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210603
Table 9.1C – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Age Group, Standard Errors of 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 93 187 54 117 59 125 64 122
Outpatient 92 186 52 113 57 124 62 118
Private Therapist, Psychologist, Psychiatrist, Social
   Worker, or Counselor		 85 173 47 104 53 104 57 112
Mental Health Clinic or Center 54 110 28 48 32 56 36 84
Partial Day Hospital or Day Treatment Program 34 42 19 24 17 31 22 21
In-Home Therapist, Counselor, or Family Preservation
   Worker		 55 98 33 55 30 64 35 55
Inpatient or Residential 38 68 23 44 24 31 21 38
Hospital 36 59 22 43 22 30 20 26
Residential Treatment Center 26 49 12 27 18 24 16 33
NONSPECIALTY MENTAL HEALTH SERVICE 96 157 59 90 62 109 62 91
Education1 91 149 57 86 58 106 54 81
School Social Worker, School Psychologist, or School
   Counselor		 79 132 48 79 48 95 47 70
Special School or Program within a Regular School for
   Students with Emotional or Behavioral Problems		 59 96 35 49 36 60 32 54
General Medicine                
Pediatrician or Other Family Doctor 44 70 21 31 29 42 31 50
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 10 10 5 6 7 3 6 6
Child Welfare                
Foster Care or Therapeutic Foster Care 17 21 7 15 12 13 10 8
* = 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 9.1D – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Age Group, Standard Errors of 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 0.38 0.76 0.63 1.24 0.64 1.35 0.68 1.40
Outpatient 0.38 0.76 0.61 1.20 0.63 1.34 0.67 1.37
Private Therapist, Psychologist, Psychiatrist, Social
   Worker, or Counselor		 0.35 0.70 0.56 1.13 0.59 1.15 0.61 1.30
Mental Health Clinic or Center 0.22 0.45 0.34 0.56 0.37 0.64 0.43 1.04
Partial Day Hospital or Day Treatment Program 0.14 0.17 0.24 0.28 0.21 0.36 0.26 0.27
In-Home Therapist, Counselor, or Family Preservation
   Worker		 0.22 0.40 0.41 0.64 0.35 0.73 0.41 0.69
Inpatient or Residential 0.15 0.28 0.28 0.52 0.27 0.37 0.25 0.48
Hospital 0.15 0.24 0.27 0.51 0.25 0.35 0.24 0.33
Residential Treatment Center 0.10 0.20 0.15 0.32 0.22 0.29 0.19 0.42
NONSPECIALTY MENTAL HEALTH SERVICE 0.40 0.64 0.68 1.04 0.70 1.14 0.65 1.14
Education1 0.37 0.61 0.67 0.98 0.65 1.10 0.59 1.02
School Social Worker, School Psychologist, or School
   Counselor		 0.33 0.54 0.58 0.90 0.55 1.02 0.53 0.89
Special School or Program within a Regular School for
   Students with Emotional or Behavioral Problems		 0.24 0.39 0.43 0.59 0.43 0.68 0.38 0.68
General Medicine                
Pediatrician or Other Family Doctor 0.18 0.29 0.25 0.37 0.34 0.48 0.36 0.63
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 0.04 0.04 0.06 0.07 0.08 0.04 0.07 0.08
Child Welfare                
Foster Care or Therapeutic Foster Care 0.07 0.09 0.08 0.18 0.15 0.16 0.12 0.10
* = 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 9.2C – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 93 187 92 186 38 68 96 157 91 149 44 70 10 10 17 21
AGE GROUP                                
12-13 54 117 52 113 23 44 59 90 57 86 21 31 5 6 7 15
14-15 59 125 57 124 24 31 62 109 58 106 29 42 7 3 12 13
16-17 64 122 62 118 21 38 62 91 54 81 31 50 6 6 10 8
GENDER                                
Male 57 109 54 105 25 48 61 98 56 95 29 30 9 7 9 10
Female 74 150 74 149 32 46 74 125 69 118 35 63 4 6 14 19
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 78 163 78 162 32 57 79 142 74 133 38 62 10 8 14 11
White 77 165 75 164 27 42 74 122 66 114 34 58 5 4 11 8
Black or African American 34 71 30 66 17 38 42 69 41 65 15 22 8 6 8 3
AIAN 7 * 6 * 3 * 8 * 8 * 1 * * * 0 *
NHOPI * * * * * * * * * * * * * * * *
Asian 27 31 25 31 9 1 26 50 22 49 12 3 * * * 0
Two or More Races 19 26 18 26 9 4 20 18 19 17 8 5 2 * 2 *
Hispanic or Latino 49 95 48 92 19 33 55 80 53 77 23 33 2 5 10 18
* = 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 9.2D – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 0.38 0.76 0.38 0.76 0.15 0.28 0.40 0.64 0.37 0.61 0.18 0.29 0.04 0.04 0.07 0.09
AGE GROUP                                
12-13 0.63 1.24 0.61 1.20 0.28 0.52 0.68 1.04 0.67 0.98 0.25 0.37 0.06 0.07 0.08 0.18
14-15 0.64 1.35 0.63 1.34 0.27 0.37 0.70 1.14 0.65 1.10 0.34 0.48 0.08 0.04 0.15 0.16
16-17 0.68 1.40 0.67 1.37 0.25 0.48 0.65 1.14 0.59 1.02 0.36 0.63 0.07 0.08 0.12 0.10
GENDER                                
Male 0.46 0.87 0.43 0.84 0.20 0.38 0.50 0.79 0.46 0.76 0.23 0.24 0.07 0.06 0.07 0.08
Female 0.61 1.24 0.61 1.23 0.26 0.38 0.63 1.05 0.58 0.98 0.29 0.53 0.04 0.05 0.12 0.16
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 0.42 0.89 0.42 0.88 0.17 0.31 0.44 0.78 0.41 0.73 0.21 0.34 0.05 0.04 0.07 0.06
White 0.52 1.13 0.50 1.13 0.21 0.32 0.50 0.87 0.46 0.82 0.26 0.45 0.04 0.03 0.08 0.06
Black or African American 0.89 2.16 0.82 2.06 0.50 1.22 1.12 2.11 1.10 1.95 0.46 0.74 0.25 0.20 0.24 0.11
AIAN 2.96 * 3.07 * 1.28 * 3.57 * 3.56 * 0.58 * * * 0.26 *
NHOPI * * * * * * * * * * * * * * * *
Asian 1.86 1.62 1.77 1.62 0.68 0.03 1.83 2.62 1.56 2.59 0.90 0.14 * * * 0.01
Two or More Races 1.76 3.94 1.69 3.94 0.94 0.71 1.94 2.86 1.82 2.74 0.83 0.84 0.18 * 0.26 *
Hispanic or Latino 0.81 1.53 0.78 1.49 0.32 0.54 0.93 1.30 0.88 1.25 0.38 0.53 0.04 0.09 0.17 0.29
* = 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 9.3C – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 93 187 92 186 38 68 96 157 91 149 44 70 10 10 17 21
GEOGRAPHIC REGION                                
Northeast 31 57 30 57 14 40 32 68 30 64 20 29 2 * 8 8
Midwest 42 79 41 75 19 41 44 70 41 67 20 29 7 3 6 9
South 62 133 61 133 23 29 59 102 54 95 26 50 6 6 10 7
West 48 97 47 97 19 22 55 75 53 72 22 30 5 7 8 16
COUNTY TYPE                                
Large Metro 82 168 80 167 30 51 92 137 86 129 36 57 7 6 15 19
Small Metro 59 113 55 109 21 42 60 91 55 84 22 40 7 4 7 10
Nonmetro 38 57 36 57 15 17 34 50 31 46 16 20 2 6 3 3
Urbanized 28 46 27 46 11 14 24 35 22 32 12 11 2 * 2 3
Less Urbanized 25 31 22 31 9 8 23 33 21 30 10 15 1 * 2 1
Completely Rural 9 * 9 * 4 * 11 * 10 * 5 * 1 * 0 0
POVERTY LEVEL                                
Less Than 100% 46 64 42 54 22 41 52 73 50 70 20 26 8 7 12 8
100-199% 43 95 40 94 20 25 49 74 45 70 22 24 3 3 7 18
200% or More 86 180 85 178 27 50 88 137 80 128 35 64 6 6 10 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 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 9.3D – Settings Where Mental Health Services Were Received in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 0.38 0.76 0.38 0.76 0.15 0.28 0.40 0.64 0.37 0.61 0.18 0.29 0.04 0.04 0.07 0.09
GEOGRAPHIC REGION                                
Northeast 0.80 1.48 0.78 1.47 0.36 1.04 0.85 1.81 0.77 1.69 0.50 0.76 0.05 * 0.21 0.22
Midwest 0.81 1.54 0.79 1.46 0.37 0.78 0.86 1.36 0.79 1.30 0.39 0.56 0.13 0.06 0.12 0.17
South 0.66 1.38 0.64 1.38 0.24 0.30 0.63 1.07 0.57 0.99 0.27 0.53 0.06 0.06 0.11 0.07
West 0.81 1.63 0.79 1.63 0.32 0.36 0.95 1.27 0.92 1.20 0.37 0.51 0.08 0.11 0.14 0.27
COUNTY TYPE                                
Large Metro 0.53 1.09 0.53 1.09 0.22 0.37 0.60 0.92 0.57 0.86 0.26 0.41 0.05 0.04 0.11 0.13
Small Metro 0.70 1.39 0.67 1.35 0.27 0.55 0.71 1.11 0.64 1.04 0.30 0.52 0.09 0.05 0.09 0.13
Nonmetro 0.90 1.67 0.87 1.65 0.39 0.53 0.81 1.54 0.78 1.39 0.45 0.62 0.07 0.19 0.09 0.09
Urbanized 1.51 2.90 1.51 2.86 0.68 1.02 1.26 2.54 1.24 2.31 0.76 0.85 0.12 * 0.15 0.21
Less Urbanized 1.27 1.91 1.15 1.90 0.53 0.49 1.23 1.89 1.15 1.77 0.59 0.89 0.07 * 0.15 0.07
Completely Rural 1.94 * 1.80 * 1.08 * 2.00 * 1.96 * 1.20 * 0.17 * 0.10 0.03
POVERTY LEVEL                                
Less Than 100% 0.86 1.43 0.81 1.25 0.43 0.88 0.93 1.51 0.89 1.44 0.40 0.56 0.16 0.15 0.24 0.19
100-199% 0.74 1.94 0.70 1.93 0.38 0.56 0.85 1.60 0.79 1.50 0.41 0.54 0.06 0.07 0.12 0.41
200% or More 0.51 1.00 0.50 0.99 0.18 0.32 0.52 0.79 0.49 0.74 0.23 0.41 0.04 0.04 0.07 0.05
* = 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 9.4C – 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; Standard Errors of 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 93 187 92 186 38 68 91 149 44 70 17 21
Thought about Killing Self or Tried to Kill Self 53 116 51 114 28 * 33 52 18 26 * *
Felt Depressed 75 157 74 157 26 * 53 93 32 43 * *
Felt Very Afraid and Tense 55 135 53 135 17 * 40 70 23 41 * *
Had Eating Problems 29 77 28 77 12 * 19 37 14 34 * *
Had Other Self-Reported Mental/Neurological Disorder5 16 54 16 54 0 * 6 9 8 * * *
Broke Rules and “Acted Out” 35 61 32 59 16 * 30 49 12 17 * *
Had Trouble Controlling Anger 35 67 34 67 10 * 23 26 11 15 * *
Got into Physical Fights 13 18 12 18 5 * 14 19 4 3 * *
Had Problems with Home/Family 45 110 45 109 9 * 28 37 10 9 * *
Had Problems with Friends 32 86 31 86 7 * 31 59 9 15 * *
Had Problems with People Other Than Family/Friends 26 60 26 60 6 * 21 36 8 6 * *
Had Problems at School 38 62 36 62 11 * 40 62 15 25 * *
Some Other Reason6 33 76 32 70 10 * 27 46 12 22 * *
* = 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 9.4D – 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; Standard Errors of 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 0.38 0.76 0.38 0.76 0.15 0.28 0.37 0.61 0.18 0.29 0.07 0.09
Thought about Killing Self or Tried to Kill Self 1.21 2.48 1.21 2.48 3.34 * 1.14 2.18 2.00 3.49 * *
Felt Depressed 1.25 2.46 1.26 2.45 3.58 * 1.52 3.09 2.66 4.92 * *
Felt Very Afraid and Tense 1.18 2.51 1.20 2.54 2.85 * 1.32 2.65 2.33 4.83 * *
Had Eating Problems 0.74 1.86 0.76 1.87 2.19 * 0.73 1.60 1.60 4.27 * *
Had Other Self-Reported Mental/Neurological Disorder5 0.46 1.41 0.48 1.42 0.04 * 0.24 0.43 1.01 * * *
Broke Rules and “Acted Out” 0.88 1.58 0.86 1.57 2.68 * 1.07 2.08 1.46 2.31 * *
Had Trouble Controlling Anger 0.90 1.70 0.91 1.72 1.81 * 0.88 1.12 1.28 2.13 * *
Got into Physical Fights 0.36 0.49 0.36 0.50 1.02 * 0.52 0.86 0.45 0.37 * *
Had Problems with Home/Family 1.10 2.50 1.13 2.52 1.58 * 1.04 1.64 1.22 1.29 * *
Had Problems with Friends 0.84 2.07 0.86 2.09 1.24 * 1.15 2.41 1.05 2.08 * *
Had Problems with People Other Than Family/Friends 0.69 1.54 0.71 1.55 1.16 * 0.81 1.55 0.96 0.86 * *
Had Problems at School 0.92 1.60 0.94 1.61 2.07 * 1.32 2.47 1.70 3.41 * *
Some Other Reason6 0.87 1.85 0.89 1.73 1.91 * 0.99 1.95 1.43 3.02 * *
* = 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 9.5C – 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, Standard Errors of 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 90 199 77 160 64 138 58 112
AGE GROUP                
12-13 40 127 34 102 24 * 21 *
14-15 61 124 53 99 40 73 37 65
16-17 63 130 54 102 42 69 38 59
GENDER                
Male 47 105 42 89 29 73 26 64
Female 75 154 65 133 57 105 52 93
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 73 172 65 130 55 124 50 97
White 72 166 60 120 50 118 45 93
Black or African American 29 60 25 48 18 * 17 *
AIAN 5 * 5 * * * * *
NHOPI * * * * * * * *
Asian 30 58 26 47 * * * *
Two or More Races 19 41 16 26 13 * 11 *
Hispanic or Latino 52 102 44 92 33 61 29 56
* = 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 9.5D – 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, Standard Errors of 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 0.37 0.82 0.32 0.66 1.34 2.45 1.63 2.69
AGE GROUP                
12-13 0.49 1.42 0.43 1.16 2.50 * 3.08 *
14-15 0.68 1.35 0.60 1.09 2.27 3.92 2.73 4.46
16-17 0.69 1.55 0.62 1.26 1.99 3.32 2.29 4.02
GENDER                
Male 0.38 0.85 0.34 0.72 2.21 4.49 2.82 6.03
Female 0.63 1.30 0.55 1.13 1.62 2.73 1.89 3.00
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.41 0.95 0.36 0.71 1.45 2.78 1.76 2.95
White 0.50 1.18 0.44 0.88 1.64 3.36 1.88 3.60
Black or African American 0.85 1.81 0.73 1.44 3.89 * 4.93 *
AIAN 3.19 * 3.12 * * * * *
NHOPI * * * * * * * *
Asian 2.02 2.80 1.85 2.26 * * * *
Two or More Races 1.82 5.11 1.67 3.49 4.80 * 5.79 *
Hispanic or Latino 0.87 1.67 0.74 1.51 2.67 4.83 3.51 5.82
* = 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 9.6C – 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, Standard Errors of 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 90 199 77 160 64 138 58 112
GEOGRAPHIC REGION                
Northeast 30 57 25 42 21 38 18 *
Midwest 37 77 33 73 31 52 29 47
South 61 149 51 114 41 113 38 85
West 50 83 41 70 32 53 29 49
COUNTY TYPE                
Large Metro 84 194 70 147 51 115 47 86
Small Metro 56 105 48 87 33 70 30 67
Nonmetro 33 59 26 46 20 34 17 *
POVERTY LEVEL                
Less Than 100% 40 76 34 53 26 * 24 *
100-199% 45 85 38 69 29 39 28 36
200% or More 85 200 70 160 51 128 46 102
HEALTH INSURANCE3                
Private 79 196 63 152 49 127 43 99
Medicaid/CHIP 59 108 49 82 37 50 35 47
Other4 24 51 22 44 14 * 14 *
No Coverage 23 36 18 34 11 * * *
OVERALL HEALTH5                
Excellent 48 97 40 78 26 55 23 *
Very Good 60 129 51 115 38 79 35 73
Good 54 119 43 82 33 79 29 65
Fair/Poor 27 59 25 53 22 * 21 *
* = 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 9.6D – 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, Standard Errors of 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 0.37 0.82 0.32 0.66 1.34 2.45 1.63 2.69
GEOGRAPHIC REGION                
Northeast 0.78 1.53 0.66 1.14 3.04 6.02 3.77 *
Midwest 0.72 1.51 0.65 1.42 2.53 4.19 2.82 4.76
South 0.65 1.56 0.55 1.20 2.40 4.57 2.88 5.26
West 0.86 1.41 0.72 1.19 2.49 4.44 3.23 4.82
COUNTY TYPE                
Large Metro 0.56 1.21 0.48 0.93 1.89 3.36 2.29 3.57
Small Metro 0.62 1.27 0.54 1.11 2.30 4.56 2.85 5.28
Nonmetro 0.79 1.63 0.69 1.34 2.84 5.48 3.34 *
POVERTY LEVEL                
Less Than 100% 0.75 1.64 0.65 1.18 2.90 * 3.47 *
100-199% 0.80 1.81 0.70 1.50 2.74 4.68 3.26 5.68
200% or More 0.50 1.10 0.44 0.90 1.72 3.07 2.14 3.40
HEALTH INSURANCE3                
Private 0.49 1.15 0.41 0.92 1.68 3.16 2.13 3.49
Medicaid/CHIP 0.59 1.22 0.52 0.97 2.09 3.84 2.48 4.37
Other4 1.74 2.89 1.60 2.53 5.54 * 5.99 *
No Coverage 1.83 2.54 1.47 2.35 5.42 * * *
OVERALL HEALTH5                
Excellent 0.52 1.05 0.45 0.87 2.66 5.62 3.51 *
Very Good 0.56 1.21 0.49 1.11 1.92 3.97 2.34 4.76
Good 0.93 1.92 0.76 1.48 2.42 4.28 2.87 4.31
Fair/Poor 2.20 4.86 2.10 4.42 4.88 * 5.58 *
* = 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 9.7C – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder Status and Demographic Characteristics, Standard Errors of 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 81 nc 25 nc 76
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 55 nc * nc *
Illicit Drug Use Disorder nc 70 nc 21 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 42 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 212 nc 110 nc 166
12-13 nc 126 nc 58 nc 99
14-15 nc 111 nc 54 nc 94
16-17 nc 117 nc 77 nc 86
* = 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 9.7D – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder Status and Demographic Characteristics, Standard Errors of 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 4.05 nc 3.43 nc 5.39
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 5.18 nc * nc *
Illicit Drug Use Disorder nc 4.56 nc 3.46 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 5.49 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 0.82 nc 0.88 nc 1.31
12-13 nc 1.43 nc 1.33 nc 2.29
14-15 nc 1.33 nc 1.28 nc 2.27
16-17 nc 1.59 nc 2.05 nc 2.28
* = 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 9.8C – 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, Standard Errors of 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 61 nc 19 nc 57
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 39 nc 14 nc *
Illicit Drug Use Disorder nc 50 nc 17 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 24 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 168 nc 92 nc 138
12-13 nc 101 nc 51 nc 87
14-15 nc 87 nc 47 nc 72
16-17 nc 95 nc 60 nc 72
* = 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 9.8D – 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, Standard Errors of 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 3.52 nc 2.74 nc 5.40
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 4.23 nc 3.51 nc *
Illicit Drug Use Disorder nc 3.87 nc 2.94 nc *
12-13 nc * nc * nc *
14-15 nc * nc * nc *
16-17 nc 3.70 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 0.67 nc 0.75 nc 1.12
12-13 nc 1.18 nc 1.18 nc 2.09
14-15 nc 1.05 nc 1.13 nc 1.75
16-17 nc 1.32 nc 1.67 nc 1.96
* = 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 9.9C – 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, Standard Errors of 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 123 nc 104 nc 95 nc 24 nc 86 nc 56 nc 123
MDE nc 212 nc 70 nc 58 nc 16 nc 57 nc 40 nc 81
Age Group                            
12-13 nc 126 nc 15 nc 5 nc 5 nc 5 nc 1 nc 16
14-15 nc 111 nc 51 nc 43 nc 6 nc 36 nc 32 nc 53
16-17 nc 117 nc 42 nc 34 nc 14 nc 43 nc 24 nc 55
Gender                            
Male nc 110 nc 21 nc 19 nc * nc 18 nc 12 nc 25
Female nc 166 nc 66 nc 55 nc 13 nc 54 nc 38 nc 76
MDE with Severe Impairment nc 168 nc 50 nc 46 nc 15 nc 50 nc 35 nc 61
Age Group                            
12-13 nc 101 nc 13 nc 4 nc 4 nc 5 nc 1 nc 14
14-15 nc 87 nc 41 nc 40 nc 5 nc 36 nc 32 nc 44
16-17 nc 95 nc 24 nc 20 nc 13 nc 35 nc 14 nc 39
Gender                            
Male nc 92 nc 17 nc 17 nc * nc 15 nc 11 nc 19
Female nc 138 nc 46 nc 42 nc 11 nc 47 nc 33 nc 57
NO MDE nc 532 nc 83 nc 80 nc 18 nc 68 nc 41 nc 99
Age Group                            
12-13 nc 273 nc 10 nc 4 nc 1 nc * nc 1 nc 41
14-15 nc 278 nc 38 nc 38 nc 10 nc 36 nc 21 nc 49
16-17 nc 270 nc 73 nc 71 nc 15 nc 40 nc 36 nc 74
Gender                            
Male nc 357 nc 63 nc 60 nc 18 nc 60 nc 39 nc 78
Female nc 331 nc 52 nc 52 nc 1 nc 28 nc 11 nc 58
* = 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 9.9D – 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, Standard Errors of 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 0.49 nc 0.42 nc 0.38 nc 0.10 nc 0.34 nc 0.22 nc 0.49
MDE nc 1.79 nc 1.57 nc 1.31 nc 0.38 nc 1.30 nc 0.91 nc 1.79
Age Group                            
12-13 nc 1.83 nc 1.72 nc 0.51 nc 0.51 nc 0.62 nc 0.16 nc 1.83
14-15 nc 3.11 nc 3.01 nc 2.61 nc 0.42 nc 2.19 nc 1.99 nc 3.11
16-17 nc 2.92 nc 2.32 nc 1.90 nc 0.80 nc 2.39 nc 1.36 nc 2.92
Gender                            
Male nc 2.21 nc 1.84 nc 1.74 nc * nc 1.61 nc 1.02 nc 2.21
Female nc 2.31 nc 2.05 nc 1.72 nc 0.42 nc 1.70 nc 1.21 nc 2.31
MDE with Severe Impairment nc 1.94 nc 1.61 nc 1.48 nc 0.50 nc 1.61 nc 1.14 nc 1.94
Age Group                            
12-13 nc 2.22 nc 2.04 nc 0.70 nc 0.70 nc 0.87 nc 0.22 nc 2.22
14-15 nc 3.50 nc 3.33 nc 3.31 nc 0.47 nc 2.96 nc 2.71 nc 3.50
16-17 nc 3.11 nc 2.04 nc 1.71 nc 1.08 nc 2.74 nc 1.17 nc 3.11
Gender                            
Male nc 2.69 nc 2.34 nc 2.33 nc * nc 2.06 nc 1.55 nc 2.69
Female nc 2.37 nc 1.94 nc 1.82 nc 0.51 nc 2.02 nc 1.43 nc 2.37
NO MDE nc 0.48 nc 0.40 nc 0.39 nc 0.09 nc 0.33 nc 0.20 nc 0.48
Age Group                            
12-13 nc 0.57 nc 0.14 nc 0.06 nc 0.02 nc * nc 0.02 nc 0.57
14-15 nc 0.69 nc 0.54 nc 0.54 nc 0.15 nc 0.52 nc 0.30 nc 0.69
16-17 nc 1.17 nc 1.15 nc 1.12 nc 0.24 nc 0.65 nc 0.58 nc 1.17
Gender                            
Male nc 0.67 nc 0.55 nc 0.52 nc 0.16 nc 0.53 nc 0.34 nc 0.67
Female nc 0.65 nc 0.59 nc 0.59 nc 0.01 nc 0.31 nc 0.13 nc 0.65
* = 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 9.10C – 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, Standard Errors of 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 79 nc 25 nc 74
SUD and MDE with Severe Impairment nc 60 nc 19 nc 55
IDUD and MDE nc 69 nc 21 nc 65
IDUD and MDE with Severe Impairment nc 49 nc 17 nc 45
AUD and MDE nc 56 nc 18 nc 53
AUD and MDE with Severe Impairment nc 49 nc 15 nc 47
* = 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 9.10D – 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, Standard Errors of 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 0.33 nc 0.20 nc 0.62
SUD and MDE with Severe Impairment nc 0.25 nc 0.15 nc 0.47
IDUD and MDE nc 0.28 nc 0.17 nc 0.54
IDUD and MDE with Severe Impairment nc 0.20 nc 0.13 nc 0.38
AUD and MDE nc 0.23 nc 0.15 nc 0.45
AUD and MDE with Severe Impairment nc 0.20 nc 0.12 nc 0.39
* = 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 9.11C – 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; Standard Errors of Numbers in Thousands, 2019 and 2020
Type of Professional1 MDE
(2019)		 MDE
(2020)		 MDE with Severe
Impairment2
(2019)		 MDE with Severe
Impairment2
(2020)
TOTAL 60 137 54 111
HEALTH PROFESSIONAL 59 136 53 110
General Practitioner or Family Doctor 28 61 25 57
Other Medical Doctor3 12 25 11 25
Psychologist 37 104 35 76
Psychiatrist or Psychotherapist 31 74 30 62
Social Worker 23 42 22 40
Counselor 47 99 43 87
Other Mental Health Professional4 20 39 20 36
Nurse, Occupational Therapist, or Other Health Professional 19 47 17 39
ALTERNATIVE SERVICE PROFESSIONAL 15 13 15 10
Religious or Spiritual Advisor 14 12 14 10
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 7 5 7 3
OTHER PROFESSIONAL5 2 4 2 4
* = 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 9.11D – 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; Standard Errors of Percentages, 2019 and 2020
Type of Professional1 MDE
(2019)		 MDE
(2020)		 MDE with Severe
Impairment2
(2019)		 MDE with Severe
Impairment2
(2020)
TOTAL 0.00 0.00 0.00 0.00
HEALTH PROFESSIONAL 0.45 0.38 0.55 0.21
General Practitioner or Family Doctor 1.66 3.54 1.82 4.00
Other Medical Doctor3 0.78 1.50 0.92 1.88
Psychologist 1.96 4.51 2.25 4.53
Psychiatrist or Psychotherapist 1.76 3.87 2.04 4.05
Social Worker 1.45 2.46 1.63 2.88
Counselor 1.95 3.51 2.12 4.24
Other Mental Health Professional4 1.27 2.33 1.51 2.65
Nurse, Occupational Therapist, or Other Health Professional 1.26 2.70 1.37 2.79
ALTERNATIVE SERVICE PROFESSIONAL 1.02 0.82 1.20 0.79
Religious or Spiritual Advisor 0.94 0.76 1.11 0.76
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 0.47 0.31 0.57 0.25
OTHER PROFESSIONAL5 0.16 0.27 0.20 0.31
* = 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 9.12C – 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, Standard Errors of 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 63 137 42 112 19 16 41 77
GENDER                
Male 29 73 18 64 12 6 19 34
Female 55 105 38 77 14 15 36 67
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 54 123 34 96 17 15 36 75
White 48 118 30 91 16 13 33 73
Black or African American 17 * 13 * 2 * 11 *
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 13 * 10 * 4 * 7 *
Hispanic or Latino 33 61 25 58 9 4 18 14
POVERTY LEVEL                
Less Than 100% 25 * 18 * 9 8 16 17
100-199% 29 39 20 34 10 6 19 19
200% or More 50 128 32 104 14 12 32 72
HEALTH INSURANCE1                
Private 47 126 31 101 14 3 32 74
Medicaid/CHIP 37 50 25 42 13 15 23 22
Other2 14 * 9 * 3 * * *
No Coverage 11 * 9 * * * 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 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 9.12D – 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, Standard Errors of 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 1.34 2.46 1.03 2.32 0.50 0.38 0.98 1.71
GENDER                
Male 2.21 4.50 1.57 4.65 1.08 0.53 1.64 2.73
Female 1.61 2.75 1.29 2.28 0.50 0.49 1.21 2.07
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 1.46 2.79 1.15 2.63 0.60 0.49 1.15 2.09
White 1.64 3.39 1.39 3.34 0.77 0.55 1.37 2.74
Black or African American 3.86 * 3.24 * 0.46 * 2.93 *
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 4.82 * 4.39 * 2.16 * 3.32 *
Hispanic or Latino 2.68 4.86 2.19 4.74 0.83 0.40 1.68 1.44
POVERTY LEVEL                
Less Than 100% 2.91 * 2.47 * 1.29 1.41 2.25 3.10
100-199% 2.73 4.68 2.18 4.12 1.16 0.83 2.09 2.40
200% or More 1.71 3.09 1.29 3.09 0.59 0.44 1.25 2.29
HEALTH INSURANCE1                
Private 1.67 3.18 1.27 3.14 0.62 0.12 1.30 2.39
Medicaid/CHIP 2.11 3.86 1.70 3.23 0.92 1.28 1.54 1.92
Other2 5.57 * 4.59 * 1.35 * * *
No Coverage 5.37 * 4.69 * * * 2.46 *
* = 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 9.13C – 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, Standard Errors of 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 65 nc * nc 64 nc 4 nc 42
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 64 nc * nc 62 nc 6 nc 73
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 122 nc * nc 122 nc 4 nc 148
12-13 nc 72 nc * nc 72 nc * nc 80
14-15 nc 75 nc * nc 75 nc * nc 80
16-17 nc 67 nc * nc 67 nc 4 nc 89
No SUD and No MDE nc 193 nc * nc 193 nc 8 nc 469
12-13 nc 107 nc * nc 107 nc 8 nc 244
14-15 nc 116 nc * nc 116 nc * nc 246
16-17 nc 102 nc 1 nc 102 nc * nc 239
* = 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 9.13D – 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, Standard Errors of 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 5.41 nc * nc 5.41 nc 0.70 nc 5.41
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 5.35 nc * nc 5.28 nc 0.68 nc 5.35
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 2.43 nc * nc 2.43 nc 0.11 nc 2.43
12-13 nc 5.14 nc * nc 5.14 nc * nc 5.14
14-15 nc 4.32 nc * nc 4.32 nc * nc 4.32
16-17 nc 3.74 nc * nc 3.73 nc 0.28 nc 3.74
No SUD and No MDE nc 0.90 nc * nc 0.90 nc 0.04 nc 0.90
12-13 nc 1.41 nc * nc 1.41 nc 0.12 nc 1.41
14-15 nc 1.56 nc * nc 1.56 nc * nc 1.56
16-17 nc 1.65 nc 0.02 nc 1.65 nc * nc 1.65
* = 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.
210616
Table 9.14C – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 298 192 180 177 116 266
No 394 451 418 402 217 293
Not Sure/Don’t Know 228 117 165 141 134 185
Don’t Want to Answer/Refuse 233 136 152 118 172 148
MADE ANY SUICIDE PLANS            
Yes 221 139 96 155 54 207
No 293 502 467 427 127 253
Not Sure/Don’t Know 160 86 72 120 77 142
Don’t Want to Answer/Refuse 163 61 113 105 84 139
ATTEMPTED SUICIDE            
Yes 157 50 77 * 35 149
No 254 520 480 447 108 221
Not Sure/Don’t Know 119 26 27 114 26 116
Don’t Want to Answer/Refuse 173 99 91 102 99 136
* = 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 9.14D – Had Serious Thoughts of Suicide, Made Any Suicide Plans, and Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 1.20 1.98 1.96 2.23 0.92 2.20
No 1.59 2.69 2.61 2.89 1.72 2.42
Not Sure/Don’t Know 0.92 1.29 1.82 1.90 1.06 1.53
Don’t Want to Answer/Refuse 0.94 1.44 1.68 1.59 1.36 1.23
MADE ANY SUICIDE PLANS            
Yes 0.89 1.52 1.09 2.04 0.43 1.71
No 1.18 1.84 1.78 2.71 1.00 2.09
Not Sure/Don’t Know 0.65 0.95 0.81 1.64 0.61 1.17
Don’t Want to Answer/Refuse 0.66 0.67 1.26 1.42 0.66 1.15
ATTEMPTED SUICIDE            
Yes 0.63 0.55 0.88 * 0.27 1.23
No 1.03 1.23 1.36 2.61 0.85 1.82
Not Sure/Don’t Know 0.48 0.28 0.31 1.57 0.21 0.95
Don’t Want to Answer/Refuse 0.70 1.09 1.02 1.40 0.78 1.13
* = 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 9.15C – 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, Standard Errors of 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 157 50 77 * 35 149
No 254 520 480 447 108 221
Not Sure/Don’t Know 119 26 27 114 26 116
Don’t Want to Answer/Refuse 173 99 91 102 99 136
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 9.15D – 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, Standard Errors of 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 0.63 0.55 0.88 * 0.27 1.23
No 1.03 1.23 1.36 2.61 0.85 1.82
Not Sure/Don’t Know 0.48 0.28 0.31 1.57 0.21 0.95
Don’t Want to Answer/Refuse 0.70 1.09 1.02 1.40 0.78 1.13
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 9.16C – 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, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Demographic Characteristic Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 275 192 170 202
AGE GROUP        
12-13 158 * * 97
14-15 138 * * 77
16-17 182 * * 158
GENDER        
Male 139 * * 102
Female 221 163 138 173
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 241 178 154 172
White 246 167 * 160
Black or African American 54 * * 50
AIAN * * * *
NHOPI * * * *
Asian * * * 28
Two or More Races 17 * * *
Hispanic or Latino 127 * * 109
* = 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 9.16D – 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, Standard Errors of Percentages, Quarter 4, 2020
Demographic Characteristic Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 1.11 3.90 4.87 0.95
AGE GROUP        
12-13 1.68 * * 1.23
14-15 1.56 * * 1.11
16-17 2.30 * * 2.59
GENDER        
Male 1.10 * * 0.88
Female 1.84 4.66 5.35 1.83
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 1.31 4.43 5.58 1.09
White 1.73 5.04 * 1.47
Black or African American 1.80 * * 1.85
AIAN * * * *
NHOPI * * * *
Asian * * * 1.68
Two or More Races 3.38 * * *
Hispanic or Latino 2.03 * * 1.97
* = 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 9.17C – 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, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Geographic, Socioeconomic, and Health
Characteristics		 Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 275 192 170 202
GEOGRAPHIC REGION        
Northeast 85 * * 61
Midwest 87 * * 52
South 216 * * 151
West 130 * * 108
COUNTY TYPE        
Large Metro 239 147 * 169
Small Metro 156 * * 103
Nonmetro 60 * * 47
POVERTY LEVEL        
Less Than 100% 87 * * 55
100-199% 107 * * 101
200% or More 257 180 * 165
HEALTH INSURANCE4        
Private 257 178 * 165
Medicaid/CHIP 138 * * 115
Other5 46 * * 43
No Coverage 36 * * 34
OVERALL HEALTH6        
Excellent 94 * * 34
Very Good 178 * * 140
Good 184 * * 137
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 9.17D – 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, Standard Errors of Percentages, Quarter 4, 2020
Geographic, Socioeconomic, and Health
Characteristics		 Total1 MDE2 MDE with
Severe Impairment2,3		 No MDE2
TOTAL 1.11 3.90 4.87 0.95
GEOGRAPHIC REGION        
Northeast 2.22 * * 1.81
Midwest 1.71 * * 1.21
South 2.22 * * 1.86
West 2.15 * * 2.07
COUNTY TYPE        
Large Metro 1.59 4.98 * 1.40
Small Metro 1.87 * * 1.51
Nonmetro 2.38 * * 2.22
POVERTY LEVEL        
Less Than 100% 1.90 * * 1.38
100-199% 2.68 * * 3.01
200% or More 1.48 4.72 * 1.21
HEALTH INSURANCE4        
Private 1.58 4.82 * 1.32
Medicaid/CHIP 1.75 * * 1.70
Other5 1.97 * * 2.18
No Coverage 2.51 * * 2.50
OVERALL HEALTH6        
Excellent 1.07 * * 0.43
Very Good 1.84 * * 1.75
Good 2.86 * * 2.98
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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