2012 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
Children ages 12-17 with a major depressive episode (MDE) in the last 12 months who received treatment
Adults treated for a major depressive episode received no help from the treatment
Suicide deaths per 100,000 population age 12 and over

Treatment of Substance Abuse
Adolescents and adults 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
Adolescents and adults who needed treatment for illicit drug use and who received such treatment at a specialty facility in the last 12 months
Adolescents and adults who needed treatment for an alcohol problem who received such treatment at a specialty facility in the last 12 months
Adolescents and adults 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.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Tables

2_7_1_1.1 Adults with a major depressive episode in the last 12 months who received treatment, United States, 2008-2010

2_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, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

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

National Denominator

People age 18 and over with an MDE 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 as described in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

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 (MDE) in the last 12 months who received treatment

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Tables

2_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 2008-2010

2_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, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

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

National Denominator

Children ages 12-17 with an MDE in the past year.

National Numerator

Subset of the denominator who received treatment 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 as described in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

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

Adults treated for a major depressive episode who received no help from the treatment.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Table

2_7_1_3.1_1 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 who received no help from the treatment or counseling, United States, 2008-2010

National Data Source

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

National Denominator

People age 12 and over with an MDE who received treatment or counseling for depression in the past year.

National Numerator

Subset of the denominator who perceived "no help."

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 fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

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 age 12 and over.

Measure Source

Healthy People 2020.

National Tables

2_7_1_4.1 Suicide deaths per 100,000 population, age 12 and over, United States, 2004-2009

2_7_1_4.2 Suicide deaths per 100,000 population, age 12 and over, United States, 2000-2003

2_7_1_4.3a-b Suicide deaths per 100,000 population, age 12 and over, United States, 2009, by:

  1. Race.
  2. Ethnicity.

National Data Source

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

National Denominator

U.S. resident population age 12 and over.

National Numerator

Subset of the denominator who died from suicide.

State Tables

2_7_1_4.4 Suicide deaths per 100,000 population, by State, United States, 2006-2009

2_7_1_4.5 Suicide deaths per 100,000 population, by State, United States, 2000-2005

State Data Source

CDC, NCHS, NVSS—Mortality.

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 the coroner or medical examiner.

Estimates are age adjusted to the 2000 U.S. standard population. Age data are unadjusted. Respondents for which age is not reported are not included in the age adjustment calculations and are excluded from numerators.

This measure is referred to as measure MHMD-1 in Healthy People 2020 documentation.

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Treatment of Substance Abuse

Measure Title

Adolescents and adults 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

2_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, 2010

2_7_2_1.2 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, 2002-2009

National Data Source

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

National Denominator

U.S. 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

Respondents were classified as needing treatment for an illicit drug or alcohol problem if they met at least one of three criteria during the past year: (1) were dependent on illicit drugs or alcohol; (2) abused illicit drugs or alcohol; or (3) received treatment for an illicit drug or alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers).

Illicit drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically (based on data from original questions), not including methamphetamine items added in 2005 and 2006.

Receipt of illicit drug or alcohol treatment at a specialty facility refers to treatment received at a hospital (inpatient), a rehabilitation facility (inpatient or outpatient), or mental health center in order to reduce or stop illicit drug or alcohol use, or for medical problems associated with illicit drug or alcohol use.

Estimates include people who received treatment specifically for illicit drugs or alcohol, as well as people who received treatment but did not specify for what substances.

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Treatment of Substance Abuse

Measure Title

Adolescents and adults 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

2_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, 2010

2_7_2_2.2 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, 2002-2009

2_7_2_2.3a-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, 2009, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

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

National Denominator

U.S. 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

Receipt of any illicit drug treatment at a specialty facility refers to treatment received at a hospital (inpatient), a rehabilitation facility (inpatient or outpatient), or mental health center in order to reduce or stop drug use, or for medical problems associated with drug use.

Respondents were classified as needing treatment for an illicit drug problem if they met at least one of three criteria during the past year: (1) were dependent on any illicit drug; (2) abused any illicit drug; or (3) received treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers).

Illicit drugs include marijuana/hashish, cocaine (including crack), inhalants, hallucinogens, heroin, or prescription-type psychotherapeutic medications (nonmedical use), (based on data from original questions), not including methamphetamine items added in 2005 and 2006.

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Treatment of Substance Abuse

Measure Title

Adolescents and adults who needed treatment for an 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

2_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, 2010

2_7_2_3.2 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, 2002-2009

2_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, 2010, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

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

National Denominator

U.S. 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

Receipt of alcohol treatment at a specialty facility refers to treatment received at a hospital (inpatient), a rehabilitation facility (inpatient or outpatient), or mental health center in order to reduce or stop alcohol use, or for medical problems associated with alcohol use.

Respondents were classified as needing treatment for an alcohol problem if they met at least one of three criteria during the past year: (1) were dependent on alcohol; (2) abused alcohol; or (3) received treatment for alcohol use at a specialty facility.

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Treatment of Substance Abuse

Measure Title

Adolescents and adults treated for substance abuse who completed treatment course.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

National Table

2_7_2_4.1 People age 12 and over treated for substance abuse who completed treatment course, United States, 2005-2009

National Data Source

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

National Denominator

People age 12 and over with a substance abuse treatment discharge.

National Numerator

Subset of the denominator who completed treatment.

State Table

2_7_2_4.2 People age 12 and over treated for substance abuse who completed treatment course, by State, United States, 2008-2009

State Data Source

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

State Denominator

Same as national.

State Numerator

Same as national.

Comments

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

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Page last reviewed June 2013
Internet Citation: 2012 National Healthcare Quality and Disparities Reports: Effectiveness of Care: Mental Health and Substance Abuse. June 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr12/measurespec/mental_health.html