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Chapter 2 Alternative Text for Figures

Figure 2.1 is titled "Any Mental Illness in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2011." It is a bar graph, where age in years and gender are shown on the horizontal axis and the percentage with any mental illness (AMI) in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with past year AMI was 19.6 percent.

The percentage of adults aged 18 to 25 with past year AMI was 29.8 percent.

The percentage of adults aged 26 to 49 with past year AMI was 21.4 percent.

The percentage of adults aged 50 or older with past year AMI was 14.3 percent.

The percentage of males aged 18 or older with past year AMI was 15.9 percent.

The percentage of females aged 18 or older with past year AMI was 23.0 percent.

Click here to return to Figure 2.1.

Figure 2.2 is titled "Serious Mental Illness in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2011." It is a bar graph, where age in years and gender are shown on the horizontal axis and the percentage with serious mental illness (SMI) in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with past year SMI was 5.0 percent.

The percentage of adults aged 18 to 25 with past year SMI was 7.6 percent.

The percentage of adults aged 26 to 49 with past year SMI was 6.0 percent.

The percentage of adults aged 50 or older with past year SMI was 3.0 percent.

The percentage of males aged 18 or older with past year SMI was 3.4 percent.

The percentage of females aged 18 or older with past year SMI was 6.4 percent.

Click here to return to Figure 2.2.

Figure 2.3 is titled "Suicidal Thoughts in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2011." It is a bar graph, where age in years and gender are shown on the horizontal axis and the percentage with serious thoughts of suicide in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with serious thoughts of suicide in the past year was 3.7 percent.

The percentage of adults aged 18 to 25 with serious thoughts of suicide in the past year was 6.8 percent.

The percentage of adults aged 26 to 49 with serious thoughts of suicide in the past year was 3.7 percent.

The percentage of adults aged 50 or older with serious thoughts of suicide in the past year was 2.6 percent.

The percentage of males aged 18 or older with serious thoughts of suicide in the past year was 3.4 percent.

The percentage of females aged 18 or older with serious thoughts of suicide in the past year was 4.0 percent.

Click here to return to Figure 2.3.

Figure 2.4 is titled "Suicidal Thoughts and Behavior in the Past Year among Adults Aged 18 or Older: 2011." It is a Venn diagram, where the outer circle represents the number in millions of adults who had serious thoughts of committing suicide and the overlapping inner circles represent the following categories of suicidal thoughts and behavior: (1) made suicide plans, (2) attempted suicide, (3) made suicide plans and attempted suicide, and (4) did not make suicide plans and attempted suicide.

Of the 8.5 million adults aged 18 or older who had serious thoughts of committing suicide in the past year, 2.4 million made suicide plans, 1.1 million attempted suicide, 0.9 million made suicide plans and attempted suicide, and 0.2 million did not make suicide plans and attempted suicide.

Click here to return to Figure 2.4.

Figure 2.5 is titled "Major Depressive Episode in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2011." It is a bar graph, where age in years and gender are shown on the horizontal axis and the percentage with major depressive episode (MDE) in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with past year MDE was 6.6 percent.

The percentage of adults aged 18 to 25 with past year MDE was 8.3 percent.

The percentage of adults aged 26 to 49 with past year MDE was 7.7 percent.

The percentage of adults aged 50 or older with past year MDE was 4.8 percent.

The percentage of males aged 18 or older with past year MDE was 4.7 percent.

The percentage of females aged 18 or older with past year MDE was 8.3 percent.

Click here to return to Figure 2.5.

Figure 2.6 is titled "Receipt of Treatment for Major Depressive Episode in the Past Year among Adults Aged 18 or Older Who Had a Major Depressive Episode in the Past Year, by Age and Gender: 2011." It is a bar graph, where age in years and gender are shown on the horizontal axis and the percentage receiving treatment for major depressive episode (MDE) in the past year is shown on the vertical axis.

Among adults aged 18 or older who had a major depressive episode in the past year, the percentages who received treatment are as follows:

The percentage of adults aged 18 or older with past year receipt of treatment for MDE was 68.1 percent.

The percentage of adults aged 18 to 25 with past year receipt of treatment for MDE was 47.8 percent.

The percentage of adults aged 26 to 49 with past year receipt of treatment for MDE was 68.1 percent.

The percentage of adults aged 50 or older with past year receipt of treatment for MDE was 80.0 percent.

The percentage of males aged 18 or older with past year receipt of treatment for MDE was 61.0 percent.

The percentage of females aged 18 or older with past year receipt of treatment for MDE was 71.8 percent.

Click here to return to Figure 2.6.

Figure 2.7 is titled "Type of Professional Seen among Adults Aged 18 or Older with a Major Depressive Episode Who Received Treatment in the Past Year: 2011." It is a bar graph, where the percentage among adults with major depressive episode (MDE) who received treatment in the past year is shown on the horizontal axis and the types of professionals seen are shown on the vertical axis. Ten types of professionals are shown: (1) general practitioner or family doctor; (2) psychiatrist or psychotherapist; (3) psychologist; (4) counselor; (5) religious or spiritual advisor (includes ministers, priests, or rabbis); (6) other medical doctor (includes cardiologists, gynecologists, urologists, and other medical doctors who are not general practitioners or family doctors); (7) social worker; (8) other mental health professional (includes mental health nurses and other therapists where type is not specified); (9) herbalist, chiropractor, acupuncturist, or massage therapist; and (10) nurse, occupational therapist, or other health professional.

Among adults aged 18 or older with a major depressive episode who received treatment in the past year, the following percentages received mental health services from the following types of professionals: 60.7 percent saw a general practitioner or family doctor; 31.2 percent saw a psychiatrist or psychotherapist; 29.3 percent saw a psychologist; 22.5 percent saw a counselor; 19.3 percent saw a religious or spiritual advisor; 11.4 percent saw some other medical doctor; 11.0 percent saw a social worker; 6.5 percent saw some other mental health professional; 6.2 percent saw a herbalist, chiropractor, acupuncturist, or massage therapist; and 6.1 percent saw a nurse, occupational therapist, or other health professional.

Click here to return to Figure 2.7.

Figure 2.8 is titled "Past Year Mental Health Service Use among Adults Aged 18 or Older, by Type of Care: 2002-2011." It is a line graph, where the survey years are shown on the horizontal axis and the percentage using a mental health service in the past year is shown on the vertical axis. For each of the mental health service use categories (any type of care, prescription medication, outpatient, and inpatient), there is a line showing use over the years 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, and 2011. Tests of statistical significance at the .05 level were performed between 2011 and each of the previous years listed; significant results are indicated where appropriate.

The percentage of adults aged 18 or older using any type of mental health service in the past year was 13.0 percent in 2002, 13.2 percent in 2003, 12.8 percent in 2004, 13.0 percent in 2005, 12.9 percent in 2006, 13.3 percent in 2007, 13.5 percent in 2008, 13.4 percent in 2009, 13.8 percent in 2010, and 13.6 percent in 2011. The difference between the 2011 estimate and the 2004 estimate was statistically significant.

The percentage of adults aged 18 or older taking prescription medication for mental health problems in the past year was 10.5 percent in 2002, 10.9 percent in 2003, 10.5 percent in 2004, 10.7 percent in 2005, 10.9 percent in 2006, 11.2 percent in 2007, 11.4 percent in 2008, 11.3 percent in 2009, 11.7 percent in 2010, and 11.5 percent in 2011. The differences between the 2011 estimate and the 2002, 2004, and 2005 estimates were statistically significant.

The percentage of adults aged 18 or older receiving outpatient services for mental health problems in the past year was 7.4 percent in 2002, 7.1 percent in both 2003 and 2004, 6.8 percent in 2005, 6.7 percent in 2006, 7.0 percent in 2007, 6.8 percent in 2008, 6.4 percent in 2009, 6.6 percent in 2010, and 6.7 percent in 2011. The difference between the 2011 estimate and the 2002 estimate was statistically significant.

The percentage of adults aged 18 or older receiving inpatient services for mental health problems in the past year was 0.7 percent in 2002, 0.8 percent in 2003, 0.9 percent in 2004, 1.0 percent in 2005, 0.7 percent in 2006, 1.0 percent in 2007, 0.9 percent in 2008, and 0.8 percent in 2009, 2010, and 2011. The differences between the 2011 estimate and the 2005 and 2007 estimates were statistically significant.

Click here to return to Figure 2.8.

Figure 2.9 is titled "Receipt of Mental Health Services among Adults Aged 18 or Older, by Level of Mental Illness: 2011." It is a bar graph, where the levels of mental illness are shown on the horizontal axis and the percentage receiving mental health services in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with past year any mental illness (AMI) who received mental health services in the past year was 38.2 percent.

The percentage of adults aged 18 or older with past year serious mental illness (SMI) who received mental health services in the past year was 59.6 percent.

The percentage of adults aged 18 or older with past year moderate mental illness who received mental health services in the past year was 39.0 percent.

The percentage of adults aged 18 or older with past year low (mild) mental illness who received mental health services in the past year was 28.0 percent.

The percentage of adults aged 18 or older with no past year mental illness who received mental health services in the past year was 7.7 percent.

Click here to return to Figure 2.9.

Figure 2.10 is titled "Number of Types of Mental Health Services Received among Adults Aged 18 or Older with Past Year Any Mental Illness Who Received Mental Health Services in the Past Year: 2011." It is a pie chart, with the following label below the chart: "17.4 Million Adults with Any Mental Illness (AMI) Who Received Mental Health Services." The pie chart shows the percentages of the number of the three types of mental health care received in the past year for AMI. There is a note below the chart that says, "The three types of mental health care are receiving inpatient care, outpatient care, or prescription medication."

Of the 17.4 million adults with AMI who received mental health services in the past year, 51.8 percent received one type of mental health care, 43.3 percent received two types of mental health care, and 4.9 percent received all three types of mental health care.

Click here to return to Figure 2.10.

Figure 2.11 is titled "Number of Types of Mental Health Services Received among Adults Aged 18 or Older with Past Year Serious Mental Illness Who Received Mental Health Services in the Past Year: 2011." It is a pie chart, with the following label below the chart: "6.9 Million Adults with Serious Mental Illness (SMI) Who Received Mental Health Services." The pie chart shows the percentages of the number of the three types of mental health care received in the past year for SMI. There is a note below the chart that says, "The three types of mental health care are receiving inpatient care, outpatient care, or prescription medication."

Of the 6.9 million adults with SMI who received mental health services in the past year, 40.9 percent received one type of mental health care, 50.3 percent received two types of mental health care, and 8.8 percent received all three types of mental health care.

Click here to return to Figure 2.11.

Figure 2.12 is titled "Reasons for Not Receiving Mental Health Services in the Past Year among Adults Aged 18 or Older with an Unmet Need for Mental Health Care Who Did Not Receive Mental Health Services: 2011." It is a bar graph, where the percentage among adults who did not receive mental health care is shown on the horizontal axis and the reasons for not receiving treatment are shown on the vertical axis. Thirteen reasons are shown: (1) could not afford cost, (2) could handle problem without treatment, (3) did not know where to go for services, (4) did not have time, (5) treatment would not help, (6) did not feel need for treatment, (7) health insurance did not cover enough treatment, (8) might cause neighbors/community to have negative opinion, (9) did not want others to find out, (10) might have negative effect on job, (11) fear of being committed/having to take medicine, (12) health insurance did not cover any treatment, and (13) concerned about confidentiality.

Among adults aged 18 or older with an unmet need for mental health care who did not receive mental health services in the past year, the following percentages did not receive mental health services for the following reasons: 50.1 percent because they could not afford the cost, 28.8 percent because they felt they could handle the problem without treatment, 16.2 percent because they did not know where to go for services, 15.1 percent because they did not have the time, 10.4 percent because they thought treatment would not help, 8.5 percent because they did not feel need for treatment, 8.3 percent because their health insurance did not cover enough treatment, 8.0 percent because they thought it might cause neighbors/community to have negative opinion, 7.1 percent because they did not want others to find out, 7.0 percent because they thought it might have a negative effect on job, 7.0 percent because they had a fear of being committed/having to take medicine, 6.7 percent because health insurance did not cover any treatment, and 5.9 percent because they were concerned about confidentiality.

Click here to return to Figure 2.12.

Chapter 3 Alternative Text for Figures

Figure 3.1 is titled "Major Depressive Episode in the Past Year among Youths Aged 12 to 17, by Severe Impairment, Age, and Gender: 2011." It is a bar graph, where the age in years and gender are shown on the horizontal axis and the percentage with major depressive episode (MDE) in the past year is shown on the vertical axis. Each bar is divided into two sections: (1) MDE with severe impairment and (2) MDE without severe impairment. There is a note below the Figure that says, "Respondents with an unknown level of impairment were included in the estimates for Major Depressive Episode without Severe Impairment."

Among the 8.2 percent of youths aged 12 to 17 with MDE in the past year, 5.7 percent had MDE with severe impairment, and 2.5 percent had MDE without severe impairment.

Among the 2.9 percent of youths aged 12 with MDE in the past year, 2.0 percent had MDE with severe impairment, and 0.9 percent had MDE without severe impairment.

Among the 5.1 percent of youths aged 13 with MDE in the past year, 3.6 percent had MDE with severe impairment, and 1.5 percent had MDE without severe impairment.

Among the 7.7 percent of youths aged 14 with MDE in the past year, 5.5 percent had MDE with severe impairment, and 2.2 percent had MDE without severe impairment.

Among the 9.4 percent of youths aged 15 with MDE in the past year, 6.2 percent had MDE with severe impairment, and 3.2 percent had MDE without severe impairment.

Among the 12.0 percent of youths aged 16 with MDE in the past year, 8.5 percent had MDE with severe impairment, and 3.5 percent had MDE without severe impairment.

Among the 11.4 percent of youths aged 17 with MDE in the past year, 7.6 percent had MDE with severe impairment, and 3.8 percent had MDE without severe impairment.

Among the 4.5 percent of male youths aged 12 to 17 with MDE in the past year, 3.2 percent had MDE with severe impairment, and 1.3 percent had MDE without severe impairment.

Among the 12.1 percent of female youths aged 12 to 17 with MDE in the past year, 8.3 percent had MDE with severe impairment, and 3.8 percent had MDE without severe impairment.

Click here to return to Figure 3.1.

Figure 3.2 is titled "Major Depressive Episode in the Past Year among Youths Aged 12 to 17, by Gender: 2004-2011." It is a line graph, where the survey years are shown on the horizontal axis and the percentage with major depressive episode (MDE) in the past year is shown on the vertical axis. There are lines for males and females showing use over the years 2004, 2005, 2006, 2007, 2008, 2009, 2010, and 2011. Tests of statistical significance at the .05 level were performed between 2011 and each of the previous years listed; significant results are indicated where appropriate.

The percentage of female youths aged 12 to 17 with MDE in the past year was 13.1 percent in 2004, 13.3 percent in 2005, 11.8 percent in 2006, 11.9 percent in 2007, 12.5 percent in 2008, 11.7 percent in 2009, 11.9 percent in 2010, and 12.1 percent in 2011. The difference between the 2011 estimate and the 2005 estimate was statistically significant.

The percentage of male youths aged 12 to 17 with MDE in the past year was 5.0 percent in 2004, 4.5 percent in 2005, 4.2 percent in 2006, 4.6 percent in 2007, 4.3 percent in 2008, 4.7 percent in 2009, 4.4 percent in 2010, and 4.5 percent in 2011.

Click here to return to Figure 3.2.

Figure 3.3 is titled "Type of Treatment Received for Major Depressive Episode in the Past Year among Youths Aged 12 to 17, by Gender: 2011." It is a bar graph, where three types of treatment received for major depressive episode (MDE) are shown on the horizontal axis and the percentage receiving treatment in the past year is shown on the vertical axis. For each treatment category (saw or talked to a health professional only, used prescription medication only, and saw or talked to a health professional and used prescription medication), there is a bar for males and a bar for females. There is a note below the graph that says, "Health Professionals include general practitioner or family doctor; other medical doctor (e.g., cardiologist, gynecologist, urologist); psychologist; psychiatrist or psychotherapist; social worker; counselor; other mental health professional (e.g., mental health nurse or other therapist where type is not specified); and nurse, occupational therapist, or other health professional."

Among male youths aged 12 to 17, the percentage who saw or talked to a health professional only was 17.8 percent in the past year. Among female youths aged 12 to 17, the percentage who saw or talked to a health professional only was 20.7 percent in the past year.

Among male youths aged 12 to 17, the percentage who used prescription medication only was 4.2 percent in the past year. Among female youths aged 12 to 17, the percentage who used prescription medication only was 2.0 percent in the past year.

Among male youths aged 12 to 17, the percentage who saw or talked to a health professional and used prescription medication was 11.1 percent in the past year. Among female youths aged 12 to 17, the percentage who saw or talked to a health professional and used prescription medication was 14.5 percent in the past year.

Click here to return to Figure 3.3.

Figure 3.4 is titled "Reasons for Receiving Specialty Mental Health Services among Youths Aged 12 to 17 Who Received Mental Health Services in the Past Year: 2011." It is a bar graph, where the percentage among youths who received specialty mental health services in the past year is shown on the horizontal axis and the reasons for receiving specialty mental health services are shown on the vertical axis. Twelve reasons are shown: (1) felt depressed, (2) had problems with home/family, (3) broke rules and "acted out," (4) felt very afraid and tense, (5) thought about killing self or tried to kill self, (6) had problems at school, (7) had trouble controlling anger, (8) had problems with friends, (9) had problems with people other than family/friends, (10) had eating problems, (11) got into physical fights, and (12) had other diagnosed mental/neurological disorder.

Among youths aged 12 to 17 who received mental health services in the past year, the following percentages received mental health services for the following reasons: 47.3 percent felt depressed, 28.6 percent had problems with home/family, 24.4 percent broke rules and "acted out," 23.4 percent felt very afraid and tense, 22.6 percent thought about killing self or tried to kill self, 18.3 percent had problems at school, 17.1 percent had trouble controlling anger, 12.7 percent had problems with friends, 8.8 percent had problems with people other than family/friends, 8.6 percent had eating problems, 4.5 percent got into physical fights, and 2.7 percent had some other diagnosed mental/neurological disorder.

Click here to return to Figure 3.4.

Figure 3.5 is titled "Past Year Mental Health Service Use among Youths Aged 12 to 17, by Gender: 2011." It is a bar graph, where four mental health service use categories are shown on the horizontal axis and the percentage using mental health services in the past year is shown on the vertical axis. For each mental health service use category (outpatient specialty mental health, inpatient specialty mental health, education, and medical), there is a bar for males and a bar for females.

Among male youths aged 12 to 17, the percentage using outpatient specialty mental health services in the past year was 9.7 percent. Among female youths aged 12 to 17, the percentage using outpatient specialty mental health services in the past year was 13.5 percent.

Among male youths aged 12 to 17, the percentage using inpatient specialty mental health services in the past year was 2.6 percent. Among female youths aged 12 to 17, the percentage using inpatient specialty mental health services in the past year was 2.3 percent.

Among male youths aged 12 to 17, the percentage using education mental health services in the past year was 10.9 percent. Among female youths aged 12 to 17, the percentage using education mental health services in the past year was 13.0 percent.

Among male youths aged 12 to 17, the percentage using medical mental health services in the past year was 2.2 percent. Among female youths aged 12 to 17, the percentage using medical mental health services in the past year was 2.9 percent.

Click here to return to Figure 3.5.

Figure 3.6 is titled "Number of Outpatient Visits in the Past Year among Youths Aged 12 to 17 Who Received Outpatient Specialty Mental Health Services: 2011." It is a pie chart, with the following label below the chart: "2.8 Million Youths Who Received Outpatient Specialty Mental Health Services." The pie chart shows the percentages of the number of outpatient visits among youths aged 12 to 17 who received outpatient specialty mental health services in the past year.

Among youths aged 12 to 17 who received outpatient specialty mental health services in the past year, 17.4 percent had 1 visit, 15.5 percent had 2 visits, 25.7 percent had 3 to 6 visits, 27.0 percent had 7 to 24 visits, and 14.4 percent had 25 or more visits.

Click here to return to Figure 3.6.

Chapter 4 Alternative Text for Figures

Figure 4.1 is titled "Past Year Substance Use among Adults Aged 18 or Older, by Any Mental Illness: 2011." It is a bar graph, where seven substance use types (illicit drugs, marijuana, psychotherapeutics, cocaine, hallucinogens, inhalants, and heroin) are shown on the horizontal axis and the percentage using the substance is shown on the vertical axis. For each substance use type, there is a bar representing those who had mental illness in the past year and a bar representing those who did not have mental illness in the past year. There is a footnote on the label for the "illicit drug" bar that states, "Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically."

Among adults aged 18 or older, 25.2 percent of those who had mental illness in the past year and 11.8 percent of those who did not have mental illness in the past year used illicit drugs in the past year.

Among adults aged 18 or older, 18.8 percent of those who had mental illness in the past year and 9.4 percent of those who did not have mental illness in the past year used marijuana in the past year.

Among adults aged 18 or older, 11.9 percent of those who had mental illness in the past year and 4.0 percent of those who did not have mental illness in the past year used psychotherapeutics in the past year.

Among adults aged 18 or older, 3.2 percent of those who had mental illness in the past year and 1.2 percent of those who did not have mental illness in the past year used cocaine in the past year.

Among adults aged 18 or older, 3.1 percent of those who had mental illness in the past year and 1.1 percent of those who did not have mental illness in the past year used hallucinogens in the past year.

Among adults aged 18 or older, 1.0 percent of those who had mental illness in the past year and 0.3 percent of those who did not have mental illness in the past year used inhalants in the past year.

Among adults aged 18 or older, 0.9 percent of those who had mental illness in the past year and 0.1 percent of those who did not have mental illness in the past year used heroin in the past year.

Click here to return to Figure 4.1.

Figure 4.2 is titled "Past Year Substance Dependence or Abuse and Mental Illness among Adults Aged 18 or Older: 2011." It is a Venn diagram, where the smaller circle on the left represents the number in millions of adults who had substance use disorder (SUD), the larger circle on the right represents the number in millions of adults who had mental illness, and the overlap of these two circles represents the number in millions of adults who had both SUD and mental illness. There is a footnote for mental illness that says, "Statistics on mental illness are provided in Chapter 2 of this report."

Of the 18.9 million adults aged 18 or older who had SUD in the past year, 10.9 million did not have mental illness, while 8.0 million did have mental illness. Of the 45.6 million adults aged 18 or older who had mental illness in the past year, 37.6 million did not have SUD, while 8.0 million did have SUD.

Click here to return to Figure 4.2.

Figure 4.3 is titled "Past Year Substance Dependence or Abuse and Serious Mental Illness among Adults Aged 18 or Older: 2011." It is a Venn diagram, where the larger circle on the left represents the number in millions of adults who had substance use disorder (SUD), the smaller circle on the right represents the number in millions of adults who had serious mental illness (SMI), and the overlap of these two circles represents the number in millions of adults who had both SUD and SMI. There is a footnote for SMI that says, "Statistics on mental illness are provided in Chapter 2 of this report."

Of the 18.9 million adults aged 18 or older who had SUD in the past year, 16.3 million did not have SMI, while 2.6 million did have SMI. Of the 11.5 million adults aged 18 or older who had SMI in the past year, 8.9 million did not have SUD, while 2.6 million did have SUD.

Click here to return to Figure 4.3.

Figure 4.4 is titled "Past Year Substance Dependence or Abuse among Adults Aged 18 or Older, by Level of Mental Illness: 2011." It is a bar graph, where the levels of mental illness are shown on the horizontal axis and the percentage with substance dependence or abuse in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with serious mental illness (SMI) who had past year substance dependence or abuse was 22.6 percent.

The percentage of adults aged 18 or older with moderate mental illness who had past year substance dependence or abuse was 16.1 percent.

The percentage of adults aged 18 or older with low (mild) mental illness who had past year substance dependence or abuse was 15.7 percent.

The percentage of adults aged 18 or older with no mental illness who had past year substance dependence or abuse was 5.8 percent.

Click here to return to Figure 4.4.

Figure 4.5 is titled "Past Year Illicit Drug Dependence or Abuse among Adults Aged 18 or Older, by Level of Mental Illness: 2011." It is a bar graph, where the levels of mental illness are shown on the horizontal axis and the percentage with illicit drug dependence or abuse in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with serious mental illness (SMI) who had past year illicit drug dependence or abuse was 9.9 percent.

The percentage of adults aged 18 or older with moderate mental illness who had past year illicit drug dependence or abuse was 6.5 percent.

The percentage of adults aged 18 or older with low (mild) mental illness who had past year illicit drug dependence or abuse was 5.1 percent.

The percentage of adults aged 18 or older with no mental illness who had past year illicit drug dependence or abuse was 1.3 percent.

Click here to return to Figure 4.5.

Figure 4.6 is titled "Past Year Alcohol Dependence or Abuse among Adults Aged 18 or Older, by Level of Mental Illness: 2011." It is a bar graph, where the levels of mental illness are shown on the horizontal axis and the percentage with alcohol dependence or abuse in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with serious mental illness (SMI) who had past year alcohol dependence or abuse was 17.5 percent.

The percentage of adults aged 18 or older with moderate mental illness who had past year alcohol dependence or abuse was 13.0 percent.

The percentage of adults aged 18 or older with low (mild) mental illness who had past year alcohol dependence or abuse was 12.8 percent.

The percentage of adults aged 18 or older with no mental illness who had past year alcohol dependence or abuse was 5.0 percent.

Click here to return to Figure 4.6.

Figure 4.7 is titled "Co-Occurring Mental Illness and Substance Use Disorder in the Past Year among Adults Aged 18 or Older, by Age and Gender: 2011." It is a bar graph, where age in years and gender are shown on the horizontal axis and the percentage with co-occurring mental illness and substance use disorder in the past year is shown on the vertical axis.

The percentage of adults aged 18 or older with co-occurring mental illness and substance use disorder in the past year was 3.4 percent.

The percentage of adults aged 18 to 25 with co-occurring mental illness and substance use disorder in the past year was 8.9 percent.

The percentage of adults aged 26 to 49 with co-occurring mental illness and substance use disorder in the past year was 3.9 percent.

The percentage of adults aged 50 or older with co-occurring mental illness and substance use disorder in the past year was 1.1 percent.

The percentage of males aged 18 or older with co-occurring mental illness and substance use disorder in the past year was 3.7 percent.

The percentage of females aged 18 or older with co-occurring mental illness and substance use disorder in the past year was 3.2 percent.

Click here to return to Figure 4.7.

Figure 4.8 is titled "Co-Occurring Mental Illness and Substance Use Disorder in the Past Year among Adults Aged 18 or Older, by Employment Status: 2011." It is a bar graph, where employment status is shown on the horizontal axis and the percentage with co-occurring mental illness and substance use disorder in the past year is shown on the vertical axis. The four employment statuses are full time, part time, unemployed, and other. There is a footnote on the "Other" bar that states, "The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force."

The percentage of adults aged 18 or older with co-occurring mental illness and substance use disorder in the past year who were employed full time was 2.9 percent.

The percentage of adults aged 18 or older with co-occurring mental illness and substance use disorder in the past year who were employed part time was 4.7 percent.

The percentage of adults aged 18 or older with co-occurring mental illness and substance use disorder in the past year who were unemployed was 7.7 percent.

The percentage of adults aged 18 or older with co-occurring mental illness and substance use disorder in the past year who fell in the other employment category was 2.9 percent.

Click here to return to Figure 4.8.

Figure 4.9 is titled "Suicide Thoughts, Plans, and Attempts in the Past Year among Adults Aged 18 or Older, by Substance Dependence or Abuse: 2011." It is a bar graph, where three suicide categories are shown on the horizontal axis and the percentage thinking about, planning, or attempting suicide in the past year is shown on the vertical axis. For each suicide category (had serious thoughts of suicide, made any suicide plans, and attempted suicide), there is a bar for drug or alcohol dependence or abuse and a bar for no drug or alcohol dependence or abuse.

Among adults aged 18 or older with drug or alcohol dependence or abuse, 11.2 percent had serious thoughts of suicide in the past year, 3.6 percent made any suicide plans, and 1.9 percent attempted suicide.

Among adults aged 18 or older with no drug or alcohol dependence or abuse, 3.0 percent had serious thoughts of suicide in the past year, 0.8 percent made any suicide plans, and 0.4 percent attempted suicide.

Click here to return to Figure 4.9.

Figure 4.10 is titled "Past Year Substance Use among Adults Aged 18 or Older, by Major Depressive Episode in the Past Year: 2011." It is a bar graph, where seven substance use types (illicit drugs, marijuana, psychotherapeutics, cocaine, hallucinogens, inhalants, and heroin) are shown on the horizontal axis and the percentage using the substance is shown on the vertical axis. For each substance use type, there is a bar representing those who had major depressive episode in the past year and a bar representing those who did not have major depressive episode in the past year. There is a footnote on the label for the "illicit drugs" bar that states, "Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically."

The percentage of adults aged 18 or older who used illicit drugs in the past year was 28.5 percent among adults who had major depressive episode in the past year and 13.4 percent among adults who did not have major depressive episode in the past year.

The percentage of adults aged 18 or older who used marijuana in the past year was 20.8 percent among adults who had major depressive episode in the past year and 10.6 percent among adults who did not have major depressive episode in the past year.

The percentage of adults aged 18 or older who used psychotherapeutics in the past year was 13.3 percent among adults who had major depressive episode in the past year and 5.0 percent among adults who did not have major depressive episode in the past year.

The percentage of adults aged 18 or older who used cocaine in the past year was 3.4 percent among adults who had major depressive episode in the past year and 1.4 percent among adults who did not have major depressive episode in the past year.

The percentage of adults aged 18 or older who used hallucinogens in the past year was 3.7 percent among adults who had major depressive episode in the past year and 1.3 percent among adults who did not have major depressive episode in the past year.

The percentage of adults aged 18 or older who used inhalants in the past year was 1.3 percent among adults who had major depressive episode in the past year and 0.4 percent among adults who did not have major depressive episode in the past year.

The percentage of adults aged 18 or older who used heroin in the past year was 1.3 percent among adults who had major depressive episode in the past year and 0.2 percent among adults who did not have major depressive episode in the past year.

Click here to return to Figure 4.10.

Figure 4.11 is titled "Past Year Substance Dependence or Abuse among Adults Aged 18 or Older, by Major Depressive Episode in the Past Year: 2011." It is a bar graph, where three dependence or abuse categories are shown on the horizontal axis and the percentage with substance dependence or abuse in the past year is shown on the vertical axis. For each dependence or abuse category (drug or alcohol dependence or abuse, drug dependence or abuse, and alcohol dependence or abuse), there is a bar representing those who had major depressive episode in the past year and a bar representing those who did not have major depressive episode in the past year.

Among adults aged 18 or older who had major depressive episode in the past year, 20.0 percent had drug or alcohol dependence or abuse in the past year, 7.7 percent had drug dependence or abuse, and 15.9 percent had alcohol dependence or abuse.

Among adults aged 18 or older who did not have major depressive episode in the past year, 7.3 percent had drug or alcohol dependence or abuse in the past year, 1.9 percent had drug dependence or abuse, and 6.1 percent had alcohol dependence or abuse.

Click here to return to Figure 4.11.

Figure 4.12 is titled "Past Year Mental Health Care and Treatment for Substance Use Problems among Adults Aged 18 or Older with Both Mental Illness and a Substance Use Disorder: 2011." It is a pie chart, with the following label below the chart: "8.0 Million Adults with Co-Occurring Mental Illness and Substance Use Disorder." The pie chart shows the percentage of the types of treatment received in the past year. There is a note is below the chart that says, "Mental health care is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Treatment for substance use problems refers to treatment at a hospital (inpatient only), rehabilitation facility (inpatient or outpatient), or mental health center in order to reduce or stop drug or alcohol use, or for medical problems associated with drug or alcohol use."

Of the 8.0 million adults aged 18 or older with co-occurring mental illness and a substance use disorder, 32.5 percent received in the past year mental health care only, 6.9 percent received in the past year both mental health care and treatment for substance use problems, 4.0 percent received in the past year treatment for substance use problems only, and 56.6 percent received no treatment in the past year.

Click here to return to Figure 4.12.

Figure 4.13 is titled "Past Year Mental Health Care and Treatment for Substance Use Problems among Adults Aged 18 or Older with Both Serious Mental Illness and a Substance Use Disorder: 2011." It is a pie chart, with the following label below the chart: "2.6 Million Adults with Co-Occurring Serious Mental Illness (SMI) and Substance Use Disorder." The pie chart shows the percentage of the types of treatment received in the past year. There are two notes below the chart. The first note says, "Mental health care is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Treatment for substance use problems refers to treatment at a hospital (inpatient only), rehabilitation facility (inpatient or outpatient), or mental health center in order to reduce or stop drug or alcohol use, or for medical problems associated with drug or alcohol use." The second note says, "The percentages do not add to 100 percent due to rounding."

Of the 2.6 million adults aged 18 or older with co-occurring SMI and a substance use disorder, 49.5 percent received in the past year mental health care only, 12.4 percent received in the past year both mental health care and treatment for substance use problems, 3.6 percent received in the past year treatment for substance use problems only, and 34.4 percent received no treatment in the past year.

Click here to return to Figure 4.13.

Figure 4.14 is titled "Past Year Substance Use among Youths Aged 12 to 17, by Major Depressive Episode in the Past Year: 2011." It is a bar graph, where seven substance use types (illicit drugs, marijuana, psychotherapeutics, inhalants, hallucinogens, cocaine, and heroin) are shown on the horizontal axis and the percentage using the substance is shown on the vertical axis. For each substance use type, there is a bar representing those who had major depressive episode in the past year and a bar representing those who did not have major depressive episode in the past year. There is a footnote on the label for the "illicit drugs" bar that states, "Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically."

The percentage of youths aged 12 to 17 who used illicit drugs in the past year was 36.0 percent among those who had major depressive episode in the past year and 17.4 percent among those who did not have major depressive episode in the past year.

The percentage of youths aged 12 to 17 who used marijuana in the past year was 26.0 percent among those who had major depressive episode in the past year and 13.2 percent among those who did not have major depressive episode in the past year.

The percentage of youths aged 12 to 17 who used psychotherapeutics in the past year was 16.3 percent among those who had major depressive episode in the past year and 6.1 percent among those who did not have major depressive episode in the past year.

The percentage of youths aged 12 to 17 who used inhalants in the past year was 8.6 percent among those who had major depressive episode in the past year and 2.7 percent among those who did not have major depressive episode in the past year.

The percentage of youths aged 12 to 17 who used hallucinogens in the past year was 6.1 percent among those who had major depressive episode in the past year and 2.2 percent among those who did not have major depressive episode in the past year.

The percentage of youths aged 12 to 17 who used cocaine in the past year was 2.7 percent among those who had major depressive episode in the past year and 0.7 percent among those who did not have major depressive episode in the past year.

The percentage of youths aged 12 to 17 who used heroin in the past year was 0.5 percent among those who had major depressive episode in the past year and 0.2 percent among those who did not have major depressive episode in the past year.

Click here to return to Figure 4.14.

Figure 4.15 is titled "Past Year Substance Dependence or Abuse among Youths Aged 12 to 17, by Major Depressive Episode in the Past Year: 2011." It is a bar graph, where three dependence or abuse categories are shown on the horizontal axis and the percentage with substance dependence or abuse in the past year is shown on the vertical axis. For each dependence or abuse category (drug or alcohol dependence or abuse, drug dependence or abuse, and alcohol dependence or abuse), there is a bar representing those who had major depressive episode in the past year and a bar representing those who did not have major depressive episode in the past year.

Among youths aged 12 to 17 who had major depressive episode in the past year, 18.2 percent had drug or alcohol dependence or abuse in the past year, 12.3 percent had drug dependence or abuse, and 11.2 percent had alcohol dependence or abuse.

Among youths aged 12 to 17 who did not have major depressive episode in the past year, 5.8 percent had drug or alcohol dependence or abuse in the past year, 3.9 percent had drug dependence or abuse, and 3.1 percent had alcohol dependence or abuse.

Click here to return to Figure 4.15.

Appendix B Alternative Text for Figures

Figure B.1 is titled "Required Effective Sample in the 2011 NSDUH as a Function of the Proportion Estimated." It is a graph of a function within a coordinate plane; the horizontal axis shows the proportion estimated, and the vertical axis shows the required effective sample size. A horizontal line through the graph indicates that an effective sample size of 68 is required for the current rule. The graph decreases from an infinitely large required effective sample size when the estimated proportion is close to zero and approaches a local minimum of 50 when the estimated proportion is 0.20. The graph increases for estimated proportions greater than 0.20 until a required effective sample size of 68 is reached for an estimated proportion of 0.50. The graph decreases for estimated proportions greater than 0.50 and approaches a local minimum of 50 for the required effective sample size when the estimated proportion is 0.80. The graph increases for estimated proportions greater than 0.80 and reaches an infinitely large required effective sample size when the estimated proportion is close to 1.

Click here to return to Figure B.1.

Figure B.2 is titled "AMI and SMI Prediction Based on Alternative K6 and WHODAS Scores." Four abbreviations are defined in a note below the figure: AMI is any mental illness; K6 is the Kessler-6, a six-item psychological distress scale; SMI is serious mental illness; and WHODAS is the eight-item World Health Organization Disability Assessment Schedule. Figure B.2 is a grid chart where the horizontal axis shows the alternative K6 scores ranging from 0 to 17 and the vertical axis shows the alternative WHODAS scores ranging from 0 to 8. Each cell within the grid chart is shown as one of three shades of black: black indicates no mental illness, light gray indicates low/mild mental illness or moderate mental illness, and dark gray indicates SMI. The source for the grid chart is SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008.

No mental illness can be predicted as follows: by an alternative WHODAS score of 0 and alternative K6 scores ranging from 0 to 4; a WHODAS score of 1 and K6 scores ranging from 0 to 3; or a WHODAS score of 2 and K6 scores of 0 or 1.

SMI can be predicted as follows: by an alternative WHODAS score of 0 or 1 and an alternative K6 score of 17; a WHODAS score of 2 and K6 scores ranging from 15 to 17; a WHODAS score of 3 and K6 scores ranging from 13 to 17; a WHODAS score of 4 and K6 scores ranging from 11 to 17; a WHODAS score of 5 and K6 scores ranging from 9 to 17; a WHODAS score of 6 and K6 scores ranging from 7 to 17; a WHODAS score of 7 and K6 scores ranging from 6 to 17; or a WHODAS score of 8 and K6 scores ranging from 4 to 17.

All other cells predict low/mild mental illness or moderate mental illness.

Click here to return to Figure B.2.

Appendix A Alternative Text for Equations

Appendix A Equation 1: The adjustment factor a sub k as a function of lambda is defined as the ratio of two quantities. The quantity in the numerator is defined as the sum of two terms. The first term is calculated as the product of l sub k and the difference between u sub k and c sub k. The second term is calculated as the product of u sub k, the difference between c sub k and l sub k, and the value of the exponential function evaluated as the following product: capital A sub k multiplied by the transpose of the vector x sub k, multiplied by lambda. The quantity in the denominator is defined as the sum of two terms. The first term is the difference between u sub k and c sub k. The second term is calculated as the product of the difference between c sub k and l sub k, and the value of the exponential function evaluated as the following product: capital A sub k multiplied by the transpose of the vector x sub k, multiplied by lambda.

Click here to return to Equation A.1.

Appendix A Equation 2: The quantity of the summation over s of the product of (x sub k, d sub k, and a sub k as a function of lambda), minus the quantity capital T tilde sub x is equal to zero.

Click here to return to Equation A.2.

Appendix A Equation 3: Delta of the parameters w and d equals the summation over all k in s of the ratio of d sub k to capital A sub k multiplied by the sum of the following two quantities. The first quantity is calculated as the product of the difference between a sub k and l sub k and the logarithm of the ratio of the difference between a sub k and l sub k to the difference between c sub k and l sub k. The second quantity is defined as the product of the difference between u sub k and a sub k and the logarithm of the ratio of the difference between u sub k and a sub k to the difference between u sub k and c sub k.

Click here to return to Equation A.3.

Appendix B Alternative Text for Equations

Appendix B Equation 1: The p hat sub d is equal to capital Y hat sub d divided by capital N hat sub d.

Click here to return to Equation B.1.

Appendix B Equation 2: The standard error of capital Y hat sub d is equal to capital N hat sub d times the standard error of p hat sub d.

Click here to return to Equation B.2.

Appendix B Equation 3: Two suppression rules are shown. The first indicates that suppressions occurred when the relative standard error of the negative of the natural logarithm of p hat was greater than .175 and p hat was less than or equal to .5.

Click here to return to Equation B.3.

Appendix B Equation 4: The second suppression rule indicates that suppressions also occurred when the relative standard error of the negative of the natural logarithm of the difference 1 minus p hat was greater than .175 and p hat was greater than .5.

Click here to return to Equation B.4.

Appendix B Equation 5: Two computational forms of the suppression rule are presented. The first indicates that suppressions occurred when p hat was less than or equal to .5 and the following ratio was greater than .175: The numerator of the ratio is the standard error of p hat divided by p hat; the denominator is the negative of the natural logarithm of p hat.

Click here to return to Equation B.5.

Appendix B Equation 6: The second computational form of the suppression rule indicates that suppressions also occurred whenever p hat was greater than .5 and the following ratio was greater than .175: The numerator is the standard error of p hat divided by the difference 1 minus p hat; the denominator is the negative of the natural logarithm of the difference 1 minus p hat.

Click here to return to Equation B.6.

Appendix B Equation 7: Capital Z is equal to the ratio of two quantities. The numerator is p hat sub 1 minus p hat sub 2. The denominator is the square root of the following quantity: the variance of p hat sub1, plus the variance of p hat sub 2, minus twice the covariance of p hat sub 1 and p hat sub 2.

Click here to return to Equation B.7.

Appendix B Equation 8: Capital S R R is equal to the ratio of two quantities. The numerator is the summation of the product of w sub h h and complete sub h h. The denominator is the summation of the product of w sub h h and eligible sub h h.

Click here to return to Equation B.8.

Appendix B Equation 9: Capital I R R is equal to the ratio of two quantities. The numerator is the summation of the product of w sub i and complete sub i. The denominator is the summation of the product of w sub i and selected sub i.

Click here to return to Equation B.9.

Appendix B Equation 10: Capital O R R is equal to the product of capital S R R and capital I R R.

Click here to return to Equation B.10.

Appendix B Equation 11: The logit of pi hat is equivalent to the logarithm of pi hat divided by the quantity 1 minus pi hat, which is equal to the sum of the following three quantities: negative 4.7500, the product of 0.2098 and capital X sub k, and the product of 0.3839 and capital X sub w.

Click here to return to Equation B.11.

Appendix B Equation 12: Pi hat is equal to the ratio of two quantities. The numerator is 1. The denominator is 1 plus e raised to the negative value of the sum of the following three quantities: negative 4.7500, the product of 0.2098 and capital X sub k, and the product of 0.3839 and capital X sub w.

Click here to return to Equation B.12.

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