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Results from the 2018 National Survey on Drug Use and Health:
Detailed Tables

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Table 9.1A – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Age Group: Numbers in Thousands, 2017 and 2018
Setting Where Mental Health Service Was Received Total
(2017)		 Total
(2018)		 Aged 12-13
(2017)		 Aged 12-13
(2018)		 Aged 14-15
(2017)		 Aged 14-15
(2018)		 Aged 16-17
(2017)		 Aged 16-17
(2018)
SPECIALTY MENTAL HEALTH SERVICE 3,646a 3,901 1,055 1,163 1,264 1,342 1,327 1,397
Outpatient 3,328 3,547 939 1,029 1,155 1,219 1,234 1,299
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor 2,908 3,080 809 853 1,010 1,074 1,089 1,153
Mental Health Clinic or Center 995 977 246 243 324 348 425 387
Partial Day Hospital or Day Treatment Program 505 484 145 146 179 171 181 167
In-Home Therapist, Counselor, or Family Preservation Worker 840 951 266 320 320 321 254 310
Inpatient or Residential 708 683 196 220 238 260 274a 203
Hospital 622 608 174 180 219 242 229 186
Residential Treatment Center 318 300 71 92 106 121 141a 87
NONSPECIALTY MENTAL HEALTH SERVICE 3,810 3,977 1,238 1,296 1,319 1,466 1,253 1,215
Education1 3,231 3,444 1,116 1,170 1,160 1,275 955 998
School Social Worker, School Psychologist, or School Counselor 2,249 2,395 773 803 811 905 665 687
Special School or Program within a Regular School for Students with
   Emotional or Behavioral Problems		 1,345 1,461 448 488 486 535 411 438
General Medicine                
Pediatrician or Other Family Doctor 805 767 195 182 272 300 338 285
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 45 48 6 14 9 20 30 14
Child Welfare                
Foster Care or Therapeutic Foster Care 92 94 27 28 20 40 46 26
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
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Table 9.1B – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Age Group: Percentages, 2017 and 2018
Setting Where Mental Health Service Was Received Total
(2017)		 Total
(2018)		 Aged 12-13
(2017)		 Aged 12-13
(2018)		 Aged 14-15
(2017)		 Aged 14-15
(2018)		 Aged 16-17
(2017)		 Aged 16-17
(2018)
SPECIALTY MENTAL HEALTH SERVICE 14.8a 16.0 13.8 15.2 15.1 16.2 15.6 16.4
Outpatient 13.6a 14.5 12.2 13.4 13.8 14.7 14.5 15.3
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor 11.8 12.6 10.5 11.1 12.0 13.0 12.8 13.5
Mental Health Clinic or Center 4.0 4.0 3.2 3.1 3.9 4.2 5.0 4.5
Partial Day Hospital or Day Treatment Program 2.0 2.0 1.9 1.9 2.1 2.1 2.1 2.0
In-Home Therapist, Counselor, or Family Preservation Worker 3.4 3.9 3.5 4.2 3.8 3.9 3.0 3.6
Inpatient or Residential 2.9 2.8 2.5 2.8 2.8 3.1 3.2a 2.4
Hospital 2.5 2.5 2.3 2.3 2.6 2.9 2.7 2.2
Residential Treatment Center 1.3 1.2 0.9 1.2 1.3 1.5 1.7a 1.0
NONSPECIALTY MENTAL HEALTH SERVICE 15.7 16.5 16.5 17.2 15.9a 18.0 14.8 14.4
Education1 13.3 14.2 14.8 15.4 13.9 15.6 11.3 11.8
School Social Worker, School Psychologist, or School Counselor 9.2 9.9 10.2 10.6 9.7 11.0 7.8 8.1
Special School or Program within a Regular School for Students with
   Emotional or Behavioral Problems		 5.5 6.0 5.9 6.4 5.8 6.5 4.9 5.2
General Medicine                
Pediatrician or Other Family Doctor 3.3 3.1 2.5 2.4 3.2 3.6 4.0 3.3
Juvenile Justice                
Juvenile Detention Center, Prison, or Jail 0.2 0.2 0.1 0.2 0.1 0.2 0.4 0.2
Child Welfare                
Foster Care or Therapeutic Foster Care 0.4 0.4 0.3 0.4 0.2 0.5 0.5 0.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
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Table 9.2A – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
TOTAL 3,646a 3,901 3,328 3,547 708 683 3,810 3,977 3,231 3,444 805 767 45 48 92 94
AGE GROUP                                
12-13 1,055 1,163 939 1,029 196 220 1,238 1,296 1,116 1,170 195 182 6 14 27 28
14-15 1,264 1,342 1,155 1,219 238 260 1,319 1,466 1,160 1,275 272 300 9 20 20 40
16-17 1,327 1,397 1,234 1,299 274a 203 1,253 1,215 955 998 338 285 30 14 46 26
GENDER                                
Male 1,393a 1,552 1,201a 1,359 333 306 1,600 1,626 1,416 1,408 238 278 26 30 54 51
Female 2,252 2,350 2,127 2,188 375 377 2,210 2,350 1,815a 2,036 567 489 20 18 38 42
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 2,880 3,033 2,655 2,765 531 527 2,915 3,032 2,453 2,626 643 595 36 35 70 56
White 2,187 2,341 2,072 2,195 309 339 1,937 2,085 1,601 1,770 472 474 10 16 37 33
Black or African American 390 395 315 307 158 129 619 586 542 533 101 71 22 16 28 15
AIAN 24 20 23 19 6 7 20 36 19 31 2 4 0 0 * 4
NHOPI * * * * * * * * * * * * * * * *
Asian 100 130 88 110 19 23 175 167 150 161 33a 7 3 2 1 *
Two or More Races 166 135 144 123 36 25 150 157 129 130 32 40 * 2 1 4
Hispanic or Latino 766 868 673 781 177 156 895 945 778 817 162 171 9 12 23 38
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
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Table 9.2B – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
TOTAL 14.8a 16.0 13.6a 14.5 2.9 2.8 15.7 16.5 13.3 14.2 3.3 3.1 0.2 0.2 0.4 0.4
AGE GROUP                                
12-13 13.8 15.2 12.2 13.4 2.5 2.8 16.5 17.2 14.8 15.4 2.5 2.4 0.1 0.2 0.3 0.4
14-15 15.1 16.2 13.8 14.7 2.8 3.1 15.9a 18.0 13.9 15.6 3.2 3.6 0.1 0.2 0.2 0.5
16-17 15.6 16.4 14.5 15.3 3.2a 2.4 14.8 14.4 11.3 11.8 4.0 3.3 0.4 0.2 0.5 0.3
GENDER                                
Male 11.2a 12.5 9.6a 11.0 2.7 2.5 13.0 13.3 11.5 11.5 1.9 2.2 0.2 0.2 0.4 0.4
Female 18.6 19.5 17.6 18.2 3.1 3.1 18.5 19.7 15.1a 17.1 4.7 4.1 0.2 0.1 0.3 0.3
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 15.4 16.4 14.2 15.0 2.8 2.8 15.8 16.6 13.3 14.3 3.4 3.2 0.2 0.2 0.4 0.3
White 16.9a 18.4 16.0 17.2 2.4 2.6 15.1 16.5 12.5a 13.9 3.6 3.7 0.1 0.1 0.3 0.3
Black or African American 11.7 12.0 9.4 9.3 4.7 3.9 18.9 18.1 16.5 16.4 3.0 2.1 0.7 0.5 0.8 0.5
AIAN 15.5 13.4 14.4 12.5 4.1 4.9 13.4a 23.9 12.4 20.4 1.2 2.7 0.3 0.1 * 2.8
NHOPI * * * * * * * * * * * * * * * *
Asian 7.6 9.2 6.8 7.8 1.4 1.6 13.6 12.1 11.6 11.6 2.6a 0.5 0.2 0.2 0.1 *
Two or More Races 20.0 17.4 17.4 15.9 4.3 3.2 18.4 20.3 15.7 16.6 3.9 5.1 * 0.2 0.1 0.5
Hispanic or Latino 13.0 14.6 11.4 13.1 3.0 2.6 15.4 16.2 13.4 13.9 2.8 2.9 0.2 0.2 0.4 0.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
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Table 9.3A – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic
Characteristic		 SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
TOTAL 3,646a 3,901 3,328 3,547 708 683 3,810 3,977 3,231 3,444 805 767 45 48 92 94
GEOGRAPHIC REGION                                
Northeast 625 657 571 607 118 83 642a 743 562 646 123 152 1 3 10 10
Midwest 874 940 809 849 180 174 879 879 728 759 199 176 14 9 30 28
South 1,291 1,378 1,160 1,217 261 314 1,366 1,414 1,136 1,225 320 272 23 18 33 41
West 855 926 788 874 148 112 923 940 805 813 164 166 7 18 19 14
COUNTY TYPE                                
Large Metro 2,106 2,195 1,940 1,988 414 373 2,297 2,246 1,981 2,001 451 375 23 31 57 42
Small Metro 1,037a 1,185 949 1,084 172 222 988a 1,157 824a 975 230 257 19 13 15a 35
Nonmetro 503 522 439 475 121 88 525 575 426 468 124 134 3 4 21 16
Urbanized 208 231 183 207 47 40 241 241 193 192 56 56 2 3 8 4
Less Urbanized 256 244 222 225 66 43 255 291 209 244 65 70 1 1 10 9
Completely Rural 40 48 35 42 9 5 29 42 23 32 3 9 * * * *
POVERTY LEVEL                                
Less Than 100% 730 739 631 627 241 189 884 979 756 864 148 147 22 20 52 36
100-199% 747 772 671 669 173 203 786 834 680 722 162 163 12 17 17 22
200% or More 2,169a 2,390 2,027a 2,250 294 291 2,140 2,163 1,795 1,858 495 456 12 11 24 36
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
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Table 9.3B – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17, by Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic
Characteristic		 SPECIALTY MENTAL HEALTH SERVICE
SETTING1		 NONSPECIALTY MENTAL HEALTH SERVICE SETTING2
Total1 Outpatient Inpatient or
Residential		 Total2 Education3 General
Medicine		 Juvenile
Justice		 Child
Welfare
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
TOTAL 14.8a 16.0 13.6a 14.5 2.9 2.8 15.7 16.5 13.3 14.2 3.3 3.1 0.2 0.2 0.4 0.4
GEOGRAPHIC REGION                                
Northeast 15.5 16.8 14.2 15.4 2.9 2.1 16.2a 19.2 14.1a 16.6 3.1 3.9 0.0 0.1 0.3 0.2
Midwest 16.7 18.0 15.4 16.3 3.4 3.3 17.0 17.0 14.1 14.7 3.8 3.4 0.3 0.2 0.6 0.5
South 13.7 14.6 12.3 12.9 2.8 3.3 14.7 15.2 12.2 13.1 3.4 2.9 0.2 0.2 0.3 0.4
West 14.6 15.8 13.5 14.9 2.5 1.9 15.9 16.2 13.8 13.9 2.8 2.8 0.1 0.3 0.3 0.2
COUNTY TYPE                                
Large Metro 14.8 16.0 13.6 14.5 2.9 2.7 16.3 16.6 14.0 14.8 3.2 2.7 0.2 0.2 0.4 0.3
Small Metro 15.3 16.2 14.0 14.9 2.5 3.0 14.8 16.0 12.3 13.5 3.4 3.5 0.3 0.2 0.2 0.5
Nonmetro 14.3 15.1 12.5 13.7 3.4 2.5 15.1 16.9 12.2 13.7 3.5 3.9 0.1 0.1 0.6 0.5
Urbanized 13.9 16.3 12.3 14.6 3.1 2.8 16.3 17.4 13.0 13.7 3.7 3.9 0.1 0.2 0.5 0.3
Less Urbanized 14.7 14.4 12.7 13.4 3.8 2.5 14.8 17.4 12.2 14.6 3.7 4.1 0.1 0.1 0.6 0.6
Completely Rural 14.0 13.5 12.3 12.0 3.1 1.5 10.3 12.1 8.2 9.0 1.1 2.6 * * * *
POVERTY LEVEL                                
Less Than 100% 13.9 13.8 12.0 11.7 4.6 3.5 17.2 18.7 14.6 16.4 2.8 2.7 0.4 0.4 1.0 0.7
100-199% 14.2 15.3 12.7 13.2 3.3 4.0 15.2 16.7 13.1 14.4 3.1 3.2 0.2 0.3 0.3 0.4
200% or More 15.4a 17.0 14.4a 16.0 2.1 2.1 15.4 15.6 12.9 13.3 3.5 3.3 0.1 0.1 0.2 0.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
2 Includes treatment/counseling from a school or juvenile justice mental health service provider, a medical doctor, or services received in foster care.
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
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Table 9.4A – Reasons for Receiving Most Recent Mental Health Service in Past Year among Persons Aged 12 to 17 Who Received Mental Health Services in the Respective Settings in Past Year: Numbers in Thousands, 2017 and 2018
Reason for Receipt of Mental Health Service1 Any Specialty Mental
Health Service2		 Outpatient Inpatient or
Residential		 Education3 General Medicine Child Welfare
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
RECEIVED MENTAL HEALTH SERVICES4 3,646a 3,901 3,328 3,547 708 683 3,231 3,444 805 767 92 94
Thought about Killing Self or Tried to Kill Self 1,082 1,096 981 986 304 290 377 374 172 176 * *
Felt Depressed 1,926 2,000 1,848 1,886 283 302 932 1,007 355 359 * *
Felt Very Afraid and Tense 1,073 1,011 1,021 972 111 98 472a 589 195 179 * *
Had Eating Problems 369 321 357 291 53 71 130 111 129a 73 * *
Had Other Self-Reported Mental/Neurological Disorder5 92 126 87 123 7 6 31 18 21 33 * *
Broke Rules and "Acted Out" 620 594 581 544 96 112 347 343 97 65 * *
Had Trouble Controlling Anger 377a 522 337a 489 64 56 139 169 58a 27 * *
Got into Physical Fights 93 94 71 82 33 19 49 81 9 3 * *
Had Problems with Home/Family 752 836 723 794 54 62 272 278 83a 44 * *
Had Problems with Friends 396 438 378 418 26 31 353 376 33 21 * *
Had Problems with People Other Than Family/Friends 309 308 286 295 35 30 162 184 15 18 * *
Had Problems at School 633 652 572 600 77 73 470 501 69 95 * *
Some Other Reason6 384 335 340 319 50 31 161 170 73 78 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for the last time they received mental health care in a specific service setting; thus, these response categories are not mutually exclusive. Respondents who did not indicate a reason were excluded from the analysis for the particular service category column.
2 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services or reasons for mental health care from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
4 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known. The level of unknown data in this row is less than the level of unknown data in the reason for receipt of mental health service rows. The reason for receipt of mental health service rows have a smaller denominator compared to the overall received mental health services row due to the larger amount of unknown reason for treatment data.
5 Respondent self-reported in the other-specify question that he or she has a mental or neurological disorder as a reason for having received mental health services. This reason is one of the most commonly reported other reasons for having received treatment/counseling.
6 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
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Table 9.4B – Reasons for Receiving Most Recent Mental Health Service in Past Year among Persons Aged 12 to 17 Who Received Mental Health Services in the Respective Settings in Past Year: Percentages, 2017 and 2018
Reason for Receipt of Mental Health Service1 Any Specialty Mental
Health Service2		 Outpatient Inpatient or
Residential		 Education3 General Medicine Child Welfare
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
RECEIVED MENTAL HEALTH SERVICES4 14.8a 16.0 13.6a 14.5 2.9 2.8 13.3 14.2 3.3 3.1 0.4 0.4
Thought about Killing Self or Tried to Kill Self 33.5 31.6 32.0 30.0 56.9 58.9 18.4 16.6 25.1 26.1 * *
Felt Depressed 58.9 57.2 59.7 56.9 53.3 60.9 45.3 44.8 51.9 53.4 * *
Felt Very Afraid and Tense 33.3a 29.4 33.2a 29.7 21.0 20.1 23.0 26.2 28.5 26.5 * *
Had Eating Problems 11.6 9.4 11.7a 9.0 10.0 14.7 6.3 4.9 18.9a 10.9 * *
Had Other Self-Reported Mental/Neurological Disorder5 2.9 3.8 2.9 3.9 1.4 1.2 1.5 0.8 3.1 4.9 * *
Broke Rules and "Acted Out" 19.3 17.3 19.0 16.7 18.2 23.1 16.9 15.3 14.2 9.6 * *
Had Trouble Controlling Anger 11.8a 15.2 11.0a 15.0 12.2 11.6 6.8 7.5 8.5a 4.0 * *
Got into Physical Fights 2.9 2.8 2.4 2.5 6.3 3.9 2.4 3.6 1.3 0.4 * *
Had Problems with Home/Family 23.5 24.3 23.7 24.2 10.3 12.8 13.2 12.4 12.1a 6.6 * *
Had Problems with Friends 12.4 12.8 12.4 12.9 5.0 6.5 17.2 16.7 4.8 3.2 * *
Had Problems with People Other Than Family/Friends 9.7 9.0 9.4 9.1 6.6 6.2 7.9 8.2 2.2 2.6 * *
Had Problems at School 19.7 18.9 18.7 18.3 14.6 15.0 22.9 22.3 10.1 14.1 * *
Some Other Reason6 12.2 10.0 11.3 10.0 9.9 6.5 7.9 7.7 10.7 11.7 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for the last time they received mental health care in a specific service setting; thus, these response categories are not mutually exclusive. Respondents who did not indicate a reason were excluded from the analysis for the particular service category column.
2 Includes treatment/counseling received as outpatient care (e.g., care from a private therapist, psychologist, psychiatrist, social worker, or counselor; mental health clinic or center; partial day hospital or day treatment program; or in-home therapist, counselor, or family preservation worker) and inpatient or residential care (e.g., an overnight care in a hospital or residential treatment center).
3 Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services or reasons for mental health care from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting.
4 The Received Mental Health Services row represents all youths who received treatment/counseling regardless of whether a reason is known. The level of unknown data in this row is less than the level of unknown data in the reason for receipt of mental health service rows. The reason for receipt of mental health service rows have a smaller denominator compared to the overall received mental health services row due to the larger amount of unknown reason for treatment data.
5 Respondent self-reported in the other-specify question that he or she has a mental or neurological disorder as a reason for having received mental health services. This reason is one of the most commonly reported other reasons for having received treatment/counseling.
6 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190528
Table 9.5A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Had MDE
(2017)		 Had MDE
(2018)		 Had MDE
with Severe
Impairment1
(2017)		 Had MDE
with Severe
Impairment1
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2017)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2017)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2018)
TOTAL 3,214a 3,482 2,265 2,423 1,330 1,432 1,074 1,133
AGE GROUP                
12-13 516a 632 332 382 193 251 153 177
14-15 1,200 1,250 861 891 453 514 364 406
16-17 1,498 1,600 1,072 1,150 684 667 558 550
GENDER                
Male 845 946 581 628 274a 351 208a 274
Female 2,369 2,537 1,684 1,795 1,056 1,081 866 859
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 2,419 2,601 1,694 1,841 1,072 1,100 868 882
White 1,785 1,905 1,256 1,354 847 870 679 695
Black or African American 313 334 233 225 110 115 97 90
AIAN 24 23 6 * * * * *
NHOPI * * * * * * * *
Asian 145 189 101 127 * * * *
Two or More Races 138 137 89 109 62 48 * *
Hispanic or Latino 795 882 571 582 258 332 206 251
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190528
Table 9.5B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Had MDE
(2017)		 Had MDE
(2018)		 Had MDE
with Severe
Impairment1
(2017)		 Had MDE
with Severe
Impairment1
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2017)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2017)		 Received
Treatment for
Depression in
Past Year
among
Persons with
MDE with
Severe
Impairment1,2
(2018)
TOTAL 13.3a 14.4 9.4 10.0 41.5 41.4 47.5 46.9
AGE GROUP                
12-13 6.9a 8.4 4.4 5.1 37.6 40.7 46.2 47.2
14-15 14.5 15.3 10.4 10.9 37.9 41.2 42.3 45.6
16-17 17.7 19.0 12.7 13.7 45.8 41.8 52.0 47.8
GENDER                
Male 6.8 7.7 4.7 5.1 32.5 37.5 35.8 43.7
Female 20.0 21.5 14.2 15.2 44.8 42.9 51.5 48.1
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 13.1a 14.2 9.2 10.1 44.4 42.6 51.3 48.1
White 14.0 15.1 9.8 10.7 47.5 46.1 54.1 51.6
Black or African American 9.5 10.3 7.1 6.9 35.1 34.6 41.6 40.1
AIAN 16.3 15.2 3.9 * * * * *
NHOPI * * * * * * * *
Asian 11.3 13.6 7.9 9.2 * * * *
Two or More Races 16.9 17.7 10.9 14.2 44.8 34.8 * *
Hispanic or Latino 13.8 15.1 9.9 10.0 32.7 37.9 36.1 43.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190528
Table 9.6A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic/Health Characteristic Had MDE
(2017)		 Had MDE
(2018)		 Had MDE
with Severe
Impairment1
(2017)		 Had MDE
with Severe
Impairment1
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2017)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2017)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2018)
TOTAL 3,214a 3,482 2,265 2,423 1,330 1,432 1,074 1,133
GEOGRAPHIC REGION                
Northeast 441 478 316 309 207 191 171 153
Midwest 759 797 533 578 336 357 267 318
South 1,191a 1,341 858 940 477 524 390 396
West 822 866 558 596 310 360 247 266
COUNTY TYPE                
Large Metro 1,810 1,799 1,288 1,259 751 729 605 576
Small Metro 936a 1,186 666a 806 387a 473 319 367
Nonmetro 467 498 311 358 192 230 150 191
POVERTY LEVEL                
Less Than 100% 614 662 450 452 226 275 186 221
100-199% 734 737 501 525 295 274 232 213
200% or More 1,866a 2,083 1,314 1,446 809 883 655 699
HEALTH INSURANCE3                
Private 1,911 2,050 1,332 1,434 827 841 666 672
Medicaid/CHIP 1,201 1,249 857 837 490 543 403 420
Other4 115a 201 78a 152 * 94 * *
No Coverage 126 155 95 115 * 31 * *
OVERALL HEALTH5                
Excellent 709 810 480 545 243 277 176 222
Very Good 1,393 1,496 966 1,039 573 613 473 479
Good 821 909 592 643 361 416 295 321
Fair/Poor 292 267 228 197 153 126 131 112
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
5 Respondents with unknown health data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190528
Table 9.6B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, and Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic/Health Characteristic Had MDE
(2017)		 Had MDE
(2018)		 Had MDE
with Severe
Impairment1
(2017)		 Had MDE
with Severe
Impairment1
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2017)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE2
(2018)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2017)		 Received
Treatment for
Depression in
Past Year among
Persons with
MDE with Severe
Impairment1,2
(2018)
TOTAL 13.3a 14.4 9.4 10.0 41.5 41.4 47.5 46.9
GEOGRAPHIC REGION                
Northeast 11.1 12.2 7.9 7.9 47.1 40.4 54.0 49.6
Midwest 14.7 15.6 10.4 11.3 44.4 45.0 50.0 55.2
South 12.8a 14.4 9.2 10.1 40.1 39.4 45.5 42.3
West 14.3 15.0 9.7 10.3 38.0 41.7 44.3 44.8
COUNTY TYPE                
Large Metro 12.9 13.3 9.2 9.3 41.6 40.7 47.0 45.8
Small Metro 14.0a 16.5 10.0 11.2 41.5 40.3 48.0 45.7
Nonmetro 13.4 14.6 9.0 10.5 41.3 46.5 48.2 53.6
POVERTY LEVEL                
Less Than 100% 11.8 12.6 8.7 8.6 37.1 41.8 41.6 49.1
100-199% 14.2 14.7 9.7 10.5 40.2 37.6 46.4 40.7
200% or More 13.5a 15.0 9.5 10.4 43.5 42.6 49.9 48.5
HEALTH INSURANCE3                
Private 13.5a 14.8 9.4 10.4 43.4 41.2 50.0 46.9
Medicaid/CHIP 13.3 13.6 9.5 9.2 41.0 43.9 47.2 50.3
Other4 11.5a 17.6 7.8a 13.4 * 47.0 * *
No Coverage 11.8 14.4 8.9 10.6 * 20.3 * *
OVERALL HEALTH5                
Excellent 8.5a 10.0 5.7 6.7 34.4 34.3 36.6 40.9
Very Good 14.0 15.3 9.7 10.7 41.2 41.2 49.0 46.1
Good 17.0 17.5 12.3 12.4 44.3 46.3 49.7 50.2
Fair/Poor 26.8 25.1 20.9 18.5 52.8 47.5 58.0 57.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown past year treatment for depression data were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
5 Respondents with unknown health data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190418
Table 9.7A – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Substance Use Disorder Status/Demographic Characteristic 2017 2018
SUBSTANCE USE DISORDER 345 358
Age Group    
12-13 * *
14-15 112 89
16-17 217 243
Gender    
Male 101 114
Female 244 244
NO SUBSTANCE USE DISORDER 2,869a 3,124
Age Group    
12-13 501a 606
14-15 1,087 1,161
16-17 1,281 1,357
Gender    
Male 744 832
Female 2,125 2,292
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190418
Table 9.7B – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Demographic Characteristics: Percentages, 2017 and 2018
Substance Use Disorder Status/Demographic Characteristic 2017 2018
SUBSTANCE USE DISORDER 35.9 40.6
Age Group    
12-13 * *
14-15 46.2 36.9
16-17 34.2 42.0
Gender    
Male 22.6 26.4
Female 47.6 54.4
NO SUBSTANCE USE DISORDER 12.3a 13.4
Age Group    
12-13 6.8 8.1
14-15 13.6 14.7
16-17 16.4 17.3
Gender    
Male 6.2 7.0
Female 18.7 20.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190418
Table 9.8A – Substance Use Disorder Status in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode Status and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Major Depressive Episode Status/
Demographic Characteristic		 SUBSTANCE USE DISORDER STATUS
No Substance Use
Disorder		 Substance Use Disorder
Illicit Drugs Marijuana Opioids Alcohol Both Illicit Drugs
and Alcohol		 Illicit Drugs or
Alcohol
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
TOTAL1 23,951 23,980 741 681 557 512 103 108 443 401 192 166 992 916
MDE 2,869a 3,124 260 279 181 202 59 57 164 159 79 80 345 358
Age Group                            
12-13 501a 606 13 26 0 3 6 10 2 0 * * 15 26
14-15 1,087 1,161 68 57 53 39 20 18 62 53 17 21 112 89
16-17 1,281 1,357 179 196 128 160 32 29 101 106 62 59 217 243
Gender                            
Male 744 832 80 87 60 73 18 12 47 50 26 23 101 114
Female 2,125 2,292 180 193 122 129 40 45 118 108 53 57 244 244
NO MDE 20,404 20,136 459 374 364 292 37 45 262 231 106 82 615 523
Age Group                            
12-13 6,919 6,901 53 31 25 16 6 4 14 5 1 1 66 35
14-15 6,934 6,748 97 104 72 80 11 15 55 73 22 26 131 152
16-17 6,551 6,486 308 238 267a 196 21 27 193 153 83 55 418 336
Gender                            
Male 11,183 11,082 272 248 215 198 15 26 129 114 55 44 346 318
Female 9,221 9,054 186a 126 149a 94 22 19 134 117 52 38 268 205
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total row includes respondents with unknown past year MDE information.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190418
Table 9.8B – Substance Use Disorder Status in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode Status and Demographic Characteristics: Percentages, 2017 and 2018
Major Depressive Episode Status/
Demographic Characteristic		 SUBSTANCE USE DISORDER STATUS
No Substance Use
Disorder		 Substance Use Disorder
Illicit Drugs Marijuana Opioids Alcohol Both Illicit Drugs
and Alcohol		 Illicit Drugs or
Alcohol
2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018 2017 2018
TOTAL1 96.0 96.3 3.0 2.7 2.2 2.1 0.4 0.4 1.8 1.6 0.8 0.7 4.0 3.7
MDE 89.3 89.7 8.1 8.0 5.6 5.8 1.8 1.6 5.1 4.6 2.5 2.3 10.7 10.3
Age Group                            
12-13 97.1 95.9 2.5 4.1 0.1 0.5 1.3 1.6 0.4 0.0 * * 2.9 4.1
14-15 90.6 92.9 5.7 4.6 4.4 3.2 1.6 1.4 5.2 4.2 1.4 1.7 9.4 7.1
16-17 85.5 84.8 11.9 12.3 8.5 10.0 2.2 1.8 6.7 6.6 4.1 3.7 14.5 15.2
Gender                            
Male 88.0 88.0 9.5 9.2 7.1 7.7 2.1 1.3 5.5 5.3 3.1 2.5 12.0 12.0
Female 89.7 90.4 7.6 7.6 5.1 5.1 1.7 1.8 5.0 4.3 2.3 2.2 10.3 9.6
NO MDE 97.1 97.5 2.2 1.8 1.7 1.4 0.2 0.2 1.2 1.1 0.5 0.4 2.9 2.5
Age Group                            
12-13 99.1 99.5 0.8 0.4 0.4 0.2 0.1 0.1 0.2 0.1 0.0 0.0 0.9 0.5
14-15 98.1 97.8 1.4 1.5 1.0 1.2 0.2 0.2 0.8 1.1 0.3 0.4 1.9 2.2
16-17 94.0 95.1 4.4 3.5 3.8a 2.9 0.3 0.4 2.8 2.2 1.2 0.8 6.0 4.9
Gender                            
Male 97.0 97.2 2.4 2.2 1.9 1.7 0.1 0.2 1.1 1.0 0.5 0.4 3.0 2.8
Female 97.2 97.8 2.0a 1.4 1.6a 1.0 0.2 0.2 1.4 1.3 0.5 0.4 2.8 2.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total row includes respondents with unknown past year MDE information.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190606
Table 9.9A – Types of Professionals Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year: Numbers in Thousands, 2017 and 2018
Type of Professional1 MDE
(2017)		 MDE
(2018)		 MDE with Severe
Impairment2
(2017)		 MDE with Severe
Impairment2
(2018)
TOTAL 1,251 1,360 1,018 1,082
HEALTH PROFESSIONAL 1,196 1,282 983 1,031
General Practitioner or Family Doctor 355 290 290 248
Other Medical Doctor3 68 53 67 44
Psychologist 463 512 416 442
Psychiatrist or Psychotherapist 373 325 340 277
Social Worker 209 233 185 209
Counselor 753 832 634 668
Other Mental Health Professional4 123 136 121 116
Nurse, Occupational Therapist, or Other Health Professional 145 149 128 130
ALTERNATIVE SERVICE PROFESSIONAL 144 118 122 88
Religious or Spiritual Advisor 121 100 104 76
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 26 25 20 18
OTHER PROFESSIONAL5 8 11 8 11
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row.
2 Respondents with unknown impairment data were excluded.
3 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
4 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
5 Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190606
Table 9.9B – Types of Professionals Seen among Persons Aged 12 to 17 with Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year: Percentages, 2017 and 2018
Type of Professional1 MDE
(2017)		 MDE
(2018)		 MDE with Severe
Impairment2
(2017)		 MDE with Severe
Impairment2
(2018)
TOTAL 100.0 100.0 100.0 100.0
HEALTH PROFESSIONAL 96.8 96.9 97.2 97.0
General Practitioner or Family Doctor 28.7a 21.9 28.7 23.3
Other Medical Doctor3 5.5 4.0 6.6 4.1
Psychologist 37.5 38.7 41.1 41.6
Psychiatrist or Psychotherapist 30.2a 24.5 33.7a 26.0
Social Worker 17.0 17.6 18.3 19.6
Counselor 61.0 62.9 62.7 62.8
Other Mental Health Professional4 10.0 10.3 12.0 10.9
Nurse, Occupational Therapist, or Other Health Professional 11.8 11.3 12.6 12.2
ALTERNATIVE SERVICE PROFESSIONAL 11.7 9.0 12.1 8.2
Religious or Spiritual Advisor 9.8 7.5 10.3 7.1
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 2.1 1.9 2.0 1.7
OTHER PROFESSIONAL5 0.6 0.8 0.8 1.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row.
2 Respondents with unknown impairment data were excluded.
3 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
4 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
5 Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190528
Table 9.10A – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic/Socioeconomic Characteristic Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2017)		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2017)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2018)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2017)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2018)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2017)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2018)
TOTAL 1,286 1,371 625a 749 76 77 570 533
GENDER                
Male 257a 331 121a 185 27 26 103 114
Female 1,028 1,040 505 564 49 52 468 419
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 1,044 1,053 491 514 54 60 486 473
White 825 833 356 381 39 45 418 400
Black or African American 108 110 69 71 7 10 31 30
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 61 46 31 18 4 * 26 24
Hispanic or Latino 242 318 134a 235 22 18 84 60
POVERTY LEVEL                
Less Than 100% 215 271 109a 169 17 24 82 75
100-199% 283 263 132 125 14 19 135 120
200% or More 789 836 384 456 46 34 354 338
HEALTH INSURANCE1                
Private 805 799 388 415 50 34 364 346
Medicaid/CHIP 476 528 232 301 23 46 210 178
Other2 * 87 * * * * * 34
No Coverage * 31 * 13 * 2 * 12
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190528
Table 9.10B – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Demographic/Socioeconomic Characteristic Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2017)		 Saw or Talked
to a Health
Professional
OR Used
Prescription
Medication
(2018)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2017)		 Saw or Talked
to a Health
Professional
BUT Did Not
Use
Prescription
Medication
(2018)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2017)		 Used
Prescription
Medication
BUT Did Not
See or Talk
to a Health
Professional
(2018)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2017)		 Saw or Talked
to a Health
Professional
AND Used
Prescription
Medication
(2018)
TOTAL 40.3 40.0 19.6 21.8 2.4 2.2 17.9 15.4
GENDER                
Male 30.6 35.9 14.3a 20.1 3.2 2.8 12.2 12.3
Female 43.8 41.5 21.4 22.5 2.1 2.0 19.9 16.6
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 43.4 41.1 20.4 20.1 2.3 2.3 20.2 18.3
White 46.5 44.6 20.0 20.4 2.2 2.4 23.6 21.2
Black or African American 34.5 33.2 22.3 21.2 2.1 2.9 9.8 9.0
AIAN * * * * * * * *
NHOPI * * * * * * * *
Asian * * * * * * * *
Two or More Races 44.3 33.9 22.4 13.6 2.8 * 18.7 18.0
Hispanic or Latino 30.7 36.5 17.1a 27.1 2.8 2.0 10.7 6.9
POVERTY LEVEL                
Less Than 100% 35.4 41.3 18.0a 25.8 2.8 3.7 13.5 11.4
100-199% 38.6 36.5 18.0 17.3 1.9 2.6 18.4 16.4
200% or More 42.5 40.7 20.7 22.2 2.5 1.6 19.1 16.4
HEALTH INSURANCE1                
Private 42.3 39.5 20.4 20.5 2.6 1.7 19.1 17.0
Medicaid/CHIP 39.9 43.0 19.4 24.5 2.0 3.7 17.7 14.4
Other2 * 44.6 * * * * * 17.5
No Coverage * 20.3 * 8.9 * 1.2 * 8.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190418
Table 9.11A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode Status and Age Group: Numbers in Thousands, 2017 and 2018
Substance Use Disorder (SUD) Status/
Major Depressive Episode (MDE) Status/Age Group		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2017)		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2017)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2017)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2017)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2018)
SUD and MDE 216 234 * 3 195 211 20 19
12-13 * * * * * * * *
14-15 * * * * * * * *
16-17 133 163 * 3 120 144 13 16
SUD and No MDE 227 173 8 12 198 145 20 15
12-13 * * * * * * * *
14-15 * * * * * 39 * *
16-17 144 106 6 4 127 94 11 7
MDE and No SUD 1,551 1,550 * * 1,544 1,547 7 3
12-13 298 301 * * 295 301 4 *
14-15 579 609 * * 576 608 3 1
16-17 674 640 * * 674 638 * 2
No SUD and No MDE 3,701a 4,072 14 11 3,670a 4,050 15 12
12-13 1,391 1,530 1 * 1,389 1,530 * *
14-15 1,269 1,397 9 3 1,259 1,389 2 5
16-17 1,041 1,145 5 8 1,023 1,131 14 6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190418
Table 9.11B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode Status and Age Group: Percentages, 2017 and 2018
Substance Use Disorder (SUD) Status/
Major Depressive Episode (MDE) Status/Age Group		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2017)		 Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2017)		 Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2017)		 Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2017)		 Received
SU Tx at
a Specialty
Facility AND
MH Services
(2018)
SUD and MDE 62.7 65.7 * 0.8 56.8 59.5 5.9 5.4
12-13 * * * * * * * *
14-15 * * * * * * * *
16-17 61.0 67.7 * 1.2 55.2 59.7 5.8 6.7
SUD and No MDE 37.4 33.8 1.2 2.4 32.7 28.4 3.3 2.8
12-13 * * * * * * * *
14-15 * * * * * 26.3 * *
16-17 35.0 31.9 1.4 1.3 31.0 28.5 2.6 2.0
MDE and No SUD 54.6a 49.8 * * 54.4a 49.7 0.2 0.1
12-13 60.8a 50.7 * * 60.1a 50.7 0.7 *
14-15 53.6 52.5 * * 53.3 52.4 0.3 0.1
16-17 53.2a 47.2 * * 53.2a 47.0 * 0.2
No SUD and No MDE 18.5a 20.6 0.1 0.1 18.3a 20.5 0.1 0.1
12-13 20.7a 23.0 0.0 * 20.7a 23.0 * *
14-15 18.5a 21.0 0.1 0.0 18.4a 20.9 0.0 0.1
16-17 16.1 17.8 0.1 0.1 15.8 17.6 0.2 0.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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