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National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Effectiveness of Care: Mental Health and Substance Abuse

Measures

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 who received no help from the treatment
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
Suicide deaths per 100,000 population age 12 and over
Adolescents and adults treated for substance abuse who completed treatment course
Adults who received mental health treatment or counseling in the last 12 months
 


 

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)

Table Description

Geographic Representation

National

Years Available

2008-2011

Population Subgroups

Age, education, income, race, ethnicity, sex, location of residence

Data Sources

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH)

Denominator

People age 18 and over with an MDE in the past year

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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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)

Table Description

Geographic Representation

National

Years Available

2008-2011

Population Subgroups

Age, education, income, race, ethnicity, sex, location of residence

Data Sources

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH)

Denominator

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

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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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)

Table Description

Geographic Representation

National

Years Available

2008-2010

Population Subgroups

Age, education, race, ethnicity, sex

Data Sources

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH)

Denominator

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

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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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)

Table Description

Geographic Representation

National, State

Years Available

State: 2011

National: 2002-2011

Population Subgroups

Age, sex, race, ethnicity, location of residence, education, income

Data Sources

National and State

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH)

Denominator

U.S. civilian noninstitutionalized population age 12 and over who needed treatment for any illicit drug use or alcohol problem

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), hospital (inpatient only), or a mental health center.

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

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

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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)

Table Description

Geographic Representation

National

Years Available

State: 2011

National: 2002-2011

Population Subgroups

Age, sex, race, ethnicity, location of residence, education, income

Data Sources

National and State

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH)

Denominator

U.S. civilian noninstitutionalized population age 12 and over 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

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 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), or 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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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)

Table Description

Geographic Representation

National, State

Years Available

State: 2011

National: 2002-2011

Population Subgroups

Age, sex, race, ethnicity, location of residence, education, income

Data Sources

National and State

Substance Abuse and Mental Health Services Administration (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 a 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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Measure Title

Suicide deaths per 100,000 population age 12 and over

Measure Source

Healthy People 2020

Table Description

Geographic Representation

National, State

Years Available

State: 2000-2010

National: 2000-2010

Population Subgroups

Age, sex, race, ethnicity, location of residence

Data Sources

National and State

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

Denominator

U.S. resident population age 12 and over

Numerator

Subset of the denominator who died from suicide

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 whom 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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Measure Title

Adolescents and adults treated for substance abuse who completed treatment course

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA)

Table Description

Geographic Representation

National

Years Available

State: 2008-2010

National: 2005-2010

Population Subgroups

Age, education, sex

Data Sources

National and State

SAMHSA, Center for Behavioral Health Statistics and Quality, Substance Abuse Treatment Episode Data Set (TEDS)

Denominator

Discharges from substance abuse treatment aged 12 and over

Numerator

Subset of the denominator who completed treatment

Comments

These data include primarily discharges from publicly-funded substance abuse treatment facilities.

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Measure Title

Adults who received mental health treatment or counseling in the last 12 months

Measure Source

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH)

Table Description

Geographic Representation

National, State

Years Available

National: 2002-2011

State: 2011

Population Subgroups

Age, education, income, location (residence), race/ethnicity, sex

Data Sources

National & State

Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Applied Studies, National Survey on Drug Use and Health (NSDUH)

Denominator

U.S. civilian noninstitutionalized population age 18 and over

Numerator

Subset of the denominator who reported receipt of mental health treatment or counseling in the past year

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Page last reviewed July 2014
Page originally created July 2014
Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/mental_health.html

 

The information on this page is archived and provided for reference purposes only.

 

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