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200412
Table 9.1A – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Age Group: Numbers in Thousands, 2018 and 2019
Setting Where Mental Health Service Was Received Total
(2018)		 Total
(2019)		 Aged 12-13
(2018)		 Aged 12-13
(2019)		 Aged 14-15
(2018)		 Aged 14-15
(2019)		 Aged 16-17
(2018)		 Aged 16-17
(2019)
SPECIALTY MENTAL HEALTH SERVICE 3,901 4,088 1,163 1,242 1,342 1,402 1,397 1,444
Outpatient 3,547 3,747 1,029 1,099 1,219 1,276 1,299 1,373
Private Therapist, Psychologist, Psychiatrist, Social
   Worker, or Counselor		 3,080 3,213 853 924 1,074 1,094 1,153 1,195
Mental Health Clinic or Center 977a 1,169 243 290 348 396 387a 483
Partial Day Hospital or Day Treatment Program 484 517 146 173 171 159 167 185
In-Home Therapist, Counselor, or Family Preservation
   Worker		 951a 1,091 320 372 321 357 310 363
Inpatient or Residential 683 701 220 242 260 265 203 194
Hospital 608 618 180 221 242 231 186 166
Residential Treatment Center 300 293 92 65 121 116 87 113
NONSPECIALTY MENTAL HEALTH SERVICE 3,977a 4,371 1,296 1,438 1,466 1,537 1,215a 1,396
Education1 3,444a 3,727 1,170 1,311 1,275 1,314 998 1,101
School Social Worker, School Psychologist, or School
   Counselor		 2,395a 2,698 803a 960 905 920 687a 819
Special School or Program within a Regular School for
   Students with Emotional or Behavioral Problems		 1,461 1,477 488 520 535 546 438 411
General Medicine                
Pediatrician or Other Family Doctor 767a 902 182 217 300 327 285 358
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 48 49 14 9 20 21 14 19
Child Welfare                
Foster Care or Therapeutic Foster Care 94 97 28 21 40 46 26 30
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200412
Table 9.1B – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Age Group: Percentages, 2018 and 2019
Setting Where Mental Health Service Was Received Total
(2018)		 Total
(2019)		 Aged 12-13
(2018)		 Aged 12-13
(2019)		 Aged 14-15
(2018)		 Aged 14-15
(2019)		 Aged 16-17
(2018)		 Aged 16-17
(2019)
SPECIALTY MENTAL HEALTH SERVICE 16.0 16.7 15.2 15.7 16.2 16.8 16.4 17.7
Outpatient 14.5 15.3 13.4 13.9 14.7 15.3 15.3 16.8
Private Therapist, Psychologist, Psychiatrist, Social
   Worker, or Counselor		 12.6 13.1 11.1 11.6 13.0 13.1 13.5 14.6
Mental Health Clinic or Center 4.0a 4.8 3.1 3.6 4.2 4.7 4.5a 5.9
Partial Day Hospital or Day Treatment Program 2.0 2.1 1.9 2.2 2.1 1.9 2.0 2.3
In-Home Therapist, Counselor, or Family Preservation
   Worker		 3.9a 4.5 4.2 4.7 3.9 4.3 3.6 4.4
Inpatient or Residential 2.8 2.9 2.8 3.0 3.1 3.2 2.4 2.4
Hospital 2.5 2.5 2.3 2.8 2.9 2.8 2.2 2.0
Residential Treatment Center 1.2 1.2 1.2 0.8 1.5 1.4 1.0 1.4
NONSPECIALTY MENTAL HEALTH SERVICE 16.5a 18.1 17.2 18.5 18.0 18.6 14.4a 17.2
Education1 14.2a 15.4 15.4 16.7 15.6 15.9 11.8a 13.5
School Social Worker, School Psychologist, or School
   Counselor		 9.9a 11.1 10.6a 12.2 11.0 11.1 8.1a 10.1
Special School or Program within a Regular School for
   Students with Emotional or Behavioral Problems		 6.0 6.1 6.4 6.6 6.5 6.6 5.2 5.0
General Medicine                
Pediatrician or Other Family Doctor 3.1a 3.7 2.4 2.7 3.6 3.9 3.3a 4.4
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 0.2 0.2 0.2 0.1 0.2 0.2 0.2 0.2
Child Welfare                
Foster Care or Therapeutic Foster Care 0.4 0.4 0.4 0.3 0.5 0.5 0.3 0.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200412
Table 9.2A – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
TOTAL 3,901 4,088 3,547 3,747 683 701 3,977a 4,371 3,444a 3,727 767a 902 48 49 94 97
AGE GROUP                                
12-13 1,163 1,242 1,029 1,099 220 242 1,296 1,438 1,170 1,311 182 217 14 9 28 21
14-15 1,342 1,402 1,219 1,276 260 265 1,466 1,537 1,275 1,314 300 327 20 21 40 46
16-17 1,397 1,444 1,299 1,373 203 194 1,215a 1,396 998 1,101 285 358 14 19 26 30
GENDER                                
Male 1,552 1,580 1,359 1,396 306 295 1,626a 1,797 1,408 1,526 278a 363 30 37 51 36
Female 2,350 2,508 2,188 2,351 377 407 2,350a 2,574 2,036 2,201 489 538 18 12 42 61
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 3,033 3,196 2,765 2,951 527 542 3,032a 3,311 2,626 2,810 595a 702 35 45 56 66
White 2,341 2,388 2,195 2,261 339 334 2,085 2,222 1,770 1,829 474 541 16 15 33 37
Black or African American 395 418 307 347 129 128 586 668 533 625 71 80 16 24 15 23
AIAN 20 29 19 26 7 7 36 30 31 29 4 2 0 * 4 1
NHOPI * * * * * * * * * * * * * * * *
Asian 130 169 110 151 23 26 167 176 161 148 7a 37 2 * * *
Two or More Races 135a 184 123 163 25 42 157 203 130 171 40 40 2 2 4 4
Hispanic or Latino 868 892 781 796 156 160 945 1,060 817 916 171 199 12 5 38 31
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200412
Table 9.2B – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
TOTAL 16.0 16.7 14.5 15.3 2.8 2.9 16.5a 18.1 14.2a 15.4 3.1a 3.7 0.2 0.2 0.4 0.4
AGE GROUP                                
12-13 15.2 15.7 13.4 13.9 2.8 3.0 17.2 18.5 15.4 16.7 2.4 2.7 0.2 0.1 0.4 0.3
14-15 16.2 16.8 14.7 15.3 3.1 3.2 18.0 18.6 15.6 15.9 3.6 3.9 0.2 0.2 0.5 0.5
16-17 16.4 17.7 15.3 16.8 2.4 2.4 14.4a 17.2 11.8a 13.5 3.3a 4.4 0.2 0.2 0.3 0.4
GENDER                                
Male 12.5 12.7 11.0 11.2 2.5 2.4 13.3a 14.6 11.5 12.4 2.2a 2.9 0.2 0.3 0.4 0.3
Female 19.5 20.9 18.2 19.6 3.1 3.4 19.7a 21.7 17.1 18.5 4.1 4.5 0.1 0.1 0.3 0.5
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 16.4 17.4 15.0 16.1 2.8 2.9 16.6a 18.2 14.3a 15.4 3.2a 3.8 0.2 0.2 0.3 0.4
White 18.4 18.9 17.2 17.9 2.6 2.6 16.5 17.7 13.9 14.5 3.7 4.3 0.1 0.1 0.3 0.3
Black or African American 12.0 12.8 9.3 10.6 3.9 3.9 18.1a 21.0 16.4a 19.5 2.1 2.4 0.5 0.7 0.5 0.7
AIAN 13.4 17.2 12.5 15.3 4.9 4.1 23.9 18.1 20.4 17.3 2.7 1.4 0.1 * 2.8 0.3
NHOPI * * * * * * * * * * * * * * * *
Asian 9.2 13.1 7.8 11.7 1.6 2.0 12.1 13.9 11.6 11.7 0.5a 2.9 0.2 * * *
Two or More Races 17.4 20.1 15.9 17.8 3.2 4.6 20.3 22.5 16.6 18.9 5.1 4.3 0.2 0.3 0.5 0.4
Hispanic or Latino 14.6 14.7 13.1 13.1 2.6 2.6 16.2 17.7 13.9 15.3 2.9 3.3 0.2 0.1 0.6 0.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200412
Table 9.3A – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic Characteristic SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
TOTAL 3,901 4,088 3,547 3,747 683 701 3,977a 4,371 3,444a 3,727 767a 902 48 49 94 97
GEOGRAPHIC REGION                                
Northeast 657 683 607 635 83 108 743 751 646 613 152 190 3 2 10 25
Midwest 940 941 849 866 174 186 879a 997 759 856 176 201 9 20 28 18
South 1,378 1,381 1,217 1,241 314 249 1,414a 1,575 1,225 1,352 272 304 18 14 41 33
West 926a 1,084 874a 1,005 112a 159 940 1,048 813 906 166 208 18 12 14 21
COUNTY TYPE                                
Large Metro 2,195 2,234 1,988 2,088 373 344 2,246 2,457 2,001 2,129 375a 479 31 20 42 62
Small Metro 1,185 1,286 1,084 1,156 222 232 1,157a 1,340 975a 1,124 257 290 13 24 35 26
Nonmetro 522 569 475 503 88a 126 575 574 468 474 134 132 4 5 16 9
Urbanized 231 260 207 226 40 61 241 237 192 187 56 62 3 3 4 4
Less Urbanized 244 254 225 229 43 49 291 262 244 224 70 56 1 2 9 5
Completely Rural 48 55 42 49 5a 16 42a 75 32a 63 9 14 * 1 * 0
POVERTY LEVEL                                
Less Than 100% 739 775 627 650 189 223 979 1,040 864 935 147 169 20 23 36 40
100-199% 772 824 669 736 203 185 834 878 722 744 163 184 17 8 22 23
200% or More 2,390 2,490 2,250 2,362 291 294 2,163a 2,453 1,858 2,048 456 549 11 18 36 34
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200412
Table 9.3B – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic Characteristic SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
TOTAL 16.0 16.7 14.5 15.3 2.8 2.9 16.5a 18.1 14.2a 15.4 3.1a 3.7 0.2 0.2 0.4 0.4
GEOGRAPHIC REGION                                
Northeast 16.8 17.5 15.4 16.3 2.1 2.8 19.2 19.6 16.6 15.9 3.9 4.9 0.1 0.1 0.2 0.6
Midwest 18.0 18.2 16.3 16.7 3.3 3.6 17.0a 19.5 14.7a 16.7 3.4 3.9 0.2 0.4 0.5 0.4
South 14.6 14.5 12.9 13.1 3.3 2.6 15.2 16.8 13.1 14.4 2.9 3.2 0.2 0.1 0.4 0.3
West 15.8a 18.4 14.9 17.0 1.9a 2.7 16.2 18.0 13.9 15.6 2.8 3.5 0.3 0.2 0.2 0.4
COUNTY TYPE                                
Large Metro 16.0 16.8 14.5 15.6 2.7 2.6 16.6a 18.7 14.8 16.1 2.7a 3.6 0.2 0.1 0.3 0.5
Small Metro 16.2 16.9 14.9 15.2 3.0 3.0 16.0a 17.9 13.5 14.9 3.5 3.8 0.2 0.3 0.5 0.3
Nonmetro 15.1 16.1 13.7 14.3 2.5a 3.5 16.9 16.5 13.7 13.5 3.9 3.8 0.1 0.2 0.5 0.3
Urbanized 16.3 17.3 14.6 15.1 2.8 4.0 17.4 16.1 13.7 12.6 3.9 4.2 0.2 0.2 0.3 0.3
Less Urbanized 14.4 15.6 13.4 14.1 2.5 3.0 17.4 16.3 14.6 13.9 4.1 3.5 0.1 0.1 0.6 0.3
Completely Rural 13.5 13.6 12.0 12.2 1.5a 4.0 12.1a 18.9 9.0a 15.9 2.6 3.4 * 0.2 * 0.1
POVERTY LEVEL                                
Less Than 100% 13.8 15.7 11.7 13.2 3.5 4.5 18.7a 21.6 16.4a 19.3 2.7 3.4 0.4 0.5 0.7 0.8
100-199% 15.3 15.7 13.2 14.0 4.0 3.5 16.7 17.1 14.4 14.4 3.2 3.5 0.3 0.1 0.4 0.4
200% or More 17.0 17.4 16.0 16.5 2.1 2.0 15.6a 17.3 13.3 14.4 3.3 3.8 0.1 0.1 0.3 0.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200412
Table 9.4A – Reasons for Receiving Most Recent Mental Health Service in Past Year among Persons Aged 12 to 17 Who Received Mental Health Services in the Respective Settings in Past Year: Numbers in Thousands, 2018 and 2019
Reason for Receipt of Mental Health Service1 Any Specialty Mental
Health Service2		 Outpatient Inpatient or
Residential		 Education3 General Medicine Child Welfare
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
RECEIVED MENTAL HEALTH SERVICES4 3,901 4,088 3,547 3,747 683 701 3,444a 3,727 767a 902 94 97
Thought about Killing Self or Tried to Kill Self 1,096 1,152 986 1,020 290 317 374 437 176 163 * *
Felt Depressed 2,000 2,191 1,886a 2,096 302 291 1,007a 1,171 359 424 * *
Felt Very Afraid and Tense 1,011a 1,181 972a 1,119 98 121 589 630 179 215 * *
Had Eating Problems 321 381 291 360 71 55 111 139 73 99 * *
Had Other Self-Reported Mental/Neurological Disorder5 126 94 123 94 6a 0 18 14 33 37 * *
Broke Rules and "Acted Out" 594 591 544 524 112 104 343 389 65 81 * *
Had Trouble Controlling Anger 522 484 489 445 56 50 169 230 27a 61 * *
Got into Physical Fights 94 90 82 79 19 13 81 84 3 7 * *
Had Problems with Home/Family 836 852 794 822 62 43 278 320 44 52 * *
Had Problems with Friends 438 425 418 407 31 21 376 402 21 38 * *
Had Problems with People Other Than Family/Friends 308 315 295 302 30 18 184 202 18 25 * *
Had Problems at School 652 640 600 596 73 60 501 568 95 87 * *
Some Other Reason6 335 417 319 391 31 39 170 215 78 69 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for the last time they received mental health care in a specific service setting; thus, these response categories are not mutually exclusive. Respondents who did not indicate a reason were excluded from the analysis for the particular service category column.
2 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services or reasons for mental health care from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
4 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known. The level of unknown data in this row is less than the level of unknown data in the reason for receipt of mental health service rows. The reason for receipt of mental health service rows have a smaller denominator compared to the overall received mental health services row due to the larger amount of unknown reason for treatment data.
5 Respondent self-reported in the other-specify question that he or she has a mental or neurological disorder as a reason for having received mental health services. This reason is one of the most commonly reported other reasons for having received treatment/counseling.
6 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200412
Table 9.4B – Reasons for Receiving Most Recent Mental Health Service in Past Year among Persons Aged 12 to 17 Who Received Mental Health Services in the Respective Settings in Past Year: Percentages, 2018 and 2019
Reason for Receipt of Mental Health Service1 Any Specialty Mental
Health Service2		 Outpatient Inpatient or
Residential		 Education3 General Medicine Child Welfare
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
RECEIVED MENTAL HEALTH SERVICES4 16.0 16.7 14.5 15.3 2.8 2.9 14.2a 15.4 3.1a 3.7 0.4 0.4
Thought about Killing Self or Tried to Kill Self 31.6 31.5 30.0 29.4 58.9 59.1 16.6 17.2 26.1a 19.8 * *
Felt Depressed 57.2 59.4 56.9 59.9 60.9 55.3 44.8 46.0 53.4 51.4 * *
Felt Very Afraid and Tense 29.4 32.6 29.7 32.4 20.1 23.0 26.2 24.7 26.5 26.1 * *
Had Eating Problems 9.4 10.6 9.0 10.4 14.7 10.5 4.9 5.5 10.9 12.0 * *
Had Other Self-Reported Mental/Neurological Disorder5 3.8 2.7 3.9 2.8 1.2a 0.0 0.8 0.5 4.9 4.6 * *
Broke Rules and "Acted Out" 17.3 16.3 16.7 15.2 23.1 19.7 15.3 15.3 9.6 9.8 * *
Had Trouble Controlling Anger 15.2 13.4 15.0 12.9 11.6 9.6 7.5 9.0 4.0a 7.4 * *
Got into Physical Fights 2.8 2.5 2.5 2.3 3.9 2.5 3.6 3.3 0.4 0.9 * *
Had Problems with Home/Family 24.3 23.5 24.2 23.8 12.8 8.2 12.4 12.6 6.6 6.4 * *
Had Problems with Friends 12.8 11.8 12.9 11.9 6.5 4.0 16.7 15.8 3.2 4.6 * *
Had Problems with People Other Than Family/Friends 9.0 8.7 9.1 8.8 6.2 3.4 8.2 8.0 2.6 3.0 * *
Had Problems at School 18.9 17.7 18.3 17.3 15.0 11.4 22.3 22.3 14.1 10.5 * *
Some Other Reason6 10.0 11.7 10.0 11.6 6.5 7.5 7.7 8.6 11.7 8.5 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for the last time they received mental health care in a specific service setting; thus, these response categories are not mutually exclusive. Respondents who did not indicate a reason were excluded from the analysis for the particular service category column.
2 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services or reasons for mental health care from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
4 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known. The level of unknown data in this row is less than the level of unknown data in the reason for receipt of mental health service rows. The reason for receipt of mental health service rows have a smaller denominator compared to the overall received mental health services row due to the larger amount of unknown reason for treatment data.
5 Respondent self-reported in the other-specify question that he or she has a mental or neurological disorder as a reason for having received mental health services. This reason is one of the most commonly reported other reasons for having received treatment/counseling.
6 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.5A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic Characteristic Had MDE
(2018)		 Had MDE
(2019)		 Had MDE
with Severe
Impairment1
(2018)		 Had MDE
with Severe
Impairment1
(2019)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2019)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2019)
TOTAL 3,482a 3,783 2,423a 2,671 1,432a 1,627 1,133a 1,321
AGE GROUP                
12-13 632a 816 382a 530 251 302 177 218
14-15 1,250 1,341 891 970 514 585 406 492
16-17 1,600 1,626 1,150 1,171 667 740 550 612
GENDER                
Male 946a 1,076 628a 736 351 391 274 300
Female 2,537 2,708 1,795 1,935 1,081a 1,236 859a 1,021
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 2,601 2,755 1,841 1,981 1,100a 1,251 882a 1,018
White 1,905 1,975 1,354 1,415 870 985 695 800
Black or African American 334 367 225 256 115 130 90 108
AIAN 23 20 * 19 * * * *
NHOPI * * * * * * * *
Asian 189 190 127 142 * * * *
Two or More Races 137a 189 109 134 48a 83 * 63
Hispanic or Latino 882a 1,028 582 690 332 376 251 304
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.5B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Percentages, 2018 and 2019
Demographic Characteristic Had MDE
(2018)		 Had MDE
(2019)		 Had MDE
with Severe
Impairment1
(2018)		 Had MDE
with Severe
Impairment1
(2019)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2019)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2019)
TOTAL 14.4a 15.7 10.0a 11.1 41.4 43.3 46.9 49.7
AGE GROUP                
12-13 8.4a 10.5 5.1a 6.8 40.7 37.5 47.2 41.9
14-15 15.3 16.4 10.9 11.9 41.2 43.9 45.6 50.8
16-17 19.0 20.1 13.7 14.5 41.8 45.6 47.8 52.3
GENDER                
Male 7.7a 8.8 5.1a 6.0 37.5 36.8 43.7 41.2
Female 21.5 23.0 15.2 16.5 42.9 45.8 48.1 52.9
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 14.2 15.2 10.1 11.0 42.6 45.7 48.1 51.7
White 15.1 15.9 10.7 11.4 46.1 50.3 51.6 57.0
Black or African American 10.3 11.4 6.9 8.0 34.6 35.6 40.1 42.3
AIAN 15.2 12.2 * 11.5 * * * *
NHOPI * * * * * * * *
Asian 13.6 15.1 9.2 11.3 * * * *
Two or More Races 17.7 20.9 14.2 14.9 34.8 44.4 * 47.3
Hispanic or Latino 15.1 17.3 10.0 11.7 37.9 36.8 43.2 44.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.6A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Numbers in Thousands, 2018 and 2019
Geographic/Socioeconomic/
Health Characteristic		 Had MDE
(2018)		 Had MDE
(2019)		 Had MDE
with Severe
Impairment1
(2018)		 Had MDE
with Severe
Impairment1
(2019)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2019)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2019)
TOTAL 3,482a 3,783 2,423a 2,671 1,432a 1,627 1,133a 1,321
GEOGRAPHIC REGION                
Northeast 478 528 309 363 191 235 153 187
Midwest 797 838 578 604 357 407 318 340
South 1,341 1,409 940 1,017 524 568 396 455
West 866a 1,009 596 688 360 416 266 339
COUNTY TYPE                
Large Metro 1,799a 2,084 1,259a 1,481 729a 884 576a 728
Small Metro 1,186 1,190 806 845 473 513 367 412
Nonmetro 498 508 358 345 230 230 191 182
POVERTY LEVEL                
Less Than 100% 662 676 452 482 275 284 221 238
100-199% 737 825 525 592 274 345 213a 294
200% or More 2,083 2,283 1,446 1,597 883 998 699 790
HEALTH INSURANCE3                
Private 2,050 2,209 1,434 1,507 841 946 672 755
Medicaid/CHIP 1,249 1,377 837a 1,008 543 615 420 510
Other4 201 188 152 156 94 84 * 79
No Coverage 155 183 115 117 31a 61 * *
OVERALL HEALTH5                
Excellent 810 826 545 537 277 296 222 225
Very Good 1,496 1,571 1,039 1,113 613 641 479 528
Good 909a 1,094 643a 783 416a 511 321a 417
Fair/Poor 267 293 197 238 126 180 112 151
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
5 Respondents with unknown health data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.6B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Percentages, 2018 and 2019
Geographic/Socioeconomic/
Health Characteristic		 Had MDE
(2018)		 Had MDE
(2019)		 Had MDE
with Severe
Impairment1
(2018)		 Had MDE
with Severe
Impairment1
(2019)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2019)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2019)
TOTAL 14.4a 15.7 10.0a 11.1 41.4 43.3 46.9 49.7
GEOGRAPHIC REGION                
Northeast 12.2 13.8 7.9 9.5 40.4 44.8 49.6 52.0
Midwest 15.6 16.4 11.3 11.8 45.0 48.7 55.2 56.4
South 14.4 15.1 10.1 10.9 39.4 40.7 42.3 45.0
West 15.0a 17.5 10.3 11.9 41.7 41.4 44.8 49.6
COUNTY TYPE                
Large Metro 13.3a 15.9 9.3a 11.3 40.7 42.7 45.8 49.4
Small Metro 16.5 16.0 11.2 11.4 40.3 43.3 45.7 49.0
Nonmetro 14.6 14.6 10.5 9.9 46.5 45.5 53.6 52.9
POVERTY LEVEL                
Less Than 100% 12.6 14.0 8.6 10.0 41.8 42.6 49.1 49.7
100-199% 14.7 16.0 10.5 11.5 37.6 42.1 40.7 49.9
200% or More 15.0 16.2 10.4 11.4 42.6 43.9 48.5 49.7
HEALTH INSURANCE3                
Private 14.8 16.0 10.4 10.9 41.2 43.0 46.9 50.3
Medicaid/CHIP 13.6a 15.3 9.2a 11.2 43.9 45.0 50.3 50.9
Other4 17.6 15.9 13.4 13.2 47.0 44.8 * 50.5
No Coverage 14.4 16.3 10.6 10.5 20.3 33.8 * *
OVERALL HEALTH5                
Excellent 10.0 10.1 6.7 6.5 34.3 35.9 40.9 41.9
Very Good 15.3 16.4 10.7 11.6 41.2 41.0 46.1 47.6
Good 17.5a 21.2 12.4a 15.2 46.3 47.0 50.2 53.6
Fair/Poor 25.1 27.4 18.5 22.4 47.5a 62.7 57.1 64.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
5 Respondents with unknown health data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.7A – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Substance Use Disorder Status/Demographic Characteristic 2018 2019
SUBSTANCE USE DISORDER 358 397
Age Group    
12-13 * *
14-15 89 133
16-17 243 244
Gender    
Male 114 111
Female 244 286
NO SUBSTANCE USE DISORDER 3,124a 3,386
Age Group    
12-13 606a 796
14-15 1,161 1,208
16-17 1,357 1,382
Gender    
Male 832a 965
Female 2,292 2,421
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.7B – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Demographic Characteristics: Percentages, 2018 and 2019
Substance Use Disorder Status/Demographic Characteristic 2018 2019
SUBSTANCE USE DISORDER 40.6 36.8
Age Group    
12-13 * *
14-15 36.9 34.9
16-17 42.0 38.5
Gender    
Male 26.4 22.4
Female 54.4 49.0
NO SUBSTANCE USE DISORDER 13.4a 14.8
Age Group    
12-13 8.1a 10.3
14-15 14.7 15.5
16-17 17.3 18.6
Gender    
Male 7.0a 8.2
Female 20.2 21.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.8A – Substance Use Disorder Status in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode Status and Demographic Characteristics: Numbers in Thousands, 2018 and 2019
Major Depressive Episode Status/
Demographic Characteristic		 SUBSTANCE USE DISORDER STATUS
No Substance Use
Disorder		 Substance Use Disorder
Illicit Drugs Marijuana Opioids Alcohol Both Illicit Drugs
and Alcohol		 Illicit Drugs or
Alcohol
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
TOTAL1 23,980a 23,786 681a 894 512a 699 108 87 401 414 166 189 916a 1,119
MDE 3,124a 3,386 279 313 202 231 57 37 159 176 80 91 358 397
Age Group                            
12-13 606a 796 26 15 3 3 10 2 0 5 * * 26 20
14-15 1,161 1,208 57a 105 39a 78 18 12 53 51 21 22 89 133
16-17 1,357 1,382 196 193 160 150 29 23 106 120 59 69 243 244
Gender                            
Male 832a 965 87 92 73 71 12 13 50 53 23 34 114 111
Female 2,292 2,421 193 221 129 160 45 24 108 123 57 57 244 286
NO MDE 20,136 19,568 374a 549 292a 451 45 39 231 224 82 90 523a 682
Age Group                            
12-13 6,901 6,915 31 42 16 24 4 6 5 6 1 4 35 44
14-15 6,748 6,599 104a 206 80a 171 15 19 73 64 26 22 152a 248
16-17 6,486a 6,054 238 301 196 256 27 13 153 154 55 65 336 390
Gender                            
Male 11,082 10,815 248a 325 198a 277 26 20 114 107 44 47 318 385
Female 9,054 8,753 126a 224 94a 175 19 19 117 117 38 43 205a 298
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total row includes respondents with unknown past year MDE information.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.8B – Substance Use Disorder Status in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode Status and Demographic Characteristics: Percentages, 2018 and 2019
Major Depressive Episode Status/
Demographic Characteristic		 SUBSTANCE USE DISORDER STATUS
No Substance Use
Disorder		 Substance Use Disorder
Illicit Drugs Marijuana Opioids Alcohol Both Illicit Drugs
and Alcohol		 Illicit Drugs or
Alcohol
2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019 2018 2019
TOTAL1 96.3a 95.5 2.7a 3.6 2.1a 2.8 0.4 0.3 1.6 1.7 0.7 0.8 3.7a 4.5
MDE 89.7 89.5 8.0 8.3 5.8 6.1 1.6 1.0 4.6 4.6 2.3 2.4 10.3 10.5
Age Group                            
12-13 95.9 97.5 4.1 1.8 0.5 0.4 1.6 0.2 0.0 0.7 * * 4.1 2.5
14-15 92.9 90.1 4.6a 7.8 3.2a 5.8 1.4 0.9 4.2 3.8 1.7 1.7 7.1 9.9
16-17 84.8 85.0 12.3 11.8 10.0 9.2 1.8 1.4 6.6 7.4 3.7 4.2 15.2 15.0
Gender                            
Male 88.0 89.7 9.2 8.5 7.7 6.6 1.3 1.2 5.3 4.9 2.5 3.2 12.0 10.3
Female 90.4 89.4 7.6 8.1 5.1 5.9 1.8 0.9 4.3 4.5 2.2 2.1 9.6 10.6
NO MDE 97.5a 96.6 1.8a 2.7 1.4a 2.2 0.2 0.2 1.1 1.1 0.4 0.4 2.5a 3.4
Age Group                            
12-13 99.5 99.4 0.4 0.6 0.2 0.3 0.1 0.1 0.1 0.1 0.0 0.1 0.5 0.6
14-15 97.8a 96.4 1.5a 3.0 1.2a 2.5 0.2 0.3 1.1 0.9 0.4 0.3 2.2a 3.6
16-17 95.1 94.0 3.5a 4.7 2.9a 4.0 0.4 0.2 2.2 2.4 0.8 1.0 4.9 6.0
Gender                            
Male 97.2 96.6 2.2a 2.9 1.7a 2.5 0.2 0.2 1.0 1.0 0.4 0.4 2.8 3.4
Female 97.8a 96.7 1.4a 2.5 1.0a 1.9 0.2 0.2 1.3 1.3 0.4 0.5 2.2a 3.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total row includes respondents with unknown past year MDE information.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.9A – Types of Professionals Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year: Numbers in Thousands, 2018 and 2019
Type of Professional1 MDE
(2018)		 MDE
(2019)		 MDE with Severe
Impairment2
(2018)		 MDE with Severe
Impairment2
(2019)
TOTAL 1,360 1,504 1,082 1,226
HEALTH PROFESSIONAL 1,282a 1,441 1,031a 1,181
General Practitioner or Family Doctor 290 337 248 279
Other Medical Doctor3 53 50 44 44
Psychologist 512 522 442 457
Psychiatrist or Psychotherapist 325 365 277 333
Social Worker 233 215 209 187
Counselor 832 912 668 763
Other Mental Health Professional4 136 153 116 147
Nurse, Occupational Therapist, or Other Health Professional 149 162 130 129
ALTERNATIVE SERVICE PROFESSIONAL 118 111 88 101
Religious or Spiritual Advisor 100 93 76 84
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 25 22 18 20
OTHER PROFESSIONAL5 11 6 11 6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row.
2 Respondents with unknown impairment data were excluded.
3 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
4 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
5 Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.9B – Types of Professionals Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year: Percentages, 2018 and 2019
Type of Professional1 MDE
(2018)		 MDE
(2019)		 MDE with Severe
Impairment2
(2018)		 MDE with Severe
Impairment2
(2019)
TOTAL 100.0 100.0 100.0 100.0
HEALTH PROFESSIONAL 96.9 98.1 97.0 98.0
General Practitioner or Family Doctor 21.9 23.0 23.3 23.2
Other Medical Doctor3 4.0 3.4 4.1 3.7
Psychologist 38.7 35.5 41.6 37.9
Psychiatrist or Psychotherapist 24.5 24.8 26.0 27.6
Social Worker 17.6 14.7 19.6 15.5
Counselor 62.9 62.2 62.8 63.3
Other Mental Health Professional4 10.3 10.4 10.9 12.2
Nurse, Occupational Therapist, or Other Health Professional 11.3 11.0 12.2 10.7
ALTERNATIVE SERVICE PROFESSIONAL 9.0 7.6 8.2 8.4
Religious or Spiritual Advisor 7.5 6.3 7.1 7.0
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 1.9 1.5 1.7 1.7
OTHER PROFESSIONAL5 0.8 0.4 1.0 0.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row.
2 Respondents with unknown impairment data were excluded.
3 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
4 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
5 Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.10A – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2018 and 2019
Demographic/Socioeconomic
Characteristic		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2019)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2018)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2019)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2019)
TOTAL 1,371a 1,577 749 796 77a 127 533a 645
GENDER                
Male 331 385 185 165 26 49 114a 171
Female 1,040a 1,192 564 631 52 78 419 474
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 1,053a 1,214 514 580 60a 103 473 527
White 833 957 381 427 45a 87 400 439
Black or African American 110 123 71 81 10 2 30 40
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 46a 81 18a 45 * 9 24 27
Hispanic or Latino 318 362 235 216 18 24 60a 118
POVERTY LEVEL                
Less Than 100% 271 280 169 150 24 28 75 100
100-199% 263 334 125 164 19 28 120 139
200% or More 836 963 456 482 34a 71 338 406
HEALTH INSURANCE1                
Private 799 914 415 461 34 58 346 391
Medicaid/CHIP 528 599 301 285 46 66 178a 241
Other2 87 82 * 34 * 5 34 *
No Coverage 31a 59 13a 42 2 * 12 11
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.10B – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic and Socioeconomic Characteristics: Percentages, 2018 and 2019
Demographic/Socioeconomic
Characteristic		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2019)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2018)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2019)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2019)
TOTAL 40.0 42.2 21.8 21.3 2.2 3.4 15.4 17.1
GENDER                
Male 35.9 36.3 20.1 15.5 2.8 4.6 12.3 15.9
Female 41.5 44.6 22.5 23.6 2.0 2.9 16.6 17.6
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 41.1 44.7 20.1 21.3 2.3a 3.8 18.3 19.2
White 44.6a 49.4 20.4 22.0 2.4a 4.5 21.2 22.3
Black or African American 33.2 33.9 21.2 22.2 2.9 0.6 9.0 11.0
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 33.9 43.4 13.6 24.2 * 4.8 18.0 14.3
Hispanic or Latino 36.5 35.6 27.1 21.2 2.0 2.3 6.9a 11.6
POVERTY LEVEL                
Less Than 100% 41.3 42.2 25.8 22.5 3.7 4.2 11.4 14.9
100-199% 36.5 41.0 17.3 20.2 2.6 3.5 16.4 17.0
200% or More 40.7 42.7 22.2 21.3 1.6a 3.1 16.4 17.8
HEALTH INSURANCE1                
Private 39.5 41.8 20.5 21.1 1.7 2.7 17.0 17.8
Medicaid/CHIP 43.0 44.2 24.5 21.0 3.7 4.9 14.4 17.7
Other2 44.6 44.0 * 18.6 * 2.5 17.5 *
No Coverage 20.3 32.8 8.9a 23.6 1.2 * 8.1 5.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.11A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode Status and Age Group: Numbers in Thousands, 2018 and 2019
Substance Use Disorder (SUD) Status/
Major Depressive Episode (MDE) Status/Age Group		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2019)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2019)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2019)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2018)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2019)
SUD and MDE 234 263 3 10 211 249 19a 5
12-13 * * * * * * * *
14-15 * * * * * * * *
16-17 163 159 3 * 144 146 16a 3
SUD and No MDE 173 229 12 11 145 198 15 19
12-13 * * * * * * * *
14-15 * 90 * 2 39a 80 * *
16-17 106 117 4 9 94 97 7 10
MDE and No SUD 1,550a 1,786 * 1 1,547a 1,784 3 1
12-13 301a 445 * * 301a 445 * *
14-15 609 624 * 1 608 624 1 *
16-17 640 717 * * 638 716 2 1
No SUD and No MDE 4,072 4,074 11 14 4,050 4,055 12 4
12-13 1,530 1,514 * * 1,530 1,513 * 1
14-15 1,397 1,413 3 7 1,389 1,406 5 *
16-17 1,145 1,147 8 7 1,131 1,136 6 3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
200415
Table 9.11B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode Status and Age Group: Percentages, 2018 and 2019
Substance Use Disorder (SUD) Status/
Major Depressive Episode (MDE) Status/Age Group		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2019)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2019)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2019)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2018)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2019)
SUD and MDE 65.7 66.3 0.8 2.4 59.5 62.5 5.4a 1.3
12-13 * * * * * * * *
14-15 * * * * * * * *
16-17 67.7 65.2 1.2 * 59.7 59.9 6.7a 1.4
SUD and No MDE 33.8 34.1 2.4 1.5 28.4 29.5 2.8 2.8
12-13 * * * * * * * *
14-15 * 36.6 * 0.6 26.3 32.4 * *
16-17 31.9 30.4 1.3 2.3 28.5 25.4 2.0 2.6
MDE and No SUD 49.8 53.2 * 0.0 49.7 53.1 0.1 0.0
12-13 50.7 56.8 * * 50.7 56.8 * *
14-15 52.5 52.2 * 0.1 52.4 52.1 0.1 *
16-17 47.2 52.0 * * 47.0 51.9 0.2 0.1
No SUD and No MDE 20.6 21.2 0.1 0.1 20.5 21.1 0.1 0.0
12-13 23.0 22.5 * * 23.0 22.5 * 0.0
14-15 21.0 21.7 0.0 0.1 20.9 21.6 0.1 *
16-17 17.8 19.1 0.1 0.1 17.6 19.0 0.1 0.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.

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