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210603
Table 9.1A – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Age Group, Numbers in Thousands, 2019 and 2020
Setting Where Mental Health Service Was Received Total
(2019)		 Total
(2020)		 Aged 12-13
(2019)		 Aged 12-13
(2020)		 Aged 14-15
(2019)		 Aged 14-15
(2020)		 Aged 16-17
(2019)		 Aged 16-17
(2020)
SPECIALTY MENTAL HEALTH SERVICE 4,088 4,246 1,242 1,333 1,402 1,507 1,444 1,406
Outpatient 3,747 4,088 1,099 1,267 1,276 1,473 1,373 1,348
Private Therapist, Psychologist, Psychiatrist, Social
   Worker, or Counselor		 3,213 3,491 924 1,073 1,094 1,215 1,195 1,204
Mental Health Clinic or Center 1,169 1,187 290 320 396 391 483 476
Partial Day Hospital or Day Treatment Program 517 354 173 103 159 160 185 90
In-Home Therapist, Counselor, or Family Preservation
   Worker		 1,091 939 372 266 357 358 363 315
Inpatient or Residential 701 510 242 169 265 175 194 166
Hospital 618 429 221 161 231 154 166 114
Residential Treatment Center 293 277 65 73 116 104 113 100
NONSPECIALTY MENTAL HEALTH SERVICE 4,371 3,651 1,438 1,121 1,537 1,399 1,396 1,131
Education1 3,727 3,136 1,311 1,009 1,314 1,223 1,101 904
School Social Worker, School Psychologist, or School
   Counselor		 2,698 2,354 960 775 920 924 819 655
Special School or Program within a Regular School for
   Students with Emotional or Behavioral Problems		 1,477 1,061 520 333 546 431 411 298
General Medicine                
Pediatrician or Other Family Doctor 902 762 217 179 327 273 358 309
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 49 22 9 6 21 5 19 10
Child Welfare                
Foster Care or Therapeutic Foster Care 97 66 21 25 46 26 30 14
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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 mental health services 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, 2019 and Quarters 1 and 4, 2020.
210603
Table 9.1B – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Age Group, Percentages, 2019 and 2020
Setting Where Mental Health Service Was Received Total
(2019)		 Total
(2020)		 Aged 12-13
(2019)		 Aged 12-13
(2020)		 Aged 14-15
(2019)		 Aged 14-15
(2020)		 Aged 16-17
(2019)		 Aged 16-17
(2020)
SPECIALTY MENTAL HEALTH SERVICE 16.7 17.3 15.7 16.2 16.8 17.7 17.7 18.0
Outpatient 15.3 16.6 13.9 15.4 15.3 17.3 16.8 17.2
Private Therapist, Psychologist, Psychiatrist, Social
   Worker, or Counselor		 13.1 14.2 11.6 13.0 13.1 14.2 14.6 15.4
Mental Health Clinic or Center 4.8 4.8 3.6 3.8 4.7 4.6 5.9 6.1
Partial Day Hospital or Day Treatment Program 2.1 1.4 2.2 1.2 1.9 1.9 2.3 1.1
In-Home Therapist, Counselor, or Family Preservation
   Worker		 4.5 3.8 4.7 3.2 4.3 4.2 4.4 4.0
Inpatient or Residential 2.9 2.1 3.0 2.0 3.2 2.1 2.4 2.1
Hospital 2.5 1.7 2.8 1.9 2.8 1.8 2.0 1.5
Residential Treatment Center 1.2 1.1 0.8 0.9 1.4 1.2 1.4 1.3
NONSPECIALTY MENTAL HEALTH SERVICE 18.1 15.0 18.5 13.8 18.6 16.5 17.2 14.6
Education1 15.4 12.8 16.7 12.3 15.9 14.4 13.5 11.6
School Social Worker, School Psychologist, or School
   Counselor		 11.1 9.6 12.2 9.4 11.1 10.8 10.1 8.4
Special School or Program within a Regular School for
   Students with Emotional or Behavioral Problems		 6.1 4.3 6.6 4.0 6.6 5.0 5.0 3.8
General Medicine                
Pediatrician or Other Family Doctor 3.7 3.1 2.7 2.2 3.9 3.2 4.4 4.0
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 0.2 0.1 0.1 0.1 0.2 0.1 0.2 0.1
Child Welfare                
Foster Care or Therapeutic Foster Care 0.4 0.3 0.3 0.3 0.5 0.3 0.4 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: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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 mental health services 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, 2019 and Quarters 1 and 4, 2020.
210603
Table 9.2A – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2019 and 2020
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
2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020
TOTAL 4,088 4,246 3,747 4,088 701 510 4,371 3,651 3,727 3,136 902 762 49 22 97 66
AGE GROUP                                
12-13 1,242 1,333 1,099 1,267 242 169 1,438 1,121 1,311 1,009 217 179 9 6 21 25
14-15 1,402 1,507 1,276 1,473 265 175 1,537 1,399 1,314 1,223 327 273 21 5 46 26
16-17 1,444 1,406 1,373 1,348 194 166 1,396 1,131 1,101 904 358 309 19 10 30 14
GENDER                                
Male 1,580 1,470 1,396 1,371 295 239 1,797 1,420 1,526 1,267 363 201 37 16 36 24
Female 2,508 2,776 2,351 2,717 407 271 2,574 2,231 2,201 1,868 538 560 12 6 61 42
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 3,196 3,354 2,951 3,236 542 392 3,311 2,843 2,810 2,416 702 622 45 16 66 31
White 2,388 2,589 2,261 2,528 334 252 2,222 2,014 1,829 1,675 541 518 15 8 37 14
Black or African American 418 477 347 421 128 122 668 494 625 432 80 77 24 6 23 4
AIAN 29 * 26 * 7 * 30 * 29 * 2 * * * 1 *
NHOPI * * * * * * * * * * * * * * * *
Asian 169 104 151 104 26 1 176 205 148 202 37 3 * * * 0
Two or More Races 184 127 163 127 42 10 203 94 171 83 40 17 2 * 4 *
Hispanic or Latino 892 892 796 853 160 118 1,060 809 916 720 199 140 5 5 31 36
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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) or 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 mental health services 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, 2019 and Quarters 1 and 4, 2020.
210603
Table 9.2B – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2019 and 2020
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
2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020
TOTAL 16.7 17.3 15.3 16.6 2.9 2.1 18.1 15.0 15.4 12.8 3.7 3.1 0.2 0.1 0.4 0.3
AGE GROUP                                
12-13 15.7 16.2 13.9 15.4 3.0 2.0 18.5 13.8 16.7 12.3 2.7 2.2 0.1 0.1 0.3 0.3
14-15 16.8 17.7 15.3 17.3 3.2 2.1 18.6 16.5 15.9 14.4 3.9 3.2 0.2 0.1 0.5 0.3
16-17 17.7 18.0 16.8 17.2 2.4 2.1 17.2 14.6 13.5 11.6 4.4 4.0 0.2 0.1 0.4 0.2
GENDER                                
Male 12.7 11.7 11.2 11.0 2.4 1.9 14.6 11.5 12.4 10.2 2.9 1.6 0.3 0.1 0.3 0.2
Female 20.9 23.0 19.6 22.5 3.4 2.2 21.7 18.6 18.5 15.5 4.5 4.6 0.1 0.1 0.5 0.3
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 17.4 18.2 16.1 17.6 2.9 2.1 18.2 15.6 15.4 13.1 3.8 3.4 0.2 0.1 0.4 0.2
White 18.9 20.5 17.9 20.0 2.6 2.0 17.7 16.0 14.5 13.3 4.3 4.1 0.1 0.1 0.3 0.1
Black or African American 12.8 15.5 10.6 13.7 3.9 4.0 21.0 16.5 19.5 14.2 2.4 2.5 0.7 0.2 0.7 0.1
AIAN 17.2 * 15.3 * 4.1 * 18.1 * 17.3 * 1.4 * * * 0.3 *
NHOPI * * * * * * * * * * * * * * * *
Asian 13.1 5.7 11.7 5.7 2.0 0.0 13.9 11.4 11.7 11.0 2.9 0.2 * * * 0.0
Two or More Races 20.1 21.2 17.8 21.1 4.6 1.6 22.5 15.7 18.9 13.8 4.3 2.8 0.3 * 0.4 *
Hispanic or Latino 14.7 14.4 13.1 13.7 2.6 1.9 17.7 13.2 15.3 11.7 3.3 2.3 0.1 0.1 0.5 0.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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) or 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 mental health services 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, 2019 and Quarters 1 and 4, 2020.
210603
Table 9.3A – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2019 and 2020
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
2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020
TOTAL 4,088 4,246 3,747 4,088 701 510 4,371 3,651 3,727 3,136 902 762 49 22 97 66
GEOGRAPHIC REGION                                
Northeast 683 680 635 627 108 126 751 704 613 619 190 133 2 * 25 11
Midwest 941 1,015 866 957 186 144 997 896 856 785 201 173 20 5 18 18
South 1,381 1,571 1,241 1,531 249 145 1,575 1,295 1,352 1,088 304 289 14 6 33 12
West 1,084 980 1,005 974 159 95 1,048 756 906 643 208 166 12 11 21 25
COUNTY TYPE                                
Large Metro 2,234 2,404 2,088 2,320 344 260 2,457 2,101 2,129 1,829 479 411 20 8 62 42
Small Metro 1,286 1,328 1,156 1,274 232 185 1,340 1,085 1,124 919 290 242 24 7 26 19
Nonmetro 569 514 503 494 126 65 574 465 474 387 132 109 5 6 9 5
Urbanized 260 285 226 270 61 40 237 207 187 173 62 52 3 * 4 3
Less Urbanized 254 185 229 180 49 17 262 213 224 178 56 48 2 * 5 1
Completely Rural 55 * 49 * 16 * 75 * 63 * 14 * 1 * 0 0
POVERTY LEVEL                                
Less Than 100% 775 490 650 439 223 144 1,040 645 935 588 169 108 23 9 40 16
100-199% 824 769 736 749 185 96 878 724 744 652 184 98 8 5 23 39
200% or More 2,490 2,987 2,362 2,901 294 271 2,453 2,283 2,048 1,896 549 556 18 8 34 12
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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) or 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 mental health services 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, 2019 and Quarters 1 and 4, 2020.
210603
Table 9.3B – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Percentages, 2019 and 2020
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
2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020
TOTAL 16.7 17.3 15.3 16.6 2.9 2.1 18.1 15.0 15.4 12.8 3.7 3.1 0.2 0.1 0.4 0.3
GEOGRAPHIC REGION                                
Northeast 17.5 17.7 16.3 16.3 2.8 3.3 19.6 18.7 15.9 16.4 4.9 3.5 0.1 * 0.6 0.3
Midwest 18.2 19.7 16.7 18.6 3.6 2.8 19.5 17.4 16.7 15.2 3.9 3.4 0.4 0.1 0.4 0.4
South 14.5 16.3 13.1 15.9 2.6 1.5 16.8 13.6 14.4 11.3 3.2 3.0 0.1 0.1 0.3 0.1
West 18.4 16.5 17.0 16.3 2.7 1.6 18.0 12.7 15.6 10.7 3.5 2.8 0.2 0.2 0.4 0.4
COUNTY TYPE                                
Large Metro 16.8 17.4 15.6 16.7 2.6 1.9 18.7 15.3 16.1 13.2 3.6 3.0 0.1 0.1 0.5 0.3
Small Metro 16.9 17.5 15.2 16.8 3.0 2.4 17.9 14.5 14.9 12.2 3.8 3.2 0.3 0.1 0.3 0.3
Nonmetro 16.1 16.3 14.3 15.6 3.5 2.1 16.5 14.8 13.5 12.3 3.8 3.4 0.2 0.2 0.3 0.2
Urbanized 17.3 21.9 15.1 20.7 4.0 3.1 16.1 16.1 12.6 13.4 4.2 4.0 0.2 * 0.3 0.3
Less Urbanized 15.6 11.6 14.1 11.2 3.0 1.0 16.3 13.3 13.9 11.1 3.5 3.0 0.1 * 0.3 0.1
Completely Rural 13.6 * 12.2 * 4.0 * 18.9 * 15.9 * 3.4 * 0.2 * 0.1 0.0
POVERTY LEVEL                                
Less Than 100% 15.7 10.9 13.2 9.7 4.5 3.2 21.6 14.4 19.3 13.0 3.4 2.4 0.5 0.2 0.8 0.3
100-199% 15.7 17.3 14.0 16.9 3.5 2.1 17.1 16.5 14.4 14.7 3.5 2.2 0.1 0.1 0.4 0.9
200% or More 17.4 19.1 16.5 18.5 2.0 1.7 17.3 14.7 14.4 12.2 3.8 3.6 0.1 0.0 0.2 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: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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) or 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 mental health services 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, 2019 and Quarters 1 and 4, 2020.
210603
Table 9.4A – Reasons for Receiving Most Recent Mental Health Service in Past Year: Among People Aged 12 to 17 Who Received Mental Health Services in the Respective Settings in Past Year; Numbers in Thousands, 2019 and 2020
Reason for Receipt of Mental Health Service1 Any Specialty Mental
Health Service2		 Outpatient Inpatient or
Residential		 Education3 General Medicine Child Welfare
2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020
RECEIVED MENTAL HEALTH SERVICES4 4,088 4,246 3,747 4,088 701 510 3,727 3,136 902 762 97 66
Thought about Killing Self or Tried to Kill Self 1,152 1,232 1,020 1,170 317 * 437 355 163 134 * *
Felt Depressed 2,191 2,444 2,096 2,424 291 * 1,171 1,044 424 325 * *
Felt Very Afraid and Tense 1,181 1,593 1,119 1,574 121 * 630 676 215 252 * *
Had Eating Problems 381 579 360 567 55 * 139 139 99 125 * *
Had Other Self-Reported Mental/Neurological Disorder5 94 224 94 224 0 * 14 14 37 * * *
Broke Rules and “Acted Out” 591 580 524 552 104 * 389 302 81 56 * *
Had Trouble Controlling Anger 484 453 445 443 50 * 230 103 61 34 * *
Got into Physical Fights 90 55 79 54 13 * 84 43 7 3 * *
Had Problems with Home/Family 852 896 822 886 43 * 320 238 52 20 * *
Had Problems with Friends 425 523 407 511 21 * 402 417 38 36 * *
Had Problems with People Other Than Family/Friends 315 278 302 271 18 * 202 165 25 9 * *
Had Problems at School 640 573 596 549 60 * 568 485 87 91 * *
Some Other Reason6 417 513 391 460 39 * 215 217 69 54 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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) or 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 mental health services from this setting.
4 The Received Mental Health Services row represents all youths who received mental health services 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 mental health services.
6 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Services 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, 2019 and Quarters 1 and 4, 2020.
210603
Table 9.4B – Reasons for Receiving Most Recent Mental Health Service in Past Year: Among People Aged 12 to 17 Who Received Mental Health Services in the Respective Settings in Past Year; Percentages, 2019 and 2020
Reason for Receipt of Mental Health Service1 Any Specialty Mental
Health Service2		 Outpatient Inpatient or
Residential		 Education3 General Medicine Child Welfare
2019 2020 2019 2020 2019 2020 2019 2020 2019 2020 2019 2020
RECEIVED MENTAL HEALTH SERVICES4 16.7 17.3 15.3 16.6 2.9 2.1 15.4 12.8 3.7 3.1 0.4 0.3
Thought about Killing Self or Tried to Kill Self 31.5 32.2 29.4 31.1 59.1 * 17.2 16.0 19.8 19.1 * *
Felt Depressed 59.4 63.4 59.9 64.0 55.3 * 46.0 47.1 51.4 46.4 * *
Felt Very Afraid and Tense 32.6 42.0 32.4 42.0 23.0 * 24.7 30.5 26.1 36.1 * *
Had Eating Problems 10.6 15.3 10.4 15.2 10.5 * 5.5 6.2 12.0 17.8 * *
Had Other Self-Reported Mental/Neurological Disorder5 2.7 6.1 2.8 6.1 0.0 * 0.5 0.7 4.6 * * *
Broke Rules and “Acted Out” 16.3 15.4 15.2 14.9 19.7 * 15.3 13.6 9.8 8.1 * *
Had Trouble Controlling Anger 13.4 12.0 12.9 11.9 9.6 * 9.0 4.6 7.4 4.9 * *
Got into Physical Fights 2.5 1.5 2.3 1.5 2.5 * 3.3 1.9 0.9 0.5 * *
Had Problems with Home/Family 23.5 23.6 23.8 23.7 8.2 * 12.6 10.7 6.4 2.9 * *
Had Problems with Friends 11.8 13.9 11.9 13.8 4.0 * 15.8 18.8 4.6 5.1 * *
Had Problems with People Other Than Family/Friends 8.7 7.4 8.8 7.3 3.4 * 8.0 7.4 3.0 1.3 * *
Had Problems at School 17.7 15.1 17.3 14.7 11.4 * 22.3 21.9 10.5 13.0 * *
Some Other Reason6 11.7 13.8 11.6 12.5 7.5 * 8.6 10.0 8.5 7.7 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental health services for people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
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) or 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 mental health services from this setting.
4 The Received Mental Health Services row represents all youths who received mental health services 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 mental health services.
6 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Services 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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.5A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; Receipt of Treatment for Depression in Past Year: Among People Aged 12 to 17 with MDE and among People Aged 12 to 17 with MDE with Severe Impairment in Past Year; by Demographic Characteristics, Numbers in Thousands, 2019 and 2020
Demographic Characteristic Had MDE
(2019)		 Had MDE
(2020)		 Had MDE
with Severe
Impairment1
(2019)		 Had MDE
with Severe
Impairment1
(2020)		 Received
Treatment for
Depression in
Past Year
among People
with MDE2
(2019)		 Received
Treatment for
Depression in
Past Year
among People
with MDE2
(2020)		 Received
Treatment for
Depression in
Past Year
among People
with MDE
with Severe
Impairment1,2
(2019)		 Received
Treatment for
Depression in
Past Year
among People
with MDE
with Severe
Impairment1,2
(2020)
TOTAL 3,783 4,131 2,671 2,919 1,627 1,710 1,321 1,361
AGE GROUP                
12-13 816 902 530 641 302 * 218 *
14-15 1,341 1,533 970 1,094 585 629 492 521
16-17 1,626 1,696 1,171 1,184 740 675 612 527
GENDER                
Male 1,076 1,135 736 732 391 448 300 341
Female 2,708 2,996 1,935 2,187 1,236 1,262 1,021 1,020
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 2,755 3,176 1,981 2,230 1,251 1,357 1,018 1,088
White 1,975 2,330 1,415 1,616 985 1,133 800 917
Black or African American 367 392 256 294 130 * 108 *
AIAN 20 * 19 * * * * *
NHOPI * * * * * * * *
Asian 190 252 142 186 * * * *
Two or More Races 189 179 134 118 83 * 63 *
Hispanic or Latino 1,028 956 690 689 376 354 304 273
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.5B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; Receipt of Treatment for Depression in Past Year: Among People Aged 12 to 17 with MDE and among People Aged 12 to 17 with MDE with Severe Impairment in Past Year; by Demographic Characteristics, Percentages, 2019 and 2020
Demographic Characteristic Had MDE
(2019)		 Had MDE
(2020)		 Had MDE
with Severe
Impairment1
(2019)		 Had MDE
with Severe
Impairment1
(2020)		 Received
Treatment for
Depression in
Past Year
among People
with MDE2
(2019)		 Received
Treatment for
Depression in
Past Year
among People
with MDE2
(2020)		 Received
Treatment for
Depression in
Past Year
among People
with MDE
with Severe
Impairment1,2
(2019)		 Received
Treatment for
Depression in
Past Year
among People
with MDE
with Severe
Impairment1,2
(2020)
TOTAL 15.7 17.0 11.1 12.0 43.3 41.6 49.7 46.9
AGE GROUP                
12-13 10.5 11.2 6.8 7.9 37.5 * 41.9 *
14-15 16.4 18.2 11.9 13.0 43.9 41.5 50.8 48.1
16-17 20.1 21.9 14.5 15.3 45.6 40.0 52.3 44.8
GENDER                
Male 8.8 9.2 6.0 5.9 36.8 39.7 41.2 46.6
Female 23.0 25.2 16.5 18.4 45.8 42.4 52.9 47.0
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 15.2 17.5 11.0 12.3 45.7 43.1 51.7 49.2
White 15.9 18.7 11.4 13.0 50.3 49.1 57.0 57.3
Black or African American 11.4 12.9 8.0 9.7 35.6 * 42.3 *
AIAN 12.2 * 11.5 * * * * *
NHOPI * * * * * * * *
Asian 15.1 13.9 11.3 10.3 * * * *
Two or More Races 20.9 29.9 14.9 19.7 44.4 * 47.3 *
Hispanic or Latino 17.3 15.7 11.7 11.3 36.8 37.0 44.0 39.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210609
Table 9.6A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; Receipt of Treatment for Depression in Past Year: Among People Aged 12 to 17 with MDE and among People Aged 12 to 17 with MDE with Severe Impairment in Past Year; by Geographic, Socioeconomic, and Health Characteristics, Numbers in Thousands, 2019 and 2020
Geographic/Socioeconomic/
Health Characteristic		 Had MDE
(2019)		 Had MDE
(2020)		 Had MDE
with Severe
Impairment1
(2019)		 Had MDE
with Severe
Impairment1
(2020)		 Received
Treatment for
Depression in
Past Year among
People with
MDE2
(2019)		 Received
Treatment for
Depression in
Past Year among
People with
MDE2
(2020)		 Received
Treatment for
Depression in
Past Year among
People with MDE
with Severe
Impairment1,2
(2019)		 Received
Treatment for
Depression in
Past Year among
People with MDE
with Severe
Impairment1,2
(2020)
TOTAL 3,783 4,131 2,671 2,919 1,627 1,710 1,321 1,361
GEOGRAPHIC REGION                
Northeast 528 540 363 361 235 239 187 *
Midwest 838 899 604 724 407 411 340 350
South 1,409 1,756 1,017 1,139 568 662 455 483
West 1,009 936 688 695 416 399 339 332
COUNTY TYPE                
Large Metro 2,084 2,469 1,481 1,746 884 994 728 753
Small Metro 1,190 1,144 845 807 513 503 412 434
Nonmetro 508 517 345 366 230 214 182 *
POVERTY LEVEL                
Less Than 100% 676 555 482 372 284 * 238 *
100-199% 825 783 592 572 345 252 294 220
200% or More 2,283 2,793 1,597 1,974 998 1,277 790 992
HEALTH INSURANCE3                
Private 2,209 2,714 1,507 1,889 946 1,233 755 959
Medicaid/CHIP 1,377 1,196 1,008 870 615 411 510 338
Other4 188 278 156 204 84 * 79 *
No Coverage 183 166 117 125 61 * * *
OVERALL HEALTH5                
Excellent 826 805 537 529 296 288 225 *
Very Good 1,571 1,560 1,113 1,165 641 588 528 484
Good 1,094 1,356 783 894 511 654 417 517
Fair/Poor 293 411 238 331 180 * 151 *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210609
Table 9.6B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; Receipt of Treatment for Depression in Past Year: Among People Aged 12 to 17 with MDE and among People Aged 12 to 17 with MDE with Severe Impairment in Past Year; by Geographic, Socioeconomic, and Health Characteristics, Percentages, 2019 and 2020
Geographic/Socioeconomic/
Health Characteristic		 Had MDE
(2019)		 Had MDE
(2020)		 Had MDE
with Severe
Impairment1
(2019)		 Had MDE
with Severe
Impairment1
(2020)		 Received
Treatment for
Depression in
Past Year among
People with
MDE2
(2019)		 Received
Treatment for
Depression in
Past Year among
People with
MDE2
(2020)		 Received
Treatment for
Depression in
Past Year among
People with MDE
with Severe
Impairment1,2
(2019)		 Received
Treatment for
Depression in
Past Year among
People with MDE
with Severe
Impairment1,2
(2020)
TOTAL 15.7 17.0 11.1 12.0 43.3 41.6 49.7 46.9
GEOGRAPHIC REGION                
Northeast 13.8 14.6 9.5 9.7 44.8 44.1 52.0 *
Midwest 16.4 17.6 11.8 14.2 48.7 46.9 56.4 49.5
South 15.1 18.4 10.9 11.9 40.7 37.7 45.0 42.4
West 17.5 15.9 11.9 11.8 41.4 42.6 49.6 47.8
COUNTY TYPE                
Large Metro 15.9 18.1 11.3 12.8 42.7 40.4 49.4 43.4
Small Metro 16.0 15.4 11.4 10.8 43.3 44.4 49.0 54.2
Nonmetro 14.6 16.5 9.9 11.7 45.5 41.3 52.9 *
POVERTY LEVEL                
Less Than 100% 14.0 12.4 10.0 8.3 42.6 * 49.7 *
100-199% 16.0 17.7 11.5 13.0 42.1 32.4 49.9 38.7
200% or More 16.2 18.2 11.4 12.8 43.9 46.0 49.7 50.5
HEALTH INSURANCE3                
Private 16.0 18.6 10.9 13.0 43.0 45.7 50.3 51.1
Medicaid/CHIP 15.3 14.7 11.2 10.7 45.0 34.6 50.9 39.2
Other4 15.9 17.1 13.2 12.5 44.8 * 50.5 *
No Coverage 16.3 11.6 10.5 8.8 33.8 * * *
OVERALL HEALTH5                
Excellent 10.1 9.7 6.5 6.3 35.9 35.9 41.9 *
Very Good 16.4 16.7 11.6 12.4 41.0 37.9 47.6 41.5
Good 21.2 25.0 15.2 16.5 47.0 48.8 53.6 58.9
Fair/Poor 27.4 36.2 22.4 29.1 62.7 * 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: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.7A – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder Status and Demographic Characteristics, Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status/Age Group Total
(2019)		 Total
(2020)		 Male
(2019)		 Male
(2020)		 Female
(2019)		 Female
(2020)
SUBSTANCE USE DISORDER nc 644 nc 110 nc 533
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 314 nc * nc *
Illicit Drug Use Disorder nc 487 nc 84 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 212 nc * nc *
Alcohol Use Disorder nc * nc * nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc * nc * nc *
NO SUBSTANCE USE DISORDER nc 3,488 nc 1,025 nc 2,463
12-13 nc 852 nc 190 nc 661
14-15 nc 1,254 nc 392 nc 862
16-17 nc 1,382 nc 443 nc 939
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) 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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.7B – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder Status and Demographic Characteristics, Percentages, 2019 and 2020
Substance Use Disorder Status/Age Group Total
(2019)		 Total
(2020)		 Male
(2019)		 Male
(2020)		 Female
(2019)		 Female
(2020)
SUBSTANCE USE DISORDER nc 41.7 nc 16.1 nc 62.1
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 36.9 nc * nc *
Illicit Drug Use Disorder nc 41.5 nc 15.1 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 31.8 nc * nc *
Alcohol Use Disorder nc * nc * nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc * nc * nc *
NO SUBSTANCE USE DISORDER nc 15.3 nc 8.7 nc 22.4
12-13 nc 10.7 nc 4.5 nc 17.7
14-15 nc 16.0 nc 9.5 nc 23.1
16-17 nc 20.0 nc 13.2 nc 26.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) 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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.8A – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder Status and Demographic Characteristics, Numbers in Thousands, 2019 and 2020
Substance Use Disorder Status/Age Group Total
(2019)		 Total
(2020)		 Male
(2019)		 Male
(2020)		 Female
(2019)		 Female
(2020)
SUBSTANCE USE DISORDER nc 447 nc 70 nc 377
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 191 nc 41 nc *
Illicit Drug Use Disorder nc 315 nc 54 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 114 nc * nc *
Alcohol Use Disorder nc * nc * nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc * nc * nc *
NO SUBSTANCE USE DISORDER nc 2,473 nc 662 nc 1,811
12-13 nc 603 nc 118 nc 486
14-15 nc 876 nc 237 nc 640
16-17 nc 993 nc 307 nc 686
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment 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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.8B – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder Status and Demographic Characteristics, Percentages, 2019 and 2020
Substance Use Disorder Status/Age Group Total
(2019)		 Total
(2020)		 Male
(2019)		 Male
(2020)		 Female
(2019)		 Female
(2020)
SUBSTANCE USE DISORDER nc 29.1 nc 10.2 nc 44.3
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 22.7 nc 10.4 nc *
Illicit Drug Use Disorder nc 27.1 nc 9.7 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 17.3 nc * nc *
Alcohol Use Disorder nc * nc * nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc * nc * nc *
NO SUBSTANCE USE DISORDER nc 10.9 nc 5.7 nc 16.4
12-13 nc 7.6 nc 2.8 nc 13.0
14-15 nc 11.2 nc 5.8 nc 17.1
16-17 nc 14.4 nc 9.1 nc 19.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment 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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.9A – Substance Use Disorder Status in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Demographic Characteristics, Numbers in Thousands, 2019 and 2020
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
(2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020)
TOTAL1 nc 23,398 nc 1,213 nc 1,016 nc 80 nc 712 nc 340 nc 1,584
MDE nc 3,488 nc 487 nc 375 nc 44 nc 328 nc 171 nc 644
Age Group                            
12-13 nc 852 nc 45 nc 7 nc 7 nc 8 nc 2 nc 50
14-15 nc 1,254 nc 230 nc 197 nc 11 nc 146 nc 97 nc 279
16-17 nc 1,382 nc 212 nc 171 nc 27 nc 174 nc 71 nc 314
Gender                            
Male nc 1,025 nc 84 nc 76 nc * nc 51 nc 25 nc 110
Female nc 2,463 nc 403 nc 298 nc 34 nc 276 nc 146 nc 533
MDE with Severe Impairment nc 2,473 nc 315 nc 267 nc 34 nc 260 nc 129 nc 447
Age Group                            
12-13 nc 603 nc 32 nc 6 nc 5 nc 8 nc 2 nc 38
14-15 nc 876 nc 169 nc 164 nc 7 nc 140 nc 91 nc 218
16-17 nc 993 nc 114 nc 98 nc 22 nc 113 nc 36 nc 191
Gender                            
Male nc 662 nc 54 nc 53 nc * nc 38 nc 22 nc 70
Female nc 1,811 nc 261 nc 213 nc 25 nc 222 nc 107 nc 377
NO MDE nc 19,234 nc 687 nc 622 nc 35 nc 376 nc 163 nc 900
Age Group                            
12-13 nc 7,115 nc 28 nc 10 nc 2 nc * nc 1 nc 71
14-15 nc 6,603 nc 204 nc 185 nc 14 nc 127 nc 39 nc 291
16-17 nc 5,516 nc 455 nc 427 nc 19 nc 205 nc 122 nc 538
Gender                            
Male nc 10,687 nc 472 nc 415 nc 34 nc 232 nc 130 nc 575
Female nc 8,547 nc 215 nc 206 nc 1 nc 143 nc 32 nc 326
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.9B – Substance Use Disorder Status in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Demographic Characteristics, Percentages, 2019 and 2020
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
(2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020) (2019) (2020)
TOTAL1 nc 93.7 nc 4.9 nc 4.1 nc 0.3 nc 2.8 nc 1.4 nc 6.3
MDE nc 84.4 nc 11.8 nc 9.1 nc 1.1 nc 7.9 nc 4.1 nc 15.6
Age Group                            
12-13 nc 94.4 nc 5.0 nc 0.7 nc 0.7 nc 0.8 nc 0.3 nc 5.6
14-15 nc 81.8 nc 15.0 nc 12.9 nc 0.7 nc 9.5 nc 6.4 nc 18.2
16-17 nc 81.5 nc 12.5 nc 10.1 nc 1.6 nc 10.3 nc 4.2 nc 18.5
Gender                            
Male nc 90.3 nc 7.4 nc 6.7 nc * nc 4.5 nc 2.2 nc 9.7
Female nc 82.2 nc 13.5 nc 10.0 nc 1.1 nc 9.2 nc 4.9 nc 17.8
MDE with Severe Impairment nc 84.7 nc 10.8 nc 9.1 nc 1.2 nc 8.9 nc 4.4 nc 15.3
Age Group                            
12-13 nc 94.1 nc 5.0 nc 0.9 nc 0.8 nc 1.2 nc 0.4 nc 5.9
14-15 nc 80.1 nc 15.5 nc 14.9 nc 0.6 nc 12.8 nc 8.3 nc 19.9
16-17 nc 83.9 nc 9.6 nc 8.2 nc 1.9 nc 9.5 nc 3.0 nc 16.1
Gender                            
Male nc 90.4 nc 7.4 nc 7.3 nc * nc 5.3 nc 3.1 nc 9.6
Female nc 82.8 nc 11.9 nc 9.8 nc 1.1 nc 10.1 nc 4.9 nc 17.2
NO MDE nc 95.5 nc 3.4 nc 3.1 nc 0.2 nc 1.9 nc 0.8 nc 4.5
Age Group                            
12-13 nc 99.0 nc 0.4 nc 0.1 nc 0.0 nc * nc 0.0 nc 1.0
14-15 nc 95.8 nc 3.0 nc 2.7 nc 0.2 nc 1.8 nc 0.6 nc 4.2
16-17 nc 91.1 nc 7.5 nc 7.0 nc 0.3 nc 3.4 nc 2.0 nc 8.9
Gender                            
Male nc 94.9 nc 4.2 nc 3.7 nc 0.3 nc 2.1 nc 1.2 nc 5.1
Female nc 96.3 nc 2.4 nc 2.3 nc 0.0 nc 1.6 nc 0.4 nc 3.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.10A – Co-Occurring Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Gender, Numbers in Thousands, 2019 and 2020
Substance Use Disorder (SUD), Illicit Drug Use Disorder (IDUD),
or Alcohol Use Disorder (AUD) and MDE		 Total
(2019)		 Total
(2020)		 Male
(2019)		 Male
(2020)		 Female
(2019)		 Female
(2020)
SUD and MDE nc 644 nc 110 nc 533
SUD and MDE with Severe Impairment nc 447 nc 70 nc 377
IDUD and MDE nc 487 nc 84 nc 403
IDUD and MDE with Severe Impairment nc 315 nc 54 nc 261
AUD and MDE nc 328 nc 51 nc 276
AUD and MDE with Severe Impairment nc 260 nc 38 nc 222
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment 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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.10B – Co-Occurring Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Gender, Percentages, 2019 and 2020
Substance Use Disorder (SUD), Illicit Drug Use Disorder (IDUD),
or Alcohol Use Disorder (AUD) and MDE		 Total
(2019)		 Total
(2020)		 Male
(2019)		 Male
(2020)		 Female
(2019)		 Female
(2020)
SUD and MDE nc 2.7 nc 0.9 nc 4.5
SUD and MDE with Severe Impairment nc 1.8 nc 0.6 nc 3.2
IDUD and MDE nc 2.0 nc 0.7 nc 3.4
IDUD and MDE with Severe Impairment nc 1.3 nc 0.4 nc 2.2
AUD and MDE nc 1.3 nc 0.4 nc 2.3
AUD and MDE with Severe Impairment nc 1.1 nc 0.3 nc 1.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment 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, 2019 and Quarters 1 and 4, 2020.
210609
Table 9.11A – Types of Professionals Seen: Among People Aged 12 to 17 with Major Depressive Episode (MDE) and among People Aged 12 to 17 with MDE with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year; Numbers in Thousands, 2019 and 2020
Type of Professional1 MDE
(2019)		 MDE
(2020)		 MDE with Severe
Impairment2
(2019)		 MDE with Severe
Impairment2
(2020)
TOTAL 1,504 1,661 1,226 1,327
HEALTH PROFESSIONAL 1,441 1,620 1,181 1,294
General Practitioner or Family Doctor 337 460 279 402
Other Medical Doctor3 50 74 44 74
Psychologist 522 665 457 498
Psychiatrist or Psychotherapist 365 547 333 420
Social Worker 215 230 187 196
Counselor 912 922 763 727
Other Mental Health Professional4 153 177 147 152
Nurse, Occupational Therapist, or Other Health Professional 162 230 129 194
ALTERNATIVE SERVICE PROFESSIONAL 111 59 101 40
Religious or Spiritual Advisor 93 50 84 35
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 22 11 20 7
OTHER PROFESSIONAL5 6 9 6 7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210609
Table 9.11B – Types of Professionals Seen: Among People Aged 12 to 17 with Major Depressive Episode (MDE) and among People Aged 12 to 17 with MDE with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year; Percentages, 2019 and 2020
Type of Professional1 MDE
(2019)		 MDE
(2020)		 MDE with Severe
Impairment2
(2019)		 MDE with Severe
Impairment2
(2020)
TOTAL 100.0 100.0 100.0 100.0
HEALTH PROFESSIONAL 98.1 99.3 98.0 99.7
General Practitioner or Family Doctor 23.0 28.2 23.2 31.0
Other Medical Doctor3 3.4 4.5 3.7 5.7
Psychologist 35.5 40.8 37.9 38.4
Psychiatrist or Psychotherapist 24.8 33.6 27.6 32.4
Social Worker 14.7 14.1 15.5 15.1
Counselor 62.2 56.5 63.3 56.1
Other Mental Health Professional4 10.4 10.8 12.2 11.7
Nurse, Occupational Therapist, or Other Health Professional 11.0 14.1 10.7 15.0
ALTERNATIVE SERVICE PROFESSIONAL 7.6 3.6 8.4 3.1
Religious or Spiritual Advisor 6.3 3.1 7.0 2.7
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 1.5 0.6 1.7 0.5
OTHER PROFESSIONAL5 0.4 0.6 0.5 0.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.12A – Type of Treatment Received in Past Year for Depression: Among People Aged 12 to 17 with Major Depressive Episode in Past Year; by Demographic and Socioeconomic Characteristics, Numbers in Thousands, 2019 and 2020
Demographic/Socioeconomic
Characteristic		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2020)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2020)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2019)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2020)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2020)
TOTAL 1,577 1,685 796 928 127 53 645 691
GENDER                
Male 385 445 165 263 49 12 171 169
Female 1,192 1,240 631 665 78 40 474 522
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 1,214 1,338 580 641 103 47 527 639
White 957 1,114 427 494 87 28 439 581
Black or African American 123 * 81 * 2 * 40 *
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 81 * 45 * 9 * 27 *
Hispanic or Latino 362 347 216 288 24 5 118 53
POVERTY LEVEL                
Less Than 100% 280 * 150 * 28 14 100 56
100-199% 334 251 164 153 28 11 139 87
200% or More 963 1,258 482 671 71 28 406 548
HEALTH INSURANCE1                
Private 914 1,219 461 649 58 6 391 556
Medicaid/CHIP 599 399 285 222 66 44 241 130
Other2 82 * 34 * 5 * * *
No Coverage 59 * 42 * * * 11 *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
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.
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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.12B – Type of Treatment Received in Past Year for Depression: Among People Aged 12 to 17 with Major Depressive Episode in Past Year; by Demographic and Socioeconomic Characteristics, Percentages, 2019 and 2020
Demographic/Socioeconomic
Characteristic		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2020)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2020)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2019)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2020)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2019)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2020)
TOTAL 42.2 41.2 21.3 22.6 3.4 1.3 17.1 16.8
GENDER                
Male 36.3 39.4 15.5 23.3 4.6 1.1 15.9 14.9
Female 44.6 41.9 23.6 22.4 2.9 1.4 17.6 17.5
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 44.7 42.7 21.3 20.3 3.8 1.5 19.2 20.2
White 49.4 48.7 22.0 21.4 4.5 1.2 22.3 25.1
Black or African American 33.9 * 22.2 * 0.6 * 11.0 *
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 43.4 * 24.2 * 4.8 * 14.3 *
Hispanic or Latino 35.6 36.3 21.2 30.1 2.3 0.6 11.6 5.5
POVERTY LEVEL                
Less Than 100% 42.2 * 22.5 * 4.2 2.6 14.9 10.2
100-199% 41.0 32.4 20.2 19.5 3.5 1.4 17.0 11.1
200% or More 42.7 45.6 21.3 24.2 3.1 1.0 17.8 19.7
HEALTH INSURANCE1                
Private 41.8 45.4 21.1 24.0 2.7 0.2 17.8 20.6
Medicaid/CHIP 44.2 33.7 21.0 18.7 4.9 3.7 17.7 10.9
Other2 44.0 * 18.6 * 2.5 * * *
No Coverage 32.8 * 23.6 * * * 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: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
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.
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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.13A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Age Group, Numbers in Thousands, 2019 and 2020
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
(2019)		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2020)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2019)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2020)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2019)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2020)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2019)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2020)		 Received
NEITHER
SU Tx at a
Specialty
Facility NOR
MH Services
(2019)		 Received
NEITHER
SU Tx at a
Specialty
Facility NOR
MH Services
(2020)
SUD and MDE nc 438 nc * nc 424 nc 6 nc 196
12-13 nc * nc * nc * nc * nc *
14-15 nc * nc * nc * nc * nc *
16-17 nc * nc * nc * nc * nc *
SUD and MDE with Severe Impairment nc * nc * nc * nc * nc *
12-13 nc * nc * nc * nc * nc *
14-15 nc * nc * nc * nc * nc *
16-17 nc * nc * nc * nc * nc *
SUD and No MDE nc 357 nc * nc 332 nc 9 nc 537
12-13 nc * nc * nc * nc * nc *
14-15 nc * nc * nc * nc * nc *
16-17 nc * nc * nc * nc * nc *
MDE and No SUD nc 1,687 nc * nc 1,682 nc 4 nc 1,777
12-13 nc 431 nc * nc 431 nc * nc 412
14-15 nc 636 nc * nc 636 nc * nc 607
16-17 nc 619 nc * nc 615 nc 4 nc 759
No SUD and No MDE nc 3,626 nc * nc 3,617 nc 8 nc 15,341
12-13 nc 1,361 nc * nc 1,353 nc 8 nc 5,567
14-15 nc 1,285 nc * nc 1,285 nc * nc 5,286
16-17 nc 980 nc 1 nc 979 nc * nc 4,488
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
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 people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment 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, 2019 and Quarters 1 and 4, 2020.
210607
Table 9.13B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Age Group, Percentages, 2019 and 2020
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
(2019)		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2020)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2019)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2020)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2019)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2020)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2019)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2020)		 Received
NEITHER
SU Tx at a
Specialty
Facility NOR
MH Services
(2019)		 Received
NEITHER
SU Tx at a
Specialty
Facility NOR
MH Services
(2020)
SUD and MDE nc 69.0 nc * nc 66.8 nc 0.9 nc 31.0
12-13 nc * nc * nc * nc * nc *
14-15 nc * nc * nc * nc * nc *
16-17 nc * nc * nc * nc * nc *
SUD and MDE with Severe Impairment nc * nc * nc * nc * nc *
12-13 nc * nc * nc * nc * nc *
14-15 nc * nc * nc * nc * nc *
16-17 nc * nc * nc * nc * nc *
SUD and No MDE nc 39.9 nc * nc 37.1 nc 1.1 nc 60.1
12-13 nc * nc * nc * nc * nc *
14-15 nc * nc * nc * nc * nc *
16-17 nc * nc * nc * nc * nc *
MDE and No SUD nc 48.7 nc * nc 48.6 nc 0.1 nc 51.3
12-13 nc 51.2 nc * nc 51.2 nc * nc 48.8
14-15 nc 51.2 nc * nc 51.2 nc * nc 48.8
16-17 nc 44.9 nc * nc 44.6 nc 0.3 nc 55.1
No SUD and No MDE nc 19.1 nc * nc 19.1 nc 0.0 nc 80.9
12-13 nc 19.6 nc * nc 19.5 nc 0.1 nc 80.4
14-15 nc 19.6 nc * nc 19.6 nc * nc 80.4
16-17 nc 17.9 nc 0.0 nc 17.9 nc * nc 82.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Substance use disorder (SUD) estimates in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD and related estimates are not comparable between 2020 and prior years of NSDUH, because prior years’ estimates were based on DSM-IV criteria. The 2020 estimates reflect additional methodological changes for the 2020 NSDUH. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes.
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 people 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. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. Data on virtual services are included at the end of this section. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment 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, 2019 and Quarters 1 and 4, 2020.
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Table 9.14A – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, Quarter 4, 2020
Suicidal Thoughts/Behavior Total Aged 12-13 Aged 14-15 Aged 16-17 Male Female
HAD SERIOUS THOUGHTS OF SUICIDE            
Yes 2,959 870 1,213 875 633 2,325
No 18,515 7,034 6,214 5,267 10,694 7,820
Not Sure/Don’t Know 1,753 459 762 532 696 1,057
Don’t Want to Answer/Refuse 1,519 537 551 432 618 901
MADE ANY SUICIDE PLANS            
Yes 1,300 347 459 493 209 1,091
No 21,761 8,061 7,665 6,035 11,932 9,829
Not Sure/Don’t Know 706 259 212 234 255 452
Don’t Want to Answer/Refuse 979 232 404 343 246 733
ATTEMPTED SUICIDE            
Yes 629 163 266 * 83 547
No 22,902 8,307 8,165 6,430 12,203 10,699
Not Sure/Don’t Know 275 43 56 176 54 222
Don’t Want to Answer/Refuse 939 387 253 300 302 637
* = 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 suicide data other than the categories shown in this table 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, Quarter 4, 2020.
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Table 9.14B – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, Quarter 4, 2020
Suicidal Thoughts/Behavior Total Aged 12-13 Aged 14-15 Aged 16-17 Male Female
HAD SERIOUS THOUGHTS OF SUICIDE            
Yes 12.0 9.8 13.9 12.3 5.0 19.2
No 74.8 79.0 71.1 74.1 84.6 64.6
Not Sure/Don’t Know 7.1 5.2 8.7 7.5 5.5 8.7
Don’t Want to Answer/Refuse 6.1 6.0 6.3 6.1 4.9 7.4
MADE ANY SUICIDE PLANS            
Yes 5.3 3.9 5.2 6.9 1.7 9.0
No 87.9 90.6 87.7 84.9 94.4 81.2
Not Sure/Don’t Know 2.9 2.9 2.4 3.3 2.0 3.7
Don’t Want to Answer/Refuse 4.0 2.6 4.6 4.8 1.9 6.1
ATTEMPTED SUICIDE            
Yes 2.5 1.8 3.0 * 0.7 4.5
No 92.6 93.3 93.4 90.5 96.5 88.4
Not Sure/Don’t Know 1.1 0.5 0.6 2.5 0.4 1.8
Don’t Want to Answer/Refuse 3.8 4.3 2.9 4.2 2.4 5.3
* = 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 suicide data other than the categories shown in this table 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, Quarter 4, 2020.
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Table 9.15A – Attempted Suicide in Past Year: Among People Aged 12 to 17; Received Medical Attention for Suicide Attempt in Past Year and Stayed Overnight or Longer in a Hospital for Suicide Attempt in Past Year: Among People Aged 12 to 17 Who Attempted Suicide in Past Year; by Demographic Characteristics, Numbers in Thousands, Quarter 4, 2020
Suicidal Behavior/Treatment for Suicide Attempt Total Aged 12-13 Aged 14-15 Aged 16-17 Male Female
ATTEMPTED SUICIDE            
Yes 629 163 266 * 83 547
No 22,902 8,307 8,165 6,430 12,203 10,699
Not Sure/Don’t Know 275 43 56 176 54 222
Don’t Want to Answer/Refuse 939 387 253 300 302 637
RECEIVED MEDICAL ATTENTION FOR SUICIDE
ATTEMPT AMONG PEOPLE WHO ATTEMPTED
SUICIDE		            
Yes * * * * * *
No * * * * * *
Not Sure/Don’t Know * * * * * *
Don’t Want to Answer/Refuse * * * * * *
STAYED OVERNIGHT OR LONGER IN A
HOSPITAL FOR SUICIDE ATTEMPT AMONG
PEOPLE WHO ATTEMPTED SUICIDE		            
Yes * * * * * *
No * * * * * *
Not Sure/Don’t Know * * * * * *
Don’t Want to Answer/Refuse * * * * * *
* = 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 suicide data other than the categories shown in this table 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, Quarter 4, 2020.
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Table 9.15B – Attempted Suicide in Past Year: Among People Aged 12 to 17; Received Medical Attention for Suicide Attempt in Past Year and Stayed Overnight or Longer in a Hospital for Suicide Attempt in Past Year: Among People Aged 12 to 17 Who Attempted Suicide in Past Year; by Demographic Characteristics, Percentages, Quarter 4, 2020
Suicidal Behavior/Treatment for Suicide Attempt Total Aged 12-13 Aged 14-15 Aged 16-17 Male Female
ATTEMPTED SUICIDE            
Yes 2.5 1.8 3.0 * 0.7 4.5
No 92.6 93.3 93.4 90.5 96.5 88.4
Not Sure/Don’t Know 1.1 0.5 0.6 2.5 0.4 1.8
Don’t Want to Answer/Refuse 3.8 4.3 2.9 4.2 2.4 5.3
RECEIVED MEDICAL ATTENTION FOR SUICIDE
ATTEMPT AMONG PEOPLE WHO ATTEMPTED
SUICIDE		            
Yes * * * * * *
No * * * * * *
Not Sure/Don’t Know * * * * * *
Don’t Want to Answer/Refuse * * * * * *
STAYED OVERNIGHT OR LONGER IN A
HOSPITAL FOR SUICIDE ATTEMPT AMONG
PEOPLE WHO ATTEMPTED SUICIDE		            
Yes * * * * * *
No * * * * * *
Not Sure/Don’t Know * * * * * *
Don’t Want to Answer/Refuse * * * * * *
* = 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 suicide data other than the categories shown in this table 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, Quarter 4, 2020.
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Table 9.16A – Received Virtual Mental Health Services in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Demographic Characteristics, Numbers in Thousands, Quarter 4, 2020
Demographic Characteristic Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 2,489 1,254 958 1,190
AGE GROUP        
12-13 685 * * 381
14-15 912 * * 360
16-17 892 * * 449
GENDER        
Male 686 * * 403
Female 1,803 981 721 787
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 1,954 1,042 796 893
White 1,634 915 * 705
Black or African American 156 * * 123
AIAN * * * *
NHOPI * * * *
Asian * * * 48
Two or More Races 44 * * *
Hispanic or Latino 535 * * 297
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Virtual mental health services for people aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown virtual mental health service information were excluded.
1 The Total column includes respondents with unknown Major Depressive Episode (MDE) and MDE with severe impairment status data.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment 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, Quarter 4, 2020.
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Table 9.16B – Received Virtual Mental Health Services in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Demographic Characteristics, Percentages, Quarter 4, 2020
Demographic Characteristic Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 10.1 32.9 35.6 5.8
AGE GROUP        
12-13 7.7 * * 4.9
14-15 10.5 * * 5.1
16-17 12.5 * * 8.0
GENDER        
Male 5.4 * * 3.5
Female 15.0 35.2 36.8 8.7
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 10.6 34.9 38.9 5.9
White 12.9 40.2 * 6.9
Black or African American 5.2 * * 4.6
AIAN * * * *
NHOPI * * * *
Asian * * * 2.9
Two or More Races 8.7 * * *
Hispanic or Latino 8.6 * * 5.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Virtual mental health services for people aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown virtual mental health service information were excluded.
1 The Total column includes respondents with unknown Major Depressive Episode (MDE) and MDE with severe impairment status data.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment 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, Quarter 4, 2020.
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Table 9.17A – Received Virtual Mental Health Services in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Geographic, Socioeconomic, and Health Characteristics, Numbers in Thousands, Quarter 4, 2020
Geographic, Socioeconomic, and Health
Characteristics		 Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 2,489 1,254 958 1,190
GEOGRAPHIC REGION        
Northeast 408 * * 201
Midwest 505 * * 185
South 1,009 * * 478
West 566 * * 326
COUNTY TYPE        
Large Metro 1,456 727 * 723
Small Metro 830 * * 370
Nonmetro 203 * * 98
POVERTY LEVEL        
Less Than 100% 295 * * 142
100-199% 376 * * 274
200% or More 1,817 1,029 * 774
HEALTH INSURANCE4        
Private 1,813 1,007 * 791
Medicaid/CHIP 610 * * 360
Other5 128 * * 77
No Coverage 86 * * 72
OVERALL HEALTH6        
Excellent 324 * * 124
Very Good 937 * * 580
Good 1,020 * * 409
Fair/Poor * * * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Virtual mental health services for people aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown virtual mental health service information were excluded.
1 The Total column includes respondents with unknown Major Depressive Episode (MDE) and MDE with severe impairment status data.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
6 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, Quarter 4, 2020.
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Table 9.17B – Received Virtual Mental Health Services in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Geographic, Socioeconomic, and Health Characteristics, Percentages, Quarter 4, 2020
Geographic, Socioeconomic, and Health
Characteristics		 Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 10.1 32.9 35.6 5.8
GEOGRAPHIC REGION        
Northeast 10.7 * * 6.2
Midwest 9.9 * * 4.5
South 10.4 * * 6.1
West 9.4 * * 6.3
COUNTY TYPE        
Large Metro 10.3 33.1 * 6.2
Small Metro 10.3 * * 5.5
Nonmetro 8.2 * * 4.7
POVERTY LEVEL        
Less Than 100% 6.3 * * 3.4
100-199% 9.8 * * 8.5
200% or More 11.3 37.7 * 5.9
HEALTH INSURANCE4        
Private 12.2 38.6 * 6.6
Medicaid/CHIP 7.8 * * 5.3
Other5 5.7 * * 4.2
No Coverage 5.6 * * 5.0
OVERALL HEALTH6        
Excellent 3.8 * * 1.6
Very Good 10.2 * * 7.6
Good 17.9 * * 9.9
Fair/Poor * * * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Virtual mental health services for people aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown virtual mental health service information were excluded.
1 The Total column includes respondents with unknown Major Depressive Episode (MDE) and MDE with severe impairment status data.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
6 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, Quarter 4, 2020.

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