Go to the Table of Contents

180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 29,519 1,962 8,156 19,400 27,557
Past Year Marijuana Use 39,252 3,038 11,678 24,535 36,214
Past Month Marijuana Use 24,988 1,611 7,387 15,990 23,377
Perceptions of Great Risk from Smoking Marijuana Once a Month 72,913 6,418 4,440 62,056 66,496
First Use of Marijuana3,4 3,105 1,167 1,425 513 1,938
Past Month Illicit Drug Use Other Than Marijuana1,2 9,139 605 2,436 6,097 8,533
Past Year Cocaine Use 5,507 131 2,023 3,353 5,376
Perceptions of Great Risk from Using Cocaine Once a Month 193,711 13,957 22,008 157,746 179,754
Past Year Heroin Use 917 13 220 683 903
Perceptions of Great Risk from Trying Heroin Once or Twice 232,771 16,427 28,501 187,843 216,344
Past Year Methamphetamine Use 1,512 40 320 1,152 1,472
Past Year Misuse of Pain Relievers2 11,297 824 2,457 8,016 10,473
ALCOHOL          
Past Month Alcohol Use 138,664 2,377 19,542 116,745 136,287
Past Month Binge Alcohol Use5 65,982 1,262 12,955 51,765 64,720
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
120,507 10,921 12,925 96,661 109,586
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 7,354 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 4,528 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 62,250 1,270 10,165 50,815 60,980
Past Month Cigarette Use 50,013 821 7,887 41,305 49,192
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
195,523 17,004 23,269 155,250 178,519
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 7,463 765 2,470 4,228 6,698
Pain Reliever Use Disorder2,8 1,715 125 315 1,275 1,590
Alcohol Use Disorder8 14,781 465 3,564 10,751 14,315
Substance Use Disorder1,2,8 19,906 1,028 5,156 13,722 18,878
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 6,635 727 2,265 3,644 5,908
Needing But Not Receiving Treatment for Alcohol Use9 14,133 447 3,442 10,244 13,686
Needing But Not Receiving Treatment for Substance Use1,2,9 18,453 969 4,845 12,640 17,484
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 2,300 8,475 10,775
Any Mental Illness4,10 -- -- 8,242 37,399 45,641
Received Mental Health Services11 -- -- 4,785 31,112 35,897
Had Serious Thoughts of Suicide12 -- -- 3,321 6,987 10,308
Major Depressive Episode4,13 -- 3,243 4,117 12,832 16,949
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.90 7.88 23.69 9.18 11.21
Past Year Marijuana Use 14.50 12.19 33.91 11.61 14.73
Past Month Marijuana Use 9.23 6.46 21.45 7.56 9.51
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.91 25.75 12.89 29.35 27.03
First Use of Marijuana3,4 2.03 5.22 7.98 0.45 1.48
Past Month Illicit Drug Use Other Than Marijuana1,2 3.38 2.43 7.07 2.88 3.47
Past Year Cocaine Use 2.03 0.53 5.88 1.59 2.19
Perceptions of Great Risk from Using Cocaine Once a Month 71.55 56.01 63.91 74.62 73.11
Past Year Heroin Use 0.34 0.05 0.64 0.32 0.37
Perceptions of Great Risk from Trying Heroin Once or Twice 86.00 65.92 82.76 88.85 88.00
Past Year Methamphetamine Use 0.56 0.16 0.93 0.55 0.60
Past Year Misuse of Pain Relievers2 4.17 3.31 7.13 3.79 4.26
ALCOHOL          
Past Month Alcohol Use 51.21 9.54 56.74 55.22 55.43
Past Month Binge Alcohol Use5 24.37 5.06 37.62 24.49 26.33
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
44.50 43.83 37.53 45.72 44.57
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 19.50 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 12.00 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 22.99 5.10 29.52 24.04 24.80
Past Month Cigarette Use 18.47 3.29 22.90 19.54 20.01
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
72.21 68.24 67.57 73.44 72.61
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.76 3.07 7.17 2.00 2.72
Pain Reliever Use Disorder2,8 0.63 0.50 0.91 0.60 0.65
Alcohol Use Disorder8 5.46 1.87 10.35 5.09 5.82
Substance Use Disorder1,2,8 7.35 4.13 14.97 6.49 7.68
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.45 2.92 6.58 1.72 2.40
Needing But Not Receiving Treatment for Alcohol Use9 5.22 1.79 9.99 4.85 5.57
Needing But Not Receiving Treatment for Substance Use1,2,9 6.82 3.89 14.07 5.98 7.11
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.68 4.01 4.38
Any Mental Illness4,10 -- -- 23.93 17.69 18.57
Received Mental Health Services11 -- -- 13.90 14.72 14.60
Had Serious Thoughts of Suicide12 -- -- 9.64 3.31 4.19
Major Depressive Episode4,13 -- 13.01 11.95 6.07 6.89
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 5,536 329 1,634 3,574 5,208
Past Year Marijuana Use 7,239 501 2,285 4,453 6,737
Past Month Marijuana Use 4,713 276 1,498 2,940 4,437
Perceptions of Great Risk from Smoking Marijuana Once a Month 12,153 1,034 711 10,408 11,119
First Use of Marijuana3,4 556 195 263 98 361
Past Month Illicit Drug Use Other Than Marijuana1,2 1,633 84 467 1,083 1,549
Past Year Cocaine Use 1,124 22 403 699 1,102
Perceptions of Great Risk from Using Cocaine Once a Month 33,037 2,278 3,616 27,143 30,759
Past Year Heroin Use 214 2 46 165 212
Perceptions of Great Risk from Trying Heroin Once or Twice 41,230 2,715 4,997 33,517 38,514
Past Year Methamphetamine Use 136 4 28 104 132
Past Year Misuse of Pain Relievers2 1,808 107 399 1,301 1,700
ALCOHOL          
Past Month Alcohol Use 27,062 434 3,810 22,817 26,628
Past Month Binge Alcohol Use5 12,679 238 2,635 9,806 12,441
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
20,642 1,788 2,084 16,770 18,853
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 1,438 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 938 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 10,502 187 1,802 8,513 10,315
Past Month Cigarette Use 8,408 120 1,348 6,940 8,288
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
35,602 2,904 4,172 28,525 32,697
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 1,336 116 462 758 1,220
Pain Reliever Use Disorder2,8 300 17 52 231 283
Alcohol Use Disorder8 2,692 74 662 1,956 2,617
Substance Use Disorder1,2,8 3,656 157 985 2,514 3,499
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 1,187 108 405 674 1,079
Needing But Not Receiving Treatment for Alcohol Use9 2,591 70 635 1,886 2,521
Needing But Not Receiving Treatment for Substance Use1,2,9 3,327 149 908 2,270 3,178
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 396 1,430 1,827
Any Mental Illness4,10 -- -- 1,452 6,446 7,898
Received Mental Health Services11 -- -- 915 5,955 6,870
Had Serious Thoughts of Suicide12 -- -- 572 1,177 1,749
Major Depressive Episode4,13 -- 495 709 2,255 2,964
-- 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.
NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.55 8.06 27.12 9.45 11.87
Past Year Marijuana Use 15.10 12.29 37.92 11.77 15.36
Past Month Marijuana Use 9.83 6.76 24.86 7.77 10.12
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.33 25.34 11.80 27.51 25.33
First Use of Marijuana3,4 2.17 5.34 9.06 0.53 1.65
Past Month Illicit Drug Use Other Than Marijuana1,2 3.41 2.05 7.74 2.86 3.53
Past Year Cocaine Use 2.34 0.53 6.69 1.85 2.51
Perceptions of Great Risk from Using Cocaine Once a Month 68.92 55.84 60.02 71.73 70.12
Past Year Heroin Use 0.45 0.05 0.77 0.44 0.48
Perceptions of Great Risk from Trying Heroin Once or Twice 86.02 66.55 82.95 88.58 87.80
Past Year Methamphetamine Use 0.28 0.10 0.47 0.28 0.30
Past Year Misuse of Pain Relievers2 3.77 2.63 6.62 3.44 3.88
ALCOHOL          
Past Month Alcohol Use 56.44 10.64 63.24 60.30 60.71
Past Month Binge Alcohol Use5 26.45 5.83 43.73 25.92 28.36
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.05 43.83 34.58 44.32 42.98
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 22.91 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.94 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 21.91 4.59 29.91 22.50 23.52
Past Month Cigarette Use 17.54 2.94 22.38 18.34 18.90
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
74.26 71.19 69.24 75.39 74.54
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.79 2.84 7.67 2.00 2.78
Pain Reliever Use Disorder2,8 0.63 0.42 0.86 0.61 0.64
Alcohol Use Disorder8 5.61 1.82 10.98 5.17 5.97
Substance Use Disorder1,2,8 7.63 3.84 16.35 6.64 7.98
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.48 2.65 6.73 1.78 2.46
Needing But Not Receiving Treatment for Alcohol Use9 5.40 1.72 10.54 4.98 5.75
Needing But Not Receiving Treatment for Substance Use1,2,9 6.94 3.65 15.07 6.00 7.25
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.58 3.78 4.16
Any Mental Illness4,10 -- -- 24.10 17.03 18.01
Received Mental Health Services11 -- -- 15.18 15.74 15.66
Had Serious Thoughts of Suicide12 -- -- 9.50 3.11 3.99
Major Depressive Episode4,13 -- 12.14 11.77 5.96 6.76
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 5,868 416 1,693 3,759 5,452
Past Year Marijuana Use 7,896 677 2,469 4,749 7,219
Past Month Marijuana Use 4,984 340 1,529 3,114 4,643
Perceptions of Great Risk from Smoking Marijuana Once a Month 13,543 1,316 811 11,417 12,228
First Use of Marijuana3,4 692 264 327 100 428
Past Month Illicit Drug Use Other Than Marijuana1,2 1,864 128 529 1,206 1,735
Past Year Cocaine Use 1,005 27 383 595 978
Perceptions of Great Risk from Using Cocaine Once a Month 40,605 2,906 4,655 33,044 37,699
Past Year Heroin Use 197 3 48 146 194
Perceptions of Great Risk from Trying Heroin Once or Twice 48,972 3,485 6,109 39,377 45,486
Past Year Methamphetamine Use 287 8 70 209 279
Past Year Misuse of Pain Relievers2 2,421 180 546 1,695 2,241
ALCOHOL          
Past Month Alcohol Use 30,919 536 4,463 25,920 30,383
Past Month Binge Alcohol Use5 15,030 297 3,046 11,687 14,733
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
22,916 2,151 2,430 18,335 20,765
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 1,729 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 1,108 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 14,615 314 2,405 11,896 14,301
Past Month Cigarette Use 11,726 215 1,838 9,673 11,511
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
39,009 3,494 4,706 30,809 35,515
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 1,491 152 486 853 1,339
Pain Reliever Use Disorder2,8 382 26 73 282 355
Alcohol Use Disorder8 3,312 106 842 2,364 3,206
Substance Use Disorder1,2,8 4,342 217 1,126 2,999 4,125
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 1,307 136 434 736 1,170
Needing But Not Receiving Treatment for Alcohol Use9 3,139 100 783 2,255 3,038
Needing But Not Receiving Treatment for Substance Use1,2,9 3,974 204 1,062 2,709 3,771
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 520 1,874 2,394
Any Mental Illness4,10 -- -- 1,830 7,852 9,682
Received Mental Health Services11 -- -- 1,178 7,304 8,482
Had Serious Thoughts of Suicide12 -- -- 733 1,510 2,243
Major Depressive Episode4,13 -- 741 926 2,806 3,732
-- 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.
NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.32 7.82 23.06 8.50 10.57
Past Year Marijuana Use 13.88 12.74 33.63 10.74 14.00
Past Month Marijuana Use 8.76 6.40 20.83 7.04 9.00
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.80 24.74 11.04 25.82 23.70
First Use of Marijuana3,4 2.21 5.51 8.74 0.46 1.62
Past Month Illicit Drug Use Other Than Marijuana1,2 3.28 2.41 7.21 2.73 3.37
Past Year Cocaine Use 1.77 0.51 5.22 1.34 1.90
Perceptions of Great Risk from Using Cocaine Once a Month 71.40 54.66 63.40 74.73 73.11
Past Year Heroin Use 0.35 0.05 0.65 0.33 0.38
Perceptions of Great Risk from Trying Heroin Once or Twice 86.13 65.55 83.20 89.05 88.21
Past Year Methamphetamine Use 0.51 0.16 0.95 0.47 0.54
Past Year Misuse of Pain Relievers2 4.26 3.38 7.44 3.83 4.35
ALCOHOL          
Past Month Alcohol Use 54.36 10.09 60.78 58.62 58.92
Past Month Binge Alcohol Use5 26.42 5.59 41.48 26.43 28.57
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
40.29 40.45 33.09 41.46 40.27
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 21.36 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.70 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 25.69 5.91 32.75 26.90 27.73
Past Month Cigarette Use 20.61 4.04 25.03 21.88 22.32
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
68.59 65.71 64.09 69.67 68.88
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.62 2.86 6.62 1.93 2.60
Pain Reliever Use Disorder2,8 0.67 0.50 1.00 0.64 0.69
Alcohol Use Disorder8 5.82 1.99 11.47 5.35 6.22
Substance Use Disorder1,2,8 7.63 4.09 15.33 6.78 8.00
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.30 2.56 5.91 1.67 2.27
Needing But Not Receiving Treatment for Alcohol Use9 5.52 1.89 10.67 5.10 5.89
Needing But Not Receiving Treatment for Substance Use1,2,9 6.99 3.83 14.46 6.13 7.31
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.09 4.24 4.64
Any Mental Illness4,10 -- -- 24.92 17.76 18.78
Received Mental Health Services11 -- -- 16.04 16.52 16.45
Had Serious Thoughts of Suicide12 -- -- 9.98 3.41 4.35
Major Depressive Episode4,13 -- 13.93 12.61 6.35 7.24
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9,325 698 2,656 5,971 8,627
Past Year Marijuana Use 12,478 1,051 3,877 7,550 11,427
Past Month Marijuana Use 7,617 553 2,361 4,702 7,064
Perceptions of Great Risk from Smoking Marijuana Once a Month 31,106 2,709 1,935 26,462 28,397
First Use of Marijuana3,4 1,041 416 467 158 624
Past Month Illicit Drug Use Other Than Marijuana1,2 3,234 242 848 2,144 2,993
Past Year Cocaine Use 1,782 40 639 1,104 1,742
Perceptions of Great Risk from Using Cocaine Once a Month 76,864 5,522 8,768 62,574 71,342
Past Year Heroin Use 332 5 86 241 327
Perceptions of Great Risk from Trying Heroin Once or Twice 89,072 6,418 10,740 71,914 82,653
Past Year Methamphetamine Use 569 15 123 430 554
Past Year Misuse of Pain Relievers2 4,198 325 917 2,956 3,873
ALCOHOL          
Past Month Alcohol Use 48,026 865 6,768 40,392 47,160
Past Month Binge Alcohol Use5 23,240 440 4,352 18,448 22,800
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
47,218 4,375 5,178 37,665 42,843
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 2,549 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 1,470 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 25,132 523 3,918 20,692 24,610
Past Month Cigarette Use 20,158 329 3,039 16,790 19,829
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
73,239 6,470 8,595 58,174 66,769
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2,672 275 895 1,502 2,397
Pain Reliever Use Disorder2,8 659 49 127 483 610
Alcohol Use Disorder8 5,080 159 1,188 3,732 4,921
Substance Use Disorder1,2,8 6,900 365 1,788 4,747 6,535
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2,346 261 843 1,242 2,085
Needing But Not Receiving Treatment for Alcohol Use9 4,820 157 1,164 3,498 4,662
Needing But Not Receiving Treatment for Substance Use1,2,9 6,403 345 1,693 4,365 6,058
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 800 3,181 3,982
Any Mental Illness4,10 -- -- 2,877 13,910 16,786
Received Mental Health Services11 -- -- 1,628 11,126 12,754
Had Serious Thoughts of Suicide12 -- -- 1,183 2,545 3,728
Major Depressive Episode4,13 -- 1,185 1,397 4,759 6,156
-- 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.
NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.15 7.29 20.75 7.51 9.34
Past Year Marijuana Use 12.25 10.99 30.28 9.49 12.38
Past Month Marijuana Use 7.47 5.78 18.44 5.91 7.65
Perceptions of Great Risk from Smoking Marijuana Once a Month 30.51 28.31 15.12 33.27 30.74
First Use of Marijuana3,4 1.70 4.75 6.59 0.35 1.20
Past Month Illicit Drug Use Other Than Marijuana1,2 3.17 2.53 6.63 2.70 3.24
Past Year Cocaine Use 1.75 0.42 4.99 1.39 1.89
Perceptions of Great Risk from Using Cocaine Once a Month 75.44 57.72 68.49 78.68 77.26
Past Year Heroin Use 0.33 0.05 0.67 0.30 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 87.44 67.09 83.90 90.42 89.51
Past Year Methamphetamine Use 0.56 0.16 0.96 0.54 0.60
Past Year Misuse of Pain Relievers2 4.12 3.40 7.16 3.72 4.19
ALCOHOL          
Past Month Alcohol Use 47.13 9.05 52.87 50.79 51.07
Past Month Binge Alcohol Use5 22.81 4.60 34.00 23.19 24.69
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
46.33 45.73 40.45 47.36 46.40
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.83 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.28 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.66 5.46 30.60 26.02 26.65
Past Month Cigarette Use 19.78 3.44 23.74 21.11 21.48
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
71.87 67.62 67.14 73.14 72.31
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.62 2.88 6.99 1.89 2.60
Pain Reliever Use Disorder2,8 0.65 0.51 1.00 0.61 0.66
Alcohol Use Disorder8 4.99 1.67 9.28 4.69 5.33
Substance Use Disorder1,2,8 6.77 3.82 13.97 5.97 7.08
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.30 2.73 6.59 1.56 2.26
Needing But Not Receiving Treatment for Alcohol Use9 4.73 1.64 9.09 4.40 5.05
Needing But Not Receiving Treatment for Substance Use1,2,9 6.28 3.60 13.22 5.49 6.56
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.25 4.00 4.31
Any Mental Illness4,10 -- -- 22.47 17.49 18.18
Received Mental Health Services11 -- -- 12.72 13.99 13.81
Had Serious Thoughts of Suicide12 -- -- 9.24 3.20 4.03
Major Depressive Episode4,13 -- 12.39 10.91 5.98 6.66
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8,790 520 2,174 6,097 8,270
Past Year Marijuana Use 11,639 809 3,047 7,783 10,830
Past Month Marijuana Use 7,675 442 1,999 5,234 7,233
Perceptions of Great Risk from Smoking Marijuana Once a Month 16,112 1,359 983 13,769 14,752
First Use of Marijuana3,4 817 291 368 157 525
Past Month Illicit Drug Use Other Than Marijuana1,2 2,408 152 592 1,664 2,256
Past Year Cocaine Use 1,596 42 599 955 1,554
Perceptions of Great Risk from Using Cocaine Once a Month 43,205 3,250 4,970 34,985 39,954
Past Year Heroin Use 174 3 41 130 171
Perceptions of Great Risk from Trying Heroin Once or Twice 53,498 3,808 6,655 43,035 49,690
Past Year Methamphetamine Use 520 13 99 409 507
Past Year Misuse of Pain Relievers2 2,871 212 595 2,064 2,659
ALCOHOL          
Past Month Alcohol Use 32,657 541 4,501 27,615 32,116
Past Month Binge Alcohol Use5 15,034 287 2,923 11,824 14,746
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
29,732 2,607 3,234 23,891 27,125
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 1,639 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 1,011 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 12,001 245 2,041 9,714 11,755
Past Month Cigarette Use 9,720 157 1,662 7,902 9,563
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
47,674 4,136 5,796 37,741 43,538
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 1,964 222 627 1,115 1,742
Pain Reliever Use Disorder2,8 375 33 62 279 342
Alcohol Use Disorder8 3,697 126 871 2,700 3,571
Substance Use Disorder1,2,8 5,008 289 1,257 3,462 4,720
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 1,796 222 582 992 1,574
Needing But Not Receiving Treatment for Alcohol Use9 3,583 119 860 2,605 3,464
Needing But Not Receiving Treatment for Substance Use1,2,9 4,749 272 1,182 3,296 4,477
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 583 1,989 2,572
Any Mental Illness4,10 -- -- 2,083 9,191 11,274
Received Mental Health Services11 -- -- 1,065 6,727 7,792
Had Serious Thoughts of Suicide12 -- -- 833 1,756 2,588
Major Depressive Episode4,13 -- 821 1,084 3,012 4,097
-- 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.
NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.73 8.73 26.29 12.24 14.24
Past Year Marijuana Use 18.17 13.58 36.86 15.62 18.64
Past Month Marijuana Use 11.98 7.42 24.18 10.51 12.45
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.14 22.83 11.89 27.64 25.38
First Use of Marijuana3,4 2.33 5.66 8.89 0.57 1.73
Past Month Illicit Drug Use Other Than Marijuana1,2 3.76 2.55 7.16 3.34 3.88
Past Year Cocaine Use 2.49 0.71 7.24 1.92 2.67
Perceptions of Great Risk from Using Cocaine Once a Month 67.48 54.58 60.09 70.23 68.78
Past Year Heroin Use 0.27 0.06 0.49 0.26 0.29
Perceptions of Great Risk from Trying Heroin Once or Twice 83.57 63.93 80.48 86.39 85.54
Past Year Methamphetamine Use 0.81 0.21 1.20 0.82 0.87
Past Year Misuse of Pain Relievers2 4.48 3.56 7.20 4.14 4.58
ALCOHOL          
Past Month Alcohol Use 50.99 9.08 54.43 55.43 55.29
Past Month Binge Alcohol Use5 23.47 4.82 35.35 23.73 25.39
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
46.42 43.77 39.10 47.96 46.69
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 18.09 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.16 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 18.74 4.12 24.68 19.50 20.24
Past Month Cigarette Use 15.18 2.63 20.10 15.86 16.46
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
74.44 69.45 70.09 75.76 74.95
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.07 3.73 7.58 2.24 3.00
Pain Reliever Use Disorder2,8 0.59 0.55 0.76 0.56 0.59
Alcohol Use Disorder8 5.77 2.11 10.54 5.42 6.15
Substance Use Disorder1,2,8 7.82 4.85 15.20 6.95 8.12
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.80 3.72 7.04 1.99 2.71
Needing But Not Receiving Treatment for Alcohol Use9 5.59 1.99 10.40 5.23 5.96
Needing But Not Receiving Treatment for Substance Use1,2,9 7.42 4.57 14.29 6.62 7.71
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.05 3.99 4.43
Any Mental Illness4,10 -- -- 25.19 18.45 19.41
Received Mental Health Services11 -- -- 12.88 13.51 13.42
Had Serious Thoughts of Suicide12 -- -- 10.07 3.52 4.45
Major Depressive Episode4,13 -- 13.79 13.11 6.05 7.05
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 353 27 99 227 326
Past Year Marijuana Use 429 36 136 257 393
Past Month Marijuana Use 259 20 85 155 240
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,245 119 81 1,045 1,126
First Use of Marijuana3,4 41 14 20 7 27
Past Month Illicit Drug Use Other Than Marijuana1,2 140 10 35 94 130
Past Year Cocaine Use 66 1 20 45 65
Perceptions of Great Risk from Using Cocaine Once a Month 3,121 221 368 2,533 2,901
Past Year Heroin Use 12 0 3 9 12
Perceptions of Great Risk from Trying Heroin Once or Twice 3,593 253 442 2,898 3,340
Past Year Methamphetamine Use 32 1 6 25 31
Past Year Misuse of Pain Relievers2 184 16 42 127 168
ALCOHOL          
Past Month Alcohol Use 1,709 33 259 1,417 1,675
Past Month Binge Alcohol Use5 871 17 162 692 855
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,775 160 196 1,419 1,615
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 110 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 64 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,226 30 182 1,014 1,196
Past Month Cigarette Use 955 18 132 805 937
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
2,808 251 332 2,226 2,557
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 116 10 37 69 106
Pain Reliever Use Disorder2,8 31 2 7 23 29
Alcohol Use Disorder8 184 6 41 137 178
Substance Use Disorder1,2,8 268 15 62 191 253
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 101 9 36 55 91
Needing But Not Receiving Treatment for Alcohol Use9 173 6 40 126 166
Needing But Not Receiving Treatment for Substance Use1,2,9 248 13 63 172 235
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 31 147 177
Any Mental Illness4,10 -- -- 111 626 737
Received Mental Health Services11 -- -- 60 456 516
Had Serious Thoughts of Suicide12 -- -- 45 99 144
Major Depressive Episode4,13 -- 45 54 214 268
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.67 7.21 19.11 7.15 8.82
Past Year Marijuana Use 10.54 9.67 26.35 8.08 10.63
Past Month Marijuana Use 6.37 5.26 16.48 4.86 6.48
Perceptions of Great Risk from Smoking Marijuana Once a Month 30.57 31.66 15.68 32.88 30.46
First Use of Marijuana3,4 1.55 3.91 6.30 0.35 1.18
Past Month Illicit Drug Use Other Than Marijuana1,2 3.43 2.71 6.85 2.96 3.51
Past Year Cocaine Use 1.62 0.36 3.84 1.41 1.75
Perceptions of Great Risk from Using Cocaine Once a Month 76.69 58.73 71.28 79.67 78.50
Past Year Heroin Use 0.30 0.02 0.58 0.29 0.33
Perceptions of Great Risk from Trying Heroin Once or Twice 88.31 67.42 85.69 91.16 90.40
Past Year Methamphetamine Use 0.78 0.24 1.12 0.79 0.83
Past Year Misuse of Pain Relievers2 4.53 4.24 8.11 3.98 4.56
ALCOHOL          
Past Month Alcohol Use 41.98 8.88 50.18 44.56 45.34
Past Month Binge Alcohol Use5 21.40 4.43 31.46 21.78 23.13
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.61 42.67 38.05 44.62 43.70
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 18.36 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.80 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 30.12 7.90 35.28 31.91 32.38
Past Month Cigarette Use 23.46 4.80 25.60 25.32 25.36
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
68.99 66.83 64.33 70.00 69.21
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.86 2.73 7.25 2.16 2.87
Pain Reliever Use Disorder2,8 0.77 0.52 1.33 0.71 0.80
Alcohol Use Disorder8 4.51 1.54 7.93 4.30 4.81
Substance Use Disorder1,2,8 6.59 3.96 12.09 6.01 6.86
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.48 2.49 7.08 1.73 2.47
Needing But Not Receiving Treatment for Alcohol Use9 4.24 1.64 7.80 3.97 4.50
Needing But Not Receiving Treatment for Substance Use1,2,9 6.09 3.42 12.18 5.42 6.36
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 5.95 4.62 4.80
Any Mental Illness4,10 -- -- 21.52 19.69 19.95
Received Mental Health Services11 -- -- 11.62 14.35 13.97
Had Serious Thoughts of Suicide12 -- -- 8.71 3.11 3.89
Major Depressive Episode4,13 -- 11.90 10.47 6.72 7.24
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 98 6 21 71 92
Past Year Marijuana Use 133 10 30 93 123
Past Month Marijuana Use 93 5 20 67 87
Perceptions of Great Risk from Smoking Marijuana Once a Month 103 11 9 83 92
First Use of Marijuana3,4 8 3 3 2 5
Past Month Illicit Drug Use Other Than Marijuana1,2 21 1 5 14 19
Past Year Cocaine Use 14 0 4 9 13
Perceptions of Great Risk from Using Cocaine Once a Month 388 31 46 310 357
Past Year Heroin Use 3 0 1 2 3
Perceptions of Great Risk from Trying Heroin Once or Twice 488 37 61 389 450
Past Year Methamphetamine Use 5 0 1 4 5
Past Year Misuse of Pain Relievers2 28 2 6 20 26
ALCOHOL          
Past Month Alcohol Use 302 6 42 254 296
Past Month Binge Alcohol Use5 142 3 27 112 139
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
251 23 25 202 228
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 156 5 26 125 151
Past Month Cigarette Use 115 4 21 91 112
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
410 37 48 325 373
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 22 3 6 13 19
Pain Reliever Use Disorder2,8 4 0 1 3 4
Alcohol Use Disorder8 38 1 9 29 37
Substance Use Disorder1,2,8 53 4 13 36 49
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 18 2 6 10 16
Needing But Not Receiving Treatment for Alcohol Use9 37 1 8 28 36
Needing But Not Receiving Treatment for Substance Use1,2,9 50 3 11 36 46
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6 20 26
Any Mental Illness4,10 -- -- 21 86 107
Received Mental Health Services11 -- -- 10 58 69
Had Serious Thoughts of Suicide12 -- -- 10 18 28
Major Depressive Episode4,13 -- 8 10 30 41
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.81 10.61 27.92 15.75 17.50
Past Year Marijuana Use 22.73 16.51 39.44 20.74 23.43
Past Month Marijuana Use 15.81 8.84 26.27 14.97 16.59
Perceptions of Great Risk from Smoking Marijuana Once a Month 17.51 18.75 11.67 18.36 17.38
First Use of Marijuana3,4 3.22 7.09 8.96 1.05 2.31
Past Month Illicit Drug Use Other Than Marijuana1,2 3.54 2.42 7.17 3.08 3.66
Past Year Cocaine Use 2.32 0.71 5.76 1.95 2.50
Perceptions of Great Risk from Using Cocaine Once a Month 66.25 52.81 60.84 68.89 67.73
Past Year Heroin Use 0.44 0.10 0.91 0.41 0.48
Perceptions of Great Risk from Trying Heroin Once or Twice 83.35 63.59 81.02 86.28 85.52
Past Year Methamphetamine Use 0.84 0.24 1.10 0.87 0.90
Past Year Misuse of Pain Relievers2 4.81 3.65 8.02 4.42 4.94
ALCOHOL          
Past Month Alcohol Use 51.61 10.10 55.68 56.35 56.25
Past Month Binge Alcohol Use5 24.20 5.08 35.75 24.75 26.33
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
42.84 39.50 33.32 44.89 43.22
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 19.53 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.44 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 26.68 8.69 34.77 27.67 28.69
Past Month Cigarette Use 19.65 5.98 27.57 20.11 21.18
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
70.11 63.29 63.68 72.08 70.87
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.69 4.55 7.88 2.88 3.60
Pain Reliever Use Disorder2,8 0.67 0.60 0.79 0.66 0.68
Alcohol Use Disorder8 6.57 2.21 11.26 6.35 7.06
Substance Use Disorder1,2,8 8.98 6.54 16.53 8.04 9.26
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.07 4.15 7.33 2.21 2.95
Needing But Not Receiving Treatment for Alcohol Use9 6.35 1.98 10.27 6.26 6.84
Needing But Not Receiving Treatment for Substance Use1,2,9 8.46 5.33 14.18 7.91 8.81
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 8.53 4.43 5.02
Any Mental Illness4,10 -- -- 27.34 19.14 20.32
Received Mental Health Services11 -- -- 13.42 12.95 13.02
Had Serious Thoughts of Suicide12 -- -- 13.26 4.01 5.34
Major Depressive Episode4,13 -- 14.27 13.28 6.76 7.69
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 624 43 159 422 581
Past Year Marijuana Use 802 61 222 518 741
Past Month Marijuana Use 485 35 143 307 450
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,616 146 107 1,364 1,470
First Use of Marijuana3,4 62 22 27 13 40
Past Month Illicit Drug Use Other Than Marijuana1,2 200 13 44 143 187
Past Year Cocaine Use 122 4 44 75 119
Perceptions of Great Risk from Using Cocaine Once a Month 4,131 320 487 3,323 3,811
Past Year Heroin Use 20 0 6 14 20
Perceptions of Great Risk from Trying Heroin Once or Twice 5,009 369 631 4,010 4,640
Past Year Methamphetamine Use 38 1 10 27 37
Past Year Misuse of Pain Relievers2 247 19 56 173 228
ALCOHOL          
Past Month Alcohol Use 2,917 46 393 2,478 2,872
Past Month Binge Alcohol Use5 1,337 26 250 1,062 1,312
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
2,665 246 298 2,120 2,418
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 147 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 89 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,227 20 209 998 1,207
Past Month Cigarette Use 979 13 164 803 966
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
4,249 389 524 3,336 3,860
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 161 19 53 89 142
Pain Reliever Use Disorder2,8 36 3 7 26 33
Alcohol Use Disorder8 318 10 84 223 308
Substance Use Disorder1,2,8 431 26 119 285 405
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 134 19 48 67 115
Needing But Not Receiving Treatment for Alcohol Use9 299 10 84 204 289
Needing But Not Receiving Treatment for Substance Use1,2,9 412 24 116 272 388
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 48 169 217
Any Mental Illness4,10 -- -- 167 777 944
Received Mental Health Services11 -- -- 85 609 693
Had Serious Thoughts of Suicide12 -- -- 69 141 211
Major Depressive Episode4,13 -- 72 79 263 342
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.77 7.80 21.28 9.39 11.09
Past Year Marijuana Use 13.85 11.05 29.75 11.55 14.14
Past Month Marijuana Use 8.38 6.31 19.09 6.85 8.59
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.91 26.53 14.26 30.37 28.05
First Use of Marijuana3,4 1.87 4.32 6.83 0.53 1.43
Past Month Illicit Drug Use Other Than Marijuana1,2 3.46 2.31 5.89 3.19 3.58
Past Year Cocaine Use 2.11 0.66 5.85 1.67 2.27
Perceptions of Great Risk from Using Cocaine Once a Month 71.38 58.15 65.19 74.02 72.76
Past Year Heroin Use 0.35 0.05 0.77 0.32 0.38
Perceptions of Great Risk from Trying Heroin Once or Twice 86.57 66.92 84.37 89.31 88.60
Past Year Methamphetamine Use 0.66 0.16 1.30 0.61 0.71
Past Year Misuse of Pain Relievers2 4.27 3.41 7.44 3.85 4.36
ALCOHOL          
Past Month Alcohol Use 50.40 8.26 52.61 55.20 54.83
Past Month Binge Alcohol Use5 23.10 4.66 33.39 23.66 25.04
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
46.03 44.68 39.90 47.23 46.18
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.63 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.70 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 21.19 3.60 27.99 22.22 23.04
Past Month Cigarette Use 16.92 2.33 21.92 17.88 18.45
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
73.41 70.53 70.17 74.30 73.71
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.79 3.52 7.07 1.98 2.71
Pain Reliever Use Disorder2,8 0.63 0.52 0.93 0.59 0.64
Alcohol Use Disorder8 5.49 1.85 11.31 4.97 5.88
Substance Use Disorder1,2,8 7.45 4.77 15.98 6.36 7.73
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.32 3.52 6.39 1.49 2.19
Needing But Not Receiving Treatment for Alcohol Use9 5.16 1.82 11.30 4.55 5.51
Needing But Not Receiving Treatment for Substance Use1,2,9 7.12 4.34 15.46 6.07 7.41
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.37 3.76 4.13
Any Mental Illness4,10 -- -- 22.39 17.30 18.02
Received Mental Health Services11 -- -- 11.31 13.56 13.24
Had Serious Thoughts of Suicide12 -- -- 9.28 3.15 4.02
Major Depressive Episode4,13 -- 13.06 10.62 5.86 6.53
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 260 18 59 184 242
Past Year Marijuana Use 312 26 86 201 286
Past Month Marijuana Use 203 14 50 139 189
Perceptions of Great Risk from Smoking Marijuana Once a Month 733 67 45 621 667
First Use of Marijuana3,4 23 10 10 3 13
Past Month Illicit Drug Use Other Than Marijuana1,2 90 7 20 63 83
Past Year Cocaine Use 37 1 12 24 35
Perceptions of Great Risk from Using Cocaine Once a Month 1,913 135 226 1,552 1,778
Past Year Heroin Use 6 0 2 4 6
Perceptions of Great Risk from Trying Heroin Once or Twice 2,142 155 260 1,727 1,988
Past Year Methamphetamine Use 23 1 5 17 22
Past Year Misuse of Pain Relievers2 125 10 24 91 115
ALCOHOL          
Past Month Alcohol Use 987 21 152 814 966
Past Month Binge Alcohol Use5 482 11 100 372 472
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,068 104 112 852 963
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 55 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 34 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 760 18 107 635 742
Past Month Cigarette Use 610 12 87 512 599
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
1,686 153 199 1,334 1,533
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 69 7 19 43 62
Pain Reliever Use Disorder2,8 20 1 3 15 18
Alcohol Use Disorder8 133 5 29 99 128
Substance Use Disorder1,2,8 183 10 43 130 173
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 56 6 17 33 50
Needing But Not Receiving Treatment for Alcohol Use9 117 5 28 84 112
Needing But Not Receiving Treatment for Substance Use1,2,9 162 9 42 111 153
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 21 101 122
Any Mental Illness4,10 -- -- 77 387 464
Received Mental Health Services11 -- -- 46 314 360
Had Serious Thoughts of Suicide12 -- -- 31 72 103
Major Depressive Episode4,13 -- 32 39 145 183
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.51 7.57 18.52 9.55 10.82
Past Year Marijuana Use 12.60 10.87 27.09 10.43 12.78
Past Month Marijuana Use 8.19 5.81 15.96 7.21 8.44
Perceptions of Great Risk from Smoking Marijuana Once a Month 29.61 28.14 14.32 32.32 29.76
First Use of Marijuana3,4 1.60 4.61 5.62 0.33 1.10
Past Month Illicit Drug Use Other Than Marijuana1,2 3.66 3.14 6.40 3.27 3.71
Past Year Cocaine Use 1.48 0.51 3.75 1.23 1.58
Perceptions of Great Risk from Using Cocaine Once a Month 77.28 56.96 71.37 80.74 79.41
Past Year Heroin Use 0.25 0.05 0.49 0.23 0.27
Perceptions of Great Risk from Trying Heroin Once or Twice 86.57 65.33 82.32 89.85 88.79
Past Year Methamphetamine Use 0.92 0.26 1.59 0.90 0.99
Past Year Misuse of Pain Relievers2 5.03 4.11 7.44 4.75 5.13
ALCOHOL          
Past Month Alcohol Use 39.89 8.92 48.15 42.35 43.17
Past Month Binge Alcohol Use5 19.49 4.59 31.55 19.34 21.06
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.12 43.94 35.33 44.31 43.04
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 15.57 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.45 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 30.69 7.52 33.90 33.01 33.14
Past Month Cigarette Use 24.65 4.86 27.38 26.64 26.74
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
68.13 64.80 63.01 69.38 68.48
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.80 3.12 6.01 2.23 2.76
Pain Reliever Use Disorder2,8 0.79 0.53 1.08 0.78 0.82
Alcohol Use Disorder8 5.38 2.12 9.32 5.14 5.73
Substance Use Disorder1,2,8 7.37 4.10 13.55 6.76 7.72
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.26 2.74 5.37 1.69 2.21
Needing But Not Receiving Treatment for Alcohol Use9 4.73 1.99 8.94 4.37 5.01
Needing But Not Receiving Treatment for Substance Use1,2,9 6.55 3.80 13.36 5.77 6.85
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.65 5.25 5.44
Any Mental Illness4,10 -- -- 24.46 20.11 20.73
Received Mental Health Services11 -- -- 14.44 16.34 16.07
Had Serious Thoughts of Suicide12 -- -- 9.83 3.73 4.59
Major Depressive Episode4,13 -- 13.36 12.24 7.53 8.19
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 4,309 249 1,137 2,923 4,060
Past Year Marijuana Use 5,713 404 1,579 3,730 5,309
Past Month Marijuana Use 3,723 210 1,041 2,473 3,513
Perceptions of Great Risk from Smoking Marijuana Once a Month 9,150 702 534 7,913 8,448
First Use of Marijuana3,4 401 150 187 64 251
Past Month Illicit Drug Use Other Than Marijuana1,2 1,256 75 303 879 1,181
Past Year Cocaine Use 889 21 345 523 868
Perceptions of Great Risk from Using Cocaine Once a Month 22,180 1,668 2,588 17,924 20,512
Past Year Heroin Use 61 2 13 46 59
Perceptions of Great Risk from Trying Heroin Once or Twice 27,439 1,948 3,478 22,014 25,491
Past Year Methamphetamine Use 265 6 42 217 259
Past Year Misuse of Pain Relievers2 1,413 109 293 1,011 1,304
ALCOHOL          
Past Month Alcohol Use 16,575 272 2,320 13,984 16,303
Past Month Binge Alcohol Use5 7,726 140 1,513 6,073 7,585
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
16,139 1,383 1,777 12,978 14,756
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 845 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 527 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 5,333 105 889 4,339 5,228
Past Month Cigarette Use 4,383 63 737 3,584 4,320
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
25,170 2,155 3,163 19,852 23,015
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 975 113 314 547 862
Pain Reliever Use Disorder2,8 166 17 24 125 149
Alcohol Use Disorder8 1,811 61 428 1,322 1,750
Substance Use Disorder1,2,8 2,459 140 614 1,705 2,319
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 921 115 291 515 806
Needing But Not Receiving Treatment for Alcohol Use9 1,776 59 429 1,288 1,717
Needing But Not Receiving Treatment for Substance Use1,2,9 2,346 136 574 1,636 2,210
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 286 888 1,174
Any Mental Illness4,10 -- -- 1,070 4,350 5,419
Received Mental Health Services11 -- -- 490 3,004 3,494
Had Serious Thoughts of Suicide12 -- -- 419 787 1,205
Major Depressive Episode4,13 -- 401 568 1,365 1,933
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.11 8.20 26.30 11.46 13.61
Past Year Marijuana Use 17.39 13.30 36.53 14.63 17.81
Past Month Marijuana Use 11.33 6.93 24.07 9.70 11.78
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.84 23.15 12.36 31.04 28.32
First Use of Marijuana3,4 2.12 5.60 8.43 0.45 1.54
Past Month Illicit Drug Use Other Than Marijuana1,2 3.82 2.46 7.00 3.45 3.96
Past Year Cocaine Use 2.71 0.69 7.99 2.05 2.91
Perceptions of Great Risk from Using Cocaine Once a Month 67.53 54.97 59.87 70.31 68.79
Past Year Heroin Use 0.19 0.05 0.30 0.18 0.20
Perceptions of Great Risk from Trying Heroin Once or Twice 83.56 64.20 80.44 86.35 85.49
Past Year Methamphetamine Use 0.81 0.20 0.96 0.85 0.87
Past Year Misuse of Pain Relievers2 4.30 3.61 6.77 3.97 4.37
ALCOHOL          
Past Month Alcohol Use 50.45 8.95 53.66 54.85 54.68
Past Month Binge Alcohol Use5 23.52 4.62 34.99 23.82 25.44
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
49.13 45.59 41.11 50.91 49.49
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.90 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.16 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 16.23 3.45 20.56 17.02 17.53
Past Month Cigarette Use 13.34 2.08 17.04 14.06 14.49
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
76.63 71.04 73.17 77.87 77.19
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.97 3.73 7.27 2.15 2.89
Pain Reliever Use Disorder2,8 0.51 0.57 0.56 0.49 0.50
Alcohol Use Disorder8 5.51 2.01 9.90 5.18 5.87
Substance Use Disorder1,2,8 7.48 4.63 14.20 6.69 7.78
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.80 3.79 6.73 2.02 2.70
Needing But Not Receiving Treatment for Alcohol Use9 5.41 1.95 9.93 5.05 5.76
Needing But Not Receiving Treatment for Substance Use1,2,9 7.14 4.47 13.28 6.42 7.41
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.61 3.48 3.94
Any Mental Illness4,10 -- -- 24.75 17.06 18.18
Received Mental Health Services11 -- -- 11.34 11.78 11.72
Had Serious Thoughts of Suicide12 -- -- 9.68 3.09 4.04
Major Depressive Episode4,13 -- 13.23 13.14 5.36 6.48
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 829 42 201 586 787
Past Year Marijuana Use 1,155 72 289 794 1,083
Past Month Marijuana Use 764 38 188 537 725
Perceptions of Great Risk from Smoking Marijuana Once a Month 769 69 43 656 700
First Use of Marijuana3,4 78 26 36 16 53
Past Month Illicit Drug Use Other Than Marijuana1,2 183 11 53 118 171
Past Year Cocaine Use 125 3 49 72 121
Perceptions of Great Risk from Using Cocaine Once a Month 3,009 222 331 2,455 2,787
Past Year Heroin Use 13 0 3 9 13
Perceptions of Great Risk from Trying Heroin Once or Twice 3,861 264 471 3,126 3,597
Past Year Methamphetamine Use 39 1 8 31 39
Past Year Misuse of Pain Relievers2 227 16 50 161 210
ALCOHOL          
Past Month Alcohol Use 2,764 42 371 2,351 2,722
Past Month Binge Alcohol Use5 1,253 24 239 990 1,229
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
2,002 171 201 1,629 1,830
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 135 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 84 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 936 20 190 727 917
Past Month Cigarette Use 735 14 151 571 722
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
3,415 289 402 2,725 3,127
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 160 17 57 86 143
Pain Reliever Use Disorder2,8 31 2 7 22 29
Alcohol Use Disorder8 293 9 72 212 284
Substance Use Disorder1,2,8 407 24 115 268 383
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 154 17 55 81 137
Needing But Not Receiving Treatment for Alcohol Use9 292 8 71 212 284
Needing But Not Receiving Treatment for Substance Use1,2,9 398 21 112 266 377
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 51 163 214
Any Mental Illness4,10 -- -- 164 674 838
Received Mental Health Services11 -- -- 101 559 659
Had Serious Thoughts of Suicide12 -- -- 67 162 229
Major Depressive Episode4,13 -- 59 89 236 325
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 17.83 9.83 33.95 16.14 18.63
Past Year Marijuana Use 24.86 16.97 48.81 21.88 25.65
Past Month Marijuana Use 16.43 9.02 31.74 14.81 17.18
Perceptions of Great Risk from Smoking Marijuana Once a Month 16.53 16.21 7.34 18.08 16.56
First Use of Marijuana3,4 3.99 7.89 15.56 1.09 3.14
Past Month Illicit Drug Use Other Than Marijuana1,2 3.93 2.63 9.03 3.25 4.06
Past Year Cocaine Use 2.68 0.79 8.32 1.98 2.87
Perceptions of Great Risk from Using Cocaine Once a Month 64.77 52.21 56.00 67.66 66.02
Past Year Heroin Use 0.28 0.04 0.54 0.26 0.30
Perceptions of Great Risk from Trying Heroin Once or Twice 83.12 62.01 79.58 86.13 85.21
Past Year Methamphetamine Use 0.85 0.22 1.34 0.84 0.91
Past Year Misuse of Pain Relievers2 4.87 3.86 8.36 4.43 4.98
ALCOHOL          
Past Month Alcohol Use 59.48 9.75 62.66 64.79 64.49
Past Month Binge Alcohol Use5 26.97 5.59 40.44 27.28 29.12
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.08 40.21 34.02 44.89 43.36
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.73 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 12.93 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 20.15 4.66 32.03 20.03 21.71
Past Month Cigarette Use 15.82 3.22 25.51 15.72 17.09
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
73.50 67.77 67.84 75.09 74.08
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.43 3.88 9.66 2.37 3.39
Pain Reliever Use Disorder2,8 0.67 0.49 1.19 0.60 0.68
Alcohol Use Disorder8 6.30 2.07 12.23 5.83 6.73
Substance Use Disorder1,2,8 8.76 5.60 19.39 7.39 9.07
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.30 3.98 9.34 2.24 3.24
Needing But Not Receiving Treatment for Alcohol Use9 6.27 1.88 12.01 5.86 6.72
Needing But Not Receiving Treatment for Substance Use1,2,9 8.57 4.89 18.86 7.32 8.94
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 8.67 4.49 5.08
Any Mental Illness4,10 -- -- 27.72 18.58 19.86
Received Mental Health Services11 -- -- 17.01 15.39 15.62
Had Serious Thoughts of Suicide12 -- -- 11.25 4.46 5.41
Major Depressive Episode4,13 -- 13.89 15.01 6.51 7.70
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 377 27 127 224 351
Past Year Marijuana Use 497 41 176 280 456
Past Month Marijuana Use 324 22 118 184 302
Perceptions of Great Risk from Smoking Marijuana Once a Month 674 62 41 572 612
First Use of Marijuana3,4 40 15 17 8 25
Past Month Illicit Drug Use Other Than Marijuana1,2 114 6 36 72 108
Past Year Cocaine Use 84 2 33 50 82
Perceptions of Great Risk from Using Cocaine Once a Month 2,071 151 219 1,700 1,920
Past Year Heroin Use 22 0 5 16 21
Perceptions of Great Risk from Trying Heroin Once or Twice 2,642 183 320 2,139 2,459
Past Year Methamphetamine Use 9 0 2 7 9
Past Year Misuse of Pain Relievers2 129 9 29 91 120
ALCOHOL          
Past Month Alcohol Use 1,843 32 261 1,551 1,812
Past Month Binge Alcohol Use5 866 18 183 666 849
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,331 119 127 1,085 1,212
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 100 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 66 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 650 11 123 516 639
Past Month Cigarette Use 516 7 92 416 509
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
2,274 199 275 1,800 2,075
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 106 10 40 57 97
Pain Reliever Use Disorder2,8 19 1 4 14 18
Alcohol Use Disorder8 187 7 44 136 179
Substance Use Disorder1,2,8 257 13 71 173 244
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 95 9 34 52 86
Needing But Not Receiving Treatment for Alcohol Use9 177 7 40 130 170
Needing But Not Receiving Treatment for Substance Use1,2,9 230 13 64 154 217
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 29 87 116
Any Mental Illness4,10 -- -- 99 407 506
Received Mental Health Services11 -- -- 72 391 463
Had Serious Thoughts of Suicide12 -- -- 39 74 113
Major Depressive Episode4,13 -- 36 51 143 194
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.33 9.64 32.68 9.34 12.60
Past Year Marijuana Use 16.22 14.73 45.21 11.68 16.37
Past Month Marijuana Use 10.59 7.91 30.35 7.69 10.86
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.00 22.39 10.42 23.86 21.96
First Use of Marijuana3,4 2.72 6.65 10.92 0.70 1.99
Past Month Illicit Drug Use Other Than Marijuana1,2 3.73 2.27 9.26 3.00 3.87
Past Year Cocaine Use 2.74 0.60 8.36 2.08 2.95
Perceptions of Great Risk from Using Cocaine Once a Month 67.67 54.86 56.31 70.97 68.91
Past Year Heroin Use 0.70 0.06 1.31 0.68 0.77
Perceptions of Great Risk from Trying Heroin Once or Twice 86.32 66.16 82.15 89.28 88.28
Past Year Methamphetamine Use 0.29 0.09 0.45 0.29 0.31
Past Year Misuse of Pain Relievers2 4.21 3.23 7.52 3.79 4.31
ALCOHOL          
Past Month Alcohol Use 60.21 11.42 67.03 64.73 65.05
Past Month Binge Alcohol Use5 28.30 6.38 47.02 27.78 30.47
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.48 43.24 32.61 45.27 43.50
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 23.92 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 15.82 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 21.24 4.13 31.68 21.52 22.94
Past Month Cigarette Use 16.84 2.49 23.71 17.38 18.27
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
74.30 72.10 70.71 75.13 74.51
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.47 3.48 10.16 2.38 3.47
Pain Reliever Use Disorder2,8 0.62 0.48 0.95 0.58 0.63
Alcohol Use Disorder8 6.10 2.68 11.18 5.68 6.44
Substance Use Disorder1,2,8 8.40 4.64 18.34 7.22 8.77
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.11 3.25 8.71 2.18 3.09
Needing But Not Receiving Treatment for Alcohol Use9 5.77 2.41 10.21 5.44 6.10
Needing But Not Receiving Treatment for Substance Use1,2,9 7.51 4.54 16.35 6.42 7.80
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.43 3.63 4.16
Any Mental Illness4,10 -- -- 25.56 16.98 18.18
Received Mental Health Services11 -- -- 18.42 16.31 16.61
Had Serious Thoughts of Suicide12 -- -- 10.03 3.08 4.05
Major Depressive Episode4,13 -- 13.16 13.10 5.98 6.97
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 95 7 25 63 88
Past Year Marijuana Use 119 9 36 75 110
Past Month Marijuana Use 80 5 23 52 75
Perceptions of Great Risk from Smoking Marijuana Once a Month 196 16 12 168 180
First Use of Marijuana3,4 9 4 4 1 5
Past Month Illicit Drug Use Other Than Marijuana1,2 28 2 6 20 26
Past Year Cocaine Use 16 0 6 10 16
Perceptions of Great Risk from Using Cocaine Once a Month 576 39 64 473 537
Past Year Heroin Use 7 0 1 5 7
Perceptions of Great Risk from Trying Heroin Once or Twice 704 46 80 577 657
Past Year Methamphetamine Use 3 0 0 3 3
Past Year Misuse of Pain Relievers2 34 2 7 26 32
ALCOHOL          
Past Month Alcohol Use 415 6 52 357 409
Past Month Binge Alcohol Use5 182 3 36 143 179
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
350 31 37 282 319
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 18 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 176 3 26 146 173
Past Month Cigarette Use 148 2 21 126 146
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
580 48 67 465 532
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 27 2 8 17 25
Pain Reliever Use Disorder2,8 6 0 1 5 6
Alcohol Use Disorder8 50 1 10 39 48
Substance Use Disorder1,2,8 69 3 15 50 66
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 23 2 7 14 21
Needing But Not Receiving Treatment for Alcohol Use9 48 1 9 38 47
Needing But Not Receiving Treatment for Substance Use1,2,9 62 3 14 45 59
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7 29 36
Any Mental Illness4,10 -- -- 22 115 138
Received Mental Health Services11 -- -- 14 104 118
Had Serious Thoughts of Suicide12 -- -- 9 22 31
Major Depressive Episode4,13 -- 8 11 41 52
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.71 9.71 26.00 9.80 11.90
Past Year Marijuana Use 14.80 13.48 37.20 11.60 14.92
Past Month Marijuana Use 9.95 7.45 23.73 8.17 10.18
Perceptions of Great Risk from Smoking Marijuana Once a Month 24.32 23.69 12.21 26.21 24.38
First Use of Marijuana3,4 2.05 5.66 8.22 0.49 1.46
Past Month Illicit Drug Use Other Than Marijuana1,2 3.41 2.31 6.61 3.05 3.51
Past Year Cocaine Use 2.02 0.37 6.20 1.58 2.18
Perceptions of Great Risk from Using Cocaine Once a Month 71.31 56.17 66.82 73.60 72.71
Past Year Heroin Use 0.84 0.06 1.56 0.82 0.92
Perceptions of Great Risk from Trying Heroin Once or Twice 87.19 66.91 84.25 89.78 89.06
Past Year Methamphetamine Use 0.40 0.18 0.37 0.43 0.42
Past Year Misuse of Pain Relievers2 4.23 2.89 6.90 3.98 4.35
ALCOHOL          
Past Month Alcohol Use 51.38 8.38 54.78 55.51 55.42
Past Month Binge Alcohol Use5 22.51 4.30 37.87 22.19 24.23
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.30 44.43 38.59 43.88 43.20
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.47 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.75 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 21.77 4.02 27.74 22.80 23.44
Past Month Cigarette Use 18.36 2.56 21.69 19.56 19.84
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
71.90 69.23 70.28 72.42 72.14
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.35 3.46 8.38 2.58 3.33
Pain Reliever Use Disorder2,8 0.73 0.49 0.91 0.73 0.75
Alcohol Use Disorder8 6.15 1.79 10.09 6.03 6.56
Substance Use Disorder1,2,8 8.53 4.32 16.08 7.86 8.93
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.82 3.24 7.32 2.10 2.78
Needing But Not Receiving Treatment for Alcohol Use9 5.97 1.59 9.72 5.88 6.38
Needing But Not Receiving Treatment for Substance Use1,2,9 7.70 4.00 14.61 7.07 8.05
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.70 4.48 4.90
Any Mental Illness4,10 -- -- 23.52 17.93 18.65
Received Mental Health Services11 -- -- 14.60 16.15 15.95
Had Serious Thoughts of Suicide12 -- -- 9.61 3.35 4.16
Major Depressive Episode4,13 -- 11.58 11.82 6.37 7.07
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 117 3 33 80 113
Past Year Marijuana Use 154 5 48 102 150
Past Month Marijuana Use 101 3 32 66 98
Perceptions of Great Risk from Smoking Marijuana Once a Month 99 6 7 85 93
First Use of Marijuana3,4 9 2 5 2 7
Past Month Illicit Drug Use Other Than Marijuana1,2 31 1 9 22 30
Past Year Cocaine Use 25 0 6 19 25
Perceptions of Great Risk from Using Cocaine Once a Month 352 18 48 287 335
Past Year Heroin Use 2 0 0 2 2
Perceptions of Great Risk from Trying Heroin Once or Twice 482 20 70 391 461
Past Year Methamphetamine Use 1 0 0 1 1
Past Year Misuse of Pain Relievers2 26 1 6 18 24
ALCOHOL          
Past Month Alcohol Use 391 3 63 326 389
Past Month Binge Alcohol Use5 217 2 48 167 215
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
246 15 30 201 231
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 14 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 138 1 26 111 137
Past Month Cigarette Use 110 1 20 89 109
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
448 20 64 364 428
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 23 1 8 14 22
Pain Reliever Use Disorder2,8 3 0 1 2 3
Alcohol Use Disorder8 53 1 12 40 53
Substance Use Disorder1,2,8 66 2 17 47 64
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 21 1 7 12 19
Needing But Not Receiving Treatment for Alcohol Use9 48 1 12 35 47
Needing But Not Receiving Treatment for Substance Use1,2,9 61 2 16 43 59
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6 19 25
Any Mental Illness4,10 -- -- 22 96 117
Received Mental Health Services11 -- -- 14 79 93
Had Serious Thoughts of Suicide12 -- -- 8 15 23
Major Depressive Episode4,13 -- 3 11 33 44
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 19.92 11.20 36.86 17.21 20.41
Past Year Marijuana Use 26.35 14.60 53.20 21.90 27.01
Past Month Marijuana Use 17.17 8.26 34.85 14.32 17.67
Perceptions of Great Risk from Smoking Marijuana Once a Month 16.85 20.18 7.99 18.38 16.66
First Use of Marijuana3,4 3.99 7.35 14.57 1.36 3.54
Past Month Illicit Drug Use Other Than Marijuana1,2 5.36 3.23 9.57 4.68 5.48
Past Year Cocaine Use 4.34 0.22 7.00 4.10 4.57
Perceptions of Great Risk from Using Cocaine Once a Month 60.19 56.65 53.11 61.78 60.36
Past Year Heroin Use 0.37 0.01 0.32 0.40 0.39
Perceptions of Great Risk from Trying Heroin Once or Twice 82.28 65.64 77.54 84.29 83.18
Past Year Methamphetamine Use 0.22 0.07 0.11 0.25 0.23
Past Year Misuse of Pain Relievers2 4.39 3.91 6.86 3.94 4.42
ALCOHOL          
Past Month Alcohol Use 66.79 8.42 69.71 70.17 70.08
Past Month Binge Alcohol Use5 37.01 4.84 53.01 36.07 38.83
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
41.95 46.59 33.04 43.38 41.69
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 24.17 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 17.43 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 23.55 3.71 28.77 23.86 24.66
Past Month Cigarette Use 18.70 1.78 22.42 19.12 19.65
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
76.51 64.77 70.88 78.39 77.16
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.93 3.68 8.36 3.08 3.94
Pain Reliever Use Disorder2,8 0.55 0.45 0.66 0.53 0.56
Alcohol Use Disorder8 9.08 1.97 13.62 8.67 9.48
Substance Use Disorder1,2,8 11.21 5.14 19.23 10.05 11.55
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.50 3.36 7.81 2.67 3.51
Needing But Not Receiving Treatment for Alcohol Use9 8.19 1.74 13.64 7.56 8.55
Needing But Not Receiving Treatment for Substance Use1,2,9 10.37 4.98 17.95 9.26 10.67
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.25 4.08 4.43
Any Mental Illness4,10 -- -- 23.89 20.65 21.17
Received Mental Health Services11 -- -- 15.34 17.12 16.82
Had Serious Thoughts of Suicide12 -- -- 8.55 3.24 4.11
Major Depressive Episode4,13 -- 10.49 12.25 7.04 7.89
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,836 126 476 1,234 1,710
Past Year Marijuana Use 2,425 191 701 1,534 2,235
Past Month Marijuana Use 1,532 106 439 988 1,426
Perceptions of Great Risk from Smoking Marijuana Once a Month 5,453 360 281 4,812 5,093
First Use of Marijuana3,4 179 72 77 30 107
Past Month Illicit Drug Use Other Than Marijuana1,2 563 36 124 403 527
Past Year Cocaine Use 346 6 122 218 340
Perceptions of Great Risk from Using Cocaine Once a Month 13,551 819 1,321 11,411 12,732
Past Year Heroin Use 51 2 12 37 49
Perceptions of Great Risk from Trying Heroin Once or Twice 15,773 956 1,649 13,167 14,816
Past Year Methamphetamine Use 84 2 15 67 82
Past Year Misuse of Pain Relievers2 741 49 129 564 693
ALCOHOL          
Past Month Alcohol Use 9,182 140 1,106 7,936 9,042
Past Month Binge Alcohol Use5 4,370 72 697 3,601 4,298
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
8,192 628 793 6,770 7,564
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 436 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 246 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 3,631 65 500 3,066 3,566
Past Month Cigarette Use 2,956 39 374 2,543 2,917
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
13,594 1,012 1,412 11,169 12,581
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 481 51 141 288 429
Pain Reliever Use Disorder2,8 111 8 19 84 103
Alcohol Use Disorder8 937 29 195 713 908
Substance Use Disorder1,2,8 1,231 64 285 881 1,166
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 427 50 128 249 377
Needing But Not Receiving Treatment for Alcohol Use9 891 28 191 671 862
Needing But Not Receiving Treatment for Substance Use1,2,9 1,178 63 273 842 1,116
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 126 499 625
Any Mental Illness4,10 -- -- 446 2,415 2,861
Received Mental Health Services11 -- -- 245 1,935 2,180
Had Serious Thoughts of Suicide12 -- -- 184 386 569
Major Depressive Episode4,13 -- 185 219 792 1,011
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.36 8.89 24.30 8.60 10.49
Past Year Marijuana Use 13.69 13.46 35.77 10.69 13.71
Past Month Marijuana Use 8.65 7.48 22.39 6.88 8.75
Perceptions of Great Risk from Smoking Marijuana Once a Month 30.74 25.43 14.31 33.53 31.20
First Use of Marijuana3,4 1.69 5.70 7.73 0.37 1.15
Past Month Illicit Drug Use Other Than Marijuana1,2 3.18 2.54 6.34 2.81 3.23
Past Year Cocaine Use 1.96 0.45 6.22 1.52 2.09
Perceptions of Great Risk from Using Cocaine Once a Month 76.45 57.88 67.40 79.51 78.04
Past Year Heroin Use 0.29 0.14 0.63 0.26 0.30
Perceptions of Great Risk from Trying Heroin Once or Twice 89.00 67.56 84.15 91.74 90.83
Past Year Methamphetamine Use 0.47 0.15 0.75 0.47 0.50
Past Year Misuse of Pain Relievers2 4.18 3.44 6.58 3.93 4.25
ALCOHOL          
Past Month Alcohol Use 51.80 9.86 56.43 55.30 55.44
Past Month Binge Alcohol Use5 24.66 5.11 35.56 25.09 26.36
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
46.21 44.36 40.48 47.17 46.37
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.26 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.44 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 20.49 4.62 25.51 21.36 21.86
Past Month Cigarette Use 16.68 2.76 19.08 17.72 17.89
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
76.68 71.49 72.05 77.82 77.13
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.71 3.62 7.19 2.01 2.63
Pain Reliever Use Disorder2,8 0.63 0.54 0.97 0.59 0.63
Alcohol Use Disorder8 5.29 2.03 9.95 4.97 5.57
Substance Use Disorder1,2,8 6.95 4.54 14.56 6.14 7.16
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.41 3.51 6.55 1.73 2.31
Needing But Not Receiving Treatment for Alcohol Use9 5.03 1.99 9.76 4.68 5.29
Needing But Not Receiving Treatment for Substance Use1,2,9 6.65 4.42 13.94 5.87 6.84
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.41 3.48 3.83
Any Mental Illness4,10 -- -- 22.74 16.83 17.54
Received Mental Health Services11 -- -- 12.49 13.48 13.37
Had Serious Thoughts of Suicide12 -- -- 9.38 2.69 3.49
Major Depressive Episode4,13 -- 13.09 11.15 5.52 6.20
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 711 57 224 431 655
Past Year Marijuana Use 993 90 331 572 903
Past Month Marijuana Use 574 46 203 325 528
Perceptions of Great Risk from Smoking Marijuana Once a Month 2,748 283 167 2,298 2,465
First Use of Marijuana3,4 91 36 40 14 55
Past Month Illicit Drug Use Other Than Marijuana1,2 262 20 61 182 243
Past Year Cocaine Use 148 3 49 96 145
Perceptions of Great Risk from Using Cocaine Once a Month 6,624 530 784 5,310 6,094
Past Year Heroin Use 17 0 4 12 16
Perceptions of Great Risk from Trying Heroin Once or Twice 7,553 612 954 5,987 6,941
Past Year Methamphetamine Use 46 1 7 38 45
Past Year Misuse of Pain Relievers2 308 24 72 213 284
ALCOHOL          
Past Month Alcohol Use 3,817 67 561 3,189 3,750
Past Month Binge Alcohol Use5 1,757 30 347 1,380 1,727
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
4,204 457 478 3,268 3,747
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 197 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 105 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 2,052 47 337 1,668 2,005
Past Month Cigarette Use 1,611 30 258 1,324 1,582
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
6,114 610 746 4,757 5,504
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 204 21 67 116 183
Pain Reliever Use Disorder2,8 53 4 10 39 49
Alcohol Use Disorder8 377 11 87 279 366
Substance Use Disorder1,2,8 512 27 128 356 484
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 185 21 66 99 165
Needing But Not Receiving Treatment for Alcohol Use9 349 11 84 254 338
Needing But Not Receiving Treatment for Substance Use1,2,9 488 25 122 341 463
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 64 268 333
Any Mental Illness4,10 -- -- 235 1,149 1,385
Received Mental Health Services11 -- -- 125 885 1,009
Had Serious Thoughts of Suicide12 -- -- 97 240 336
Major Depressive Episode4,13 -- 99 116 413 529
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.34 6.57 20.23 6.57 8.54
Past Year Marijuana Use 11.64 10.39 29.91 8.73 11.78
Past Month Marijuana Use 6.74 5.39 18.38 4.95 6.89
Perceptions of Great Risk from Smoking Marijuana Once a Month 32.22 32.81 15.05 35.06 32.15
First Use of Marijuana3,4 1.67 4.47 6.33 0.33 1.18
Past Month Illicit Drug Use Other Than Marijuana1,2 3.08 2.27 5.52 2.77 3.17
Past Year Cocaine Use 1.74 0.34 4.45 1.46 1.89
Perceptions of Great Risk from Using Cocaine Once a Month 77.72 61.39 70.90 81.00 79.54
Past Year Heroin Use 0.19 0.02 0.37 0.19 0.21
Perceptions of Great Risk from Trying Heroin Once or Twice 88.64 70.97 86.24 91.33 90.60
Past Year Methamphetamine Use 0.54 0.17 0.59 0.59 0.59
Past Year Misuse of Pain Relievers2 3.61 2.74 6.47 3.24 3.71
ALCOHOL          
Past Month Alcohol Use 44.78 7.76 50.71 48.65 48.94
Past Month Binge Alcohol Use5 20.61 3.52 31.39 21.05 22.54
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
49.32 53.04 43.24 49.86 48.90
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 15.65 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 8.36 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.08 5.45 30.46 25.45 26.17
Past Month Cigarette Use 18.90 3.43 23.29 20.20 20.64
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
71.73 70.74 67.48 72.57 71.83
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.39 2.43 6.06 1.77 2.39
Pain Reliever Use Disorder2,8 0.62 0.48 0.87 0.60 0.64
Alcohol Use Disorder8 4.42 1.27 7.83 4.26 4.78
Substance Use Disorder1,2,8 6.00 3.18 11.59 5.43 6.32
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.18 2.39 5.93 1.51 2.15
Needing But Not Receiving Treatment for Alcohol Use9 4.10 1.31 7.57 3.88 4.41
Needing But Not Receiving Treatment for Substance Use1,2,9 5.72 2.90 11.04 5.20 6.04
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 5.83 4.09 4.35
Any Mental Illness4,10 -- -- 21.26 17.53 18.07
Received Mental Health Services11 -- -- 11.26 13.50 13.17
Had Serious Thoughts of Suicide12 -- -- 8.73 3.65 4.38
Major Depressive Episode4,13 -- 11.44 10.48 6.30 6.90
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 111 7 25 79 104
Past Year Marijuana Use 152 11 35 106 141
Past Month Marijuana Use 95 6 22 66 88
Perceptions of Great Risk from Smoking Marijuana Once a Month 342 23 18 302 319
First Use of Marijuana3,4 12 4 5 2 7
Past Month Illicit Drug Use Other Than Marijuana1,2 31 2 8 21 29
Past Year Cocaine Use 22 1 7 14 21
Perceptions of Great Risk from Using Cocaine Once a Month 785 51 83 651 733
Past Year Heroin Use 3 0 1 2 3
Perceptions of Great Risk from Trying Heroin Once or Twice 955 60 104 791 895
Past Year Methamphetamine Use 9 0 1 7 8
Past Year Misuse of Pain Relievers2 39 3 8 28 36
ALCOHOL          
Past Month Alcohol Use 523 8 71 444 515
Past Month Binge Alcohol Use5 237 4 44 189 233
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
544 44 53 446 499
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 23 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 198 3 32 163 195
Past Month Cigarette Use 158 3 29 126 155
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
843 63 84 696 780
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 27 3 8 16 24
Pain Reliever Use Disorder2,8 5 1 1 4 5
Alcohol Use Disorder8 61 2 14 44 59
Substance Use Disorder1,2,8 78 4 20 55 75
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 23 3 8 13 20
Needing But Not Receiving Treatment for Alcohol Use9 58 2 15 41 56
Needing But Not Receiving Treatment for Substance Use1,2,9 73 4 19 51 69
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 9 28 37
Any Mental Illness4,10 -- -- 29 144 173
Received Mental Health Services11 -- -- 15 98 113
Had Serious Thoughts of Suicide12 -- -- 13 30 43
Major Depressive Episode4,13 -- 11 14 46 60
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.60 7.62 19.26 8.48 9.78
Past Year Marijuana Use 13.14 11.43 27.14 11.39 13.29
Past Month Marijuana Use 8.17 6.54 17.45 7.06 8.31
Perceptions of Great Risk from Smoking Marijuana Once a Month 29.53 23.81 13.68 32.30 30.04
First Use of Marijuana3,4 1.93 5.87 8.87 0.44 1.36
Past Month Illicit Drug Use Other Than Marijuana1,2 2.67 2.50 6.17 2.21 2.69
Past Year Cocaine Use 1.88 0.58 5.22 1.55 1.99
Perceptions of Great Risk from Using Cocaine Once a Month 67.73 53.74 64.35 69.62 68.97
Past Year Heroin Use 0.24 0.05 0.56 0.22 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 82.41 62.18 80.72 84.68 84.20
Past Year Methamphetamine Use 0.75 0.35 0.94 0.77 0.79
Past Year Misuse of Pain Relievers2 3.32 2.66 6.27 2.99 3.38
ALCOHOL          
Past Month Alcohol Use 45.13 8.13 55.13 47.54 48.46
Past Month Binge Alcohol Use5 20.44 4.42 34.09 20.19 21.88
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
46.91 46.31 41.08 47.77 46.96
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 16.73 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.46 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 17.11 3.41 25.14 17.40 18.34
Past Month Cigarette Use 13.62 2.63 22.95 13.45 14.61
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
72.77 65.69 65.31 74.51 73.40
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.31 2.89 6.57 1.67 2.26
Pain Reliever Use Disorder2,8 0.47 0.54 0.58 0.44 0.46
Alcohol Use Disorder8 5.23 2.15 11.26 4.72 5.51
Substance Use Disorder1,2,8 6.77 3.93 15.37 5.88 7.03
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.01 2.96 5.86 1.39 1.93
Needing But Not Receiving Treatment for Alcohol Use9 4.96 1.99 11.42 4.38 5.23
Needing But Not Receiving Treatment for Substance Use1,2,9 6.30 4.08 14.41 5.41 6.50
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.76 3.04 3.49
Any Mental Illness4,10 -- -- 22.94 15.36 16.27
Received Mental Health Services11 -- -- 11.77 10.51 10.67
Had Serious Thoughts of Suicide12 -- -- 10.08 3.26 4.08
Major Depressive Episode4,13 -- 11.97 11.22 4.91 5.67
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 125 11 31 83 114
Past Year Marijuana Use 175 18 50 107 157
Past Month Marijuana Use 106 9 28 68 96
Perceptions of Great Risk from Smoking Marijuana Once a Month 370 43 24 303 326
First Use of Marijuana3,4 16 7 7 2 9
Past Month Illicit Drug Use Other Than Marijuana1,2 42 4 11 27 38
Past Year Cocaine Use 19 1 8 10 18
Perceptions of Great Risk from Using Cocaine Once a Month 990 84 115 791 906
Past Year Heroin Use 5 0 1 3 4
Perceptions of Great Risk from Trying Heroin Once or Twice 1,180 100 142 939 1,080
Past Year Methamphetamine Use 12 0 3 9 12
Past Year Misuse of Pain Relievers2 59 5 13 41 54
ALCOHOL          
Past Month Alcohol Use 646 14 88 544 632
Past Month Binge Alcohol Use5 302 8 58 236 294
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
593 63 64 465 529
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 36 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 22 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 315 9 58 247 306
Past Month Cigarette Use 253 7 48 199 247
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
993 102 114 778 891
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 36 5 11 21 32
Pain Reliever Use Disorder2,8 11 1 2 8 10
Alcohol Use Disorder8 82 3 18 60 78
Substance Use Disorder1,2,8 108 7 23 78 101
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 29 4 9 15 25
Needing But Not Receiving Treatment for Alcohol Use9 75 3 17 56 72
Needing But Not Receiving Treatment for Substance Use1,2,9 97 6 22 69 91
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 14 58 72
Any Mental Illness4,10 -- -- 49 261 310
Received Mental Health Services11 -- -- 30 184 214
Had Serious Thoughts of Suicide12 -- -- 19 51 70
Major Depressive Episode4,13 -- 24 25 78 103
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.02 7.67 17.59 7.79 9.19
Past Year Marijuana Use 12.62 12.00 28.40 10.09 12.70
Past Month Marijuana Use 7.62 6.34 16.07 6.40 7.78
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.60 29.05 13.29 28.49 26.30
First Use of Marijuana3,4 2.01 4.68 7.18 0.42 1.46
Past Month Illicit Drug Use Other Than Marijuana1,2 2.99 2.59 5.99 2.55 3.04
Past Year Cocaine Use 1.37 0.66 4.24 0.99 1.45
Perceptions of Great Risk from Using Cocaine Once a Month 71.25 55.81 65.02 74.45 73.10
Past Year Heroin Use 0.33 0.06 0.58 0.32 0.36
Perceptions of Great Risk from Trying Heroin Once or Twice 85.00 66.98 79.97 88.34 87.15
Past Year Methamphetamine Use 0.87 0.33 1.57 0.83 0.94
Past Year Misuse of Pain Relievers2 4.25 3.45 7.20 3.87 4.34
ALCOHOL          
Past Month Alcohol Use 46.47 9.07 49.44 51.25 50.99
Past Month Binge Alcohol Use5 21.70 5.07 32.82 22.20 23.71
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
42.66 42.22 36.12 43.81 42.71
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 16.94 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.42 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 22.65 5.99 32.96 23.29 24.67
Past Month Cigarette Use 18.24 4.35 27.15 18.72 19.92
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
71.52 68.24 64.12 73.21 71.91
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.63 3.10 5.94 2.01 2.57
Pain Reliever Use Disorder2,8 0.76 0.58 1.07 0.74 0.79
Alcohol Use Disorder8 5.90 2.31 10.39 5.65 6.33
Substance Use Disorder1,2,8 7.79 4.65 13.18 7.34 8.18
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.09 2.86 5.33 1.45 2.00
Needing But Not Receiving Treatment for Alcohol Use9 5.41 2.03 9.32 5.23 5.81
Needing But Not Receiving Treatment for Substance Use1,2,9 6.98 4.04 12.39 6.49 7.33
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.90 5.47 5.81
Any Mental Illness4,10 -- -- 27.79 24.57 25.03
Received Mental Health Services11 -- -- 17.22 17.29 17.28
Had Serious Thoughts of Suicide12 -- -- 10.59 4.78 5.60
Major Depressive Episode4,13 -- 16.22 14.15 7.35 8.32
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,076 84 348 644 992
Past Year Marijuana Use 1,482 134 477 870 1,348
Past Month Marijuana Use 944 69 318 557 875
Perceptions of Great Risk from Smoking Marijuana Once a Month 2,692 235 166 2,291 2,457
First Use of Marijuana3,4 124 50 58 16 74
Past Month Illicit Drug Use Other Than Marijuana1,2 342 24 124 194 318
Past Year Cocaine Use 208 5 79 124 203
Perceptions of Great Risk from Using Cocaine Once a Month 7,596 555 853 6,188 7,042
Past Year Heroin Use 27 0 6 21 27
Perceptions of Great Risk from Trying Heroin Once or Twice 9,220 649 1,136 7,434 8,571
Past Year Methamphetamine Use 30 1 5 24 29
Past Year Misuse of Pain Relievers2 396 33 96 267 363
ALCOHOL          
Past Month Alcohol Use 5,842 104 807 4,930 5,738
Past Month Binge Alcohol Use5 2,949 58 581 2,311 2,892
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
4,607 434 483 3,691 4,173
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 315 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 208 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 2,404 52 394 1,958 2,352
Past Month Cigarette Use 1,948 31 319 1,598 1,917
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
7,800 677 915 6,208 7,123
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 278 30 92 156 248
Pain Reliever Use Disorder2,8 62 6 11 45 56
Alcohol Use Disorder8 669 24 164 481 645
Substance Use Disorder1,2,8 855 47 217 591 808
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 249 27 80 142 222
Needing But Not Receiving Treatment for Alcohol Use9 636 23 154 458 613
Needing But Not Receiving Treatment for Substance Use1,2,9 799 44 202 552 755
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 87 315 402
Any Mental Illness4,10 -- -- 309 1,318 1,627
Received Mental Health Services11 -- -- 196 1,212 1,408
Had Serious Thoughts of Suicide12 -- -- 126 249 376
Major Depressive Episode4,13 -- 141 157 455 612
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.05 8.34 25.72 7.71 10.22
Past Year Marijuana Use 13.83 13.34 35.26 10.42 13.88
Past Month Marijuana Use 8.81 6.89 23.51 6.66 9.01
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.11 23.37 12.25 27.43 25.29
First Use of Marijuana3,4 2.10 5.84 8.45 0.41 1.47
Past Month Illicit Drug Use Other Than Marijuana1,2 3.19 2.40 9.19 2.32 3.27
Past Year Cocaine Use 1.94 0.48 5.84 1.49 2.09
Perceptions of Great Risk from Using Cocaine Once a Month 70.93 55.10 63.08 74.09 72.55
Past Year Heroin Use 0.25 0.04 0.45 0.25 0.27
Perceptions of Great Risk from Trying Heroin Once or Twice 86.10 64.51 84.00 89.00 88.30
Past Year Methamphetamine Use 0.28 0.09 0.39 0.28 0.30
Past Year Misuse of Pain Relievers2 3.70 3.24 7.12 3.20 3.74
ALCOHOL          
Past Month Alcohol Use 54.53 10.33 59.68 59.02 59.12
Past Month Binge Alcohol Use5 27.53 5.72 42.92 27.67 29.80
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.00 43.07 35.67 44.18 42.99
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.67 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.64 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 22.44 5.21 29.09 23.45 24.23
Past Month Cigarette Use 18.19 3.13 23.57 19.13 19.75
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
72.82 67.26 67.63 74.33 73.39
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.59 2.94 6.81 1.87 2.56
Pain Reliever Use Disorder2,8 0.58 0.55 0.81 0.54 0.58
Alcohol Use Disorder8 6.25 2.39 12.16 5.76 6.65
Substance Use Disorder1,2,8 7.98 4.67 16.03 7.07 8.32
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.32 2.68 5.88 1.70 2.29
Needing But Not Receiving Treatment for Alcohol Use9 5.93 2.26 11.41 5.49 6.31
Needing But Not Receiving Treatment for Substance Use1,2,9 7.45 4.35 14.96 6.61 7.78
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.41 3.77 4.14
Any Mental Illness4,10 -- -- 22.82 15.78 16.76
Received Mental Health Services11 -- -- 14.49 14.51 14.50
Had Serious Thoughts of Suicide12 -- -- 9.33 2.98 3.87
Major Depressive Episode4,13 -- 14.00 11.59 5.44 6.30
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 621 41 176 404 580
Past Year Marijuana Use 796 72 251 473 725
Past Month Marijuana Use 513 35 154 324 478
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,413 146 88 1,179 1,267
First Use of Marijuana3,4 71 28 33 10 43
Past Month Illicit Drug Use Other Than Marijuana1,2 208 13 60 135 195
Past Year Cocaine Use 105 3 42 60 102
Perceptions of Great Risk from Using Cocaine Once a Month 4,046 299 485 3,262 3,747
Past Year Heroin Use 35 0 9 25 35
Perceptions of Great Risk from Trying Heroin Once or Twice 4,781 354 626 3,801 4,426
Past Year Methamphetamine Use 32 1 9 22 31
Past Year Misuse of Pain Relievers2 266 20 65 181 247
ALCOHOL          
Past Month Alcohol Use 2,755 50 444 2,261 2,705
Past Month Binge Alcohol Use5 1,273 27 284 962 1,246
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
2,342 222 260 1,860 2,120
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 164 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 101 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,480 35 247 1,198 1,445
Past Month Cigarette Use 1,180 25 180 975 1,155
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
3,745 340 473 2,932 3,405
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 137 14 46 77 123
Pain Reliever Use Disorder2,8 41 3 9 29 38
Alcohol Use Disorder8 289 9 79 201 281
Substance Use Disorder1,2,8 395 18 108 268 377
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 120 12 41 67 108
Needing But Not Receiving Treatment for Alcohol Use9 273 8 73 192 265
Needing But Not Receiving Treatment for Substance Use1,2,9 361 17 102 242 344
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 58 200 259
Any Mental Illness4,10 -- -- 204 838 1,041
Received Mental Health Services11 -- -- 132 747 879
Had Serious Thoughts of Suicide12 -- -- 82 169 251
Major Depressive Episode4,13 -- 74 100 298 398
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.24 7.58 23.72 9.53 11.64
Past Year Marijuana Use 14.42 13.31 33.87 11.16 14.54
Past Month Marijuana Use 9.29 6.51 20.70 7.65 9.59
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.57 27.07 11.82 27.81 25.41
First Use of Marijuana3,4 2.43 6.03 8.83 0.48 1.73
Past Month Illicit Drug Use Other Than Marijuana1,2 3.76 2.34 8.07 3.19 3.91
Past Year Cocaine Use 1.90 0.55 5.72 1.41 2.05
Perceptions of Great Risk from Using Cocaine Once a Month 73.31 55.61 65.43 76.92 75.21
Past Year Heroin Use 0.64 0.07 1.26 0.60 0.70
Perceptions of Great Risk from Trying Heroin Once or Twice 86.63 65.84 84.35 89.63 88.84
Past Year Methamphetamine Use 0.58 0.19 1.21 0.52 0.62
Past Year Misuse of Pain Relievers2 4.83 3.69 8.82 4.27 4.95
ALCOHOL          
Past Month Alcohol Use 49.89 9.21 59.83 53.32 54.29
Past Month Binge Alcohol Use5 23.06 5.09 38.24 22.69 25.00
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
42.42 41.25 35.01 43.86 42.54
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.16 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 12.50 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 26.80 6.43 33.29 28.26 29.00
Past Month Cigarette Use 21.37 4.55 24.26 23.00 23.18
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
67.84 63.23 63.72 69.15 68.34
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.48 2.52 6.22 1.82 2.47
Pain Reliever Use Disorder2,8 0.74 0.49 1.23 0.69 0.77
Alcohol Use Disorder8 5.24 1.58 10.69 4.75 5.63
Substance Use Disorder1,2,8 7.14 3.29 14.61 6.33 7.56
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.18 2.31 5.51 1.58 2.17
Needing But Not Receiving Treatment for Alcohol Use9 4.94 1.56 9.84 4.52 5.31
Needing But Not Receiving Treatment for Substance Use1,2,9 6.54 3.16 13.68 5.72 6.90
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.85 4.72 5.19
Any Mental Illness4,10 -- -- 27.45 19.75 20.90
Received Mental Health Services11 -- -- 17.82 17.62 17.64
Had Serious Thoughts of Suicide12 -- -- 11.05 3.99 5.04
Major Depressive Episode4,13 -- 13.77 13.52 7.02 7.98
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 212 15 70 126 196
Past Year Marijuana Use 298 25 111 162 273
Past Month Marijuana Use 174 12 62 99 161
Perceptions of Great Risk from Smoking Marijuana Once a Month 612 62 42 508 550
First Use of Marijuana3,4 31 10 16 5 21
Past Month Illicit Drug Use Other Than Marijuana1,2 79 5 24 50 74
Past Year Cocaine Use 38 1 16 20 36
Perceptions of Great Risk from Using Cocaine Once a Month 1,843 133 221 1,489 1,710
Past Year Heroin Use 6 0 2 4 6
Perceptions of Great Risk from Trying Heroin Once or Twice 2,184 153 286 1,745 2,031
Past Year Methamphetamine Use 15 0 4 10 14
Past Year Misuse of Pain Relievers2 110 8 27 75 102
ALCOHOL          
Past Month Alcohol Use 1,527 24 233 1,270 1,503
Past Month Binge Alcohol Use5 775 14 167 594 760
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
921 90 108 723 831
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 80 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 55 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 689 12 134 543 677
Past Month Cigarette Use 548 9 103 436 539
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
1,724 158 218 1,348 1,566
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 61 7 23 32 55
Pain Reliever Use Disorder2,8 18 1 3 13 17
Alcohol Use Disorder8 185 5 51 128 180
Substance Use Disorder1,2,8 228 10 62 156 218
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 58 6 21 31 52
Needing But Not Receiving Treatment for Alcohol Use9 180 5 48 127 175
Needing But Not Receiving Treatment for Substance Use1,2,9 213 10 60 143 203
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 25 83 109
Any Mental Illness4,10 -- -- 91 360 450
Received Mental Health Services11 -- -- 66 350 417
Had Serious Thoughts of Suicide12 -- -- 38 73 111
Major Depressive Episode4,13 -- 34 47 137 183
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.10 6.26 19.47 6.29 8.29
Past Year Marijuana Use 11.39 10.22 30.88 8.05 11.51
Past Month Marijuana Use 6.65 5.11 17.29 4.93 6.80
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.42 25.38 11.75 25.29 23.22
First Use of Marijuana3,4 1.92 4.05 8.43 0.40 1.56
Past Month Illicit Drug Use Other Than Marijuana1,2 3.02 2.25 6.58 2.48 3.10
Past Year Cocaine Use 1.43 0.55 4.53 0.99 1.52
Perceptions of Great Risk from Using Cocaine Once a Month 70.59 54.58 61.50 74.13 72.22
Past Year Heroin Use 0.23 0.05 0.48 0.20 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 83.64 62.86 79.56 86.85 85.74
Past Year Methamphetamine Use 0.56 0.15 1.12 0.50 0.60
Past Year Misuse of Pain Relievers2 4.19 3.17 7.55 3.72 4.30
ALCOHOL          
Past Month Alcohol Use 58.44 9.68 64.91 63.21 63.46
Past Month Binge Alcohol Use5 29.66 5.90 46.38 29.56 32.10
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
35.26 36.98 29.92 36.01 35.08
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 21.72 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.88 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 26.39 5.01 37.22 27.05 28.59
Past Month Cigarette Use 20.97 3.70 28.58 21.71 22.75
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
65.98 64.61 60.73 67.08 66.12
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.35 2.76 6.27 1.60 2.31
Pain Reliever Use Disorder2,8 0.68 0.46 0.97 0.65 0.70
Alcohol Use Disorder8 7.08 2.25 14.25 6.39 7.58
Substance Use Disorder1,2,8 8.73 4.18 17.23 7.76 9.20
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.21 2.42 5.84 1.54 2.19
Needing But Not Receiving Treatment for Alcohol Use9 6.89 2.06 13.33 6.32 7.38
Needing But Not Receiving Treatment for Substance Use1,2,9 8.15 3.92 16.82 7.11 8.58
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.99 4.16 4.59
Any Mental Illness4,10 -- -- 25.26 17.90 19.02
Received Mental Health Services11 -- -- 18.49 17.43 17.59
Had Serious Thoughts of Suicide12 -- -- 10.58 3.64 4.69
Major Depressive Episode4,13 -- 14.10 12.94 6.80 7.73
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 197 16 57 124 181
Past Year Marijuana Use 283 28 94 162 255
Past Month Marijuana Use 157 12 52 93 145
Perceptions of Great Risk from Smoking Marijuana Once a Month 582 63 40 479 519
First Use of Marijuana3,4 30 11 14 5 18
Past Month Illicit Drug Use Other Than Marijuana1,2 69 6 17 47 63
Past Year Cocaine Use 38 1 16 20 36
Perceptions of Great Risk from Using Cocaine Once a Month 1,703 132 215 1,356 1,571
Past Year Heroin Use 7 0 2 5 7
Perceptions of Great Risk from Trying Heroin Once or Twice 2,021 153 270 1,598 1,867
Past Year Methamphetamine Use 19 0 5 14 19
Past Year Misuse of Pain Relievers2 109 9 24 76 100
ALCOHOL          
Past Month Alcohol Use 1,358 24 193 1,140 1,333
Past Month Binge Alcohol Use5 620 15 129 476 605
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
899 90 101 709 809
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 76 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 50 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 588 13 103 472 575
Past Month Cigarette Use 467 8 78 382 459
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
1,630 164 207 1,259 1,466
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 55 6 18 31 49
Pain Reliever Use Disorder2,8 16 1 3 11 14
Alcohol Use Disorder8 131 6 37 89 125
Substance Use Disorder1,2,8 164 10 46 109 155
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 45 5 16 24 40
Needing But Not Receiving Treatment for Alcohol Use9 128 5 37 85 122
Needing But Not Receiving Treatment for Substance Use1,2,9 150 9 44 97 141
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 23 79 102
Any Mental Illness4,10 -- -- 80 341 421
Received Mental Health Services11 -- -- 49 280 329
Had Serious Thoughts of Suicide12 -- -- 33 71 104
Major Depressive Episode4,13 -- 33 39 123 162
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 8.31 6.83 17.61 6.84 8.47
Past Year Marijuana Use 11.93 11.76 28.87 8.93 11.95
Past Month Marijuana Use 6.62 5.16 16.04 5.12 6.78
Perceptions of Great Risk from Smoking Marijuana Once a Month 24.51 26.59 12.28 26.45 24.28
First Use of Marijuana3,4 2.06 4.98 7.63 0.49 1.54
Past Month Illicit Drug Use Other Than Marijuana1,2 2.90 2.33 5.15 2.57 2.96
Past Year Cocaine Use 1.58 0.55 4.89 1.13 1.70
Perceptions of Great Risk from Using Cocaine Once a Month 71.79 55.70 66.16 74.88 73.56
Past Year Heroin Use 0.29 0.06 0.52 0.29 0.32
Perceptions of Great Risk from Trying Heroin Once or Twice 85.17 64.65 83.11 88.19 87.42
Past Year Methamphetamine Use 0.82 0.20 1.51 0.78 0.89
Past Year Misuse of Pain Relievers2 4.58 3.59 7.49 4.18 4.69
ALCOHOL          
Past Month Alcohol Use 57.20 10.27 59.53 62.94 62.42
Past Month Binge Alcohol Use5 26.13 6.36 39.68 26.30 28.33
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
37.88 37.81 31.04 39.12 37.89
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.59 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.54 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.75 5.37 31.73 26.05 26.91
Past Month Cigarette Use 19.68 3.43 23.90 21.06 21.49
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
68.69 69.04 63.87 69.50 68.65
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.31 2.43 5.67 1.69 2.29
Pain Reliever Use Disorder2,8 0.65 0.46 0.92 0.63 0.67
Alcohol Use Disorder8 5.52 2.39 11.27 4.91 5.87
Substance Use Disorder1,2,8 6.92 4.09 14.05 6.02 7.24
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 1.91 2.24 5.02 1.32 1.88
Needing But Not Receiving Treatment for Alcohol Use9 5.38 2.29 11.34 4.71 5.72
Needing But Not Receiving Treatment for Substance Use1,2,9 6.32 3.89 13.62 5.33 6.59
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.17 4.37 4.79
Any Mental Illness4,10 -- -- 24.72 18.81 19.71
Received Mental Health Services11 -- -- 15.03 15.46 15.39
Had Serious Thoughts of Suicide12 -- -- 10.29 3.90 4.87
Major Depressive Episode4,13 -- 13.84 11.87 6.81 7.58
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 336 25 87 223 310
Past Year Marijuana Use 475 41 135 300 434
Past Month Marijuana Use 287 20 81 185 266
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,029 97 59 873 932
First Use of Marijuana3,4 39 16 18 5 23
Past Month Illicit Drug Use Other Than Marijuana1,2 109 8 26 75 102
Past Year Cocaine Use 59 2 22 35 57
Perceptions of Great Risk from Using Cocaine Once a Month 2,786 199 315 2,273 2,588
Past Year Heroin Use 14 0 3 10 14
Perceptions of Great Risk from Trying Heroin Once or Twice 3,253 232 396 2,625 3,021
Past Year Methamphetamine Use 35 1 9 25 34
Past Year Misuse of Pain Relievers2 160 12 35 114 149
ALCOHOL          
Past Month Alcohol Use 1,470 35 231 1,204 1,435
Past Month Binge Alcohol Use5 805 20 159 626 784
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,613 145 168 1,300 1,467
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 103 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 68 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,246 33 190 1,022 1,213
Past Month Cigarette Use 984 20 147 817 964
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
2,399 212 280 1,907 2,188
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 104 10 35 60 94
Pain Reliever Use Disorder2,8 30 2 6 22 29
Alcohol Use Disorder8 183 5 42 135 177
Substance Use Disorder1,2,8 263 12 64 186 251
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 89 9 31 50 80
Needing But Not Receiving Treatment for Alcohol Use9 174 6 41 128 169
Needing But Not Receiving Treatment for Substance Use1,2,9 234 12 62 160 222
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 35 152 187
Any Mental Illness4,10 -- -- 107 640 747
Received Mental Health Services11 -- -- 78 512 590
Had Serious Thoughts of Suicide12 -- -- 49 109 158
Major Depressive Episode4,13 -- 41 57 207 264
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.09 7.46 18.65 7.73 9.26
Past Year Marijuana Use 12.86 11.94 28.74 10.39 12.95
Past Month Marijuana Use 7.77 6.01 17.38 6.41 7.95
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.84 28.52 12.62 30.26 27.77
First Use of Marijuana3,4 1.85 5.16 6.74 0.38 1.29
Past Month Illicit Drug Use Other Than Marijuana1,2 2.96 2.30 5.64 2.60 3.03
Past Year Cocaine Use 1.60 0.54 4.74 1.21 1.70
Perceptions of Great Risk from Using Cocaine Once a Month 75.46 58.35 67.12 78.82 77.18
Past Year Heroin Use 0.37 0.05 0.67 0.36 0.41
Perceptions of Great Risk from Trying Heroin Once or Twice 88.12 68.30 84.46 91.02 90.10
Past Year Methamphetamine Use 0.94 0.22 1.89 0.87 1.01
Past Year Misuse of Pain Relievers2 4.34 3.40 7.43 3.95 4.44
ALCOHOL          
Past Month Alcohol Use 39.80 10.25 49.27 41.74 42.79
Past Month Binge Alcohol Use5 21.79 5.95 33.83 21.70 23.39
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.67 42.75 35.80 45.06 43.76
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 19.63 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 12.92 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 33.73 9.61 40.64 35.45 36.18
Past Month Cigarette Use 26.66 5.88 31.46 28.33 28.77
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
64.98 62.19 59.84 66.14 65.26
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.82 2.92 7.38 2.07 2.81
Pain Reliever Use Disorder2,8 0.82 0.45 1.36 0.78 0.86
Alcohol Use Disorder8 4.94 1.61 8.95 4.68 5.28
Substance Use Disorder1,2,8 7.12 3.62 13.72 6.46 7.47
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.41 2.55 6.58 1.72 2.40
Needing But Not Receiving Treatment for Alcohol Use9 4.72 1.64 8.67 4.44 5.03
Needing But Not Receiving Treatment for Substance Use1,2,9 6.34 3.53 13.20 5.56 6.63
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.53 5.26 5.58
Any Mental Illness4,10 -- -- 22.83 22.21 22.29
Received Mental Health Services11 -- -- 16.63 17.77 17.61
Had Serious Thoughts of Suicide12 -- -- 10.47 3.78 4.71
Major Depressive Episode4,13 -- 11.94 12.09 7.19 7.87
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 356 25 103 228 331
Past Year Marijuana Use 469 36 142 290 433
Past Month Marijuana Use 291 21 92 178 271
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,115 101 72 942 1,014
First Use of Marijuana3,4 35 15 15 5 20
Past Month Illicit Drug Use Other Than Marijuana1,2 133 10 34 90 124
Past Year Cocaine Use 55 1 18 36 54
Perceptions of Great Risk from Using Cocaine Once a Month 2,833 201 334 2,298 2,632
Past Year Heroin Use 8 0 2 6 8
Perceptions of Great Risk from Trying Heroin Once or Twice 3,355 242 412 2,701 3,113
Past Year Methamphetamine Use 17 1 3 13 16
Past Year Misuse of Pain Relievers2 158 11 34 113 147
ALCOHOL          
Past Month Alcohol Use 1,922 37 267 1,618 1,884
Past Month Binge Alcohol Use5 1,024 19 175 830 1,005
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,687 164 192 1,331 1,523
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 105 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 61 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,158 25 170 963 1,132
Past Month Cigarette Use 917 16 133 768 901
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
2,596 228 311 2,056 2,368
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 102 9 33 61 94
Pain Reliever Use Disorder2,8 27 2 6 19 25
Alcohol Use Disorder8 236 8 49 179 228
Substance Use Disorder1,2,8 307 14 70 223 293
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 91 8 31 52 83
Needing But Not Receiving Treatment for Alcohol Use9 213 7 45 160 205
Needing But Not Receiving Treatment for Substance Use1,2,9 277 13 67 197 264
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 27 137 164
Any Mental Illness4,10 -- -- 97 566 663
Received Mental Health Services11 -- -- 57 411 468
Had Serious Thoughts of Suicide12 -- -- 40 108 147
Major Depressive Episode4,13 -- 39 43 205 249
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.29 6.95 21.05 7.64 9.54
Past Year Marijuana Use 12.23 9.92 28.98 9.76 12.48
Past Month Marijuana Use 7.60 5.67 18.80 5.99 7.80
Perceptions of Great Risk from Smoking Marijuana Once a Month 29.08 27.75 14.73 31.63 29.22
First Use of Marijuana3,4 1.58 4.53 5.81 0.33 1.08
Past Month Illicit Drug Use Other Than Marijuana1,2 3.48 2.61 6.87 3.03 3.57
Past Year Cocaine Use 1.43 0.28 3.69 1.19 1.55
Perceptions of Great Risk from Using Cocaine Once a Month 73.91 55.03 68.05 77.18 75.88
Past Year Heroin Use 0.22 0.04 0.40 0.21 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 87.54 66.18 83.82 90.74 89.75
Past Year Methamphetamine Use 0.44 0.14 0.67 0.44 0.47
Past Year Misuse of Pain Relievers2 4.12 3.00 6.83 3.81 4.24
ALCOHOL          
Past Month Alcohol Use 50.12 10.19 54.27 54.34 54.33
Past Month Binge Alcohol Use5 26.72 5.21 35.73 27.87 28.98
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
43.99 44.76 39.19 44.70 43.91
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 19.51 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.35 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 30.20 6.90 34.52 32.34 32.65
Past Month Cigarette Use 23.92 4.36 27.11 25.79 25.98
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
67.72 62.51 63.36 69.08 68.26
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.67 2.42 6.63 2.05 2.70
Pain Reliever Use Disorder2,8 0.70 0.44 1.15 0.65 0.72
Alcohol Use Disorder8 6.16 2.26 10.03 6.00 6.57
Substance Use Disorder1,2,8 8.02 3.89 14.25 7.50 8.46
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.37 2.15 6.39 1.74 2.40
Needing But Not Receiving Treatment for Alcohol Use9 5.55 2.05 9.13 5.39 5.92
Needing But Not Receiving Treatment for Substance Use1,2,9 7.22 3.49 13.59 6.62 7.61
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 5.47 4.60 4.72
Any Mental Illness4,10 -- -- 19.67 19.02 19.11
Received Mental Health Services11 -- -- 11.52 13.81 13.49
Had Serious Thoughts of Suicide12 -- -- 8.07 3.62 4.25
Major Depressive Episode4,13 -- 10.76 8.80 6.90 7.17
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 189 10 45 134 179
Past Year Marijuana Use 253 14 57 182 239
Past Month Marijuana Use 183 9 43 131 174
Perceptions of Great Risk from Smoking Marijuana Once a Month 209 17 10 182 192
First Use of Marijuana3,4 13 5 5 3 8
Past Month Illicit Drug Use Other Than Marijuana1,2 34 2 9 23 32
Past Year Cocaine Use 21 1 8 13 21
Perceptions of Great Risk from Using Cocaine Once a Month 812 51 74 687 761
Past Year Heroin Use 6 0 2 4 6
Perceptions of Great Risk from Trying Heroin Once or Twice 1,007 59 105 842 947
Past Year Methamphetamine Use 5 0 1 3 5
Past Year Misuse of Pain Relievers2 45 2 9 34 43
ALCOHOL          
Past Month Alcohol Use 649 10 80 559 639
Past Month Binge Alcohol Use5 272 5 50 217 267
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
467 34 36 396 433
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 34 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 21 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 280 7 44 229 273
Past Month Cigarette Use 233 6 34 193 228
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
819 62 79 678 757
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 35 3 10 22 32
Pain Reliever Use Disorder2,8 9 0 2 7 9
Alcohol Use Disorder8 65 2 13 50 63
Substance Use Disorder1,2,8 93 4 20 69 89
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 31 3 9 19 29
Needing But Not Receiving Treatment for Alcohol Use9 63 2 12 48 61
Needing But Not Receiving Treatment for Substance Use1,2,9 89 4 19 65 85
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 10 39 49
Any Mental Illness4,10 -- -- 33 170 203
Received Mental Health Services11 -- -- 24 180 204
Had Serious Thoughts of Suicide12 -- -- 12 30 43
Major Depressive Episode4,13 -- 14 19 61 80
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.35 10.67 36.10 14.25 16.83
Past Year Marijuana Use 21.94 15.81 45.67 19.36 22.46
Past Month Marijuana Use 15.81 9.89 34.38 13.89 16.31
Perceptions of Great Risk from Smoking Marijuana Once a Month 18.07 19.33 7.90 19.33 17.96
First Use of Marijuana3,4 2.53 6.24 10.62 0.70 1.87
Past Month Illicit Drug Use Other Than Marijuana1,2 2.97 2.14 7.40 2.45 3.04
Past Year Cocaine Use 1.86 0.70 6.62 1.33 1.96
Perceptions of Great Risk from Using Cocaine Once a Month 70.18 56.63 59.87 72.86 71.31
Past Year Heroin Use 0.51 0.05 1.24 0.45 0.55
Perceptions of Great Risk from Trying Heroin Once or Twice 87.04 65.70 84.65 89.37 88.81
Past Year Methamphetamine Use 0.42 0.12 1.17 0.35 0.45
Past Year Misuse of Pain Relievers2 3.94 2.70 7.37 3.60 4.04
ALCOHOL          
Past Month Alcohol Use 56.16 11.24 64.29 59.37 59.96
Past Month Binge Alcohol Use5 23.53 5.94 40.11 22.99 25.02
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
40.32 37.72 29.16 42.05 40.54
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 24.13 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 15.16 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.21 7.90 35.21 24.30 25.59
Past Month Cigarette Use 20.16 6.17 27.60 20.50 21.35
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
70.78 68.37 63.42 71.99 70.98
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.03 3.55 8.00 2.32 2.99
Pain Reliever Use Disorder2,8 0.78 0.46 1.39 0.73 0.80
Alcohol Use Disorder8 5.62 2.26 10.50 5.29 5.91
Substance Use Disorder1,2,8 8.08 4.75 16.02 7.33 8.36
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.70 2.90 7.35 2.06 2.69
Needing But Not Receiving Treatment for Alcohol Use9 5.41 2.13 9.80 5.14 5.69
Needing But Not Receiving Treatment for Substance Use1,2,9 7.69 4.64 15.55 6.93 7.94
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.71 4.19 4.60
Any Mental Illness4,10 -- -- 26.59 17.99 19.01
Received Mental Health Services11 -- -- 19.18 19.15 19.16
Had Serious Thoughts of Suicide12 -- -- 9.98 3.19 3.99
Major Depressive Episode4,13 -- 15.07 15.31 6.44 7.48
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 599 41 172 386 558
Past Year Marijuana Use 781 62 240 478 718
Past Month Marijuana Use 539 32 160 347 507
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,268 119 77 1,071 1,149
First Use of Marijuana3,4 57 23 25 10 34
Past Month Illicit Drug Use Other Than Marijuana1,2 169 12 49 108 158
Past Year Cocaine Use 107 2 38 67 105
Perceptions of Great Risk from Using Cocaine Once a Month 3,602 257 381 2,963 3,344
Past Year Heroin Use 27 0 6 21 27
Perceptions of Great Risk from Trying Heroin Once or Twice 4,354 309 499 3,546 4,045
Past Year Methamphetamine Use 13 0 2 10 12
Past Year Misuse of Pain Relievers2 197 14 45 138 183
ALCOHOL          
Past Month Alcohol Use 2,689 43 360 2,287 2,646
Past Month Binge Alcohol Use5 1,199 21 241 937 1,178
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
2,331 206 243 1,881 2,124
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 126 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 71 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 963 20 159 784 943
Past Month Cigarette Use 792 12 121 659 780
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
3,848 326 441 3,081 3,522
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 141 12 49 79 128
Pain Reliever Use Disorder2,8 30 2 5 23 28
Alcohol Use Disorder8 271 7 64 201 265
Substance Use Disorder1,2,8 378 16 103 260 362
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 123 12 43 69 112
Needing But Not Receiving Treatment for Alcohol Use9 266 6 65 195 260
Needing But Not Receiving Treatment for Substance Use1,2,9 343 15 92 237 328
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 39 140 179
Any Mental Illness4,10 -- -- 141 637 778
Received Mental Health Services11 -- -- 92 559 651
Had Serious Thoughts of Suicide12 -- -- 55 129 184
Major Depressive Episode4,13 -- 59 79 240 318
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.88 9.05 28.26 9.70 12.16
Past Year Marijuana Use 15.48 13.76 39.47 12.00 15.65
Past Month Marijuana Use 10.68 7.13 26.24 8.71 11.04
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.11 26.24 12.66 26.90 24.99
First Use of Marijuana3,4 2.15 5.88 8.99 0.51 1.52
Past Month Illicit Drug Use Other Than Marijuana1,2 3.35 2.54 8.06 2.72 3.43
Past Year Cocaine Use 2.11 0.35 6.20 1.69 2.29
Perceptions of Great Risk from Using Cocaine Once a Month 71.40 56.74 62.63 74.40 72.83
Past Year Heroin Use 0.54 0.05 1.03 0.52 0.58
Perceptions of Great Risk from Trying Heroin Once or Twice 86.31 68.00 81.96 89.03 88.09
Past Year Methamphetamine Use 0.25 0.09 0.32 0.26 0.27
Past Year Misuse of Pain Relievers2 3.90 3.05 7.32 3.47 3.98
ALCOHOL          
Past Month Alcohol Use 53.30 9.48 59.08 57.41 57.64
Past Month Binge Alcohol Use5 23.77 4.63 39.58 23.53 25.66
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
46.20 45.50 39.93 47.23 46.26
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 19.12 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.72 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 19.10 4.45 26.10 19.69 20.54
Past Month Cigarette Use 15.70 2.68 19.79 16.56 16.99
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
76.27 71.94 72.33 77.36 76.69
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.79 2.73 8.01 1.99 2.79
Pain Reliever Use Disorder2,8 0.59 0.47 0.78 0.58 0.60
Alcohol Use Disorder8 5.37 1.44 10.46 5.04 5.76
Substance Use Disorder1,2,8 7.49 3.45 16.84 6.52 7.89
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.44 2.56 6.98 1.74 2.43
Needing But Not Receiving Treatment for Alcohol Use9 5.28 1.38 10.64 4.90 5.67
Needing But Not Receiving Treatment for Substance Use1,2,9 6.81 3.33 15.07 5.94 7.15
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.48 3.51 3.90
Any Mental Illness4,10 -- -- 23.18 15.99 16.94
Received Mental Health Services11 -- -- 15.15 14.04 14.19
Had Serious Thoughts of Suicide12 -- -- 9.04 3.23 4.00
Major Depressive Episode4,13 -- 12.91 12.93 6.02 6.93
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 940 53 265 623 888
Past Year Marijuana Use 1,173 79 356 737 1,093
Past Month Marijuana Use 786 43 240 503 743
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,153 99 72 983 1,054
First Use of Marijuana3,4 86 30 41 16 57
Past Month Illicit Drug Use Other Than Marijuana1,2 250 11 73 167 239
Past Year Cocaine Use 179 3 74 102 176
Perceptions of Great Risk from Using Cocaine Once a Month 3,739 264 426 3,049 3,475
Past Year Heroin Use 25 0 5 20 25
Perceptions of Great Risk from Trying Heroin Once or Twice 4,996 320 642 4,033 4,676
Past Year Methamphetamine Use 20 1 3 16 19
Past Year Misuse of Pain Relievers2 212 13 48 151 199
ALCOHOL          
Past Month Alcohol Use 3,605 62 559 2,985 3,544
Past Month Binge Alcohol Use5 1,851 36 402 1,413 1,815
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
2,337 203 246 1,888 2,133
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 281 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 196 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,216 21 231 964 1,195
Past Month Cigarette Use 973 13 167 793 961
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
4,323 344 563 3,416 3,979
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 189 15 66 108 174
Pain Reliever Use Disorder2,8 40 2 6 31 38
Alcohol Use Disorder8 418 11 112 296 408
Substance Use Disorder1,2,8 567 21 158 388 546
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 178 14 59 105 164
Needing But Not Receiving Treatment for Alcohol Use9 394 10 104 280 384
Needing But Not Receiving Treatment for Substance Use1,2,9 514 21 151 343 494
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 59 197 256
Any Mental Illness4,10 -- -- 208 901 1,109
Received Mental Health Services11 -- -- 137 925 1,062
Had Serious Thoughts of Suicide12 -- -- 80 167 247
Major Depressive Episode4,13 -- 66 112 296 408
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.00 10.90 33.41 13.55 16.46
Past Year Marijuana Use 19.96 16.39 44.93 16.03 20.28
Past Month Marijuana Use 13.38 8.91 30.27 10.94 13.78
Perceptions of Great Risk from Smoking Marijuana Once a Month 19.61 20.33 9.02 21.37 19.54
First Use of Marijuana3,4 3.42 7.88 13.10 0.87 2.60
Past Month Illicit Drug Use Other Than Marijuana1,2 4.26 2.29 9.19 3.62 4.44
Past Year Cocaine Use 3.05 0.64 9.35 2.22 3.27
Perceptions of Great Risk from Using Cocaine Once a Month 63.65 54.52 53.75 66.31 64.46
Past Year Heroin Use 0.42 0.03 0.62 0.43 0.46
Perceptions of Great Risk from Trying Heroin Once or Twice 85.06 66.02 81.07 87.71 86.74
Past Year Methamphetamine Use 0.33 0.13 0.33 0.36 0.35
Past Year Misuse of Pain Relievers2 3.60 2.58 6.08 3.29 3.70
ALCOHOL          
Past Month Alcohol Use 61.36 12.72 70.51 64.91 65.73
Past Month Binge Alcohol Use5 31.50 7.43 50.76 30.73 33.67
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
39.76 41.92 31.01 41.05 39.57
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 31.78 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 22.14 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 20.70 4.31 29.16 20.97 22.17
Past Month Cigarette Use 16.57 2.66 21.12 17.25 17.82
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
73.58 70.92 71.11 74.28 73.81
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.22 3.13 8.33 2.34 3.22
Pain Reliever Use Disorder2,8 0.68 0.44 0.80 0.68 0.70
Alcohol Use Disorder8 7.12 2.18 14.10 6.44 7.56
Substance Use Disorder1,2,8 9.64 4.26 19.92 8.44 10.13
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.03 2.90 7.47 2.28 3.04
Needing But Not Receiving Treatment for Alcohol Use9 6.70 2.01 13.13 6.09 7.12
Needing But Not Receiving Treatment for Substance Use1,2,9 8.75 4.26 19.02 7.46 9.15
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.46 4.29 4.76
Any Mental Illness4,10 -- -- 26.23 19.59 20.57
Received Mental Health Services11 -- -- 17.31 20.11 19.69
Had Serious Thoughts of Suicide12 -- -- 10.07 3.63 4.57
Major Depressive Episode4,13 -- 13.60 14.11 6.44 7.56
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,129 72 292 765 1,056
Past Year Marijuana Use 1,406 109 418 879 1,297
Past Month Marijuana Use 979 60 267 652 919
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,845 181 108 1,556 1,664
First Use of Marijuana3,4 106 41 48 17 65
Past Month Illicit Drug Use Other Than Marijuana1,2 310 20 80 211 291
Past Year Cocaine Use 143 3 52 87 140
Perceptions of Great Risk from Using Cocaine Once a Month 6,150 413 710 5,026 5,736
Past Year Heroin Use 26 0 6 20 26
Perceptions of Great Risk from Trying Heroin Once or Twice 7,278 493 916 5,868 6,785
Past Year Methamphetamine Use 34 1 8 25 33
Past Year Misuse of Pain Relievers2 369 27 78 264 342
ALCOHOL          
Past Month Alcohol Use 4,482 83 648 3,750 4,399
Past Month Binge Alcohol Use5 2,120 42 431 1,647 2,078
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
3,354 314 373 2,666 3,040
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 269 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 169 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 2,206 43 334 1,830 2,164
Past Month Cigarette Use 1,823 28 259 1,536 1,795
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
5,801 525 723 4,554 5,276
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 250 22 79 148 227
Pain Reliever Use Disorder2,8 62 4 11 48 59
Alcohol Use Disorder8 462 14 106 342 449
Substance Use Disorder1,2,8 637 30 159 448 608
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 210 20 68 122 190
Needing But Not Receiving Treatment for Alcohol Use9 434 13 98 323 420
Needing But Not Receiving Treatment for Substance Use1,2,9 584 28 144 412 556
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 73 276 349
Any Mental Illness4,10 -- -- 265 1,140 1,405
Received Mental Health Services11 -- -- 169 1,089 1,257
Had Serious Thoughts of Suicide12 -- -- 103 203 306
Major Depressive Episode4,13 -- 107 130 415 546
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.39 9.40 26.48 11.67 13.80
Past Year Marijuana Use 16.69 14.15 38.00 13.41 16.94
Past Month Marijuana Use 11.61 7.73 24.24 9.95 12.00
Perceptions of Great Risk from Smoking Marijuana Once a Month 21.88 23.50 9.81 23.74 21.72
First Use of Marijuana3,4 2.46 6.02 8.91 0.58 1.80
Past Month Illicit Drug Use Other Than Marijuana1,2 3.68 2.58 7.23 3.22 3.80
Past Year Cocaine Use 1.70 0.44 4.75 1.33 1.82
Perceptions of Great Risk from Using Cocaine Once a Month 72.99 53.65 64.53 76.67 74.92
Past Year Heroin Use 0.31 0.06 0.52 0.30 0.33
Perceptions of Great Risk from Trying Heroin Once or Twice 86.39 63.98 83.21 89.52 88.61
Past Year Methamphetamine Use 0.41 0.14 0.76 0.38 0.44
Past Year Misuse of Pain Relievers2 4.37 3.50 7.10 4.02 4.46
ALCOHOL          
Past Month Alcohol Use 53.18 10.76 58.90 57.21 57.45
Past Month Binge Alcohol Use5 25.16 5.46 39.18 25.12 27.14
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
39.79 40.74 33.91 40.67 39.70
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 22.47 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.15 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 26.18 5.52 30.32 27.91 28.26
Past Month Cigarette Use 21.63 3.68 23.56 23.42 23.44
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
68.84 68.13 65.64 69.46 68.91
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.96 2.91 7.16 2.26 2.97
Pain Reliever Use Disorder2,8 0.74 0.49 0.98 0.73 0.77
Alcohol Use Disorder8 5.49 1.81 9.64 5.22 5.86
Substance Use Disorder1,2,8 7.56 3.87 14.47 6.84 7.93
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.49 2.59 6.21 1.86 2.48
Needing But Not Receiving Treatment for Alcohol Use9 5.15 1.71 8.87 4.93 5.49
Needing But Not Receiving Treatment for Substance Use1,2,9 6.93 3.63 13.12 6.28 7.26
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.64 4.21 4.56
Any Mental Illness4,10 -- -- 24.05 17.39 18.34
Received Mental Health Services11 -- -- 15.31 16.61 16.42
Had Serious Thoughts of Suicide12 -- -- 9.33 3.10 3.99
Major Depressive Episode4,13 -- 13.87 11.85 6.34 7.13
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 422 31 120 271 391
Past Year Marijuana Use 635 56 188 391 579
Past Month Marijuana Use 357 25 110 222 332
Perceptions of Great Risk from Smoking Marijuana Once a Month 892 94 50 748 798
First Use of Marijuana3,4 61 23 29 9 38
Past Month Illicit Drug Use Other Than Marijuana1,2 147 11 43 93 135
Past Year Cocaine Use 79 2 28 49 76
Perceptions of Great Risk from Using Cocaine Once a Month 3,066 225 340 2,501 2,841
Past Year Heroin Use 11 0 3 8 11
Perceptions of Great Risk from Trying Heroin Once or Twice 3,811 265 458 3,088 3,546
Past Year Methamphetamine Use 35 1 7 27 34
Past Year Misuse of Pain Relievers2 194 14 37 144 180
ALCOHOL          
Past Month Alcohol Use 2,683 42 376 2,264 2,640
Past Month Binge Alcohol Use5 1,219 22 257 939 1,197
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,755 170 173 1,412 1,585
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 149 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 95 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,055 23 198 834 1,032
Past Month Cigarette Use 845 16 149 680 829
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
3,180 275 356 2,549 2,905
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 109 13 34 61 96
Pain Reliever Use Disorder2,8 27 2 5 21 25
Alcohol Use Disorder8 234 7 63 164 227
Substance Use Disorder1,2,8 311 18 85 207 293
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 98 12 31 56 86
Needing But Not Receiving Treatment for Alcohol Use9 230 7 61 162 223
Needing But Not Receiving Treatment for Substance Use1,2,9 276 16 79 182 260
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 42 136 178
Any Mental Illness4,10 -- -- 165 600 765
Received Mental Health Services11 -- -- 105 650 755
Had Serious Thoughts of Suicide12 -- -- 58 132 190
Major Depressive Episode4,13 -- 58 87 197 284
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.12 7.30 20.93 7.46 9.31
Past Year Marijuana Use 13.71 12.95 32.75 10.78 13.78
Past Month Marijuana Use 7.71 5.81 19.12 6.13 7.91
Perceptions of Great Risk from Smoking Marijuana Once a Month 19.25 21.73 8.70 20.64 18.99
First Use of Marijuana3,4 2.45 5.67 10.12 0.52 1.85
Past Month Illicit Drug Use Other Than Marijuana1,2 3.17 2.58 7.46 2.56 3.23
Past Year Cocaine Use 1.70 0.57 4.79 1.35 1.82
Perceptions of Great Risk from Using Cocaine Once a Month 66.23 52.26 59.13 69.00 67.64
Past Year Heroin Use 0.23 0.03 0.51 0.21 0.25
Perceptions of Great Risk from Trying Heroin Once or Twice 82.32 61.45 79.72 85.18 84.43
Past Year Methamphetamine Use 0.76 0.27 1.22 0.74 0.81
Past Year Misuse of Pain Relievers2 4.19 3.17 6.36 3.97 4.30
ALCOHOL          
Past Month Alcohol Use 57.93 9.78 65.46 62.46 62.87
Past Month Binge Alcohol Use5 26.32 5.14 44.81 25.91 28.50
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
37.89 39.30 30.19 38.94 37.74
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 22.63 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.41 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 22.77 5.24 34.44 23.01 24.57
Past Month Cigarette Use 18.26 3.82 25.90 18.76 19.74
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
68.67 63.77 61.93 70.31 69.17
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.36 3.10 5.99 1.69 2.28
Pain Reliever Use Disorder2,8 0.59 0.44 0.81 0.57 0.61
Alcohol Use Disorder8 5.06 1.70 10.94 4.53 5.41
Substance Use Disorder1,2,8 6.72 4.27 14.88 5.72 6.97
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.12 2.69 5.34 1.54 2.06
Needing But Not Receiving Treatment for Alcohol Use9 4.96 1.64 10.55 4.47 5.30
Needing But Not Receiving Treatment for Substance Use1,2,9 5.97 3.75 13.67 5.01 6.19
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.33 3.75 4.24
Any Mental Illness4,10 -- -- 28.73 16.55 18.21
Received Mental Health Services11 -- -- 18.30 17.94 17.99
Had Serious Thoughts of Suicide12 -- -- 10.17 3.63 4.52
Major Depressive Episode4,13 -- 13.56 15.20 5.44 6.77
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 227 17 61 148 210
Past Year Marijuana Use 279 26 87 166 253
Past Month Marijuana Use 170 12 51 107 158
Perceptions of Great Risk from Smoking Marijuana Once a Month 859 79 70 711 780
First Use of Marijuana3,4 28 11 13 3 17
Past Month Illicit Drug Use Other Than Marijuana1,2 82 7 21 54 75
Past Year Cocaine Use 32 1 9 22 31
Perceptions of Great Risk from Using Cocaine Once a Month 1,945 142 239 1,564 1,803
Past Year Heroin Use 5 0 1 4 5
Perceptions of Great Risk from Trying Heroin Once or Twice 2,153 165 275 1,713 1,988
Past Year Methamphetamine Use 15 0 3 11 15
Past Year Misuse of Pain Relievers2 104 10 24 70 93
ALCOHOL          
Past Month Alcohol Use 935 19 144 773 917
Past Month Binge Alcohol Use5 505 9 84 412 496
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,172 115 142 915 1,057
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 50 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 28 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 767 19 110 638 748
Past Month Cigarette Use 601 11 86 503 589
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
1,684 150 214 1,320 1,534
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 67 7 21 38 60
Pain Reliever Use Disorder2,8 18 1 4 13 17
Alcohol Use Disorder8 108 3 26 79 105
Substance Use Disorder1,2,8 158 9 42 107 149
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 58 6 21 31 52
Needing But Not Receiving Treatment for Alcohol Use9 99 3 24 72 96
Needing But Not Receiving Treatment for Substance Use1,2,9 140 8 39 93 132
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 19 83 102
Any Mental Illness4,10 -- -- 64 356 420
Received Mental Health Services11 -- -- 33 260 293
Had Serious Thoughts of Suicide12 -- -- 28 61 88
Major Depressive Episode4,13 -- 28 33 122 155
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.27 7.02 18.85 7.90 9.51
Past Year Marijuana Use 11.40 10.69 26.78 8.82 11.48
Past Month Marijuana Use 6.96 5.05 15.79 5.67 7.17
Perceptions of Great Risk from Smoking Marijuana Once a Month 35.07 32.44 21.42 37.81 35.36
First Use of Marijuana3,4 1.76 4.84 6.83 0.27 1.24
Past Month Illicit Drug Use Other Than Marijuana1,2 3.35 2.89 6.32 2.89 3.40
Past Year Cocaine Use 1.29 0.24 2.90 1.15 1.41
Perceptions of Great Risk from Using Cocaine Once a Month 79.47 58.42 73.37 83.23 81.76
Past Year Heroin Use 0.21 0.01 0.42 0.20 0.23
Perceptions of Great Risk from Trying Heroin Once or Twice 87.97 67.67 84.57 91.14 90.17
Past Year Methamphetamine Use 0.61 0.14 0.95 0.61 0.66
Past Year Misuse of Pain Relievers2 4.25 4.31 7.30 3.71 4.24
ALCOHOL          
Past Month Alcohol Use 38.22 7.65 44.24 41.12 41.58
Past Month Binge Alcohol Use5 20.62 3.73 25.76 21.91 22.48
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
47.88 47.23 43.59 48.71 47.95
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 13.92 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 7.74 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 31.32 7.62 33.81 33.95 33.93
Past Month Cigarette Use 24.55 4.71 26.43 26.79 26.73
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
68.80 61.77 65.68 70.25 69.57
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.73 2.88 6.54 2.05 2.71
Pain Reliever Use Disorder2,8 0.75 0.50 1.23 0.70 0.78
Alcohol Use Disorder8 4.42 1.25 7.91 4.23 4.77
Substance Use Disorder1,2,8 6.44 3.49 12.82 5.72 6.77
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.38 2.48 6.45 1.65 2.36
Needing But Not Receiving Treatment for Alcohol Use9 4.06 1.27 7.35 3.85 4.36
Needing But Not Receiving Treatment for Substance Use1,2,9 5.73 3.37 11.94 4.96 5.99
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 5.94 4.41 4.64
Any Mental Illness4,10 -- -- 19.70 18.92 19.04
Received Mental Health Services11 -- -- 10.15 13.82 13.28
Had Serious Thoughts of Suicide12 -- -- 8.54 3.22 4.01
Major Depressive Episode4,13 -- 11.56 10.08 6.49 7.02
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 526 39 134 354 488
Past Year Marijuana Use 699 55 206 438 643
Past Month Marijuana Use 428 27 120 281 401
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,254 124 77 1,054 1,130
First Use of Marijuana3,4 65 22 33 11 44
Past Month Illicit Drug Use Other Than Marijuana1,2 169 14 36 119 154
Past Year Cocaine Use 81 2 29 50 79
Perceptions of Great Risk from Using Cocaine Once a Month 3,710 264 412 3,035 3,446
Past Year Heroin Use 15 0 4 11 15
Perceptions of Great Risk from Trying Heroin Once or Twice 4,414 320 536 3,558 4,094
Past Year Methamphetamine Use 45 1 9 35 43
Past Year Misuse of Pain Relievers2 219 16 46 156 202
ALCOHOL          
Past Month Alcohol Use 2,587 51 360 2,177 2,537
Past Month Binge Alcohol Use5 1,282 27 245 1,010 1,255
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
2,070 192 217 1,661 1,878
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 152 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 96 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,375 34 202 1,139 1,341
Past Month Cigarette Use 1,084 24 155 904 1,060
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
3,424 312 395 2,718 3,112
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 129 12 40 77 117
Pain Reliever Use Disorder2,8 35 2 7 26 32
Alcohol Use Disorder8 271 9 61 201 262
Substance Use Disorder1,2,8 371 17 84 269 353
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 115 11 37 67 105
Needing But Not Receiving Treatment for Alcohol Use9 250 9 57 185 242
Needing But Not Receiving Treatment for Substance Use1,2,9 332 17 83 232 316
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 44 182 226
Any Mental Illness4,10 -- -- 150 775 925
Received Mental Health Services11 -- -- 100 676 776
Had Serious Thoughts of Suicide12 -- -- 63 124 186
Major Depressive Episode4,13 -- 68 77 291 367
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.36 8.26 20.72 8.93 10.58
Past Year Marijuana Use 13.75 11.81 31.87 11.03 13.95
Past Month Marijuana Use 8.42 5.80 18.57 7.08 8.68
Perceptions of Great Risk from Smoking Marijuana Once a Month 24.67 26.41 11.87 26.56 24.49
First Use of Marijuana3,4 2.21 4.93 8.95 0.47 1.72
Past Month Illicit Drug Use Other Than Marijuana1,2 3.32 3.07 5.52 2.99 3.34
Past Year Cocaine Use 1.59 0.47 4.44 1.26 1.71
Perceptions of Great Risk from Using Cocaine Once a Month 73.04 56.40 63.83 76.49 74.71
Past Year Heroin Use 0.30 0.04 0.54 0.29 0.32
Perceptions of Great Risk from Trying Heroin Once or Twice 86.92 68.46 83.18 89.67 88.76
Past Year Methamphetamine Use 0.88 0.29 1.32 0.88 0.94
Past Year Misuse of Pain Relievers2 4.31 3.53 7.14 3.94 4.39
ALCOHOL          
Past Month Alcohol Use 50.93 10.80 55.78 54.87 55.00
Past Month Binge Alcohol Use5 25.23 5.82 37.98 25.45 27.20
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
40.75 41.11 33.64 41.86 40.71
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 21.05 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.25 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 27.07 7.27 31.33 28.71 29.08
Past Month Cigarette Use 21.33 5.20 24.06 22.79 22.97
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
67.40 66.65 61.22 68.49 67.48
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.54 2.66 6.20 1.93 2.53
Pain Reliever Use Disorder2,8 0.69 0.50 1.04 0.65 0.70
Alcohol Use Disorder8 5.33 1.86 9.49 5.06 5.68
Substance Use Disorder1,2,8 7.29 3.72 13.08 6.77 7.66
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.27 2.34 5.81 1.69 2.27
Needing But Not Receiving Treatment for Alcohol Use9 4.93 1.82 8.83 4.66 5.24
Needing But Not Receiving Treatment for Substance Use1,2,9 6.54 3.59 12.88 5.86 6.84
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.85 4.59 4.91
Any Mental Illness4,10 -- -- 23.27 19.52 20.05
Received Mental Health Services11 -- -- 15.50 17.03 16.82
Had Serious Thoughts of Suicide12 -- -- 9.75 3.11 4.04
Major Depressive Episode4,13 -- 14.57 11.87 7.33 7.96
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 126 8 30 88 118
Past Year Marijuana Use 171 12 45 115 160
Past Month Marijuana Use 114 7 28 80 108
Perceptions of Great Risk from Smoking Marijuana Once a Month 178 16 10 153 163
First Use of Marijuana3,4 12 4 5 2 7
Past Month Illicit Drug Use Other Than Marijuana1,2 31 2 9 21 29
Past Year Cocaine Use 17 1 6 10 16
Perceptions of Great Risk from Using Cocaine Once a Month 600 40 65 495 560
Past Year Heroin Use 3 0 1 2 3
Perceptions of Great Risk from Trying Heroin Once or Twice 750 48 90 612 702
Past Year Methamphetamine Use 6 0 2 4 6
Past Year Misuse of Pain Relievers2 40 3 9 28 37
ALCOHOL          
Past Month Alcohol Use 505 10 71 425 496
Past Month Binge Alcohol Use5 257 6 51 201 252
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
316 27 30 259 289
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 28 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 18 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 238 6 42 190 232
Past Month Cigarette Use 180 4 31 144 176
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
609 47 66 496 562
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 27 3 9 15 24
Pain Reliever Use Disorder2,8 6 0 1 5 6
Alcohol Use Disorder8 67 3 15 49 64
Substance Use Disorder1,2,8 79 5 20 54 74
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 23 3 8 12 21
Needing But Not Receiving Treatment for Alcohol Use9 62 2 14 45 60
Needing But Not Receiving Treatment for Substance Use1,2,9 73 4 19 50 69
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 9 33 42
Any Mental Illness4,10 -- -- 29 130 159
Received Mental Health Services11 -- -- 18 104 122
Had Serious Thoughts of Suicide12 -- -- 12 27 39
Major Depressive Episode4,13 -- 11 15 48 64
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 14.33 10.37 27.14 12.71 14.70
Past Year Marijuana Use 19.53 15.91 40.51 16.57 19.86
Past Month Marijuana Use 13.01 8.80 25.13 11.52 13.40
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.30 20.91 9.22 22.02 20.24
First Use of Marijuana3,4 2.78 6.53 10.95 0.67 2.09
Past Month Illicit Drug Use Other Than Marijuana1,2 3.59 2.92 7.76 2.99 3.65
Past Year Cocaine Use 1.91 0.89 5.81 1.39 2.00
Perceptions of Great Risk from Using Cocaine Once a Month 68.34 53.99 58.89 71.38 69.65
Past Year Heroin Use 0.33 0.08 0.71 0.30 0.36
Perceptions of Great Risk from Trying Heroin Once or Twice 85.44 64.59 81.51 88.28 87.34
Past Year Methamphetamine Use 0.68 0.17 1.62 0.59 0.73
Past Year Misuse of Pain Relievers2 4.55 3.43 8.17 4.09 4.65
ALCOHOL          
Past Month Alcohol Use 57.53 12.82 64.38 61.26 61.69
Past Month Binge Alcohol Use5 29.29 7.54 45.86 28.99 31.31
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
35.94 36.01 27.03 37.36 35.94
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 24.66 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 16.15 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 27.11 8.33 38.20 27.36 28.86
Past Month Cigarette Use 20.53 6.03 28.45 20.83 21.88
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
69.38 63.20 60.11 71.52 69.95
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.11 3.93 8.10 2.22 3.03
Pain Reliever Use Disorder2,8 0.72 0.49 1.19 0.66 0.74
Alcohol Use Disorder8 7.65 3.72 13.85 7.08 8.01
Substance Use Disorder1,2,8 8.98 6.30 17.91 7.84 9.23
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.64 3.39 7.63 1.76 2.57
Needing But Not Receiving Treatment for Alcohol Use9 7.08 3.27 13.06 6.54 7.44
Needing But Not Receiving Treatment for Substance Use1,2,9 8.32 5.71 17.19 7.19 8.57
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 7.75 4.77 5.18
Any Mental Illness4,10 -- -- 26.11 18.77 19.78
Received Mental Health Services11 -- -- 16.24 15.07 15.23
Had Serious Thoughts of Suicide12 -- -- 11.26 3.90 4.91
Major Depressive Episode4,13 -- 14.07 13.90 6.99 7.94
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 141 10 47 84 131
Past Year Marijuana Use 180 19 65 96 162
Past Month Marijuana Use 121 9 40 71 111
Perceptions of Great Risk from Smoking Marijuana Once a Month 378 39 25 313 338
First Use of Marijuana3,4 21 8 11 2 13
Past Month Illicit Drug Use Other Than Marijuana1,2 45 3 14 28 41
Past Year Cocaine Use 26 1 12 13 25
Perceptions of Great Risk from Using Cocaine Once a Month 1,107 83 128 896 1,024
Past Year Heroin Use 3 0 1 3 3
Perceptions of Great Risk from Trying Heroin Once or Twice 1,314 97 169 1,047 1,216
Past Year Methamphetamine Use 8 0 2 5 8
Past Year Misuse of Pain Relievers2 59 5 15 39 54
ALCOHOL          
Past Month Alcohol Use 913 16 134 763 897
Past Month Binge Alcohol Use5 454 10 93 351 444
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
613 59 66 488 553
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 48 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 32 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 412 8 77 328 404
Past Month Cigarette Use 326 6 56 264 320
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
1,045 99 135 811 946
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 40 4 15 21 36
Pain Reliever Use Disorder2,8 10 1 2 7 9
Alcohol Use Disorder8 91 3 27 61 87
Substance Use Disorder1,2,8 120 6 34 80 114
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 36 4 14 18 32
Needing But Not Receiving Treatment for Alcohol Use9 89 3 26 60 85
Needing But Not Receiving Treatment for Substance Use1,2,9 106 6 35 66 100
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 14 47 61
Any Mental Illness4,10 -- -- 53 199 252
Received Mental Health Services11 -- -- 35 187 222
Had Serious Thoughts of Suicide12 -- -- 20 37 57
Major Depressive Episode4,13 -- 20 25 69 94
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.04 6.65 22.11 7.02 9.30
Past Year Marijuana Use 11.51 12.04 30.55 8.06 11.46
Past Month Marijuana Use 7.70 6.00 18.76 5.96 7.89
Perceptions of Great Risk from Smoking Marijuana Once a Month 24.15 25.60 11.93 26.16 23.99
First Use of Marijuana3,4 2.27 5.20 9.72 0.39 1.73
Past Month Illicit Drug Use Other Than Marijuana1,2 2.87 2.24 6.34 2.33 2.93
Past Year Cocaine Use 1.68 0.60 5.65 1.11 1.80
Perceptions of Great Risk from Using Cocaine Once a Month 70.79 53.66 60.13 74.88 72.65
Past Year Heroin Use 0.22 0.07 0.40 0.21 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 84.02 63.15 79.32 87.50 86.26
Past Year Methamphetamine Use 0.52 0.14 1.14 0.45 0.56
Past Year Misuse of Pain Relievers2 3.76 2.98 7.18 3.25 3.84
ALCOHOL          
Past Month Alcohol Use 58.34 10.21 62.94 63.73 63.60
Past Month Binge Alcohol Use5 29.00 6.56 43.56 29.31 31.46
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
39.15 38.31 30.87 40.74 39.24
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.72 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.86 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 26.34 4.96 35.90 27.40 28.68
Past Month Cigarette Use 20.81 3.68 26.25 22.05 22.69
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
66.83 64.08 63.42 67.79 67.12
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.54 2.71 6.95 1.73 2.52
Pain Reliever Use Disorder2,8 0.65 0.47 0.95 0.62 0.67
Alcohol Use Disorder8 5.80 2.17 12.54 5.06 6.19
Substance Use Disorder1,2,8 7.69 4.05 16.10 6.66 8.08
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.29 2.57 6.51 1.50 2.26
Needing But Not Receiving Treatment for Alcohol Use9 5.66 2.03 12.01 5.00 6.06
Needing But Not Receiving Treatment for Substance Use1,2,9 6.78 3.86 16.20 5.48 7.10
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.58 3.89 4.30
Any Mental Illness4,10 -- -- 24.79 16.64 17.88
Received Mental Health Services11 -- -- 16.63 15.61 15.77
Had Serious Thoughts of Suicide12 -- -- 9.21 3.13 4.05
Major Depressive Episode4,13 -- 13.01 11.60 5.76 6.64
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 332 23 79 230 309
Past Year Marijuana Use 416 33 102 282 384
Past Month Marijuana Use 292 20 74 199 272
Perceptions of Great Risk from Smoking Marijuana Once a Month 578 42 30 506 536
First Use of Marijuana3,4 29 11 11 6 17
Past Month Illicit Drug Use Other Than Marijuana1,2 96 8 22 67 89
Past Year Cocaine Use 58 1 17 40 56
Perceptions of Great Risk from Using Cocaine Once a Month 1,732 119 179 1,434 1,613
Past Year Heroin Use 12 0 3 9 12
Perceptions of Great Risk from Trying Heroin Once or Twice 2,080 143 232 1,706 1,937
Past Year Methamphetamine Use 22 1 5 16 22
Past Year Misuse of Pain Relievers2 123 9 23 92 115
ALCOHOL          
Past Month Alcohol Use 1,195 22 142 1,030 1,173
Past Month Binge Alcohol Use5 585 12 90 483 572
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
1,144 104 127 914 1,041
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 57 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 33 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 597 10 79 508 587
Past Month Cigarette Use 484 6 64 414 477
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
1,779 150 199 1,431 1,629
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 86 9 27 50 77
Pain Reliever Use Disorder2,8 17 1 3 13 16
Alcohol Use Disorder8 140 5 33 101 135
Substance Use Disorder1,2,8 199 12 53 134 187
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 76 10 26 40 66
Needing But Not Receiving Treatment for Alcohol Use9 129 5 31 92 123
Needing But Not Receiving Treatment for Substance Use1,2,9 190 12 47 131 178
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 18 78 96
Any Mental Illness4,10 -- -- 71 354 424
Received Mental Health Services11 -- -- 31 248 279
Had Serious Thoughts of Suicide12 -- -- 30 74 104
Major Depressive Episode4,13 -- 34 36 115 152
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

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 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 13.42 10.15 27.74 11.72 13.75
Past Year Marijuana Use 16.82 14.37 35.81 14.34 17.06
Past Month Marijuana Use 11.81 8.82 25.86 10.11 12.11
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.32 18.55 10.63 25.73 23.80
First Use of Marijuana3,4 2.21 6.31 8.52 0.55 1.50
Past Month Illicit Drug Use Other Than Marijuana1,2 3.89 3.35 7.58 3.41 3.94
Past Year Cocaine Use 2.33 0.62 5.83 2.02 2.50
Perceptions of Great Risk from Using Cocaine Once a Month 69.95 52.63 62.63 73.00 71.68
Past Year Heroin Use 0.50 0.09 1.16 0.45 0.54
Perceptions of Great Risk from Trying Heroin Once or Twice 84.05 63.18 81.30 86.82 86.12
Past Year Methamphetamine Use 0.89 0.23 1.87 0.83 0.96
Past Year Misuse of Pain Relievers2 4.97 3.78 8.07 4.66 5.09
ALCOHOL          
Past Month Alcohol Use 48.25 9.63 49.94 52.45 52.14
Past Month Binge Alcohol Use5 23.62 5.41 31.43 24.58 25.45
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
46.22 45.75 44.43 46.53 46.26
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.08 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.99 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.12 4.61 27.75 25.84 26.09
Past Month Cigarette Use 19.54 2.78 22.33 21.06 21.22
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
71.86 66.17 69.77 72.82 72.43
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.48 4.17 9.48 2.53 3.41
Pain Reliever Use Disorder2,8 0.69 0.61 0.93 0.67 0.70
Alcohol Use Disorder8 5.66 2.33 11.75 5.16 6.00
Substance Use Disorder1,2,8 8.04 5.20 18.76 6.81 8.32
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.05 4.21 9.16 2.03 2.94
Needing But Not Receiving Treatment for Alcohol Use9 5.20 2.28 10.98 4.69 5.49
Needing But Not Receiving Treatment for Substance Use1,2,9 7.68 5.42 16.50 6.66 7.91
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 6.49 3.96 4.28
Any Mental Illness4,10 -- -- 24.82 18.01 18.87
Received Mental Health Services11 -- -- 10.98 12.60 12.40
Had Serious Thoughts of Suicide12 -- -- 10.40 3.78 4.62
Major Depressive Episode4,13 -- 14.97 12.79 5.86 6.74
-- 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 "2016-2017 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 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.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
8 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol 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). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 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.
11 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.
12 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.
13 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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, 2016 and 2017.
180816

NEW HAMPSHIRE

Table 69 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in New Hampshire, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2016-2017 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 165 9 46 110 156
Past Year Marijuana Use 216 15 61 139 201
Past Month Marijuana Use 149 8 41 100 141
Perceptions of Great Risk from Smoking Marijuana Once a Month 220 22 11 187 198
First Use of Marijuana3,4 15 5 7 2 9
Past Month Illicit Drug Use Other Than Marijuana1,2 42 3 15 25 40
Past Year Cocaine Use 25 1 13 12 25
Perceptions of Great Risk from Using Cocaine Once a Month 776 52 75 649 724
Past Year Heroin Use 8 0 2 6 8
Perceptions of Great Risk from Trying Heroin Once or Twice 1,002 64 117 821 938
Past Year Methamphetamine Use 8 0 2 6 7
Past Year Misuse of Pain Relievers2 49 3 10 36 46
ALCOHOL          
Past Month Alcohol Use 731 11 99 622 720
Past Month Binge Alcohol Use5 331 6 66 260 325
Perceptions of Great Risk from Having Five or More Drinks of an
   Alcoholic Beverage Once or Twice a Week
439 36 41 362 404
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 38 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 23 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 260 6 48 206 254
Past Month Cigarette Use 205 5 36 164 200
Perceptions of Great Risk from Smoking One or More Packs of
   Cigarettes per Day
827 67 94 665 759
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 37 3 14 20 33
Pain Reliever Use Disorder2,8 8 0 2 6 8
Alcohol Use Disorder8 71 2 18 51 69
Substance Use Disorder1,2,8 96 4 28 65 92
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 31 3 12 16 28
Needing But Not Receiving Treatment for Alcohol Use9 69 2 17 50 67
Needing But Not Receiving Treatment for Substance Use1,2,9 90 4 26 61 86
PAST YEAR MENTAL HEALTH ISSUES          
Serious Mental Illness4,10 -- -- 13 43 56
Any Mental Illness4,10 -- -- 38 165 203
Received Mental Health Services11 -- -- 28 175 203
Had Serious Thoughts of Suicide12 -- -- 15 37 52
Major Depressive Episode4,13 -- 13 20 68 88
-- 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 psychotherapeuti