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SAMHSA
Posted on November 18, 2009 08:35
Topics: Outcomes | SAMHSA | Substance Use
Post Type: report
SAMHSA released the latest Treatment Episode Data Set (TEDS) report, finding that the criminal justice system was the single largest source of referrals to substance abuse treatment, accounting for 37 percent of admissions. The report found that criminal justice system referral admissions were less likely than all other referral admissions to drop out of treatment (22 vs.27 percent). In addition, the most rapid area of growth within criminal justice system referrals has been among those younger than 18 years of age, increasing from 38 percent of adolescent admissions in 1992 to 47 percent in 2007.
From the report:
In 2007, the criminal justice system was the largest single source of referrals to the substance abuse treatment system, comprising 37 percent of all admissions in the Treatment Episode Data Set (TEDS) (approximately 670,500 of the 1.8 million admissions). Moreover, the majority of these referrals were from parole and probation offices (44 percent of criminal justice admissions where detailed criminal justice source information is known). Understanding the impact of these admissions on the treatment system is critical for program planners and policy makers at all levels of government. Using TEDS, this report examines substance abuse treatment admissions referred by the criminal justice system and compares their characteristics with admissions referred by other sources.
Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (2009). The treatment episode data set report: substance abuse treatment admissions referred by the criminal justice system.
Full report: http://oas.samhsa.gov/2k9/211/211CJadmits2k9.cfm
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Posted on November 2, 2009 14:16
Topics: Mental Health | SAMHSA | Substance Use
Post Type: report
This report by the Substance Abuse and Mental Health Services Administration (SAMHSA), developed using data from the 2008 National Survey of Drug Use and Health (NSDUH) found that 8.3 million adults (3.7 percent) had serious suicidal thoughts in the past year, 2.3 million (1.0 percent) made a suicide plan, and 1.1 million (0.5 percent) attempted suicide. The study also found that younger adults were more likely to consider suicide that older adults and that only 62.3 percent of those who attempted suicide last year received medical attention.
From the report:
Suicidality is a major public health problem that affects many Americans and their families every year. Suicidality ranges from suicide ideation (i.e., thoughts of suicide and making suicide plans) to suicide attempts to completed suicide. Over 32,000 adults committed suicide in 2006; however, these represent only a fraction of the individuals who consider or attempt suicide. Gaining a better understanding of suicidal thoughts and behaviors among adults may help to identify individuals at risk for suicide, to inform the development of screening tools, and to inform mental health and general practitioners on treatment planning.
Responding to a need for national data on the prevalence of suicidality, a brief series of questions on suicidal thoughts and behaviors was added to the National Survey on Drug Use and Health (NSDUH) questionnaire in 2008. In previous NSDUHs, suicidality questions were asked in the module on major depressive episode (MDE), and suicidality estimates could be generated only for persons who met the criteria for MDE. The new 2008 questions ask all adult respondents aged 18 or older if they had serious thoughts of suicide in the past year. If they had serious thoughts of suicide, respondents were asked if they made plans to commit suicide and if they attempted suicide in the past year. If they reported having made a suicide attempt, respondents were asked if they received medical attention for their suicide attempt; if they received medical attention, they were asked if they stayed in a hospital overnight or longer for their suicide attempt.
This issue of The NSDUH Report examines suicidal thoughts and behaviors among adults aged 18 or older; data are presented by age group, gender, and past year substance use disorder. All findings in the report are based on 2008 data.
Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Applied Studies (OAS) & RTI International. (2009). The NSDUH Report: Suicidal Thoughts and Behaviors among Adults.
Full report: http://oas.samhsa.gov/2k9/165/Suicide.htm
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Posted on September 22, 2009 10:59
Topics: Innovation | Mental Health | SAMHSA | State Data | Trends
Post Type: briefing
A collection of research briefings from NASMHPD's Sixth National Summit of State Psychiatric Hospital Superintendents are available for review.
The topics include:
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Hope Redeemed: The Life, Death and Resurrection of a Veteran with Mental Illness
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Morbidity and Mortality in People with Serious Mental Illnesses: Responding to the Epidemic
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Promising Practice Mid-Western Region: “Fulton State Hospital New Outlook Program for Behavior and Mood Self-Management”
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Promising Practice Western Region: "Creating Your Own Internal Review Process - Consolidating CMS & Joint Commission Standards"
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Hospital Disaster Preparation and Response: Like There Wasn't Enough To Worry About!
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Mental Health Services for People Who Are Deaf or Hard of Hearing
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The Development of an Evidence-Based Best Practice: Preventing Violence and the Use of Seclusion and Restraint
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Developing National Core Competencies for State Hospital Superintendents: Removing the Mystery of Effective Leadership
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Promising Practice Southern Region: “An Experiment in Community Reinvestment”
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Promising Practice Northeastern Region: "Achieving Real Transparency with Families and Consumers in New Jersey's State Hospital System"
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State Hospital Smoking Report
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From the Hospital into the Community: Technical Assistance and Dialogue on Going Tobacco Free
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SAMHSA’s CMHS Funded Harvard/NASMHPD Program for Executive Leadership in State Mental Health Administration, “How to Mainstream Behavioral Health into Health Policy”
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In-SHAPE: Improved Health Status Through Social Inclusion for Persons with Severe Mental Illness
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Peer Support Whole Health
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The Joint Commission: CMS and State Hospital Accreditation
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Olmstead and CRIPA: Redefining the Standard of Care
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Preparing Your Direct Care Staff to Work in a Changing System of Care: A Workforce Core Competencies Curriculum
National Association of State Mental Health Program Directors (NASMHPD). (2009). Selected Presentations from the Sixth National Summit of State Psychiatric Hospital Superintendents. Research briefings. http://www.nasmhpd.org/HospitalsSummit2009.cfm
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Posted on September 21, 2009 14:06
Topics: Children | Mental Health | SAMHSA
Post Type: report
In this report brief, the Committee on Depression, Parenting Practices and the Healthy Development of Children discuss the optimal system of care to treat depressed parents and children.
From the report:
Today, depression can be accurately identified and effectively treated in many adults. But successful treatment depends partly on the context in which the person lives, and parenting status often is not considered or identified. There is no comprehensive treatment strategy that supports mothers and fathers with depression and includes efforts to evaluate, treat, or prevent problems in their children.
To address these issues, the Committee on Depression, Parenting Practices, and the Healthy Development of Children, through the NRC-IOM Board on Children, Youth, and Families, conducted a study of identification, treatment, and prevention interventions for depressed parents and their children. With funding from the Robert Wood Johnson Foundation, the Annie E. Casey Foundation, The California Endowment, the Health Resources and Services Administration, and the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services, a committee of experts convened to highlight the ideal system of care for depressed parents and their children, examine barriers to care, and identify strategies to facilitate the implementation of effective interventions in different service settings for a diverse population of children.
The National Academies: Advisers to the Nation on Science, Engineering and Medicine. (2009). Depression in parents, parenting and children: opportunities to improve identification, treatment and prevention.
Full report: http://www.bocyf.org/parental_depression_brief.pdf
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Posted on August 14, 2009 16:54
Topics: Rates/Reimbursement/Cost | SAMHSA | Substance Use
Post Type: briefing
This SAMHSA fact sheet, prepared by CSAT and released in 2002, argues that the economic benefits of substance abuse treatment outweigh the costs.
From the fact sheet:
This fact sheet presents a synthesis of information on cost effectiveness and cost benefit studies and whether some substance abuse treatment is better than “no” treatment. Cost effectiveness and cost benefit studies can play an important role in helping treatment providers evaluate existing and alternative substance abuse treatment approaches and in assessing new treatment methods. Evaluating the outcomes and costs associated with treatment is important in determining how to more efficiently allocate scarce funding resources. Several cost benefit studies have demonstrated that the benefits of substance abuse treatment, including reductions in criminal behavior and health care costs, are greater than the costs of substance abuse treatment. Some studies have specifically analyzed the economic benefits of substance abuse treatment on health care costs and utilization. These studies have found that health care costs and utilization rise dramatically prior to initiation of substance abuse treatment and fall dramatically following treatment. Findings from these studies provide growing evidence that substance abuse treatment is cost effective, and the economic benefits outweigh the costs of treatment.
Full fact sheet: http://www.icpsr.umich.edu/SAMHDA/NTIES/NTIES-PDF/SHEETS/140_economic_benefits.pdf
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Posted on August 13, 2009 19:32
Topics: Children | Medicaid | Mental Health | SAMHSA
Post Type: report
This report, based on the National Survey of Drug Use and Health (NSDUH), found that, in 2007, 8.2 percent of adolescents (an estimated 2.0 million youths aged 12 to 17) experienced at least one major depressive episode (MDE) in the past year, and about two fifths (38.9 percent) of those received treatment for depression in the past year. Among adolescents with past year MDE, those with no health insurance coverage were much less likely than those with Medicaid/Children's Health Insurance Program or private health insurance to have received treatment (17.2 vs. 42.9 and 40.6 percent, respectively).
Download the report from SAMHSA's OAS here: http://www.oas.samhsa.gov/2k9/youthDepression/MDEandTXTforADOL.pdf
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