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Results from the 2013 National Survey on Drug Use and Health: Mental Health Findings

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Results from the 2013 National Survey on Drug Use and Health: Mental Health Findings Results from the 2013 National Survey on Drug Use and Health: Mental Health Findings U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality Acknowledgments This report was prepared by the Center for Behavioral Health Statistics and Quality (CBHSQ), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), and by RTI International (a registered trademark and a trade name of Research Triangle Institute), Research Triangle Park, North Carolina. Work by RTI was performed under Contract No. HHSS283201000003C. Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, U.S. Department of Health and Human Services. When using estimates and quotations from this report, citation of the source is appreciated. Recommended Citation Substance Abuse and Mental Health Services Administration, Results from the 2013 National Survey on Drug Use and Health: Mental Health Findings, NSDUH Series H-49, HHS Publication No. (SMA) 14-4887. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. Electronic Access and Copies of Publication This publication may be downloaded from http://store.samhsa.gov/home. Hard copies may be obtained from SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Español). Originating Office Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality 1 Choke Cherry Road, Room 2-1067 Rockville, MD 20857 November 2014 ii Table of Contents Chapter Page List of Figures ..................................................................................................................... v List of Tables ..................................................................................................................... ix Highlights ........................................................................................................................................ 1 1. Introduction ......................................................................................................................... 3 Summary of NSDUH .......................................................................................................... 3 Limitations on Trend Measurement .................................................................................... 4 Format of Report and Data Presentation ............................................................................. 6 Other NSDUH Reports and Data ........................................................................................ 7 2. Mental Illness and Mental Health Service Utilization among Adults ................................ 9 Any Mental Illness .............................................................................................................. 9 Serious Mental Illness ....................................................................................................... 11 Major Depressive Episode ................................................................................................ 13 Mental Health Service Utilization .................................................................................... 18 Perceived Unmet Need for Mental Health Services ......................................................... 24 3. Suicidal Thoughts and Behavior ....................................................................................... 29 Suicidal Thoughts and Behavior among Adults ................................................................ 29 College Students ................................................................................................... 31 Criminal Justice Populations ................................................................................. 33 Suicidal Thoughts and Behavior among Adults Who Used Substances ........................... 33 Illicit Drug Use ..................................................................................................... 33 Binge and Heavy Alcohol Use .............................................................................. 35 Suicidal Thoughts and Behavior among Adults with Substance Use Disorder and Adults with Major Depressive Episode ........................................................................ 35 Suicidal Thoughts and Service Use among Adults ........................................................... 35 4. Major Depressive Episode and Mental Health Service Utilization among Youths .......... 37 Major Depressive Episode (MDE), MDE with Severe Impairment, and Treatment for Depression .............................................................................................................. 37 Mental Health Service Utilization .................................................................................... 41 5. Co-Occurrence of Mental Illness and Substance Use ....................................................... 47 Substance Use among Adults with Mental Illness ............................................................ 47 Mental Illness and Substance Use Disorders among Adults ............................................ 49 Co-Occurring Mental Illness and Substance Use Disorders among Adults, by Sociodemographic Characteristics ............................................................................... 52 Major Depressive Episode and Substance Use among Adults ......................................... 56 Major Depressive Episode and Substance Use Disorders among Adults ......................... 57 Mental Health Care and Specialty Substance Use Treatment among Adults with Co-Occurring Mental Illness and Substance Use Disorders ........................................ 58 Major Depressive Episode and Substance Use among Youths ........................................ 60 Major Depressive Episode and Substance Use Disorders among Youths ........................ 61 iii Table of Contents (continued) Appendix Page A Description of the Survey ................................................................................................. 63 A.1 Sample Design ...................................................................................................... 63 A.2 Data Collection Methodology ............................................................................... 65 A.3 Data Processing ..................................................................................................... 68 B Statistical Methods and Measurement .............................................................................. 75 B.1 Target Population .................................................................................................. 75 B.2 Sampling Error and Statistical Significance ......................................................... 75 B.3 Other Information on Data Accuracy ................................................................... 80 B.4 Measurement Issues .............................................................................................. 85 C Other Sources of Mental Health Data ............................................................................. 111 C.1 Definition of Mental Illness ................................................................................ 111 C.2 National Surveys Collecting Data on Mental Health in the Civilian, Noninstitutionalized Population.......................................................................... 112 C.3 Surveys of Populations Not Covered by NSDUH .............................................. 119 D References ....................................................................................................................... 123 E List of Contributors ......................................................................................................... 131 iv List of Figures Figure Page 2.1 Any Mental Illness in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2013 ......................................................................................................................10 2.2 Serious Mental Illness in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2013 ...............................................................................................................12 2.3 Major Depressive Episode in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2013 .......................................................................................................15 2.4 Receipt of Treatment for Major Depressive Episode in the Past Year among Adults Aged 18 or Older Who Had a Major Depressive Episode in the Past Year, by Age and Gender: 2013 ..................................................................................................16 2.5 Type of Professional Seen among Adults Aged 18 or Older with a Major Depressive Episode Who Received Treatment in the Past Year: 2013 .............................17 2.6 Past Year Mental Health Service Use among Adults Aged 18 or Older, by Type of Care: 2002-2013.................................................................................................................19 2.7 Receipt of Mental Health Services among Adults Aged 18 or Older, by Level of Mental Illness: 2013 ...........................................................................................................21
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