Effectiveness: Mental Health and Substance Abuse

2010 National Healthcare Quality and Disparities Reports

Effectiveness of Care: Mental Health and Substance Abuse

Treatment of Depression
Adults with a major depressive episode (MDE) in the last 12 months who received treatment for depression in the last 12 months
Children ages 12-17 with an MDE in the last 12 months who received treatment for depression in the last 12 months
Adults treated for an MDE who experienced improvement
Suicide deaths per 100,000 population

Treatment of Substance Abuse
People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months
People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months
People age 12 and over who needed treatment for an alcohol problem and received such treatment at a specialty facility in the last 12 months
People age 12 and over treated for substance abuse who completed treatment course

Treatment of Depression

Measure Title

Adults with a major depressive episode (MDE) in the last 12 months who received treatment for depression in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Tables

7_1_1.1 Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months, United States, 2008

7_1_1.2a-d Adults with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months, United States, 2008, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Denominator

Persons age 18 or older with a major depressive episode in the past year.

National Numerator

Subset of the denominator who received treatment or counseling in the past year.

Comments

An MDE is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of the symptoms for depression described in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders. Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year. Respondents with unknown data for past year MDE measures or unknown treatment data were excluded.

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Treatment of Depression

Measure Title

Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Tables

7_1_2.1 Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months, United States, 2008

7_1_2.2a-c Children ages 12-17 with a major depressive episode in the last 12 months who received treatment for depression in the last 12 months, United States, 2008, by:

• Race.
• Ethnicity.
• Family Income.

National Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Denominator

Children ages 12 to 17 with major depressive episode in the past year.

National Numerator

Subset of the denominator who received treatment.

Comments

An MDE is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of the symptoms for depression described in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders.

Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year.

Respondents with unknown data for past year MDE measures or unknown treatment data were excluded.

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Treatment of Depression

Measure Title

People treated for a major depressive episode (MDE) who experienced improvement.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Table

7_1_3.1 Perception of help received from treatment or counseling among people age 12 and over with a major depressive episode who saw or talked to a medical doctor or other professional about depression in the last 12 months, United States, 2008.

National Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Denominator

Persons age 12 or older with major depressive episode who received treatment or counseling for depression in the past year.

National Numerator

Subset of the denominator who perceived "no help," "some or little help," and "a lot or great deal of help" (estimated as a percent distribution).

Comments

An MDE is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of the symptoms for depression as described in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders.

Treatment is defined as seeing or talking to a medical doctor or other professional or using prescription medication for depression in the past year.

Respondents with unknown data for past year MDE measures or unknown treatment data were excluded.

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Treatment of Depression

Measure Title

Suicide deaths per 100,000 population.

Measure Source

Healthy People 2010.

National Tables

7_1_7.1 Suicide deaths per 100,000 population, United States, 2004-2007

7_1_7.2 Suicide deaths per 100,000 population, United States, 1999-2003

7_1_7.3a-c Suicide deaths per 100,000 population, United States, 2007, by:

• Race.
• Ethnicity.
• Education.

National Data Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), National Vital Statistics System - Mortality (NVSS-M).

National Denominator

U.S. resident population.

National Numerator

Subset of the denominator who died from suicide (ICD-10-CM codes X60-X84, Y87.0).

State Table

7_1_7.4 Suicide deaths per 100,000 population, by State, 1999-2007

State Data Source

CDC, NCHS, NVSS-M.

State Denominator

Same as National.

State Numerator

Same as National.

Comments

Suicides may be undercounted because of difficulty in the determination of suicidal intent by coroner or medical examiner.

Rates are age adjusted to the 2000 standard population.

This measure is referred to as measure 18-1 in Healthy People 2010 documentation.

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Treatment of Substance Abuse

Measure Title

People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Tables

7_2_1.1 People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months, United States, 2002-2008

7_2_1.2a-d People age 12 and over who needed treatment for illicit drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 months, 2008, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Denominator

Civilian noninstitutionalized population age 12 and over who needed treatment for any illicit drug use or alcohol problem.

National Numerator

Subset of the denominator who received treatment for illicit drug use or alcohol problem at a specialty facility in the last 12 months.

Comments

Treatment at a specialty facility refers to inpatient hospital, inpatient or outpatient rehabilitation facility, or mental health center treating drug use or medical problems associated with drug use.

Respondents were classified as needing treatment for an illicit drug problem if they met any of three criteria during the past year: (1) dependence on any illicit drug, (2) abuse of any illicit drug, or (3) treatment for an illicit drug problem at a specialty facility. Illicit drugs include marijuana/hashish, cocaine (including crack), inhalants, hallucinogens, heroin, or nonmedical use of prescription psychotherapeutic drugs.

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Treatment of Substance Abuse

Measure Title

People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Tables

7_2_2.1 People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months, United States, 2002-2008

7_2_2.2a-d People age 12 and over who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months, United States, 2008, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Denominator

Civilian noninstitutionalized population age 12 and over who needed treatment for any illicit drug use.

National Numerator

Subset of the denominator who received treatment for illicit drug use at a specialty facility in the past year.

Comments

Treatment at a specialty facility refers to inpatient hospital, inpatient or outpatient rehabilitation facility, or mental health center treating drug use or medical problems associated with drug use.

Respondents were classified as needing treatment for an illicit drug problem if they met any of three criteria during the past year: (1) dependence on any illicit drug, (2) abuse of any illicit drug, or (3) treatment for an illicit drug problem at a specialty facility. Illicit drugs include marijuana/hashish, cocaine (including crack), inhalants, hallucinogens, heroin, or nonmedical use of prescription psychotherapeutic drugs.

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Treatment of Substance Abuse

Measure Title

People age 12 and over who needed treatment for alcohol problem who received such treatment at a specialty facility in the last 12 months.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Tables

7_2_3.1 People age 12 and over who needed treatment for an alcohol problem and who received such treatment at a specialty facility in the last 12 months, United States, 2002 -2008

7_2_3.2a-d People age 12 and over who needed treatment for an alcohol problem and who received such treatment at a specialty facility in the last 12 months, United States, 2008, by:

• Race.
• Ethnicity.
• Family Income.
• Education.

National Data Source

SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health (NSDUH).

National Denominator

Civilian noninstitutionalized population age 12 and over who needed treatment for an alcohol problem.

National Numerator

Subset of the denominator who received treatment for an alcohol problem at a specialty facility in the last 12 months.

Comments

Treatment at a specialty facility refers to inpatient hospital, inpatient or outpatient rehabilitation facility, or mental health center treating drug use or medical problems associated with drug use.

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Treatment of Substance Abuse

Measure Title

People age 12 and over treated for substance abuse that completed treatment course.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Table

7_2_4.1 People age 12 and over treated for substance abuse that completed treatment course, United States, 2005-2007

National Data Source

SAMHSA, Office of Applied Studies, Substance Abuse Treatment Episode Data Set (TEDS).

National Denominator

Discharges for substance abuse treatment.

National Numerator

Subset of the denominator who completed treatment.

Comments

Only discharges from publicly funded substance abuse facilities are included in these estimates.

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