171013

UNITED STATES

Table 1 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the United States, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Numbers in this table are based on national design-based estimates.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 27,822 2,076 7,904 17,841 25,746
Past Year Marijuana Use 36,806 3,060 11,323 22,424 33,747
Past Month Marijuana Use 23,103 1,681 7,052 14,370 21,423
Perceptions of Great Risk from Smoking Marijuana Once a Month 76,344 6,763 4,975 64,606 69,581
First Use of Marijuana3,4 3,002 1,169 1,392 440 1,833
Past Month Illicit Drug Use Other Than Marijuana1,2 9,195 675 2,542 5,978 8,520
Past Year Cocaine Use 4,950 144 1,897 2,908 4,806
Perceptions of Great Risk from Using Cocaine Once a Month 193,040 14,076 22,606 156,358 178,963
Past Year Heroin Use 888 17 222 649 871
Perceptions of Great Risk from Trying Heroin Once or Twice 229,389 16,284 28,764 184,340 213,104
Past Year Misuse of Pain Relievers2,5 11,989 925 2,717 8,347 11,064
ALCOHOL          
Past Month Alcohol Use 137,531 2,341 20,060 115,130 135,190
Past Month Binge Alcohol Use6 66,009 1,328 13,442 51,240 64,682
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
118,998 10,778 12,823 95,396 108,219
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 7,484 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 4,799 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 63,693 1,408 10,937 51,348 62,285
Past Month Cigarette Use 51,642 947 8,725 41,970 50,695
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
195,523 17,106 23,722 154,695 178,417
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 7,559 822 2,479 4,258 6,737
Pain Reliever Use Disorder2,5,9 1,896 137 359 1,399 1,758
Alcohol Use Disorder9 15,396 555 3,752 11,088 14,841
Substance Use Disorder1,2,9 20,461 1,148 5,282 14,031 19,313
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 6,796 782 2,298 3,716 6,014
Needing But Not Receiving Treatment for Alcohol Use10 14,712 534 3,637 10,541 14,178
Needing But Not Receiving Treatment for Substance Use1,2,10 19,024 1,091 4,982 12,951 17,934
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 1,895 8,167 10,062
Any Mental Illness4,11 -- -- 7,605 36,431 44,035
Received Mental Health Services12 -- -- 4,267 30,529 34,796
Had Serious Thoughts of Suicide13 -- -- 2,976 6,884 9,860
Major Depressive Episode4,14 -- 3,144 3,677 12,653 16,330
171013

UNITED STATES

Table 2 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the United States, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.36 8.34 22.75 8.54 10.57
Past Year Marijuana Use 13.71 12.29 32.60 10.73 13.85
Past Month Marijuana Use 8.60 6.75 20.30 6.88 8.79
Perceptions of Great Risk from Smoking Marijuana Once a Month 28.41 27.17 14.32 30.92 28.54
First Use of Marijuana3,4 1.96 5.25 7.74 0.39 1.40
Past Month Illicit Drug Use Other Than Marijuana1,2 3.42 2.71 7.32 2.86 3.50
Past Year Cocaine Use 1.84 0.58 5.46 1.39 1.97
Perceptions of Great Risk from Using Cocaine Once a Month 71.89 56.54 65.07 74.84 73.44
Past Year Heroin Use 0.33 0.07 0.64 0.31 0.36
Perceptions of Great Risk from Trying Heroin Once or Twice 85.44 65.41 82.80 88.23 87.45
Past Year Misuse of Pain Relievers2,5 4.46 3.72 7.82 4.00 4.54
ALCOHOL          
Past Month Alcohol Use 51.21 9.40 57.75 55.10 55.48
Past Month Binge Alcohol Use6 24.58 5.33 38.69 24.52 26.54
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
44.30 43.30 36.91 45.66 44.41
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 19.83 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 12.71 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 23.72 5.66 31.48 24.58 25.56
Past Month Cigarette Use 19.23 3.80 25.12 20.09 20.81
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
72.80 68.71 68.29 74.04 73.22
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.81 3.30 7.14 2.04 2.76
Pain Reliever Use Disorder2,5,9 0.71 0.55 1.03 0.67 0.72
Alcohol Use Disorder9 5.73 2.23 10.80 5.31 6.09
Substance Use Disorder1,2,9 7.62 4.61 15.20 6.72 7.93
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.53 3.14 6.62 1.78 2.47
Needing But Not Receiving Treatment for Alcohol Use10 5.48 2.15 10.47 5.05 5.82
Needing But Not Receiving Treatment for Substance Use1,2,10 7.08 4.38 14.34 6.20 7.36
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.46 3.91 4.13
Any Mental Illness4,11 -- -- 21.89 17.44 18.07
Received Mental Health Services12 -- -- 12.28 14.61 14.28
Had Serious Thoughts of Suicide13 -- -- 8.57 3.30 4.04
Major Depressive Episode4,14 -- 12.63 10.59 6.06 6.70
171013

NORTHEAST REGION

Table 3 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 5,351 347 1,578 3,426 5,004
Past Year Marijuana Use 7,094 509 2,279 4,306 6,585
Past Month Marijuana Use 4,539 294 1,438 2,807 4,245
Perceptions of Great Risk from Smoking Marijuana Once a Month 12,649 1,104 764 10,782 11,546
First Use of Marijuana3,4 543 197 261 85 346
Past Month Illicit Drug Use Other Than Marijuana1,2 1,654 93 471 1,091 1,561
Past Year Cocaine Use 1,080 24 406 650 1,056
Perceptions of Great Risk from Using Cocaine Once a Month 33,040 2,319 3,757 26,963 30,720
Past Year Heroin Use 221 3 49 168 217
Perceptions of Great Risk from Trying Heroin Once or Twice 40,668 2,715 5,035 32,918 37,953
Past Year Misuse of Pain Relievers2,5 1,936 116 438 1,382 1,820
ALCOHOL          
Past Month Alcohol Use 26,782 450 3,890 22,442 26,332
Past Month Binge Alcohol Use6 12,564 253 2,679 9,632 12,311
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
20,563 1,766 2,081 16,716 18,797
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 1,535 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 1,000 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 10,875 222 1,926 8,728 10,654
Past Month Cigarette Use 8,823 141 1,517 7,164 8,681
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
35,657 2,941 4,234 28,483 32,716
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 1,359 121 464 774 1,239
Pain Reliever Use Disorder2,5,9 321 18 60 243 303
Alcohol Use Disorder9 2,871 94 712 2,066 2,777
Substance Use Disorder1,2,9 3,791 174 1,018 2,598 3,616
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 1,214 112 412 690 1,102
Needing But Not Receiving Treatment for Alcohol Use10 2,714 89 679 1,945 2,624
Needing But Not Receiving Treatment for Substance Use1,2,10 3,443 168 949 2,326 3,275
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 338 1,440 1,778
Any Mental Illness4,11 -- -- 1,374 6,431 7,805
Received Mental Health Services12 -- -- 827 6,049 6,876
Had Serious Thoughts of Suicide13 -- -- 536 1,227 1,762
Major Depressive Episode4,14 -- 499 674 2,299 2,973
171013

NORTHEAST REGION

Table 4 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.20 8.45 25.93 9.11 11.45
Past Year Marijuana Use 14.84 12.39 37.45 11.45 15.07
Past Month Marijuana Use 9.50 7.15 23.64 7.46 9.72
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.44 26.85 12.56 28.67 26.40
First Use of Marijuana3,4 2.07 5.34 8.85 0.44 1.54
Past Month Illicit Drug Use Other Than Marijuana1,2 3.46 2.25 7.73 2.90 3.57
Past Year Cocaine Use 2.26 0.58 6.67 1.73 2.42
Perceptions of Great Risk from Using Cocaine Once a Month 69.12 56.41 61.75 71.69 70.30
Past Year Heroin Use 0.46 0.08 0.81 0.45 0.50
Perceptions of Great Risk from Trying Heroin Once or Twice 85.10 66.03 82.74 87.53 86.86
Past Year Misuse of Pain Relievers2,5 4.05 2.82 7.19 3.68 4.17
ALCOHOL          
Past Month Alcohol Use 56.02 10.95 63.92 59.67 60.27
Past Month Binge Alcohol Use6 26.28 6.16 44.03 25.61 28.18
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
43.01 42.95 34.19 44.45 43.02
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 23.98 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 15.62 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.75 5.39 31.65 23.21 24.38
Past Month Cigarette Use 18.46 3.44 24.93 19.05 19.87
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
74.59 71.53 69.57 75.74 74.88
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.84 2.94 7.63 2.06 2.83
Pain Reliever Use Disorder2,5,9 0.67 0.44 0.98 0.65 0.69
Alcohol Use Disorder9 6.01 2.28 11.69 5.49 6.36
Substance Use Disorder1,2,9 7.93 4.24 16.73 6.91 8.28
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.54 2.72 6.77 1.83 2.52
Needing But Not Receiving Treatment for Alcohol Use10 5.68 2.17 11.16 5.17 6.01
Needing But Not Receiving Treatment for Substance Use1,2,10 7.20 4.09 15.59 6.19 7.50
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.56 3.83 4.07
Any Mental Illness4,11 -- -- 22.58 17.10 17.86
Received Mental Health Services12 -- -- 13.59 16.08 15.74
Had Serious Thoughts of Suicide13 -- -- 8.81 3.26 4.03
Major Depressive Episode4,14 -- 12.13 11.08 6.11 6.80
171013

MIDWEST REGION

Table 5 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Midwest Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 5,541 442 1,602 3,497 5,099
Past Year Marijuana Use 7,405 676 2,342 4,386 6,729
Past Month Marijuana Use 4,697 357 1,425 2,916 4,340
Perceptions of Great Risk from Smoking Marijuana Once a Month 14,502 1,412 924 12,166 13,090
First Use of Marijuana3,4 648 251 311 86 397
Past Month Illicit Drug Use Other Than Marijuana1,2 1,795 146 513 1,136 1,649
Past Year Cocaine Use 854 29 326 499 825
Perceptions of Great Risk from Using Cocaine Once a Month 40,926 2,968 4,800 33,157 37,958
Past Year Heroin Use 185 4 48 132 180
Perceptions of Great Risk from Trying Heroin Once or Twice 48,484 3,489 6,097 38,899 44,996
Past Year Misuse of Pain Relievers2,5 2,522 214 604 1,704 2,308
ALCOHOL          
Past Month Alcohol Use 30,827 524 4,553 25,749 30,302
Past Month Binge Alcohol Use6 15,018 313 3,127 11,578 14,704
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
22,468 2,114 2,374 17,979 20,353
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 1,685 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 1,122 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 15,059 357 2,603 12,099 14,703
Past Month Cigarette Use 12,084 251 2,045 9,789 11,834
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
39,089 3,595 4,808 30,687 35,495
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 1,483 171 481 831 1,312
Pain Reliever Use Disorder2,5,9 403 29 77 296 373
Alcohol Use Disorder9 3,346 122 862 2,363 3,224
Substance Use Disorder1,2,9 4,388 254 1,148 2,987 4,134
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 1,340 153 444 743 1,187
Needing But Not Receiving Treatment for Alcohol Use10 3,165 118 786 2,262 3,048
Needing But Not Receiving Treatment for Substance Use1,2,10 4,051 235 1,090 2,726 3,816
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 439 1,808 2,247
Any Mental Illness4,11 -- -- 1,644 7,608 9,252
Received Mental Health Services12 -- -- 1,061 7,030 8,091
Had Serious Thoughts of Suicide13 -- -- 640 1,488 2,128
Major Depressive Episode4,14 -- 723 814 2,728 3,542
171013

MIDWEST REGION

Table 6 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Midwest Region, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.77 8.28 21.68 7.95 9.93
Past Year Marijuana Use 13.06 12.67 31.69 9.97 13.10
Past Month Marijuana Use 8.28 6.69 19.28 6.63 8.45
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.56 26.44 12.50 27.67 25.46
First Use of Marijuana3,4 2.04 5.25 8.16 0.38 1.47
Past Month Illicit Drug Use Other Than Marijuana1,2 3.17 2.73 6.94 2.58 3.21
Past Year Cocaine Use 1.51 0.55 4.40 1.14 1.61
Perceptions of Great Risk from Using Cocaine Once a Month 72.18 55.60 64.94 75.40 73.89
Past Year Heroin Use 0.33 0.08 0.65 0.30 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 85.53 65.34 82.49 88.46 87.60
Past Year Misuse of Pain Relievers2,5 4.45 4.00 8.17 3.88 4.49
ALCOHOL          
Past Month Alcohol Use 54.36 9.82 61.60 58.56 59.00
Past Month Binge Alcohol Use6 26.48 5.87 42.30 26.33 28.63
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
39.62 39.60 32.12 40.89 39.62
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.92 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.93 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 26.56 6.68 35.22 27.52 28.62
Past Month Cigarette Use 21.31 4.70 27.66 22.26 23.04
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
68.94 67.33 65.05 69.78 69.10
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.61 3.20 6.51 1.89 2.55
Pain Reliever Use Disorder2,5,9 0.71 0.55 1.05 0.67 0.73
Alcohol Use Disorder9 5.90 2.29 11.66 5.37 6.28
Substance Use Disorder1,2,9 7.74 4.75 15.53 6.79 8.05
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.36 2.86 6.00 1.69 2.31
Needing But Not Receiving Treatment for Alcohol Use10 5.58 2.20 10.64 5.14 5.93
Needing But Not Receiving Treatment for Substance Use1,2,10 7.14 4.40 14.75 6.20 7.43
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.94 4.11 4.37
Any Mental Illness4,11 -- -- 22.25 17.30 18.01
Received Mental Health Services12 -- -- 14.36 15.99 15.75
Had Serious Thoughts of Suicide13 -- -- 8.66 3.38 4.14
Major Depressive Episode4,14 -- 13.53 11.01 6.20 6.89
171013

SOUTH REGION

Table 7 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the South Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8,936 744 2,612 5,580 8,192
Past Year Marijuana Use 11,860 1,070 3,824 6,967 10,791
Past Month Marijuana Use 7,099 583 2,287 4,229 6,516
Perceptions of Great Risk from Smoking Marijuana Once a Month 32,338 2,828 2,151 27,359 29,510
First Use of Marijuana3,4 1,037 426 479 131 610
Past Month Illicit Drug Use Other Than Marijuana1,2 3,323 274 896 2,153 3,048
Past Year Cocaine Use 1,612 43 612 957 1,569
Perceptions of Great Risk from Using Cocaine Once a Month 75,774 5,551 8,859 61,364 70,223
Past Year Heroin Use 282 7 74 201 275
Perceptions of Great Risk from Trying Heroin Once or Twice 87,319 6,349 10,797 70,174 80,971
Past Year Misuse of Pain Relievers2,5 4,460 375 981 3,104 4,086
ALCOHOL          
Past Month Alcohol Use 47,824 828 7,035 39,960 46,996
Past Month Binge Alcohol Use6 23,425 459 4,617 18,349 22,966
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
46,498 4,324 5,057 37,117 42,174
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 2,623 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 1,639 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 25,607 562 4,174 20,871 25,045
Past Month Cigarette Use 20,716 369 3,346 17,001 20,347
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
72,922 6,445 8,722 57,755 66,477
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2,665 292 878 1,494 2,373
Pain Reliever Use Disorder2,5,9 732 56 135 542 677
Alcohol Use Disorder9 5,286 198 1,271 3,817 5,088
Substance Use Disorder1,2,9 7,053 400 1,830 4,823 6,653
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2,352 277 832 1,244 2,075
Needing But Not Receiving Treatment for Alcohol Use10 5,041 195 1,246 3,599 4,846
Needing But Not Receiving Treatment for Substance Use1,2,10 6,544 383 1,725 4,437 6,162
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 648 3,043 3,692
Any Mental Illness4,11 -- -- 2,644 13,729 16,373
Received Mental Health Services12 -- -- 1,441 10,893 12,334
Had Serious Thoughts of Suicide13 -- -- 1,039 2,463 3,503
Major Depressive Episode4,14 -- 1,131 1,278 4,741 6,019
171013

SOUTH REGION

Table 8 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the South Region, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.87 7.82 20.26 7.13 8.98
Past Year Marijuana Use 11.78 11.25 29.66 8.90 11.83
Past Month Marijuana Use 7.05 6.13 17.74 5.40 7.14
Perceptions of Great Risk from Smoking Marijuana Once a Month 32.09 29.75 16.68 34.94 32.34
First Use of Marijuana3,4 1.70 4.91 6.78 0.29 1.17
Past Month Illicit Drug Use Other Than Marijuana1,2 3.30 2.88 6.95 2.75 3.34
Past Year Cocaine Use 1.60 0.45 4.75 1.22 1.72
Perceptions of Great Risk from Using Cocaine Once a Month 75.25 58.39 68.70 78.36 76.99
Past Year Heroin Use 0.28 0.07 0.58 0.26 0.30
Perceptions of Great Risk from Trying Heroin Once or Twice 86.73 66.78 83.73 89.61 88.78
Past Year Misuse of Pain Relievers2,5 4.43 3.94 7.61 3.96 4.48
ALCOHOL          
Past Month Alcohol Use 47.48 8.71 54.56 51.03 51.53
Past Month Binge Alcohol Use6 23.26 4.83 35.80 23.43 25.18
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
46.17 45.48 39.22 47.40 46.24
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 18.39 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 11.49 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 25.43 5.91 32.37 26.65 27.46
Past Month Cigarette Use 20.57 3.88 25.95 21.71 22.31
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
72.41 67.79 67.64 73.75 72.88
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.65 3.07 6.81 1.91 2.60
Pain Reliever Use Disorder2,5,9 0.73 0.59 1.04 0.69 0.74
Alcohol Use Disorder9 5.25 2.08 9.86 4.87 5.58
Substance Use Disorder1,2,9 7.00 4.21 14.19 6.16 7.29
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.34 2.91 6.45 1.59 2.28
Needing But Not Receiving Treatment for Alcohol Use10 5.01 2.06 9.67 4.60 5.31
Needing But Not Receiving Treatment for Substance Use1,2,10 6.50 4.03 13.38 5.67 6.76
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.03 3.89 4.05
Any Mental Illness4,11 -- -- 20.50 17.53 17.95
Received Mental Health Services12 -- -- 11.18 13.91 13.52
Had Serious Thoughts of Suicide13 -- -- 8.06 3.15 3.84
Major Depressive Episode4,14 -- 11.90 9.91 6.05 6.60
171013

WEST REGION

Table 9 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the West Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 7,994 543 2,113 5,338 7,451
Past Year Marijuana Use 10,447 804 2,878 6,764 9,642
Past Month Marijuana Use 6,768 446 1,902 4,419 6,321
Perceptions of Great Risk from Smoking Marijuana Once a Month 16,855 1,419 1,136 14,300 15,436
First Use of Marijuana3,4 774 295 340 139 479
Past Month Illicit Drug Use Other Than Marijuana1,2 2,424 163 663 1,599 2,261
Past Year Cocaine Use 1,404 48 554 802 1,356
Perceptions of Great Risk from Using Cocaine Once a Month 43,301 3,238 5,190 34,873 40,063
Past Year Heroin Use 201 3 50 148 197
Perceptions of Great Risk from Trying Heroin Once or Twice 52,918 3,733 6,836 42,349 49,185
Past Year Misuse of Pain Relievers2,5 3,071 221 694 2,156 2,850
ALCOHOL          
Past Month Alcohol Use 32,098 538 4,582 26,978 31,560
Past Month Binge Alcohol Use6 15,003 302 3,020 11,681 14,701
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
29,469 2,575 3,311 23,583 26,894
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 1,640 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 1,038 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 12,152 268 2,234 9,650 11,883
Past Month Cigarette Use 10,018 186 1,817 8,016 9,833
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
47,855 4,126 5,959 37,771 43,730
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2,053 238 656 1,158 1,814
Pain Reliever Use Disorder2,5,9 439 34 88 318 406
Alcohol Use Disorder9 3,892 141 908 2,843 3,751
Substance Use Disorder1,2,9 5,230 321 1,286 3,624 4,909
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 1,890 240 611 1,039 1,650
Needing But Not Receiving Treatment for Alcohol Use10 3,792 132 925 2,735 3,660
Needing But Not Receiving Treatment for Substance Use1,2,10 4,986 305 1,218 3,463 4,681
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 470 1,875 2,345
Any Mental Illness4,11 -- -- 1,942 8,663 10,605
Received Mental Health Services12 -- -- 938 6,557 7,495
Had Serious Thoughts of Suicide13 -- -- 761 1,706 2,467
Major Depressive Episode4,14 -- 791 911 2,885 3,796
171013

WEST REGION

Table 10 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the West Region, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.62 9.14 25.25 10.89 12.98
Past Year Marijuana Use 16.49 13.55 34.39 13.79 16.80
Past Month Marijuana Use 10.68 7.52 22.73 9.01 11.01
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.59 23.90 13.58 29.16 26.87
First Use of Marijuana3,4 2.24 5.75 8.18 0.53 1.62
Past Month Illicit Drug Use Other Than Marijuana1,2 3.83 2.74 7.92 3.26 3.94
Past Year Cocaine Use 2.22 0.81 6.61 1.64 2.36
Perceptions of Great Risk from Using Cocaine Once a Month 68.37 54.52 62.01 71.12 69.78
Past Year Heroin Use 0.32 0.05 0.59 0.30 0.34
Perceptions of Great Risk from Trying Heroin Once or Twice 83.57 62.86 81.68 86.36 85.68
Past Year Misuse of Pain Relievers2,5 4.85 3.72 8.29 4.40 4.97
ALCOHOL          
Past Month Alcohol Use 50.67 9.06 54.76 55.01 54.98
Past Month Binge Alcohol Use6 23.68 5.09 36.08 23.82 25.61
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
46.52 43.36 39.56 48.09 46.84
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 18.18 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 11.50 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 19.18 4.52 26.69 19.68 20.70
Past Month Cigarette Use 15.82 3.13 21.72 16.35 17.13
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
75.55 69.47 71.20 77.03 76.17
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.24 4.01 7.84 2.36 3.16
Pain Reliever Use Disorder2,5,9 0.69 0.57 1.05 0.65 0.71
Alcohol Use Disorder9 6.14 2.38 10.85 5.80 6.53
Substance Use Disorder1,2,9 8.26 5.40 15.36 7.39 8.55
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.98 4.05 7.30 2.12 2.87
Needing But Not Receiving Treatment for Alcohol Use10 5.99 2.23 11.06 5.58 6.38
Needing But Not Receiving Treatment for Substance Use1,2,10 7.87 5.13 14.56 7.06 8.15
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.62 3.82 4.09
Any Mental Illness4,11 -- -- 23.21 17.67 18.48
Received Mental Health Services12 -- -- 11.21 13.37 13.06
Had Serious Thoughts of Suicide13 -- -- 9.09 3.48 4.30
Major Depressive Episode4,14 -- 13.32 10.89 5.88 6.61
171013

ALABAMA

Table 11 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alabama, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 289 26 88 174 262
Past Year Marijuana Use 386 38 135 212 348
Past Month Marijuana Use 213 20 74 119 193
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,413 130 92 1,191 1,283
First Use of Marijuana3,4 41 15 21 5 26
Past Month Illicit Drug Use Other Than Marijuana1,2 136 8 43 85 128
Past Year Cocaine Use 49 1 15 32 48
Perceptions of Great Risk from Using Cocaine Once a Month 3,186 227 383 2,576 2,959
Past Year Heroin Use 13 0 4 9 13
Perceptions of Great Risk from Trying Heroin Once or Twice 3,579 256 448 2,875 3,323
Past Year Misuse of Pain Relievers2,5 209 19 53 137 190
ALCOHOL          
Past Month Alcohol Use 1,656 31 265 1,361 1,626
Past Month Binge Alcohol Use6 861 17 175 669 844
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,891 168 209 1,514 1,723
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 103 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 65 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,169 29 190 951 1,140
Past Month Cigarette Use 920 18 144 758 901
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
2,854 257 334 2,262 2,597
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 121 10 40 71 111
Pain Reliever Use Disorder2,5,9 38 2 8 28 36
Alcohol Use Disorder9 169 6 47 115 163
Substance Use Disorder1,2,9 258 15 72 171 243
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 107 10 37 60 98
Needing But Not Receiving Treatment for Alcohol Use10 164 7 45 111 157
Needing But Not Receiving Treatment for Substance Use1,2,10 238 13 68 157 225
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 27 129 156
Any Mental Illness4,11 -- -- 105 575 680
Received Mental Health Services12 -- -- 55 423 478
Had Serious Thoughts of Suicide13 -- -- 38 94 132
Major Depressive Episode4,14 -- 42 52 193 245
171013

ALABAMA

Table 12 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alabama, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 7.10 6.99 16.91 5.50 7.12
Past Year Marijuana Use 9.50 10.11 25.90 6.72 9.44
Past Month Marijuana Use 5.25 5.20 14.25 3.77 5.25
Perceptions of Great Risk from Smoking Marijuana Once a Month 34.79 34.45 17.52 37.71 34.82
First Use of Marijuana3,4 1.53 4.19 6.39 0.27 1.12
Past Month Illicit Drug Use Other Than Marijuana1,2 3.35 2.10 8.14 2.70 3.47
Past Year Cocaine Use 1.21 0.33 2.96 1.02 1.30
Perceptions of Great Risk from Using Cocaine Once a Month 78.48 60.04 73.25 81.54 80.35
Past Year Heroin Use 0.31 0.01 0.68 0.29 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 88.18 67.66 85.75 91.00 90.25
Past Year Misuse of Pain Relievers2,5 5.14 5.05 10.11 4.33 5.15
ALCOHOL          
Past Month Alcohol Use 40.79 8.08 50.76 43.06 44.16
Past Month Binge Alcohol Use6 21.21 4.45 33.51 21.18 22.93
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
46.56 44.37 39.94 47.93 46.79
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 17.32 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 10.94 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 28.79 7.65 36.26 30.09 30.96
Past Month Cigarette Use 22.65 4.83 27.51 23.98 24.48
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
70.28 67.98 63.96 71.60 70.52
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.99 2.74 7.68 2.24 3.01
Pain Reliever Use Disorder2,5,9 0.94 0.47 1.49 0.90 0.98
Alcohol Use Disorder9 4.16 1.67 9.08 3.64 4.42
Substance Use Disorder1,2,9 6.35 3.87 13.79 5.41 6.60
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.64 2.52 7.15 1.91 2.66
Needing But Not Receiving Treatment for Alcohol Use10 4.03 1.79 8.70 3.52 4.26
Needing But Not Receiving Treatment for Substance Use1,2,10 5.86 3.42 13.08 4.96 6.11
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.07 4.09 4.23
Any Mental Illness4,11 -- -- 20.07 18.20 18.47
Received Mental Health Services12 -- -- 10.60 13.38 12.98
Had Serious Thoughts of Suicide13 -- -- 7.27 2.96 3.57
Major Depressive Episode4,14 -- 11.18 9.99 6.12 6.66
171013

ALASKA

Table 13 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alaska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 103 8 24 71 95
Past Year Marijuana Use 134 11 34 89 123
Past Month Marijuana Use 93 6 22 65 87
Perceptions of Great Risk from Smoking Marijuana Once a Month 106 11 10 85 95
First Use of Marijuana3,4 8 3 3 1 5
Past Month Illicit Drug Use Other Than Marijuana1,2 22 2 6 14 20
Past Year Cocaine Use 12 1 5 7 12
Perceptions of Great Risk from Using Cocaine Once a Month 391 32 50 309 359
Past Year Heroin Use 4 0 1 3 4
Perceptions of Great Risk from Trying Heroin Once or Twice 482 37 65 380 446
Past Year Misuse of Pain Relievers2,5 29 2 7 19 26
ALCOHOL          
Past Month Alcohol Use 307 6 47 254 301
Past Month Binge Alcohol Use6 145 3 31 111 142
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
243 23 28 192 220
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 12 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 173 6 30 137 167
Past Month Cigarette Use 136 4 24 107 132
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
411 36 53 321 375
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 25 3 7 15 22
Pain Reliever Use Disorder2,5,9 4 0 1 3 4
Alcohol Use Disorder9 40 2 8 30 38
Substance Use Disorder1,2,9 56 5 13 38 51
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 20 3 7 11 17
Needing But Not Receiving Treatment for Alcohol Use10 38 1 8 29 37
Needing But Not Receiving Treatment for Substance Use1,2,10 51 3 11 37 48
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6 18 24
Any Mental Illness4,11 -- -- 22 83 105
Received Mental Health Services12 -- -- 11 60 71
Had Serious Thoughts of Suicide13 -- -- 9 18 27
Major Depressive Episode4,14 -- 9 10 28 39
171013

ALASKA

Table 14 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alaska, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 17.62 13.22 29.81 15.97 18.11
Past Year Marijuana Use 23.00 18.86 41.88 20.09 23.46
Past Month Marijuana Use 16.03 10.43 27.65 14.65 16.66
Perceptions of Great Risk from Smoking Marijuana Once a Month 18.17 18.88 11.95 19.24 18.09
First Use of Marijuana3,4 3.56 7.79 10.76 0.81 2.51
Past Month Illicit Drug Use Other Than Marijuana1,2 3.84 3.62 7.97 3.11 3.86
Past Year Cocaine Use 2.12 0.89 5.83 1.61 2.26
Perceptions of Great Risk from Using Cocaine Once a Month 66.96 53.40 62.37 69.59 68.47
Past Year Heroin Use 0.75 0.09 1.33 0.73 0.82
Perceptions of Great Risk from Trying Heroin Once or Twice 82.71 62.05 81.64 85.62 85.00
Past Year Misuse of Pain Relievers2,5 4.95 4.04 9.19 4.30 5.05
ALCOHOL          
Past Month Alcohol Use 52.72 10.23 58.93 57.24 57.50
Past Month Binge Alcohol Use6 24.96 5.59 38.37 25.08 27.14
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
41.66 39.14 34.77 43.27 41.95
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 22.08 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.07 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 29.64 9.68 37.95 30.78 31.89
Past Month Cigarette Use 23.35 7.20 30.46 24.19 25.16
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
70.37 60.68 66.46 72.37 71.45
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 4.32 4.80 8.81 3.44 4.27
Pain Reliever Use Disorder2,5,9 0.76 0.62 1.10 0.72 0.78
Alcohol Use Disorder9 6.82 2.59 10.45 6.72 7.30
Substance Use Disorder1,2,9 9.58 8.33 15.85 8.60 9.72
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 3.45 4.42 8.30 2.43 3.34
Needing But Not Receiving Treatment for Alcohol Use10 6.54 2.28 10.06 6.47 7.02
Needing But Not Receiving Treatment for Substance Use1,2,10 8.78 5.83 13.59 8.30 9.12
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 7.17 4.04 4.53
Any Mental Illness4,11 -- -- 27.17 18.70 20.01
Received Mental Health Services12 -- -- 13.38 13.57 13.54
Had Serious Thoughts of Suicide13 -- -- 11.76 3.94 5.15
Major Depressive Episode4,14 -- 15.22 12.85 6.40 7.39
171013

ARIZONA

Table 15 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arizona, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 568 48 157 363 520
Past Year Marijuana Use 696 65 214 417 631
Past Month Marijuana Use 422 37 133 252 385
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,638 149 109 1,380 1,489
First Use of Marijuana3,4 64 25 27 12 39
Past Month Illicit Drug Use Other Than Marijuana1,2 223 15 57 151 208
Past Year Cocaine Use 118 4 46 67 113
Perceptions of Great Risk from Using Cocaine Once a Month 3,977 305 474 3,198 3,673
Past Year Heroin Use 26 0 7 19 26
Perceptions of Great Risk from Trying Heroin Once or Twice 4,818 358 616 3,844 4,460
Past Year Misuse of Pain Relievers2,5 267 23 59 185 244
ALCOHOL          
Past Month Alcohol Use 2,901 44 403 2,454 2,857
Past Month Binge Alcohol Use6 1,285 24 256 1,005 1,260
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
2,724 255 289 2,180 2,469
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 132 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 82 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,230 24 225 981 1,206
Past Month Cigarette Use 1,024 16 178 830 1,008
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
4,202 379 512 3,310 3,822
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 198 26 65 108 172
Pain Reliever Use Disorder2,5,9 43 4 8 31 39
Alcohol Use Disorder9 304 13 85 206 292
Substance Use Disorder1,2,9 431 31 124 276 400
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 165 26 59 80 139
Needing But Not Receiving Treatment for Alcohol Use10 290 12 86 191 278
Needing But Not Receiving Treatment for Substance Use1,2,10 416 29 116 271 387
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 41 167 208
Any Mental Illness4,11 -- -- 154 748 902
Received Mental Health Services12 -- -- 78 533 611
Had Serious Thoughts of Suicide13 -- -- 67 140 206
Major Depressive Episode4,14 -- 64 64 246 310
171013

ARIZONA

Table 16 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arizona, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.97 8.79 21.05 8.24 10.10
Past Year Marijuana Use 12.22 11.86 28.68 9.48 12.26
Past Month Marijuana Use 7.42 6.75 17.81 5.74 7.49
Perceptions of Great Risk from Smoking Marijuana Once a Month 28.75 27.10 14.64 31.37 28.92
First Use of Marijuana3,4 2.01 5.12 7.31 0.50 1.46
Past Month Illicit Drug Use Other Than Marijuana1,2 3.92 2.72 7.62 3.44 4.05
Past Year Cocaine Use 2.07 0.79 6.22 1.52 2.20
Perceptions of Great Risk from Using Cocaine Once a Month 69.86 55.56 63.55 72.70 71.37
Past Year Heroin Use 0.45 0.03 0.88 0.43 0.50
Perceptions of Great Risk from Trying Heroin Once or Twice 84.64 65.29 82.60 87.36 86.67
Past Year Misuse of Pain Relievers2,5 4.69 4.21 7.92 4.20 4.74
ALCOHOL          
Past Month Alcohol Use 50.94 7.95 54.01 55.78 55.53
Past Month Binge Alcohol Use6 22.56 4.43 34.25 22.84 24.49
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
47.83 46.50 38.70 49.56 47.98
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 16.74 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 10.44 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 21.60 4.35 30.19 22.29 23.44
Past Month Cigarette Use 17.98 2.94 23.81 18.87 19.59
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
73.79 69.14 68.63 75.24 74.28
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.48 4.69 8.68 2.44 3.35
Pain Reliever Use Disorder2,5,9 0.75 0.65 1.14 0.70 0.76
Alcohol Use Disorder9 5.34 2.28 11.46 4.68 5.66
Substance Use Disorder1,2,9 7.57 5.62 16.66 6.28 7.78
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.89 4.75 7.91 1.81 2.69
Needing But Not Receiving Treatment for Alcohol Use10 5.09 2.24 11.54 4.35 5.39
Needing But Not Receiving Treatment for Substance Use1,2,10 7.30 5.23 15.59 6.15 7.52
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.52 3.79 4.04
Any Mental Illness4,11 -- -- 20.65 16.99 17.52
Received Mental Health Services12 -- -- 10.44 12.12 11.87
Had Serious Thoughts of Suicide13 -- -- 8.92 3.18 4.01
Major Depressive Episode4,14 -- 11.68 8.61 5.60 6.03
171013

ARKANSAS

Table 17 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arkansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 219 18 57 144 201
Past Year Marijuana Use 274 25 83 166 249
Past Month Marijuana Use 172 13 49 110 159
Perceptions of Great Risk from Smoking Marijuana Once a Month 774 74 54 646 700
First Use of Marijuana3,4 25 10 12 3 15
Past Month Illicit Drug Use Other Than Marijuana1,2 81 8 21 53 74
Past Year Cocaine Use 30 1 10 19 29
Perceptions of Great Risk from Using Cocaine Once a Month 1,908 141 236 1,531 1,767
Past Year Heroin Use 5 0 1 3 5
Perceptions of Great Risk from Trying Heroin Once or Twice 2,129 158 271 1,701 1,972
Past Year Misuse of Pain Relievers2,5 121 11 26 83 109
ALCOHOL          
Past Month Alcohol Use 988 21 157 810 967
Past Month Binge Alcohol Use6 500 12 105 383 488
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,072 106 112 854 967
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 52 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 33 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 773 18 117 639 756
Past Month Cigarette Use 638 13 95 530 625
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
1,719 158 212 1,349 1,561
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 63 7 18 37 55
Pain Reliever Use Disorder2,5,9 20 1 3 15 18
Alcohol Use Disorder9 123 5 31 86 118
Substance Use Disorder1,2,9 164 10 42 113 155
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 54 7 18 30 48
Needing But Not Receiving Treatment for Alcohol Use10 109 5 29 74 104
Needing But Not Receiving Treatment for Substance Use1,2,10 149 9 42 98 139
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 19 102 121
Any Mental Illness4,11 -- -- 73 395 468
Received Mental Health Services12 -- -- 41 305 346
Had Serious Thoughts of Suicide13 -- -- 27 72 100
Major Depressive Episode4,14 -- 31 34 147 181
171013

ARKANSAS

Table 18 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arkansas, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.90 7.60 17.97 7.55 9.04
Past Year Marijuana Use 11.14 10.69 26.24 8.68 11.18
Past Month Marijuana Use 6.98 5.59 15.49 5.74 7.13
Perceptions of Great Risk from Smoking Marijuana Once a Month 31.41 31.12 16.91 33.88 31.44
First Use of Marijuana3,4 1.72 4.56 6.71 0.31 1.23
Past Month Illicit Drug Use Other Than Marijuana1,2 3.30 3.22 6.47 2.78 3.31
Past Year Cocaine Use 1.23 0.47 3.15 1.01 1.31
Perceptions of Great Risk from Using Cocaine Once a Month 77.49 59.64 74.13 80.24 79.36
Past Year Heroin Use 0.20 0.05 0.45 0.18 0.22
Perceptions of Great Risk from Trying Heroin Once or Twice 86.48 66.62 85.07 89.14 88.56
Past Year Misuse of Pain Relievers2,5 4.89 4.67 8.28 4.36 4.92
ALCOHOL          
Past Month Alcohol Use 40.14 8.93 49.43 42.45 43.45
Past Month Binge Alcohol Use6 20.29 4.99 32.92 20.08 21.91
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
43.53 44.59 35.27 44.78 43.42
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 15.18 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 9.84 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 31.40 7.40 36.64 33.50 33.95
Past Month Cigarette Use 25.90 5.30 29.90 27.79 28.09
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
69.81 66.84 66.58 70.72 70.12
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.54 3.07 5.73 1.94 2.48
Pain Reliever Use Disorder2,5,9 0.80 0.60 1.09 0.78 0.82
Alcohol Use Disorder9 4.98 2.14 9.82 4.52 5.28
Substance Use Disorder1,2,9 6.67 4.16 13.13 5.91 6.94
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.21 2.80 5.51 1.59 2.15
Needing But Not Receiving Treatment for Alcohol Use10 4.41 2.09 9.21 3.90 4.66
Needing But Not Receiving Treatment for Substance Use1,2,10 6.03 3.89 13.06 5.13 6.26
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.98 5.36 5.45
Any Mental Illness4,11 -- -- 22.88 20.71 21.02
Received Mental Health Services12 -- -- 12.89 15.97 15.54
Had Serious Thoughts of Suicide13 -- -- 8.60 3.78 4.47
Major Depressive Episode4,14 -- 13.05 10.60 7.72 8.13
171013

CALIFORNIA

Table 19 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in California, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 4,097 270 1,133 2,694 3,827
Past Year Marijuana Use 5,296 402 1,495 3,399 4,894
Past Month Marijuana Use 3,429 223 1,016 2,190 3,206
Perceptions of Great Risk from Smoking Marijuana Once a Month 9,592 723 630 8,239 8,869
First Use of Marijuana3,4 385 150 169 66 235
Past Month Illicit Drug Use Other Than Marijuana1,2 1,302 81 361 859 1,220
Past Year Cocaine Use 790 23 315 452 767
Perceptions of Great Risk from Using Cocaine Once a Month 22,481 1,662 2,747 18,072 20,819
Past Year Heroin Use 77 1 19 57 76
Perceptions of Great Risk from Trying Heroin Once or Twice 27,396 1,906 3,610 21,880 25,491
Past Year Misuse of Pain Relievers2,5 1,530 106 353 1,070 1,423
ALCOHOL          
Past Month Alcohol Use 16,226 276 2,380 13,570 15,951
Past Month Binge Alcohol Use6 7,822 155 1,583 6,084 7,667
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
15,952 1,336 1,842 12,773 14,616
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 843 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 533 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 5,540 119 1,017 4,405 5,421
Past Month Cigarette Use 4,667 81 850 3,736 4,586
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
25,519 2,148 3,272 20,098 23,370
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 1,068 120 346 602 949
Pain Reliever Use Disorder2,5,9 206 17 38 151 188
Alcohol Use Disorder9 2,088 71 468 1,549 2,017
Substance Use Disorder1,2,9 2,757 154 659 1,944 2,603
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 1,015 122 326 567 893
Needing But Not Receiving Treatment for Alcohol Use10 2,039 66 492 1,481 1,973
Needing But Not Receiving Treatment for Substance Use1,2,10 2,639 154 634 1,850 2,484
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 222 845 1,068
Any Mental Illness4,11 -- -- 977 4,095 5,072
Received Mental Health Services12 -- -- 418 3,009 3,427
Had Serious Thoughts of Suicide13 -- -- 376 797 1,173
Major Depressive Episode4,14 -- 393 468 1,318 1,786
171013

CALIFORNIA

Table 20 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in California, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.56 8.89 25.75 10.70 12.94
Past Year Marijuana Use 16.23 13.23 33.98 13.50 16.54
Past Month Marijuana Use 10.51 7.33 23.09 8.70 10.84
Perceptions of Great Risk from Smoking Marijuana Once a Month 29.38 23.78 14.32 32.71 29.96
First Use of Marijuana3,4 2.08 5.68 7.57 0.48 1.48
Past Month Illicit Drug Use Other Than Marijuana1,2 3.99 2.67 8.21 3.41 4.12
Past Year Cocaine Use 2.42 0.75 7.16 1.80 2.59
Perceptions of Great Risk from Using Cocaine Once a Month 68.92 54.68 62.42 71.76 70.37
Past Year Heroin Use 0.24 0.04 0.43 0.23 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 84.00 62.70 82.06 86.88 86.16
Past Year Misuse of Pain Relievers2,5 4.69 3.50 8.03 4.25 4.81
ALCOHOL          
Past Month Alcohol Use 49.74 9.08 54.10 53.88 53.91
Past Month Binge Alcohol Use6 23.97 5.10 35.97 24.16 25.91
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
48.89 43.97 41.87 50.72 49.40
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 17.87 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 11.29 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 16.98 3.91 23.10 17.49 18.32
Past Month Cigarette Use 14.30 2.66 19.32 14.84 15.50
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
78.22 70.69 74.37 79.81 78.99
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.27 3.94 7.87 2.39 3.21
Pain Reliever Use Disorder2,5,9 0.63 0.57 0.86 0.60 0.64
Alcohol Use Disorder9 6.40 2.33 10.64 6.15 6.82
Substance Use Disorder1,2,9 8.45 5.07 14.97 7.72 8.80
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 3.11 4.03 7.41 2.25 3.02
Needing But Not Receiving Treatment for Alcohol Use10 6.25 2.16 11.17 5.88 6.67
Needing But Not Receiving Treatment for Substance Use1,2,10 8.09 5.08 14.40 7.35 8.40
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.05 3.36 3.61
Any Mental Illness4,11 -- -- 22.21 16.26 17.15
Received Mental Health Services12 -- -- 9.51 11.95 11.59
Had Serious Thoughts of Suicide13 -- -- 8.54 3.17 3.96
Major Depressive Episode4,14 -- 12.93 10.65 5.23 6.04
171013

COLORADO

Table 21 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Colorado, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 785 43 206 537 743
Past Year Marijuana Use 1,057 68 284 705 988
Past Month Marijuana Use 728 38 192 497 689
Perceptions of Great Risk from Smoking Marijuana Once a Month 798 75 50 673 722
First Use of Marijuana3,4 77 26 38 13 51
Past Month Illicit Drug Use Other Than Marijuana1,2 172 12 52 109 161
Past Year Cocaine Use 111 4 49 57 106
Perceptions of Great Risk from Using Cocaine Once a Month 3,004 224 340 2,441 2,781
Past Year Heroin Use 16 0 4 12 16
Perceptions of Great Risk from Trying Heroin Once or Twice 3,771 258 476 3,037 3,513
Past Year Misuse of Pain Relievers2,5 238 18 57 162 219
ALCOHOL          
Past Month Alcohol Use 2,628 43 380 2,205 2,586
Past Month Binge Alcohol Use6 1,212 24 261 926 1,187
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,907 172 192 1,543 1,734
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 142 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 90 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 967 20 196 751 947
Past Month Cigarette Use 766 14 153 599 752
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
3,377 289 400 2,688 3,088
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 138 16 47 75 122
Pain Reliever Use Disorder2,5,9 36 2 9 25 33
Alcohol Use Disorder9 293 11 69 213 282
Substance Use Disorder1,2,9 388 28 100 260 360
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 131 17 44 71 114
Needing But Not Receiving Treatment for Alcohol Use10 296 10 69 217 286
Needing But Not Receiving Treatment for Substance Use1,2,10 378 23 98 257 355
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 40 152 191
Any Mental Illness4,11 -- -- 153 679 832
Received Mental Health Services12 -- -- 86 572 658
Had Serious Thoughts of Suicide13 -- -- 57 146 203
Major Depressive Episode4,14 -- 62 76 241 316
171013

COLORADO

Table 22 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Colorado, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 17.18 10.14 34.49 15.11 17.90
Past Year Marijuana Use 23.12 16.21 47.54 19.85 23.82
Past Month Marijuana Use 15.92 9.08 32.20 14.00 16.62
Perceptions of Great Risk from Smoking Marijuana Once a Month 17.44 17.87 8.33 18.94 17.39
First Use of Marijuana3,4 3.84 7.74 15.97 0.83 2.99
Past Month Illicit Drug Use Other Than Marijuana1,2 3.77 2.74 8.77 3.06 3.88
Past Year Cocaine Use 2.42 1.01 8.18 1.62 2.56
Perceptions of Great Risk from Using Cocaine Once a Month 65.76 53.03 57.01 68.72 67.03
Past Year Heroin Use 0.35 0.03 0.66 0.34 0.38
Perceptions of Great Risk from Trying Heroin Once or Twice 82.56 61.33 79.79 85.50 84.68
Past Year Misuse of Pain Relievers2,5 5.20 4.39 9.61 4.56 5.29
ALCOHOL          
Past Month Alcohol Use 57.53 10.16 63.75 62.10 62.33
Past Month Binge Alcohol Use6 26.52 5.75 43.80 26.08 28.62
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
41.73 40.90 32.12 43.44 41.81
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 21.48 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.66 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 21.16 4.64 32.83 21.16 22.83
Past Month Cigarette Use 16.76 3.44 25.62 16.86 18.12
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
73.90 68.48 67.13 75.68 74.45
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.02 3.84 7.83 2.12 2.94
Pain Reliever Use Disorder2,5,9 0.78 0.55 1.44 0.70 0.81
Alcohol Use Disorder9 6.41 2.60 11.53 6.00 6.79
Substance Use Disorder1,2,9 8.49 6.73 16.77 7.32 8.67
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.88 4.05 7.33 1.99 2.76
Needing But Not Receiving Treatment for Alcohol Use10 6.48 2.44 11.59 6.10 6.89
Needing But Not Receiving Treatment for Substance Use1,2,10 8.27 5.49 16.35 7.24 8.55
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6.65 4.27 4.61
Any Mental Illness4,11 -- -- 25.63 19.11 20.05
Received Mental Health Services12 -- -- 14.38 16.10 15.86
Had Serious Thoughts of Suicide13 -- -- 9.56 4.10 4.88
Major Depressive Episode4,14 -- 14.59 12.66 6.78 7.62
171013

CONNECTICUT

Table 23 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Connecticut, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 335 27 112 196 308
Past Year Marijuana Use 461 39 169 252 421
Past Month Marijuana Use 286 22 105 159 264
Perceptions of Great Risk from Smoking Marijuana Once a Month 726 69 44 613 657
First Use of Marijuana3,4 36 14 17 6 22
Past Month Illicit Drug Use Other Than Marijuana1,2 112 7 36 69 105
Past Year Cocaine Use 76 2 35 39 74
Perceptions of Great Risk from Using Cocaine Once a Month 2,101 154 232 1,715 1,947
Past Year Heroin Use 22 0 5 17 21
Perceptions of Great Risk from Trying Heroin Once or Twice 2,597 183 316 2,097 2,413
Past Year Misuse of Pain Relievers2,5 134 10 28 97 125
ALCOHOL          
Past Month Alcohol Use 1,805 31 262 1,512 1,774
Past Month Binge Alcohol Use6 826 17 179 630 809
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,312 121 126 1,065 1,191
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 116 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 73 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 680 15 131 533 665
Past Month Cigarette Use 548 10 106 432 539
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
2,294 199 272 1,822 2,094
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 111 11 39 60 99
Pain Reliever Use Disorder2,5,9 21 2 3 16 20
Alcohol Use Disorder9 207 8 44 155 199
Substance Use Disorder1,2,9 280 14 71 195 266
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 100 10 33 56 89
Needing But Not Receiving Treatment for Alcohol Use10 197 7 42 148 190
Needing But Not Receiving Treatment for Substance Use1,2,10 259 14 65 179 244
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 21 78 100
Any Mental Illness4,11 -- -- 91 408 500
Received Mental Health Services12 -- -- 59 414 473
Had Serious Thoughts of Suicide13 -- -- 33 71 104
Major Depressive Episode4,14 -- 35 46 144 190
171013

CONNECTICUT

Table 24 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Connecticut, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.95 9.48 28.86 8.21 11.10
Past Year Marijuana Use 15.08 14.11 43.54 10.57 15.18
Past Month Marijuana Use 9.36 7.95 26.94 6.66 9.50
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.76 24.73 11.29 25.69 23.66
First Use of Marijuana3,4 2.31 5.78 9.91 0.49 1.68
Past Month Illicit Drug Use Other Than Marijuana1,2 3.68 2.65 9.27 2.89 3.78
Past Year Cocaine Use 2.48 0.62 9.07 1.62 2.66
Perceptions of Great Risk from Using Cocaine Once a Month 68.78 55.12 59.81 71.82 70.13
Past Year Heroin Use 0.71 0.07 1.21 0.70 0.77
Perceptions of Great Risk from Trying Heroin Once or Twice 85.01 65.55 81.40 87.85 86.94
Past Year Misuse of Pain Relievers2,5 4.39 3.44 7.18 4.05 4.49
ALCOHOL          
Past Month Alcohol Use 59.09 11.21 67.37 63.34 63.91
Past Month Binge Alcohol Use6 27.03 6.09 46.05 26.39 29.14
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
42.93 43.21 32.40 44.61 42.90
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 26.24 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 16.60 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.25 5.40 33.85 22.33 23.95
Past Month Cigarette Use 17.95 3.54 27.43 18.10 19.40
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
75.07 71.27 70.14 76.32 75.45
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.62 4.03 10.06 2.53 3.58
Pain Reliever Use Disorder2,5,9 0.70 0.59 0.87 0.69 0.71
Alcohol Use Disorder9 6.78 2.82 11.34 6.50 7.18
Substance Use Disorder1,2,9 9.17 5.00 18.42 8.16 9.59
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 3.26 3.70 8.55 2.35 3.21
Needing But Not Receiving Treatment for Alcohol Use10 6.45 2.62 10.72 6.20 6.83
Needing But Not Receiving Treatment for Substance Use1,2,10 8.47 5.17 16.77 7.51 8.81
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.44 3.28 3.59
Any Mental Illness4,11 -- -- 23.48 17.11 18.00
Received Mental Health Services12 -- -- 15.28 17.33 17.05
Had Serious Thoughts of Suicide13 -- -- 8.56 2.98 3.76
Major Depressive Episode4,14 -- 12.52 11.73 6.05 6.84
171013

DELAWARE

Table 25 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Delaware, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 82 7 25 51 75
Past Year Marijuana Use 105 10 35 61 95
Past Month Marijuana Use 71 5 23 43 66
Perceptions of Great Risk from Smoking Marijuana Once a Month 212 17 12 183 195
First Use of Marijuana3,4 8 4 4 1 5
Past Month Illicit Drug Use Other Than Marijuana1,2 28 2 7 19 26
Past Year Cocaine Use 15 0 6 9 15
Perceptions of Great Risk from Using Cocaine Once a Month 573 37 64 472 536
Past Year Heroin Use 6 0 1 4 6
Perceptions of Great Risk from Trying Heroin Once or Twice 688 44 81 564 644
Past Year Misuse of Pain Relievers2,5 36 2 7 26 33
ALCOHOL          
Past Month Alcohol Use 416 6 56 354 409
Past Month Binge Alcohol Use6 181 3 38 140 178
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
349 31 38 281 318
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 22 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 14 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 180 3 29 148 177
Past Month Cigarette Use 152 2 23 127 150
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
575 47 68 460 528
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 24 2 8 14 22
Pain Reliever Use Disorder2,5,9 6 0 1 4 6
Alcohol Use Disorder9 49 1 10 37 48
Substance Use Disorder1,2,9 63 3 16 45 60
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 21 2 7 12 18
Needing But Not Receiving Treatment for Alcohol Use10 46 1 10 34 44
Needing But Not Receiving Treatment for Substance Use1,2,10 58 3 14 40 55
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6 25 31
Any Mental Illness4,11 -- -- 21 108 129
Received Mental Health Services12 -- -- 12 98 110
Had Serious Thoughts of Suicide13 -- -- 9 23 32
Major Depressive Episode4,14 -- 8 10 38 48
171013

DELAWARE

Table 26 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Delaware, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.25 9.50 25.33 8.01 10.32
Past Year Marijuana Use 13.18 14.37 35.82 9.57 13.07
Past Month Marijuana Use 8.88 7.35 23.29 6.83 9.03
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.54 24.10 12.77 28.94 26.77
First Use of Marijuana3,4 1.93 5.88 7.76 0.37 1.30
Past Month Illicit Drug Use Other Than Marijuana1,2 3.47 2.48 7.22 3.00 3.56
Past Year Cocaine Use 1.93 0.41 6.10 1.46 2.08
Perceptions of Great Risk from Using Cocaine Once a Month 71.79 54.21 66.07 74.59 73.44
Past Year Heroin Use 0.73 0.09 1.49 0.68 0.79
Perceptions of Great Risk from Trying Heroin Once or Twice 86.20 63.66 82.93 89.14 88.31
Past Year Misuse of Pain Relievers2,5 4.45 3.07 7.34 4.16 4.58
ALCOHOL          
Past Month Alcohol Use 52.04 9.05 57.10 55.96 56.11
Past Month Binge Alcohol Use6 22.63 4.61 38.98 22.09 24.34
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
43.71 44.38 38.74 44.40 43.64
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 21.03 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.28 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.55 4.68 29.86 23.37 24.24
Past Month Cigarette Use 19.03 3.22 23.53 20.07 20.53
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
71.98 68.02 70.32 72.66 72.35
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.05 3.22 8.01 2.27 3.04
Pain Reliever Use Disorder2,5,9 0.74 0.49 1.08 0.71 0.76
Alcohol Use Disorder9 6.13 2.08 10.54 5.89 6.51
Substance Use Disorder1,2,9 7.92 4.32 16.03 7.06 8.26
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.58 3.26 6.85 1.85 2.51
Needing But Not Receiving Treatment for Alcohol Use10 5.73 1.96 10.68 5.38 6.09
Needing But Not Receiving Treatment for Substance Use1,2,10 7.22 4.29 14.83 6.37 7.50
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.91 3.97 4.23
Any Mental Illness4,11 -- -- 21.60 17.11 17.71
Received Mental Health Services12 -- -- 12.18 15.50 15.06
Had Serious Thoughts of Suicide13 -- -- 9.13 3.62 4.35
Major Depressive Episode4,14 -- 11.94 10.34 5.94 6.52
171013

DISTRICT OF COLUMBIA

Table 27 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 98 3 33 61 94
Past Year Marijuana Use 143 4 48 91 138
Past Month Marijuana Use 81 2 30 48 79
Perceptions of Great Risk from Smoking Marijuana Once a Month 98 6 9 83 92
First Use of Marijuana3,4 8 2 5 2 6
Past Month Illicit Drug Use Other Than Marijuana1,2 28 1 9 18 27
Past Year Cocaine Use 20 0 6 14 20
Perceptions of Great Risk from Using Cocaine Once a Month 354 17 52 285 337
Past Year Heroin Use 3 0 0 2 3
Perceptions of Great Risk from Trying Heroin Once or Twice 482 20 75 387 462
Past Year Misuse of Pain Relievers2,5 26 1 6 19 25
ALCOHOL          
Past Month Alcohol Use 397 3 69 325 394
Past Month Binge Alcohol Use6 219 2 50 167 217
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
243 14 32 196 228
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 15 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 10 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 130 1 26 102 128
Past Month Cigarette Use 106 1 20 85 105
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
444 19 68 357 425
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 18 1 6 11 17
Pain Reliever Use Disorder2,5,9 3 0 1 2 3
Alcohol Use Disorder9 49 1 12 36 49
Substance Use Disorder1,2,9 60 2 17 41 58
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 17 1 6 10 16
Needing But Not Receiving Treatment for Alcohol Use10 46 1 13 32 46
Needing But Not Receiving Treatment for Substance Use1,2,10 57 1 16 39 55
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5 16 21
Any Mental Illness4,11 -- -- 20 83 103
Received Mental Health Services12 -- -- 12 71 83
Had Serious Thoughts of Suicide13 -- -- 7 16 23
Major Depressive Episode4,14 -- 3 11 29 40
171013

DISTRICT OF COLUMBIA

Table 28 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.88 10.38 35.22 13.53 17.24
Past Year Marijuana Use 24.68 13.58 51.00 19.99 25.30
Past Month Marijuana Use 14.08 8.07 32.39 10.70 14.41
Perceptions of Great Risk from Smoking Marijuana Once a Month 16.97 19.61 9.84 18.28 16.81
First Use of Marijuana3,4 3.66 6.85 14.69 0.99 3.24
Past Month Illicit Drug Use Other Than Marijuana1,2 4.79 2.18 10.02 3.89 4.94
Past Year Cocaine Use 3.46 0.18 6.75 3.00 3.64
Perceptions of Great Risk from Using Cocaine Once a Month 61.35 54.72 55.51 62.99 61.71
Past Year Heroin Use 0.44 0.02 0.23 0.51 0.47
Perceptions of Great Risk from Trying Heroin Once or Twice 83.38 64.21 79.76 85.40 84.43
Past Year Misuse of Pain Relievers2,5 4.50 2.89 6.89 4.12 4.59
ALCOHOL          
Past Month Alcohol Use 68.65 9.70 73.63 71.64 71.98
Past Month Binge Alcohol Use6 37.90 5.56 53.48 36.88 39.72
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
41.99 46.20 34.34 43.29 41.75
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 26.93 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 17.62 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.43 4.35 28.28 22.46 23.45
Past Month Cigarette Use 18.36 2.05 21.72 18.79 19.28
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
76.92 62.78 72.67 78.75 77.71
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.09 3.40 6.14 2.43 3.07
Pain Reliever Use Disorder2,5,9 0.55 0.45 0.68 0.54 0.56
Alcohol Use Disorder9 8.53 1.88 13.17 8.03 8.91
Substance Use Disorder1,2,9 10.33 5.72 18.19 9.02 10.59
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.92 3.08 5.97 2.28 2.91
Needing But Not Receiving Treatment for Alcohol Use10 8.03 1.78 14.29 7.16 8.38
Needing But Not Receiving Treatment for Substance Use1,2,10 9.80 4.61 17.45 8.57 10.09
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.38 3.61 3.92
Any Mental Illness4,11 -- -- 21.11 18.35 18.82
Received Mental Health Services12 -- -- 12.90 15.65 15.18
Had Serious Thoughts of Suicide13 -- -- 7.93 3.46 4.22
Major Depressive Episode4,14 -- 9.91 11.88 6.34 7.28
171013

FLORIDA

Table 29 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Florida, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,696 121 431 1,145 1,575
Past Year Marijuana Use 2,275 179 664 1,432 2,096
Past Month Marijuana Use 1,331 99 391 842 1,232
Perceptions of Great Risk from Smoking Marijuana Once a Month 5,664 374 328 4,961 5,290
First Use of Marijuana3,4 171 70 75 26 101
Past Month Illicit Drug Use Other Than Marijuana1,2 595 40 125 430 555
Past Year Cocaine Use 283 6 105 171 277
Perceptions of Great Risk from Using Cocaine Once a Month 13,128 834 1,359 10,935 12,294
Past Year Heroin Use 41 3 11 27 38
Perceptions of Great Risk from Trying Heroin Once or Twice 15,256 956 1,661 12,639 14,300
Past Year Misuse of Pain Relievers2,5 706 48 126 532 658
ALCOHOL          
Past Month Alcohol Use 9,301 129 1,134 8,038 9,172
Past Month Binge Alcohol Use6 4,410 69 735 3,606 4,341
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
8,206 633 801 6,772 7,573
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 443 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 263 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 3,583 62 520 3,000 3,520
Past Month Cigarette Use 2,892 41 401 2,450 2,851
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
13,442 1,003 1,414 11,025 12,439
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 427 47 136 244 381
Pain Reliever Use Disorder2,5,9 117 8 20 88 108
Alcohol Use Disorder9 980 31 196 753 949
Substance Use Disorder1,2,9 1,237 60 291 885 1,176
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 394 46 126 222 348
Needing But Not Receiving Treatment for Alcohol Use10 910 30 188 691 880
Needing But Not Receiving Treatment for Substance Use1,2,10 1,168 60 274 834 1,108
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 100 470 570
Any Mental Illness4,11 -- -- 406 2,363 2,769
Received Mental Health Services12 -- -- 199 1,840 2,039
Had Serious Thoughts of Suicide13 -- -- 160 375 535
Major Depressive Episode4,14 -- 180 205 774 979
171013

FLORIDA

Table 30 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Florida, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.75 8.58 21.84 8.16 9.85
Past Year Marijuana Use 13.07 12.72 33.66 10.21 13.10
Past Month Marijuana Use 7.65 7.03 19.82 6.00 7.70
Perceptions of Great Risk from Smoking Marijuana Once a Month 32.52 26.58 16.66 35.37 33.04
First Use of Marijuana3,4 1.66 5.62 7.31 0.32 1.12
Past Month Illicit Drug Use Other Than Marijuana1,2 3.42 2.86 6.35 3.06 3.47
Past Year Cocaine Use 1.63 0.45 5.35 1.22 1.73
Perceptions of Great Risk from Using Cocaine Once a Month 75.42 59.31 68.92 77.95 76.82
Past Year Heroin Use 0.24 0.22 0.58 0.19 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 87.67 67.97 84.27 90.09 89.37
Past Year Misuse of Pain Relievers2,5 4.06 3.42 6.40 3.79 4.11
ALCOHOL          
Past Month Alcohol Use 53.43 9.15 57.50 57.30 57.33
Past Month Binge Alcohol Use6 25.34 4.93 37.28 25.70 27.14
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
47.14 45.02 40.64 48.27 47.33
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.64 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 12.26 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 20.59 4.44 26.37 21.39 22.00
Past Month Cigarette Use 16.62 2.93 20.36 17.46 17.82
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
77.23 71.33 71.73 78.59 77.74
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.45 3.31 6.90 1.74 2.38
Pain Reliever Use Disorder2,5,9 0.67 0.60 1.04 0.62 0.68
Alcohol Use Disorder9 5.63 2.20 9.94 5.36 5.93
Substance Use Disorder1,2,9 7.11 4.30 14.76 6.31 7.35
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.27 3.29 6.40 1.58 2.17
Needing But Not Receiving Treatment for Alcohol Use10 5.23 2.14 9.56 4.93 5.50
Needing But Not Receiving Treatment for Substance Use1,2,10 6.71 4.29 13.90 5.94 6.93
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.06 3.35 3.56
Any Mental Illness4,11 -- -- 20.57 16.84 17.30
Received Mental Health Services12 -- -- 10.09 13.12 12.75
Had Serious Thoughts of Suicide13 -- -- 8.12 2.67 3.34
Major Depressive Episode4,14 -- 12.84 10.40 5.52 6.12
171013

GEORGIA

Table 31 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Georgia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 791 67 230 493 724
Past Year Marijuana Use 1,048 93 338 617 955
Past Month Marijuana Use 607 55 201 351 552
Perceptions of Great Risk from Smoking Marijuana Once a Month 2,608 269 169 2,170 2,340
First Use of Marijuana3,4 91 36 43 12 55
Past Month Illicit Drug Use Other Than Marijuana1,2 297 22 77 198 275
Past Year Cocaine Use 160 3 51 106 157
Perceptions of Great Risk from Using Cocaine Once a Month 6,404 510 797 5,096 5,893
Past Year Heroin Use 14 0 4 10 14
Perceptions of Great Risk from Trying Heroin Once or Twice 7,330 599 945 5,787 6,732
Past Year Misuse of Pain Relievers2,5 345 30 78 237 315
ALCOHOL          
Past Month Alcohol Use 3,859 59 599 3,201 3,800
Past Month Binge Alcohol Use6 1,812 33 376 1,404 1,779
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
3,881 425 463 2,993 3,457
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 195 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 119 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 2,083 50 351 1,682 2,033
Past Month Cigarette Use 1,659 32 280 1,347 1,627
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
6,084 588 744 4,752 5,496
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 213 22 64 126 191
Pain Reliever Use Disorder2,5,9 61 5 10 46 56
Alcohol Use Disorder9 377 15 97 265 362
Substance Use Disorder1,2,9 526 32 137 356 494
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 196 22 64 109 174
Needing But Not Receiving Treatment for Alcohol Use10 364 15 98 250 348
Needing But Not Receiving Treatment for Substance Use1,2,10 499 30 128 341 470
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 50 265 315
Any Mental Illness4,11 -- -- 210 1,131 1,341
Received Mental Health Services12 -- -- 105 804 909
Had Serious Thoughts of Suicide13 -- -- 78 220 298
Major Depressive Episode4,14 -- 87 104 404 508
171013

GEORGIA

Table 32 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Georgia, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.40 7.88 20.71 7.66 9.58
Past Year Marijuana Use 12.46 10.90 30.40 9.57 12.64
Past Month Marijuana Use 7.22 6.40 18.12 5.45 7.31
Perceptions of Great Risk from Smoking Marijuana Once a Month 30.99 31.44 15.24 33.68 30.94
First Use of Marijuana3,4 1.76 4.62 7.07 0.29 1.25
Past Month Illicit Drug Use Other Than Marijuana1,2 3.53 2.55 6.93 3.07 3.64
Past Year Cocaine Use 1.90 0.36 4.61 1.64 2.08
Perceptions of Great Risk from Using Cocaine Once a Month 76.15 59.66 71.67 79.09 77.99
Past Year Heroin Use 0.17 0.03 0.35 0.15 0.18
Perceptions of Great Risk from Trying Heroin Once or Twice 87.18 69.98 84.97 89.81 89.09
Past Year Misuse of Pain Relievers2,5 4.10 3.49 6.98 3.68 4.17
ALCOHOL          
Past Month Alcohol Use 45.88 6.90 53.90 49.67 50.30
Past Month Binge Alcohol Use6 21.54 3.83 33.79 21.78 23.55
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
46.14 49.66 41.67 46.45 45.74
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 15.73 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 9.61 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 24.76 5.82 31.56 26.10 26.90
Past Month Cigarette Use 19.72 3.73 25.15 20.91 21.53
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
72.33 68.70 66.87 73.75 72.74
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.54 2.62 5.80 1.96 2.53
Pain Reliever Use Disorder2,5,9 0.72 0.58 0.87 0.71 0.74
Alcohol Use Disorder9 4.48 1.73 8.76 4.11 4.79
Substance Use Disorder1,2,9 6.25 3.74 12.36 5.53 6.54
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.32 2.57 5.76 1.70 2.30
Needing But Not Receiving Treatment for Alcohol Use10 4.33 1.81 8.81 3.89 4.61
Needing But Not Receiving Treatment for Substance Use1,2,10 5.93 3.45 11.53 5.30 6.22
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 4.49 4.11 4.17
Any Mental Illness4,11 -- -- 18.88 17.55 17.74
Received Mental Health Services12 -- -- 9.43 12.48 12.03
Had Serious Thoughts of Suicide13 -- -- 7.02 3.41 3.94
Major Depressive Episode4,14 -- 10.14 9.39 6.26 6.72
171013

HAWAII

Table 33 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Hawaii, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 119 8 28 83 111
Past Year Marijuana Use 151 13 38 100 138
Past Month Marijuana Use 95 6 25 63 88
Perceptions of Great Risk from Smoking Marijuana Once a Month 342 25 20 297 317
First Use of Marijuana3,4 12 5 5 2 7
Past Month Illicit Drug Use Other Than Marijuana1,2 37 3 10 24 34
Past Year Cocaine Use 23 1 7 15 22
Perceptions of Great Risk from Using Cocaine Once a Month 790 54 87 649 737
Past Year Heroin Use 3 0 1 2 3
Perceptions of Great Risk from Trying Heroin Once or Twice 953 61 111 781 892
Past Year Misuse of Pain Relievers2,5 45 3 10 32 42
ALCOHOL          
Past Month Alcohol Use 509 9 70 430 501
Past Month Binge Alcohol Use6 239 5 46 188 234
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
556 45 55 455 511
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 27 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 17 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 212 4 35 173 208
Past Month Cigarette Use 172 3 31 138 169
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
840 64 91 685 776
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 31 3 10 18 28
Pain Reliever Use Disorder2,5,9 6 0 1 5 6
Alcohol Use Disorder9 58 2 13 42 56
Substance Use Disorder1,2,9 81 4 20 56 77
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 27 3 9 15 24
Needing But Not Receiving Treatment for Alcohol Use10 56 2 15 39 54
Needing But Not Receiving Treatment for Substance Use1,2,10 75 4 19 52 71
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6 27 34
Any Mental Illness4,11 -- -- 29 137 165
Received Mental Health Services12 -- -- 12 84 96
Had Serious Thoughts of Suicide13 -- -- 12 28 40
Major Depressive Episode4,14 -- 11 13 44 57
171013

HAWAII

Table 34 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Hawaii, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.29 8.40 20.93 8.92 10.46
Past Year Marijuana Use 13.05 13.38 28.07 10.82 13.02
Past Month Marijuana Use 8.18 6.63 18.66 6.81 8.32
Perceptions of Great Risk from Smoking Marijuana Once a Month 29.55 26.16 14.69 32.09 29.85
First Use of Marijuana3,4 1.96 6.56 8.25 0.42 1.31
Past Month Illicit Drug Use Other Than Marijuana1,2 3.21 3.11 7.38 2.61 3.22
Past Year Cocaine Use 1.98 0.84 5.01 1.65 2.08
Perceptions of Great Risk from Using Cocaine Once a Month 68.25 55.60 64.47 70.11 69.38
Past Year Heroin Use 0.24 0.01 0.72 0.20 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 82.32 63.33 82.05 84.31 84.02
Past Year Misuse of Pain Relievers2,5 3.87 3.16 7.01 3.48 3.93
ALCOHOL          
Past Month Alcohol Use 43.98 9.10 52.01 46.44 47.15
Past Month Binge Alcohol Use6 20.61 4.89 33.73 20.32 22.04
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
48.02 47.04 40.79 49.18 48.11
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 18.19 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 11.82 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 18.32 4.04 25.73 18.72 19.61
Past Month Cigarette Use 14.86 2.98 22.86 14.92 15.93
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
72.51 65.84 66.99 74.01 73.11
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.67 3.25 7.54 1.89 2.61
Pain Reliever Use Disorder2,5,9 0.53 0.43 0.84 0.50 0.54
Alcohol Use Disorder9 5.01 2.35 9.86 4.58 5.25
Substance Use Disorder1,2,9 6.99 4.28 14.98 6.10 7.23
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.37 3.39 6.95 1.59 2.28
Needing But Not Receiving Treatment for Alcohol Use10 4.85 2.12 10.86 4.26 5.10
Needing But Not Receiving Treatment for Substance Use1,2,10 6.51 4.47 14.15 5.60 6.70
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 4.70 2.96 3.18
Any Mental Illness4,11 -- -- 21.10 14.74 15.55
Received Mental Health Services12 -- -- 8.91 9.04 9.03
Had Serious Thoughts of Suicide13 -- -- 8.99 3.03 3.79
Major Depressive Episode4,14 -- 10.99 9.43 4.78 5.37
171013

IDAHO

Table 35 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Idaho, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 123 12 31 80 111
Past Year Marijuana Use 158 17 44 97 141
Past Month Marijuana Use 94 8 26 60 86
Perceptions of Great Risk from Smoking Marijuana Once a Month 380 45 28 307 335
First Use of Marijuana3,4 15 6 7 2 9
Past Month Illicit Drug Use Other Than Marijuana1,2 45 4 12 28 41
Past Year Cocaine Use 17 1 7 9 16
Perceptions of Great Risk from Using Cocaine Once a Month 963 82 114 766 880
Past Year Heroin Use 4 0 1 3 4
Perceptions of Great Risk from Trying Heroin Once or Twice 1,139 96 138 904 1,042
Past Year Misuse of Pain Relievers2,5 69 6 17 46 63
ALCOHOL          
Past Month Alcohol Use 607 13 84 510 594
Past Month Binge Alcohol Use6 284 7 56 221 277
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
594 63 67 464 531
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 36 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 23 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 286 8 55 223 278
Past Month Cigarette Use 234 7 43 184 227
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
978 99 117 762 878
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 38 5 12 21 33
Pain Reliever Use Disorder2,5,9 12 1 3 8 11
Alcohol Use Disorder9 75 4 19 53 72
Substance Use Disorder1,2,9 104 8 25 71 96
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 35 5 12 18 30
Needing But Not Receiving Treatment for Alcohol Use10 71 4 17 51 67
Needing But Not Receiving Treatment for Substance Use1,2,10 96 7 24 65 89
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 12 49 60
Any Mental Illness4,11 -- -- 44 218 262
Received Mental Health Services12 -- -- 29 173 202
Had Serious Thoughts of Suicide13 -- -- 16 42 59
Major Depressive Episode4,14 -- 23 20 73 92
171013

IDAHO

Table 36 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Idaho, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.02 7.94 17.63 7.72 9.15
Past Year Marijuana Use 11.62 11.73 25.36 9.30 11.61
Past Month Marijuana Use 6.93 5.77 14.70 5.79 7.07
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.92 30.91 15.74 29.58 27.56
First Use of Marijuana3,4 1.80 4.20 6.28 0.39 1.31
Past Month Illicit Drug Use Other Than Marijuana1,2 3.31 2.95 7.11 2.72 3.35
Past Year Cocaine Use 1.26 0.83 3.84 0.88 1.31
Perceptions of Great Risk from Using Cocaine Once a Month 70.78 56.18 64.93 73.82 72.53
Past Year Heroin Use 0.33 0.09 0.64 0.31 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 83.74 65.62 79.03 87.07 85.90
Past Year Misuse of Pain Relievers2,5 5.09 4.08 9.77 4.45 5.21
ALCOHOL          
Past Month Alcohol Use 44.62 8.93 47.92 49.13 48.95
Past Month Binge Alcohol Use6 20.87 4.95 31.87 21.28 22.81
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
43.68 42.91 38.21 44.72 43.77
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 16.74 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 10.65 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 21.04 5.70 31.23 21.50 22.90
Past Month Cigarette Use 17.17 4.49 24.66 17.71 18.71
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
71.86 67.70 66.60 73.34 72.37
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.81 3.46 6.79 2.05 2.73
Pain Reliever Use Disorder2,5,9 0.85 0.57 1.45 0.79 0.88
Alcohol Use Disorder9 5.54 2.56 10.70 5.09 5.90
Substance Use Disorder1,2,9 7.63 5.39 14.23 6.83 7.90
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.56 3.49 6.73 1.73 2.45
Needing But Not Receiving Treatment for Alcohol Use10 5.21 2.47 9.48 4.88 5.55
Needing But Not Receiving Treatment for Substance Use1,2,10 7.06 4.79 13.81 6.25 7.34
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6.70 4.69 4.98
Any Mental Illness4,11 -- -- 25.08 21.03 21.62
Received Mental Health Services12 -- -- 16.47 16.67 16.64
Had Serious Thoughts of Suicide13 -- -- 9.36 4.08 4.84
Major Depressive Episode4,14 -- 15.93 11.17 7.02 7.62
171013

ILLINOIS

Table 37 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Illinois, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 997 82 321 595 916
Past Year Marijuana Use 1,320 121 447 753 1,199
Past Month Marijuana Use 847 68 287 492 779
Perceptions of Great Risk from Smoking Marijuana Once a Month 3,071 279 194 2,599 2,793
First Use of Marijuana3,4 114 45 56 14 69
Past Month Illicit Drug Use Other Than Marijuana1,2 348 26 118 205 323
Past Year Cocaine Use 186 5 68 113 181
Perceptions of Great Risk from Using Cocaine Once a Month 7,716 560 882 6,275 7,156
Past Year Heroin Use 27 0 7 20 27
Perceptions of Great Risk from Trying Heroin Once or Twice 9,207 642 1,134 7,431 8,565
Past Year Misuse of Pain Relievers2,5 435 41 113 282 395
ALCOHOL          
Past Month Alcohol Use 5,726 98 834 4,794 5,628
Past Month Binge Alcohol Use6 2,814 60 591 2,163 2,754
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
4,688 417 472 3,799 4,271
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 318 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 213 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 2,439 61 433 1,945 2,378
Past Month Cigarette Use 2,009 40 363 1,606 1,969
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
7,823 697 946 6,180 7,126
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 277 33 88 156 245
Pain Reliever Use Disorder2,5,9 68 7 11 50 61
Alcohol Use Disorder9 601 23 150 428 578
Substance Use Disorder1,2,9 810 53 203 554 757
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 259 29 80 150 230
Needing But Not Receiving Treatment for Alcohol Use10 583 22 145 416 561
Needing But Not Receiving Treatment for Substance Use1,2,10 759 46 191 522 713
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 71 291 363
Any Mental Illness4,11 -- -- 267 1,260 1,526
Received Mental Health Services12 -- -- 171 1,153 1,324
Had Serious Thoughts of Suicide13 -- -- 116 261 377
Major Depressive Episode4,14 -- 126 131 414 545
171013

ILLINOIS

Table 38 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Illinois, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.30 8.05 23.37 7.14 9.43
Past Year Marijuana Use 12.31 11.87 32.55 9.03 12.36
Past Month Marijuana Use 7.90 6.71 20.87 5.91 8.03
Perceptions of Great Risk from Smoking Marijuana Once a Month 28.63 27.44 14.11 31.20 28.76
First Use of Marijuana3,4 1.84 5.04 7.90 0.31 1.30
Past Month Illicit Drug Use Other Than Marijuana1,2 3.25 2.54 8.57 2.46 3.32
Past Year Cocaine Use 1.74 0.53 4.92 1.36 1.87
Perceptions of Great Risk from Using Cocaine Once a Month 71.99 55.13 64.22 75.31 73.73
Past Year Heroin Use 0.25 0.04 0.49 0.24 0.27
Perceptions of Great Risk from Trying Heroin Once or Twice 85.91 63.19 82.62 89.19 88.26
Past Year Misuse of Pain Relievers2,5 4.06 3.99 8.22 3.38 4.07
ALCOHOL          
Past Month Alcohol Use 53.41 9.66 60.76 57.53 57.99
Past Month Binge Alcohol Use6 26.25 5.92 43.08 25.96 28.38
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
43.73 41.10 34.37 45.60 44.01
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.56 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.75 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.76 6.04 31.53 23.35 24.51
Past Month Cigarette Use 18.74 3.93 26.46 19.28 20.29
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
72.98 68.62 68.93 74.17 73.43
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.59 3.21 6.44 1.87 2.52
Pain Reliever Use Disorder2,5,9 0.63 0.66 0.83 0.60 0.63
Alcohol Use Disorder9 5.60 2.25 10.91 5.14 5.96
Substance Use Disorder1,2,9 7.55 5.21 14.78 6.65 7.80
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.42 2.88 5.85 1.80 2.37
Needing But Not Receiving Treatment for Alcohol Use10 5.44 2.18 10.60 4.99 5.78
Needing But Not Receiving Treatment for Substance Use1,2,10 7.08 4.53 13.90 6.27 7.35
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.20 3.49 3.74
Any Mental Illness4,11 -- -- 19.43 15.12 15.73
Received Mental Health Services12 -- -- 12.44 13.84 13.64
Had Serious Thoughts of Suicide13 -- -- 8.45 3.14 3.89
Major Depressive Episode4,14 -- 12.46 9.54 4.97 5.62
171013

INDIANA

Table 39 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Indiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 549 46 162 341 503
Past Year Marijuana Use 733 73 226 435 661
Past Month Marijuana Use 481 39 146 296 442
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,396 145 94 1,157 1,251
First Use of Marijuana3,4 66 26 31 9 40
Past Month Illicit Drug Use Other Than Marijuana1,2 184 16 54 114 168
Past Year Cocaine Use 73 3 29 40 70
Perceptions of Great Risk from Using Cocaine Once a Month 4,011 305 497 3,209 3,706
Past Year Heroin Use 24 0 6 17 23
Perceptions of Great Risk from Trying Heroin Once or Twice 4,712 355 619 3,738 4,357
Past Year Misuse of Pain Relievers2,5 270 25 73 172 246
ALCOHOL          
Past Month Alcohol Use 2,774 50 442 2,282 2,724
Past Month Binge Alcohol Use6 1,287 30 282 975 1,257
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
2,307 222 249 1,836 2,085
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 175 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 116 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,578 42 278 1,259 1,537
Past Month Cigarette Use 1,254 30 210 1,013 1,224
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
3,770 356 471 2,943 3,414
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 136 17 44 75 119
Pain Reliever Use Disorder2,5,9 42 3 9 30 39
Alcohol Use Disorder9 294 11 85 198 283
Substance Use Disorder1,2,9 391 23 110 258 368
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 124 16 40 68 108
Needing But Not Receiving Treatment for Alcohol Use10 275 11 75 188 264
Needing But Not Receiving Treatment for Substance Use1,2,10 361 22 104 235 339
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 48 196 244
Any Mental Illness4,11 -- -- 185 804 988
Received Mental Health Services12 -- -- 104 658 761
Had Serious Thoughts of Suicide13 -- -- 68 159 227
Major Depressive Episode4,14 -- 79 92 289 381
171013

INDIANA

Table 40 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Indiana, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.00 8.56 21.86 8.09 10.15
Past Year Marijuana Use 13.35 13.47 30.41 10.32 13.33
Past Month Marijuana Use 8.75 7.23 19.60 7.03 8.91
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.39 26.86 12.60 27.48 25.23
First Use of Marijuana3,4 2.15 5.55 7.88 0.40 1.52
Past Month Illicit Drug Use Other Than Marijuana1,2 3.35 2.90 7.30 2.71 3.40
Past Year Cocaine Use 1.32 0.53 3.94 0.96 1.41
Perceptions of Great Risk from Using Cocaine Once a Month 73.01 56.55 66.88 76.18 74.78
Past Year Heroin Use 0.43 0.07 0.86 0.40 0.47
Perceptions of Great Risk from Trying Heroin Once or Twice 85.78 65.74 83.26 88.75 87.93
Past Year Misuse of Pain Relievers2,5 4.92 4.57 9.86 4.09 4.96
ALCOHOL          
Past Month Alcohol Use 50.48 9.32 59.42 54.18 54.97
Past Month Binge Alcohol Use6 23.43 5.62 37.97 23.14 25.37
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
41.98 41.13 33.51 43.59 42.07
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.89 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.86 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 28.72 7.73 37.35 29.89 31.01
Past Month Cigarette Use 22.82 5.60 28.32 24.06 24.70
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
68.61 65.98 63.33 69.88 68.89
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.47 3.13 5.89 1.78 2.40
Pain Reliever Use Disorder2,5,9 0.77 0.57 1.17 0.72 0.79
Alcohol Use Disorder9 5.36 2.07 11.44 4.71 5.72
Substance Use Disorder1,2,9 7.12 4.23 14.81 6.13 7.43
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.26 2.91 5.38 1.62 2.19
Needing But Not Receiving Treatment for Alcohol Use10 5.00 2.09 10.11 4.47 5.32
Needing But Not Receiving Treatment for Substance Use1,2,10 6.56 4.06 13.96 5.58 6.83
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6.49 4.66 4.93
Any Mental Illness4,11 -- -- 24.86 19.08 19.95
Received Mental Health Services12 -- -- 13.97 15.61 15.36
Had Serious Thoughts of Suicide13 -- -- 9.12 3.78 4.58
Major Depressive Episode4,14 -- 14.70 12.37 6.87 7.69
171013

IOWA

Table 41 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Iowa, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 176 16 57 102 160
Past Year Marijuana Use 254 25 96 133 228
Past Month Marijuana Use 142 13 48 82 129
Perceptions of Great Risk from Smoking Marijuana Once a Month 709 72 55 582 637
First Use of Marijuana3,4 30 11 16 4 19
Past Month Illicit Drug Use Other Than Marijuana1,2 72 7 21 44 65
Past Year Cocaine Use 31 1 13 16 30
Perceptions of Great Risk from Using Cocaine Once a Month 1,862 139 228 1,496 1,723
Past Year Heroin Use 5 0 2 3 5
Perceptions of Great Risk from Trying Heroin Once or Twice 2,167 158 286 1,723 2,009
Past Year Misuse of Pain Relievers2,5 105 10 26 70 96
ALCOHOL          
Past Month Alcohol Use 1,494 23 234 1,237 1,471
Past Month Binge Alcohol Use6 758 15 168 575 743
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
915 92 100 723 823
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 67 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 48 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 722 16 136 570 706
Past Month Cigarette Use 560 11 107 443 549
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
1,711 160 220 1,331 1,551
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 59 7 21 31 51
Pain Reliever Use Disorder2,5,9 17 1 3 13 16
Alcohol Use Disorder9 167 6 43 118 161
Substance Use Disorder1,2,9 201 12 52 138 190
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 55 6 19 30 49
Needing But Not Receiving Treatment for Alcohol Use10 164 6 40 118 158
Needing But Not Receiving Treatment for Substance Use1,2,10 189 11 51 127 178
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 20 73 93
Any Mental Illness4,11 -- -- 77 341 418
Received Mental Health Services12 -- -- 54 341 395
Had Serious Thoughts of Suicide13 -- -- 31 62 93
Major Depressive Episode4,14 -- 34 39 119 158
171013

IOWA

Table 42 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Iowa, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 6.76 6.75 16.01 5.11 6.77
Past Year Marijuana Use 9.75 10.48 26.60 6.65 9.68
Past Month Marijuana Use 5.47 5.38 13.25 4.09 5.48
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.22 29.42 15.37 29.10 26.99
First Use of Marijuana3,4 1.83 4.45 7.77 0.31 1.40
Past Month Illicit Drug Use Other Than Marijuana1,2 2.77 2.78 5.90 2.21 2.77
Past Year Cocaine Use 1.19 0.58 3.75 0.80 1.25
Perceptions of Great Risk from Using Cocaine Once a Month 71.58 57.10 63.34 74.80 73.05
Past Year Heroin Use 0.20 0.06 0.51 0.16 0.21
Perceptions of Great Risk from Trying Heroin Once or Twice 83.31 65.07 79.54 86.16 85.15
Past Year Misuse of Pain Relievers2,5 4.05 3.97 7.27 3.48 4.06
ALCOHOL          
Past Month Alcohol Use 57.42 9.42 65.17 61.86 62.36
Past Month Binge Alcohol Use6 29.14 6.15 46.79 28.77 31.51
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
35.16 37.66 27.88 36.16 34.90
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 19.07 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.63 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 27.73 6.54 37.94 28.48 29.92
Past Month Cigarette Use 21.54 4.60 29.66 22.14 23.28
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
65.76 65.75 61.23 66.58 65.76
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.25 2.99 5.72 1.54 2.17
Pain Reliever Use Disorder2,5,9 0.67 0.52 0.96 0.64 0.69
Alcohol Use Disorder9 6.42 2.46 11.95 5.91 6.83
Substance Use Disorder1,2,9 7.73 4.78 14.35 6.90 8.03
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.12 2.56 5.34 1.49 2.08
Needing But Not Receiving Treatment for Alcohol Use10 6.28 2.31 11.06 5.91 6.69
Needing But Not Receiving Treatment for Substance Use1,2,10 7.26 4.34 14.26 6.36 7.56
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.59 3.63 3.93
Any Mental Illness4,11 -- -- 21.52 17.04 17.72
Received Mental Health Services12 -- -- 14.91 17.07 16.75
Had Serious Thoughts of Suicide13 -- -- 8.74 3.08 3.94
Major Depressive Episode4,14 -- 14.09 10.82 5.96 6.69
171013

KANSAS

Table 43 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 191 19 57 115 172
Past Year Marijuana Use 265 30 88 147 235
Past Month Marijuana Use 164 15 52 98 149
Perceptions of Great Risk from Smoking Marijuana Once a Month 620 67 46 507 553
First Use of Marijuana3,4 28 11 12 5 17
Past Month Illicit Drug Use Other Than Marijuana1,2 67 7 18 43 60
Past Year Cocaine Use 29 2 13 15 28
Perceptions of Great Risk from Using Cocaine Once a Month 1,731 134 226 1,370 1,596
Past Year Heroin Use 6 0 2 4 6
Perceptions of Great Risk from Trying Heroin Once or Twice 2,011 152 271 1,588 1,859
Past Year Misuse of Pain Relievers2,5 110 10 26 74 100
ALCOHOL          
Past Month Alcohol Use 1,314 24 192 1,097 1,289
Past Month Binge Alcohol Use6 610 15 131 464 595
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
884 89 105 691 795
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 79 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 54 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 583 14 106 464 569
Past Month Cigarette Use 446 9 78 359 437
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
1,586 164 211 1,211 1,422
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 56 7 19 30 49
Pain Reliever Use Disorder2,5,9 17 1 4 12 16
Alcohol Use Disorder9 120 6 39 76 115
Substance Use Disorder1,2,9 162 12 49 101 150
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 47 6 17 24 41
Needing But Not Receiving Treatment for Alcohol Use10 117 6 38 73 112
Needing But Not Receiving Treatment for Substance Use1,2,10 146 10 47 89 135
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 19 74 93
Any Mental Illness4,11 -- -- 70 317 387
Received Mental Health Services12 -- -- 46 257 303
Had Serious Thoughts of Suicide13 -- -- 31 70 101
Major Depressive Episode4,14 -- 30 36 118 154
171013

KANSAS

Table 44 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kansas, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.08 8.08 17.43 6.39 8.08
Past Year Marijuana Use 11.17 12.42 26.92 8.15 11.03
Past Month Marijuana Use 6.91 6.15 15.73 5.41 7.00
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.17 28.32 14.09 28.10 25.93
First Use of Marijuana3,4 1.89 4.74 6.48 0.48 1.39
Past Month Illicit Drug Use Other Than Marijuana1,2 2.83 2.88 5.38 2.36 2.82
Past Year Cocaine Use 1.24 0.63 3.83 0.84 1.30
Perceptions of Great Risk from Using Cocaine Once a Month 73.08 56.50 69.10 75.98 74.92
Past Year Heroin Use 0.27 0.08 0.55 0.24 0.29
Perceptions of Great Risk from Trying Heroin Once or Twice 84.95 64.05 82.72 88.08 87.25
Past Year Misuse of Pain Relievers2,5 4.65 4.19 7.97 4.11 4.71
ALCOHOL          
Past Month Alcohol Use 55.46 10.27 58.72 60.83 60.50
Past Month Binge Alcohol Use6 25.75 6.36 39.90 25.74 27.91
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
37.33 37.43 31.99 38.30 37.32
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.78 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 14.33 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 24.62 5.86 32.22 25.71 26.71
Past Month Cigarette Use 18.83 3.91 23.75 19.90 20.49
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
66.96 69.13 64.46 67.13 66.72
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.37 2.99 5.76 1.67 2.30
Pain Reliever Use Disorder2,5,9 0.73 0.52 1.13 0.68 0.75
Alcohol Use Disorder9 5.08 2.36 11.96 4.19 5.38
Substance Use Disorder1,2,9 6.82 4.88 15.06 5.59 7.04
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.00 2.67 5.26 1.32 1.93
Needing But Not Receiving Treatment for Alcohol Use10 4.96 2.39 11.74 4.07 5.25
Needing But Not Receiving Treatment for Substance Use1,2,10 6.15 4.31 14.29 4.91 6.35
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.91 4.09 4.37
Any Mental Illness4,11 -- -- 21.42 17.58 18.17
Received Mental Health Services12 -- -- 13.92 14.25 14.20
Had Serious Thoughts of Suicide13 -- -- 9.34 3.88 4.72
Major Depressive Episode4,14 -- 12.53 10.91 6.54 7.21
171013

KENTUCKY

Table 45 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kentucky, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 320 27 85 207 293
Past Year Marijuana Use 470 42 139 290 428
Past Month Marijuana Use 258 21 74 163 237
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,020 99 64 858 921
First Use of Marijuana3,4 39 16 18 5 23
Past Month Illicit Drug Use Other Than Marijuana1,2 118 8 30 80 110
Past Year Cocaine Use 60 2 24 35 59
Perceptions of Great Risk from Using Cocaine Once a Month 2,753 200 318 2,236 2,554
Past Year Heroin Use 17 0 4 13 17
Perceptions of Great Risk from Trying Heroin Once or Twice 3,198 227 398 2,572 2,971
Past Year Misuse of Pain Relievers2,5 176 13 39 123 162
ALCOHOL          
Past Month Alcohol Use 1,505 32 239 1,234 1,473
Past Month Binge Alcohol Use6 812 19 165 628 793
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,557 143 167 1,246 1,413
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 97 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 65 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,260 33 205 1,023 1,228
Past Month Cigarette Use 1,039 22 168 849 1,017
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
2,375 216 283 1,876 2,159
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 109 11 35 63 98
Pain Reliever Use Disorder2,5,9 33 2 6 26 31
Alcohol Use Disorder9 198 7 47 143 191
Substance Use Disorder1,2,9 284 14 68 202 270
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 92 10 30 52 82
Needing But Not Receiving Treatment for Alcohol Use10 177 7 41 128 170
Needing But Not Receiving Treatment for Substance Use1,2,10 246 14 65 168 232
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 28 147 175
Any Mental Illness4,11 -- -- 100 637 737
Received Mental Health Services12 -- -- 73 526 599
Had Serious Thoughts of Suicide13 -- -- 44 125 170
Major Depressive Episode4,14 -- 40 52 200 252
171013

KENTUCKY

Table 46 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kentucky, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.71 8.04 18.15 7.24 8.78
Past Year Marijuana Use 12.79 12.30 29.45 10.11 12.84
Past Month Marijuana Use 7.02 6.13 15.79 5.69 7.11
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.73 29.05 13.54 29.94 27.60
First Use of Marijuana3,4 1.83 5.04 7.17 0.31 1.28
Past Month Illicit Drug Use Other Than Marijuana1,2 3.21 2.41 6.34 2.78 3.29
Past Year Cocaine Use 1.65 0.59 5.09 1.21 1.75
Perceptions of Great Risk from Using Cocaine Once a Month 74.91 58.70 67.45 78.05 76.54
Past Year Heroin Use 0.47 0.04 0.86 0.45 0.51
Perceptions of Great Risk from Trying Heroin Once or Twice 87.02 66.83 84.58 89.79 89.05
Past Year Misuse of Pain Relievers2,5 4.78 3.90 8.31 4.30 4.87
ALCOHOL          
Past Month Alcohol Use 40.94 9.35 50.84 43.06 44.16
Past Month Binge Alcohol Use6 22.10 5.61 35.05 21.93 23.78
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
42.34 42.20 35.41 43.50 42.35
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 19.57 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.16 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 34.28 9.61 43.43 35.71 36.80
Past Month Cigarette Use 28.27 6.51 35.74 29.63 30.49
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
64.61 63.55 60.10 65.47 64.71
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.97 3.31 7.51 2.18 2.94
Pain Reliever Use Disorder2,5,9 0.90 0.49 1.21 0.89 0.94
Alcohol Use Disorder9 5.38 2.08 10.04 5.00 5.71
Substance Use Disorder1,2,9 7.73 4.10 14.40 7.06 8.10
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.50 2.83 6.46 1.81 2.46
Needing But Not Receiving Treatment for Alcohol Use10 4.80 2.06 8.81 4.47 5.08
Needing But Not Receiving Treatment for Substance Use1,2,10 6.69 4.09 13.69 5.85 6.96
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.89 5.14 5.25
Any Mental Illness4,11 -- -- 21.20 22.23 22.08
Received Mental Health Services12 -- -- 15.45 18.35 17.94
Had Serious Thoughts of Suicide13 -- -- 9.36 4.38 5.08
Major Depressive Episode4,14 -- 11.72 11.05 6.97 7.55
171013

LOUISIANA

Table 47 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Louisiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 341 27 108 206 314
Past Year Marijuana Use 429 37 142 250 392
Past Month Marijuana Use 261 21 88 152 240
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,217 117 89 1,010 1,100
First Use of Marijuana3,4 39 16 18 5 23
Past Month Illicit Drug Use Other Than Marijuana1,2 147 11 43 92 135
Past Year Cocaine Use 65 1 22 41 64
Perceptions of Great Risk from Using Cocaine Once a Month 2,874 209 344 2,322 2,665
Past Year Heroin Use 8 0 2 6 8
Perceptions of Great Risk from Trying Heroin Once or Twice 3,305 238 416 2,651 3,067
Past Year Misuse of Pain Relievers2,5 175 14 38 122 160
ALCOHOL          
Past Month Alcohol Use 1,927 39 280 1,608 1,888
Past Month Binge Alcohol Use6 1,007 21 186 800 986
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,702 168 199 1,334 1,533
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 128 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 76 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,170 29 180 961 1,141
Past Month Cigarette Use 988 21 150 818 968
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
2,627 243 336 2,048 2,384
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 105 10 33 63 96
Pain Reliever Use Disorder2,5,9 32 2 5 25 30
Alcohol Use Disorder9 249 10 50 189 240
Substance Use Disorder1,2,9 309 16 69 225 293
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 91 8 31 51 82
Needing But Not Receiving Treatment for Alcohol Use10 229 9 45 175 220
Needing But Not Receiving Treatment for Substance Use1,2,10 289 16 66 207 273
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 25 132 157
Any Mental Illness4,11 -- -- 85 513 599
Received Mental Health Services12 -- -- 54 408 462
Had Serious Thoughts of Suicide13 -- -- 39 108 147
Major Depressive Episode4,14 -- 37 39 185 225
171013

LOUISIANA

Table 48 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Louisiana, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.92 7.29 21.50 6.98 9.09
Past Year Marijuana Use 11.22 10.20 28.25 8.45 11.33
Past Month Marijuana Use 6.82 5.70 17.46 5.15 6.94
Perceptions of Great Risk from Smoking Marijuana Once a Month 31.80 31.97 17.75 34.19 31.78
First Use of Marijuana3,4 1.66 4.68 6.45 0.28 1.15
Past Month Illicit Drug Use Other Than Marijuana1,2 3.83 3.02 8.57 3.13 3.92
Past Year Cocaine Use 1.69 0.29 4.41 1.40 1.84
Perceptions of Great Risk from Using Cocaine Once a Month 75.14 56.87 68.26 78.58 77.07
Past Year Heroin Use 0.22 0.06 0.39 0.20 0.23
Perceptions of Great Risk from Trying Heroin Once or Twice 86.42 64.84 82.65 89.71 88.68
Past Year Misuse of Pain Relievers2,5 4.57 3.93 7.64 4.12 4.63
ALCOHOL          
Past Month Alcohol Use 50.36 10.55 55.58 54.42 54.59
Past Month Binge Alcohol Use6 26.31 5.64 36.98 27.07 28.51
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
44.48 45.81 39.49 45.16 44.33
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 22.73 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.59 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 30.58 7.94 35.74 32.52 32.99
Past Month Cigarette Use 25.84 5.65 29.82 27.67 27.98
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
68.68 66.19 66.72 69.32 68.94
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.75 2.60 6.49 2.13 2.77
Pain Reliever Use Disorder2,5,9 0.83 0.50 1.04 0.83 0.86
Alcohol Use Disorder9 6.51 2.60 10.02 6.40 6.93
Substance Use Disorder1,2,9 8.09 4.34 13.68 7.60 8.48
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.37 2.30 6.24 1.72 2.38
Needing But Not Receiving Treatment for Alcohol Use10 5.99 2.50 8.87 5.93 6.36
Needing But Not Receiving Treatment for Substance Use1,2,10 7.54 4.32 13.11 7.00 7.88
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 4.97 4.45 4.53
Any Mental Illness4,11 -- -- 16.91 17.38 17.31
Received Mental Health Services12 -- -- 10.71 13.80 13.35
Had Serious Thoughts of Suicide13 -- -- 7.78 3.64 4.24
Major Depressive Episode4,14 -- 10.15 7.79 6.27 6.49
171013

MAINE

Table 49 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maine, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 171 10 39 122 161
Past Year Marijuana Use 228 15 52 161 213
Past Month Marijuana Use 169 9 38 122 160
Perceptions of Great Risk from Smoking Marijuana Once a Month 227 19 10 198 208
First Use of Marijuana3,4 12 5 5 2 7
Past Month Illicit Drug Use Other Than Marijuana1,2 32 2 8 21 29
Past Year Cocaine Use 21 1 8 12 20
Perceptions of Great Risk from Using Cocaine Once a Month 818 52 77 689 766
Past Year Heroin Use 5 0 1 4 5
Perceptions of Great Risk from Trying Heroin Once or Twice 984 58 103 823 926
Past Year Misuse of Pain Relievers2,5 46 3 9 34 43
ALCOHOL          
Past Month Alcohol Use 657 11 81 565 646
Past Month Binge Alcohol Use6 286 6 52 228 280
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
461 34 35 393 427
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 36 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 23 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 279 8 44 227 271
Past Month Cigarette Use 230 6 36 189 224
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
818 63 79 675 755
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 31 3 9 19 28
Pain Reliever Use Disorder2,5,9 8 0 2 6 8
Alcohol Use Disorder9 65 2 14 49 63
Substance Use Disorder1,2,9 88 5 20 64 83
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 28 3 8 17 25
Needing But Not Receiving Treatment for Alcohol Use10 63 2 13 48 60
Needing But Not Receiving Treatment for Substance Use1,2,10 83 4 19 59 78
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 7 39 46
Any Mental Illness4,11 -- -- 27 160 187
Received Mental Health Services12 -- -- 22 184 206
Had Serious Thoughts of Suicide13 -- -- 10 30 40
Major Depressive Episode4,14 -- 13 15 61 76
171013

MAINE

Table 50 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maine, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 14.86 10.96 31.20 13.03 15.19
Past Year Marijuana Use 19.81 16.22 41.89 17.19 20.12
Past Month Marijuana Use 14.69 9.70 30.85 13.00 15.12
Perceptions of Great Risk from Smoking Marijuana Once a Month 19.65 20.37 7.86 21.19 19.59
First Use of Marijuana3,4 2.31 6.29 9.58 0.48 1.60
Past Month Illicit Drug Use Other Than Marijuana1,2 2.75 2.61 6.32 2.28 2.76
Past Year Cocaine Use 1.82 0.86 6.44 1.30 1.91
Perceptions of Great Risk from Using Cocaine Once a Month 70.93 56.47 62.04 73.55 72.17
Past Year Heroin Use 0.48 0.02 1.15 0.43 0.52
Perceptions of Great Risk from Trying Heroin Once or Twice 85.39 63.65 82.39 87.89 87.23
Past Year Misuse of Pain Relievers2,5 3.96 3.12 7.37 3.58 4.03
ALCOHOL          
Past Month Alcohol Use 56.97 11.71 64.86 60.35 60.89
Past Month Binge Alcohol Use6 24.80 6.61 41.30 24.36 26.37
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
40.00 37.08 27.99 41.90 40.25
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 24.83 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 16.22 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 24.18 8.32 35.17 24.26 25.55
Past Month Cigarette Use 19.97 6.29 28.52 20.15 21.15
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
70.93 68.94 63.64 72.10 71.09
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.71 3.52 7.35 2.00 2.63
Pain Reliever Use Disorder2,5,9 0.73 0.47 1.22 0.69 0.75
Alcohol Use Disorder9 5.68 2.42 11.61 5.21 5.97
Substance Use Disorder1,2,9 7.63 5.02 15.73 6.79 7.85
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.45 2.93 6.63 1.84 2.41
Needing But Not Receiving Treatment for Alcohol Use10 5.44 2.39 10.10 5.11 5.70
Needing But Not Receiving Treatment for Substance Use1,2,10 7.18 4.85 15.12 6.34 7.38
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.62 4.18 4.35
Any Mental Illness4,11 -- -- 21.87 17.04 17.62
Received Mental Health Services12 -- -- 17.37 19.64 19.37
Had Serious Thoughts of Suicide13 -- -- 7.68 3.22 3.74
Major Depressive Episode4,14 -- 14.25 12.28 6.53 7.21
171013

MARYLAND

Table 51 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maryland, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 579 43 182 354 535
Past Year Marijuana Use 779 63 259 457 716
Past Month Marijuana Use 514 35 169 309 478
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,301 119 72 1,111 1,182
First Use of Marijuana3,4 57 23 26 9 35
Past Month Illicit Drug Use Other Than Marijuana1,2 166 13 45 109 153
Past Year Cocaine Use 90 2 32 56 89
Perceptions of Great Risk from Using Cocaine Once a Month 3,552 263 394 2,895 3,289
Past Year Heroin Use 27 0 5 21 26
Perceptions of Great Risk from Trying Heroin Once or Twice 4,303 299 513 3,491 4,004
Past Year Misuse of Pain Relievers2,5 208 15 48 145 193
ALCOHOL          
Past Month Alcohol Use 2,807 44 385 2,378 2,763
Past Month Binge Alcohol Use6 1,293 24 266 1,003 1,269
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
2,309 213 231 1,866 2,096
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 148 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 91 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,107 25 197 884 1,082
Past Month Cigarette Use 893 16 149 729 877
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
3,845 325 441 3,080 3,521
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 159 14 52 93 145
Pain Reliever Use Disorder2,5,9 36 3 6 28 33
Alcohol Use Disorder9 299 9 71 219 290
Substance Use Disorder1,2,9 412 18 110 284 394
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 130 12 45 73 118
Needing But Not Receiving Treatment for Alcohol Use10 284 8 75 201 276
Needing But Not Receiving Treatment for Substance Use1,2,10 371 17 97 257 353
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 32 124 156
Any Mental Illness4,11 -- -- 135 624 758
Received Mental Health Services12 -- -- 84 540 624
Had Serious Thoughts of Suicide13 -- -- 51 124 175
Major Depressive Episode4,14 -- 58 70 236 307
171013

MARYLAND

Table 52 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maryland, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.52 9.54 29.44 8.95 11.72
Past Year Marijuana Use 15.50 13.85 41.94 11.56 15.67
Past Month Marijuana Use 10.22 7.78 27.34 7.83 10.47
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.89 26.24 11.60 28.11 25.86
First Use of Marijuana3,4 2.24 5.93 10.13 0.46 1.59
Past Month Illicit Drug Use Other Than Marijuana1,2 3.31 2.92 7.22 2.75 3.35
Past Year Cocaine Use 1.80 0.36 5.26 1.42 1.94
Perceptions of Great Risk from Using Cocaine Once a Month 70.72 57.94 63.82 73.25 71.97
Past Year Heroin Use 0.54 0.11 0.86 0.54 0.58
Perceptions of Great Risk from Trying Heroin Once or Twice 85.70 65.98 83.02 88.35 87.63
Past Year Misuse of Pain Relievers2,5 4.15 3.40 7.82 3.66 4.22
ALCOHOL          
Past Month Alcohol Use 55.88 9.73 62.32 60.18 60.47
Past Month Binge Alcohol Use6 25.75 5.36 43.03 25.38 27.77
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
45.97 46.90 37.32 47.22 45.88
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 21.61 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.32 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 22.04 5.57 31.95 22.38 23.67
Past Month Cigarette Use 17.78 3.46 24.05 18.44 19.20
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
76.56 71.55 71.31 77.96 77.06
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.17 3.02 8.49 2.35 3.18
Pain Reliever Use Disorder2,5,9 0.72 0.57 0.90 0.71 0.73
Alcohol Use Disorder9 5.95 1.99 11.45 5.54 6.34
Substance Use Disorder1,2,9 8.20 3.98 17.73 7.19 8.62
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.59 2.64 7.36 1.84 2.59
Needing But Not Receiving Treatment for Alcohol Use10 5.66 1.85 12.06 5.09 6.04
Needing But Not Receiving Treatment for Substance Use1,2,10 7.38 3.83 15.68 6.49 7.74
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.14 3.14 3.41
Any Mental Illness4,11 -- -- 21.77 15.78 16.59
Received Mental Health Services12 -- -- 13.61 13.67 13.66
Had Serious Thoughts of Suicide13 -- -- 8.23 3.13 3.82
Major Depressive Episode4,14 -- 12.69 11.41 5.97 6.71
171013

MASSACHUSETTS

Table 53 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Massachusetts, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 818 50 238 529 767
Past Year Marijuana Use 1,088 70 345 672 1,017
Past Month Marijuana Use 691 42 218 431 649
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,293 114 92 1,087 1,179
First Use of Marijuana3,4 78 26 36 15 51
Past Month Illicit Drug Use Other Than Marijuana1,2 219 11 67 141 208
Past Year Cocaine Use 164 4 72 88 160
Perceptions of Great Risk from Using Cocaine Once a Month 3,777 273 454 3,050 3,504
Past Year Heroin Use 21 0 5 16 21
Perceptions of Great Risk from Trying Heroin Once or Twice 4,958 327 639 3,992 4,631
Past Year Misuse of Pain Relievers2,5 228 14 54 161 214
ALCOHOL          
Past Month Alcohol Use 3,453 55 551 2,847 3,398
Past Month Binge Alcohol Use6 1,663 31 371 1,262 1,633
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
2,324 196 240 1,888 2,128
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 246 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 154 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,194 23 246 925 1,171
Past Month Cigarette Use 975 15 188 772 960
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
4,332 346 551 3,434 3,986
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 195 16 67 112 179
Pain Reliever Use Disorder2,5,9 40 2 7 30 37
Alcohol Use Disorder9 439 12 102 324 426
Substance Use Disorder1,2,9 574 22 149 403 552
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 184 15 60 110 169
Needing But Not Receiving Treatment for Alcohol Use10 403 11 97 294 391
Needing But Not Receiving Treatment for Substance Use1,2,10 512 22 143 347 490
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 48 183 231
Any Mental Illness4,11 -- -- 191 844 1,034
Received Mental Health Services12 -- -- 131 877 1,009
Had Serious Thoughts of Suicide13 -- -- 67 145 212
Major Depressive Episode4,14 -- 67 99 301 400
171013

MASSACHUSETTS

Table 54 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Massachusetts, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 14.01 10.32 30.10 11.61 14.34
Past Year Marijuana Use 18.64 14.45 43.58 14.75 19.02
Past Month Marijuana Use 11.85 8.68 27.58 9.45 12.14
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.14 23.37 11.56 23.86 22.02
First Use of Marijuana3,4 2.80 6.49 10.85 0.72 2.15
Past Month Illicit Drug Use Other Than Marijuana1,2 3.75 2.25 8.44 3.10 3.89
Past Year Cocaine Use 2.80 0.73 9.07 1.94 2.99
Perceptions of Great Risk from Using Cocaine Once a Month 64.73 56.13 57.31 66.93 65.50
Past Year Heroin Use 0.36 0.03 0.66 0.35 0.39
Perceptions of Great Risk from Trying Heroin Once or Twice 84.98 67.09 80.68 87.60 86.57
Past Year Misuse of Pain Relievers2,5 3.90 2.78 6.76 3.53 4.01
ALCOHOL          
Past Month Alcohol Use 59.17 11.31 69.57 62.48 63.53
Past Month Binge Alcohol Use6 28.50 6.35 46.81 27.69 30.52
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
39.83 40.28 30.30 41.44 39.78
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 29.24 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 18.32 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 20.46 4.79 31.03 20.30 21.89
Past Month Cigarette Use 16.71 3.00 23.76 16.95 17.95
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
74.23 71.04 69.56 75.38 74.51
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.34 3.38 8.41 2.46 3.34
Pain Reliever Use Disorder2,5,9 0.68 0.50 0.88 0.66 0.69
Alcohol Use Disorder9 7.52 2.56 12.93 7.11 7.97
Substance Use Disorder1,2,9 9.83 4.54 18.77 8.84 10.31
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 3.15 3.00 7.54 2.41 3.17
Needing But Not Receiving Treatment for Alcohol Use10 6.90 2.33 12.23 6.46 7.31
Needing But Not Receiving Treatment for Substance Use1,2,10 8.78 4.61 18.04 7.62 9.16
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6.08 4.02 4.32
Any Mental Illness4,11 -- -- 24.09 18.51 19.34
Received Mental Health Services12 -- -- 16.59 19.25 18.86
Had Serious Thoughts of Suicide13 -- -- 8.49 3.19 3.97
Major Depressive Episode4,14 -- 13.72 12.55 6.60 7.48
171013

MICHIGAN

Table 55 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Michigan, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,024 76 272 677 948
Past Year Marijuana Use 1,317 112 384 821 1,205
Past Month Marijuana Use 886 62 245 579 824
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,969 181 128 1,661 1,788
First Use of Marijuana3,4 98 39 44 16 60
Past Month Illicit Drug Use Other Than Marijuana1,2 284 21 81 182 263
Past Year Cocaine Use 121 3 42 76 118
Perceptions of Great Risk from Using Cocaine Once a Month 6,121 417 712 4,992 5,704
Past Year Heroin Use 30 1 7 22 29
Perceptions of Great Risk from Trying Heroin Once or Twice 7,177 496 903 5,778 6,681
Past Year Misuse of Pain Relievers2,5 408 31 96 281 377
ALCOHOL          
Past Month Alcohol Use 4,472 81 660 3,731 4,391
Past Month Binge Alcohol Use6 2,133 48 444 1,641 2,085
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
3,285 309 364 2,612 2,976
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 248 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 168 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 2,249 52 377 1,820 2,197
Past Month Cigarette Use 1,855 36 298 1,522 1,820
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
5,841 523 728 4,590 5,317
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 257 27 84 146 229
Pain Reliever Use Disorder2,5,9 66 4 13 49 62
Alcohol Use Disorder9 483 18 120 345 465
Substance Use Disorder1,2,9 652 37 173 442 615
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 230 25 77 128 205
Needing But Not Receiving Treatment for Alcohol Use10 457 18 107 332 439
Needing But Not Receiving Treatment for Substance Use1,2,10 615 35 159 421 580
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 65 274 339
Any Mental Illness4,11 -- -- 242 1,078 1,320
Received Mental Health Services12 -- -- 166 1,062 1,228
Had Serious Thoughts of Suicide13 -- -- 93 206 298
Major Depressive Episode4,14 -- 103 126 396 521
171013

MICHIGAN

Table 56 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Michigan, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.19 9.75 24.52 10.39 12.44
Past Year Marijuana Use 15.68 14.36 34.60 12.61 15.81
Past Month Marijuana Use 10.55 7.98 22.07 8.89 10.81
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.43 23.21 11.53 25.50 23.45
First Use of Marijuana3,4 2.29 5.74 8.06 0.54 1.65
Past Month Illicit Drug Use Other Than Marijuana1,2 3.38 2.64 7.33 2.79 3.45
Past Year Cocaine Use 1.45 0.44 3.79 1.17 1.55
Perceptions of Great Risk from Using Cocaine Once a Month 72.88 53.45 64.23 76.66 74.85
Past Year Heroin Use 0.35 0.09 0.63 0.34 0.38
Perceptions of Great Risk from Trying Heroin Once or Twice 85.47 63.62 81.46 88.73 87.67
Past Year Misuse of Pain Relievers2,5 4.85 3.99 8.65 4.31 4.94
ALCOHOL          
Past Month Alcohol Use 53.24 10.39 59.58 57.30 57.63
Past Month Binge Alcohol Use6 25.40 6.20 40.09 25.20 27.36
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
39.10 39.67 32.83 40.11 39.04
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.96 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 14.18 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 26.78 6.63 34.00 27.96 28.84
Past Month Cigarette Use 22.09 4.58 26.86 23.37 23.88
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
69.54 67.15 65.65 70.48 69.78
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.05 3.48 7.56 2.24 3.01
Pain Reliever Use Disorder2,5,9 0.78 0.50 1.19 0.75 0.81
Alcohol Use Disorder9 5.75 2.36 10.83 5.30 6.10
Substance Use Disorder1,2,9 7.77 4.75 15.62 6.79 8.08
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.74 3.17 6.97 1.97 2.70
Needing But Not Receiving Treatment for Alcohol Use10 5.44 2.32 9.63 5.10 5.76
Needing But Not Receiving Treatment for Substance Use1,2,10 7.33 4.55 14.35 6.46 7.61
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.83 4.21 4.44
Any Mental Illness4,11 -- -- 21.87 16.55 17.33
Received Mental Health Services12 -- -- 14.95 16.31 16.12
Had Serious Thoughts of Suicide13 -- -- 8.35 3.16 3.91
Major Depressive Episode4,14 -- 13.27 11.34 6.08 6.84
171013

MINNESOTA

Table 57 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Minnesota, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 417 32 115 269 384
Past Year Marijuana Use 592 55 184 354 538
Past Month Marijuana Use 336 25 100 211 311
Perceptions of Great Risk from Smoking Marijuana Once a Month 941 103 59 779 838
First Use of Marijuana3,4 53 21 25 7 32
Past Month Illicit Drug Use Other Than Marijuana1,2 146 13 41 92 133
Past Year Cocaine Use 81 3 32 47 78
Perceptions of Great Risk from Using Cocaine Once a Month 3,071 225 339 2,507 2,846
Past Year Heroin Use 13 0 4 9 13
Perceptions of Great Risk from Trying Heroin Once or Twice 3,692 260 441 2,991 3,432
Past Year Misuse of Pain Relievers2,5 200 15 42 143 185
ALCOHOL          
Past Month Alcohol Use 2,738 44 381 2,313 2,694
Past Month Binge Alcohol Use6 1,283 23 265 995 1,261
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,744 166 172 1,407 1,578
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 136 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 82 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,083 24 194 865 1,059
Past Month Cigarette Use 853 18 146 690 836
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
3,204 296 372 2,536 2,908
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 119 15 39 65 104
Pain Reliever Use Disorder2,5,9 30 2 5 23 28
Alcohol Use Disorder9 263 9 70 184 254
Substance Use Disorder1,2,9 354 21 95 237 332
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 108 13 36 59 95
Needing But Not Receiving Treatment for Alcohol Use10 252 9 67 176 243
Needing But Not Receiving Treatment for Substance Use1,2,10 309 18 88 203 291
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 34 143 177
Any Mental Illness4,11 -- -- 140 619 759
Received Mental Health Services12 -- -- 100 695 794
Had Serious Thoughts of Suicide13 -- -- 50 123 173
Major Depressive Episode4,14 -- 57 64 229 292
171013

MINNESOTA

Table 58 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Minnesota, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.08 7.57 20.16 7.49 9.24
Past Year Marijuana Use 12.91 12.76 32.12 9.86 12.92
Past Month Marijuana Use 7.32 5.88 17.42 5.88 7.47
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.47 23.99 10.28 21.70 20.11
First Use of Marijuana3,4 2.19 5.41 8.86 0.40 1.58
Past Month Illicit Drug Use Other Than Marijuana1,2 3.18 3.07 7.07 2.57 3.19
Past Year Cocaine Use 1.77 0.70 5.53 1.30 1.88
Perceptions of Great Risk from Using Cocaine Once a Month 66.90 52.59 59.12 69.84 68.35
Past Year Heroin Use 0.29 0.03 0.72 0.25 0.32
Perceptions of Great Risk from Trying Heroin Once or Twice 80.45 60.79 76.96 83.31 82.43
Past Year Misuse of Pain Relievers2,5 4.36 3.59 7.27 3.99 4.44
ALCOHOL          
Past Month Alcohol Use 59.65 10.38 66.47 64.42 64.71
Past Month Binge Alcohol Use6 27.96 5.32 46.30 27.73 30.29
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
38.00 38.78 29.94 39.19 37.91
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 21.57 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.04 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 23.60 5.63 33.82 24.11 25.45
Past Month Cigarette Use 18.59 4.19 25.47 19.21 20.07
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
69.80 69.10 64.97 70.65 69.87
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.59 3.44 6.73 1.82 2.50
Pain Reliever Use Disorder2,5,9 0.66 0.52 0.96 0.63 0.67
Alcohol Use Disorder9 5.72 2.16 12.22 5.11 6.09
Substance Use Disorder1,2,9 7.71 5.00 16.61 6.61 7.99
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.35 3.03 6.28 1.64 2.28
Needing But Not Receiving Treatment for Alcohol Use10 5.48 1.99 11.64 4.91 5.84
Needing But Not Receiving Treatment for Substance Use1,2,10 6.74 4.31 15.32 5.66 6.99
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.96 3.98 4.25
Any Mental Illness4,11 -- -- 24.49 17.24 18.24
Received Mental Health Services12 -- -- 17.41 19.35 19.08
Had Serious Thoughts of Suicide13 -- -- 8.79 3.41 4.15
Major Depressive Episode4,14 -- 13.39 11.12 6.37 7.02
171013

MISSISSIPPI

Table 59 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Mississippi, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 197 17 59 121 180
Past Year Marijuana Use 231 24 78 130 207
Past Month Marijuana Use 139 12 48 79 127
Perceptions of Great Risk from Smoking Marijuana Once a Month 936 88 78 770 848
First Use of Marijuana3,4 26 10 13 2 15
Past Month Illicit Drug Use Other Than Marijuana1,2 80 7 20 53 74
Past Year Cocaine Use 31 1 9 22 30
Perceptions of Great Risk from Using Cocaine Once a Month 1,953 149 249 1,555 1,805
Past Year Heroin Use 5 0 1 4 5
Perceptions of Great Risk from Trying Heroin Once or Twice 2,147 166 282 1,699 1,982
Past Year Misuse of Pain Relievers2,5 111 11 25 75 100
ALCOHOL          
Past Month Alcohol Use 903 19 155 730 884
Past Month Binge Alcohol Use6 470 10 90 370 460
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,178 118 146 914 1,060
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 58 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 34 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 751 20 116 615 731
Past Month Cigarette Use 590 12 93 484 577
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
1,699 151 220 1,328 1,548
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 67 7 20 40 60
Pain Reliever Use Disorder2,5,9 21 1 3 16 20
Alcohol Use Disorder9 111 4 28 80 107
Substance Use Disorder1,2,9 157 9 40 107 147
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 62 6 21 35 56
Needing But Not Receiving Treatment for Alcohol Use10 105 4 26 75 101
Needing But Not Receiving Treatment for Substance Use1,2,10 145 9 38 98 136
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 15 71 86
Any Mental Illness4,11 -- -- 57 328 385
Received Mental Health Services12 -- -- 32 232 264
Had Serious Thoughts of Suicide13 -- -- 26 58 83
Major Depressive Episode4,14 -- 26 27 106 133
171013

MISSISSIPPI

Table 60 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Mississippi, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.04 6.83 17.78 6.47 8.18
Past Year Marijuana Use 9.46 9.66 23.41 6.95 9.43
Past Month Marijuana Use 5.69 4.95 14.46 4.23 5.77
Perceptions of Great Risk from Smoking Marijuana Once a Month 38.26 36.16 23.48 41.19 38.50
First Use of Marijuana3,4 1.56 4.45 6.39 0.19 1.09
Past Month Illicit Drug Use Other Than Marijuana1,2 3.29 2.79 6.17 2.84 3.35
Past Year Cocaine Use 1.27 0.25 2.66 1.16 1.38
Perceptions of Great Risk from Using Cocaine Once a Month 79.88 60.85 75.35 83.16 81.97
Past Year Heroin Use 0.22 0.01 0.43 0.21 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 87.84 67.81 85.30 90.86 90.02
Past Year Misuse of Pain Relievers2,5 4.54 4.67 7.58 3.99 4.53
ALCOHOL          
Past Month Alcohol Use 36.94 7.69 46.68 39.03 40.18
Past Month Binge Alcohol Use6 19.21 4.11 27.10 19.78 20.89
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
48.16 48.42 44.02 48.88 48.14
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 16.02 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 9.36 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 30.70 8.11 35.01 32.88 33.20
Past Month Cigarette Use 24.12 5.08 28.23 25.88 26.23
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
69.46 61.76 66.44 71.01 70.31
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.73 2.90 6.08 2.11 2.71
Pain Reliever Use Disorder2,5,9 0.86 0.53 1.04 0.87 0.90
Alcohol Use Disorder9 4.56 1.68 8.39 4.25 4.88
Substance Use Disorder1,2,9 6.41 3.87 12.16 5.72 6.69
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.54 2.51 6.43 1.85 2.54
Needing But Not Receiving Treatment for Alcohol Use10 4.31 1.74 7.89 4.01 4.60
Needing But Not Receiving Treatment for Substance Use1,2,10 5.94 3.70 11.63 5.22 6.18
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 4.46 3.82 3.92
Any Mental Illness4,11 -- -- 17.19 17.55 17.49
Received Mental Health Services12 -- -- 9.53 12.41 11.98
Had Serious Thoughts of Suicide13 -- -- 7.72 3.08 3.78
Major Depressive Episode4,14 -- 10.78 8.28 5.65 6.04
171013

MISSOURI

Table 61 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Missouri, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 523 46 139 338 477
Past Year Marijuana Use 668 59 211 398 609
Past Month Marijuana Use 412 29 120 262 382
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,387 138 76 1,173 1,249
First Use of Marijuana3,4 63 22 34 8 41
Past Month Illicit Drug Use Other Than Marijuana1,2 162 20 39 103 142
Past Year Cocaine Use 65 2 25 38 63
Perceptions of Great Risk from Using Cocaine Once a Month 3,738 269 436 3,033 3,468
Past Year Heroin Use 17 0 4 12 16
Perceptions of Great Risk from Trying Heroin Once or Twice 4,401 328 556 3,516 4,072
Past Year Misuse of Pain Relievers2,5 229 22 53 154 207
ALCOHOL          
Past Month Alcohol Use 2,602 47 385 2,170 2,556
Past Month Binge Alcohol Use6 1,269 26 265 977 1,242
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,997 190 205 1,602 1,807
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 147 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 97 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 1,494 40 254 1,200 1,454
Past Month Cigarette Use 1,164 28 200 936 1,135
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
3,340 312 404 2,624 3,028
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 137 15 41 81 122
Pain Reliever Use Disorder2,5,9 39 3 6 29 36
Alcohol Use Disorder9 294 10 77 207 283
Substance Use Disorder1,2,9 388 21 98 269 367
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 120 13 37 70 107
Needing But Not Receiving Treatment for Alcohol Use10 271 10 69 191 261
Needing But Not Receiving Treatment for Substance Use1,2,10 356 21 96 239 335
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 36 155 192
Any Mental Illness4,11 -- -- 127 702 828
Received Mental Health Services12 -- -- 80 641 721
Had Serious Thoughts of Suicide13 -- -- 47 113 160
Major Depressive Episode4,14 -- 67 68 254 321
171013

MISSOURI

Table 62 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Missouri, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.34 9.90 21.31 8.57 10.38
Past Year Marijuana Use 13.19 12.55 32.40 10.09 13.26
Past Month Marijuana Use 8.13 6.23 18.42 6.65 8.32
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.38 29.41 11.67 29.76 27.17
First Use of Marijuana3,4 2.18 5.12 9.59 0.36 1.66
Past Month Illicit Drug Use Other Than Marijuana1,2 3.20 4.26 5.90 2.62 3.09
Past Year Cocaine Use 1.29 0.48 3.90 0.95 1.37
Perceptions of Great Risk from Using Cocaine Once a Month 73.83 57.38 66.75 76.95 75.49
Past Year Heroin Use 0.33 0.05 0.68 0.30 0.36
Perceptions of Great Risk from Trying Heroin Once or Twice 86.94 69.95 85.26 89.20 88.64
Past Year Misuse of Pain Relievers2,5 4.52 4.65 8.18 3.90 4.50
ALCOHOL          
Past Month Alcohol Use 51.39 9.91 59.04 55.07 55.63
Past Month Binge Alcohol Use6 25.05 5.62 40.61 24.79 27.04
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
39.44 40.47 31.42 40.65 39.34
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.88 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 13.78 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 29.51 8.45 38.91 30.46 31.66
Past Month Cigarette Use 22.98 6.06 30.61 23.74 24.71
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
65.96 66.37 61.94 66.58 65.92
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.70 3.24 6.21 2.06 2.64
Pain Reliever Use Disorder2,5,9 0.76 0.61 0.98 0.74 0.78
Alcohol Use Disorder9 5.80 2.21 11.75 5.24 6.17
Substance Use Disorder1,2,9 7.66 4.44 15.05 6.82 7.99
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.38 2.83 5.62 1.79 2.33
Needing But Not Receiving Treatment for Alcohol Use10 5.36 2.20 10.64 4.86 5.68
Needing But Not Receiving Treatment for Substance Use1,2,10 7.02 4.42 14.68 6.07 7.29
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.53 3.94 4.17
Any Mental Illness4,11 -- -- 19.43 17.80 18.03
Received Mental Health Services12 -- -- 12.28 16.27 15.70
Had Serious Thoughts of Suicide13 -- -- 7.18 2.86 3.47
Major Depressive Episode4,14 -- 14.28 10.35 6.43 6.99
171013

MONTANA

Table 63 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Montana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 115 8 29 79 108
Past Year Marijuana Use 160 13 42 105 147
Past Month Marijuana Use 105 6 27 72 98
Perceptions of Great Risk from Smoking Marijuana Once a Month 183 16 11 155 166
First Use of Marijuana3,4 11 4 5 2 7
Past Month Illicit Drug Use Other Than Marijuana1,2 28 2 8 18 25
Past Year Cocaine Use 16 1 6 9 15
Perceptions of Great Risk from Using Cocaine Once a Month 596 42 65 489 554
Past Year Heroin Use 3 0 1 2 3
Perceptions of Great Risk from Trying Heroin Once or Twice 733 47 88 599 687
Past Year Misuse of Pain Relievers2,5 43 3 11 30 40
ALCOHOL          
Past Month Alcohol Use 500 8 69 423 492
Past Month Binge Alcohol Use6 245 5 50 190 240
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
300 26 29 245 274
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 26 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 18 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 251 8 43 200 243
Past Month Cigarette Use 182 5 31 146 177
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
610 48 71 491 562
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 27 3 9 15 24
Pain Reliever Use Disorder2,5,9 7 0 2 5 6
Alcohol Use Disorder9 63 2 16 45 61
Substance Use Disorder1,2,9 77 5 21 52 73
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 23 3 8 12 21
Needing But Not Receiving Treatment for Alcohol Use10 57 2 14 40 55
Needing But Not Receiving Treatment for Substance Use1,2,10 72 4 20 48 68
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 8 35 43
Any Mental Illness4,11 -- -- 28 135 164
Received Mental Health Services12 -- -- 18 113 131
Had Serious Thoughts of Suicide13 -- -- 12 30 42
Major Depressive Episode4,14 -- 10 13 49 62
171013

MONTANA

Table 64 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Montana, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.25 10.23 25.83 11.53 13.53
Past Year Marijuana Use 18.41 17.04 38.05 15.36 18.54
Past Month Marijuana Use 12.02 8.43 23.89 10.48 12.36
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.98 21.98 10.28 22.64 20.89
First Use of Marijuana3,4 2.91 7.02 10.46 0.63 2.11
Past Month Illicit Drug Use Other Than Marijuana1,2 3.18 3.09 6.93 2.57 3.18
Past Year Cocaine Use 1.80 1.08 5.71 1.25 1.87
Perceptions of Great Risk from Using Cocaine Once a Month 68.49 55.88 58.53 71.47 69.65
Past Year Heroin Use 0.32 0.10 0.78 0.27 0.34
Perceptions of Great Risk from Trying Heroin Once or Twice 84.30 63.05 78.99 87.45 86.26
Past Year Misuse of Pain Relievers2,5 4.97 4.03 9.48 4.34 5.06
ALCOHOL          
Past Month Alcohol Use 57.49 11.05 61.98 61.82 61.84
Past Month Binge Alcohol Use6 28.13 6.80 45.16 27.69 30.13
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
34.46 35.43 25.86 35.76 34.37
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 22.04 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 15.38 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 28.82 10.13 38.90 29.22 30.57
Past Month Cigarette Use 20.95 7.08 27.70 21.36 22.25
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
70.08 65.01 63.43 71.72 70.56
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 3.10 4.23 7.71 2.23 3.00
Pain Reliever Use Disorder2,5,9 0.75 0.55 1.37 0.68 0.77
Alcohol Use Disorder9 7.24 2.91 14.65 6.51 7.65
Substance Use Disorder1,2,9 8.90 6.39 18.75 7.57 9.14
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.67 3.55 7.41 1.80 2.58
Needing But Not Receiving Treatment for Alcohol Use10 6.52 2.60 12.92 5.91 6.89
Needing But Not Receiving Treatment for Substance Use1,2,10 8.26 5.56 18.06 6.95 8.51
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 6.99 5.08 5.34
Any Mental Illness4,11 -- -- 25.39 19.79 20.57
Received Mental Health Services12 -- -- 16.61 16.46 16.48
Had Serious Thoughts of Suicide13 -- -- 10.47 4.45 5.29
Major Depressive Episode4,14 -- 13.56 11.45 7.19 7.79
171013

NEBRASKA

Table 65 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Nebraska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 134 10 43 81 123
Past Year Marijuana Use 176 17 64 95 159
Past Month Marijuana Use 112 9 37 66 103
Perceptions of Great Risk from Smoking Marijuana Once a Month 407 43 29 335 364
First Use of Marijuana3,4 19 7 11 2 13
Past Month Illicit Drug Use Other Than Marijuana1,2 49 4 14 31 45
Past Year Cocaine Use 22 1 10 11 21
Perceptions of Great Risk from Using Cocaine Once a Month 1,122 82 136 904 1,039
Past Year Heroin Use 4 0 1 3 4
Perceptions of Great Risk from Trying Heroin Once or Twice 1,316 97 174 1,045 1,219
Past Year Misuse of Pain Relievers2,5 67 6 18 43 61
ALCOHOL          
Past Month Alcohol Use 915 14 133 768 901
Past Month Binge Alcohol Use6 448 9 93 345 438
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
582 57 63 461 524
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 49 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 35 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 409 8 72 329 401
Past Month Cigarette Use 329 6 56 267 323
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
1,043 101 137 804 941
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 37 4 13 20 33
Pain Reliever Use Disorder2,5,9 10 1 2 8 10
Alcohol Use Disorder9 91 4 24 64 88
Substance Use Disorder1,2,9 122 7 31 85 115
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 33 4 12 17 29
Needing But Not Receiving Treatment for Alcohol Use10 92 4 23 66 88
Needing But Not Receiving Treatment for Substance Use1,2,10 109 6 32 71 102
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 12 46 58
Any Mental Illness4,11 -- -- 48 209 258
Received Mental Health Services12 -- -- 34 189 223
Had Serious Thoughts of Suicide13 -- -- 17 45 62
Major Depressive Episode4,14 -- 20 24 74 98
171013

NEBRASKA

Table 66 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Nebraska, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.61 6.87 20.00 6.80 8.80
Past Year Marijuana Use 11.33 11.36 29.84 8.00 11.32
Past Month Marijuana Use 7.21 5.74 17.35 5.58 7.37
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.16 28.21 13.51 28.19 25.93
First Use of Marijuana3,4 1.87 4.32 8.49 0.29 1.45
Past Month Illicit Drug Use Other Than Marijuana1,2 3.13 2.60 6.37 2.62 3.19
Past Year Cocaine Use 1.40 0.62 4.48 0.95 1.49
Perceptions of Great Risk from Using Cocaine Once a Month 72.22 53.87 63.65 76.10 74.20
Past Year Heroin Use 0.24 0.12 0.49 0.22 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 84.75 63.76 81.49 87.99 87.00
Past Year Misuse of Pain Relievers2,5 4.28 3.92 8.30 3.61 4.32
ALCOHOL          
Past Month Alcohol Use 58.92 8.99 62.44 64.70 64.36
Past Month Binge Alcohol Use6 28.81 6.18 43.51 29.09 31.28
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
37.44 37.63 29.75 38.81 37.42
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 20.86 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 14.65 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 26.33 5.20 33.89 27.69 28.63
Past Month Cigarette Use 21.20 3.93 26.28 22.52 23.09
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
67.12 66.44 64.42 67.69 67.19
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 2.39 2.81 6.08 1.67 2.34
Pain Reliever Use Disorder2,5,9 0.67 0.54 0.94 0.64 0.69
Alcohol Use Disorder9 5.88 2.43 11.12 5.38 6.25
Substance Use Disorder1,2,9 7.85 4.43 14.34 7.13 8.23
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 2.12 2.60 5.81 1.39 2.06
Needing But Not Receiving Treatment for Alcohol Use10 5.91 2.30 10.62 5.53 6.30
Needing But Not Receiving Treatment for Substance Use1,2,10 7.00 4.11 14.84 5.97 7.31
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 5.69 3.90 4.17
Any Mental Illness4,11 -- -- 22.75 17.61 18.39
Received Mental Health Services12 -- -- 15.80 15.95 15.93
Had Serious Thoughts of Suicide13 -- -- 8.12 3.76 4.42
Major Depressive Episode4,14 -- 12.97 11.04 6.23 6.96
171013

NEVADA

Table 67 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Nevada, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2015-2016 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 because estimated numbers are shown in thousands.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 252 23 59 170 229
Past Year Marijuana Use 319 33 84 202 286
Past Month Marijuana Use 200 19 52 129 181
Perceptions of Great Risk from Smoking Marijuana Once a Month 628 47 42 539 581
First Use of Marijuana3,4 28 12 10 6 16
Past Month Illicit Drug Use Other Than Marijuana1,2 87 9 19 58 78
Past Year Cocaine Use 45 1 14 29 43
Perceptions of Great Risk from Using Cocaine Once a Month 1,687 115 185 1,388 1,573
Past Year Heroin Use 8 0 2 6 8
Perceptions of Great Risk from Trying Heroin Once or Twice 2,042 140 239 1,664 1,902
Past Year Misuse of Pain Relievers2,5 120 9 23 89 111
ALCOHOL          
Past Month Alcohol Use 1,237 28 153 1,056 1,209
Past Month Binge Alcohol Use6 598 15 97 486 584
Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic
   Beverage Once or Twice a Week
1,082 92 126 865 991
Past Month Alcohol Use7 (Individuals Aged 12 to 20) 70 -- -- -- --
Past Month Binge Alcohol Use6,7 (Individuals Aged 12 to 20) 40 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use8 570 12 82 476 558
Past Month Cigarette Use 480 8 66 406 472
Perceptions of Great Risk from Smoking One or More Packs of Cigarettes
   per Day
1,786 147 204 1,435 1,639
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,9 73 10 20 43 63
Pain Reliever Use Disorder2,5,9 17 1 3 13 16
Alcohol Use Disorder9 129 6 32 92 124
Substance Use Disorder1,2,9 176 12 44 120 164
Needing But Not Receiving Treatment for Illicit Drug Use1,2,10 62 10 18 34 52
Needing But Not Receiving Treatment for Alcohol Use10 121 6 31 85 116
Needing But Not Receiving Treatment for Substance Use1,2,10 169 13 38 118 156
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,11 -- -- 17 76 93
Any Mental Illness4,11 -- -- 63 341 404
Received Mental Health Services12 -- -- 26 231 256
Had Serious Thoughts of Suicide13 -- -- 26 69 95
Major Depressive Episode4,14 -- 35 31 131 162
171013

NEVADA

Table 68 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Nevada, by Age Group: Percentages, Annual Averages Based on 2015-2016 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 Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: 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 (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Prescription psychotherapeutic subtypes were revised in 2016; one effect was the comparability of codeine products between 2015 and 2016.
6 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) 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. In 2015, the definition for females changed from five to four drinks.
7 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.
8 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
9 Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
10 Respondents were classified as needing treatment for a substance use problem if they met the criteria for a substance use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center).
11 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). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment.
12 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
13 Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.
14 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 an individual 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.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015 and 2016.
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.38 10.34 20.36 8.88 10.38
Past Year Marijuana Use 13.13 14.66 29.39 10.51 12.98
Past Month Marijuana Use 8.25 8.65 18.25 6.71 8.21
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.83 20.83 14.78 28.10 26.34
First Use of Marijuana3,4 2.23 6.83 7.66 0.58 1.45
Past Month Illicit Drug Use Other Than Marijuana1,2 3.57 4.07 6.73 3.03 3.52
Past Year Cocaine Use 1.84 0.66 4.82 1.53 1.96
Perceptions of Great Risk from