National Survey on Drug Use and Health: 2012-2013 State-Specific Tables of Model-Based Estimates (Totals and Percentages)

141009

UNITED STATES

Table 1 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *United States*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Numbers in this table are based on national design-based estimates. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	24,218	2,287	7,436	14,495	21,931
Past Year Marijuana Use	32,231	3,355	10,944	17,933	28,877
Past Month Marijuana Use	19,332	1,781	6,560	10,991	17,551
Past Month Use of Illicit Drugs Other Than Marijuana¹	8,774	837	2,386	5,551	7,937
Past Year Cocaine Use	4,427	156	1,572	2,699	4,271
Past Year Nonmedical Pain Reliever Use	11,786	1,245	3,284	7,257	10,541
Perception of Great Risk of Smoking Marijuana Once a Month	77,132	6,312	5,484	65,337	70,820
Average Annual Number of Marijuana Initiates²	2,857	1,268	1,348	240	1,588
ALCOHOL
Past Month Alcohol Use	136,188	3,047	20,783	112,358	133,141
Past Month Binge Alcohol Use³	59,876	1,678	13,424	44,774	58,199
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	109,291	9,802	11,735	87,754	99,489
Past Month Alcohol Use (Individuals Aged 12 to 20)	8,973⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	5,626⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	68,182	2,052	13,024	53,106	66,131
Past Month Cigarette Use	56,648	1,516	10,832	44,300	55,132
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	186,092	16,183	23,006	146,903	169,909
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	4,986	489	1,865	2,632	4,497
Illicit Drug Dependence or Abuse¹	7,082	936	2,632	3,514	6,146
Alcohol Dependence	8,312	286	2,001	6,025	8,026
Alcohol Dependence or Abuse	17,506	776	4,742	11,988	16,731
Alcohol or Illicit Drug Dependence or Abuse¹	21,873	1,410	6,275	14,189	20,464
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	6,316	869	2,407	3,041	5,448
Needing But Not Receiving Treatment for Alcohol Use⁷	16,714	738	4,629	11,348	15,976
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	2,457	3,058	12,932	15,989
Serious Mental Illness^9,10	--	--	1,446	8,347	9,793
Any Mental Illness^9,10	--	--	6,764	37,014	43,778
Had Serious Thoughts of Suicide	--	--	2,543	6,652	9,196

141009

UNITED STATES

Table 2 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *United States*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: The percentages in this table are based on national design-based estimates. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.27	9.18	21.44	7.19	9.28
Past Year Marijuana Use	12.34	13.47	31.55	8.89	12.22
Past Month Marijuana Use	7.40	7.15	18.91	5.45	7.43
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.36	3.36	6.88	2.75	3.36
Past Year Cocaine Use	1.69	0.63	4.53	1.34	1.81
Past Year Nonmedical Pain Reliever Use	4.51	5.00	9.47	3.60	4.46
Perception of Great Risk of Smoking Marijuana Once a Month	29.50	25.34	15.81	32.40	29.94
Average Annual Incidence Estimates of First Use of Marijuana²	1.89	5.76	7.50	0.22	1.23
ALCOHOL
Past Month Alcohol Use	52.13	12.23	59.91	55.73	56.34
Past Month Binge Alcohol Use³	22.92	6.73	38.70	22.21	24.63
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	41.83	39.35	33.83	43.52	42.09
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.52⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.75⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.10	8.24	37.55	26.34	27.99
Past Month Cigarette Use	21.69	6.08	31.23	21.97	23.33
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	71.24	64.96	66.32	72.86	71.90
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.91	1.96	5.38	1.31	1.90
Illicit Drug Dependence or Abuse¹	2.71	3.76	7.59	1.74	2.60
Alcohol Dependence	3.18	1.15	5.77	2.99	3.40
Alcohol Dependence or Abuse	6.70	3.11	13.67	5.95	7.08
Alcohol or Illicit Drug Dependence or Abuse¹	8.37	5.66	18.09	7.04	8.66
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.42	3.49	6.94	1.51	2.31
Needing But Not Receiving Treatment for Alcohol Use⁷	6.40	2.96	13.34	5.63	6.76
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.86	8.81	6.41	6.77
Serious Mental Illness^9,10	--	--	4.17	4.14	4.14
Any Mental Illness^9,10	--	--	19.50	18.36	18.53
Had Serious Thoughts of Suicide	--	--	7.33	3.30	3.89

141009

NORTHEAST REGION

Table 3 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *Northeast Region*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	4,530	392	1,450	2,688	4,138
Past Year Marijuana Use	6,281	602	2,173	3,506	5,679
Past Month Marijuana Use	3,709	323	1,289	2,096	3,385
Past Month Use of Illicit Drugs Other Than Marijuana¹	1,451	120	432	899	1,331
Past Year Cocaine Use	912	25	324	563	887
Past Year Nonmedical Pain Reliever Use	1,844	171	531	1,142	1,673
Perception of Great Risk of Smoking Marijuana Once a Month	13,126	992	813	11,320	12,133
Average Annual Number of Marijuana Initiates²	531	223	262	47	309
ALCOHOL
Past Month Alcohol Use	27,304	586	3,973	22,744	26,718
Past Month Binge Alcohol Use³	11,496	312	2,645	8,539	11,184
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	19,083	1,623	1,938	15,522	17,460
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,738⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	1,083⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	11,648	343	2,260	9,045	11,305
Past Month Cigarette Use	9,561	247	1,882	7,433	9,314
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	34,656	2,772	4,183	27,701	31,884
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	939	81	354	504	858
Illicit Drug Dependence or Abuse¹	1,269	152	493	624	1,117
Alcohol Dependence	1,459	49	365	1,045	1,410
Alcohol Dependence or Abuse	3,174	136	872	2,166	3,038
Alcohol or Illicit Drug Dependence or Abuse¹	3,935	238	1,175	2,523	3,697
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	1,139	139	441	558	1,000
Needing But Not Receiving Treatment for Alcohol Use⁷	3,010	131	847	2,033	2,880
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	386	530	2,272	2,803
Serious Mental Illness^9,10	--	--	257	1,404	1,661
Any Mental Illness^9,10	--	--	1,224	6,584	7,808
Had Serious Thoughts of Suicide	--	--	450	1,204	1,653

141009

NORTHEAST REGION

Table 4 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *Northeast Region*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.58	9.31	23.57	7.28	9.61
Past Year Marijuana Use	13.29	14.29	35.32	9.50	13.19
Past Month Marijuana Use	7.85	7.67	20.96	5.68	7.86
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.07	2.84	7.03	2.43	3.09
Past Year Cocaine Use	1.93	0.60	5.26	1.53	2.06
Past Year Nonmedical Pain Reliever Use	3.90	4.05	8.64	3.09	3.89
Perception of Great Risk of Smoking Marijuana Once a Month	27.74	23.56	13.21	30.66	28.14
Average Annual Incidence Estimates of First Use of Marijuana²	2.00	6.05	8.56	0.23	1.34
ALCOHOL
Past Month Alcohol Use	57.75	13.92	64.59	61.61	62.03
Past Month Binge Alcohol Use³	24.31	7.41	43.00	23.13	25.97
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.36	38.54	31.50	42.04	40.53
Past Month Alcohol Use (Individuals Aged 12 to 20)	26.68⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	16.63⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.64	8.14	36.74	24.50	26.25
Past Month Cigarette Use	20.22	5.86	30.59	20.13	21.63
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	73.30	65.81	68.00	75.03	74.03
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.99	1.92	5.76	1.36	1.99
Illicit Drug Dependence or Abuse¹	2.68	3.60	8.02	1.69	2.60
Alcohol Dependence	3.09	1.16	5.94	2.83	3.27
Alcohol Dependence or Abuse	6.71	3.23	14.17	5.87	7.06
Alcohol or Illicit Drug Dependence or Abuse¹	8.32	5.65	19.10	6.83	8.59
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.41	3.30	7.18	1.51	2.32
Needing But Not Receiving Treatment for Alcohol Use⁷	6.37	3.10	13.77	5.51	6.69
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.16	8.62	6.16	6.51
Serious Mental Illness^9,10	--	--	4.17	3.80	3.86
Any Mental Illness^9,10	--	--	19.89	17.84	18.13
Had Serious Thoughts of Suicide	--	--	7.31	3.26	3.84

141009

MIDWEST REGION

Table 5 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *Midwest Region*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	4,956	479	1,543	2,934	4,477
Past Year Marijuana Use	6,735	709	2,311	3,716	6,027
Past Month Marijuana Use	3,976	376	1,384	2,216	3,600
Past Month Use of Illicit Drugs Other Than Marijuana¹	1,748	172	495	1,081	1,576
Past Year Cocaine Use	782	26	259	496	756
Past Year Nonmedical Pain Reliever Use	2,433	261	695	1,477	2,172
Perception of Great Risk of Smoking Marijuana Once a Month	15,231	1,409	1,038	12,784	13,822
Average Annual Number of Marijuana Initiates²	619	277	293	49	342
ALCOHOL
Past Month Alcohol Use	30,964	673	4,710	25,581	30,291
Past Month Binge Alcohol Use³	14,321	372	3,182	10,767	13,949
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	20,994	1,992	2,177	16,824	19,001
Past Month Alcohol Use (Individuals Aged 12 to 20)	2,020⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	1,302⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	16,431	510	3,108	12,813	15,922
Past Month Cigarette Use	13,707	385	2,543	10,780	13,323
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	38,037	3,472	4,636	29,930	34,565
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1,031	103	380	547	928
Illicit Drug Dependence or Abuse¹	1,466	188	528	750	1,278
Alcohol Dependence	1,783	62	422	1,300	1,722
Alcohol Dependence or Abuse	3,804	171	1,040	2,593	3,633
Alcohol or Illicit Drug Dependence or Abuse¹	4,748	292	1,358	3,098	4,456
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	1,294	171	480	643	1,123
Needing But Not Receiving Treatment for Alcohol Use⁷	3,658	162	1,005	2,491	3,496
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	527	676	2,794	3,470
Serious Mental Illness^9,10	--	--	340	1,822	2,162
Any Mental Illness^9,10	--	--	1,466	7,944	9,410
Had Serious Thoughts of Suicide	--	--	567	1,452	2,019

141009

MIDWEST REGION

Table 6 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *Midwest Region*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.84	8.86	20.90	6.78	8.83
Past Year Marijuana Use	12.01	13.10	31.29	8.58	11.89
Past Month Marijuana Use	7.09	6.95	18.74	5.12	7.10
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.12	3.19	6.70	2.50	3.11
Past Year Cocaine Use	1.39	0.47	3.51	1.15	1.49
Past Year Nonmedical Pain Reliever Use	4.34	4.82	9.41	3.41	4.29
Perception of Great Risk of Smoking Marijuana Once a Month	27.14	26.05	14.06	29.54	27.26
Average Annual Incidence Estimates of First Use of Marijuana²	1.93	5.70	7.72	0.21	1.26
ALCOHOL
Past Month Alcohol Use	55.23	12.45	63.79	59.11	59.79
Past Month Binge Alcohol Use³	25.54	6.89	43.09	24.88	27.53
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	37.44	36.85	29.49	38.87	37.50
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.69⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.91⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	29.30	9.43	42.09	29.60	31.42
Past Month Cigarette Use	24.45	7.11	34.44	24.91	26.29
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	67.84	64.20	62.78	69.16	68.22
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.84	1.91	5.15	1.26	1.83
Illicit Drug Dependence or Abuse¹	2.61	3.47	7.16	1.73	2.52
Alcohol Dependence	3.18	1.14	5.71	3.00	3.40
Alcohol Dependence or Abuse	6.78	3.16	14.08	5.99	7.17
Alcohol or Illicit Drug Dependence or Abuse¹	8.47	5.40	18.39	7.16	8.80
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.31	3.17	6.50	1.48	2.22
Needing But Not Receiving Treatment for Alcohol Use⁷	6.52	2.99	13.61	5.76	6.90
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.74	9.15	6.46	6.85
Serious Mental Illness^9,10	--	--	4.60	4.21	4.27
Any Mental Illness^9,10	--	--	19.86	18.35	18.57
Had Serious Thoughts of Suicide	--	--	7.68	3.36	3.98

141009

SOUTH REGION

Table 7 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *South Region*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7,755	794	2,438	4,522	6,961
Past Year Marijuana Use	10,328	1,154	3,643	5,531	9,174
Past Month Marijuana Use	5,946	589	2,100	3,257	5,357
Past Month Use of Illicit Drugs Other Than Marijuana¹	3,252	330	872	2,049	2,922
Past Year Cocaine Use	1,511	58	498	955	1,453
Past Year Nonmedical Pain Reliever Use	4,375	481	1,207	2,686	3,893
Perception of Great Risk of Smoking Marijuana Once a Month	32,721	2,614	2,357	27,749	30,107
Average Annual Number of Marijuana Initiates²	999	456	463	80	543
ALCOHOL
Past Month Alcohol Use	46,833	1,087	7,277	38,470	45,747
Past Month Binge Alcohol Use³	20,792	601	4,529	15,662	20,191
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42,491	3,862	4,679	33,950	38,629
Past Month Alcohol Use (Individuals Aged 12 to 20)	3,015⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	1,875⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26,620	788	4,903	20,928	25,831
Past Month Cigarette Use	22,140	573	4,059	17,508	21,567
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	68,469	6,020	8,401	54,048	62,449
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1,771	185	629	957	1,586
Illicit Drug Dependence or Abuse¹	2,561	342	907	1,313	2,219
Alcohol Dependence	2,955	102	676	2,177	2,853
Alcohol Dependence or Abuse	6,093	276	1,619	4,197	5,816
Alcohol or Illicit Drug Dependence or Abuse¹	7,745	523	2,151	5,070	7,222
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2,297	320	839	1,138	1,977
Needing But Not Receiving Treatment for Alcohol Use⁷	5,908	263	1,604	4,040	5,645
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	912	1,063	4,866	5,929
Serious Mental Illness^9,10	--	--	494	3,189	3,683
Any Mental Illness^9,10	--	--	2,316	13,824	16,140
Had Serious Thoughts of Suicide	--	--	869	2,472	3,341

141009

SOUTH REGION

Table 8 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *South Region*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.00	8.51	19.04	6.05	7.95
Past Year Marijuana Use	10.65	12.37	28.44	7.39	10.47
Past Month Marijuana Use	6.13	6.31	16.40	4.35	6.11
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.35	3.54	6.81	2.74	3.33
Past Year Cocaine Use	1.56	0.62	3.89	1.28	1.66
Past Year Nonmedical Pain Reliever Use	4.51	5.16	9.42	3.59	4.44
Perception of Great Risk of Smoking Marijuana Once a Month	33.73	28.02	18.41	37.10	34.34
Average Annual Incidence Estimates of First Use of Marijuana²	1.68	5.39	6.62	0.18	1.07
ALCOHOL
Past Month Alcohol Use	48.31	11.65	56.82	51.42	52.21
Past Month Binge Alcohol Use³	21.45	6.44	35.36	20.94	23.04
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	43.83	41.39	36.53	45.39	44.09
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.43⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	13.33⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.46	8.45	38.28	27.98	29.49
Past Month Cigarette Use	22.84	6.14	31.69	23.41	24.62
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	70.63	64.52	65.59	72.25	71.28
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.83	1.99	4.91	1.28	1.81
Illicit Drug Dependence or Abuse¹	2.64	3.66	7.08	1.76	2.53
Alcohol Dependence	3.05	1.09	5.28	2.91	3.26
Alcohol Dependence or Abuse	6.28	2.96	12.64	5.61	6.64
Alcohol or Illicit Drug Dependence or Abuse¹	7.99	5.61	16.80	6.78	8.24
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.37	3.42	6.55	1.52	2.26
Needing But Not Receiving Treatment for Alcohol Use⁷	6.09	2.82	12.53	5.40	6.44
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.77	8.30	6.51	6.77
Serious Mental Illness^9,10	--	--	3.86	4.26	4.20
Any Mental Illness^9,10	--	--	18.08	18.48	18.42
Had Serious Thoughts of Suicide	--	--	6.78	3.30	3.81

141009

WEST REGION

Table 9 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *West Region*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	6,977	621	2,005	4,351	6,355
Past Year Marijuana Use	8,887	890	2,818	5,179	7,997
Past Month Marijuana Use	5,702	493	1,787	3,422	5,209
Past Month Use of Illicit Drugs Other Than Marijuana¹	2,324	215	587	1,522	2,109
Past Year Cocaine Use	1,222	47	490	684	1,174
Past Year Nonmedical Pain Reliever Use	3,135	332	850	1,952	2,802
Perception of Great Risk of Smoking Marijuana Once a Month	16,055	1,297	1,275	13,483	14,758
Average Annual Number of Marijuana Initiates²	707	313	330	64	395
ALCOHOL
Past Month Alcohol Use	31,087	701	4,823	25,563	30,386
Past Month Binge Alcohol Use³	13,267	392	3,069	9,806	12,875
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	26,723	2,324	2,940	21,458	24,398
Past Month Alcohol Use (Individuals Aged 12 to 20)	2,200⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	1,365⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	13,483	411	2,752	10,320	13,072
Past Month Cigarette Use	11,239	312	2,348	8,579	10,927
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	44,930	3,920	5,786	35,224	41,010
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1,245	120	501	624	1,125
Illicit Drug Dependence or Abuse¹	1,786	255	704	827	1,531
Alcohol Dependence	2,116	74	538	1,503	2,042
Alcohol Dependence or Abuse	4,436	192	1,212	3,032	4,244
Alcohol or Illicit Drug Dependence or Abuse¹	5,445	356	1,591	3,498	5,088
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	1,587	239	646	702	1,348
Needing But Not Receiving Treatment for Alcohol Use⁷	4,137	182	1,172	2,783	3,955
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	633	789	2,999	3,788
Serious Mental Illness^9,10	--	--	355	1,933	2,287
Any Mental Illness^9,10	--	--	1,758	8,662	10,420
Had Serious Thoughts of Suicide	--	--	658	1,524	2,182

141009

WEST REGION

Table 10 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *West Region*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.45	10.42	24.02	9.33	11.56
Past Year Marijuana Use	14.59	14.93	33.77	11.11	14.55
Past Month Marijuana Use	9.36	8.26	21.42	7.34	9.48
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.81	3.61	7.03	3.26	3.84
Past Year Cocaine Use	2.00	0.79	5.88	1.47	2.14
Past Year Nonmedical Pain Reliever Use	5.14	5.57	10.19	4.19	5.10
Perception of Great Risk of Smoking Marijuana Once a Month	26.32	21.76	15.28	28.91	26.82
Average Annual Incidence Estimates of First Use of Marijuana²	2.14	6.20	7.98	0.28	1.40
ALCOHOL
Past Month Alcohol Use	51.02	11.75	57.80	54.83	55.28
Past Month Binge Alcohol Use³	21.77	6.58	36.78	21.03	23.42
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	43.85	38.99	35.24	46.02	44.38
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.44⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.55⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.13	6.89	32.99	22.14	23.79
Past Month Cigarette Use	18.45	5.23	28.14	18.41	19.88
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	73.74	65.74	69.34	75.55	74.60
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.04	2.01	6.01	1.34	2.05
Illicit Drug Dependence or Abuse¹	2.93	4.27	8.43	1.77	2.79
Alcohol Dependence	3.47	1.24	6.45	3.22	3.71
Alcohol Dependence or Abuse	7.28	3.23	14.52	6.50	7.72
Alcohol or Illicit Drug Dependence or Abuse¹	8.94	5.97	19.06	7.50	9.26
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.60	4.00	7.75	1.51	2.45
Needing But Not Receiving Treatment for Alcohol Use⁷	6.79	3.05	14.05	5.97	7.19
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.61	9.45	6.43	6.89
Serious Mental Illness^9,10	--	--	4.25	4.15	4.16
Any Mental Illness^9,10	--	--	21.07	18.58	18.96
Had Serious Thoughts of Suicide	--	--	7.88	3.27	3.97

141009

ALABAMA

Table 11 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Alabama*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	304	30	94	180	274
Past Year Marijuana Use	389	40	136	213	350
Past Month Marijuana Use	199	18	75	105	180
Past Month Use of Illicit Drugs Other Than Marijuana¹	155	15	40	100	140
Past Year Cocaine Use	48	2	14	32	46
Past Year Nonmedical Pain Reliever Use	218	24	59	135	194
Perception of Great Risk of Smoking Marijuana Once a Month	1,577	123	106	1,347	1,454
Average Annual Number of Marijuana Initiates²	39	18	18	3	21
ALCOHOL
Past Month Alcohol Use	1,752	43	273	1,435	1,709
Past Month Binge Alcohol Use³	860	25	170	665	835
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,835	162	198	1,475	1,673
Past Month Alcohol Use (Individuals Aged 12 to 20)	113⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	71⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,266	34	226	1,006	1,232
Past Month Cigarette Use	1,045	24	181	840	1,021
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	2,748	236	333	2,179	2,512
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	68	7	23	39	62
Illicit Drug Dependence or Abuse¹	106	11	32	64	95
Alcohol Dependence	132	5	27	100	127
Alcohol Dependence or Abuse	248	13	65	170	235
Alcohol or Illicit Drug Dependence or Abuse¹	309	22	81	206	287
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	97	11	31	55	86
Needing But Not Receiving Treatment for Alcohol Use⁷	245	13	65	168	232
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	37	45	183	229
Serious Mental Illness^9,10	--	--	20	117	138
Any Mental Illness^9,10	--	--	98	604	703
Had Serious Thoughts of Suicide	--	--	36	92	128

141009

ALABAMA

Table 12 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Alabama*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.57	7.75	17.47	5.83	7.55
Past Year Marijuana Use	9.69	10.36	25.36	6.90	9.62
Past Month Marijuana Use	4.95	4.81	13.93	3.41	4.96
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.86	3.98	7.47	3.22	3.85
Past Year Cocaine Use	1.19	0.46	2.59	1.04	1.26
Past Year Nonmedical Pain Reliever Use	5.42	6.32	11.02	4.35	5.33
Perception of Great Risk of Smoking Marijuana Once a Month	39.26	32.10	19.80	43.53	40.01
Average Annual Incidence Estimates of First Use of Marijuana²	1.43	4.78	5.91	0.13	0.91
ALCOHOL
Past Month Alcohol Use	43.63	11.21	50.89	46.38	47.04
Past Month Binge Alcohol Use³	21.43	6.55	31.66	21.50	23.00
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.70	42.25	36.90	47.64	46.06
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.58⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	12.30⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	31.54	8.83	42.18	32.50	33.93
Past Month Cigarette Use	26.03	6.25	33.74	27.14	28.11
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	68.45	61.57	61.98	70.41	69.17
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.70	1.70	4.23	1.26	1.70
Illicit Drug Dependence or Abuse¹	2.65	2.88	5.87	2.06	2.62
Alcohol Dependence	3.28	1.24	5.01	3.24	3.50
Alcohol Dependence or Abuse	6.18	3.48	12.07	5.50	6.47
Alcohol or Illicit Drug Dependence or Abuse¹	7.69	5.67	15.02	6.67	7.90
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.42	2.99	5.69	1.79	2.36
Needing But Not Receiving Treatment for Alcohol Use⁷	6.09	3.27	12.03	5.41	6.39
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.56	8.46	5.93	6.30
Serious Mental Illness^9,10	--	--	3.77	3.79	3.79
Any Mental Illness^9,10	--	--	18.34	19.52	19.35
Had Serious Thoughts of Suicide	--	--	6.70	2.96	3.51

141009

ALASKA

Table 13 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Alaska*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	75	6	19	50	69
Past Year Marijuana Use	114	9	29	75	104
Past Month Marijuana Use	69	5	17	46	63
Past Month Use of Illicit Drugs Other Than Marijuana¹	17	2	5	10	15
Past Year Cocaine Use	9	0	4	5	9
Past Year Nonmedical Pain Reliever Use	28	3	9	16	25
Perception of Great Risk of Smoking Marijuana Once a Month	113	11	11	91	102
Average Annual Number of Marijuana Initiates²	7	3	3	1	4
ALCOHOL
Past Month Alcohol Use	306	6	47	253	299
Past Month Binge Alcohol Use³	128	3	30	94	124
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	223	22	25	176	201
Past Month Alcohol Use (Individuals Aged 12 to 20)	19⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	12⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	174	6	35	133	168
Past Month Cigarette Use	131	4	28	100	127
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	379	36	49	295	343
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	10	1	5	5	9
Illicit Drug Dependence or Abuse¹	16	2	7	7	14
Alcohol Dependence	19	1	5	13	18
Alcohol Dependence or Abuse	41	2	11	29	40
Alcohol or Illicit Drug Dependence or Abuse¹	53	3	16	34	50
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	14	2	6	6	12
Needing But Not Receiving Treatment for Alcohol Use⁷	38	2	11	26	37
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	6	8	29	38
Serious Mental Illness^9,10	--	--	4	19	22
Any Mental Illness^9,10	--	--	17	80	96
Had Serious Thoughts of Suicide	--	--	6	15	22

141009

ALASKA

Table 14 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Alaska*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	12.93	9.70	23.38	11.40	13.30
Past Year Marijuana Use	19.69	15.61	35.71	17.24	20.16
Past Month Marijuana Use	11.89	8.73	21.06	10.60	12.26
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.96	2.99	6.65	2.27	2.96
Past Year Cocaine Use	1.58	0.65	4.44	1.16	1.68
Past Year Nonmedical Pain Reliever Use	4.91	5.38	10.65	3.77	4.86
Perception of Great Risk of Smoking Marijuana Once a Month	19.60	19.07	13.29	20.89	19.66
Average Annual Incidence Estimates of First Use of Marijuana²	2.79	6.01	8.38	0.50	1.97
ALCOHOL
Past Month Alcohol Use	53.01	10.47	56.44	58.21	57.93
Past Month Binge Alcohol Use³	22.10	5.78	36.04	21.72	23.99
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.67	36.65	30.32	40.52	38.90
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.71⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	12.68⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	30.15	10.13	41.92	30.70	32.47
Past Month Cigarette Use	22.72	6.44	33.58	22.91	24.60
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	65.69	59.08	59.31	67.79	66.45
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.77	1.64	5.63	1.06	1.78
Illicit Drug Dependence or Abuse¹	2.74	3.07	8.16	1.68	2.70
Alcohol Dependence	3.27	0.94	6.60	2.96	3.54
Alcohol Dependence or Abuse	7.12	2.68	13.27	6.58	7.63
Alcohol or Illicit Drug Dependence or Abuse¹	9.14	4.65	19.31	7.84	9.65
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.43	2.79	7.56	1.42	2.39
Needing But Not Receiving Treatment for Alcohol Use⁷	6.64	2.54	13.53	5.90	7.11
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.40	10.30	6.71	7.28
Serious Mental Illness^9,10	--	--	4.57	4.27	4.32
Any Mental Illness^9,10	--	--	20.23	18.33	18.63
Had Serious Thoughts of Suicide	--	--	7.68	3.56	4.21

141009

ARIZONA

Table 15 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Arizona*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	564	60	159	345	504
Past Year Marijuana Use	699	81	225	392	618
Past Month Marijuana Use	426	45	134	248	381
Past Month Use of Illicit Drugs Other Than Marijuana¹	210	21	49	140	189
Past Year Cocaine Use	120	6	44	70	114
Past Year Nonmedical Pain Reliever Use	314	38	80	197	276
Perception of Great Risk of Smoking Marijuana Once a Month	1,404	117	104	1,183	1,287
Average Annual Number of Marijuana Initiates²	58	28	24	5	30
ALCOHOL
Past Month Alcohol Use	2,762	70	416	2,277	2,692
Past Month Binge Alcohol Use³	1,242	37	275	930	1,205
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,309	210	239	1,860	2,099
Past Month Alcohol Use (Individuals Aged 12 to 20)	190⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	119⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,278	38	254	985	1,240
Past Month Cigarette Use	1,071	30	215	827	1,041
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	3,800	332	469	2,998	3,468
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	92	10	34	49	82
Illicit Drug Dependence or Abuse¹	164	26	52	86	138
Alcohol Dependence	186	7	42	136	179
Alcohol Dependence or Abuse	388	19	97	272	369
Alcohol or Illicit Drug Dependence or Abuse¹	487	34	132	320	452
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	147	24	50	73	123
Needing But Not Receiving Treatment for Alcohol Use⁷	362	17	93	251	344
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	59	61	278	339
Serious Mental Illness^9,10	--	--	30	176	206
Any Mental Illness^9,10	--	--	138	754	892
Had Serious Thoughts of Suicide	--	--	56	141	196

141009

ARIZONA

Table 16 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Arizona*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.44	11.05	22.10	8.32	10.37
Past Year Marijuana Use	12.94	15.03	31.26	9.47	12.71
Past Month Marijuana Use	7.88	8.25	18.54	5.98	7.84
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.89	3.83	6.84	3.38	3.89
Past Year Cocaine Use	2.22	1.13	6.08	1.69	2.34
Past Year Nonmedical Pain Reliever Use	5.82	7.03	11.04	4.75	5.68
Perception of Great Risk of Smoking Marijuana Once a Month	25.96	21.69	14.46	28.55	26.44
Average Annual Incidence Estimates of First Use of Marijuana²	2.03	6.53	7.28	0.26	1.23
ALCOHOL
Past Month Alcohol Use	51.12	12.90	57.66	54.97	55.37
Past Month Binge Alcohol Use³	22.99	6.88	38.11	22.46	24.78
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.74	38.89	33.21	44.90	43.16
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.30⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.54⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.65	7.11	35.29	23.79	25.49
Past Month Cigarette Use	19.82	5.46	29.82	19.96	21.42
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	70.32	61.41	65.13	72.39	71.31
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.70	1.81	4.66	1.18	1.69
Illicit Drug Dependence or Abuse¹	3.05	4.83	7.24	2.08	2.85
Alcohol Dependence	3.44	1.36	5.89	3.29	3.67
Alcohol Dependence or Abuse	7.18	3.47	13.46	6.57	7.59
Alcohol or Illicit Drug Dependence or Abuse¹	9.01	6.38	18.34	7.73	9.31
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.72	4.42	6.92	1.76	2.53
Needing But Not Receiving Treatment for Alcohol Use⁷	6.69	3.21	12.88	6.07	7.08
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.91	8.50	6.70	6.97
Serious Mental Illness^9,10	--	--	4.14	4.26	4.24
Any Mental Illness^9,10	--	--	19.08	18.21	18.34
Had Serious Thoughts of Suicide	--	--	7.70	3.40	4.04

141009

ARKANSAS

Table 17 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Arkansas*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	194	21	55	118	173
Past Year Marijuana Use	235	30	78	128	205
Past Month Marijuana Use	138	13	46	79	125
Past Month Use of Illicit Drugs Other Than Marijuana¹	91	10	23	58	81
Past Year Cocaine Use	32	1	10	21	30
Past Year Nonmedical Pain Reliever Use	131	17	37	77	114
Perception of Great Risk of Smoking Marijuana Once a Month	865	73	53	739	792
Average Annual Number of Marijuana Initiates²	26	12	11	2	14
ALCOHOL
Past Month Alcohol Use	1,007	26	176	805	981
Past Month Binge Alcohol Use³	511	16	114	381	495
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	958	90	103	765	868
Past Month Alcohol Use (Individuals Aged 12 to 20)	70⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	48⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	808	25	134	649	783
Past Month Cigarette Use	651	18	108	525	634
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	1,583	142	197	1,244	1,441
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	47	5	15	27	42
Illicit Drug Dependence or Abuse¹	73	10	24	40	64
Alcohol Dependence	72	2	17	52	69
Alcohol Dependence or Abuse	135	7	38	91	129
Alcohol or Illicit Drug Dependence or Abuse¹	187	13	55	119	174
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	60	8	22	30	52
Needing But Not Receiving Treatment for Alcohol Use⁷	130	6	39	85	124
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	24	28	132	160
Serious Mental Illness^9,10	--	--	14	101	115
Any Mental Illness^9,10	--	--	60	389	449
Had Serious Thoughts of Suicide	--	--	22	79	101

141009

ARKANSAS

Table 18 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Arkansas*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.99	8.84	17.31	6.29	7.89
Past Year Marijuana Use	9.69	12.70	24.34	6.82	9.37
Past Month Marijuana Use	5.69	5.68	14.28	4.23	5.69
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.75	4.21	7.18	3.11	3.70
Past Year Cocaine Use	1.31	0.55	2.99	1.12	1.39
Past Year Nonmedical Pain Reliever Use	5.38	7.15	11.53	4.11	5.19
Perception of Great Risk of Smoking Marijuana Once a Month	35.59	30.76	16.67	39.43	36.10
Average Annual Incidence Estimates of First Use of Marijuana²	1.74	5.80	6.03	0.19	1.06
ALCOHOL
Past Month Alcohol Use	41.44	11.00	55.10	42.96	44.72
Past Month Binge Alcohol Use³	21.02	6.63	35.91	20.31	22.57
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	39.43	38.05	32.22	40.84	39.58
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.98⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	13.54⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	33.29	10.63	42.19	34.63	35.73
Past Month Cigarette Use	26.82	7.56	34.02	28.02	28.90
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	65.16	59.96	61.80	66.38	65.72
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.93	1.98	4.82	1.43	1.92
Illicit Drug Dependence or Abuse¹	3.02	4.03	7.55	2.12	2.91
Alcohol Dependence	2.95	1.02	5.31	2.79	3.15
Alcohol Dependence or Abuse	5.57	2.75	12.00	4.83	5.87
Alcohol or Illicit Drug Dependence or Abuse¹	7.71	5.67	17.24	6.35	7.93
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.46	3.38	6.96	1.58	2.36
Needing But Not Receiving Treatment for Alcohol Use⁷	5.34	2.63	12.19	4.52	5.63
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.17	8.80	7.07	7.32
Serious Mental Illness^9,10	--	--	4.45	5.41	5.27
Any Mental Illness^9,10	--	--	18.67	20.76	20.46
Had Serious Thoughts of Suicide	--	--	6.82	4.21	4.59

141009

CALIFORNIA

Table 19 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *California*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	3,527	305	1,075	2,147	3,222
Past Year Marijuana Use	4,384	444	1,519	2,421	3,940
Past Month Marijuana Use	2,822	243	965	1,614	2,579
Past Month Use of Illicit Drugs Other Than Marijuana¹	1,226	112	305	808	1,114
Past Year Cocaine Use	663	25	278	361	639
Past Year Nonmedical Pain Reliever Use	1,643	164	459	1,021	1,480
Perception of Great Risk of Smoking Marijuana Once a Month	8,957	653	741	7,563	8,304
Average Annual Number of Marijuana Initiates²	389	164	193	32	225
ALCOHOL
Past Month Alcohol Use	15,611	362	2,567	12,683	15,249
Past Month Binge Alcohol Use³	6,684	198	1,591	4,895	6,486
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	14,547	1,237	1,682	11,629	13,311
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,193⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	722⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	6,016	177	1,301	4,538	5,839
Past Month Cigarette Use	5,147	134	1,152	3,861	5,013
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	24,049	2,089	3,237	18,723	21,960
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	675	63	290	322	611
Illicit Drug Dependence or Abuse¹	915	131	399	385	784
Alcohol Dependence	1,118	37	296	785	1,081
Alcohol Dependence or Abuse	2,307	95	653	1,559	2,212
Alcohol or Illicit Drug Dependence or Abuse¹	2,765	182	854	1,729	2,583
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	822	124	366	333	699
Needing But Not Receiving Treatment for Alcohol Use⁷	2,144	91	640	1,413	2,053
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	327	405	1,459	1,864
Serious Mental Illness^9,10	--	--	175	928	1,103
Any Mental Illness^9,10	--	--	937	4,341	5,278
Had Serious Thoughts of Suicide	--	--	354	726	1,080

141009

CALIFORNIA

Table 20 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *California*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.17	9.80	24.12	8.94	11.32
Past Year Marijuana Use	13.89	14.25	34.08	10.08	13.85
Past Month Marijuana Use	8.94	7.80	21.64	6.72	9.06
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.88	3.59	6.85	3.37	3.91
Past Year Cocaine Use	2.10	0.79	6.23	1.50	2.24
Past Year Nonmedical Pain Reliever Use	5.20	5.25	10.30	4.25	5.20
Perception of Great Risk of Smoking Marijuana Once a Month	28.34	20.95	16.61	31.51	29.15
Average Annual Incidence Estimates of First Use of Marijuana²	2.12	6.01	8.37	0.26	1.45
ALCOHOL
Past Month Alcohol Use	49.43	11.60	57.56	52.83	53.57
Past Month Binge Alcohol Use³	21.16	6.36	35.68	20.39	22.79
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	46.06	39.67	37.72	48.44	46.76
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.79⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.40⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	19.05	5.66	29.19	18.90	20.51
Past Month Cigarette Use	16.29	4.31	25.83	16.08	17.61
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	76.15	67.02	72.59	77.99	77.14
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.14	2.03	6.49	1.34	2.15
Illicit Drug Dependence or Abuse¹	2.90	4.19	8.96	1.60	2.76
Alcohol Dependence	3.54	1.20	6.65	3.27	3.80
Alcohol Dependence or Abuse	7.30	3.05	14.64	6.49	7.77
Alcohol or Illicit Drug Dependence or Abuse¹	8.75	5.83	19.16	7.20	9.08
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.60	3.97	8.20	1.39	2.46
Needing But Not Receiving Treatment for Alcohol Use⁷	6.79	2.92	14.35	5.89	7.21
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.48	9.08	6.08	6.55
Serious Mental Illness^9,10	--	--	3.92	3.87	3.88
Any Mental Illness^9,10	--	--	21.01	18.08	18.54
Had Serious Thoughts of Suicide	--	--	7.94	3.02	3.79

141009

COLORADO

Table 21 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Colorado*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	641	58	180	403	583
Past Year Marijuana Use	814	75	240	499	739
Past Month Marijuana Use	547	45	164	338	502
Past Month Use of Illicit Drugs Other Than Marijuana¹	170	15	45	109	155
Past Year Cocaine Use	115	4	46	66	112
Past Year Nonmedical Pain Reliever Use	218	26	61	132	193
Perception of Great Risk of Smoking Marijuana Once a Month	946	79	60	807	868
Average Annual Number of Marijuana Initiates²	49	24	20	5	26
ALCOHOL
Past Month Alcohol Use	2,623	53	387	2,183	2,571
Past Month Binge Alcohol Use³	1,097	28	248	821	1,069
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,640	143	152	1,345	1,497
Past Month Alcohol Use (Individuals Aged 12 to 20)	156⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	95⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,196	35	247	913	1,160
Past Month Cigarette Use	914	25	193	695	888
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	3,137	268	376	2,493	2,869
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	90	8	38	44	82
Illicit Drug Dependence or Abuse¹	136	19	54	62	116
Alcohol Dependence	151	5	36	109	146
Alcohol Dependence or Abuse	325	14	92	219	311
Alcohol or Illicit Drug Dependence or Abuse¹	420	27	121	272	393
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	117	19	48	50	98
Needing But Not Receiving Treatment for Alcohol Use⁷	299	12	84	202	287
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	39	48	198	246
Serious Mental Illness^9,10	--	--	25	128	153
Any Mental Illness^9,10	--	--	108	562	670
Had Serious Thoughts of Suicide	--	--	40	108	148

141009

COLORADO

Table 22 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Colorado*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	14.90	14.41	31.89	12.09	14.95
Past Year Marijuana Use	18.92	18.76	42.42	14.98	18.94
Past Month Marijuana Use	12.70	11.16	29.05	10.13	12.86
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.94	3.72	8.03	3.28	3.96
Past Year Cocaine Use	2.67	0.88	8.14	1.97	2.86
Past Year Nonmedical Pain Reliever Use	5.08	6.35	10.72	3.97	4.94
Perception of Great Risk of Smoking Marijuana Once a Month	22.00	19.58	10.69	24.22	22.24
Average Annual Incidence Estimates of First Use of Marijuana²	2.71	7.92	9.94	0.38	1.67
ALCOHOL
Past Month Alcohol Use	61.03	13.10	68.52	65.52	65.95
Past Month Binge Alcohol Use³	25.51	7.00	43.95	24.62	27.41
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.15	35.63	26.89	40.35	38.41
Past Month Alcohol Use (Individuals Aged 12 to 20)	25.95⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.79⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.81	8.78	43.71	27.41	29.76
Past Month Cigarette Use	21.25	6.29	34.11	20.87	22.78
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	72.96	66.56	66.52	74.81	73.62
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.09	2.10	6.69	1.32	2.09
Illicit Drug Dependence or Abuse¹	3.15	4.83	9.59	1.86	2.98
Alcohol Dependence	3.50	1.24	6.44	3.28	3.73
Alcohol Dependence or Abuse	7.54	3.41	16.29	6.57	7.97
Alcohol or Illicit Drug Dependence or Abuse¹	9.76	6.68	21.48	8.15	10.07
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.71	4.62	8.54	1.50	2.52
Needing But Not Receiving Treatment for Alcohol Use⁷	6.95	3.09	14.92	6.07	7.35
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.66	8.56	5.93	6.31
Serious Mental Illness^9,10	--	--	4.41	3.83	3.91
Any Mental Illness^9,10	--	--	19.06	16.87	17.19
Had Serious Thoughts of Suicide	--	--	7.16	3.24	3.80

141009

CONNECTICUT

Table 23 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Connecticut*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	302	29	95	178	273
Past Year Marijuana Use	425	46	148	231	379
Past Month Marijuana Use	272	25	92	156	247
Past Month Use of Illicit Drugs Other Than Marijuana¹	82	7	25	49	75
Past Year Cocaine Use	60	2	24	35	59
Past Year Nonmedical Pain Reliever Use	108	11	32	65	97
Perception of Great Risk of Smoking Marijuana Once a Month	752	66	46	640	686
Average Annual Number of Marijuana Initiates²	37	18	16	3	19
ALCOHOL
Past Month Alcohol Use	1,846	41	250	1,555	1,805
Past Month Binge Alcohol Use³	728	22	167	539	706
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,294	111	119	1,064	1,183
Past Month Alcohol Use (Individuals Aged 12 to 20)	123⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	77⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	661	20	128	513	642
Past Month Cigarette Use	545	14	109	422	531
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	2,250	198	260	1,793	2,052
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	56	5	24	27	50
Illicit Drug Dependence or Abuse¹	76	10	31	34	66
Alcohol Dependence	98	3	22	73	95
Alcohol Dependence or Abuse	214	8	54	152	206
Alcohol or Illicit Drug Dependence or Abuse¹	253	15	71	167	238
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	68	10	28	31	58
Needing But Not Receiving Treatment for Alcohol Use⁷	206	8	54	144	198
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	27	31	141	173
Serious Mental Illness^9,10	--	--	15	78	93
Any Mental Illness^9,10	--	--	69	406	475
Had Serious Thoughts of Suicide	--	--	25	77	102

141009

CONNECTICUT

Table 24 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Connecticut*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.93	9.95	25.39	7.48	9.93
Past Year Marijuana Use	14.00	16.02	39.41	9.72	13.78
Past Month Marijuana Use	8.95	8.57	24.41	6.55	8.99
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.70	2.54	6.78	2.08	2.72
Past Year Cocaine Use	1.99	0.60	6.33	1.47	2.13
Past Year Nonmedical Pain Reliever Use	3.56	3.86	8.52	2.73	3.52
Perception of Great Risk of Smoking Marijuana Once a Month	24.73	23.03	12.27	26.94	24.90
Average Annual Incidence Estimates of First Use of Marijuana²	2.31	7.37	9.10	0.24	1.38
ALCOHOL
Past Month Alcohol Use	60.72	14.18	66.54	65.46	65.61
Past Month Binge Alcohol Use³	23.95	7.50	44.50	22.70	25.68
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.56	38.56	31.61	44.79	42.98
Past Month Alcohol Use (Individuals Aged 12 to 20)	28.05⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	17.46⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	21.76	6.91	34.09	21.61	23.32
Past Month Cigarette Use	17.93	4.87	28.88	17.78	19.30
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	74.02	68.51	69.07	75.48	74.60
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.83	1.83	6.31	1.12	1.83
Illicit Drug Dependence or Abuse¹	2.50	3.50	8.37	1.45	2.40
Alcohol Dependence	3.21	0.97	5.93	3.06	3.45
Alcohol Dependence or Abuse	7.05	2.90	14.42	6.38	7.48
Alcohol or Illicit Drug Dependence or Abuse¹	8.33	5.29	18.93	7.02	8.65
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.23	3.32	7.33	1.29	2.12
Needing But Not Receiving Treatment for Alcohol Use⁷	6.79	2.85	14.34	6.07	7.20
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.40	8.37	5.95	6.28
Serious Mental Illness^9,10	--	--	4.03	3.28	3.38
Any Mental Illness^9,10	--	--	18.30	17.10	17.26
Had Serious Thoughts of Suicide	--	--	6.78	3.23	3.72

141009

DELAWARE

Table 25 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Delaware*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	74	7	24	43	67
Past Year Marijuana Use	108	11	39	57	96
Past Month Marijuana Use	61	6	21	34	55
Past Month Use of Illicit Drugs Other Than Marijuana¹	26	2	9	15	24
Past Year Cocaine Use	13	0	5	8	13
Past Year Nonmedical Pain Reliever Use	38	4	11	23	34
Perception of Great Risk of Smoking Marijuana Once a Month	223	15	13	195	208
Average Annual Number of Marijuana Initiates²	9	4	4	1	5
ALCOHOL
Past Month Alcohol Use	424	8	63	353	416
Past Month Binge Alcohol Use³	172	4	42	127	168
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	315	27	35	253	288
Past Month Alcohol Use (Individuals Aged 12 to 20)	25⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	217	6	41	171	211
Past Month Cigarette Use	179	5	35	139	174
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	563	45	72	447	519
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	17	1	6	10	16
Illicit Drug Dependence or Abuse¹	24	3	9	12	21
Alcohol Dependence	25	1	7	18	25
Alcohol Dependence or Abuse	54	2	16	36	52
Alcohol or Illicit Drug Dependence or Abuse¹	71	4	21	46	67
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	20	2	8	10	18
Needing But Not Receiving Treatment for Alcohol Use⁷	51	2	15	34	49
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	6	10	40	49
Serious Mental Illness^9,10	--	--	4	25	29
Any Mental Illness^9,10	--	--	20	109	129
Had Serious Thoughts of Suicide	--	--	7	21	28

141009

DELAWARE

Table 26 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Delaware*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.59	10.77	23.16	7.15	9.47
Past Year Marijuana Use	13.97	16.72	38.49	9.51	13.71
Past Month Marijuana Use	7.97	9.15	20.75	5.68	7.86
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.39	3.08	8.37	2.58	3.42
Past Year Cocaine Use	1.70	0.48	4.74	1.32	1.82
Past Year Nonmedical Pain Reliever Use	4.87	5.60	10.65	3.81	4.80
Perception of Great Risk of Smoking Marijuana Once a Month	28.95	21.67	12.90	32.51	29.65
Average Annual Incidence Estimates of First Use of Marijuana²	2.27	7.39	9.09	0.24	1.41
ALCOHOL
Past Month Alcohol Use	55.05	11.73	61.99	58.78	59.24
Past Month Binge Alcohol Use³	22.38	6.12	40.75	21.12	23.96
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.95	39.50	34.39	42.23	41.09
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.65⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.39⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	28.22	8.94	39.71	28.46	30.09
Past Month Cigarette Use	23.21	6.85	34.10	23.22	24.80
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	73.17	65.64	70.19	74.52	73.89
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.26	2.01	6.23	1.62	2.29
Illicit Drug Dependence or Abuse¹	3.07	3.75	8.75	2.03	3.00
Alcohol Dependence	3.28	0.98	6.57	2.98	3.50
Alcohol Dependence or Abuse	7.05	3.01	15.57	6.07	7.45
Alcohol or Illicit Drug Dependence or Abuse¹	9.23	5.68	20.62	7.71	9.58
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.58	3.34	7.46	1.67	2.51
Needing But Not Receiving Treatment for Alcohol Use⁷	6.65	2.81	14.96	5.67	7.02
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.44	9.32	6.60	6.99
Serious Mental Illness^9,10	--	--	4.23	4.10	4.12
Any Mental Illness^9,10	--	--	19.92	18.12	18.38
Had Serious Thoughts of Suicide	--	--	6.43	3.58	3.99

141009

DISTRICT OF COLUMBIA

Table 27 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *District of Columbia*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	83	4	26	53	79
Past Year Marijuana Use	116	6	41	69	110
Past Month Marijuana Use	66	3	24	39	63
Past Month Use of Illicit Drugs Other Than Marijuana¹	32	2	7	23	30
Past Year Cocaine Use	18	0	5	13	18
Past Year Nonmedical Pain Reliever Use	25	2	7	16	24
Perception of Great Risk of Smoking Marijuana Once a Month	123	7	11	105	116
Average Annual Number of Marijuana Initiates²	7	2	4	1	5
ALCOHOL
Past Month Alcohol Use	357	4	70	284	353
Past Month Binge Alcohol Use³	185	2	47	137	183
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	222	15	30	177	207
Past Month Alcohol Use (Individuals Aged 12 to 20)	19⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	11⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	151	2	34	116	149
Past Month Cigarette Use	129	1	30	98	128
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	416	19	69	329	397
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	17	1	6	10	16
Illicit Drug Dependence or Abuse¹	21	1	8	12	20
Alcohol Dependence	28	0	8	19	28
Alcohol Dependence or Abuse	66	1	17	48	65
Alcohol or Illicit Drug Dependence or Abuse¹	76	2	21	53	74
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	19	1	7	10	17
Needing But Not Receiving Treatment for Alcohol Use⁷	63	1	17	45	62
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	2	7	29	36
Serious Mental Illness^9,10	--	--	3	17	20
Any Mental Illness^9,10	--	--	16	88	104
Had Serious Thoughts of Suicide	--	--	6	15	21

141009

DISTRICT OF COLUMBIA

Table 28 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the *District of Columbia*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	15.17	13.30	27.57	12.53	15.28
Past Year Marijuana Use	21.02	18.01	43.68	16.18	21.20
Past Month Marijuana Use	12.01	9.89	25.53	9.14	12.13
Past Month Use of Illicit Drugs Other Than Marijuana¹	5.77	5.40	7.27	5.46	5.79
Past Year Cocaine Use	3.28	0.33	5.16	3.08	3.46
Past Year Nonmedical Pain Reliever Use	4.62	5.11	7.78	3.88	4.59
Perception of Great Risk of Smoking Marijuana Once a Month	22.35	21.52	11.53	24.85	22.39
Average Annual Incidence Estimates of First Use of Marijuana²	3.05	9.07	10.85	0.46	2.35
ALCOHOL
Past Month Alcohol Use	64.90	11.94	73.46	66.84	68.05
Past Month Binge Alcohol Use³	33.65	5.47	49.47	32.16	35.32
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.35	47.67	32.04	41.68	39.91
Past Month Alcohol Use (Individuals Aged 12 to 20)	31.52⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	18.14⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.52	6.42	35.52	27.28	28.77
Past Month Cigarette Use	23.47	4.62	31.40	23.09	24.59
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	75.63	60.00	72.60	77.43	76.55
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	3.03	2.34	6.12	2.39	3.07
Illicit Drug Dependence or Abuse¹	3.87	4.19	8.38	2.84	3.85
Alcohol Dependence	5.12	1.06	8.95	4.56	5.36
Alcohol Dependence or Abuse	11.96	2.55	18.12	11.27	12.52
Alcohol or Illicit Drug Dependence or Abuse¹	13.84	6.27	21.86	12.60	14.29
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	3.38	4.10	7.79	2.34	3.34
Needing But Not Receiving Treatment for Alcohol Use⁷	11.38	2.39	17.63	10.65	11.92
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	7.38	7.48	6.78	6.91
Serious Mental Illness^9,10	--	--	3.46	3.95	3.86
Any Mental Illness^9,10	--	--	16.75	20.72	20.00
Had Serious Thoughts of Suicide	--	--	6.30	3.64	4.13

141009

FLORIDA

Table 29 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Florida*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	1,423	131	431	861	1,292
Past Year Marijuana Use	1,885	189	632	1,063	1,696
Past Month Marijuana Use	1,153	104	377	673	1,049
Past Month Use of Illicit Drugs Other Than Marijuana¹	504	42	145	317	462
Past Year Cocaine Use	300	10	102	189	291
Past Year Nonmedical Pain Reliever Use	595	62	154	379	533
Perception of Great Risk of Smoking Marijuana Once a Month	5,416	365	348	4,703	5,051
Average Annual Number of Marijuana Initiates²	163	75	73	15	88
ALCOHOL
Past Month Alcohol Use	8,540	177	1,151	7,211	8,362
Past Month Binge Alcohol Use³	3,424	88	687	2,648	3,336
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	7,496	589	765	6,142	6,907
Past Month Alcohol Use (Individuals Aged 12 to 20)	493⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	279⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	3,921	101	680	3,141	3,821
Past Month Cigarette Use	3,330	69	553	2,708	3,261
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	12,382	976	1,373	10,034	11,406
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	305	30	103	172	275
Illicit Drug Dependence or Abuse¹	413	55	146	212	358
Alcohol Dependence	479	15	89	376	464
Alcohol Dependence or Abuse	1,009	38	236	734	970
Alcohol or Illicit Drug Dependence or Abuse¹	1,299	79	319	901	1,219
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	369	53	130	185	316
Needing But Not Receiving Treatment for Alcohol Use⁷	964	37	233	693	927
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	134	149	762	910
Serious Mental Illness^9,10	--	--	74	523	597
Any Mental Illness^9,10	--	--	336	2,218	2,554
Had Serious Thoughts of Suicide	--	--	134	396	530

141009

FLORIDA

Table 30 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Florida*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.63	9.42	21.85	6.56	8.55
Past Year Marijuana Use	11.43	13.64	32.06	8.10	11.23
Past Month Marijuana Use	7.00	7.52	19.09	5.12	6.95
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.06	3.05	7.37	2.41	3.06
Past Year Cocaine Use	1.82	0.69	5.15	1.44	1.93
Past Year Nonmedical Pain Reliever Use	3.61	4.44	7.83	2.88	3.53
Perception of Great Risk of Smoking Marijuana Once a Month	32.82	26.33	17.66	35.81	33.41
Average Annual Incidence Estimates of First Use of Marijuana²	1.66	6.14	7.01	0.19	1.02
ALCOHOL
Past Month Alcohol Use	51.78	12.79	58.36	54.91	55.36
Past Month Binge Alcohol Use³	20.76	6.35	34.85	20.16	22.08
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.45	42.49	38.79	46.77	45.72
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.25⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	13.15⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.78	7.27	34.46	23.92	25.30
Past Month Cigarette Use	20.20	4.95	28.04	20.62	21.60
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	75.09	70.43	69.60	76.40	75.51
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.85	2.14	5.23	1.31	1.82
Illicit Drug Dependence or Abuse¹	2.51	4.00	7.39	1.62	2.37
Alcohol Dependence	2.91	1.08	4.50	2.86	3.07
Alcohol Dependence or Abuse	6.12	2.78	11.96	5.59	6.42
Alcohol or Illicit Drug Dependence or Abuse¹	7.88	5.72	16.17	6.86	8.07
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.24	3.81	6.61	1.41	2.09
Needing But Not Receiving Treatment for Alcohol Use⁷	5.85	2.66	11.83	5.28	6.14
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.64	7.54	5.80	6.03
Serious Mental Illness^9,10	--	--	3.76	3.98	3.96
Any Mental Illness^9,10	--	--	17.02	16.89	16.91
Had Serious Thoughts of Suicide	--	--	6.81	3.01	3.51

141009

GEORGIA

Table 31 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Georgia*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	771	79	222	470	692
Past Year Marijuana Use	925	105	303	518	820
Past Month Marijuana Use	624	59	199	365	564
Past Month Use of Illicit Drugs Other Than Marijuana¹	330	34	76	220	296
Past Year Cocaine Use	147	4	37	106	143
Past Year Nonmedical Pain Reliever Use	371	42	96	232	329
Perception of Great Risk of Smoking Marijuana Once a Month	2,880	249	221	2,409	2,630
Average Annual Number of Marijuana Initiates²	85	41	39	6	45
ALCOHOL
Past Month Alcohol Use	3,810	94	582	3,135	3,716
Past Month Binge Alcohol Use³	1,598	53	337	1,207	1,545
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,696	362	428	2,906	3,334
Past Month Alcohol Use (Individuals Aged 12 to 20)	270⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	168⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,168	69	404	1,695	2,099
Past Month Cigarette Use	1,751	50	331	1,370	1,701
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	5,816	536	739	4,541	5,280
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	159	16	52	91	143
Illicit Drug Dependence or Abuse¹	250	33	83	135	217
Alcohol Dependence	221	8	52	161	214
Alcohol Dependence or Abuse	446	19	121	305	426
Alcohol or Illicit Drug Dependence or Abuse¹	589	43	164	383	547
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	218	30	76	112	188
Needing But Not Receiving Treatment for Alcohol Use⁷	432	19	116	297	413
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	71	86	404	490
Serious Mental Illness^9,10	--	--	40	247	288
Any Mental Illness^9,10	--	--	186	1,178	1,364
Had Serious Thoughts of Suicide	--	--	72	193	265

141009

GEORGIA

Table 32 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Georgia*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.53	9.46	20.15	7.64	9.54
Past Year Marijuana Use	11.44	12.62	27.51	8.41	11.30
Past Month Marijuana Use	7.71	7.14	18.13	5.93	7.77
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.08	4.13	6.94	3.57	4.08
Past Year Cocaine Use	1.82	0.54	3.40	1.71	1.97
Past Year Nonmedical Pain Reliever Use	4.58	5.07	8.74	3.78	4.53
Perception of Great Risk of Smoking Marijuana Once a Month	35.59	29.99	20.11	39.13	36.23
Average Annual Incidence Estimates of First Use of Marijuana²	1.74	5.50	6.21	0.17	1.07
ALCOHOL
Past Month Alcohol Use	47.11	11.25	52.86	50.92	51.22
Past Month Binge Alcohol Use³	19.76	6.42	30.67	19.62	21.29
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.70	43.47	38.94	47.21	45.95
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.84⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	13.00⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.81	8.32	36.74	27.53	28.92
Past Month Cigarette Use	21.65	6.05	30.09	22.25	23.44
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	71.92	64.42	67.14	73.78	72.77
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.96	1.88	4.76	1.48	1.97
Illicit Drug Dependence or Abuse¹	3.09	3.95	7.51	2.19	2.99
Alcohol Dependence	2.74	0.93	4.74	2.62	2.94
Alcohol Dependence or Abuse	5.51	2.34	11.04	4.96	5.88
Alcohol or Illicit Drug Dependence or Abuse¹	7.29	5.13	14.88	6.22	7.53
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.69	3.61	6.87	1.82	2.58
Needing But Not Receiving Treatment for Alcohol Use⁷	5.34	2.29	10.56	4.83	5.69
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	8.49	7.78	6.57	6.75
Serious Mental Illness^9,10	--	--	3.66	4.02	3.97
Any Mental Illness^9,10	--	--	16.93	19.14	18.80
Had Serious Thoughts of Suicide	--	--	6.57	3.14	3.66

141009

HAWAII

Table 33 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Hawaii*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	117	11	32	74	106
Past Year Marijuana Use	151	15	44	93	137
Past Month Marijuana Use	98	9	26	62	88
Past Month Use of Illicit Drugs Other Than Marijuana¹	40	4	10	26	36
Past Year Cocaine Use	18	1	6	11	18
Past Year Nonmedical Pain Reliever Use	51	5	14	32	46
Perception of Great Risk of Smoking Marijuana Once a Month	300	21	18	261	279
Average Annual Number of Marijuana Initiates²	11	5	5	2	7
ALCOHOL
Past Month Alcohol Use	568	11	80	477	557
Past Month Binge Alcohol Use³	261	6	55	200	255
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	455	40	47	369	416
Past Month Alcohol Use (Individuals Aged 12 to 20)	29⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	18⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	229	8	44	177	222
Past Month Cigarette Use	195	5	37	152	189
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	830	62	96	672	768
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	21	2	7	12	19
Illicit Drug Dependence or Abuse¹	30	4	11	15	26
Alcohol Dependence	44	2	12	31	43
Alcohol Dependence or Abuse	86	3	22	60	82
Alcohol or Illicit Drug Dependence or Abuse¹	98	7	28	63	92
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	27	4	10	13	23
Needing But Not Receiving Treatment for Alcohol Use⁷	82	3	22	57	79
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9	13	56	69
Serious Mental Illness^9,10	--	--	6	30	36
Any Mental Illness^9,10	--	--	29	159	188
Had Serious Thoughts of Suicide	--	--	12	31	42

141009

HAWAII

Table 34 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Hawaii*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.30	10.90	22.78	8.28	10.24
Past Year Marijuana Use	13.37	15.33	31.27	10.35	13.19
Past Month Marijuana Use	8.61	9.55	18.84	6.91	8.52
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.51	3.99	6.89	2.93	3.47
Past Year Cocaine Use	1.61	0.66	4.39	1.27	1.70
Past Year Nonmedical Pain Reliever Use	4.54	5.51	9.90	3.60	4.45
Perception of Great Risk of Smoking Marijuana Once a Month	26.45	21.60	13.16	29.08	26.90
Average Annual Incidence Estimates of First Use of Marijuana²	2.00	6.60	7.50	0.38	1.30
ALCOHOL
Past Month Alcohol Use	50.15	11.22	57.41	53.23	53.80
Past Month Binge Alcohol Use³	23.02	6.19	39.21	22.31	24.60
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.18	40.77	33.64	41.15	40.13
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.07⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	12.01⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	20.24	7.91	31.67	19.78	21.39
Past Month Cigarette Use	17.17	5.40	26.59	16.96	18.27
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	73.22	63.61	68.59	74.98	74.11
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.82	1.74	5.11	1.31	1.82
Illicit Drug Dependence or Abuse¹	2.64	4.20	7.57	1.69	2.49
Alcohol Dependence	3.92	1.71	8.29	3.47	4.13
Alcohol Dependence or Abuse	7.57	3.52	15.86	6.71	7.95
Alcohol or Illicit Drug Dependence or Abuse¹	8.68	6.81	20.15	7.08	8.86
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.37	3.87	7.00	1.48	2.23
Needing But Not Receiving Treatment for Alcohol Use⁷	7.26	3.31	15.80	6.35	7.63
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.75	9.61	6.24	6.69
Serious Mental Illness^9,10	--	--	4.15	3.32	3.44
Any Mental Illness^9,10	--	--	20.72	17.73	18.14
Had Serious Thoughts of Suicide	--	--	8.20	3.41	4.06

141009

IDAHO

Table 35 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Idaho*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	89	11	28	50	78
Past Year Marijuana Use	127	18	44	66	110
Past Month Marijuana Use	72	8	24	40	64
Past Month Use of Illicit Drugs Other Than Marijuana¹	35	4	12	19	31
Past Year Cocaine Use	15	1	6	8	14
Past Year Nonmedical Pain Reliever Use	58	8	17	33	50
Perception of Great Risk of Smoking Marijuana Once a Month	382	39	29	314	343
Average Annual Number of Marijuana Initiates²	14	7	6	1	7
ALCOHOL
Past Month Alcohol Use	625	16	86	523	609
Past Month Binge Alcohol Use³	254	10	56	189	244
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	530	50	56	424	481
Past Month Alcohol Use (Individuals Aged 12 to 20)	40⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	26⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	324	11	61	251	313
Past Month Cigarette Use	275	10	52	214	266
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	891	89	112	691	802
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	21	3	8	10	18
Illicit Drug Dependence or Abuse¹	30	5	12	14	25
Alcohol Dependence	38	2	9	28	37
Alcohol Dependence or Abuse	86	5	23	59	81
Alcohol or Illicit Drug Dependence or Abuse¹	108	8	28	71	99
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	27	5	11	11	22
Needing But Not Receiving Treatment for Alcohol Use⁷	85	5	22	59	80
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	15	18	68	86
Serious Mental Illness^9,10	--	--	9	46	55
Any Mental Illness^9,10	--	--	36	195	231
Had Serious Thoughts of Suicide	--	--	13	35	49

141009

IDAHO

Table 36 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Idaho*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	6.84	7.56	16.03	5.13	6.76
Past Year Marijuana Use	9.82	12.53	25.18	6.74	9.49
Past Month Marijuana Use	5.53	5.61	14.05	4.03	5.52
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.67	2.67	6.70	1.96	2.67
Past Year Cocaine Use	1.12	0.49	3.34	0.83	1.20
Past Year Nonmedical Pain Reliever Use	4.45	5.47	10.03	3.33	4.33
Perception of Great Risk of Smoking Marijuana Once a Month	29.47	27.72	17.04	31.93	29.68
Average Annual Incidence Estimates of First Use of Marijuana²	1.80	5.56	5.78	0.22	1.06
ALCOHOL
Past Month Alcohol Use	48.19	11.27	49.53	53.22	52.68
Past Month Binge Alcohol Use³	19.59	6.95	32.09	19.21	21.13
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.89	35.23	32.63	43.15	41.58
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.67⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	12.60⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.97	8.04	35.28	25.58	27.03
Past Month Cigarette Use	21.23	6.76	30.22	21.73	22.99
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	68.73	63.22	64.46	70.26	69.40
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.60	1.81	4.91	0.99	1.57
Illicit Drug Dependence or Abuse¹	2.34	3.69	6.73	1.38	2.18
Alcohol Dependence	2.95	1.16	5.07	2.83	3.17
Alcohol Dependence or Abuse	6.65	3.59	13.15	5.95	7.03
Alcohol or Illicit Drug Dependence or Abuse¹	8.30	5.94	16.21	7.25	8.59
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.09	3.53	6.34	1.15	1.92
Needing But Not Receiving Treatment for Alcohol Use⁷	6.57	3.55	12.51	5.96	6.94
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.55	10.34	6.93	7.44
Serious Mental Illness^9,10	--	--	5.13	4.69	4.76
Any Mental Illness^9,10	--	--	20.60	19.86	19.97
Had Serious Thoughts of Suicide	--	--	7.61	3.60	4.19

141009

ILLINOIS

Table 37 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Illinois*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	934	85	311	538	849
Past Year Marijuana Use	1,247	132	438	677	1,115
Past Month Marijuana Use	744	65	280	398	678
Past Month Use of Illicit Drugs Other Than Marijuana¹	303	31	84	188	272
Past Year Cocaine Use	183	5	54	124	178
Past Year Nonmedical Pain Reliever Use	382	40	112	230	342
Perception of Great Risk of Smoking Marijuana Once a Month	3,169	274	207	2,688	2,895
Average Annual Number of Marijuana Initiates²	115	51	54	9	64
ALCOHOL
Past Month Alcohol Use	5,935	129	891	4,915	5,806
Past Month Binge Alcohol Use³	2,845	71	615	2,158	2,773
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	4,222	393	444	3,385	3,829
Past Month Alcohol Use (Individuals Aged 12 to 20)	376⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	241⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,795	79	541	2,176	2,716
Past Month Cigarette Use	2,426	62	462	1,902	2,364
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	7,514	672	906	5,936	6,842
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	176	19	66	92	158
Illicit Drug Dependence or Abuse¹	241	34	94	113	207
Alcohol Dependence	326	11	79	236	315
Alcohol Dependence or Abuse	689	27	190	472	662
Alcohol or Illicit Drug Dependence or Abuse¹	825	50	246	529	775
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	227	33	87	107	194
Needing But Not Receiving Treatment for Alcohol Use⁷	662	26	185	451	636
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	97	112	426	538
Serious Mental Illness^9,10	--	--	58	268	326
Any Mental Illness^9,10	--	--	259	1,351	1,610
Had Serious Thoughts of Suicide	--	--	102	237	340

141009

ILLINOIS

Table 38 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Illinois*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.73	8.14	22.28	6.52	8.80
Past Year Marijuana Use	11.66	12.61	31.43	8.20	11.56
Past Month Marijuana Use	6.95	6.26	20.07	4.82	7.03
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.83	2.92	6.02	2.28	2.82
Past Year Cocaine Use	1.71	0.46	3.86	1.50	1.84
Past Year Nonmedical Pain Reliever Use	3.57	3.81	8.02	2.79	3.54
Perception of Great Risk of Smoking Marijuana Once a Month	29.60	26.21	14.84	32.56	29.97
Average Annual Incidence Estimates of First Use of Marijuana²	1.83	5.49	7.63	0.21	1.19
ALCOHOL
Past Month Alcohol Use	55.48	12.37	63.90	59.52	60.16
Past Month Binge Alcohol Use³	26.59	6.82	44.13	26.14	28.74
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	39.46	37.57	31.81	41.00	39.66
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.04⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.45⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.13	7.51	38.76	26.35	28.15
Past Month Cigarette Use	22.68	5.89	33.13	23.04	24.50
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	70.24	64.23	64.97	71.89	70.89
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.65	1.77	4.73	1.11	1.63
Illicit Drug Dependence or Abuse¹	2.25	3.25	6.77	1.36	2.15
Alcohol Dependence	3.04	1.01	5.64	2.86	3.26
Alcohol Dependence or Abuse	6.44	2.56	13.61	5.72	6.86
Alcohol or Illicit Drug Dependence or Abuse¹	7.71	4.79	17.64	6.41	8.03
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.12	3.11	6.24	1.30	2.01
Needing But Not Receiving Treatment for Alcohol Use⁷	6.19	2.49	13.27	5.47	6.59
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.31	8.04	5.15	5.57
Serious Mental Illness^9,10	--	--	4.14	3.24	3.37
Any Mental Illness^9,10	--	--	18.56	16.36	16.68
Had Serious Thoughts of Suicide	--	--	7.32	2.88	3.52

141009

INDIANA

Table 39 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Indiana*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	430	43	147	240	387
Past Year Marijuana Use	598	66	232	300	532
Past Month Marijuana Use	340	32	130	177	307
Past Month Use of Illicit Drugs Other Than Marijuana¹	186	17	59	110	168
Past Year Cocaine Use	75	3	30	42	72
Past Year Nonmedical Pain Reliever Use	286	31	90	165	255
Perception of Great Risk of Smoking Marijuana Once a Month	1,595	153	105	1,337	1,442
Average Annual Number of Marijuana Initiates²	60	26	30	4	34
ALCOHOL
Past Month Alcohol Use	2,794	65	461	2,268	2,729
Past Month Binge Alcohol Use³	1,206	38	300	868	1,168
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,061	212	217	1,632	1,849
Past Month Alcohol Use (Individuals Aged 12 to 20)	193⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	123⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,748	56	331	1,361	1,692
Past Month Cigarette Use	1,393	42	265	1,085	1,351
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	3,672	351	462	2,859	3,320
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	113	11	46	55	102
Illicit Drug Dependence or Abuse¹	162	21	63	78	142
Alcohol Dependence	169	7	44	119	162
Alcohol Dependence or Abuse	378	19	107	252	359
Alcohol or Illicit Drug Dependence or Abuse¹	477	32	148	296	444
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	137	18	54	64	119
Needing But Not Receiving Treatment for Alcohol Use⁷	373	18	103	253	356
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	53	69	282	351
Serious Mental Illness^9,10	--	--	37	184	221
Any Mental Illness^9,10	--	--	150	804	954
Had Serious Thoughts of Suicide	--	--	59	142	201

141009

INDIANA

Table 40 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Indiana*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.94	7.89	19.94	5.81	7.94
Past Year Marijuana Use	11.05	12.12	31.58	7.26	10.93
Past Month Marijuana Use	6.28	5.97	17.73	4.28	6.31
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.43	3.18	7.97	2.65	3.45
Past Year Cocaine Use	1.38	0.57	4.11	1.01	1.47
Past Year Nonmedical Pain Reliever Use	5.28	5.71	12.23	3.99	5.23
Perception of Great Risk of Smoking Marijuana Once a Month	29.46	28.31	14.30	32.33	29.59
Average Annual Incidence Estimates of First Use of Marijuana²	1.95	5.27	7.80	0.21	1.32
ALCOHOL
Past Month Alcohol Use	51.63	12.03	62.73	54.84	56.03
Past Month Binge Alcohol Use³	22.29	7.00	40.88	20.98	23.98
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.09	39.27	29.58	39.46	37.96
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.06⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.32⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	32.30	10.32	45.00	32.92	34.74
Past Month Cigarette Use	25.74	7.72	36.13	26.25	27.74
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	67.86	64.91	62.85	69.13	68.18
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.08	2.03	6.32	1.33	2.09
Illicit Drug Dependence or Abuse¹	3.00	3.82	8.64	1.89	2.91
Alcohol Dependence	3.12	1.24	5.92	2.87	3.33
Alcohol Dependence or Abuse	6.98	3.47	14.51	6.10	7.37
Alcohol or Illicit Drug Dependence or Abuse¹	8.81	5.94	20.16	7.16	9.12
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.53	3.37	7.41	1.56	2.44
Needing But Not Receiving Treatment for Alcohol Use⁷	6.90	3.25	13.98	6.12	7.30
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.82	9.38	6.82	7.20
Serious Mental Illness^9,10	--	--	5.05	4.44	4.53
Any Mental Illness^9,10	--	--	20.44	19.44	19.59
Had Serious Thoughts of Suicide	--	--	8.10	3.43	4.13

141009

IOWA

Table 41 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Iowa*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	188	19	65	104	169
Past Year Marijuana Use	266	29	104	133	237
Past Month Marijuana Use	153	15	57	81	138
Past Month Use of Illicit Drugs Other Than Marijuana¹	70	7	22	40	63
Past Year Cocaine Use	35	1	13	20	33
Past Year Nonmedical Pain Reliever Use	101	11	32	58	89
Perception of Great Risk of Smoking Marijuana Once a Month	717	66	49	602	651
Average Annual Number of Marijuana Initiates²	29	12	14	3	17
ALCOHOL
Past Month Alcohol Use	1,470	30	236	1,204	1,440
Past Month Binge Alcohol Use³	672	18	168	486	655
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	877	82	93	702	795
Past Month Alcohol Use (Individuals Aged 12 to 20)	89⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	60⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	703	23	151	529	680
Past Month Cigarette Use	592	18	124	451	574
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	1,727	159	215	1,353	1,568
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	38	4	14	20	34
Illicit Drug Dependence or Abuse¹	56	6	23	26	50
Alcohol Dependence	77	3	20	55	74
Alcohol Dependence or Abuse	159	8	48	103	151
Alcohol or Illicit Drug Dependence or Abuse¹	202	11	62	128	191
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	50	6	21	23	44
Needing But Not Receiving Treatment for Alcohol Use⁷	150	7	46	97	143
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	24	35	133	168
Serious Mental Illness^9,10	--	--	15	86	101
Any Mental Illness^9,10	--	--	69	349	418
Had Serious Thoughts of Suicide	--	--	26	72	97

141009

IOWA

Table 42 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Iowa*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.34	7.86	18.51	5.31	7.29
Past Year Marijuana Use	10.40	11.94	29.80	6.78	10.24
Past Month Marijuana Use	5.98	6.25	16.31	4.12	5.95
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.72	2.82	6.41	2.05	2.70
Past Year Cocaine Use	1.36	0.59	3.69	1.04	1.44
Past Year Nonmedical Pain Reliever Use	3.93	4.61	9.13	2.93	3.86
Perception of Great Risk of Smoking Marijuana Once a Month	28.01	27.43	13.97	30.59	28.07
Average Annual Incidence Estimates of First Use of Marijuana²	1.72	5.08	7.72	0.18	1.18
ALCOHOL
Past Month Alcohol Use	57.46	12.42	67.60	61.18	62.14
Past Month Binge Alcohol Use³	26.27	7.25	48.23	24.72	28.24
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	34.28	33.91	26.77	35.65	34.31
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.67⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	16.56⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.46	9.33	43.23	26.90	29.35
Past Month Cigarette Use	23.12	7.25	35.40	22.90	24.77
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	67.52	65.93	61.65	68.74	67.68
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.49	1.60	4.12	1.01	1.47
Illicit Drug Dependence or Abuse¹	2.17	2.52	6.63	1.34	2.13
Alcohol Dependence	3.01	1.11	5.72	2.77	3.21
Alcohol Dependence or Abuse	6.21	3.12	13.82	5.24	6.53
Alcohol or Illicit Drug Dependence or Abuse¹	7.89	4.73	17.86	6.52	8.22
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	1.96	2.52	6.14	1.15	1.90
Needing But Not Receiving Treatment for Alcohol Use⁷	5.85	2.87	13.27	4.91	6.16
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.03	10.13	6.76	7.27
Serious Mental Illness^9,10	--	--	4.27	4.37	4.36
Any Mental Illness^9,10	--	--	19.82	17.71	18.03
Had Serious Thoughts of Suicide	--	--	7.32	3.64	4.19

141009

KANSAS

Table 43 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Kansas*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	141	16	48	78	125
Past Year Marijuana Use	192	24	78	90	168
Past Month Marijuana Use	103	12	40	52	91
Past Month Use of Illicit Drugs Other Than Marijuana¹	64	7	18	39	57
Past Year Cocaine Use	32	1	11	19	31
Past Year Nonmedical Pain Reliever Use	85	11	25	50	75
Perception of Great Risk of Smoking Marijuana Once a Month	623	62	55	506	561
Average Annual Number of Marijuana Initiates²	25	10	13	2	15
ALCOHOL
Past Month Alcohol Use	1,253	27	191	1,035	1,226
Past Month Binge Alcohol Use³	582	17	126	439	566
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	854	83	87	684	771
Past Month Alcohol Use (Individuals Aged 12 to 20)	85⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	57⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	660	21	135	504	639
Past Month Cigarette Use	537	15	102	421	523
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	1,601	153	203	1,244	1,447
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	33	3	13	17	30
Illicit Drug Dependence or Abuse¹	51	7	19	25	45
Alcohol Dependence	80	3	18	59	77
Alcohol Dependence or Abuse	165	8	44	114	158
Alcohol or Illicit Drug Dependence or Abuse¹	197	12	54	130	185
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	46	6	18	21	39
Needing But Not Receiving Treatment for Alcohol Use⁷	160	8	42	110	152
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	23	28	115	143
Serious Mental Illness^9,10	--	--	13	78	91
Any Mental Illness^9,10	--	--	58	313	371
Had Serious Thoughts of Suicide	--	--	22	59	81

141009

KANSAS

Table 44 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Kansas*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	6.02	6.69	14.70	4.36	5.95
Past Year Marijuana Use	8.21	10.04	24.15	5.08	8.01
Past Month Marijuana Use	4.41	5.09	12.23	2.90	4.33
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.75	2.95	5.68	2.20	2.73
Past Year Cocaine Use	1.36	0.58	3.55	1.07	1.45
Past Year Nonmedical Pain Reliever Use	3.65	4.43	7.59	2.83	3.56
Perception of Great Risk of Smoking Marijuana Once a Month	26.62	26.28	17.11	28.42	26.65
Average Annual Incidence Estimates of First Use of Marijuana²	1.62	4.30	6.55	0.18	1.15
ALCOHOL
Past Month Alcohol Use	53.55	11.55	58.99	58.15	58.28
Past Month Binge Alcohol Use³	24.88	7.01	39.01	24.69	26.89
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.47	34.83	26.89	38.44	36.66
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.03⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.39⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	28.20	8.81	41.68	28.33	30.38
Past Month Cigarette Use	22.97	6.29	31.53	23.63	24.84
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	68.41	64.71	62.76	69.93	68.82
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.41	1.46	3.87	0.96	1.40
Illicit Drug Dependence or Abuse¹	2.18	2.74	5.96	1.43	2.12
Alcohol Dependence	3.41	1.22	5.53	3.31	3.65
Alcohol Dependence or Abuse	7.06	3.28	13.45	6.41	7.49
Alcohol or Illicit Drug Dependence or Abuse¹	8.41	5.02	16.83	7.33	8.79
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	1.95	2.67	5.51	1.20	1.86
Needing But Not Receiving Treatment for Alcohol Use⁷	6.82	3.20	13.03	6.18	7.23
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.87	8.72	6.45	6.80
Serious Mental Illness^9,10	--	--	4.00	4.40	4.34
Any Mental Illness^9,10	--	--	18.00	17.57	17.64
Had Serious Thoughts of Suicide	--	--	6.72	3.32	3.84

141009

KENTUCKY

Table 45 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Kentucky*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	263	24	87	151	239
Past Year Marijuana Use	334	34	125	175	300
Past Month Marijuana Use	194	17	77	99	176
Past Month Use of Illicit Drugs Other Than Marijuana¹	115	9	36	70	106
Past Year Cocaine Use	56	2	20	35	54
Past Year Nonmedical Pain Reliever Use	167	16	45	106	151
Perception of Great Risk of Smoking Marijuana Once a Month	1,193	104	80	1,008	1,089
Average Annual Number of Marijuana Initiates²	35	15	17	3	20
ALCOHOL
Past Month Alcohol Use	1,607	34	261	1,312	1,573
Past Month Binge Alcohol Use³	798	21	185	592	777
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,484	119	152	1,213	1,365
Past Month Alcohol Use (Individuals Aged 12 to 20)	103⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	74⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,278	41	227	1,009	1,237
Past Month Cigarette Use	1,098	32	189	877	1,066
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	2,266	204	263	1,799	2,063
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	73	6	26	41	67
Illicit Drug Dependence or Abuse¹	96	10	33	53	86
Alcohol Dependence	112	4	25	83	108
Alcohol Dependence or Abuse	214	10	60	144	204
Alcohol or Illicit Drug Dependence or Abuse¹	286	17	82	187	269
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	83	10	28	46	74
Needing But Not Receiving Treatment for Alcohol Use⁷	212	10	61	141	202
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	31	40	190	230
Serious Mental Illness^9,10	--	--	21	142	163
Any Mental Illness^9,10	--	--	96	549	646
Had Serious Thoughts of Suicide	--	--	35	97	133

141009

KENTUCKY

Table 46 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Kentucky*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.25	6.96	18.81	5.38	7.28
Past Year Marijuana Use	9.22	10.05	26.86	6.21	9.14
Past Month Marijuana Use	5.35	5.07	16.56	3.53	5.38
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.17	2.73	7.75	2.47	3.22
Past Year Cocaine Use	1.55	0.59	4.22	1.23	1.65
Past Year Nonmedical Pain Reliever Use	4.61	4.64	9.73	3.76	4.60
Perception of Great Risk of Smoking Marijuana Once a Month	32.94	30.72	17.30	35.81	33.17
Average Annual Incidence Estimates of First Use of Marijuana²	1.55	4.58	6.64	0.17	1.05
ALCOHOL
Past Month Alcohol Use	44.40	10.04	56.25	46.59	47.96
Past Month Binge Alcohol Use³	22.04	6.25	39.77	21.02	23.68
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.98	34.96	32.76	43.07	41.60
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.38⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.53⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	35.29	12.01	48.94	35.85	37.70
Past Month Cigarette Use	30.33	9.50	40.59	31.15	32.49
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	62.60	59.93	56.64	63.91	62.87
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.03	1.80	5.61	1.47	2.05
Illicit Drug Dependence or Abuse¹	2.65	3.02	7.06	1.88	2.62
Alcohol Dependence	3.09	1.24	5.33	2.95	3.28
Alcohol Dependence or Abuse	5.92	3.08	12.96	5.10	6.21
Alcohol or Illicit Drug Dependence or Abuse¹	7.91	5.12	17.68	6.64	8.20
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.30	2.83	6.05	1.62	2.24
Needing But Not Receiving Treatment for Alcohol Use⁷	5.87	2.97	13.18	5.01	6.17
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.09	8.57	6.74	7.00
Serious Mental Illness^9,10	--	--	4.62	5.03	4.97
Any Mental Illness^9,10	--	--	20.73	19.51	19.68
Had Serious Thoughts of Suicide	--	--	7.60	3.46	4.04

141009

LOUISIANA

Table 47 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Louisiana*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	295	31	90	173	264
Past Year Marijuana Use	405	45	140	219	359
Past Month Marijuana Use	191	19	76	96	172
Past Month Use of Illicit Drugs Other Than Marijuana¹	152	16	35	101	136
Past Year Cocaine Use	66	2	18	46	64
Past Year Nonmedical Pain Reliever Use	182	21	47	115	162
Perception of Great Risk of Smoking Marijuana Once a Month	1,349	110	106	1,133	1,240
Average Annual Number of Marijuana Initiates²	41	17	19	4	23
ALCOHOL
Past Month Alcohol Use	1,825	48	292	1,485	1,777
Past Month Binge Alcohol Use³	955	27	187	741	928
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,578	151	191	1,236	1,427
Past Month Alcohol Use (Individuals Aged 12 to 20)	124⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	81⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,177	40	210	927	1,137
Past Month Cigarette Use	962	30	180	753	932
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	2,654	232	342	2,080	2,422
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	79	8	29	43	71
Illicit Drug Dependence or Abuse¹	110	14	37	59	96
Alcohol Dependence	116	4	29	83	112
Alcohol Dependence or Abuse	227	11	60	155	216
Alcohol or Illicit Drug Dependence or Abuse¹	307	22	85	200	285
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	100	13	36	51	87
Needing But Not Receiving Treatment for Alcohol Use⁷	223	11	61	152	213
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	34	39	174	213
Serious Mental Illness^9,10	--	--	20	124	144
Any Mental Illness^9,10	--	--	94	587	681
Had Serious Thoughts of Suicide	--	--	37	111	147

141009

LOUISIANA

Table 48 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Louisiana*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.84	8.42	17.33	6.04	7.78
Past Year Marijuana Use	10.76	12.34	26.83	7.63	10.59
Past Month Marijuana Use	5.07	5.09	14.58	3.33	5.07
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.05	4.35	6.77	3.52	4.02
Past Year Cocaine Use	1.76	0.60	3.39	1.61	1.88
Past Year Nonmedical Pain Reliever Use	4.85	5.58	8.92	4.02	4.77
Perception of Great Risk of Smoking Marijuana Once a Month	35.87	29.85	20.40	39.48	36.52
Average Annual Incidence Estimates of First Use of Marijuana²	1.59	5.03	6.10	0.16	1.04
ALCOHOL
Past Month Alcohol Use	48.54	13.03	55.98	51.75	52.40
Past Month Binge Alcohol Use³	25.41	7.44	35.82	25.81	27.36
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	41.96	41.01	36.69	43.05	42.06
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.92⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.42⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	31.30	10.75	40.22	32.31	33.53
Past Month Cigarette Use	25.58	8.10	34.41	26.22	27.48
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	70.58	62.94	65.45	72.49	71.40
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.10	2.05	5.49	1.49	2.10
Illicit Drug Dependence or Abuse¹	2.93	3.90	7.08	2.05	2.82
Alcohol Dependence	3.08	1.03	5.50	2.90	3.30
Alcohol Dependence or Abuse	6.05	3.12	11.57	5.42	6.36
Alcohol or Illicit Drug Dependence or Abuse¹	8.16	6.07	16.27	6.95	8.39
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.66	3.46	6.82	1.79	2.57
Needing But Not Receiving Treatment for Alcohol Use⁷	5.94	2.89	11.69	5.29	6.27
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.31	7.44	6.07	6.28
Serious Mental Illness^9,10	--	--	3.74	4.33	4.24
Any Mental Illness^9,10	--	--	18.04	20.45	20.08
Had Serious Thoughts of Suicide	--	--	7.01	3.86	4.35

141009

MAINE

Table 49 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Maine*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	130	11	34	86	119
Past Year Marijuana Use	186	15	50	121	171
Past Month Marijuana Use	114	9	32	73	105
Past Month Use of Illicit Drugs Other Than Marijuana¹	32	3	10	20	30
Past Year Cocaine Use	17	1	6	10	17
Past Year Nonmedical Pain Reliever Use	44	4	11	28	39
Perception of Great Risk of Smoking Marijuana Once a Month	230	21	12	196	208
Average Annual Number of Marijuana Initiates²	12	5	6	1	7
ALCOHOL
Past Month Alcohol Use	627	12	83	532	615
Past Month Binge Alcohol Use³	247	7	56	185	241
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	421	34	36	351	386
Past Month Alcohol Use (Individuals Aged 12 to 20)	35⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	23⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	310	9	55	247	301
Past Month Cigarette Use	265	7	43	215	258
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	780	61	79	640	719
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	21	2	8	11	20
Illicit Drug Dependence or Abuse¹	30	3	11	15	27
Alcohol Dependence	38	1	8	30	37
Alcohol Dependence or Abuse	73	3	19	50	70
Alcohol or Illicit Drug Dependence or Abuse¹	98	5	26	68	93
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	26	3	10	13	23
Needing But Not Receiving Treatment for Alcohol Use⁷	70	3	18	49	67
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	11	13	72	84
Serious Mental Illness^9,10	--	--	6	46	52
Any Mental Illness^9,10	--	--	27	198	225
Had Serious Thoughts of Suicide	--	--	10	37	47

141009

MAINE

Table 50 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Maine*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.33	11.14	26.22	9.26	11.34
Past Year Marijuana Use	16.24	15.99	38.78	13.11	16.26
Past Month Marijuana Use	9.95	9.26	24.71	7.95	10.01
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.81	2.73	7.86	2.12	2.82
Past Year Cocaine Use	1.50	0.58	5.01	1.10	1.58
Past Year Nonmedical Pain Reliever Use	3.80	4.35	8.92	3.02	3.75
Perception of Great Risk of Smoking Marijuana Once a Month	20.02	22.55	9.66	21.23	19.79
Average Annual Incidence Estimates of First Use of Marijuana²	2.18	6.30	10.60	0.27	1.48
ALCOHOL
Past Month Alcohol Use	54.66	12.36	64.11	57.68	58.46
Past Month Binge Alcohol Use³	21.58	7.02	43.31	20.04	22.89
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.69	36.28	27.59	38.01	36.73
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.89⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.62⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.05	9.02	42.36	26.75	28.67
Past Month Cigarette Use	23.14	7.23	33.43	23.32	24.57
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	68.05	64.43	61.23	69.37	68.37
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.87	1.85	6.43	1.23	1.87
Illicit Drug Dependence or Abuse¹	2.61	3.31	8.88	1.66	2.55
Alcohol Dependence	3.35	1.19	5.91	3.21	3.54
Alcohol Dependence or Abuse	6.36	3.24	15.00	5.47	6.64
Alcohol or Illicit Drug Dependence or Abuse¹	8.59	5.20	20.03	7.34	8.89
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.27	3.04	7.96	1.39	2.20
Needing But Not Receiving Treatment for Alcohol Use⁷	6.14	3.09	14.36	5.30	6.42
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	11.20	9.89	7.76	8.02
Serious Mental Illness^9,10	--	--	4.76	4.96	4.94
Any Mental Illness^9,10	--	--	20.64	21.46	21.36
Had Serious Thoughts of Suicide	--	--	7.69	3.99	4.44

141009

MARYLAND

Table 51 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Maryland*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	440	44	141	255	396
Past Year Marijuana Use	565	66	216	282	499
Past Month Marijuana Use	342	34	126	181	308
Past Month Use of Illicit Drugs Other Than Marijuana¹	154	15	42	97	139
Past Year Cocaine Use	72	2	24	46	70
Past Year Nonmedical Pain Reliever Use	206	20	54	132	186
Perception of Great Risk of Smoking Marijuana Once a Month	1,478	108	95	1,275	1,370
Average Annual Number of Marijuana Initiates²	58	27	26	5	31
ALCOHOL
Past Month Alcohol Use	2,876	61	409	2,405	2,815
Past Month Binge Alcohol Use³	1,138	31	249	858	1,107
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,070	190	222	1,659	1,880
Past Month Alcohol Use (Individuals Aged 12 to 20)	150⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	87⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,087	30	222	835	1,057
Past Month Cigarette Use	898	23	177	699	875
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	3,660	302	424	2,935	3,358
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	101	9	38	54	92
Illicit Drug Dependence or Abuse¹	129	15	51	62	113
Alcohol Dependence	147	5	37	105	142
Alcohol Dependence or Abuse	320	13	83	224	307
Alcohol or Illicit Drug Dependence or Abuse¹	395	24	115	256	371
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	115	14	45	56	101
Needing But Not Receiving Treatment for Alcohol Use⁷	313	12	83	218	301
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	47	55	229	283
Serious Mental Illness^9,10	--	--	25	121	146
Any Mental Illness^9,10	--	--	117	623	740
Had Serious Thoughts of Suicide	--	--	47	110	157

141009

MARYLAND

Table 52 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Maryland*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.93	9.58	22.36	6.65	8.87
Past Year Marijuana Use	11.47	14.51	34.27	7.36	11.16
Past Month Marijuana Use	6.94	7.50	19.99	4.73	6.89
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.12	3.28	6.64	2.52	3.10
Past Year Cocaine Use	1.46	0.52	3.80	1.19	1.56
Past Year Nonmedical Pain Reliever Use	4.18	4.46	8.49	3.44	4.16
Perception of Great Risk of Smoking Marijuana Once a Month	29.97	23.57	15.00	33.23	30.62
Average Annual Incidence Estimates of First Use of Marijuana²	2.17	6.83	8.65	0.21	1.35
ALCOHOL
Past Month Alcohol Use	58.37	13.36	64.85	62.67	62.98
Past Month Binge Alcohol Use³	23.09	6.76	39.38	22.36	24.77
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.02	41.61	35.13	43.21	42.06
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.89⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	13.24⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.07	6.64	35.13	21.76	23.65
Past Month Cigarette Use	18.24	5.05	27.96	18.21	19.59
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	74.30	66.03	67.10	76.47	75.14
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.05	2.06	6.02	1.40	2.05
Illicit Drug Dependence or Abuse¹	2.62	3.39	8.11	1.62	2.54
Alcohol Dependence	2.99	1.05	5.93	2.73	3.19
Alcohol Dependence or Abuse	6.49	2.77	13.11	5.85	6.87
Alcohol or Illicit Drug Dependence or Abuse¹	8.02	5.18	18.27	6.67	8.31
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.34	3.08	7.10	1.46	2.26
Needing But Not Receiving Treatment for Alcohol Use⁷	6.36	2.69	13.18	5.67	6.74
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.28	8.68	5.96	6.34
Serious Mental Illness^9,10	--	--	3.89	3.16	3.26
Any Mental Illness^9,10	--	--	18.51	16.23	16.55
Had Serious Thoughts of Suicide	--	--	7.51	2.86	3.51

141009

MASSACHUSETTS

Table 53 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Massachusetts*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	658	52	223	384	606
Past Year Marijuana Use	885	74	324	487	812
Past Month Marijuana Use	563	44	206	313	519
Past Month Use of Illicit Drugs Other Than Marijuana¹	173	15	53	105	158
Past Year Cocaine Use	129	4	46	79	126
Past Year Nonmedical Pain Reliever Use	211	20	66	124	191
Perception of Great Risk of Smoking Marijuana Once a Month	1,180	95	66	1,019	1,085
Average Annual Number of Marijuana Initiates²	72	27	40	5	45
ALCOHOL
Past Month Alcohol Use	3,682	71	545	3,066	3,611
Past Month Binge Alcohol Use³	1,470	40	358	1,072	1,430
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,089	168	206	1,715	1,921
Past Month Alcohol Use (Individuals Aged 12 to 20)	214⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	133⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,300	39	264	998	1,261
Past Month Cigarette Use	1,046	27	214	804	1,018
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	4,112	321	526	3,265	3,791
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	121	10	47	64	111
Illicit Drug Dependence or Abuse¹	161	18	63	79	143
Alcohol Dependence	173	5	48	119	167
Alcohol Dependence or Abuse	404	16	115	272	387
Alcohol or Illicit Drug Dependence or Abuse¹	507	27	155	325	479
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	141	17	57	67	124
Needing But Not Receiving Treatment for Alcohol Use⁷	375	16	110	249	360
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	42	66	280	346
Serious Mental Illness^9,10	--	--	35	186	221
Any Mental Illness^9,10	--	--	168	836	1,005
Had Serious Thoughts of Suicide	--	--	60	152	212

141009

MASSACHUSETTS

Table 54 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Massachusetts*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.57	10.56	28.71	8.68	11.67
Past Year Marijuana Use	15.57	15.05	41.86	11.02	15.62
Past Month Marijuana Use	9.90	8.90	26.64	7.07	9.99
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.04	3.09	6.82	2.37	3.04
Past Year Cocaine Use	2.27	0.74	5.99	1.79	2.42
Past Year Nonmedical Pain Reliever Use	3.71	4.14	8.53	2.81	3.67
Perception of Great Risk of Smoking Marijuana Once a Month	20.73	19.30	8.55	23.05	20.86
Average Annual Incidence Estimates of First Use of Marijuana²	2.57	6.56	11.80	0.29	1.88
ALCOHOL
Past Month Alcohol Use	64.74	14.49	70.32	69.35	69.50
Past Month Binge Alcohol Use³	25.85	8.15	46.17	24.25	27.53
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.73	34.19	26.52	38.81	36.97
Past Month Alcohol Use (Individuals Aged 12 to 20)	28.73⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	17.90⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.86	7.89	34.03	22.57	24.28
Past Month Cigarette Use	18.39	5.57	27.60	18.20	19.60
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	72.32	65.42	67.92	73.85	72.97
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.14	2.11	6.03	1.46	2.14
Illicit Drug Dependence or Abuse¹	2.83	3.63	8.18	1.80	2.75
Alcohol Dependence	3.03	1.07	6.17	2.70	3.22
Alcohol Dependence or Abuse	7.10	3.28	14.88	6.16	7.46
Alcohol or Illicit Drug Dependence or Abuse¹	8.91	5.55	19.96	7.34	9.23
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.47	3.41	7.36	1.51	2.38
Needing But Not Receiving Treatment for Alcohol Use⁷	6.60	3.18	14.21	5.64	6.92
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	8.61	8.49	6.34	6.66
Serious Mental Illness^9,10	--	--	4.45	4.21	4.25
Any Mental Illness^9,10	--	--	21.72	18.92	19.34
Had Serious Thoughts of Suicide	--	--	7.71	3.44	4.08

141009

MICHIGAN

Table 55 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Michigan*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	954	92	264	598	862
Past Year Marijuana Use	1,268	130	383	755	1,138
Past Month Marijuana Use	809	74	245	490	735
Past Month Use of Illicit Drugs Other Than Marijuana¹	294	31	74	189	263
Past Year Cocaine Use	90	3	30	57	88
Past Year Nonmedical Pain Reliever Use	397	47	112	238	350
Perception of Great Risk of Smoking Marijuana Once a Month	2,016	184	137	1,694	1,831
Average Annual Number of Marijuana Initiates²	102	48	48	7	54
ALCOHOL
Past Month Alcohol Use	4,546	104	703	3,739	4,442
Past Month Binge Alcohol Use³	2,027	52	462	1,514	1,975
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,367	303	357	2,707	3,064
Past Month Alcohol Use (Individuals Aged 12 to 20)	321⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	198⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,468	78	458	1,932	2,390
Past Month Cigarette Use	2,107	58	379	1,670	2,050
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	5,655	517	695	4,443	5,139
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	165	18	55	93	148
Illicit Drug Dependence or Abuse¹	250	33	75	142	217
Alcohol Dependence	275	10	65	200	265
Alcohol Dependence or Abuse	570	25	150	396	546
Alcohol or Illicit Drug Dependence or Abuse¹	731	47	193	491	684
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	215	31	71	113	184
Needing But Not Receiving Treatment for Alcohol Use⁷	552	24	146	381	528
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	82	114	445	560
Serious Mental Illness^9,10	--	--	59	294	353
Any Mental Illness^9,10	--	--	233	1,277	1,509
Had Serious Thoughts of Suicide	--	--	99	242	341

141009

MICHIGAN

Table 56 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Michigan*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.45	11.40	23.84	9.32	11.46
Past Year Marijuana Use	15.22	16.12	34.59	11.76	15.12
Past Month Marijuana Use	9.71	9.13	22.15	7.64	9.77
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.53	3.86	6.70	2.94	3.49
Past Year Cocaine Use	1.08	0.35	2.73	0.89	1.16
Past Year Nonmedical Pain Reliever Use	4.77	5.86	10.11	3.71	4.65
Perception of Great Risk of Smoking Marijuana Once a Month	24.16	22.87	12.36	26.39	24.30
Average Annual Incidence Estimates of First Use of Marijuana²	2.42	6.98	8.71	0.25	1.53
ALCOHOL
Past Month Alcohol Use	54.55	12.89	63.46	58.24	59.01
Past Month Binge Alcohol Use³	24.33	6.44	41.69	23.58	26.24
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.40	37.62	32.27	42.16	40.70
Past Month Alcohol Use (Individuals Aged 12 to 20)	25.74⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.89⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	29.62	9.65	41.35	30.10	31.75
Past Month Cigarette Use	25.29	7.14	34.27	26.02	27.23
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	67.87	64.11	62.80	69.22	68.27
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.98	2.19	4.98	1.44	1.96
Illicit Drug Dependence or Abuse¹	3.00	4.13	6.80	2.21	2.88
Alcohol Dependence	3.30	1.19	5.84	3.12	3.52
Alcohol Dependence or Abuse	6.85	3.07	13.53	6.17	7.25
Alcohol or Illicit Drug Dependence or Abuse¹	8.77	5.82	17.43	7.65	9.09
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.58	3.80	6.37	1.77	2.44
Needing But Not Receiving Treatment for Alcohol Use⁷	6.62	2.99	13.22	5.94	7.01
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.19	10.30	6.94	7.43
Serious Mental Illness^9,10	--	--	5.35	4.58	4.69
Any Mental Illness^9,10	--	--	21.01	19.89	20.05
Had Serious Thoughts of Suicide	--	--	8.90	3.78	4.53

141009

MINNESOTA

Table 57 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Minnesota*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	343	33	106	203	309
Past Year Marijuana Use	536	51	183	302	485
Past Month Marijuana Use	279	28	98	153	251
Past Month Use of Illicit Drugs Other Than Marijuana¹	111	11	34	66	100
Past Year Cocaine Use	59	2	19	38	57
Past Year Nonmedical Pain Reliever Use	161	17	45	99	145
Perception of Great Risk of Smoking Marijuana Once a Month	1,124	104	69	951	1,020
Average Annual Number of Marijuana Initiates²	43	19	20	4	24
ALCOHOL
Past Month Alcohol Use	2,642	51	370	2,222	2,591
Past Month Binge Alcohol Use³	1,216	28	260	929	1,188
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,601	146	142	1,313	1,455
Past Month Alcohol Use (Individuals Aged 12 to 20)	150⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	97⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,202	38	248	916	1,164
Past Month Cigarette Use	964	30	203	732	934
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	3,084	273	363	2,448	2,811
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	77	7	27	43	69
Illicit Drug Dependence or Abuse¹	109	12	39	57	96
Alcohol Dependence	137	4	32	101	133
Alcohol Dependence or Abuse	296	13	79	204	283
Alcohol or Illicit Drug Dependence or Abuse¹	378	21	104	253	357
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	90	11	31	48	79
Needing But Not Receiving Treatment for Alcohol Use⁷	276	13	74	189	264
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	35	50	216	267
Serious Mental Illness^9,10	--	--	25	145	170
Any Mental Illness^9,10	--	--	113	617	730
Had Serious Thoughts of Suicide	--	--	41	119	160

141009

MINNESOTA

Table 58 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Minnesota*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.63	7.83	18.53	5.82	7.60
Past Year Marijuana Use	11.93	11.99	32.09	8.64	11.93
Past Month Marijuana Use	6.21	6.69	17.14	4.37	6.16
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.47	2.54	5.87	1.90	2.46
Past Year Cocaine Use	1.31	0.50	3.35	1.08	1.40
Past Year Nonmedical Pain Reliever Use	3.59	3.97	7.90	2.84	3.55
Perception of Great Risk of Smoking Marijuana Once a Month	25.03	24.61	12.05	27.22	25.07
Average Annual Incidence Estimates of First Use of Marijuana²	1.78	4.77	7.76	0.25	1.23
ALCOHOL
Past Month Alcohol Use	58.85	11.90	64.69	63.59	63.74
Past Month Binge Alcohol Use³	27.09	6.55	45.49	26.57	29.22
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	35.65	34.41	24.83	37.57	35.78
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.80⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.46⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.76	8.86	43.33	26.23	28.63
Past Month Cigarette Use	21.47	7.04	35.47	20.94	22.97
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	68.70	64.29	63.60	70.06	69.15
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.71	1.70	4.66	1.22	1.71
Illicit Drug Dependence or Abuse¹	2.42	2.93	6.85	1.64	2.37
Alcohol Dependence	3.06	1.06	5.55	2.90	3.27
Alcohol Dependence or Abuse	6.59	3.14	13.79	5.83	6.95
Alcohol or Illicit Drug Dependence or Abuse¹	8.41	4.93	18.20	7.24	8.78
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.01	2.60	5.45	1.38	1.95
Needing But Not Receiving Treatment for Alcohol Use⁷	6.15	2.97	13.02	5.41	6.48
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	8.20	8.81	6.19	6.56
Serious Mental Illness^9,10	--	--	4.32	4.16	4.18
Any Mental Illness^9,10	--	--	19.78	17.66	17.95
Had Serious Thoughts of Suicide	--	--	7.13	3.42	3.94

141009

MISSISSIPPI

Table 59 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Mississippi*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	176	19	59	97	157
Past Year Marijuana Use	213	25	86	102	188
Past Month Marijuana Use	124	13	51	60	111
Past Month Use of Illicit Drugs Other Than Marijuana¹	88	10	23	55	78
Past Year Cocaine Use	34	1	9	24	33
Past Year Nonmedical Pain Reliever Use	113	13	32	67	100
Perception of Great Risk of Smoking Marijuana Once a Month	899	81	82	735	817
Average Annual Number of Marijuana Initiates²	23	11	11	2	13
ALCOHOL
Past Month Alcohol Use	1,036	29	192	816	1,007
Past Month Binge Alcohol Use³	482	16	112	353	466
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,105	103	134	868	1,002
Past Month Alcohol Use (Individuals Aged 12 to 20)	84⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	49⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	890	30	159	700	859
Past Month Cigarette Use	742	20	132	590	722
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	1,586	147	212	1,227	1,439
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	46	5	14	26	41
Illicit Drug Dependence or Abuse¹	68	9	21	38	60
Alcohol Dependence	72	2	17	53	70
Alcohol Dependence or Abuse	141	7	38	96	134
Alcohol or Illicit Drug Dependence or Abuse¹	189	14	49	125	174
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	62	8	20	34	54
Needing But Not Receiving Treatment for Alcohol Use⁷	143	7	37	99	136
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	22	26	134	159
Serious Mental Illness^9,10	--	--	13	89	103
Any Mental Illness^9,10	--	--	55	361	416
Had Serious Thoughts of Suicide	--	--	22	62	84

141009

MISSISSIPPI

Table 60 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Mississippi*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.26	7.87	17.61	5.29	7.20
Past Year Marijuana Use	8.78	10.28	25.51	5.52	8.61
Past Month Marijuana Use	5.10	5.13	15.16	3.26	5.10
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.63	3.91	6.76	3.02	3.60
Past Year Cocaine Use	1.41	0.51	2.68	1.29	1.51
Past Year Nonmedical Pain Reliever Use	4.66	5.45	9.64	3.65	4.57
Perception of Great Risk of Smoking Marijuana Once a Month	37.06	32.94	24.43	39.95	37.52
Average Annual Incidence Estimates of First Use of Marijuana²	1.49	4.46	5.85	0.13	0.98
ALCOHOL
Past Month Alcohol Use	42.74	11.67	56.88	44.33	46.27
Past Month Binge Alcohol Use³	19.86	6.44	33.32	19.20	21.39
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.57	41.53	39.87	47.16	46.02
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.60⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	13.28⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	36.69	12.27	47.13	38.07	39.47
Past Month Cigarette Use	30.62	8.11	39.29	32.06	33.17
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	65.42	59.44	62.79	66.70	66.09
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.88	1.99	4.28	1.43	1.87
Illicit Drug Dependence or Abuse¹	2.82	3.54	6.31	2.08	2.74
Alcohol Dependence	2.99	0.97	4.92	2.91	3.22
Alcohol Dependence or Abuse	5.82	2.79	11.31	5.22	6.16
Alcohol or Illicit Drug Dependence or Abuse¹	7.78	5.69	14.67	6.80	8.01
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.54	3.23	5.79	1.85	2.46
Needing But Not Receiving Treatment for Alcohol Use⁷	5.89	2.69	10.99	5.38	6.25
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	8.98	7.64	7.26	7.32
Serious Mental Illness^9,10	--	--	3.93	4.86	4.72
Any Mental Illness^9,10	--	--	16.43	19.62	19.12
Had Serious Thoughts of Suicide	--	--	6.59	3.37	3.87

141009

MISSOURI

Table 61 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Missouri*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	443	45	147	252	398
Past Year Marijuana Use	581	65	210	307	516
Past Month Marijuana Use	355	34	132	189	321
Past Month Use of Illicit Drugs Other Than Marijuana¹	156	16	46	94	140
Past Year Cocaine Use	53	2	18	33	51
Past Year Nonmedical Pain Reliever Use	235	25	72	139	210
Perception of Great Risk of Smoking Marijuana Once a Month	1,431	125	87	1,219	1,306
Average Annual Number of Marijuana Initiates²	58	26	27	5	32
ALCOHOL
Past Month Alcohol Use	2,584	59	398	2,127	2,525
Past Month Binge Alcohol Use³	1,218	35	267	916	1,183
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,789	178	203	1,408	1,611
Past Month Alcohol Use (Individuals Aged 12 to 20)	162⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	108⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,675	54	296	1,325	1,621
Past Month Cigarette Use	1,410	41	252	1,117	1,369
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	3,293	289	392	2,612	3,004
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	97	9	39	49	88
Illicit Drug Dependence or Abuse¹	133	17	51	65	116
Alcohol Dependence	156	5	35	116	151
Alcohol Dependence or Abuse	333	17	90	227	317
Alcohol or Illicit Drug Dependence or Abuse¹	419	27	118	273	392
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	112	14	47	51	98
Needing But Not Receiving Treatment for Alcohol Use⁷	324	16	87	222	309
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	47	61	271	333
Serious Mental Illness^9,10	--	--	31	180	211
Any Mental Illness^9,10	--	--	124	739	863
Had Serious Thoughts of Suicide	--	--	45	139	183

141009

MISSOURI

Table 62 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Missouri*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.87	9.46	22.42	6.50	8.81
Past Year Marijuana Use	11.64	13.78	31.99	7.93	11.41
Past Month Marijuana Use	7.10	7.10	20.15	4.88	7.10
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.13	3.41	6.98	2.44	3.10
Past Year Cocaine Use	1.06	0.42	2.75	0.85	1.12
Past Year Nonmedical Pain Reliever Use	4.71	5.25	10.97	3.58	4.65
Perception of Great Risk of Smoking Marijuana Once a Month	28.60	26.39	13.28	31.50	28.83
Average Annual Incidence Estimates of First Use of Marijuana²	1.95	6.23	7.89	0.20	1.24
ALCOHOL
Past Month Alcohol Use	51.70	12.40	60.73	54.98	55.81
Past Month Binge Alcohol Use³	24.37	7.46	40.74	23.66	26.14
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	35.78	37.56	31.00	36.38	35.60
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.94⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.26⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	33.52	11.41	45.23	34.24	35.83
Past Month Cigarette Use	28.21	8.63	38.42	28.87	30.26
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	65.90	61.18	59.82	67.51	66.39
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.95	1.95	6.02	1.26	1.95
Illicit Drug Dependence or Abuse¹	2.66	3.57	7.85	1.67	2.57
Alcohol Dependence	3.13	1.12	5.37	2.99	3.34
Alcohol Dependence or Abuse	6.67	3.55	13.67	5.87	7.00
Alcohol or Illicit Drug Dependence or Abuse¹	8.38	5.76	18.07	7.06	8.66
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.25	2.94	7.19	1.33	2.18
Needing But Not Receiving Treatment for Alcohol Use⁷	6.49	3.32	13.21	5.74	6.82
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.91	9.37	7.01	7.35
Serious Mental Illness^9,10	--	--	4.73	4.66	4.67
Any Mental Illness^9,10	--	--	18.95	19.09	19.07
Had Serious Thoughts of Suicide	--	--	6.84	3.58	4.05

141009

MONTANA

Table 63 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Montana*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	94	8	27	60	87
Past Year Marijuana Use	134	12	38	84	122
Past Month Marijuana Use	88	6	25	56	81
Past Month Use of Illicit Drugs Other Than Marijuana¹	24	2	8	14	22
Past Year Cocaine Use	13	1	5	7	12
Past Year Nonmedical Pain Reliever Use	33	4	10	19	29
Perception of Great Risk of Smoking Marijuana Once a Month	213	18	11	183	195
Average Annual Number of Marijuana Initiates²	9	4	4	1	5
ALCOHOL
Past Month Alcohol Use	506	10	73	423	496
Past Month Binge Alcohol Use³	214	5	49	160	209
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	309	26	27	255	282
Past Month Alcohol Use (Individuals Aged 12 to 20)	35⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	22⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	263	9	51	203	254
Past Month Cigarette Use	207	6	40	162	202
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	571	47	67	458	525
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	16	2	6	8	14
Illicit Drug Dependence or Abuse¹	22	3	9	11	19
Alcohol Dependence	32	1	8	23	31
Alcohol Dependence or Abuse	70	4	20	47	66
Alcohol or Illicit Drug Dependence or Abuse¹	86	5	25	56	81
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	19	2	8	8	16
Needing But Not Receiving Treatment for Alcohol Use⁷	66	3	18	44	62
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	7	11	44	55
Serious Mental Illness^9,10	--	--	6	30	36
Any Mental Illness^9,10	--	--	24	130	153
Had Serious Thoughts of Suicide	--	--	10	22	32

141009

MONTANA

Table 64 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Montana*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.13	10.39	24.50	9.03	11.20
Past Year Marijuana Use	15.78	15.80	34.98	12.65	15.78
Past Month Marijuana Use	10.33	8.68	23.04	8.44	10.49
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.80	2.97	7.19	2.06	2.78
Past Year Cocaine Use	1.54	0.78	4.82	1.09	1.61
Past Year Nonmedical Pain Reliever Use	3.93	5.23	9.36	2.90	3.81
Perception of Great Risk of Smoking Marijuana Once a Month	25.15	24.78	10.51	27.61	25.18
Average Annual Incidence Estimates of First Use of Marijuana²	2.07	6.12	8.75	0.26	1.38
ALCOHOL
Past Month Alcohol Use	59.82	13.24	67.10	63.79	64.25
Past Month Binge Alcohol Use³	25.28	7.31	44.67	24.11	26.99
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.48	35.79	25.17	38.41	36.55
Past Month Alcohol Use (Individuals Aged 12 to 20)	28.45⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	18.44⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	31.09	11.96	46.89	30.63	32.91
Past Month Cigarette Use	24.52	7.93	36.47	24.40	26.10
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	67.54	63.27	61.44	69.01	67.95
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.86	2.05	5.80	1.19	1.84
Illicit Drug Dependence or Abuse¹	2.56	3.50	7.82	1.60	2.47
Alcohol Dependence	3.84	1.64	7.26	3.52	4.05
Alcohol Dependence or Abuse	8.26	4.81	18.00	7.05	8.59
Alcohol or Illicit Drug Dependence or Abuse¹	10.16	6.84	22.57	8.51	10.48
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.19	3.17	7.24	1.26	2.10
Needing But Not Receiving Treatment for Alcohol Use⁷	7.75	4.25	16.77	6.66	8.08
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.23	10.12	6.62	7.11
Serious Mental Illness^9,10	--	--	5.09	4.58	4.65
Any Mental Illness^9,10	--	--	21.82	19.55	19.87
Had Serious Thoughts of Suicide	--	--	9.39	3.33	4.17

141009

NEBRASKA

Table 65 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Nebraska*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	103	12	35	56	92
Past Year Marijuana Use	152	19	58	75	133
Past Month Marijuana Use	83	9	31	43	74
Past Month Use of Illicit Drugs Other Than Marijuana¹	36	4	11	21	32
Past Year Cocaine Use	19	1	7	11	18
Past Year Nonmedical Pain Reliever Use	55	7	16	32	48
Perception of Great Risk of Smoking Marijuana Once a Month	425	39	31	355	386
Average Annual Number of Marijuana Initiates²	16	8	7	1	8
ALCOHOL
Past Month Alcohol Use	855	17	131	707	838
Past Month Binge Alcohol Use³	361	10	88	262	350
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	593	57	56	480	536
Past Month Alcohol Use (Individuals Aged 12 to 20)	56⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	38⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	400	14	84	303	387
Past Month Cigarette Use	333	10	63	260	323
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	1,015	97	129	790	919
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	24	3	10	12	21
Illicit Drug Dependence or Abuse¹	41	6	14	20	35
Alcohol Dependence	54	2	14	39	52
Alcohol Dependence or Abuse	119	6	34	79	113
Alcohol or Illicit Drug Dependence or Abuse¹	143	10	41	92	133
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	35	5	13	17	30
Needing But Not Receiving Treatment for Alcohol Use⁷	116	5	33	78	110
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	13	18	72	90
Serious Mental Illness^9,10	--	--	9	49	58
Any Mental Illness^9,10	--	--	40	207	247
Had Serious Thoughts of Suicide	--	--	16	40	56

141009

NEBRASKA

Table 66 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Nebraska*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	6.79	7.96	17.12	4.83	6.67
Past Year Marijuana Use	9.98	13.03	27.83	6.46	9.66
Past Month Marijuana Use	5.47	6.24	15.07	3.68	5.38
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.34	2.56	5.33	1.79	2.32
Past Year Cocaine Use	1.25	0.52	3.56	0.93	1.33
Past Year Nonmedical Pain Reliever Use	3.62	4.62	7.88	2.74	3.51
Perception of Great Risk of Smoking Marijuana Once a Month	27.98	26.30	14.76	30.55	28.16
Average Annual Incidence Estimates of First Use of Marijuana²	1.63	5.54	5.97	0.19	1.00
ALCOHOL
Past Month Alcohol Use	56.37	11.32	63.34	60.81	61.19
Past Month Binge Alcohol Use³	23.74	7.01	42.44	22.56	25.53
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	39.08	38.41	27.28	41.24	39.15
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.02⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	16.18⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.36	9.17	40.61	26.02	28.20
Past Month Cigarette Use	21.97	6.79	30.46	22.38	23.59
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	66.91	65.29	62.09	67.96	67.08
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.59	1.88	4.64	1.01	1.56
Illicit Drug Dependence or Abuse¹	2.67	4.13	6.78	1.76	2.51
Alcohol Dependence	3.54	1.16	6.53	3.31	3.79
Alcohol Dependence or Abuse	7.82	3.87	16.49	6.79	8.24
Alcohol or Illicit Drug Dependence or Abuse¹	9.41	6.49	19.96	7.92	9.72
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.31	3.51	6.25	1.46	2.18
Needing But Not Receiving Treatment for Alcohol Use⁷	7.61	3.56	15.74	6.69	8.05
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	8.80	8.53	6.22	6.57
Serious Mental Illness^9,10	--	--	4.54	4.18	4.24
Any Mental Illness^9,10	--	--	19.17	17.79	17.99
Had Serious Thoughts of Suicide	--	--	7.92	3.43	4.10

141009

NEVADA

Table 67 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Nevada*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	247	23	62	163	225
Past Year Marijuana Use	324	35	88	200	289
Past Month Marijuana Use	183	18	53	112	165
Past Month Use of Illicit Drugs Other Than Marijuana¹	92	8	20	63	84
Past Year Cocaine Use	34	1	11	21	32
Past Year Nonmedical Pain Reliever Use	121	12	30	80	109
Perception of Great Risk of Smoking Marijuana Once a Month	656	49	45	562	607
Average Annual Number of Marijuana Initiates²	24	11	10	2	13
ALCOHOL
Past Month Alcohol Use	1,255	28	168	1,058	1,226
Past Month Binge Alcohol Use³	574	15	107	452	559
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,016	85	104	826	931
Past Month Alcohol Use (Individuals Aged 12 to 20)	81⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	48⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	628	18	108	501	610
Past Month Cigarette Use	554	13	94	447	541
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	1,602	143	188	1,271	1,459
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	45	5	16	24	40
Illicit Drug Dependence or Abuse¹	60	9	21	30	51
Alcohol Dependence	84	3	20	62	81
Alcohol Dependence or Abuse	176	7	40	129	169
Alcohol or Illicit Drug Dependence or Abuse¹	211	13	53	145	198
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	54	8	20	26	46
Needing But Not Receiving Treatment for Alcohol Use⁷	166	7	39	120	159
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	21	25	106	132
Serious Mental Illness^9,10	--	--	12	73	85
Any Mental Illness^9,10	--	--	57	324	381
Had Serious Thoughts of Suicide	--	--	23	57	80

141009

NEVADA

Table 68 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Nevada*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.78	10.22	21.56	9.13	10.84
Past Year Marijuana Use	14.10	15.84	30.96	11.19	13.91
Past Month Marijuana Use	7.98	8.33	18.56	6.25	7.95
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.00	3.74	7.12	3.53	4.03
Past Year Cocaine Use	1.46	0.64	3.91	1.17	1.55
Past Year Nonmedical Pain Reliever Use	5.27	5.27	10.41	4.45	5.27
Perception of Great Risk of Smoking Marijuana Once a Month	28.57	22.37	15.90	31.39	29.23
Average Annual Incidence Estimates of First Use of Marijuana²	1.98	6.07	7.54	0.27	1.24
ALCOHOL
Past Month Alcohol Use	54.65	12.76	58.95	59.15	59.13
Past Month Binge Alcohol Use³	25.00	6.60	37.42	25.29	26.96
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	44.26	38.59	36.50	46.20	44.86
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.83⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.13⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.37	8.30	37.96	28.03	29.40
Past Month Cigarette Use	24.15	6.05	33.00	24.97	26.08
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	69.79	64.59	65.87	71.05	70.34
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.95	2.05	5.63	1.35	1.94
Illicit Drug Dependence or Abuse¹	2.63	3.98	7.45	1.69	2.48
Alcohol Dependence	3.67	1.40	6.85	3.44	3.91
Alcohol Dependence or Abuse	7.68	3.11	14.07	7.22	8.17
Alcohol or Illicit Drug Dependence or Abuse¹	9.20	5.83	18.59	8.12	9.56
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.35	3.55	7.06	1.45	2.22
Needing But Not Receiving Treatment for Alcohol Use⁷	7.22	2.98	13.75	6.71	7.68
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.62	8.87	5.95	6.35
Serious Mental Illness^9,10	--	--	4.37	4.05	4.10
Any Mental Illness^9,10	--	--	20.00	18.12	18.38
Had Serious Thoughts of Suicide	--	--	7.90	3.19	3.84

141009

NEW HAMPSHIRE

Table 69 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New Hampshire*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	128	12	42	74	116
Past Year Marijuana Use	175	18	62	95	156
Past Month Marijuana Use	111	10	39	62	101
Past Month Use of Illicit Drugs Other Than Marijuana¹	40	3	14	23	37
Past Year Cocaine Use	22	1	10	12	21
Past Year Nonmedical Pain Reliever Use	48	5	15	29	44
Perception of Great Risk of Smoking Marijuana Once a Month	226	20	11	195	206
Average Annual Number of Marijuana Initiates²	15	6	8	1	9
ALCOHOL
Past Month Alcohol Use	740	15	103	623	725
Past Month Binge Alcohol Use³	283	8	69	206	275
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	398	32	30	335	365
Past Month Alcohol Use (Individuals Aged 12 to 20)	63⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	41⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	290	10	59	222	280
Past Month Cigarette Use	228	7	47	173	220
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	818	67	95	656	751
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	24	2	10	12	22
Illicit Drug Dependence or Abuse¹	33	4	13	15	28
Alcohol Dependence	40	1	11	28	38
Alcohol Dependence or Abuse	87	5	27	55	82
Alcohol or Illicit Drug Dependence or Abuse¹	106	7	33	66	99
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	28	4	12	12	24
Needing But Not Receiving Treatment for Alcohol Use⁷	84	4	26	54	80
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10	14	58	71
Serious Mental Illness^9,10	--	--	7	34	41
Any Mental Illness^9,10	--	--	30	163	193
Had Serious Thoughts of Suicide	--	--	12	28	39

141009

NEW HAMPSHIRE

Table 70 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New Hampshire*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.28	11.77	29.84	8.32	11.23
Past Year Marijuana Use	15.39	18.23	43.98	10.59	15.11
Past Month Marijuana Use	9.79	9.62	27.77	6.99	9.80
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.54	3.00	10.04	2.58	3.59
Past Year Cocaine Use	1.96	0.82	6.86	1.31	2.07
Past Year Nonmedical Pain Reliever Use	4.27	4.87	10.46	3.23	4.21
Perception of Great Risk of Smoking Marijuana Once a Month	19.86	20.00	7.87	21.76	19.85
Average Annual Incidence Estimates of First Use of Marijuana²	2.92	7.83	13.17	0.32	1.97
ALCOHOL
Past Month Alcohol Use	65.19	14.76	73.22	69.63	70.11
Past Month Binge Alcohol Use³	24.92	8.06	48.96	23.06	26.57
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	35.01	32.05	21.29	37.50	35.30
Past Month Alcohol Use (Individuals Aged 12 to 20)	35.72⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	23.21⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	25.54	9.45	41.92	24.78	27.11
Past Month Cigarette Use	20.04	7.06	33.53	19.39	21.31
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	72.05	66.29	67.96	73.34	72.61
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.13	2.27	7.35	1.29	2.11
Illicit Drug Dependence or Abuse¹	2.87	4.38	9.39	1.68	2.73
Alcohol Dependence	3.51	1.42	7.79	3.08	3.71
Alcohol Dependence or Abuse	7.63	4.62	19.17	6.17	7.93
Alcohol or Illicit Drug Dependence or Abuse¹	9.34	6.82	23.66	7.37	9.58
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.49	3.90	8.61	1.37	2.35
Needing But Not Receiving Treatment for Alcohol Use⁷	7.42	4.32	18.66	6.01	7.72
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.27	9.81	6.44	6.90
Serious Mental Illness^9,10	--	--	4.89	3.79	3.94
Any Mental Illness^9,10	--	--	21.34	18.21	18.64
Had Serious Thoughts of Suicide	--	--	8.35	3.10	3.81

141009

NEW JERSEY

Table 71 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New Jersey*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	552	50	175	327	502
Past Year Marijuana Use	759	85	274	400	674
Past Month Marijuana Use	389	38	137	214	351
Past Month Use of Illicit Drugs Other Than Marijuana¹	215	20	65	130	195
Past Year Cocaine Use	125	5	45	76	120
Past Year Nonmedical Pain Reliever Use	296	29	84	183	267
Perception of Great Risk of Smoking Marijuana Once a Month	2,480	174	132	2,173	2,305
Average Annual Number of Marijuana Initiates²	78	36	35	7	42
ALCOHOL
Past Month Alcohol Use	4,139	96	523	3,520	4,042
Past Month Binge Alcohol Use³	1,608	51	362	1,195	1,557
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,192	268	298	2,626	2,924
Past Month Alcohol Use (Individuals Aged 12 to 20)	242⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	153⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,521	48	293	1,181	1,474
Past Month Cigarette Use	1,277	36	252	990	1,241
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	5,683	459	635	4,589	5,224
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	133	12	52	69	121
Illicit Drug Dependence or Abuse¹	166	22	70	74	143
Alcohol Dependence	212	7	51	154	205
Alcohol Dependence or Abuse	493	20	126	347	473
Alcohol or Illicit Drug Dependence or Abuse¹	566	36	170	359	530
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	145	21	59	65	125
Needing But Not Receiving Treatment for Alcohol Use⁷	465	20	124	321	445
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	64	76	337	413
Serious Mental Illness^9,10	--	--	36	186	222
Any Mental Illness^9,10	--	--	167	888	1,055
Had Serious Thoughts of Suicide	--	--	66	188	254

141009

NEW JERSEY

Table 72 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New Jersey*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.40	7.14	19.76	5.57	7.43
Past Year Marijuana Use	10.18	12.06	30.98	6.81	9.98
Past Month Marijuana Use	5.21	5.38	15.48	3.64	5.19
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.88	2.77	7.39	2.21	2.89
Past Year Cocaine Use	1.68	0.65	5.04	1.29	1.78
Past Year Nonmedical Pain Reliever Use	3.96	4.08	9.47	3.12	3.95
Perception of Great Risk of Smoking Marijuana Once a Month	33.22	24.69	14.95	37.03	34.11
Average Annual Incidence Estimates of First Use of Marijuana²	1.66	5.44	7.17	0.18	1.04
ALCOHOL
Past Month Alcohol Use	55.48	13.64	59.07	59.98	59.86
Past Month Binge Alcohol Use³	21.55	7.20	40.95	20.36	23.06
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.79	37.89	33.70	44.75	43.30
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.34⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.77⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	20.40	6.75	33.13	20.12	21.83
Past Month Cigarette Use	17.13	5.12	28.43	16.86	18.39
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	76.19	65.05	71.77	78.20	77.35
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.78	1.67	5.91	1.17	1.79
Illicit Drug Dependence or Abuse¹	2.22	3.15	7.86	1.26	2.12
Alcohol Dependence	2.84	1.03	5.78	2.62	3.03
Alcohol Dependence or Abuse	6.62	2.85	14.23	5.92	7.01
Alcohol or Illicit Drug Dependence or Abuse¹	7.59	5.16	19.25	6.12	7.84
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	1.95	2.92	6.70	1.11	1.85
Needing But Not Receiving Treatment for Alcohol Use⁷	6.23	2.79	14.05	5.46	6.59
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.06	8.56	5.75	6.12
Serious Mental Illness^9,10	--	--	4.07	3.16	3.28
Any Mental Illness^9,10	--	--	18.85	15.13	15.62
Had Serious Thoughts of Suicide	--	--	7.52	3.20	3.76

141009

NEW MEXICO

Table 73 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New Mexico*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	182	21	51	110	161
Past Year Marijuana Use	257	31	73	153	226
Past Month Marijuana Use	154	15	44	95	139
Past Month Use of Illicit Drugs Other Than Marijuana¹	64	7	14	43	57
Past Year Cocaine Use	36	2	12	23	35
Past Year Nonmedical Pain Reliever Use	89	11	21	56	78
Perception of Great Risk of Smoking Marijuana Once a Month	469	39	36	394	430
Average Annual Number of Marijuana Initiates²	18	10	7	2	8
ALCOHOL
Past Month Alcohol Use	858	20	129	709	838
Past Month Binge Alcohol Use³	417	12	88	317	405
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	775	63	89	623	712
Past Month Alcohol Use (Individuals Aged 12 to 20)	53⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	35⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	468	17	96	354	451
Past Month Cigarette Use	389	12	80	296	376
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	1,235	106	149	980	1,129
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	39	4	13	22	35
Illicit Drug Dependence or Abuse¹	56	8	18	30	47
Alcohol Dependence	55	2	13	40	53
Alcohol Dependence or Abuse	126	7	32	87	119
Alcohol or Illicit Drug Dependence or Abuse¹	163	12	42	109	151
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	49	8	16	24	40
Needing But Not Receiving Treatment for Alcohol Use⁷	121	6	30	85	115
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	18	22	86	108
Serious Mental Illness^9,10	--	--	10	56	66
Any Mental Illness^9,10	--	--	45	252	297
Had Serious Thoughts of Suicide	--	--	16	42	58

141009

NEW MEXICO

Table 74 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New Mexico*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.65	12.36	22.21	8.41	10.46
Past Year Marijuana Use	15.09	18.38	32.06	11.72	14.73
Past Month Marijuana Use	9.04	9.22	19.33	7.23	9.02
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.74	4.26	6.01	3.27	3.68
Past Year Cocaine Use	2.13	0.95	5.32	1.73	2.26
Past Year Nonmedical Pain Reliever Use	5.22	6.81	9.35	4.30	5.05
Perception of Great Risk of Smoking Marijuana Once a Month	27.50	23.39	15.89	30.07	27.94
Average Annual Incidence Estimates of First Use of Marijuana²	2.26	8.01	6.97	0.31	1.22
ALCOHOL
Past Month Alcohol Use	50.33	11.91	56.43	54.20	54.53
Past Month Binge Alcohol Use³	24.44	6.92	38.50	24.23	26.35
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.45	37.38	39.23	47.57	46.33
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.14⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	14.13⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.43	10.11	42.25	27.08	29.33
Past Month Cigarette Use	22.80	7.36	35.18	22.63	24.49
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	72.43	62.89	65.31	74.89	73.47
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.29	2.47	5.80	1.66	2.27
Illicit Drug Dependence or Abuse¹	3.27	4.98	7.75	2.26	3.08
Alcohol Dependence	3.24	1.20	5.76	3.06	3.46
Alcohol Dependence or Abuse	7.37	3.92	13.98	6.66	7.75
Alcohol or Illicit Drug Dependence or Abuse¹	9.57	7.20	18.32	8.36	9.83
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.84	4.77	7.05	1.87	2.63
Needing But Not Receiving Treatment for Alcohol Use⁷	7.10	3.74	13.26	6.46	7.47
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	10.73	9.44	6.60	7.03
Serious Mental Illness^9,10	--	--	4.37	4.30	4.31
Any Mental Illness^9,10	--	--	19.90	19.24	19.33
Had Serious Thoughts of Suicide	--	--	7.14	3.18	3.76

141009

NEW YORK

Table 75 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New York*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	1,645	140	515	990	1,505
Past Year Marijuana Use	2,342	213	762	1,367	2,129
Past Month Marijuana Use	1,373	118	457	798	1,255
Past Month Use of Illicit Drugs Other Than Marijuana¹	513	39	153	321	474
Past Year Cocaine Use	345	9	124	212	336
Past Year Nonmedical Pain Reliever Use	645	52	175	418	593
Perception of Great Risk of Smoking Marijuana Once a Month	4,782	333	319	4,129	4,449
Average Annual Number of Marijuana Initiates²	182	74	88	20	108
ALCOHOL
Past Month Alcohol Use	9,340	209	1,427	7,704	9,131
Past Month Binge Alcohol Use³	4,104	110	924	3,071	3,994
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	7,157	597	784	5,776	6,560
Past Month Alcohol Use (Individuals Aged 12 to 20)	608⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	360⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	3,967	105	771	3,092	3,862
Past Month Cigarette Use	3,302	74	651	2,577	3,228
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	12,568	989	1,567	10,012	11,579
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	334	27	124	182	306
Illicit Drug Dependence or Abuse¹	450	56	178	215	394
Alcohol Dependence	535	18	128	389	517
Alcohol Dependence or Abuse	1,090	47	289	754	1,043
Alcohol or Illicit Drug Dependence or Abuse¹	1,365	85	400	881	1,280
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	423	51	164	208	371
Needing But Not Receiving Treatment for Alcohol Use⁷	1,034	45	282	706	989
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	128	182	779	962
Serious Mental Illness^9,10	--	--	88	478	566
Any Mental Illness^9,10	--	--	429	2,396	2,825
Had Serious Thoughts of Suicide	--	--	152	403	555

141009

NEW YORK

Table 76 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *New York*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.93	9.63	22.98	7.69	9.96
Past Year Marijuana Use	14.13	14.62	33.97	10.61	14.08
Past Month Marijuana Use	8.28	8.12	20.37	6.20	8.30
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.10	2.70	6.82	2.49	3.13
Past Year Cocaine Use	2.08	0.61	5.53	1.65	2.23
Past Year Nonmedical Pain Reliever Use	3.89	3.54	7.82	3.24	3.92
Perception of Great Risk of Smoking Marijuana Once a Month	28.83	22.88	14.24	32.07	29.40
Average Annual Incidence Estimates of First Use of Marijuana²	1.91	5.82	7.66	0.25	1.30
ALCOHOL
Past Month Alcohol Use	56.35	14.35	63.63	59.83	60.40
Past Month Binge Alcohol Use³	24.76	7.53	41.17	23.85	26.42
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	43.17	40.97	34.94	44.86	43.38
Past Month Alcohol Use (Individuals Aged 12 to 20)	26.77⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	15.84⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.93	7.21	34.36	24.01	25.55
Past Month Cigarette Use	19.92	5.10	29.02	20.02	21.35
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	75.83	67.91	69.86	77.76	76.58
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	2.01	1.88	5.54	1.41	2.03
Illicit Drug Dependence or Abuse¹	2.71	3.84	7.95	1.67	2.61
Alcohol Dependence	3.23	1.26	5.69	3.02	3.42
Alcohol Dependence or Abuse	6.58	3.23	12.90	5.86	6.90
Alcohol or Illicit Drug Dependence or Abuse¹	8.24	5.82	17.81	6.84	8.47
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.55	3.52	7.29	1.61	2.46
Needing But Not Receiving Treatment for Alcohol Use⁷	6.24	3.12	12.59	5.49	6.54
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	8.76	8.12	6.05	6.36
Serious Mental Illness^9,10	--	--	3.94	3.71	3.75
Any Mental Illness^9,10	--	--	19.13	18.61	18.69
Had Serious Thoughts of Suicide	--	--	6.77	3.13	3.67

141009

NORTH CAROLINA

Table 77 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *North Carolina*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	607	67	196	345	541
Past Year Marijuana Use	877	97	300	480	780
Past Month Marijuana Use	497	51	173	273	446
Past Month Use of Illicit Drugs Other Than Marijuana¹	269	27	77	165	242
Past Year Cocaine Use	131	5	44	82	126
Past Year Nonmedical Pain Reliever Use	409	42	112	255	367
Perception of Great Risk of Smoking Marijuana Once a Month	2,475	192	172	2,111	2,283
Average Annual Number of Marijuana Initiates²	78	37	36	6	42
ALCOHOL
Past Month Alcohol Use	3,931	89	597	3,245	3,842
Past Month Binge Alcohol Use³	1,614	50	349	1,215	1,563
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,416	312	385	2,719	3,104
Past Month Alcohol Use (Individuals Aged 12 to 20)	205⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	128⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,175	61	395	1,719	2,114
Past Month Cigarette Use	1,855	47	332	1,475	1,808
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	5,498	482	661	4,355	5,016
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	156	15	59	82	141
Illicit Drug Dependence or Abuse¹	272	32	94	145	240
Alcohol Dependence	222	8	52	163	214
Alcohol Dependence or Abuse	471	23	129	319	448
Alcohol or Illicit Drug Dependence or Abuse¹	679	45	192	442	634
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	244	31	89	123	213
Needing But Not Receiving Treatment for Alcohol Use⁷	450	21	129	300	428
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	74	88	438	526
Serious Mental Illness^9,10	--	--	43	303	346
Any Mental Illness^9,10	--	--	185	1,163	1,347
Had Serious Thoughts of Suicide	--	--	74	242	316

141009

NORTH CAROLINA

Table 78 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *North Carolina*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.54	8.74	18.80	5.51	7.41
Past Year Marijuana Use	10.88	12.64	28.81	7.68	10.70
Past Month Marijuana Use	6.17	6.67	16.64	4.36	6.11
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.34	3.48	7.41	2.64	3.32
Past Year Cocaine Use	1.63	0.68	4.24	1.31	1.73
Past Year Nonmedical Pain Reliever Use	5.07	5.43	10.76	4.08	5.03
Perception of Great Risk of Smoking Marijuana Once a Month	30.68	25.09	16.50	33.76	31.27
Average Annual Incidence Estimates of First Use of Marijuana²	1.61	5.20	6.47	0.16	1.02
ALCOHOL
Past Month Alcohol Use	48.76	11.63	57.29	51.88	52.65
Past Month Binge Alcohol Use³	20.02	6.58	33.46	19.42	21.43
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.37	40.80	36.97	43.47	42.53
Past Month Alcohol Use (Individuals Aged 12 to 20)	18.62⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	11.62⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.99	7.97	37.94	27.49	28.98
Past Month Cigarette Use	23.01	6.18	31.91	23.59	24.78
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	68.21	63.08	63.43	69.63	68.74
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.94	1.99	5.69	1.31	1.93
Illicit Drug Dependence or Abuse¹	3.38	4.24	9.06	2.32	3.29
Alcohol Dependence	2.76	1.08	4.95	2.60	2.94
Alcohol Dependence or Abuse	5.85	2.97	12.42	5.10	6.15
Alcohol or Illicit Drug Dependence or Abuse¹	8.43	5.88	18.46	7.07	8.69
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	3.02	4.00	8.59	1.97	2.92
Needing But Not Receiving Treatment for Alcohol Use⁷	5.58	2.75	12.38	4.79	5.87
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	9.64	8.41	7.01	7.21
Serious Mental Illness^9,10	--	--	4.15	4.84	4.74
Any Mental Illness^9,10	--	--	17.71	18.59	18.47
Had Serious Thoughts of Suicide	--	--	7.10	3.87	4.33

141009

NORTH DAKOTA

Table 79 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *North Dakota*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	38	3	15	20	35
Past Year Marijuana Use	58	5	27	27	53
Past Month Marijuana Use	30	3	14	14	28
Past Month Use of Illicit Drugs Other Than Marijuana¹	16	1	6	10	15
Past Year Cocaine Use	8	0	3	5	8
Past Year Nonmedical Pain Reliever Use	24	2	8	14	22
Perception of Great Risk of Smoking Marijuana Once a Month	170	16	15	140	155
Average Annual Number of Marijuana Initiates²	6	2	4	1	4
ALCOHOL
Past Month Alcohol Use	346	6	68	272	340
Past Month Binge Alcohol Use³	178	4	52	123	175
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	200	18	24	157	182
Past Month Alcohol Use (Individuals Aged 12 to 20)	27⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	20⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	181	6	45	130	175
Past Month Cigarette Use	147	4	34	109	143
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	385	32	58	295	353
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	11	1	5	6	11
Illicit Drug Dependence or Abuse¹	16	2	7	8	14
Alcohol Dependence	22	1	7	14	21
Alcohol Dependence or Abuse	49	2	17	30	47
Alcohol or Illicit Drug Dependence or Abuse¹	58	3	20	35	55
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	13	1	6	7	12
Needing But Not Receiving Treatment for Alcohol Use⁷	47	2	16	28	45
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	4	8	24	32
Serious Mental Illness^9,10	--	--	5	18	22
Any Mental Illness^9,10	--	--	19	69	88
Had Serious Thoughts of Suicide	--	--	7	14	21

141009

NORTH DAKOTA

Table 80 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *North Dakota*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	6.50	6.08	15.63	4.55	6.54
Past Year Marijuana Use	9.92	9.79	27.66	6.06	9.93
Past Month Marijuana Use	5.19	5.19	14.04	3.26	5.19
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.79	2.41	5.76	2.18	2.82
Past Year Cocaine Use	1.41	0.65	3.30	1.08	1.48
Past Year Nonmedical Pain Reliever Use	4.07	4.62	8.22	3.10	4.02
Perception of Great Risk of Smoking Marijuana Once a Month	29.09	31.43	15.52	31.81	28.87
Average Annual Incidence Estimates of First Use of Marijuana²	1.58	3.95	6.95	0.19	1.25
ALCOHOL
Past Month Alcohol Use	59.04	11.72	70.76	61.79	63.39
Past Month Binge Alcohol Use³	30.43	7.21	53.75	27.94	32.56
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	34.09	35.78	25.39	35.80	33.94
Past Month Alcohol Use (Individuals Aged 12 to 20)	31.25⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	22.95⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	30.81	11.14	46.48	29.61	32.62
Past Month Cigarette Use	25.03	8.10	34.91	24.79	26.59
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	65.73	64.01	60.70	67.01	65.88
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	1.96	1.86	5.04	1.30	1.97
Illicit Drug Dependence or Abuse¹	2.69	3.13	6.85	1.74	2.65
Alcohol Dependence	3.69	1.49	7.30	3.15	3.90
Alcohol Dependence or Abuse	8.42	4.57	17.57	6.87	8.78
Alcohol or Illicit Drug Dependence or Abuse¹	9.85	5.84	20.72	7.93	10.22
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	2.28	2.64	5.78	1.48	2.25
Needing But Not Receiving Treatment for Alcohol Use⁷	7.96	3.94	17.05	6.43	8.33
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	7.95	8.19	5.49	5.97
Serious Mental Illness^9,10	--	--	4.69	4.05	4.16
Any Mental Illness^9,10	--	--	19.29	15.71	16.35
Had Serious Thoughts of Suicide	--	--	7.70	3.15	3.96

141009

OHIO

Table 81 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Ohio*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	939	85	268	586	854
Past Year Marijuana Use	1,237	123	385	729	1,114
Past Month Marijuana Use	734	68	232	434	666
Past Month Use of Illicit Drugs Other Than Marijuana¹	348	31	94	224	318
Past Year Cocaine Use	153	4	49	100	149
Past Year Nonmedical Pain Reliever Use	473	43	121	309	430
Perception of Great Risk of Smoking Marijuana Once a Month	2,512	244	176	2,092	2,268
Average Annual Number of Marijuana Initiates²	106	48	51	8	59
ALCOHOL
Past Month Alcohol Use	5,199	111	777	4,312	5,089
Past Month Binge Alcohol Use³	2,396	63	509	1,823	2,332
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,536	343	357	2,836	3,193
Past Month Alcohol Use (Individuals Aged 12 to 20)	345⁴	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)³	220⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	3,046	94	540	2,411	2,952
Past Month Cigarette Use	2,556	68	434	2,054	2,488
Perception of Great Risk of Smoking One or More Packs of Cigarettes per Day	6,341	592	758	4,991	5,749
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁶
Illicit Drug Dependence¹	212	20	73	119	192
Illicit Drug Dependence or Abuse¹	282	33	96	154	249
Alcohol Dependence	290	10	64	217	280
Alcohol Dependence or Abuse	621	28	168	426	594
Alcohol or Illicit Drug Dependence or Abuse¹	807	48	227	532	759
Needing But Not Receiving Treatment for Illicit Drug Use^1,7	258	30	89	138	227
Needing But Not Receiving Treatment for Alcohol Use⁷	589	25	162	401	564
PAST YEAR MENTAL HEALTH ISSUES
Had at Least One Major Depressive Episode^8,9	--	91	116	539	655
Serious Mental Illness^9,10	--	--	56	346	403
Any Mental Illness^9,10	--	--	257	1,462	1,719
Had Serious Thoughts of Suicide	--	--	95	249	344

141009

OHIO

Table 82 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in *Ohio*, by Age Group: Percentages, Annual Averages Based on 2012-2013 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana. Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁶ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ 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. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ⁹ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012 and 2013.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.73	9.22	21.67	7.82	9.78
Past Year Marijuana Use	12.81	13.27	31.16	9.72	12.76
Past Month Marijuana Use	7.60	7.36	18.76	5.79	7.63