or invalid responses to the other-specify question on Other Type of Professionals Seen for Depression were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL3	720	761	571	589
HEALTH PROFESSIONAL	669	733	535	569
General Practitioner or Family Doctor	162	167	129	135
Other Medical Doctor4	28	39	22	31
Psychologist	242	249	203	208
Psychiatrist or Psychotherapist	183	212	151	174
Social Worker	124	119	102	102
Counselor	424	475	352	376
Other Mental Health Professional5	67	76	61	66
Nurse, Occupational Therapist, or Other Health Professional	62	47	51	36
ALTERNATIVE SERVICE PROFESSIONAL	137	113	105	101
Religious or Spiritual Advisor6	130	103	101	91
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist	11	19	8	15
OTHER PROFESSIONAL7	9	18	6	16

130502

Table 2.11B – Type of Professional Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in the Past Year Who Saw or Talked to a Professional about Depression in the Past Year: Percentages, 2011 and 2012

Type of Professional1	MDE (2011)	MDE (2012)	MDE with Severe Impairment2 (2011)	MDE with Severe Impairment2 (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple professionals; thus, these response categories are not mutually exclusive. 2 Impairment is based on the Sheehan Disability Scale (SDS) role domains, which measure the impact of a disorder on a person's life. Impairment is defined as the highest severity level of role impairment across four domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings ≥ 7 on a 0 to 10 scale were considered Severe Impairment. Respondents with unknown Severe Impairment data were excluded. 3 Estimates in the Total row represent all persons aged 12 to 17 with past year MDE or past year MDE with severe impairment who saw or talked to a professional about depression in the past year, including those whose response to type of professional seen was unknown. 4 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors. 5 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified. 6 Religious or Spiritual Advisor includes ministers, priests, or rabbis. 7 Respondents with unknown or invalid responses to the other-specify question on Other Type of Professionals Seen for Depression were excluded. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL3	100.0	100.0	100.0	100.0
HEALTH PROFESSIONAL	94.5	97.3	94.7	97.5
General Practitioner or Family Doctor	22.9	22.2	22.8	23.2
Other Medical Doctor4	4.0	5.1	3.9	5.3
Psychologist	34.2	33.1	35.9	35.6
Psychiatrist or Psychotherapist	25.8	28.2	26.7	29.8
Social Worker	17.6	15.9	18.1	17.4
Counselor	59.9	63.0	62.3	64.5
Other Mental Health Professional5	9.5	10.0	10.9	11.3
Nurse, Occupational Therapist, or Other Health Professional	8.8	6.2	9.1	6.1
ALTERNATIVE SERVICE PROFESSIONAL	19.4	15.0	18.7	17.2
Religious or Spiritual Advisor6	18.4	13.6	17.9	15.6
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist	1.6	2.5	1.3	2.5
OTHER PROFESSIONAL7	1.3	2.4	1.2	2.8

130502

Table 2.12A – Type of Treatment Received in the Past Year for Depression among Persons Aged 12 to 17 with a Past Year Major Depressive Episode (MDE), by Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2011 and 2012

Demographic/Socioeconomic Characteristic	Saw or Talked to Health Professional OR Used Prescription Medication (2011)	Saw or Talked to Health Professional OR Used Prescription Medication (2012)	Saw or Talked to Health Professional Only (2011)	Saw or Talked to Health Professional Only (2012)	Used Prescription Medication and Did Not See or Talk to Health Professional (2011)	Used Prescription Medication and Did Not See or Talk to Health Professional (2012)	Saw or Talked to Health Professional AND Used Prescription Medication (2011)	Saw or Talked to Health Professional AND Used Prescription Medication (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. NOTE: Respondents with unknown past year treatment data were excluded. NOTE: Health Professionals include general practitioner or family doctor; other medical doctor (e.g., cardiologist, gynecologist, urologist); psychologist; psychiatrist or psychotherapist; social worker; counselor; other mental health professional (e.g., mental health nurse or other therapist where type is not specified); and nurse, occupational therapist, or other health professional. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Estimates are based on a definition of Poverty Level that incorporates information on family income, size, and composition and is calculated as a percentage of the U.S. Census Bureau's poverty thresholds. 2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. 3 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan. 4 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	724	791	397	431	52	52	272	302
GENDER
Male	188	158	100	83	23	17	63	56
Female	536a	633	297	348	29	35	209	246
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	604	624	313	310	49	42	240	266
White	448	487	211	222	39	34	197	225
Black or African American	91	87	56	63	7	6	28	18
American Indian or Alaska Native	*	*	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*
Hispanic or Latino	120a	167	84	121	3	10	32	36
POVERTY LEVEL1
Less Than 100%	151	196	83	107	10	16	58	72
100-199%	186	156	103	89	15	8	67	59
200% or More	387	439	210	235	28	29	147	172
HEALTH INSURANCE2
Private	426	466	219	246	36	24	167	192
Medicaid/CHIP3	269	283	151	159	15	23	103	99
Other4	*	*	20	21	*	10	*	22
No Coverage	*	35	*	28	*	2	9	4

130502

Table 2.12B – Type of Treatment Received in the Past Year for Depression among Persons Aged 12 to 17 with a Past Year Major Depressive Episode (MDE), by Demographic and Socioeconomic Characteristics: Percentages, 2011 and 2012

Demographic/Socioeconomic Characteristic	Saw or Talked to Health Professional OR Used Prescription Medication (2011)	Saw or Talked to Health Professional OR Used Prescription Medication (2012)	Saw or Talked to Health Professional Only (2011)	Saw or Talked to Health Professional Only (2012)	Used Prescription Medication and Did Not See or Talk to Health Professional (2011)	Used Prescription Medication and Did Not See or Talk to Health Professional (2012)	Saw or Talked to Health Professional AND Used Prescription Medication (2011)	Saw or Talked to Health Professional AND Used Prescription Medication (2012)
*Low precision; no estimate reported. NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. NOTE: Respondents with unknown past year treatment data were excluded. NOTE: Health Professionals include general practitioner or family doctor; other medical doctor (e.g., cardiologist, gynecologist, urologist); psychologist; psychiatrist or psychotherapist; social worker; counselor; other mental health professional (e.g., mental health nurse or other therapist where type is not specified); and nurse, occupational therapist, or other health professional. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Estimates are based on a definition of Poverty Level that incorporates information on family income, size, and composition and is calculated as a percentage of the U.S. Census Bureau's poverty thresholds. 2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. 3 CHIP is the Children's Health Insurance Program. Individuals aged 19 or younger are eligible for this plan. 4 Other Health Insurance is defined as having Medicare, CHAMPUS, TRICARE, CHAMPVA, the VA, military health care, or any other type of health insurance. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2011 and 2012.
TOTAL	36.3	36.0	19.9	19.6	2.6	2.4	13.6	13.7
GENDER
Male	33.6	27.5	17.8	14.4	4.2	2.9	11.1	9.6
Female	37.4	39.1	20.7	21.5	2.0	2.2	14.5	15.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	38.4	38.0	19.9	18.8	3.1	2.6	15.2	16.2
White	38.7	39.7	18.2	18.1	3.3	2.7	16.9	18.4
Black or African American	38.8	32.2	23.7	23.4	3.1	2.2	11.9	6.5
American Indian or Alaska Native	*	*	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*
Hispanic or Latino	28.4	30.3	19.9	21.9	0.8	1.7	7.4	6.4
POVERTY LEVEL1
Less Than 100%	37.2	35.1	20.4	19.1	2.4	2.8	14.2	12.8
100-199%	37.9	34.7	21.0	19.8	3.0	1.7	13.6	12.9
200% or More	35.3	37.0	19.1	19.8	2.5	2.4	13.3	14.5
HEALTH INSURANCE2
Private	37.7	37.2	19.4	19.6	3.2	1.9	14.7	15.3
Medicaid/CHIP3	38.7	36.1	21.7	20.2	2.2	2.9	14.6	12.6
Other4	*	*	17.2	17.1	*	8.2	*	17.3
No Coverage	*	22.9	*	18.5	*	1.7	6.1	2.7

130508

Table 2.13A – Had at Least One Major Depressive Episode (MDE) in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2004-2012

Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012
*Low precision; no estimate reported. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section B.3 in Appendix B of the Results from the 2012 National Survey on Drug Use and Health: Mental Health Findings). NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2012.
TOTAL	2,225	2,191	1,970b	2,016a	2,027a	1,954b	1,911b	2,011a	2,213
AGE
12-13	445	417	383	337a	366	330a	330a	312b	420
14-15	783	811	684b	705a	706a	741	706b	710a	844
16-17	997	964	902	974	955	883	876	989	950
GENDER
Male	637	571	539	586	540	577	536	566	581
Female	1,588	1,620	1,431b	1,430b	1,487a	1,377b	1,375b	1,446b	1,632
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,848b	1,802a	1,614	1,691	1,681	1,594	1,537	1,586	1,648
White	1,413a	1,390a	1,220	1,284	1,266	1,180	1,186	1,167	1,231
Black or African American	287	288	245	292	261	285	236	238	269
American Indian or Alaska Native	13	10	12	7	13	9	10	15	7
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	1	*	*
Asian	82	63	77	66	73	73	57	90	49
Two or More Races	51	41b	52	41b	59	41b	48a	75	81
Hispanic or Latino	377b	389b	356b	325b	347b	360b	374b	425b	566

130508

Table 2.13B – Had at Least One Major Depressive Episode (MDE) in the Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2004-2012

Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012
*Low precision; no estimate reported. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section B.3 in Appendix B of the Results from the 2012 National Survey on Drug Use and Health: Mental Health Findings). NOTE: Major Depressive Episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. Respondents with unknown past year MDE data were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2012.
TOTAL	9.0	8.8	7.9b	8.2b	8.3a	8.1b	8.0b	8.2a	9.1
AGE
12-13	5.4	5.2	4.9	4.3a	4.9	4.6	4.3a	4.1b	5.4
14-15	9.2	9.5	7.9b	8.4b	8.5b	8.8a	9.0	8.6a	10.2
16-17	12.3	11.5	10.7	11.5	11.2	10.4	10.6	11.7	11.4
GENDER
Male	5.0	4.5	4.2	4.6	4.3	4.7	4.4	4.5	4.7
Female	13.1	13.3	11.8b	11.9b	12.5	11.7b	11.9b	12.1b	13.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.9	8.7	7.9a	8.4	8.5	8.2	8.1	8.3	8.7
White	9.2	9.1	8.2a	8.7	8.8	8.4	8.6	8.6	9.1
Black or African American	7.7	7.6	6.4	7.8	7.1	7.9	6.8	7.0	7.9
American Indian or Alaska Native	7.8	6.1	9.3	4.6	10.1	7.5	7.4	11.4	5.2
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	1.8	*	*
Asian	8.3a	6.0	7.7	6.6	7.7	7.6	5.5	7.6	4.2
Two or More Races	11.7	10.5	13.0	9.9	12.0	8.0	9.4	10.6	11.3
Hispanic or Latino	9.1	9.1	8.0b	7.1b	7.5b	7.7b	7.8b	8.1b	10.5

130508

Table 2.14A – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17: Numbers in Thousands, 2002-2012

Source of Mental Health Service1	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
*Low precision; no estimate reported. -- Not available. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section B.3 in Appendix B of the Results from the 2012 National Survey on Drug Use and Health: Mental Health Findings). NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. NOTE: Respondents with unknown receipt of mental health service information were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive. 2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 5 A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available prior to 2009. 6 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2012.
SPECIALTY MENTAL HEALTH	2,934a	3,104	3,378a	3,394a	3,291	3,121	3,158	2,940	2,950	3,129	3,135
Outpatient	2,662	2,795	3,015	3,048a	2,931	2,787	2,837	2,650a	2,635a	2,842	2,846
Private Therapist, Psychologist, Psychiatrist, Social Worker,    or Counselor	2,254	2,347	2,523	2,573	2,416	2,365	2,408	2,296	2,265	2,409	2,427
Mental Health Clinic or Center	611	635	716a	657	587	583	567	537	547	547	610
Partial Day Hospital or Day Treatment Program	440	425	439	449	471	416	374	340a	362	393	431
In-Home Therapist, Counselor, or Family Preservation Worker	693	656a	762	731	719	707	716	657a	674a	767	776
Inpatient or Residential (Overnight or Longer Stay)	588	626	705a	696a	669	630	607	571	588	602	588
Hospital	422	467	515	529	516	511	469	440	447	438	463
Residential Treatment Center	224	233	299a	229	225	199	198	213	217	240	238
Foster Care or Therapeutic Foster Care Home	157b	179b	158b	143a	129	114	118	92	108	140a	96
EDUCATION2,3	--	--	--	--	--	--	--	2,931a	2,957a	2,920a	3,157
School Social Worker, School Psychologist or School Counselor	--	--	--	--	--	--	--	2,286	2,214	2,188a	2,389
Special School or Program within a Regular School for Students    with Emotional or Behavioral Problems	--	--	--	--	--	--	--	975b	1,054	1,063	1,142
MEDICAL
Pediatrician or Other Family Doctor	657	732a	840b	810b	694	692	710	605	601	619	629
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4	--	--	--	--	--	--	--	1,195a	1,253	1,283	1,361
JUVENILE JUSTICE5
Juvenile Detention Center, Prison, or Jail6	--	--	--	--	--	--	--	109	80	103	83

130508

Table 2.14B – Source of Mental Health Service in the Past Year among Persons Aged 12 to 17: Percentages, 2002-2012

Source of Mental Health Service1	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
*Low precision; no estimate reported. -- Not available. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section B.3 in Appendix B of the Results from the 2012 National Survey on Drug Use and Health: Mental Health Findings). NOTE: Receipt of mental health services for persons aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. NOTE: Respondents with unknown receipt of mental health service information were excluded. a Difference between estimate and 2012 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2012 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple service sources; thus, these response categories are not mutually exclusive. 2 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health treatment/counseling from this source; however respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this source. 3 Because of revisions to the Source of Youth Mental Health Education Services questions in 2009, these estimates are not comparable with the education services estimates presented before the 2009 NSDUH. 4 Includes receipt of any specialty mental health services and receipt of services from either Education or Medical sources. 5 A question on receiving Juvenile Justice Youth Mental Health Services was added to NSDUH in 2009 so data are not available prior to 2009. 6 These services were often provided by psychiatrists, psychologists, social workers or counselors who work for the court system. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2012.
SPECIALTY MENTAL HEALTH	12.0	12.5	13.5	13.5	13.1	12.5	12.8	12.1	12.3	12.7	12.7
Outpatient	10.8	11.3	12.1	12.1	11.7	11.2	11.5	10.9	10.9	11.5	11.5
Private Therapist, Psychologist, Psychiatrist, Social Worker,    or Counselor	9.2	9.5	10.1	10.2	9.6	9.5	9.8	9.4	9.4	9.8	9.8
Mental Health Clinic or Center	2.5	2.6	2.9a	2.6	2.3	2.3	2.3	2.2	2.3	2.2	2.5
Partial Day Hospital or Day Treatment Program	1.8	1.7	1.8	1.8	1.9	1.7	1.5	1.4a	1.5	1.6	1.7
In-Home Therapist, Counselor, or Family Preservation Worker	2.8	2.6a	3.0	2.9	2.9	2.8	2.9	2.7a	2.8	3.1	3.1
Inpatient or Residential (Overnight or Longer Stay)	2.4	2.5	2.8a	2.8a	2.7	2.5	2.5	2.3	2.4	2.4	2.4
Hospital	1.7	1.9	2.1	2.1	2.0	2.0	1.9	1.8	1.8	1.8	1.9
Residential Treatment Center	0.9	0.9	1.2	0.9	0.9	0.8	0.8	0.9	0.9	1.0	1.0
Foster Care or Therapeutic Foster Care Home	0.6b	0.7b	0.6b	0.6a	0.5	0.5	0.5	0.4	0.4	0.6a	0.4
EDUCATION2,3	--	--	--	--	--	--	--	12.1	12.4	11.9a	12.9
School Social Worker, School Psychologist or School Counselor	--	--	--	--	--	--	--	9.4	9.2	8.9a	9.7
Special School or Program within a Regular School for Students    with Emotional or Behavioral Problems	--	--	--	--	--	--	--	4.0a	4.4	4.3	4.7
MEDICAL
Pediatrician or Other Family Doctor	2.7	2.9a	3.4b	3.2b	2.8	2.8	2.9	2.5	2.5	2.5	2.5
SPECIALTY MENTAL HEALTH AND EDUCATION OR MEDICAL3,4	--	--	--	--	--	--	--	4.9a	5.2	5.2	5.5
JUVENILE JUSTICE5
Juvenile Detention Center, Prison, or Jail6	--	--	--	--	--	--	--	0.4	0.3	0.4	0.3