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National Healthcare Disparities Report, 2003

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Data Sources: Substance Abuse and Mental Health Services Administration


1997 Client/Patient Sample Survey (CPSS)

Sponsor

U.S. Department of Health and Human Services: Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS)

Mode of Administration

Data collection was accomplished primarily by mail with telephone followup to participating sample mental health programs. Program staff (i.e., medical records personnel, clinicians) were requested to complete and mail back survey questionnaires on a sample of the program's client/patient caseload.

Survey Sample Design

Conducted periodically, the CPSS collects general purpose statistics on the sociodemographic, clinical, and service use characteristics of clients served in the inpatient, residential, outpatient, and partial care programs of specialty mental health organizations in the United States (not all program types in all survey years). For each survey, a probability sample of programs is selected by type of organization and by size. Within sampled programs, a probability sample is selected of clients/patients admitted during a 1-month period (all survey years) and clients/patients under care on a single day (1986-1997 surveys, only). The sample data collected are weighted to generate national estimates of the total number of persons admitted during 1 year to all specialty mental health organizations in the nation. (The organizations include: state and county mental hospitals, private psychiatric hospitals, multiservice mental health organizations, Veterans Administration medical centers, the separate psychiatric services of non-Federal general hospitals, residential treatment centers for emotionally disturbed children, freestanding outpatient clinics, and freestanding partial care programs; not all organization types surveyed in all years.)

Primary Survey Content

Psychiatric diagnosis, other functional/health status, services utilization, services financing, legal status, length of stay

Population Targeted

For the 1997 survey, persons admitted and persons under are in the inpatient, residential, and less than 24-hour (i.e., outpatient and partial care) programs of specialty mental health organizations, nationwide.

Demographic Data

Age, gender, race, ethnicity, marital status, veteran status, other sociodemographic.

Years Collected

Periodically, 1970 to 1997.

Schedule

Periodic, about every 10 years.

Geographic Estimates

National

Contact Information

agency homepage: http://www.samhsa.gov

agency mental health information center: http://mentalhealth.samhsa.gov/cmhs/

References

Milazzo-Sayre, LJ, Henderson, MJ, Manderscheid, RW, et al. "Persons Treated in Specialty Mental Health Care Programs, United States, 1997." Center for Mental Health Services. Mental Health, United States, 2000. DHHS Pub. No. (SMA) 01-3537. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 2001.

"Sources and Qualifications of the Data: 1997 Client/Patient Sample Survey." Center for Mental Health Services. Mental Health, United States, 2000. DHHS Pub. No. (SMA) 01-3537. Washington, DC: Supt. of Docs., U.S. Govt. Print. Off., 2001.

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2001 National Household Survey on Drug Abuse (NHSDA)

Sponsor

U.S. Department of Health and Human Services: Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies (OAS).

Mode of Administration

Data collection is accomplished by personal visits to selected household/dwelling unit addresses. A 5-minute screening procedure using a handheld computer involves listing all household members along with basic demographic data and selection of 0-2 sample persons for administration of the complete interview. The interview averages about an hour and includes a combination of CAPI (computer-assisted personal interviewing) and ACASI (audio computer-assisted self interview).

Survey Sample Design

The 2001 NHSDA sample was designed to provide National and State estimates. Eight States (California, Florida, Illinois, Michigan, New York, Ohio, Pennsylvania, and Texas) had samples large enough (3,502 to 4,023) to support direct State estimates. For the remaining 42 States and the District of Columbia, smaller samples (852 to 1,069) were selected to support State estimates using small area estimation (SAE) techniques. States were stratified into a total of 900 field interviewer (FI) regions (48 regions in each large sample State and 12 regions in each small sample State). These regions were contiguous geographic areas of approximately the same population. Within FI regions, adjacent Census blocks were combined to form the first-stage sampling units, called area segments. Eight sample segments per FI region were selected, with probability proportional to population size, for the 2001 survey. In each selected area segment, a listing of all addresses was made, from which a sample of 171,519 eligible addresses was selected. The number of these sample units completing the screening was 157,471. A total of 89,745 persons were selected nationwide. Youths (aged 12 to 17 years) and young adults (aged 18 to 25 years) were oversampled at this stage. The final respondent sample size was 68,929, of which about one third were 12-17, one third were 18-25, and one third were 26 or older.

Primary Survey Content

Use of alcohol, tobacco, illicit drugs, symptoms of dependence or abuse, risk and protective factors, mental health, and treatment for substance abuse and mental health problems

Population Targeted

Civilian noninstitutional population aged 12 and older in the United States.

Demographic Data

Age, race, ethnicity, gender, education, employment status, income, etc.

Years Collected

Periodically from 1971 – 1988, and annually since 1990.

Schedule

Each survey is conducted from January through December.

Geographic Estimates

National, Regional and state specific

Contact Information

Agency homepage: http://www.samhsa.gov

References

Substance Abuse and Mental Health Services Administration. (2002). Findings from the 2001 National Household Survey on Drug Abuse: Volume I. Summary of National Findings (Office of Applied Studies, NHSDA Series H-17, DHHS Publication No. SMA 02-3758). Rockville MD.

Substance Abuse and Mental Health Services Administration. (2002). Summary of Findings from the 2001 National Household Survey on Drug Abuse: Volume II. Technical Appendices and Selected Data Tables (Office of Applied Studies, NHSDA Series H-18, DHHS Publication No. SMA 02-3759). Rockville MD

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