With Depression Without Depression 8.0% 1.8% Alcohol Disorder Drug Disorder Alcohol or Drug Disorder

Size: px
Start display at page:

Download "With Depression Without Depression 8.0% 1.8% Alcohol Disorder Drug Disorder Alcohol or Drug Disorder"

Transcription

1 Minnesota Adults with Co-Occurring Substance Use and Mental Health Disorders By Eunkyung Park, Ph.D. Performance Measurement and Quality Improvement May 2006 In Brief Approximately 16% of Minnesota adults were found with either a substance use disorder or a mental health disorder: 7.7% with substance use disorder only, 7.0% with mental health disorder only, and 1.4% with both of the disorders. Minnesota adults with co-morbidity are more likely to be unemployed and tend to have lower levels of education than those with either single disorder. Multiple drug users and those with drug disorder compared to those with alcohol disorder have higher odds of having co-morbidity. Minnesota adults with more severe alcohol disorder and mental health disorder are more likely to have co-morbidity: The higher the number of symptoms, the higher the odds of having co-morbidity. The majority of Minnesota adults with co-morbidity don t receive the treatment they need: Only 11% received both mental and chemical health treatments and 62% received neither. The 2004/2005 Minnesota Survey on Adult Substance Use and Treatment Need (MNSASU) 1 found approximately 8.0% of the adult population met the criteria for alcohol abuse or dependence and 2.2% met the criteria for drug abuse or dependence. Overall, 9.1% of Minnesota adults reported symptoms for substance use disorder. 1 Detailed information about this statewide survey project can be found on DHS web site: 1

2 On the other hand, approximately 7.7% of Minnesota adults reported significant depressive symptoms and 2.3% reported symptoms of a serious psychological distress (SPD) 2,3. Overall, 8.4% of Minnesota adult population reported either depressive symptoms or SPD. Persons with a substance use disorder often have other mental health problems. Seven to 10 million adult Americans have at least one mental disorder as well as an alcohol or drug use disorder in any one year (U.S. DHHS, 1999; SAMHSA National Advisory Council, 1998). MNSASU found that Minnesota adults with depressive symptoms or SPD are significantly more likely to have an alcohol disorder or a drug disorder than are those who do not have those mental health symptoms (Figures 1 & 2). For example, those with significant depressive symptoms are almost twice as likely to have a substance use disorder compared to their counterparts who do not experience depressive symptoms. Similarly, Minnesota adults with SPD are more than three times as likely to have a substance use disorder compared to those without symptoms of SPD. 20.0% 11.6% With Depression Without Depression 15.6% 7.8% 8.0% 8.6% 1.8% 0.0% Alcohol Disorder Drug Disorder Alcohol or Drug Disorder Figure 1. Prevalence of Substance Disorders by Depression. 2 SPD was measured by K6 scale, which is designed to screen for nonspecific psychological distress. SAMHSA (Substance Abuse and Mental Health Services Administration) referred to the K6 scale as a measure of serious mental illness (SMI) in reports preceded its 2004 National Survey on Drug Use and Health (NSDUH). However, in the 2004 NSDUH, SAMHSA found that the K6 scale is more appropriate for measuring psychological distress than SMI, and decided to refer it as SPD. 3 The K6 scale in MNSASU asks about psychological symptoms during past month whereas NSDUH asks about the 1 month in the past 12 months when respondents were at their worst emotionally. In addition, the K6 items in NSDUH were preceded by a broad array of mental health questions. The differences in time reference and the context of items might have caused the lower SPD estimate in MNSASU than the estimate in NSDUH. 2

3 40.0% 20.0% With SPD Without SPD 20.0% 21.0% 31.3% 0.0% 7.8% 1.8% 8.6% Alcohol Disorder Drug Disorder Alcohol or Drug Disorder Figure 2. Prevalence of Substance Disorders by SPD. Individuals with co-occurring disorders are challenging to the mental health and drug treatment systems because such co-morbidity often times negatively affects treatment outcomes. In comparison to single-disorder clients, those with co-occurring disorders have higher rates of recidivism, criminal involvement, suicide, unemployment, homelessness, and lower rates of treatment and medication adherence, and often require higher cost services such as inpatient and emergency room care (SAMSHA, 2002; Burns et al., 2005). This report describes the prevalence of co-occurring disorders among adults in Minnesota, and compares the characteristics of those with and without co-occurring substance use and mental health disorders. Data The data came from a statewide survey of Minnesota adults on their substance use, a project funded by Minnesota Department of Human Services. A total of 16,891 telephone interviews were completed by University of Minnesota Survey Center between October 2004 and July 2005 in English (16,340 interviews) and Spanish (551 interviews). A stratified random sample design was employed to get more accurate estimates for minority populations as well as 7 prevention planning regions. The overall response rate was 55%. More detailed information on the survey can be found in its final report at Measures The survey instrument was based on the 2002 State Treatment Needs Assessment Program (STNAP) survey core protocol questionnaire designed by the Center for 3

4 Substance Abuse Treatment (CSAT). The core survey was designed to yield rates of substance use, abuse, dependence, and treatment need. Substance abuse or dependence was defined consistent with criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4 th edition (DSM-IV) (American Psychiatric Association, 1994). A diagnosis of dependence requires meeting three or more of the seven criteria that include symptoms such as tolerance, withdrawal, failed attempts to control substance use and impaired role performance. A diagnosis of substance abuse requires meeting at least one of the four criteria in the absence of a dependence diagnosis: continued use despite recurrent familial, social, and occupational disorders; recurrent use in physically hazardous situations; recurrent substance related legal problems; recurrent substance use resulting in a failure to fulfill major role obligations. Substance abuse and dependence were defined separately for alcohol and illicit drugs. Persons who meet the criteria for either an alcohol or a drug related disorder are defined as meeting the criteria for substance use disorder. Mental health disorder was measured by depression and serious psychological distress (SPD) screeners. For depression, a two-item Patient Health Questionnaire (PHQ-2) depression screener was used, asking about depressed mood and anhedonia during the past two weeks. SPD was measured by a 6-item K6 scale, asking about how often in the past month respondents felt nervous, hopeless, restless, depressed, worthless, or that everything was an effort. Following the guidelines, a score of 3 or above on the 0-6 possible scores of PHQ-2 scale was defined as depression and a score of 13 or above on the 0-24 possible scores of K6 scale was defined as SPD. Demographic variables examined in relation to the co-occurring disorders include age, gender, race/ethnicity, marital status, education, income, employment status, and residence in metro. Race/ethnicity variable was compiled with 5 categories of White only, Latino/Hispanic, Black, Asian/Pacific Islander, and American Indian based on the respondents answers to their racial/ethnicity background. If they answered yes to white and to one of the other racial ethnicity, they were coded as the nonwhite category. Those who picked multiple nonwhite categories (.2%) were excluded from the current analyses. Residence in metro is a dummy variable based on the respondent s residential county: Metro counties for current analyses included not only the 7 metro counties (Hennepin, Ramsey, Anoka Carver, Scott, Washington, Dakota), but also Olmsted, Stearns, and St. Louis counties which are categorized as metropolitan statistical areas by U.S. Census Bureau. Results Approximately 16% of Minnesota adults showed either substance use disorder or mental health disorders. Compared to Minnesota adults without any disorder, those with either a mental health disorder or a substance use disorder were more likely to be male, young adult, single, less educated, unemployed, and from a low income household (Table 1). 4

5 They also showed higher proportions of racial/ethnic minorities, with an exception of Asians/Pacific Islanders. Table 1. Demographic characteristics of Minnesota adults with a substance use disorder or a mental health disorder vs. those without a disorder. Gender*** Age*** With disorder (N=2,657) Without disorder (N=14,164) male Race/Ethnicity*** White only Latino/Hispanic Black API American Indian Immigration Status Immigrant Marital Status*** never been married married/cohabitating widowed/divorced/separated Education*** less than high school high school graduate some college or above Income*** <30, ,001-60, >60, Employment Status*** Full/Part time Currently unemployed Other/not in labor force Residency Living in metro Note. N is the unweighted sample size. * p<.05 ** p<.01 *** p<.001 5

6 The 16% of Minnesota adults with a substance use disorder or a mental health disorder are comprised of 7.7% with a substance use disorder only, 7.0% with a mental health disorder only, and 1.4% with co-occurring disorders (Figure 3). Without Disorder 83.9% With Disorder 16.1% 7.7% 7.0% Substance Use Mental Health 1.4% Co-morbidity Figure 3. Prevalence of substance use disorder, mental health disorder, and co-morbidity among Minnesota adults. To compare Minnesota adults with co-occurring disorders to those with a single disorder, further analyses were conducted using a subset of respondents with either of the two types of disorders. Minnesota adults with co-occurring disorders both with substance use disorder and mental health disorder (co-morbidity group) will be compared first to those with substance use disorder only, then to those with mental health disorder only. Co-morbidity group vs. substance use disorder only group Compared to those with a substance use disorder only, Minnesota adults with both substance use disorder and mental health disorder were more likely to be unemployed, have lower levels of education, and come from a lower income household (Table 2). 6

7 Table 2. Demographic characteristics of Minnesota adults with only a substance use disorder vs. those with both substance use and mental health disorders. Gender Age Substance Use (N=1054) Co-occurring disorders (N=219) male Race/Ethnicity* White only Latino/Hispanic Black API American Indian Immigration Status Immigrant Marital Status* never been married married/cohabitating widowed/divorced/separated Education*** less than high school high school graduate some college or above Income*** <30, ,001-60, >60, Employment Status*** Full/Part time Currently unemployed Other/not in labor force Residency Living in metro Note. N is the unweighted sample size. * p<.05 ** p<.01 *** p<.001 Table 3 shows drug and alcohol use patterns across the two sub-groups. Compared to those who have a substance use disorder only, significantly more people with cooccurring disorders reported both lifetime and past year drug use. In addition, Minnesota 7

8 adults with co-occurring disorders were more likely to have used more than one illicit drug past year and used it once a week or more often than their counterparts. However, there was no significant difference found in binge drinking between the two groups. Table 3. Substance Use by Co-morbidity Status Substance Use (%) Co-Occurring Disorders (%) Life Time Drug Use Marijuana** Crack/Cocaine*** Heroin*** Methamphetamine*** Hallucinogen*** Stimulants*** Pain Relievers/Opiates*** Tranquilizers*** Sedatives*** Past Year Drug Use Marijuana*** Prescription Drugs*** Other Drugs*** Heavy drug use a *** Multiple drug use*** Binge Drinking Past Month b ** p<.01 *** p<.001 a Used a drug once a week or more often during past year. b 5 or more drinks for male and 4 or more for female in one occasion. Substance use disorder was measured separately for alcohol and illicit drugs. The above analyses raised a possibility that people in the two groups might have different types of substance use disorder. Based on the findings in table 3, it can be hypothesized that there are more people with alcohol problem among the substance use disorder only group and more people with drug problem among the co-morbidity group. To see if this is the case, the type of substance an individual has a problem with (alcohol vs. drugs) was examined across the two groups. Table 4 shows that the co-morbidity group has significantly more people with drug problems and significantly less people with alcohol problem compared to the singledisorder group. Vast majority of Minnesota adults with a substance use disorder only (90.7%) had either alcohol problem. About 73% of those with co-occurring disorders reported alcohol problems: Although still a substantial majority, this percentage is significantly lower than the percentage among their single-disorder counterparts. On the other hand, those with co-occurring disorders were more than twice as likely to have a 8

9 drug problem compared to those with substance use disorder only. In addition, Minnesota adults with co-occurring disorders were more likely to have both alcohol and drug problems than those only with substance use disorder (25.2% vs. 10.2%) Table 4. Type of substance use disorder by co-morbidity status Substance Use (%) Co-Occurring Disorders (%) Alcohol Disorder *** Drug Disorder*** *** p<.001 The severity of the substance use disorder was measured separately for alcohol and drugs by counting positive answers to the DSM-IV criteria questions for each substance. The severity scores ranged from 0 through 10 for each substance. Table 5 compares the mean scores for the two severity scales between the two groups. For both alcohol and drugs, those with co-occurring disorders reported significantly more numbers of symptoms of abuse or dependence compared to those only with substance use disorder. Table 5. Mean number of substance use disorder symptoms by co-morbidity status Substance Use Co-occurring disorders Number of Symptoms for Alcohol Disorder** Number of Symptoms for Drug Disorder*** ** p<.01 *** p<.001 To see if the bivariate analyses findings will hold when we consider all the variables together, a multivariate logistic regression is conducted. Dependent variable is comorbidity status: Those with both mental health and substance use disorders are coded as 1 and others with only substance disorder are coded as 0. All of the demographic variables in the previous analyses were included as well as the substance use disorder severity variables number of symptoms for alcohol disorder and drug disorder. Type of substance use disorder variable was also included with three categories: Alcohol disorder only, drug disorder only, and both alcohol and drug disorders. 9

10 Table 6. Logistic regression analysis comparing co-morbidity group to substance use disorder only group. Factor (reference category) Gender (female) Dependent Variable Co-morbidity a (N=1,200) OR male.88 Age (45+) Race/Ethnicity (White only) Latino/Hispanic 1.21 Black 1.16 API.05* American Indian 1.23 Immigration Status (Immigrant) US born.31 Marital Status (never been married) married/cohabitating 1.22 widowed/divorced/separated 1.36 Education (some college or above) less than high school 2.15 high school graduate 2.61** Income (60,000+) <= 30, ,001-60, Employment Status (employed) Currently unemployed 5.87*** Other/not in labor force 1.44 Residency (metro) Non-metro.95 Multiple Drug Use (No) Yes 2.58* Substance Disorder (Alcohol only) Drug only 8.62*** Both alcohol and drug 1.21 Number of Symptoms for Alcohol Disorder 1.37*** Number of Symptoms for Drug Disorder.96 * p<.05 ** p<.01 *** p<.001 a Those with both mental health disorder and substance use disorder are coded as 1 and others with only substance disorder are coded as 0. 10

11 Among the three substance use pattern variables -- past month binge drinking, heavy drug use, and multiple drug use -- only the multiple drug use was included in the final regression model because the other two variables were considered to be redundant with the two symptom severity variables in the model. In addition, those two variables -- past month binge drinking and heavy drug use -- were found insignificant in the initial regression analysis. Table 6 reports the odds ratio for each variable in the analysis. As shown, education level and employment status were found significant in predicting co-morbidity status even after controlling for other factors: Compared to those with some college level education, people who graduated from a high school were more likely to have both mental health disorder and substance use disorder. Also, compared to those who worked full time or part time, the unemployed were more likely to have co-occurring disorders. In addition, Asians and Pacific Islanders had lower odds of having both of the substance use and mental health disorders compared to whites. Controlling for the demographic variables, both multiple drug use and the type of substance use disorder were found significant predictors for co-morbidity status. Minnesota adults who used more than one illicit drug past year showed higher odds of having both mental health disorder and substance use disorder compared to those who used only one drug past year. Also, those who had problem with illicit drugs were more likely to have co-morbidity than those who had a problem only with alcohol. Alcohol disorder severity was also found as a significant predictor for co-morbidity status: Even after controlling for all the other factors, the more symptoms of alcohol disorder one has, the higher the odds of having both the substance use disorder and mental health disorder. Drug disorder symptom severity variable, on the other hand, was not found significant. Co-morbidity group vs. mental health disorder only group This section compares Minnesota adults who have both mental health and substance use disorders to those who have a mental health disorder only. First, the demographic comparisons between the two groups are reported in Table 7. Minnesota adults who had both mental health and substance use disorders were more likely to be male, to be young adults, and to have never been married, compared to those only with a mental health disorder. Overall, minorities were overrepresented in both groups. There were significantly more American Indians in co-morbidity group than the mental health disorder only group. On the other hand, there were about twice more Hispanics and blacks in the mental health disorder only group than in the co-morbidity group. Also, those with mental health disorder only were more likely to be immigrants and to have some college education compared to those with co-occurring disorders. 11

12 Table 7. Demographic characteristics of Minnesota adults with a mental health disorder only vs. those with both substance use and mental health disorders. Gender*** Mental Health (N=1384) % Co-Occurring Disorders (N=219) % male Age*** Race/Ethnicity** White only Latino/Hispanic Black API American Indian Immigration Status* Immigrant Marital Status*** never been married married/cohabitating widowed/divorced/separated Education* less than high school high school graduate some college or above Income <30, ,001-60, >60, Employment Status*** Full/Part time Currently unemployed Other/not in labor force Residency Living in metro * p<.05 ** p<.01 *** p<

13 In addition to the demographics, the severity of mental health problem was examined across the two groups using the mean scores of the two mental health scales used in the survey. Table 8 compares mean scores across the two groups: Minnesota adults with both mental health disorder and substance use disorder reported significantly higher scores on K6 scale compared to those who only had a mental health disorder. However, no significant difference was found on the depression scale. Table 8. Mean scores of mental health symptom scales by Co-morbidity Status Mental Health Co-occurring disorders Serious Psychological Distress (K6) *** Depression (PHQ-2) *** p<.001 To consider the demographic variables and mental health disorder severity variables at the same time, a multivariate logistic regression was conducted. The dependent variable is co-morbidity status with those who have both mental health disorder and substance use disorder coded as 1 and those who have only mental health disorder coded as 0. All the demographic variables as well as the two variables of mental health scales (K6 and PHQ-2) were included in the regression. Table 9 reports the odds ratios from the multivariate analysis. Gender and age are significantly associated with having co-morbidity: Even after controlling for other factors, compared to females or older adults, males and younger adults are more likely to have co-occurring disorders than just a mental health disorder. Both American Indians and blacks, compared to whites, were more likely to have both of the disorders. Minnesota adults who graduated from high school compared to those who had some college education were more likely to report co-occurring disorders. Compared to those who worked full or part time, the unemployed were more likely to report comorbidity whereas those who were not in labor force, such as a homemaker, retired, disabled, or students, were less likely to have co-morbidity. Controlling for all the demographic variables, the score on the Serious Psychological Distress scale was found as a significant predictor for co-morbidity status with the higher a score on the scale, higher the odds to have co-occurring disorders. 13

14 Table 9. Logistic regression analysis comparing co-morbidity group to mental health disorder only group. Dependent Variable Factor (reference category) Gender (female) Co-morbidity (N=1,511) OR male 3.28*** Age (45+) *** ** Race/Ethnicity (White only) Latino/Hispanic.25 Black.20** API.03*** American Indian 1.70 Immigration Status (Immigrant) US born 1.13 Marital Status (never been married) married/cohabitating.73 widowed/divorced/separated.83 Education (some college or above) less than high school 1.42 high school graduate 2.35** Income (60,000+) <= 30, ,001-60, Employment Status (employed) Currently unemployed 1.99* Other/not in labor force.40** Residency (metro).75 Serious Psychological Distress 1.11*** (K6) score Depression (PHQ-2) score.87 * p<.05 ** p<.01 *** p<

15 Receipt of treatment by co-morbidity status This section examines how many Minnesota adults who have a substance use disorder or a mental health disorder received a relevant treatment and if there is any difference in the treatment receipt by the co-morbidity status. Table 10 shows that significantly more Minnesota adults who had co-occurring disorders received treatment for substance use disorder during past year compared to those with only substance use disorder. Approximately 21% of those with co-occurring disorders received treatment during past year, whereas only about 4% of those only with substance use disorder received such treatment. Table 10. Past year treatment receipt by co-morbidity status. Substance Use Co-Occurring Disorders Mental Health received chemical health treatment past year*** 4.3% 20.9% --- alcohol treatment among those in need*** 2.9% 20.4% --- drug treatment among those in need 13.5% 26.8% --- received mental health treatment past year % 19.8% *** p<.001 Since we found a significant relationship between substance type and co-morbidity status, further analysis was conducted for those in need of treatment for alcohol separately from those in need of treatment for illicit drugs. Among those in need for alcohol treatment, significantly more people with co-occurring disorders have received a treatment than those with substance use disorder only. On the other hand, among those in need for drug treatment, higher percentage of people with co-occurring disorders reported receiving a drug treatment, but the difference was not statistically significant (p=058). Similar comparison was conducted on the receipt of mental health treatment during past year between those with co-occurring disorders and those only with a mental health disorder. Although more of Minnesota adults with co-morbidity reported having received mental health treatment than those only with a mental health disorder, the difference was not statistically significant (p=.056). Overall, those who had both mental health and substance use disorders received a treatment more than those who had a single-disorder. However, as shown in figure 4, the majority of those with co-occurring disorders didn t receive any treatment, and only about 11% of those received both treatments for mental health and substance use disorders. 15

16 received mental health treatment only 16.9% 62.2% received neither treatment 9.7% 11.2% received chemical health treatment only received both treatment Figure 4. Past year treatment receipt among Minnesota adults who have co-morbidity. Conclusion Approximately 16% of Minnesota adults were found with either a substance use disorder or a mental health disorder: 7.7% with substance use disorder only, 7.0% with mental health disorder only, and 1.4% with both of the disorders. Minnesota adults with lower levels of education and who were unemployed have higher odds of having co-occurring disorders relative to having substance use disorder only. In addition, those who used multiple drugs in the past year as well as those who had a drug disorder rather than alcohol disorder are more likely to have co-morbidity. Also, even after controlling for other factors, alcohol disorder severity was found significant in predicting co-morbidity status: the more symptoms of alcohol disorder one has, the higher the odds of having co-morbidity relative to having just a substance use disorder. Same pattern of influence of education and employment status was found in predicting co-morbidity relative to having just a mental health disorder: People with low education and unemployment have higher odds of having co-morbidity. Controlling for the other factors, blacks and Asians/Pacific Islanders had lower odds of having co-morbidity relative to having just a mental health disorder. In addition, males and young adults compared to females and older adults had higher odds of having co-morbidity relative to having just a mental health disorder. Severity of mental health disorder was also found as a significant factor in predicting co-morbidity: the higher SPD score one has, the higher the odds of having co-morbidity relative to having just a mental health disorder. Minnesota adults who are in need for both alcohol treatment and mental health treatment received alcohol treatment significantly more than those who are in need just for the 16

17 alcohol treatment. Alcohol treatment receipt rate was more than 6 times among those who are in need for both alcohol treatment and mental health treatment compared to those who are in need only for alcohol treatment. This might be partially because those with cooccurring substance use disorder and mental health disorder tend to have more severe alcohol problem than those with just substance use disorder. On the other hand, Minnesota adults with co-occurring substance use disorder and mental health disorder did not receive mental health treatment significantly more than those with just a mental health disorder although the former had more severe mental health problem than the latter. Majority of people with co-morbidity, even though they tend to have more severe levels of disorders, don t receive the treatment they need. More than 60% of Minnesota adults with co-morbidity did not receive any treatment; 17% received only mental health treatment, 10% received only chemical health treatment, and only about 11% received both treatments they needed. The co-occurrence of substance use and mental health disorders continues to be a major challenge for public health researchers, health care providers and policy makers. It is now well recognized that the abuse of drugs and alcohol by persons with mental illnesses has a wide range of adverse impacts on the course of mental illness and psychosocial functioning, resulting in poor compliance with treatment, poor prognosis, and higher rates of utilization of acute services leading to more costly care (Muester et al, 1992; Owen et al, 1996; RachBeisel et al, 1999). This raises concerns even more about the lack of treatment among those with co-occurring disorders. Access to treatment starts with timely screening and assessment. More research is needed to learn more about the barriers to treatment among people with co-occurring disorders. However, a routine screening for use of illicit drugs among people with mental conditions and a routine screening for mental symptoms among substance abusers can be a good starting point. Even after being diagnosed, numerous barriers have limited the capacity of treatment systems to meet the needs of those with co-occurring disorders (SAMHSA, 2002). The traditional treatment system typically is not equipped to address the complexity of co-occurring disorders. In addition, the funding mechanisms do not encourage flexible, creative financing across the substance abuse and mental health systems. Lately, however, extensive efforts have been made to develop integrated models of care that bring together mental health and substance abuse treatment with a focus on integration, comprehensiveness and individualized treatment (Osher, 2001). More progressive policies would make the integrated treatment more widely available for those with co-occurring disorders. 17

18 Reference American Psychiatric Association, (1994) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC. Burns L., Teesson M. & O Neill K. (2005). The impact of comorbid anxiety and depression on alcohol treatment outcomes. Addiction, 100 (6), Mueser KT, Bellack AS, Blanchard JJ (1992). Comorbidity of schizophrenia and substance abuse: Implications for treatment. Journal of Consulting and Clinical Psychology. 60, Osher, F.C. (2001). Co-occurring addictive and mental disorders. In Manderscheid, R.W., & Henderson, M.J. (Eds.). Mental health, United Staets, DHHS Publication No. (SMA) Rockville, MD: Center for Mental Health Services. SAMHSA (Substance Abuse and Mental Health Services Administration) (2002). Report to Congress on the prevention and treatment of co-occurring substance abuse disorders and mental disorders. Rockville, MD: SAMHSA. SAMHSA National Advisory Council (1998). Improving services for individuals at risk or, or with, co-occurring substance-related and mental health disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration. Swartz, J. A., & Lurigio, A. J. (2005). Detecting serious mental illness among substance abusers: Use of the K-6 screening scale. Journal of Evidence-Based Social Work, 2, U. S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. U. S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. 18

Substance Use, Treatment Need and Receipt of Treatment in Minnesota:

Substance Use, Treatment Need and Receipt of Treatment in Minnesota: Substance Use, Treatment Need and Receipt of Treatment in Minnesota: Results from Minnesota Student Survey, Minnesota Survey on Adult Substance Use, and Drug and Alcohol Abuse Normative Evaluation System

More information

Behavioral Health Barometer. United States, 2014

Behavioral Health Barometer. United States, 2014 Behavioral Health Barometer United States, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.

More information

CHAPTER 2: Substance Use, Mental Disorders, and Access to Treatment Services in Household Surveys, 2002 2005

CHAPTER 2: Substance Use, Mental Disorders, and Access to Treatment Services in Household Surveys, 2002 2005 CHAPTER 2: Substance Use, Mental Disorders, and Access to Treatment Services in Household Surveys, 2002 2005 2.1 Introduction Drug misuse and abuse, and mental health disorders are major health and social

More information

Behavioral Health Barometer. New Jersey, 2013

Behavioral Health Barometer. New Jersey, 2013 Behavioral Health Barometer New Jersey, 2013 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.

More information

Behavioral Health Barometer. Oklahoma, 2014

Behavioral Health Barometer. Oklahoma, 2014 Behavioral Health Barometer Oklahoma, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No. 283

More information

Behavioral Health Barometer. Mississippi, 2014

Behavioral Health Barometer. Mississippi, 2014 Behavioral Health Barometer Mississippi, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.

More information

Treatment. Race. Adults. Ethnicity. Services. Racial/Ethnic Differences in Mental Health Service Use among Adults. Inpatient Services.

Treatment. Race. Adults. Ethnicity. Services. Racial/Ethnic Differences in Mental Health Service Use among Adults. Inpatient Services. CHAPTER 1 Introduction Racial/Ethnic Differences in Mental Health Service Use among Adults Treatment Ethnicity Outpatient Services Mental Health Adults Mental Health Care Prevalence Inpatient Services

More information

Behavioral Health Barometer. Virginia, 2014

Behavioral Health Barometer. Virginia, 2014 Behavioral Health Barometer Virginia, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No. 283

More information

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 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

More information

Behavioral Health Barometer. United States, 2014

Behavioral Health Barometer. United States, 2014 Behavioral Health Barometer United States, 2014 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.

More information

Behavioral Health Barometer. United States, 2013

Behavioral Health Barometer. United States, 2013 Behavioral Health Barometer United States, 2013 Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No.

More information

Results from the 2009 National Survey on Drug Use and Health: Mental Health Findings

Results from the 2009 National Survey on Drug Use and Health: Mental Health Findings Results from the 2009 National Survey on Drug Use and Health: Mental Health Findings DISCLAIMER SAMHSA provides links to other Internet sites as a service to its users and is not responsible for the availability

More information

Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings

Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings DISCLAIMER SAMHSA provides links to other Internet sites as a service to its users and is not responsible for the availability

More information

National Adolescent Health Information Center NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC

National Adolescent Health Information Center NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC NAHIC National Adolescent Health Information Center N 2007 Fact A H I C Sheet on Substance : Adolescents & Young Adults Highlights: 4 After an increase in the early 1990s, adolescent substance use has decreased

More information

Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 2008

Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 2008 Treatment Episode Data Set The TEDS Report July 15, 010 Substance Abuse Treatment Admissions Involving Abuse of Pain Relievers: 1998 and 008 In Brief The proportion of all substance abuse treatment admissions

More information

In Brief UTAH. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies

In Brief UTAH. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies UTAH Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males and

More information

ESTIMATING SUBSTANCE ABUSE TREATMENT NEED FROM THE NHSDA

ESTIMATING SUBSTANCE ABUSE TREATMENT NEED FROM THE NHSDA ESTIMATING SUBSTANCE ABUSE TREATMENT NEED FROM THE NHSDA Joan F. Epstein, and Joseph C. Gfroerer, Substance Abuse and Mental Health Services Administration Joan F. Epstein, 5600 Fishers Lane, Room 16C-06,

More information

In Brief MICHIGAN. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies

In Brief MICHIGAN. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies MICHIGAN Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males

More information

In Brief ARIZONA. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies

In Brief ARIZONA. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies ARIZONA Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males

More information

Colorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05

Colorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05 Colorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05 Introduction Many clients who have chronic substance use disorders often simultaneously suffer from a serious mental disorder.

More information

Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders

Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders Prepared for: The DWI Addiction Treatment Programs (ATP) Metropolitan Detention Center Prepared

More information

The Changing Face of Opioid Addiction:

The Changing Face of Opioid Addiction: 9th Annual Training and Educational Symposium September 6, 2012 The Changing Face of Opioid Addiction: A Review of the Research and Considerations for Care Mark Stanford, Ph.D. Santa Clara County Dept

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Washington

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Washington Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Washington Data Sources National Survey on Drug Use and Health Sponsored by

More information

Massachusetts Population

Massachusetts Population Massachusetts October 2012 POLICY ACADEMY STATE PROFILE Massachusetts Population MASSACHUSETTS POPULATION (IN 1,000S) AGE GROUP Massachusetts is home to more than 6.5 million people. Of these, more than

More information

New Jersey Population

New Jersey Population New Jersey October 2012 POLICY ACADEMY STATE PROFILE New Jersey Population NEW JERSEY POPULATION (IN 1,000S) AGE GROUP New Jersey is home to nearly9 million people. Of these, more than 2.9 million (33.1

More information

Healthcare Utilization by Individuals with Criminal Justice Involvement: Results of a National Survey

Healthcare Utilization by Individuals with Criminal Justice Involvement: Results of a National Survey Healthcare Utilization by Individuals with Criminal Justice Involvement: Results of a National Survey Frank JW, Linder JA, Becker WC, Fiellin DA, Wang EA Background U.S. criminal justice population is

More information

States In Brief Substance Abuse and Mental Health Issues At-A-Glance

States In Brief Substance Abuse and Mental Health Issues At-A-Glance kentucky States In Brief Substance Abuse and Mental Health Issues At-A-Glance A Short Report from the Office of Applied Studies Prevalence of Illicit Substance 1 and Alcohol Use The National Survey on

More information

Florida Population POLICY ACADEMY STATE PROFILE. Florida FLORIDA POPULATION (IN 1,000S) AGE GROUP

Florida Population POLICY ACADEMY STATE PROFILE. Florida FLORIDA POPULATION (IN 1,000S) AGE GROUP Florida December 2012 POLICY ACADEMY STATE PROFILE Florida Population FLORIDA POPULATION (IN 1,000S) AGE GROUP Florida is home to more than 19 million people. Of these, more than 6.9 (36.9 percent) are

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Maine

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Maine Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Maine Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

States In Brief. The National Survey on Drug Use and Health. texas. Prevalence of Illicit Substance 1 and Alcohol Use

States In Brief. The National Survey on Drug Use and Health. texas. Prevalence of Illicit Substance 1 and Alcohol Use texas States In Brief Substance Abuse and Mental Health Issues At-A-Glance a short Report from the Office of applied studies Prevalence of Illicit Substance 1 and Alcohol Use The National Survey on Drug

More information

DRAFT Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study Final Report UPDATED

DRAFT Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study Final Report UPDATED DRAFT Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study Final Report UPDATED Prepared for: The DWI Addiction Treatment Programs (ATP) Metropolitan Detention Center

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Indiana

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Indiana Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Indiana Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

States In Brief Substance Abuse and Mental Health Issues At-A-Glance

States In Brief Substance Abuse and Mental Health Issues At-A-Glance virginia States In Brief Substance Abuse and Mental Health Issues At-A-Glance a Short report from the Office of applied Studies Prevalence of Illicit Substance 1 and Alcohol Use The National Survey on

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Georgia

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Georgia Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Georgia Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Florida

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Florida Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Florida Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Idaho

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in Idaho Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in Idaho Data Sources National Survey on Drug Use and Health Sponsored by SAMHSA

More information

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in New Hampshire

Enrollment under the Medicaid Expansion and Health Insurance Exchanges. A Focus on Those with Behavioral Health Conditions in New Hampshire Enrollment under the Medicaid Expansion and Health Insurance Exchanges A Focus on Those with Behavioral Health Conditions in New Hampshire Data Sources National Survey on Drug Use and Health Sponsored

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

Drug Abuse Trends Minneapolis/St. Paul, Minnesota

Drug Abuse Trends Minneapolis/St. Paul, Minnesota Drug Abuse Trends Minneapolis/St. Paul, Minnesota January 21 Carol Falkowski Alcohol and Drug Abuse Division Minnesota Department of Human Services Background This report is produced twice annually for

More information

CHAPTER 6: Substance Abuse and Mental Health A Comparison of Appalachian Coal Mining Areas to Other Areas within the Appalachian Region

CHAPTER 6: Substance Abuse and Mental Health A Comparison of Appalachian Coal Mining Areas to Other Areas within the Appalachian Region CHAPTER 6: Substance Abuse and Mental Health A Comparison of Coal Mining Areas to Areas within the Region 6.1 Introduction A key geographic and economic feature of the region is that a large proportion

More information

Mental Health. Health Equity Highlight: Women

Mental Health. Health Equity Highlight: Women Mental Health Background A person s ability to carry on productive activities and live a rewarding life is affected not only by physical health but by mental health. In addition, mental well-being can

More information

Estimating Substance Abuse Treatment: A Comparison of Data from a Household Survey, a Facility Survey, and an Administrative Data Set

Estimating Substance Abuse Treatment: A Comparison of Data from a Household Survey, a Facility Survey, and an Administrative Data Set Estimating Substance Abuse Treatment: A Comparison of Data from a Household Survey, a Facility Survey, and an Administrative Data Set Joe Gfroerer, Jonaki Bose, Deborah Trunzo, Alex Strashny Center for

More information

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013

TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 2013 to 2002 States: United the in Use Heroin in Trends National Survey on Drug Use and Health Short Report April 23, 2015 TRENDS IN HEROIN USE IN THE UNITED STATES: 2002 TO 2013 AUTHORS Rachel N. Lipari,

More information

Behavioral Health Trends in the United States: Results from the 2014 National Survey on Drug Use and Health

Behavioral Health Trends in the United States: Results from the 2014 National Survey on Drug Use and Health Behavioral Health Trends in the United States: Results from the 2014 National Survey on Drug Use and Health Results from the 2014 National Survey on Drug Use and Health September 2015 ii Behavioral Health

More information

Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness. Oleg D. Tarkovsky, MA, LCPC

Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness. Oleg D. Tarkovsky, MA, LCPC Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness Oleg D. Tarkovsky, MA, LCPC SAMHSA Definition Co-occurring disorders may include any combination of two or

More information

9/25/2015. Parallels between Treatment Models 2. Parallels between Treatment Models. Integrated Dual Disorder Treatment and Co-occurring Disorders

9/25/2015. Parallels between Treatment Models 2. Parallels between Treatment Models. Integrated Dual Disorder Treatment and Co-occurring Disorders Integrated Dual Disorder Treatment and Co-occurring Disorders RANDI TOLLIVER, PHD HEARTLAND HEALTH OUTREACH, INC. ILLINOIS ASSOCIATION OF PROBLEM-SOLVING COURTS OCTOBER 8, 2015 SPRINGFIELD, IL Parallels

More information

Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of National Findings

Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of National Findings Results from the 2009 National Survey on Drug Use and Health: Volume I. Summary of National Findings U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration

More information

WORKING WITH THE DUAL DIAGNOSED. Presenter Cherie A. Hunter Executive Director

WORKING WITH THE DUAL DIAGNOSED. Presenter Cherie A. Hunter Executive Director WORKING WITH THE DUAL DIAGNOSED Presenter Cherie A. Hunter Executive Director VIDEO Today s Overview : At the end of the workshop participants will be able to: 1 Review the Prevalence Data 2 Understand

More information

RECENT epidemiological studies suggest that rates and

RECENT epidemiological studies suggest that rates and 0145-6008/03/2708-1368$03.00/0 ALCOHOLISM: CLINICAL AND EXPERIMENTAL RESEARCH Vol. 27, No. 8 August 2003 Ethnicity and Psychiatric Comorbidity Among Alcohol- Dependent Persons Who Receive Inpatient Treatment:

More information

What are the current costs and outcomes related to mental health and substance abuse disorders? Peterson-Kaiser Health System Tracker

What are the current costs and outcomes related to mental health and substance abuse disorders? Peterson-Kaiser Health System Tracker What are the current costs and outcomes related to mental health and substance abuse disorders? Eighteen percent of adults in the United States have a mental, behavioral, or emotional disorder 12 month

More information

Sacramento County 2010

Sacramento County 2010 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties County 21 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties County 21 TABLE OF CONTENTS

More information

Alcohol and Other Drug Use Prevalence: 2012 Survey of Orange County Adults

Alcohol and Other Drug Use Prevalence: 2012 Survey of Orange County Adults Alcohol and Other Drug Use Prevalence: 2012 Survey of Orange County Adults Orange County Health Care Agency This Report is a Product of The Orange County Health Care Agency (HCA), Mark A. Refowitz, Director

More information

Substance Related Disorders. Substance Abuse. Substance Use Disorders 4/3/2012. Substance Abuse. Substance Dependency

Substance Related Disorders. Substance Abuse. Substance Use Disorders 4/3/2012. Substance Abuse. Substance Dependency Social and Health Disparities Sarah Harkless Substance Abuse Services Division Alabama Department of Mental Health May 13, 2010 What s in a Name? Substance Abuse Chemical Dependency Habituation Hooked

More information

Los Angeles County 2010

Los Angeles County 2010 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties County 2010 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties County 2010 TABLE OF CONTENTS

More information

Serious Mental Illness and Its Co-Occurrence with Substance Use Disorders, 2002

Serious Mental Illness and Its Co-Occurrence with Substance Use Disorders, 2002 Serious Mental Illness and Its Co-Occurrence with Substance Use Disorders, 2002 Joan Epstein Peggy Barker Michael Vorburger Christine Murtha DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and

More information

Chapter 7. Screening and Assessment

Chapter 7. Screening and Assessment Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions

More information

OHIO COUNTY. Demographic Data. Adult Behavioral Health Risk Factors: 2007-2011

OHIO COUNTY. Demographic Data. Adult Behavioral Health Risk Factors: 2007-2011 Prepared by the Department of Health and Human Resources Bureau for Behavioral Health and Health Facilities OHIO COUNTY February 14 Behavioral Health Epidemiological County Profile Demographic Data Ohio

More information

Trends in Adult Female Substance Abuse Treatment Admissions Reporting Primary Alcohol Abuse: 1992 to 2007. Alcohol abuse affects millions of

Trends in Adult Female Substance Abuse Treatment Admissions Reporting Primary Alcohol Abuse: 1992 to 2007. Alcohol abuse affects millions of Treatment Episode Data Set The TEDS Report January 7, 2010 Trends in Adult Female Substance Abuse Treatment Admissions Reporting Primary Alcohol Abuse: 1992 to 2007 In Brief Between 1992 and 2007, the

More information

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs

9. Substance Abuse. pg 166-169: Self-reported alcohol consumption. pg 170-171: Childhood experience of living with someone who used drugs 9. pg 166-169: Self-reported alcohol consumption pg 170-171: Childhood experience of living with someone who used drugs pg 172-173: Hospitalizations related to alcohol and substance abuse pg 174-179: Accidental

More information

San Diego County 2010

San Diego County 2010 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties San Diego County 21 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties San Diego County

More information

Thirty-First Judicial District DUI / Drug Court EVALUATION

Thirty-First Judicial District DUI / Drug Court EVALUATION 1 Thirty-First Judicial District DUI / Drug Court EVALUATION Deliverable Three: Second Phase of Process Evaluation Summary on Participant Characteristics at Entry into Warren County Drug Court This report

More information

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample Running Head: INTERNET USE IN A COLLEGE SAMPLE TITLE: Internet Use and Associated Risks in a College Sample AUTHORS: Katherine Derbyshire, B.S. Jon Grant, J.D., M.D., M.P.H. Katherine Lust, Ph.D., M.P.H.

More information

New National Poll Reveals Public Attitudes on Substance Abuse, Treatment and the Prospects of Recovery

New National Poll Reveals Public Attitudes on Substance Abuse, Treatment and the Prospects of Recovery New National Poll Reveals Public Attitudes on Substance Abuse, Treatment and the Prospects of Recovery Finds some significant differences in perceptions among various population groups. Nearly half of

More information

INSIGHT on the Issues

INSIGHT on the Issues INSIGHT on the Issues Prevalence of Illicit Drug Use in Older Adults: The Impact of the Baby Boom Generation AARP Public Policy Institute The prevalence of illicit drug use among older adults is expected

More information

YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT

YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT Siobhan A. Morse, MHSA, CRC, CAI, MAC Director of Fidelity and Research Foundations Recovery Network YOUNG

More information

A PROSPECTIVE EVALUATION OF THE RELATIONSHIP BETWEEN REASONS FOR DRINKING AND DSM-IV ALCOHOL-USE DISORDERS

A PROSPECTIVE EVALUATION OF THE RELATIONSHIP BETWEEN REASONS FOR DRINKING AND DSM-IV ALCOHOL-USE DISORDERS Pergamon Addictive Behaviors, Vol. 23, No. 1, pp. 41 46, 1998 Copyright 1998 Elsevier Science Ltd Printed in the USA. All rights reserved 0306-4603/98 $19.00.00 PII S0306-4603(97)00015-4 A PROSPECTIVE

More information

Substance Abuse Treatment Admissions for Abuse of Benzodiazepines

Substance Abuse Treatment Admissions for Abuse of Benzodiazepines Treatment Episode Data Set The TEDS Report June 2, 2011 Substance Abuse Treatment Admissions for Abuse of Benzodiazepines Benzodiazepines are a class of central nervous system depressant drugs that are

More information

MAIL: Recovery Center Missoula FAX: 406 532 9901 1201 Wyoming St. OR ATTN: Admissions Missoula, MT 59801 ATTN: Admissions

MAIL: Recovery Center Missoula FAX: 406 532 9901 1201 Wyoming St. OR ATTN: Admissions Missoula, MT 59801 ATTN: Admissions Hello and thank you for your interest in Recovery Center Missoula. This letter serves to introduce our program to you, outline eligibility requirements, and describe the application/admission process.

More information

As the proportion of racial/

As the proportion of racial/ Treatment Episode Data Set The TEDS Report May 5, 1 Differences in Substance Abuse Treatment Admissions between Mexican-American s and s As the proportion of racial/ ethnic minority groups within the United

More information

Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings

Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings DISCLAIMER SAMHSA provides links to other Internet sites as a service to its users and is not responsible for

More information

Mental Health and Substance Abuse

Mental Health and Substance Abuse Measures Process: Treatment for depression Outcome: Suicide deaths Process: Treatment for illicit drug use or alcohol problem Process: Completion of substance abuse treatment Outcome: Emergency department

More information

What is Addiction? DSM-IV-TR Substance Abuse Criteria

What is Addiction? DSM-IV-TR Substance Abuse Criteria Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.

More information

SECTION 6. MENTAL HEALTH

SECTION 6. MENTAL HEALTH SECTION 6. MENTAL HEALTH This portion of the report reviews discrepancies between s and s in Allegheny County with regard to mental health. A plethora of studies have documented the correlation between

More information

National Mental Health Survey of Doctors and Medical Students Executive summary

National Mental Health Survey of Doctors and Medical Students Executive summary National Mental Health Survey of Doctors and Medical Students Executive summary www.beyondblue.org.au 13 22 4636 October 213 Acknowledgements The National Mental Health Survey of Doctors and Medical Students

More information

Behavioral Health Barometer

Behavioral Health Barometer Behavioral Health Barometer EXECUTIVE SUMMARY Region IV, 2014 Atlanta Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International

More information

Epidemiological Profile of Substance Use + Related Factors in Minnesota s American Indian + Alaska Native Communities

Epidemiological Profile of Substance Use + Related Factors in Minnesota s American Indian + Alaska Native Communities Epidemiological Profile of Substance Use + Related Factors in Minnesota s American Indian + Alaska Native Communities Developed by EpiMachine, LLC on behalf of the Minnesota State Epidemiological Outcomes

More information

Treatment completion is an

Treatment completion is an Treatment Episode Data Set The TEDS Report Treatment Outcomes among Clients Discharged from Residential Substance Abuse Treatment: 2005 In Brief In 2005, clients discharged from shortterm were more likely

More information

Macomb County Office of Substance Abuse MCOSA. Executive Summary

Macomb County Office of Substance Abuse MCOSA. Executive Summary Macomb County Office of Substance Abuse MCOSA Executive Summary This report marks the second data profile of alcohol and illicit drugs burden in Macomb County. The first report produced in 2007 detailed

More information

activity guidelines (59.3 versus 25.9 percent, respectively) and four times as likely to meet muscle-strengthening

activity guidelines (59.3 versus 25.9 percent, respectively) and four times as likely to meet muscle-strengthening 18 HEALTH STATUS HEALTH BEHAVIORS WOMEN S HEALTH USA 13 Adequate Physical Activity* Among Women Aged 18 and Older, by Educational Attainment and Activity Type, 09 11 Source II.1: Centers for Disease Control

More information

Alcohol and Drug Abuse in High Risk Geographic Areas of the State of Delaware

Alcohol and Drug Abuse in High Risk Geographic Areas of the State of Delaware Alcohol and Drug Abuse in High Risk Geographic Areas of the State of Delaware An Analysis of the Need for Treatment in the Household Population Aged 18 Years and Over Prepared for State of Delaware Health

More information

TEEN MARIJUANA USE WORSENS DEPRESSION

TEEN MARIJUANA USE WORSENS DEPRESSION TEEN MARIJUANA USE WORSENS DEPRESSION An Analysis of Recent Data Shows Self-Medicating Could Actually Make Things Worse Millions of American teens* report experiencing weeks of hopelessness and loss of

More information

The Influence of Comorbid Major Depression and Substance Use Disorders on Alcohol and Drug Treatment: Results of a National Survey

The Influence of Comorbid Major Depression and Substance Use Disorders on Alcohol and Drug Treatment: Results of a National Survey The Influence of Comorbid Major Depression and Substance Use Disorders on Alcohol and Drug Treatment: Results of a National Survey Bridget F. Grant INTRODUCTION The co-occurrence of alcohol use disorders,

More information

Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller

Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller School of Medicine/University of Miami Question 1 You

More information

DEPRESSION AND ANXIETY STATUS IN KANSAS

DEPRESSION AND ANXIETY STATUS IN KANSAS DEPRESSION AND ANXIETY STATUS IN KANSAS 2008 Behavioral Risk Factor Surveillance System This report was prepared by the Bureau of Health Promotion, Kansas Department of Health and Environment December

More information

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12 CO-OCCURRING DISORDERS Michaelene Spence MA LADC 8/8/12 Activity Chemical Health? Mental Health? Video- What is Addiction HBO Terminology MI/CD: Mental Illness/Chemical Dependency IDDT: Integrated Dual

More information

Substance Abuse 2014-2015. Chapter 10: Substance Abuse

Substance Abuse 2014-2015. Chapter 10: Substance Abuse Substance Abuse 214-215 Chapter 1: Substance Abuse 265 214-215 Health of Boston Substance Abuse Substance abuse involves the excessive use of alcohol or illicit substances (e.g., marijuana, cocaine, heroin,

More information

Maryland Population POLICY ACADEMY STATE PROFILE. Maryland MARYLAND POPULATION (IN 1,000S) BY AGE GROUP

Maryland Population POLICY ACADEMY STATE PROFILE. Maryland MARYLAND POPULATION (IN 1,000S) BY AGE GROUP Maryland October 2012 POLICY ACADEMY STATE PROFILE Maryland Population MARYLAND POPULATION (IN 1,000S) BY AGE GROUP Maryland is home to almost 5.8 million people. Of these, more than 1.8 million (31.9

More information

Alcohol Overuse and Abuse

Alcohol Overuse and Abuse Alcohol Overuse and Abuse ACLI Medical Section CME Meeting February 23, 2015 Daniel Z. Lieberman, MD Professor and Vice Chair Department of Psychiatry George Washington University Alcohol OVERVIEW Definitions

More information

CHAPTER 3: Patient Admissions to Treatment for Abuse of Alcohol and Drugs in Appalachia, 2000 2004

CHAPTER 3: Patient Admissions to Treatment for Abuse of Alcohol and Drugs in Appalachia, 2000 2004 CHAPTER 3: Patient Admissions to Treatment for Abuse of Alcohol and Drugs in Appalachia, 2000 2004 3.1 Introduction Thousands of public and private treatment facilities are available across the United

More information

Co-occurring MH/SA Disorders

Co-occurring MH/SA Disorders Maine Behavioral Health Data Forum Co-occurring MH/SA Disorders Data about Screening, Prevalence & Service Use January 5, 2012 Helen Hemminger, Quality Reporting Manager APS HealthCare 1 Introduction Introduction:

More information

Recovery Center Outcome Study

Recovery Center Outcome Study Findings from the Recovery Center Outcome Study 2013 Report Page 1 TABLE OF CONTENTS EXECUTIVE SUMMARY...3 INTRODUCTION AND OVERVIEW... 6 SECTION 1: CLIENT SATISFACTION WITH RECOVERY CENTER PROGRAMS...

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

TRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG ADULTS

TRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG ADULTS Adults Young by Utilization Treatment and Coverage Insurance in Trends National Survey on Drug Use and Health Short Report January 29, 2015* TRENDS IN INSURANCE COVERAGE AND TREATMENT UTILIZATION BY YOUNG

More information

Results from the 2005 National Survey on Drug Use and Health: National Findings

Results from the 2005 National Survey on Drug Use and Health: National Findings Results from the 2005 National Survey on Drug Use and Health: National Findings DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Office of Applied Studies

More information

Kentucky Needs Assessment Project Brief Report. IV Drug Use among Kentucky Adults

Kentucky Needs Assessment Project Brief Report. IV Drug Use among Kentucky Adults Kentucky Needs Assessment Project Brief Report IV Drug Use among Kentucky Adults IN BRIEF More than 5% of Kentucky adults who have used intravenous drugs need treatment Approximately one-third of Kentucky

More information

CHARACTERISTICS OF PERSONS WHO REPORTED DRIVING UNDER THE INFLUENCE OF ALCOHOL OR OTHER DRUGS

CHARACTERISTICS OF PERSONS WHO REPORTED DRIVING UNDER THE INFLUENCE OF ALCOHOL OR OTHER DRUGS CHARACTERISTICS OF PERSONS WHO REPORTED DRIVING UNDER THE INFLUENCE OF ALCOHOL OR OTHER DRUGS Janet C. Greenblatt, Substance Abuse and Mental Health Services Administration Darryl Bertolucci, National

More information

PROFILE OF ADOLESCENT DISCHARGES FROM SUBSTANCE ABUSE TREATMENT

PROFILE OF ADOLESCENT DISCHARGES FROM SUBSTANCE ABUSE TREATMENT Treatment Abuse Substance from Discharges Adolescent of Profile Treatment Episode Data Set Short Report April 01, 2015 PROFILE OF ADOLESCENT DISCHARGES FROM SUBSTANCE ABUSE TREATMENT AUTHORS Ryan Mutter,

More information