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National Healthcare Disparities Report, 2006

Effectiveness of Care: Mental Health and Substance Abuse

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Treatment of Depression
Suicide deaths per 100,000 population
Adults age 18+ with a major depressive episode in the past year who received treatment for the depression in the past year
Treatment of Serious Mental Illness
Adults who receive treatment for a major depressive episode who experience improvement
Treatment of Substance Abuse
People 12 and older who needed treatment at a specialty facility for illicit drug use and who received such treatment in the past year
People receiving illicit drug treatment who completed treatment


Treatment of Depression

Measure Title

Suicide deaths per 100,000 population.

Measure Source

Healthy People 2010, measure 18-1.

Tables

92. Suicide deaths per 100,000 population, United States, 2003, by

  • Race
  • Ethnicity
  • Education.

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System—Mortality.

Denominator

U.S. resident population.

Numerator

Number of deaths due to suicide (ICD-10-CM codes X60-X84,Y87.0).

Comments

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

Data are age adjusted to the 2000 standard population.

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Treatment of Depression

Measure Title

Adults age 18 and over with a major depressive episode in the past year who received treatment for the depression in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Table

93. Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year, United States, 2004, by

  • Race

Data Source

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

Denominator

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

Numerator

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

Comments

Major depressive episode (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 DSM-IV. Respondents with unknown data for past year MDE measures were excluded.

Negative or poor refers to household incomes below the Federal poverty line; near poor/low, over the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over.

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Treatment of Serious Mental Illness

Measure Title

Adults who receive treatment for a major depressive episode who experience improvement.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Table

94. Perception of help received from treatment or counseling among persons age 12 and over with a past year major depressive episode, United States, 2004, by

  • Race

Data Source

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

Denominator

Persons age 12 or older with serious mental illness who received mental health treatment or counseling in the past year.

Numerator

Subset of the denominator who experienced improvement.

Comments

Serious mental illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that meets criteria set forth in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and which resulted in functional impairment that significantly impeded 1 or more major life activities. For further information see Appendix B, Section B.4 of the Results from the 2003 National Survey on Drug Use and Health: National Findings available at http://www.oas.samhsa.gov.

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Treatment of Substance Abuse

Measure Title

People 12 and older who needed treatment at a specialty facility for illicit drug use and who received such treatment in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

95. Persons age 12 and over who needed treatment for any illicit drug use and who received such treatment at a specialty facility in the past year, United States, 2004, by

  • Race
  • Ethnicity
  • Family income
  • Education

Data Source

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

Denominator

Persons age 12 or older who needed treatment for any illicit drug use.

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 for treatment of medical problems associated with drug use.

Respondents were classified as needing treatment for an illicit drug problem if they met any of 3 criteria during the past year: (1) dependent on any illicit drug, (2) abuse of any illicit drug, or (3) received 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.

Estimates by family income are only available for persons age 18 or older. Negative or poor refers to household incomes below the Federal poverty line; near poor/low, over the poverty line to just below 200 percent of the poverty line; middle, 200 percent to just below 400 percent of the poverty line; and high, 400 percent of the poverty line and over. Estimates by education are only available for persons age 18 or older.

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Treatment of Substance Abuse

Measure Title

People receiving illicit drug treatment who completed treatment.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Table

96. Persons age 12 or older who receive substance abuse treatment who complete treatment course, United States, 2002

Data Source

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

Denominator

Persons receiving treatment for any illicit drug use at a State certified facility.

Numerator

Subset of the denominator who completed treatment.

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