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National Healthcare Disparities Report, 2007

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Effectiveness of Care: Mental Health and Substance Abuse


Treatment of Depression
Suicide deaths per 100,000 population
Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year
Children ages 12-17 with a major depressive episode in the past year who received treatment 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
Persons age 12 or older who needed treatment for any illicit drug use and who received such treatment at a specialty facility in the past year
People receiving illicit drug treatment who completed treatment

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Treatment of Depression

Measure Title

Suicide deaths per 100,000 population.

Measure Source

Healthy People 2010.

Tables

98 Suicide deaths per 100,000 population, United States, 2004, by

  • Race.
  • Ethnicity.
  • Education.

Data Source

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

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.

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

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Treatment of Depression

Measure Title

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

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

99 Adults age 18 and over with past year major depressive episode who received treatment for the depression in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.
  • Education.

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.

This measure and its tables are also presented in other relevant sections of the report.

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Treatment of Depression

Measure Title

Children ages 12-17 with a major depressive episode in the past year who received treatment in the past year.

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

100 Children ages 12-17 with past year major depressive episode who received treatment for the depression in the past year, United States, 2005, by

  • Race.
  • Ethnicity.
  • Family income.

Data Source

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

Denominator

Persons ages 12-17 with a major depressive episode in the past year.

Numerator

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

Comments

This measure and its tables are also presented in other relevant sections of the report.

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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

101 Perception of help received from treatment or counseling among persons age 12 and over with a past year major depressive episode, United States, 2005

Data Source

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

Denominator

Persons age 18 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 one 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

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

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA).

Tables

102 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, 2005, 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 three 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

103 Number of discharges from substance abuse treatment among persons age 12 and over and percent who completed treatment, United States, 2004

Data Source

SAMHSA, Office of Applied Studies, Substance Abuse 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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