2010-2012 National Survey on Drug Use and Health
Substate Region Definitions

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Figure 1. ALABAMA – Substate Regions (defined in terms of counties)

Figure 1, Alabama Regions

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Table 1. ALABAMA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Alabama Department of Mental Health and Mental Retardation and are defined in terms of the State's 67 counties.
Region 1 Region 2 Region 3 Region 4
NOTE: The substate regions defined for Alabama in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Cherokee
Colbert
Cullman
De Kalb
Etowah
Fayette
Franklin
Jackson
Lamar
Lauderdale
Lawrence
Limestone
Madison
Marion
Marshall
Morgan
Walker
Winston
Bibb
Blount
Calhoun
Chilton
Clay
Cleburne
Coosa
Jefferson
Pickens
Randolph
Shelby
St. Clair
Talladega
Tuscaloosa
Autauga
Bullock
Chambers
Choctaw
Dallas
Elmore
Greene
Hale
Lee
Lowndes
Macon
Marengo
Montgomery
Perry
Pike
Russell
Sumter
Tallapoosa
Wilcox
Baldwin
Barbour
Butler
Clarke
Coffee
Conecuh
Covington
Crenshaw
Dale
Escambia
Geneva
Henry
Houston
Mobile
Monroe
Washington

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Figure 2. ALASKA – Substate Regions (defined in terms of boroughs or census areas)

Figure 2, Alaska Regions

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Table 2. ALASKA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of boroughs or census areas)
The substate regions for Alaska are defined based on regions provided by the Alaska Department of Health and Social Services Division of Behavioral Health Planning Regions in terms of the State's 29 entities (18 boroughs and 11 census areas).
Anchorage Northern South Central Southeast
NOTE: The 2010-2012 substate regions defined for Alaska in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, because these regions are based on 2010 census geography, three 2000 census boroughs or areas have been replaced by five 2010 census boroughs or areas in the Southeast region. Despite these changes, all four regions are still considered similar across the two time periods.
Anchorage Municipality/Borough Bethel Census Area
Denali Borough
Fairbanks North Star Borough
Nome Census Area
North Slope Borough
Northwest Arctic Borough
Southeast Fairbanks Census Area
Wade Hampton Census Area
Yukon-Koyukuk Census Area
Aleutians East Borough
Aleutians West Census Area
Bristol Bay Borough
Dillingham Census Area
Kenai Peninsula Borough
Kodiak Island Borough
Lake and Peninsula Borough
Matanuska-Susitna Borough
Valdez-Cordova Census Area
Haines Borough
Hoonah-Angoon Census Area
Juneau City and Borough
Ketchikan Gateway Borough
Petersburg Census Area
Prince of Wales-Hyder Census Area
Sitka City and Borough
Skagway Municipality
Wrangell City and Borough
Yakutat City and Borough

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Figure 3. ARIZONA – Substate Regions (defined in terms of counties)

Figure 3, Arizona Regions

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Table 3. ARIZONA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Behavioral Health Services, Arizona Department of Health Services, and are defined in terms of the State's 15 counties. The region definitions include nonadjacent counties being combined to form the Rural South region.
Maricopa Pima Rural North Rural South
NOTE: The substate regions defined for Arizona in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Maricopa Pima Apache
Coconino
Mohave
Navajo
Yavapai
Cochise
Gila
Graham
Greenlee
La Paz
Pinal
Santa Cruz
Yuma

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Figure 4. ARKANSAS – Substate Regions (defined in terms of counties)

Figure 4, Arkansas Regions

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Table 4. ARKANSAS – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Arkansas Department of Health and Human Services, Division of Behavioral Health Services, and are defined in terms of the State's 75 counties.
Catchment
Area 1
Catchment
Area 2
Catchment
Area 3
Catchment
Area 4
Catchment
Area 5
Catchment
Area 6
Catchment
Area 7
Catchment
Area 8
NOTE: The substate regions defined for Arkansas in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Benton
Carroll
Madison
Washington
Baxter
Boone
Cleburne
Fulton
Independence
Izard
Jackson
Marion
Newton
Searcy
Sharp
Stone
Van Buren
White
Woodruff
Clay
Craighead
Crittenden
Cross
Greene
Lawrence
Lee
Mississippi
Monroe
Phillips
Poinsett
Randolph
St. Francis
Crawford
Franklin
Logan
Polk
Scott
Sebastian
Clark
Conway
Faulkner
Garland
Hot Spring
Johnson
Montgomery
Perry
Pike
Pope
Yell
Arkansas
Ashley
Bradley
Chicot
Cleveland
Desha
Drew
Grant
Jefferson
Lincoln
Calhoun
Columbia
Dallas
Hempstead
Howard
Lafayette
Little River
Miller
Nevada
Ouachita
Sevier
Union
Lonoke
Prairie
Pulaski
Saline

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Figure 5. CALIFORNIA – Substate Regions (defined in terms of counties and census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)

Figure 5, California Regions

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Table 5. CALIFORNIA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)
The substate regions defined here were created in consultation with the California Department of Health Care Services and are defined in terms of the State's 58 counties with the exception of Los Angeles County. Los Angeles County is further split into service planning areas (SPAs) that are defined in terms of census tracts (from the 2010 decennial census). As per the State's request, estimates for 27 substate regions along with two aggregate planning areas (Region 11 for Los Angeles County and Regions 13 and 19R) and maps showing all 27 substate regions have been produced. Note that SPA 1 and SPA 5 in Los Angeles County were combined because individually the sample sizes in these regions were too small for reporting purposes.
Region 1R Region 2R Region 3R
(Sacramento)
Region 4R Region 5R
(San Francisco)
Region 6
(Santa
Clara)
Region 7R
(Contra
Costa)
Region 8R
(Alameda)
Region 9R
(San Mateo)
Region 10
Butte
Colusa
Del Norte
Glenn
Humboldt
Lake
Lassen
Mendocino
Modoc
Plumas
Shasta
Sierra
Siskiyou
Tehama
Trinity
El Dorado
Nevada
Placer
Sutter
Yolo
Yuba
Sacramento Marin
Napa
Solano
Sonoma
San Francisco Santa Clara Contra Costa Alameda San Mateo Santa Barbara
Ventura
Region 11 (Los Angeles)
LA SPA 1 and 5 SPA 1: Tracts 900102 – 910805, 910811 – 911001, 920012, and 980003 – 980004 in Los Angeles County (Antelope Valley)
SPA 5: Tracts 216401 – 216402, 217001 – 217002, 261101 – 270200, 271100 – 278102, 700600 – 703002, 800406 – 800506, 980019, and 980028 in Los Angeles County (West)
LA SPA 2 Tracts 101110 – 143902, 300100 – 320300, 460501 – 460700, 800101 – 800332, 910807 – 910810, 920011, 920013 – 920339, 930200, 930401 – 980001, 980008, 980020 – 980024, and 980026 in Los Angeles County (San Fernando)
LA SPA 3 Tracts 400204 – 460401, 460800 – 482521, 482600 – 482800, 930101, and 930301 in Los Angeles County (San Gabriel)
LA SPA 4 Tracts 181000 – 216300, 216700 – 216900, 217100 – 218300, 221110 – 221304, 224010 – 224320, 226001 – 226002, 270300, 530700, 700101 – 700502, and 980009 – 980010 in Los Angeles County (Metro)
LA SPA 6 Tracts 218400 – 220100, 221401 – 222700, 224410 – 224700, 226410 – 243100, 532800 – 532900, 534900 – 535400, 540000 – 541001, 541100 – 543202, 553502 – 553902, and 703100 – 703200 in Los Angeles County (South)
LA SPA 7 Tracts 482522, 500100 – 530602, 530801 – 532700, 533001 – 534804, 535501 – 536200, 550000 – 553400, 554001 – 555104, 555211 – 570003, 570701 – 571102, 571300 – 571400, and 573401 – 573403 in Los Angeles County (East)
LA SPA 8 Tracts 291110 – 297602, 541002, 543304 – 544002, 555202, 570100 – 570603, 571200, 571502 – 573300, 573601 – 670702, 980002, 980005 – 980007, 980013 – 980018, 980025, and 980030 – 980033 in Los Angeles County (South Bay)
Region 12R Regions 13 and 19R Region 14
(Orange)
Region 15R
(Fresno)
Region 16R
(San Diego)
Region 17R Region 18R
(San
Bernardino)
Region 20R
Region 13
(Riverside)
Region 19R
(Imperial)
NOTE: The 2010-2012 substate regions defined for California in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, these regions are based on 2010 census geography (i.e., the seven regions in Region 11 [Los Angeles] are defined in terms of 2010 census tracts, whereas the 2008-2010 regions were defined in terms of 2000 census tracts). Despite the tract changes, all of the regions are still considered similar across the two time periods.
Alpine
Amador
Calaveras
Mono
San Joaquin
Tuolumne
Riverside Imperial Orange Fresno San Diego Inyo
Kern
Kings
Tulare
San Bernardino Madera
Mariposa
Merced
Stanislaus
Region 21R
Monterey
San Benito
San Luis Obispo
Santa Cruz

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Figure 6. COLORADO – Substate Regions (defined in terms of counties)

Figure 6, Colorado Regions

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Table 6. COLORADO – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Alcohol and Drug Abuse Division, Colorado Department of Human Services, and are defined in terms of the State's 64 counties. Because of sample size constraints, certain planning areas were combined to form substate regions.
Region 1 Regions 2 and 7 Region 3 Region 4 Regions 5 and 6
NOTE: The 2010-2012 substate regions defined for Colorado in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, because these regions are defined based on 2010 census geography, one new county, Broomfield, was created from pieces of four other counties. Because Broomfield County is in the same region as three of the four counties that it was created from (i.e., in Regions 2 and 7), all five regions are still considered similar across the two time periods.
Cheyenne
Elbert
Kit Carson
Larimer
Lincoln
Logan
Morgan
Phillips
Sedgwick
Washington
Weld
Yuma
Region 2
Adams
Arapahoe
Broomfield
Clear Creek
Denver
Douglas
Gilpin
Jefferson

Region 7
Boulder
Chaffee
Custer
El Paso
Fremont
Lake
Park
Teller
Alamosa
Baca
Bent
Conejos
Costilla
Crowley
Huerfano
Kiowa
Las Animas
Mineral
Otero
Prowers
Pueblo
Rio Grande
Saguache
Region 5
Archuleta
Delta
Dolores
Gunnison
Hinsdale
La Plata
Montezuma
Montrose
Ouray
San Juan
San Miguel
Region 6
Eagle
Garfield
Grand
Jackson
Mesa
Moffat
Pitkin
Rio Blanco
Routt
Summit

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Figure 7. CONNECTICUT – Substate Regions (defined in terms of census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)

Figure 7, Connecticut Regions

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Table 7. CONNECTICUT – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)
The Connecticut Department of Mental Health and Addiction Services indicated that planning areas in Connecticut are defined in terms of townships, which in turn are defined in terms of census tracts from the 2010 decennial census within the State's eight counties. Several townships formed a single substate region.
NOTE: The 2010-2012 substate regions defined for Connecticut in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, these regions are based on 2010 census geography (i.e., they are defined in terms of 2010 census tracts, whereas the 2008-2010 regions were defined in terms of 2000 census tracts). Despite the tract changes, all of the regions are still considered similar across the two time periods.
Eastern Tracts 690300 – 980000 in New London County; Tracts 840100 – 881500 and 890201 in Tolland County; Tracts 800300 – 908100 in Windham County
North Central Tracts 400100 – 524700 and 980000 in Hartford County; Tracts 425300 – 425500 in Litchfield County; Tracts 526101 – 538202, 890100, and 890202 in Tolland County
Northwestern Tracts 200100 – 257100 in Fairfield County; Tract 330100 in Hartford County; Tracts 250100 – 362102 and 425600 in Litchfield County; Tracts 341100 – 361300 in New Haven County
South Central Tracts 110100 – 110600 in Fairfield County; Tracts 541100 – 680200 in Middlesex County; Tracts 120100 – 194202 and 361401 – 361500 in New Haven County; Tracts 650100 – 660102 in New London County
Southwest Tracts 010101 – 105200 and 257200 in Fairfield County

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Figure 8. DELAWARE – Substate Regions (defined in terms of counties and census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)

Figure 8, Delaware Regions

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Table 8. DELAWARE – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)
The State's Division of Substance Abuse and Mental Health (DSAMH), Delaware Department of Health and Social Services, defines its planning regions in terms of the State's three counties, with the exception of the Wilmington City and New Castle regions. The Wilmington City region (which lies in New Castle County) was defined based on all of the census tracts from the 2010 decennial census that are either fully or partially contained in Wilmington City. The New Castle region (excluding Wilmington City) comprises all of the tracts that are in New Castle County except those in the Wilmington City limits.
Kent New Castle (excluding Wilmington City) Sussex Wilmington City
NOTE: The 2010-2012 substate regions defined for Delaware in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, these regions are based on 2010 census geography (i.e., the Wilmington City region is defined in terms of 2010 census tracts, whereas the 2008-2010 region was defined in terms of 2000 census tracts). Despite the tract changes, all of the regions are still considered similar across the two time periods.
Kent New Castle (excluding Wilmington City) Sussex Part of New Castle County (specified by Tracts 000200 – 003002, 012900, and 980100)

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Figure 9. DISTRICT OF COLUMBIA – Substate Regions (defined in terms of census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)

Figure 9, District of Columbia Regions

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Table 9. DISTRICT OF COLUMBIA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)
The District of Columbia's Department of Operations, Addiction Prevention and Recovery Administration, indicated that wards could be used as substate regions. These wards can be described in terms of census tracts from the 2010 decennial census. If a tract overlapped ward boundaries, the tract was placed in the ward in which the majority of the tract fell.
NOTE: The 2010-2012 substate regions defined for the District of Columbia in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, these regions are based on 2010 census geography (i.e., they are defined in terms of 2010 census tracts, whereas the 2008-2010 regions were defined in terms of 2000 census tracts). Despite the tract changes, all of the regions are still considered similar across the two time periods.
Ward 1 Tracts 002701 – 003200, 003400 – 004002, and 004400
Ward 2 Tracts 000100 – 000202, 004100 – 004300, 004902 – 005800, 006202, 010100, and 010700 – 010800
Ward 3 Tracts 000300 – 001401
Ward 4 Tracts 001402 – 002301, 002400 – 002600, 009505 – 009507, and 010300
Ward 5 Tracts 002302, 003301 – 003302, 004600, 008701 – 009504, 009508 – 009509, and 011100
Ward 6 Tracts 004701 – 004901, 005900, 006400 – 006802, 006900 – 007200, 007901, 008001 – 008410, 010200, 010500 – 010600, and 011000
Ward 7 Tracts 006804, 007603 – 007604, 007703 – 007809, 007903, 009601 – 009604, and 009901 – 009907
Ward 8 Tracts 007301 – 007601, 007605, 009700 – 009811, 010400, and 010900

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Figure 10. FLORIDA – Substate Regions (defined in terms of counties)

Figure 10, Florida Regions

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Table 10. FLORIDA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Substance Abuse Program Office, Florida Department of Children and Families, and are defined in terms of the State's 67 counties. As per the State's request, estimates for 18 circuits along with 5 aggregate substate regions and maps showing all 18 circuits have been produced.
Region A – Northwest Region B – Northeast
Circuit 1 Circuit 2 Circuit 14 Circuits 3 and 8 Circuit 4 Circuit 7
Escambia
Okaloosa
Santa Rosa
Walton
Franklin
Gadsden
Jefferson
Leon
Liberty
Wakulla
Bay
Calhoun
Gulf
Holmes
Jackson
Washington
Circuit 3
Columbia
Dixie
Hamilton
Lafayette
Madison
Suwannee
Taylor
Circuit 8
Alachua
Baker
Bradford
Gilchrist
Levy
Union
Clay
Duval
Nassau
Flagler
Putnam
St. Johns
Volusia
Region C – Central
Circuit 5 Circuit 9 Circuit 10 Circuit 18 Circuit 19
Citrus
Hernando
Lake
Marion
Sumter
Orange
Osceola
 
 
Hardee
Highlands
Polk
Brevard
Seminole
Indian River
Martin
Okeechobee
St. Lucie
Region D – Southeast Region E – Sun Coast Region F – Southern
(Circuits 11 and 16)
Circuit 15 Circuit 17 Circuit 6 Circuit 12 Circuit 13 Circuit 20
NOTE: The substate regions defined for Florida in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Palm Beach Broward Pasco
Pinellas
De Soto
Manatee
Sarasota
Hillsborough Charlotte
Collier
Glades
Hendry
Lee
Circuit 11
Miami-Dade
 
Circuit 16
Monroe

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Figure 11. GEORGIA – Substate Regions (defined in terms of counties)

Figure 11, Georgia Regions

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Table 11. GEORGIA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Georgia Department of Human Resources and are defined in terms of the State's 159 counties.
Region 1 Region 2 Region 3 Region 4 Region 5 Region 6
NOTE: The substate regions defined for Georgia in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Banks
Bartow
Catoosa
Chattooga
Cherokee
Cobb
Dade
Dawson
Douglas
Fannin
Floyd
Forsyth
Franklin
Gilmer
Gordon
Habersham
Hall
Haralson
Hart
Lumpkin
Murray
Paulding
Pickens
Polk
Rabun
Stephens
Towns
Union
Walker
White
Whitfield
Baldwin
Barrow
Bibb
Burke
Clarke
Columbia
Elbert
Emanuel
Glascock
Greene
Hancock
Jackson
Jasper
Jefferson
Jenkins
Jones
Lincoln
Madison
McDuffie
Monroe
Morgan
Oconee
Oglethorpe
Putnam
Richmond
Screven
Taliaferro
Twiggs
Walton
Warren
Washington
Wilkes
Wilkinson
Clayton
De Kalb
Fulton
Gwinnett
Newton
Rockdale
Baker
Ben Hill
Berrien
Brooks
Calhoun
Colquitt
Cook
Decatur
Dougherty
Early
Echols
Grady
Irwin
Lanier
Lee
Lowndes
Miller
Mitchell
Seminole
Terrell
Thomas
Tift
Turner
Worth
Appling
Atkinson
Bacon
Bleckley
Brantley
Bryan
Bulloch
Camden
Candler
Charlton
Chatham
Clinch
Coffee
Dodge
Effingham
Evans
Glynn
Jeff Davis
Johnson
Laurens
Liberty
Long
McIntosh
Montgomery
Pierce
Pulaski
Tattnall
Telfair
Toombs
Treutlen
Ware
Wayne
Wheeler
Wilcox
Butts
Carroll
Chattahoochee
Clay
Coweta
Crawford
Crisp
Dooly
Fayette
Harris
Heard
Henry
Houston
Lamar
Macon
Marion
Meriwether
Muscogee
Peach
Pike
Quitman
Randolph
Schley
Spalding
Stewart
Sumter
Talbot
Taylor
Troup
Upson
Webster

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Figure 12. HAWAII – Substate Regions (defined in terms of counties)

Figure 12, Hawaii Regions

Note: Kalawao County and Kahoolawe Island are not part of the substate planning regions for Hawaii.

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Table 12. HAWAII – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions for Hawaii were defined in consultation with the State's Alcohol and Drug Abuse Division, Hawaii Department of Health. As per the State's request, estimates for four substate regions, corresponding to the four counties in the State, along with one aggregate planning area (Kauai and Maui) have been produced.
Hawaii Island Honolulu Kauai and Maui
Kauai Maui
NOTE: The substate regions defined for Hawaii in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Hawaii Honolulu Kauai Maui

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Figure 13. IDAHO – Substate Regions (defined in terms of counties)

Figure 13, Idaho Regions

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Table 13. IDAHO – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Bureau of Mental Health and Substance Abuse, Division of Family and Community Services, Idaho Department of Health and Welfare, and are defined in terms of the State's 44 counties.
Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7
NOTE: The substate regions defined for Idaho in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Benewah
Bonner
Boundary
Kootenai
Shoshone
Clearwater
Idaho
Latah
Lewis
Nez Perce
Adams
Canyon
Gem
Owyhee
Payette
Washington
Ada
Boise
Elmore
Valley
Blaine
Camas
Cassia
Gooding
Jerome
Lincoln
Minidoka
Twin Falls
Bannock
Bear Lake
Bingham
Caribou
Franklin
Oneida
Power
Bonneville
Butte
Clark
Custer
Fremont
Jefferson
Lemhi
Madison
Teton

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Figure 14. ILLINOIS – Substate Regions (defined in terms of counties)

Figure 14, Illinois Regions

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Table 14. ILLINOIS – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Illinois Department of Human Services and are defined in terms of the State's 102 counties.
Region I (Cook) Region II Region III Region IV Region V
NOTE: The substate regions defined for Illinois in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Cook Boone
Carroll
De Kalb
DuPage
Grundy
Jo Daviess
Kane
Kankakee
Kendall
Lake
Lee
McHenry
Ogle
Stephenson
Whiteside
Will
Winnebago
Bureau
Champaign
Ford
Fulton
Henderson
Henry
Iroquois
Knox
La Salle
Livingston
Marshall
Mason
McDonough
McLean
Mercer
Peoria
Putnam
Rock Island
Stark
Tazewell
Vermilion
Warren
Woodford
Adams
Brown
Calhoun
Cass
Christian
Clark
Coles
Cumberland
De Witt
Douglas
Edgar
Effingham
Greene
Hancock
Jersey
Logan
Macon
Macoupin
Menard
Montgomery
Morgan
Moultrie
Piatt
Pike
Sangamon
Schuyler
Scott
Shelby
Alexander
Bond
Clay
Clinton
Crawford
Edwards
Fayette
Franklin
Gallatin
Hamilton
Hardin
Jackson
Jasper
Jefferson
Johnson
Lawrence
Madison
Marion
Massac
Monroe
Perry
Pope
Pulaski
Randolph
Richland
Saline
St. Clair
Union
Wabash
Washington
Wayne
White
Williamson

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Figure 15. INDIANA – Substate Regions (defined in terms of counties)

Figure 15, Indiana Regions

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Table 15. INDIANA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Mental Health, Indiana Family and Social Services Administration, and are defined in terms of the State's 92 counties.
Central East North Central Northeast Northwest Southeast Southwest West
NOTE: The substate regions defined for Indiana in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Boone
Hamilton
Hancock
Hendricks
Johnson
Marion
Morgan
Shelby
Blackford
Delaware
Fayette
Grant
Henry
Jay
Madison
Randolph
Rush
Union
Wayne
Cass
Elkhart
Fulton
Howard
Kosciusko
La Porte
Marshall
Miami
St. Joseph
Tipton
Wabash
Adams
Allen
De Kalb
Huntington
LaGrange
Noble
Steuben
Wells
Whitley
Jasper
Lake
Newton
Porter
Pulaski
Starke
Bartholomew
Brown
Clark
Crawford
Dearborn
Decatur
Floyd
Franklin
Harrison
Jackson
Jefferson
Jennings
Lawrence
Ohio
Orange
Ripley
Scott
Switzerland
Washington
Daviess
Dubois
Gibson
Greene
Knox
Martin
Perry
Pike
Posey
Spencer
Vanderburgh
Warrick
Benton
Carroll
Clay
Clinton
Fountain
Monroe
Montgomery
Owen
Parke
Putnam
Sullivan
Tippecanoe
Vermillion
Vigo
Warren
White

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Figure 16. IOWA – Substate Regions (defined in terms of counties)

Figure 16, Iowa Regions

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Table 16. IOWA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Health Promotion, Prevention and Addictive Behaviors, Iowa Department of Public Health, and are defined in terms of the State's 99 counties.
Central North Central Northeast Northwest Southeast Southwest
NOTE: The substate regions defined for Iowa in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Jasper
Marion
Polk
Warren
Boone
Cerro Gordo
Floyd
Franklin
Hancock
Hardin
Kossuth
Marshall
Mitchell
Poweshiek
Story
Tama
Winnebago
Worth
Allamakee
Benton
Black Hawk
Bremer
Buchanan
Butler
Chickasaw
Clayton
Clinton
Delaware
Dubuque
Fayette
Grundy
Howard
Jackson
Jones
Linn
Winneshiek
Audubon
Buena Vista
Calhoun
Carroll
Cherokee
Clay
Crawford
Dickinson
Emmet
Greene
Guthrie
Hamilton
Humboldt
Ida
Lyon
Monona
O'Brien
Osceola
Palo Alto
Plymouth
Pocahontas
Sac
Shelby
Sioux
Webster
Woodbury
Wright
Appanoose
Cedar
Davis
Des Moines
Henry
Iowa
Jefferson
Johnson
Keokuk
Lee
Louisa
Lucas
Mahaska
Monroe
Muscatine
Scott
Van Buren
Wapello
Washington
Wayne
Adair
Adams
Cass
Clarke
Dallas
Decatur
Fremont
Harrison
Madison
Mills
Montgomery
Page
Pottawattamie
Ringgold
Taylor
Union

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Figure 17. KANSAS – Substate Regions (defined in terms of counties)

Figure 17, Kansas Regions

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Table 17. KANSAS – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Addiction and Prevention Services, Kansas Department of Social and Rehabilitation Services, and are defined in terms of the State's 105 counties.
Kansas City
Metro
Northeast South Central Southeast West Wichita
(Sedgwick)
NOTE: The substate regions defined for Kansas in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Douglas
Franklin
Johnson
Leavenworth
Miami
Wyandotte
 
Atchison
Brown
Clay
Cloud
Dickinson
Doniphan
Ellsworth
Geary
Jackson
Jefferson
Jewell
Lincoln
Marshall
Mitchell
Nemaha
Osage
Ottawa
Pottawatomie
Republic
Riley
Saline
Shawnee
Wabaunsee
Washington
Butler
Chase
Chautauqua
Coffey
Cowley
Elk
Greenwood
Harper
Harvey
Kingman
Lyon
Marion
McPherson
Morris
Reno
Rice
Sumner
Allen
Anderson
Bourbon
Cherokee
Crawford
Labette
Linn
Montgomery
Neosho
Wilson
Woodson
Barber
Barton
Cheyenne
Clark
Comanche
Decatur
Edwards
Ellis
Finney
Ford
Gove
Graham
Grant
Gray
Greeley
Hamilton
Haskell
Hodgeman
Kearny
Kiowa
Lane
Logan
Meade
Morton
Ness
Norton
Osborne
Pawnee
Phillips
Pratt
Rawlins
Rooks
Rush
Russell
Scott
Seward
Sheridan
Sherman
Smith
Stafford
Stanton
Stevens
Thomas
Trego
Wallace
Wichita
Sedgwick

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Figure 18. KENTUCKY – Substate Regions (defined in terms of counties)

Figure 18, Kentucky Regions

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Table 18. KENTUCKY – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Kentucky Division of Mental Health and Substance Abuse and are defined in terms of the State's 120 counties.
Adanta, Cumberland
River, and Lifeskills
Bluegrass, Comprehend,
and North Key
Communicare
and River
Valley
Four Rivers and
Pennyroyal
Kentucky River, Mountain,
and Pathways
Seven Counties
NOTE: The substate regions defined for Kentucky in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Adanta
Adair
Casey
Clinton
Cumberland
Green
McCreary
Pulaski
Russell
Taylor
Wayne
 
Cumberland River
Bell
Clay
Harlan
Jackson
Knox
Laurel
Rockcastle
Whitley
Lifeskills
Allen
Barren
Butler
Edmonson
Hart
Logan
Metcalfe
Monroe
Simpson
Warren
Bluegrass
Anderson
Bourbon
Boyle
Clark
Estill
Fayette
Franklin
Garrard
Harrison
Jessamine
Lincoln
Madison
Mercer
Nicholas
Powell
Scott
Woodford
Comprehend
Bracken
Fleming
Lewis
Mason
Robertson
 
North Key
Boone
Campbell
Carroll
Gallatin
Grant
Kenton
Owen
Pendleton
Communicare
Breckinridge
Grayson
Hardin
Larue
Marion
Meade
Nelson
Washington
 
River Valley
Daviess
Hancock
Henderson
McLean
Ohio
Union
Webster
Four Rivers
Ballard
Calloway
Carlisle
Fulton
Graves
Hickman
Livingston
Marshall
McCracken
 
Pennyroyal
Caldwell
Christian
Crittenden
Hopkins
Lyon
Muhlenberg
Todd
Trigg
Kentucky River
Breathitt
Knott
Lee
Leslie
Letcher
Owsley
Perry
Wolfe
 
Mountain
Floyd
Johnson
Magoffin
Martin
Pike
Pathways
Bath
Boyd
Carter
Elliott
Greenup
Lawrence
Menifee
Montgomery
Morgan
Rowan
Bullitt
Henry
Jefferson
Oldham
Shelby
Spencer
Trimble

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Figure 19. LOUISIANA – Substate Regions (defined in terms of parishes)

Figure 19, Louisiana Regions

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Table 19. LOUISIANA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of parishes)
The substate regions defined here were provided by the State's Office for Addictive Disorders, Louisiana Department of Health and Hospitals, and are defined in terms of the State's 64 parishes. As per the State's request, estimates for six regions along with one aggregate substate region (Regions 1 and 10) and maps showing all six regions have been produced.
Regions 1 and 10 Regions 2 and 9 Region 3 Regions 4, 5, and 6 Regions 7 and 8
Region 1 Region 10
(Jefferson)
NOTE: The 2010-2012 substate regions defined for Louisiana in this table are different from the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." The former region called "Regions 1 and 3" was split into two regions: Region 1 and Region 3. However, the remaining four regions are defined consistently across the two time periods.
Orleans
Plaquemines
St. Bernard
 
Jefferson Region 2
Ascension
East Baton Rouge
East Feliciana
Iberville
Pointe Coupee
West Baton Rouge
West Feliciana
 
Region 9
Livingston
St. Helena
St. Tammany
Tangipahoa
Washington

Assumption
Lafourche
St. Charles
St. James
St. John the Baptist
St. Mary
Terrebonne

Region 4
Acadia
Evangeline
Iberia
Lafayette
St. Landry
St. Martin
Vermilion
 
Region 5
Allen
Beauregard
Calcasieu
Cameron
Jefferson Davis
 
Region 6
Avoyelles
Catahoula
Concordia
Grant
La Salle
Rapides
Vernon
Winn
Region 7
Bienville
Bossier
Caddo
Claiborne
De Soto
Natchitoches
Red River
Sabine
Webster
 
Region 8
Caldwell
East Carroll
Franklin
Jackson
Lincoln
Madison
Morehouse
Ouachita
Richland
Tensas
Union
West Carroll

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Figure 20. MAINE – Substate Regions (defined in terms of counties)

Figure 20, Maine Regions

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Table 20. MAINE – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were obtained from the State's Office of Substance Abuse, Maine Department of Health and Human Services, and are defined in terms of the State's 16 counties. As per the State's request, estimates for eight substate regions along with one aggregate planning area (Aroostook/Downeast) and maps showing all eight regions were produced.
Aroostook/Downeast Central Cumberland Midcoast Penquis Western York
Aroostook Downeast
NOTE: The substate regions defined for Maine in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, separate estimates for Aroostook and Downeast were produced for 2010-2012.
Aroostook Hancock
Washington
Kennebec
Somerset
Cumberland Knox
Lincoln
Sagadahoc
Waldo
Penobscot
Piscataquis
Androscoggin
Franklin
Oxford
York

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Figure 21. MARYLAND – Substate Regions (defined in terms of counties)

Figure 21, Maryland Regions

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Table 21. MARYLAND – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Alcohol and Drug Abuse Administration, Maryland Department of Health and Mental Hygiene, and are defined in terms of the State's 23 counties and the City of Baltimore.
Anne
Arundel
Baltimore
City
Baltimore
County
Montgomery North
Central
Northeast Prince
George's
South West
NOTE: The substate regions defined for Maryland in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Anne Arundel Baltimore City Baltimore Montgomery Carroll
Howard
Caroline
Cecil
Harford
Kent
Queen Anne's
Talbot
Prince George's Calvert
Charles
Dorchester
St. Mary's
Somerset
Wicomico
Worcester
Allegany
Frederick
Garrett
Washington

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Figure 22. MASSACHUSETTS – Substate Regions (defined in terms of census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)

Figure 22, Massachusetts Regions

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Table 22. MASSACHUSETTS – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)
The substate regions defined here are based on information provided by the State's Bureau of Substance Abuse Services, Massachusetts Department of Public Health, and are defined in terms of census tracts from the 2010 decennial census within the State's 14 counties.
NOTE: The 2010-2012 substate regions defined for Massachusetts in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, these regions are based on 2010 census geography (i.e., they are defined in terms of 2010 census tracts, whereas the 2008-2010 regions were defined in terms of 2000 census tracts). Despite the tract changes, all of the regions are still considered similar across the two time periods.
Boston Tracts 400100 – 401200 in Norfolk County; Tract 500101 in Plymouth County; All Tracts in Suffolk County
Central Tracts 813801 – 813802 in Hampden County; Tracts 300100 – 301102, 325100 – 327103, and 388200 in Middlesex County; Tracts 408101 – 408102 and 442101 – 443102 in Norfolk County; Tracts 700100 – 701100, 705100 – 739500, 743100 – 761100, and 761300 – 761400 in Worcester County
Metrowest Tracts 320102 – 324102, 331101 – 333600, 338100 – 338500, 350103 – 388100, and 980000 in Middlesex County; Tracts 402101 – 407100, 409101 – 420302, 422100 – 441204, and 457200 in Norfolk County; Tracts 500103 – 501202 and 504101 – 505200 in Plymouth County; Tracts 740101 – 742402 and 761200 in Worcester County
Northeast All Tracts in Essex County; Tracts 310100 – 318400, 328100 – 330200, 334100 – 337300, 339100 – 342600, and 388300 in Middlesex County
Southeast All Tracts in Barnstable County; All Tracts in Bristol County; All Tracts in Dukes County; All Tracts in Nantucket County; Tracts 421100, 421200, and 456101 – 457100 in Norfolk County; Tracts 502101 – 503102 and 506101 – 561200 in Plymouth County
Western All Tracts in Berkshire County; All Tracts in Franklin County; Tracts 800101 – 813702 in Hampden County; All Tracts in Hampshire County; Tracts 702200 – 704200 in Worcester County

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Figure 23. MICHIGAN – Substate Regions (defined in terms of counties and census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)

Figure 23, Michigan Regions

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Table 23. MICHIGAN – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and census tracts from the 2010 decennial census, specified by a 6-digit tract identifier)
The substate regions defined here were provided by the State's Bureau of Substance Abuse and Addiction Services, Michigan Department of Community Health. All substate regions for Michigan are defined in terms of the State's 83 counties, with the exception of the Detroit City and Southeast regions. The Detroit City region (which lies in Wayne County) is defined based on all of the census tracts from the 2010 decennial census that are either fully or partially contained in Detroit City. The Southeast region comprises Monroe County and all of the tracts that are in Wayne County (except those in the Detroit City limits). Some substate regions for Michigan are defined in terms of nonadjacent counties.
Detroit City Genesee Kalamazoo Kent Lakeshore Macomb Mid South
Part of Wayne County
(specified by Tracts
500100 – 546900, 551600,
554100, 985000 – 985300,
985500, and 985900)
Genesee Barry
Branch
Calhoun
Cass
Kalamazoo
St. Joseph
Van Buren
Kent Allegan
Berrien
Muskegon
Ottawa
Macomb Clinton
Eaton
Gratiot
Hillsdale
Ingham
Ionia
Jackson
Lenawee
Newaygo
Northern Oakland Pathways
and Western
Riverhaven Saginaw Southeast St. Clair Washtenaw
NOTE: The 2010-2012 substate regions defined for Michigan in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, they are based on 2010 census geography (i.e., the Detroit City region is defined in terms of 2010 census tracts, whereas the 2008-2010 region was defined in terms of 2000 census tracts). Despite the tract changes, all of the regions are still considered similar across the two time periods.
Alcona
Alpena
Antrim
Benzie
Charlevoix
Cheboygan
Clare
Crawford
Emmet
Gladwin
Grand Traverse
Iosco
Isabella
Kalkaska
Lake
Leelanau
Manistee
Mason
Mecosta
Midland
Missaukee
Montmorency
Oceana
Ogemaw
Osceola
Oscoda
Otsego
Presque Isle
Roscommon
Wexford
Oakland Pathways
Alger
Chippewa
Delta
Luce
Mackinac
Marquette
Menominee
Schoolcraft
 
Western
Baraga
Dickinson
Gogebic
Houghton
Iron
Keweenaw
Ontonagon
Arenac
Bay
Huron
Montcalm
Shiawassee
Tuscola
Saginaw Monroe
Wayne (excluding Detroit City)
Lapeer
Sanilac
St. Clair
Livingston
Washtenaw

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Figure 24. MINNESOTA – Substate Regions (defined in terms of counties)

Figure 24, Minnesota Regions

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Table 24. MINNESOTA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate planning regions defined here were determined in consultation with the Minnesota Department of Human Services and are defined in terms of the State's 87 counties. These regions are defined such that they are nested within the metropolitan and nonmetropolitan areas for the State.
Regions 1 and 2 Regions 3 and 4 Regions 5 and 6 Region 7A
(Hennepin)
Region 7B
(Ramsey)
Region 7C
NOTE: The substate regions defined for Minnesota in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Region 1
Becker
Beltrami
Clearwater
Hubbard
Kittson
Lake of the Woods
Mahnomen
Marshall
Norman
Pennington
Polk
Red Lake
Roseau
Region 2
Aitkin
Carlton
Cook
Itasca
Koochiching
Lake
St. Louis
Region 3
Cass
Clay
Crow Wing
Douglas
Grant
Otter Tail
Pope
Stevens
Todd
Traverse
Wadena
Wilkin
Region 4
Benton
Chisago
Isanti
Kanabec
Mille Lacs
Morrison
Pine
Sherburne
Stearns
Wright
Region 5
Big Stone
Blue Earth
Brown
Chippewa
Cottonwood
Faribault
Jackson
Kandiyohi
Lac qui Parle
Le Sueur
Lincoln
Lyon
Martin
McLeod
Meeker
Murray
Nicollet
Nobles
Pipestone
Redwood
Renville
Rock
Sibley
Swift
Waseca
Watonwan
Yellow Medicine
Region 6
Dodge
Fillmore
Freeborn
Goodhue
Houston
Mower
Olmsted
Rice
Steele
Wabasha
Winona
Hennepin Ramsey Anoka
Carver
Dakota
Scott
Washington

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Figure 25. MISSISSIPPI – Substate Regions (defined in terms of counties)

Figure 25, Mississippi Regions

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Table 25. MISSISSIPPI – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Department of Mental Health and are the State's Needs Assessment Project Planning Regions. These regions are defined in terms of the State's 82 counties.
Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7
NOTE: The substate regions defined for Mississippi in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Alcorn
Benton
Calhoun
Chickasaw
DeSoto
Itawamba
Lafayette
Lee
Marshall
Monroe
Panola
Pontotoc
Prentiss
Tate
Tippah
Tishomingo
Union
Yalobusha
Attala
Bolivar
Carroll
Coahoma
Grenada
Holmes
Humphreys
Issaquena
Leflore
Montgomery
Quitman
Sharkey
Sunflower
Tallahatchie
Tunica
Warren
Washington
Yazoo
Choctaw
Clarke
Clay
Jasper
Kemper
Lauderdale
Leake
Lowndes
Neshoba
Newton
Noxubee
Oktibbeha
Scott
Smith
Webster
Winston
Copiah
Hinds
Madison
Rankin
Simpson
Adams
Amite
Claiborne
Franklin
Jefferson
Lawrence
Lincoln
Pike
Walthall
Wilkinson
Covington
Forrest
Greene
Jefferson Davis
Jones
Lamar
Marion
Perry
Wayne
George
Hancock
Harrison
Jackson
Pearl River
Stone

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Figure 26. MISSOURI – Substate Regions (defined in terms of counties)

Figure 26, Missouri Regions

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Table 26. MISSOURI – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Missouri Department of Mental Health and are defined in terms of the State's 115 counties, including St. Louis City. As per the State's request, estimates for seven substate regions along with two aggregate planning areas (Eastern and Northwest) and maps showing all seven regions have been produced.
Central Eastern Northwest Southeast Southwest
Eastern (St. 
Louis City
and County)
Eastern
(excluding
St. Louis)
Northwest
(Jackson)
Northwest
(excluding
Jackson)
NOTE: The substate regions defined for Missouri in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Adair
Audrain
Boone
Callaway
Camden
Carroll
Chariton
Clark
Cole
Cooper
Howard
Knox
Laclede
Lewis
Macon
Marion
Miller
Moniteau
Monroe
Montgomery
Morgan
Osage
Pettis
Pike
Pulaski
Ralls
Randolph
Saline
Schuyler
Scotland
Shelby
St. Louis
St. Louis City
Franklin
Jefferson
Lincoln
St. Charles
Warren
Jackson Andrew
Atchison
Buchanan
Caldwell
Cass
Clay
Clinton
Daviess
DeKalb
Gentry
Grundy
Harrison
Holt
Johnson
Lafayette
Linn
Livingston
Mercer
Nodaway
Platte
Putnam
Ray
Sullivan
Worth
Bollinger
Butler
Cape Girardeau
Carter
Crawford
Dent
Douglas
Dunklin
Gasconade
Howell
Iron
Madison
Maries
Mississippi
New Madrid
Oregon
Ozark
Pemiscot
Perry
Phelps
Reynolds
Ripley
Scott
Shannon
St. Francois
Ste. Genevieve
Stoddard
Texas
Washington
Wayne
Wright
Barry
Barton
Bates
Benton
Cedar
Christian
Dade
Dallas
Greene
Henry
Hickory
Jasper
Lawrence
McDonald
Newton
Polk
St. Clair
Stone
Taney
Vernon
Webster

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Figure 27. MONTANA – Substate Regions (defined in terms of counties)

Figure 27, Montana Regions

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Table 27. MONTANA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Chemical Dependency Bureau of the Montana Department of Health and Human Services and are defined in terms of the State's 56 counties.
Region 1 Region 2 Region 3 Region 4 Region 5
NOTE: The substate regions defined for Montana in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Carter
Custer
Daniels
Dawson
Fallon
Garfield
McCone
Phillips
Powder River
Prairie
Richland
Roosevelt
Rosebud
Sheridan
Treasure
Valley
Wibaux
Blaine
Cascade
Chouteau
Glacier
Hill
Liberty
Pondera
Teton
Toole
Big Horn
Carbon
Fergus
Golden Valley
Judith Basin
Musselshell
Petroleum
Stillwater
Sweet Grass
Wheatland
Yellowstone
Beaverhead
Broadwater
Deer Lodge
Gallatin
Granite
Jefferson
Lewis and Clark
Madison
Meagher
Park
Powell
Silver Bow
Flathead
Lake
Lincoln
Mineral
Missoula
Ravalli
Sanders

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Figure 28. NEBRASKA – Substate Regions (defined in terms of counties)

Figure 28, Nebraska Regions

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Table 28. NEBRASKA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Behavioral Health Services, Nebraska Department of Health and Human Services, and are defined in terms of the State's 93 counties. As per the State's request, estimates for six substate regions along with one aggregate planning area (Regions 1 and 2) and maps showing all six regions have been produced.
Regions 1 and 2 Region 3 Region 4 Region 5 Region 6
Region 1 Region 2
NOTE: The substate regions defined for Nebraska in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Banner
Box Butte
Cheyenne
Dawes
Deuel
Garden
Kimball
Morrill
Scotts Bluff
Sheridan
Sioux
Arthur
Chase
Dawson
Dundy
Frontier
Gosper
Grant
Hayes
Hitchcock
Hooker
Keith
Lincoln
Logan
McPherson
Perkins
Red Willow
Thomas
Adams
Blaine
Buffalo
Clay
Custer
Franklin
Furnas
Garfield
Greeley
Hall
Hamilton
Harlan
Howard
Kearney
Loup
Merrick
Nuckolls
Phelps
Sherman
Valley
Webster
Wheeler
Antelope
Boone
Boyd
Brown
Burt
Cedar
Cherry
Colfax
Cuming
Dakota
Dixon
Holt
Keya Paha
Knox
Madison
Nance
Pierce
Platte
Rock
Stanton
Thurston
Wayne
Butler
Fillmore
Gage
Jefferson
Johnson
Lancaster
Nemaha
Otoe
Pawnee
Polk
Richardson
Saline
Saunders
Seward
Thayer
York
Cass
Dodge
Douglas
Sarpy
Washington

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Figure 29. NEVADA – Substate Regions (defined in terms of counties)

Figure 29, Nevada Regions

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Table 29. NEVADA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Substance Abuse Prevention and Treatment Agency, Nevada Department of Human Resources, and are defined in terms of the State's 17 counties, including Carson City. As per the State's request, estimates for four substate regions along with one aggregate planning area (Region 3) and maps showing all four regions have been produced.
Clark – Region 1 Region 3 Washoe – Region 2
Capital District Rural/Frontier
NOTE: The 2010-2012 substate regions defined for Nevada in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, separate estimates for the Capital District and Rural/Frontier were produced.
Clark Carson City
Douglas
Lyon
Churchill
Elko
Esmeralda
Eureka
Humboldt
Lander
Lincoln
Mineral
Nye
Pershing
Storey
White Pine
Washoe

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Figure 30. NEW HAMPSHIRE – Substate Regions (defined in terms of counties)

Figure 30, New Hampshire Regions

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Table 30. NEW HAMPSHIRE – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the New Hampshire Office of Alcohol and Drug Policy, Department of Health and Human Services, and are defined in terms of the State's 10 counties. Estimates for five substate regions along with two aggregate planning areas (Central and Southern) and maps showing three regions (Central, Northern, and Southern) have been produced.
Central Northern Southern
Central 1 Central 2 Southern 1 (Rockingham) Southern 2
NOTE: The substate regions defined for New Hampshire in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Belknap
Strafford
 
Merrimack
Sullivan
Carroll
Coos
Grafton
Rockingham Cheshire
Hillsborough

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Figure 31. NEW JERSEY – Substate Regions (defined in terms of counties)

Figure 31, New Jersey Regions

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Table 31. NEW JERSEY – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Division of Addiction Services, New Jersey Department of Human Services, and are defined in terms of the State's 21 counties.
Central Metropolitan Northern Southern
NOTE: The substate regions defined for New Jersey in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Hunterdon
Mercer
Monmouth
Ocean
Somerset
Essex
Middlesex
Union
Bergen
Hudson
Morris
Passaic
Sussex
Warren
 
Atlantic
Burlington
Camden
Cape May
Cumberland
Gloucester
Salem

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Figure 32. NEW MEXICO – Substate Regions (defined in terms of counties)

Figure 32, New Mexico Regions

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Table 32. NEW MEXICO – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Behavioral Health Services Division, New Mexico Human Services Department, and are defined in terms of the State's 33 counties.
Region 1 Region 2 Region 3 (Bernalillo) Region 4 Region 5
NOTE: The substate regions defined for New Mexico in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Cibola
McKinley
Sandoval
San Juan
Valencia
Colfax
Guadalupe
Los Alamos
Mora
Rio Arriba
San Miguel
Santa Fe
Taos
Union
Bernalillo Chaves
Curry
De Baca
Eddy
Harding
Lea
Quay
Roosevelt
Catron
Dona Ana
Grant
Hidalgo
Lincoln
Luna
Otero
Sierra
Socorro
Torrance

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Figure 33. NEW YORK – Substate Regions (defined in terms of counties)

Figure 33, New York Regions

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Table 33. NEW YORK – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were obtained from the New York State Office of Alcoholism and Substance Abuse Services and are defined in terms of the State's 62 counties. As per the State's request, estimates for 15 substate regions along with 4 aggregate planning areas (Regions A, B, C, and D) and maps showing the 4 planning areas have been produced.
Region A Region B
Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7
Bronx Kings
Richmond
New York Queens Nassau
Suffolk
Putnam
Rockland
Westchester
Dutchess
Orange
Ulster
Region C Region D
Region 8 Region 9 Region 10 Region 11 Region 12 Region 13 Region 14 Region 15
NOTE: The substate regions defined for New York in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Albany
Rensselaer
Saratoga
Schenectady
Schoharie
Warren
Washington
Herkimer
Madison
Oneida
Onondaga
Oswego
Broome
Chemung
Tioga
Tompkins
Livingston
Monroe
Ontario
Orleans
Wayne
Erie
Niagara
Cayuga
Chenango
Columbia
Cortland
Delaware
Greene
Otsego
Sullivan
Clinton
Essex
Franklin
Fulton
Hamilton
Jefferson
Lewis
Montgomery
St. Lawrence
Allegany
Cattaraugus
Chautauqua
Genesee
Schuyler
Seneca
Steuben
Wyoming
Yates

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Figure 34. NORTH CAROLINA – Substate Regions (defined in terms of counties)

Figure 34, North Carolina Regions

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Table 34. NORTH CAROLINA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the North Carolina Division of Mental Health, Development Disabilities and Substance Abuse Services, Department of Health and Human Services, and are defined in terms of the State's 100 counties. As per the State's request, estimates for 12 substate regions, along with 1 aggregate planning area (CenterPoint/Guilford) and maps showing 11 regions have been produced.
Alliance Cardinal Innovations CenterPoint/Guilford CoastalCare Eastpointe
CenterPoint Guilford
Cumberland
Durham
Johnston
Wake
Alamance
Cabarrus
Caswell
Chatham
Davidson
Franklin
Granville
Halifax
Orange
Person
Rowan
Stanly
Union
Vance
Warren
Davie
Forsyth
Rockingham
Stokes
Guilford Brunswick
Carteret
New Hanover
Onslow
Pender
Bladen
Columbus
Duplin
Edgecombe
Greene
Lenoir
Nash
Robeson
Sampson
Scotland
Wayne
Wilson
ECBH MeckLINK Partners Sandhills Smoky Mountain Western
Highlands
ECBH = East Carolina Behavioral Health.
NOTE: The 2010-2012 substate regions defined for North Carolina in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, six of the regions were renamed: Durham is now called Alliance; East Carolina is now called ECBH; ECCS is now called CoastalCare; Mecklenburg is now called MeckLINK; Pathways is now called Partners; and PBH is now called Cardinal Innovations.
Beaufort
Bertie
Camden
Chowan
Craven
Currituck
Dare
Gates
Hertford
Hyde
Jones
Martin
Northampton
Pamlico
Pasquotank
Perquimans
Pitt
Tyrrell
Washington
Mecklenburg Burke
Catawba
Cleveland
Gaston
Iredell
Lincoln
Surry
Yadkin
Anson
Harnett
Hoke
Lee
Montgomery
Moore
Randolph
Richmond
Alexander
Alleghany
Ashe
Avery
Caldwell
Cherokee
Clay
Graham
Haywood
Jackson
Macon
McDowell
Swain
Watauga
Wilkes
Buncombe
Henderson
Madison
Mitchell
Polk
Rutherford
Transylvania
Yancey

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Figure 35. NORTH DAKOTA – Substate Regions (defined in terms of counties)

Figure 35, North Dakota Regions

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Table 35. NORTH DAKOTA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Mental Health and Substance Abuse Services, North Dakota Department of Human Services, and are defined in terms of the State's 53 counties.
Badlands and West Central Lake Region and South Central North Central and Northwest Northeast Southeast
NOTE: The substate regions defined for North Dakota in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Badlands
Adams
Billings
Bowman
Dunn
Golden Valley
Hettinger
Slope
Stark
West Central
Burleigh
Emmons
Grant
Kidder
McLean
Mercer
Morton
Oliver
Sheridan
Sioux
Lake
Benson
Cavalier
Eddy
Ramsey
Rolette
Towner
South Central
Barnes
Dickey
Foster
Griggs
LaMoure
Logan
McIntosh
Stutsman
Wells
North Central
Bottineau
Burke
McHenry
Mountrail
Pierce
Renville
Ward
Northwest
Divide
McKenzie
Williams
Grand Forks
Nelson
Pembina
Walsh
Cass
Ransom
Richland
Sargent
Steele
Traill

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Figure 36. OHIO – Substate Regions (defined in terms of counties)

Figure 36, Ohio Regions

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Table 36. OHIO – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The Ohio Department of Alcohol and Drug Addiction Services suggested that it would be useful to provide substance use estimates for Ohio boards, which in turn are defined using the State's 88 counties. Because of sample size constraints, in consultation with the State's Center for Substance Abuse Treatment (CSAT) contact, adjacent boards were combined to form substate regions. Urban and rural counties were not collapsed together to form substate regions.
Boards 2, 46,
55, and 68
Boards 3, 52,
and 85
Boards 4 and 78 Boards 5 and 60 Boards 7, 15,
41, 79, and 84
Boards 8, 13,
and 83
Board 9
(Butler)
Board 12
NOTE: The substate regions defined for Ohio in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Board 2
Allen
Auglaize
Hardin
 
Board 46
Champaign
Logan
 
Board 55
Darke
Miami
Shelby
 
Board 68
Preble
Board 3
Ashland
 
Board 52
Medina
 
Board 85
Holmes
Wayne
Board 4
Ashtabula
 
Board 78
Trumbull
Board 5
Athens
Hocking
Vinton
 
Board 60
Coshocton
Guernsey
Morgan
Muskingum
Noble
Perry
Board 7
Belmont
Harrison
Monroe
 
Board 15
Columbiana
 
Board 41
Jefferson
 
Board 79
Carroll
Tuscarawas
 
Board 84
Washington
Board 8
Brown
 
Board 13
Clermont
 
Board 83
Clinton
Warren
Butler Clark
Greene
Madison
Boards 18 and
47
Boards 20, 32,
54, and 69
Boards 21, 39,
51, 70, and 80
Boards 22, 74,
and 87
Boards 23 and
45
Board 25
(Franklin)
Boards 27, 71,
and 73
Boards 28, 43,
and 67
Board 18
Cuyahoga
 
Board 47
Lorain
Board 20
Defiance
Fulton
Henry
Williams
 
Board 32
Hancock
 
Board 54
Mercer
Paulding
Van Wert
 
Board 69
Putnam
Board 21
Delaware
Morrow
 
Board 39
Huron
 
Board 51
Crawford
Marion
 
Board 70
Richland
 
Board 80
Union
Board 22
Erie
Ottawa
 
Board 74
Sandusky
Seneca
Wyandot
 
Board 87
Wood
Board 23
Fairfield
 
Board 45
Knox
Licking
Franklin Board 27
Gallia
Jackson
Meigs
 
Board 71
Fayette
Highland
Pickaway
Pike
Ross
 
Board 73
Adams
Lawrence
Scioto
Board 28
Geauga
 
Board 43
Lake
 
Board 67
Portage
 
Board 31
(Hamilton)
Board 48
(Lucas)
Boards 50 and
76
Board 57
(Montgomery)
Board 77
(Summit)
Hamilton Lucas Mahoning
Stark
Montgomery Summit

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Figure 37. OKLAHOMA – Substate Regions (defined in terms of counties)

Figure 37, Oklahoma Regions

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Table 37. OKLAHOMA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Oklahoma Department of Mental Health and Substance Abuse Services and are defined in terms of the State's 77 counties.
Central East Central Northeast Northwest and Southwest Oklahoma
County
Southeast Tulsa County
NOTE: The substate regions defined for Oklahoma in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Canadian
Cleveland
Grady
McClain
Adair
Cherokee
Creek
Lincoln
McIntosh
Muskogee
Okfuskee
Okmulgee
Sequoyah
Wagoner
Craig
Delaware
Kay
Mayes
Noble
Nowata
Osage
Ottawa
Pawnee
Payne
Rogers
Washington
Northwest
Alfalfa
Beaver
Cimarron
Ellis
Garfield
Grant
Harper
Kingfisher
Logan
Major
Texas
Woods
Woodward
Southwest
Beckham
Blaine
Caddo
Comanche
Cotton
Custer
Dewey
Greer
Harmon
Jackson
Jefferson
Kiowa
Roger Mills
Stephens
Tillman
Washita
Oklahoma Atoka
Bryan
Carter
Choctaw
Coal
Garvin
Haskell
Hughes
Johnston
Latimer
Le Flore
Love
Marshall
McCurtain
Murray
Pittsburg
Pontotoc
Pottawatomie
Pushmataha
Seminole
Tulsa

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Figure 38. OREGON – Substate Regions (defined in terms of counties)

Figure 38, Oregon Regions

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Table 38. OREGON – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Office of Mental Health and Addiction Services, Department of Human Services, and are defined in terms of the State's 36 counties.
Region 1
(Multnomah)
Region 2 Region 3 Region 4 Region 5 (Central) Region 6 (Eastern)
NOTE: The substate regions defined for Oregon in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Multnomah Clackamas
Washington
Benton
Clatsop
Columbia
Lane
Lincoln
Linn
Marion
Polk
Tillamook
Yamhill
Coos
Curry
Douglas
Jackson
Josephine
Klamath
Crook
Deschutes
Jefferson
 
 
 
Baker
Gilliam
Grant
Harney
Hood River
Lake
Malheur
Morrow
Sherman
Umatilla
Union
Wallowa
Wasco
Wheeler

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Figure 39. PENNSYLVANIA – Substate Regions (defined in terms of counties)

Figure 39, Pennsylvania Regions

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Table 39. PENNSYLVANIA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Bureau of Drug and Alcohol Programs, Department of Health, and are defined in terms of the State's 67 counties.
Region 1
(Allegheny)
Regions 3, 8, 9,
and 51
Regions 4, 11, 37,
and 49
Regions 5, 18,
23, 24, and 46
Regions 6, 12, 16,
31, 35, 45, and 47
Regions 7, 13, 20,
and 33
Regions 10, 15,
27, 32, 43, and 44
Allegheny Region 3
Beaver
 
Region 8
Butler
 
Region 9
Cambria
 
Region 51
Armstrong
Clarion
Indiana
Region 4
Berks
 
Region 11
Carbon
Monroe
Pike
 
Region 37
Schuylkill
 
Region 49
Wayne
Region 5
Blair
 
Region 18
Cumberland
Perry
 
Region 23
Franklin
Fulton
 
Region 24
Huntingdon
Juniata
Mifflin
 
Region 46
Bedford
Region 6
Bradford
Sullivan
 
Region 12
Centre
 
Region 16
Columbia
Montour
Snyder
Union
 
Region 31
Clinton
Lycoming
 
Region 35
Northumberland
 
Region 45
Tioga
 
Region 47
Potter
Region 7
Bucks
 
Region 13
Chester
 
Region 20
Delaware
 
Region 33
Montgomery
Region 10
Cameron
Elk
McKean
 
Region 15
Clearfield
Jefferson
 
Region 27
Lawrence
 
Region 32
Mercer
 
Region 43
Forest
Warren
 
Region 44
Venango
Regions 17 and 21 Regions 19, 26, 28, and
42
Regions 22, 38, 40,
41, and 48
Regions 29 and 34 Regions 30 and 50 Region 36
(Philadelphia)
NOTE: The substate regions defined for Pennsylvania in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Region 17
Crawford
 
Region 21
Erie
Region 19
Dauphin
 
Region 26
Lancaster
 
Region 28
Lebanon
 
Region 42
Adams
York
Region 22
Fayette
 
Region 38
Somerset
 
Region 40
Washington
 
Region 41
Westmoreland
 
Region 48
Greene
Region 29
Lehigh
 
Region 34
Northampton
Region 30
Luzerne
Wyoming
 
Region 50
Lackawanna
Susquehanna
 
Philadelphia

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Figure 40. RHODE ISLAND – Substate Regions (defined in terms of counties)

Figure 40, Rhode Island Regions

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Table 40. RHODE ISLAND – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate planning areas defined here were determined in consultation with the Rhode Island Department of Mental Health, Retardation and Hospitals and are defined in terms of the State's five counties.
Bristol and Newport Kent Providence Washington
NOTE: The substate regions defined for Rhode Island in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Bristol
Newport
Kent Providence Washington

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Figure 41. SOUTH CAROLINA – Substate Regions (defined in terms of counties)

Figure 41, South Carolina Regions

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Table 41. SOUTH CAROLINA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the South Carolina Department of Alcohol and Other Drug Abuse Services and are defined in terms of the State's 46 counties.
Region 1 Region 2 Region 3 Region 4
NOTE: The substate regions defined for South Carolina in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Anderson
Cherokee
Greenville
Oconee
Pickens
Spartanburg
Union
Abbeville
Chester
Chesterfield
Edgefield
Fairfield
Greenwood
Kershaw
Lancaster
Laurens
Lee
Lexington
McCormick
Newberry
Richland
Saluda
York
Clarendon
Darlington
Dillon
Florence
Georgetown
Horry
Marion
Marlboro
Sumter
Williamsburg
Aiken
Allendale
Bamberg
Barnwell
Beaufort
Berkeley
Calhoun
Charleston
Colleton
Dorchester
Hampton
Jasper
Orangeburg

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Figure 42. SOUTH DAKOTA – Substate Regions (defined in terms of counties)

Figure 42, South Dakota Regions

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Table 42. SOUTH DAKOTA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were determined in consultation with the State's Division of Community Behavioral Health, South Dakota Department of Social Services, and are defined in terms of the State's 66 counties.
Region 1 Region 2 Region 3 Region 4 Region 5
NOTE: The 2010-2012 substate regions defined for South Dakota in this table are different from the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Bennett
Butte
Custer
Fall River
Harding
Jackson
Lawrence
Meade
Pennington
Perkins
Shannon
Buffalo
Campbell
Corson
Dewey
Gregory
Haakon
Hand
Hughes
Hyde
Jones
Lyman
Mellette
Potter
Stanley
Sully
Todd
Tripp
Walworth
Ziebach
Beadle
Brookings
Brown
Clark
Codington
Day
Deuel
Edmunds
Faulk
Grant
Hamlin
Kingsbury
Lake
Marshall
McPherson
Moody
Roberts
Spink
Aurora
Bon Homme
Brule
Charles Mix
Clay
Davison
Douglas
Hanson
Hutchinson
Jerauld
Miner
Sanborn
Union
Yankton
Lincoln
McCook
Minnehaha
Turner

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Figure 43. TENNESSEE – Substate Regions (defined in terms of counties)

Figure 43, Tennessee Regions

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Table 43. TENNESSEE – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Department of Mental Health and Substance Abuse Services and are defined in terms of the State's 95 counties.
Region 1 Region 2 Region 3 Region 4
(Davidson)
Region 5 Region 6 Region 7 (Shelby)
NOTE: The 2010-2012 substate regions defined for Tennessee in this table are different from the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, five regions remained consistent across the two time periods: Region 1, Region 2, Region 4 (Davidson), Region 6, and Region 7 (Shelby).
Carter
Greene
Hancock
Hawkins
Johnson
Sullivan
Unicoi
Washington
Anderson
Blount
Campbell
Claiborne
Cocke
Grainger
Hamblen
Jefferson
Knox
Loudon
Monroe
Morgan
Roane
Scott
Sevier
Union
Bledsoe
Bradley
Clay
Cumberland
DeKalb
Fentress
Grundy
Hamilton
Jackson
Macon
Marion
McMinn
Meigs
Overton
Pickett
Polk
Putnam
Rhea
Sequatchie
Smith
Van Buren
Warren
White
Davidson Bedford
Cannon
Cheatham
Coffee
Dickson
Franklin
Giles
Hickman
Houston
Humphreys
Lawrence
Lewis
Lincoln
Marshall
Maury
Montgomery
Moore
Perry
Robertson
Rutherford
Stewart
Sumner
Trousdale
Wayne
Williamson
Wilson
Benton
Carroll
Chester
Crockett
Decatur
Dyer
Fayette
Gibson
Hardeman
Hardin
Haywood
Henderson
Henry
Lake
Lauderdale
Madison
McNairy
Obion
Tipton
Weakley
Shelby

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Figure 44. TEXAS – Substate Regions (defined in terms of counties)

Figure 44, Texas Regions

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Table 44. TEXAS – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate region definitions were obtained from the Texas Department of State Health Services and are defined in terms of the State's 254 counties. As per the State's request, estimates for 15 substate regions along with 4 aggregate planning areas (Regions 3, 6, 7, and 11) and maps showing 11 regions (Regions 1 to 11) have been produced.
Region 1 Region 2 Region 3 Region 4 Region 5
Region 3a Region 3bc
Armstrong
Bailey
Briscoe
Carson
Castro
Childress
Cochran
Collingsworth
Crosby
Dallam
Deaf Smith
Dickens
Donley
Floyd
Garza
Gray
Hale
Hall
Hansford
Hartley
Hemphill
Hockley
Hutchinson
King
Lamb
Lipscomb
Lubbock
Lynn
Moore
Motley
Ochiltree
Oldham
Parmer
Potter
Randall
Roberts
Sherman
Swisher
Terry
Wheeler
Yoakum
Archer
Baylor
Brown
Callahan
Clay
Coleman
Comanche
Cottle
Eastland
Fisher
Foard
Hardeman
Haskell
Jack
Jones
Kent
Knox
Mitchell
Montague
Nolan
Runnels
Scurry
Shackelford
Stephens
Stonewall
Taylor
Throckmorton
Wichita
Wilbarger
Young
Collin
Dallas
Denton
Ellis
Hunt
Kaufman
Navarro
Rockwall
Cooke
Erath
Fannin
Grayson
Hood
Johnson
Palo Pinto
Parker
Somervell
Tarrant
Wise
Anderson
Bowie
Camp
Cass
Cherokee
Delta
Franklin
Gregg
Harrison
Henderson
Hopkins
Lamar
Marion
Morris
Panola
Rains
Red River
Rusk
Smith
Titus
Upshur
Van Zandt
Wood
Angelina
Hardin
Houston
Jasper
Jefferson
Nacogdoches
Newton
Orange
Polk
Sabine
San Augustine
San Jacinto
Shelby
Trinity
Tyler
Region 6 Region 7 Region 8 Region 9 Region 10 Region 11
Region 6a Region 6bc Region 7a Region 7bcd Region 11abd Region 11c
(Hidalgo)
NOTE: The substate regions defined for Texas in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Austin
Chambers
Colorado
Fort Bend
Harris
Liberty
Montgomery
Walker
Waller
Wharton
Brazoria
Galveston
Matagorda
Bastrop
Blanco
Burnet
Caldwell
Fayette
Hays
Lee
Llano
Travis
Williamson
Bell
Bosque
Brazos
Burleson
Coryell
Falls
Freestone
Grimes
Hamilton
Hill
Lampasas
Leon
Limestone
Madison
McLennan
Milam
Mills
Robertson
San Saba
Washington
Atascosa
Bandera
Bexar
Calhoun
Comal
DeWitt
Dimmit
Edwards
Frio
Gillespie
Goliad
Gonzales
Guadalupe
Jackson
Karnes
Kendall
Kerr
Kinney
La Salle
Lavaca
Maverick
Medina
Real
Uvalde
Val Verde
Victoria
Wilson
Zavala
Andrews
Borden
Coke
Concho
Crane
Crockett
Dawson
Ector
Gaines
Glasscock
Howard
Irion
Kimble
Loving
Martin
Mason
McCulloch
Menard
Midland
Pecos
Reagan
Reeves
Schleicher
Sterling
Sutton
Terrell
Tom Green
Upton
Ward
Winkler
Brewster
Culberson
El Paso
Hudspeth
Jeff Davis
Presidio
Aransas
Bee
Brooks
Cameron
Duval
Jim Hogg
Jim Wells
Kenedy
Kleberg
Live Oak
McMullen
Nueces
Refugio
San Patricio
Starr
Webb
Willacy
Zapata
Hidalgo

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Figure 45. UTAH – Substate Regions (defined in terms of counties)

Figure 45, Utah Regions

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Table 45. UTAH – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Division of Substance Abuse and Mental Health, Utah Department of Human Services, and are defined in terms of the State's 29 counties.
Bear River, Northeastern,
Summit, Tooele, and Wasatch
Central, Four Corners, San
Juan, and Southwest
Davis County Salt Lake
County
Utah County Weber,
Morgan
NOTE: The substate regions defined for Utah in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Bear River
Box Elder
Cache
Rich
 
Northeastern
Daggett
Duchesne
Uintah
Summit
Summit
 
Tooele
Tooele
 
Wasatch
Wasatch
Central
Juab
Millard
Piute
Sanpete
Sevier
Wayne
 
Four Corners
Carbon
Emery
Grand
San Juan
San Juan
 
Southwest
Beaver
Garfield
Iron
Kane
Washington
Davis Salt Lake Utah Morgan
Weber

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Figure 46. VERMONT – Substate Regions (defined in terms of counties)

Figure 46, Vermont Regions

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Table 46. VERMONT – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were determined in consultation with the Vermont Department of Health and are defined in terms of the State's 14 counties.
Champlain Valley Rural Northeast Rural Southeast Rural Southwest
NOTE: The substate regions defined for Vermont in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Addison
Chittenden
Franklin
Grand Isle
Caledonia
Essex
Lamoille
Orleans
Washington
Orange
Windham
Windsor
Bennington
Rutland

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Figure 47. VIRGINIA – Substate Regions (defined in terms of counties and independent cities)

Figure 47, Virginia Regions

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Table 47. VIRGINIA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties and independent cities)
The substate regions defined here were provided by the Virginia Department of Behavioral Health and Developmental Services and are defined in terms of the State's 95 counties and 40 independent cities.
Region 1 Region 2 Region 3 Region 4 Region 5
NOTE: The 2010-2012 substate regions defined for Virginia in this table are comparable with the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions." However, because these regions are based on 2010 census geography, Clifton Forge City, which was annexed by another county, was dropped from Region 3. Despite the county changes, all of the regions are still considered similar across the two time periods.
Albemarle
Augusta
Bath
Buena Vista City
Caroline
Charlottesville City
Clarke
Culpeper
Fauquier
Fluvanna
Frederick
Fredericksburg City
Greene
Harrisonburg City
Highland
King George
Lexington City
Louisa
Madison
Nelson
Orange
Page
Rappahannock
Rockbridge
Rockingham
Shenandoah
Spotsylvania
Stafford
Staunton City
Warren
Waynesboro City
Winchester City
Alexandria City
Arlington
Fairfax
Fairfax City
Falls Church City
Loudoun
Manassas City
Manassas Park City
Prince William
Alleghany
Amherst
Appomattox
Bedford
Bedford City
Bland
Botetourt
Bristol City
Buchanan
Campbell
Carroll
Covington City
Craig
Danville City
Dickenson
Floyd
Franklin
Galax City
Giles
Grayson
Henry
Lee
Lynchburg City
Martinsville City
Montgomery
Norton City
Patrick
Pittsylvania
Pulaski
Radford City
Roanoke
Roanoke City
Russell
Salem City
Scott
Smyth
Tazewell
Washington
Wise
Wythe
Amelia
Brunswick
Buckingham
Charles City
Charlotte
Chesterfield
Colonial Heights City
Cumberland
Dinwiddie
Emporia City
Goochland
Greensville
Halifax
Hanover
Henrico
Hopewell City
Lunenburg
Mecklenburg
New Kent
Nottoway
Petersburg City
Powhatan
Prince Edward
Prince George
Richmond City
Surry
Sussex
Accomack
Chesapeake City
Essex
Franklin City
Gloucester
Hampton City
Isle of Wight
James City
King and Queen
King William
Lancaster
Mathews
Middlesex
Newport News City
Norfolk City
Northampton
Northumberland
Poquoson City
Portsmouth City
Richmond
Southampton
Suffolk City
Virginia Beach City
Westmoreland
Williamsburg City
York

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Figure 48. WASHINGTON – Substate Regions (defined in terms of counties)

Figure 48, Washington Regions

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Table 48. WASHINGTON – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by Washington's Division of Alcohol and Substance Abuse, Department of Social and Health Services, and are defined in terms of the State's 39 counties. As per the State's request, estimates for six substate regions along with three aggregate planning areas (Regions 1, 2, and 3) and maps showing the three planning areas have been produced.
Region 1 Region 2 Region 3
East 1 (previously
Region 1)
East 2 (previously
Region 2)
North 1 (previously
Region 3)
North 2 (previously
Region 4)
West 1 (previously
Region 5)
West 2 (previously
Region 6)
NOTE: The substate regions defined for Washington in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Adams
Chelan
Douglas
Ferry
Grant
Lincoln
Okanogan
Pend Oreille
Spokane
Stevens
Whitman
Asotin
Benton
Columbia
Franklin
Garfield
Kittitas
Klickitat
Walla Walla
Yakima
Island
San Juan
Skagit
Snohomish
Whatcom
King Kitsap
Pierce
Clallam
Clark
Cowlitz
Grays Harbor
Jefferson
Lewis
Mason
Pacific
Skamania
Thurston
Wahkiakum

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Figure 49. WEST VIRGINIA – Substate Regions (defined in terms of counties)

Figure 49, West Virginia Regions

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Table 49. WEST VIRGINIA – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the West Virginia Department of Health and Human Services and are defined in terms of the State's 55 counties.
Region I Region II Region III Region IV Region V Region VI
NOTE: The substate regions defined for West Virginia in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Brooke
Hancock
Marshall
Ohio
Wetzel
Berkeley
Grant
Hampshire
Hardy
Jefferson
Mineral
Morgan
Pendleton
Calhoun
Jackson
Pleasants
Ritchie
Roane
Tyler
Wirt
Wood
Barbour
Braxton
Doddridge
Gilmer
Harrison
Lewis
Marion
Monongalia
Preston
Randolph
Taylor
Tucker
Upshur
Boone
Cabell
Clay
Kanawha
Lincoln
Logan
Mason
Mingo
Putnam
Wayne
Fayette
Greenbrier
McDowell
Mercer
Monroe
Nicholas
Pocahontas
Raleigh
Summers
Webster
Wyoming

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Figure 50. WISCONSIN – Substate Regions (defined in terms of counties)

Figure 50, Wisconsin Regions

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Table 50. WISCONSIN – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the State's Mental Health and Substance Abuse Services, Wisconsin Department of Health and Family Services, and are defined in terms of the State's 72 counties.
Milwaukee Northeastern Northern Southeastern Southern Western
NOTE: The substate regions defined for Wisconsin in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Milwaukee Brown
Calumet
Door
Fond du Lac
Green Lake
Kewaunee
Manitowoc
Marinette
Marquette
Menominee
Oconto
Outagamie
Shawano
Sheboygan
Waupaca
Waushara
Winnebago
Ashland
Bayfield
Florence
Forest
Iron
Langlade
Lincoln
Marathon
Oneida
Portage
Price
Sawyer
Taylor
Vilas
Wood
Jefferson
Kenosha
Ozaukee
Racine
Walworth
Washington
Waukesha
Adams
Columbia
Crawford
Dane
Dodge
Grant
Green
Iowa
Juneau
Lafayette
Richland
Rock
Sauk
Vernon
Barron
Buffalo
Burnett
Chippewa
Clark
Douglas
Dunn
Eau Claire
Jackson
La Crosse
Monroe
Pepin
Pierce
Polk
Rusk
St. Croix
Trempealeau
Washburn

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Figure 51. WYOMING – Substate Regions (defined in terms of counties)

Figure 51, Wyoming Regions

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Table 51. WYOMING – 2010-2012 National Survey on Drug Use and Health Substate Region Definitions (defined in terms of counties)
The substate regions defined here were provided by the Substance Abuse Division, Wyoming Department of Health, and are defined in terms of the State's 23 counties.
Judicial
District 1
(Laramie)
Judicial
District 2
Judicial
District 3
Judicial
District 4
Judicial
District 5
Judicial
District 6
Judicial
District 7
(Natrona)
Judicial
District 8
Judicial
District 9
NOTE: The substate regions defined for Wyoming in this table are the same as the substate regions defined in the "2008-2010 National Survey on Drug Use and Health Substate Region Definitions."
Laramie Albany
Carbon
Lincoln
Sweetwater
Uinta
Johnson
Sheridan
Big Horn
Hot Springs
Park
Washakie
Campbell
Crook
Weston
Natrona Converse
Goshen
Niobrara
Platte
Fremont
Sublette
Teton

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