2003 Tables: Serious Mental Illness

40430

**Table 6.1A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Categories: Numbers in Thousands, 2002 and 2003**
Age Category	Total		GENDER
	Total		Male		Female
	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	17,483^b	19,588	6,041^a	6,887	11,442^b	12,702
18	543	644	216	275	326	369
19	514^a	619	192	223	322	395
20	511	574	214	243	297	332
21	571	544	218	199	353	345
22	533	508	209	196	324	311
23	518	518	193	190	324	328
24	426^b	545	159	218	268	327
25	469	468	160	146	309	322
26–29	1,458	1,725	543	635	915	1,090
30–34	2,132	1,967	732	589	1,400	1,378
35–39	1,995	2,253	846	775	1,150^a	1,478
40–44	2,236	2,248	643	662	1,593	1,586
45–49	1,713^a	2,224	559	776	1,154	1,448
50–54	1,397	1,718	384	667	1,013	1,050
55–59	904	991	305	387	599	604
60–64	416	521	158	199	259	322
65 or Older	1,148	1,521	313	505	835	1,016
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.1B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Categories: Percentages, 2002 and 2003**
Age Category	Total		GENDER
	Total		Male		Female
	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	8.3^b	9.2	6.0^a	6.7	10.5^a	11.5
18	12.4	14.0	9.7	11.1	15.3	17.3
19	12.6^b	15.9	9.4	12.1	15.8^a	19.5
20	12.8	14.3	10.4	11.8	15.3	16.9
21	14.1	13.9	10.8	10.4	17.4	17.2
22	13.8	12.6	10.7	9.7	17.0	15.6
23	13.6	12.9	9.9	9.9	17.4	15.8
24	12.1^b	15.0	9.2	11.8	14.8^a	18.4
25	14.1	12.9	10.4	8.1	17.3	17.7
26–29	9.5^a	11.7	7.3	8.4	11.7^a	15.2
30–34	10.7	9.7	7.4	6.0	14.1	13.2
35–39	9.1	10.8	7.8	7.5	10.3^b	14.0
40–44	10.2	9.9	6.1	5.9	14.0	13.7
45–49	8.1^b	10.4	5.3	7.4	10.8	13.2
50–54	7.4	8.6	4.2	6.9	10.4	10.2
55–59	6.2	6.6	4.6	5.3	7.5	8.0
60–64	3.6	4.4	2.7	3.7	4.5	5.1
65 or Older	3.4	4.4	2.1	3.5	4.3	5.1
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.2A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2002 and 2003**
Demographic Characteristic	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	17,483^b	19,588	4,085^a	4,420	9,534^a	10,418	3,865^a	4,750
GENDER
Male	6,041^a	6,887	1,560	1,690	3,322	3,438	1,159^a	1,758
Female	11,442^b	12,702	2,525	2,730	6,211^a	6,980	2,706	2,992
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	15,760^a	17,257	3,486	3,735	8,667	9,186	3,607	4,336
White	12,639^b	14,308	2,744	2,877	7,010	7,575	2,885^b	3,856
Black or African American	2,032	1,992	466	532	1,089	1,108	477	351
American Indian or Alaska Native	161	96	35	22	69	66	*	*
Native Hawaiian or Other Pacific Islander	40	52	*	*	*	*	*	*
Asian	600	536	154	196	344	311	*	29
Two or More Races	289	273	63	79	139	103	*	*
Hispanic or Latino	1,724^b	2,331	599	686	867^a	1,231	258	414
EDUCATION
< High School	3,591^a	4,276	944	1,030	1,506^a	1,949	1,142	1,297
High School Graduate	5,839	6,360	1,363^a	1,525	3,027	3,212	1,449	1,623
Some College	4,991	5,388	1,362	1,388	2,751	3,022	878	979
College Graduate	3,062	3,564	416	478	2,250	2,235	396^b	851
CURRENT EMPLOYMENT
Full-Time	8,453^b	9,583	1,795	1,948	5,733	6,034	925^b	1,601
Part-Time	2,664	2,861	1,042	1,061	1,210	1,366	412	435
Unemployed	1,078	1,230	395	445	557	540	*	*
Other¹	5,289	5,914	853	967	2,033^a	2,478	2,402	2,469
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.2B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2002 and 2003**
Demographic Characteristic	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	8.3^b	9.2	13.2	13.9	9.5^a	10.4	4.9	5.9
GENDER
Male	6.0^a	6.7	10.0	10.6	6.7	7.0	3.2^a	4.7
Female	10.5^a	11.5	16.3	17.3	12.2^b	13.8	6.3	6.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.5^a	9.2	13.7	14.3	10.1	10.7	4.9	5.8
White	8.4^b	9.5	14.2	14.6	10.4^a	11.3	4.6^a	6.0
Black or African American	8.8	8.4	11.5	12.4	9.2	9.4	6.6	4.6
American Indian or Alaska Native	12.5	8.9	16.1	11.9	11.1	11.9	*	*
Native Hawaiian or Other Pacific Islander	5.4	12.4	*	*	*	*	*	*
Asian	7.5	6.1	11.2	13.6	7.5	6.4	*	1.2
Two or More Races	13.6	12.6	15.7	21.8	13.8	10.3	*	*
Hispanic or Latino	6.9^b	9.0	10.9	12.1	6.1^a	8.5	4.8	7.3
EDUCATION
< High School	9.6^a	11.3	13.7	15.0	10.9	13.3	6.9	7.9
High School Graduate	8.6	9.5	12.9	13.9	9.8	10.7	5.5	6.2
Some College	9.5	10.3	13.9	14.0	10.6	11.9	5.2	5.7
College Graduate	5.8	6.5	11.0	12.0	7.6	7.5	2.0^b	4.0
CURRENT EMPLOYMENT
Full-Time	7.3^b	8.2	12.4	13.4	7.9	8.5	3.1^b	5.1
Part-Time	9.7	10.0	13.2	13.0	11.4	12.1	4.6	4.7
Unemployed	14.2	15.2	16.1	16.5	14.2	13.3	*	*
Other¹	9.0	10.0	13.8	15.4	15.5^a	18.5	6.1	6.3
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40512

**Table 6.3A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Geographic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic Characteristic	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	17,483^b	19,588	4,085^a	4,420	9,534^a	10,418	3,865^a	4,750
GEOGRAPHIC DIVISION
Northeast	3,441	3,403	784	827	1,943	1,706	714	871
New England	1,007	949	215	224	524	530	268	195
Middle Atlantic	2,434	2,454	569	602	1,419	1,176	446	676
Midwest	4,048	4,285	926	963	2,209	2,414	913	908
East North Central	2,831	2,944	619	630	1,588	1,652	624	662
West North Central	1,217	1,341	307	333	621	762	289	246
South	6,325^a	7,288	1,375	1,539	3,357	3,751	1,593	1,998
South Atlantic	3,353	3,641	647	746	1,763	1,847	943	1,048
East South Central	1,195	1,295	255	280	695	710	245	305
West South Central	1,777^b	2,352	473	512	900^a	1,194	405	646
West	3,669^b	4,612	1,000	1,092	2,024^a	2,547	645	973
Mountain	1,117^b	1,475	317	346	578^a	780	222	349
Pacific	2,552	3,137	683	746	1,446	1,767	423	624
COUNTY TYPE¹
Large Metro	8,730^a	9,875	2,016^b	2,321	5,046	5,315	1,668	2,239
Small Metro	5,426^a	6,174	1,423	1,345	2,886	3,310	1,117	1,519
250K – 1 Mil. Pop.	3,476^a	4,073	895	877	1,831	2,167	751	1,029
< 250K Pop.	1,950	2,101	528	468	1,056	1,142	367	490
Nonmetro	3,327	3,539	646^a	754	1,601	1,793	1,079	992
Urbanized	1,283	1,618	297	355	633	743	353	520
Less Urbanized	1,694	1,651	297	345	782	900	614	407
Completely Rural	350	270	52	54	186	150	112	66
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40512

**Table 6.3B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	8.3^b	9.2	13.2	13.9	9.5^a	10.4	4.9	5.9
GEOGRAPHIC DIVISION
Northeast	8.5	8.3	14.2	14.7	10.1	9.0	4.5	5.4
New England	9.5	8.9	15.0	15.3	10.3	10.5	6.5	4.6
Middle Atlantic	8.1	8.2	14.0	14.5	10.1	8.4	3.8	5.7
Midwest	8.5	8.9	12.9	13.1	9.8	10.8	5.1	4.9
East North Central	8.5	8.7	12.4	12.4	10.0	10.5	4.9	5.1
West North Central	8.5	9.3	13.8	14.6	9.4	11.6	5.3	4.4
South	8.4^a	9.6	12.5	13.6	9.5	10.6	5.6	6.9
South Atlantic	8.5	9.1	12.0	13.4	9.5	10.0	6.1	6.6
East South Central	9.4	10.1	13.4	14.5	11.7	12.1	5.0	6.1
West South Central	7.8^b	10.2	12.7	13.5	8.1^a	10.8	5.0	7.8
West	7.8^b	9.6	13.7	14.7	8.8^b	11.0	3.9	5.6
Mountain	8.2^b	10.6	14.5	15.5	8.9^b	11.9	4.5	6.9
Pacific	7.6	9.2	13.4	14.4	8.7	10.6	3.6	5.1
COUNTY TYPE¹
Large Metro	7.8^a	8.8	12.7^a	14.0	9.0	9.5	4.1	5.6
Small Metro	8.7	9.6	14.0	13.2	10.0^a	11.4	4.8	6.1
250K – 1 Mil. Pop.	8.6	9.7	13.9	13.2	9.7	11.1	4.9	6.5
< 250K Pop.	9.1	9.5	14.2	13.2	10.7	12.2	4.7	5.4
Nonmetro	9.3	9.9	13.0^a	15.3	10.5	12.0	6.9	6.2
Urbanized	9.0	10.1	13.2	15.0	10.1	11.0	6.1	7.6
Less Urbanized	9.7	10.2	13.1	15.7	10.7	13.4	7.7	5.5
Completely Rural	8.8	7.4	11.3	14.9	11.6	9.9	5.9	3.7
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.4A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Use of Illicit Drugs: Numbers in Thousands, 2002 and 2003**
Drug	ILLICIT DRUG USE
	Yes		No
	2002	2003	2002	2003
ANY ILLICIT DRUG¹	5,061	5,341	12,423^b	14,248
Marijuana and Hashish	3,653	3,698	13,830^b	15,890
Cocaine	1,187	1,077	16,296^b	18,511
Crack	435	325	17,049^b	19,263
Heroin	*	*	17,389^b	19,533
Hallucinogens	751^a	589	16,732^b	18,999
LSD	127	85	17,356^b	19,503
PCP	*	*	17,447^b	19,560
Ecstasy	540^b	302	16,943^b	19,287
Inhalants	207	219	17,276^b	19,369
Nonmedical Use of Any Psychotherapeutic²	2,707	2,761	14,777^b	16,827
Pain Relievers	2,040	2,107	15,444^b	17,482
Tranquilizers	1,136	1,172	16,347^b	18,416
Stimulants	730	593	16,753^b	18,995
Methamphetamine	418	331	17,066^b	19,257
Sedatives	283	*	17,200^b	19,298
ANY ILLICIT DRUG OTHER THAN MARIJUANA¹	3,500	3,500	13,983^b	16,089
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.4B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Use of Illicit Drugs: Percentages, 2002 and 2003**
Drug	ILLICIT DRUG USE
	Yes		No
	2002	2003	2002	2003
ANY ILLICIT DRUG¹	17.1	18.1	6.9^b	7.8
Marijuana and Hashish	16.7	17.2	7.3^b	8.3
Cocaine	22.0	19.7	7.9^b	8.9
Crack	29.9	24.8	8.2^b	9.1
Heroin	*	*	8.3^b	9.2
Hallucinogens	19.7	18.7	8.1^b	9.1
LSD	18.6	20.8	8.3^b	9.2
PCP	*	*	8.3^b	9.2
Ecstasy	20.6	16.9	8.2^b	9.1
Inhalants	20.6	22.9	8.3^b	9.1
Nonmedical Use of Any Psychotherapeutic²	21.8	21.7	7.5^b	8.4
Pain Relievers	22.4	21.6	7.7^b	8.6
Tranquilizers	26.5	26.2	7.9^b	8.8
Stimulants	28.8	27.2	8.1^b	9.0
Methamphetamine	31.8	29.0	8.2^b	9.1
Sedatives	33.6	*	8.2^b	9.1
ANY ILLICIT DRUG OTHER THAN MARIJUANA¹	20.5	20.6	7.2^b	8.2
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.5A Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Numbers in Thousands, 2002 and 2003**
Drug	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG²	29,638	29,538	5,061	5,341	24,577	24,197
Marijuana and Hashish	21,850	21,486	3,653	3,698	18,197	17,788
Cocaine	5,394	5,470	1,187	1,077	4,206	4,392
Crack	1,454	1,310	435	325	1,020	985
Heroin	353	278	94	55	258	222
Hallucinogens	3,804^b	3,158	751^a	589	3,053^b	2,568
LSD	684^b	409	127	85	557^b	324
PCP	126	130	37	29	89	101
Ecstasy	2,621^b	1,790	540^b	302	2,081^b	1,488
Inhalants	1,005	956	207	219	798	737
Nonmedical Use of Any Psychotherapeutic³	12,397	12,697	2,707	2,761	9,690	9,935
Pain Relievers	9,122	9,753	2,040	2,107	7,082	7,647
Tranquilizers	4,281	4,465	1,136	1,172	3,145	3,293
Stimulants	2,531	2,183	730	593	1,801	1,589
Methamphetamine	1,315	1,141	418	331	897	810
Sedatives	843	700	283	290	560	410
ANY ILLICIT DRUG OTHER THAN MARIJUANA²	17,086	16,954	3,500	3,500	13,586	13,455
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ³ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.5B Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Percentages, 2002 and 2003**
Drug	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG²	14.1	13.9	28.9	27.3	12.7	12.5
Marijuana and Hashish	10.4	10.1	20.9	18.9	9.4	9.2
Cocaine	2.6	2.6	6.8	5.5	2.2	2.3
Crack	0.7	0.6	2.5	1.7	0.5	0.5
Heroin	0.2	0.1	0.5	0.3	0.1	0.1
Hallucinogens	1.8^b	1.5	4.3^b	3.0	1.6^b	1.3
LSD	0.3^b	0.2	0.7	0.4	0.3^b	0.2
PCP	0.1	0.1	0.2	0.1	0.0	0.1
Ecstasy	1.2^b	0.8	3.1^b	1.5	1.1^b	0.8
Inhalants	0.5	0.4	1.2	1.1	0.4	0.4
Nonmedical Use of Any Psychotherapeutic³	5.9	6.0	15.5	14.1	5.0	5.1
Pain Relievers	4.3	4.6	11.7	10.8	3.7	4.0
Tranquilizers	2.0	2.1	6.5	6.0	1.6	1.7
Stimulants	1.2	1.0	4.2	3.0	0.9	0.8
Methamphetamine	0.6	0.5	2.4	1.7	0.5	0.4
Sedatives	0.4	0.3	1.6	1.5	0.3	0.2
ANY ILLICIT DRUG OTHER THAN MARIJUANA²	8.1	8.0	20.0	17.9	7.0	7.0
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ³ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.6A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year and Past Month Tobacco and Alcohol Use: Numbers in Thousands, 2002 and 2003**
Drug	TOBACCO OR ALCOHOL USE
	Yes		No
	2002	2003	2002	2003
PAST YEAR
Any Tobacco¹	9,357^a	10,533	8,127^a	9,055
Cigarettes	8,628^a	9,715	8,856^a	9,874
Smokeless Tobacco	825	733	16,658^b	18,856
Cigars	2,604	2,747	14,880^b	16,841
Pipe Tobacco²	--	--	--	--
Alcohol	12,428^b	14,039	5,055	5,550
Binge Alcohol Use³	--	--	--	--
Heavy Alcohol Use³	--	--	--	--
PAST MONTH
Any Tobacco¹	8,428	9,270	9,055^b	10,318
Cigarettes	7,886	8,666	9,598^b	10,923
Smokeless Tobacco	575	480	16,908^b	19,109
Cigars	1,287	1,355	16,196^b	18,233
Pipe Tobacco	219	259	17,265^b	19,329
Alcohol	9,234^b	10,412	8,250	9,176
Binge Alcohol Use³	5,037^a	5,663	12,446^b	13,925
Heavy Alcohol Use³	1,696	1,876	15,788^b	17,712
Low precision; no estimate reported. -- Not available. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ² Information about past year use of pipe tobacco was not collected. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.6B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year and Past Month Tobacco and Alcohol Use: Percentages, 2002 and 2003**
Drug	TOBACCO OR ALCOHOL USE
	Yes		No
	2002	2003	2002	2003
PAST YEAR
Any Tobacco¹	11.9^b	13.5	6.2	6.7
Cigarettes	13.0^b	14.9	6.1	6.7
Smokeless Tobacco	8.7	7.9	8.3^b	9.3
Cigars	11.1	12.0	8.0^b	8.9
Pipe Tobacco²	--	--	--	--
Alcohol	8.5^b	9.6	8.0	8.3
Binge Alcohol Use³	--	--	--	--
Heavy Alcohol Use³	--	--	--	--
PAST MONTH
Any Tobacco¹	12.4^a	13.8	6.3^a	7.1
Cigarettes	13.6^a	15.1	6.3^a	7.0
Smokeless Tobacco	7.9	6.6	8.3^b	9.3
Cigars	11.1	11.6	8.1^b	9.1
Pipe Tobacco	13.0	17.8	8.3^b	9.2
Alcohol	8.0^b	9.1	8.7	9.3
Binge Alcohol Use³	9.8^a	11.1	7.8^a	8.6
Heavy Alcohol Use³	11.1	12.1	8.1^b	9.0
Low precision; no estimate reported. -- Not available. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ² Information about past year use of pipe tobacco was not collected. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.7A Tobacco and Alcohol Use in the Past Year and Past Month among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Numbers in Thousands, 2002 and 2003**
Drug	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
PAST YEAR
Any Tobacco²	78,892	77,781	9,357^a	10,533	69,536	67,247
Cigarettes	66,273	65,116	8,628^a	9,715	57,646	55,401
Smokeless Tobacco	9,514	9,312	825	733	8,689	8,579
Cigars	23,417	22,898	2,604	2,747	20,813	20,151
Pipe Tobacco³	--	--	--	--	--	--
Alcohol	146,912	145,978	12,428^b	14,039	134,484	131,939
Binge Alcohol Use⁴	--	--	--	--	--	--
Heavy Alcohol Use⁴	--	--	--	--	--	--
PAST MONTH
Any Tobacco²	67,732	67,147	8,428	9,270	59,304	57,877
Cigarettes	57,928	57,391	7,886	8,666	50,042	48,725
Smokeless Tobacco	7,299	7,214	575	480	6,724	6,734
Cigars	11,634	11,722	1,287	1,355	10,347	10,367
Pipe Tobacco	1,679	1,458	219	259	1,460	1,199
Alcohol	115,455	114,539	9,234^b	10,412	106,221	104,127
Binge Alcohol Use⁴	51,146	51,112	5,037^a	5,663	46,109	45,449
Heavy Alcohol Use⁴	15,231	15,492	1,696	1,876	13,535	13,616
Low precision; no estimate reported. -- Not available. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ³ Information about past year use of pipe tobacco was not collected. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.7B Tobacco and Alcohol Use in the Past Year and Past Month among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Percentages, 2002 and 2003**
Drug	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
PAST YEAR
Any Tobacco²	37.5	36.6	53.5	53.8	36.0^a	34.8
Cigarettes	31.5	30.6	49.3	49.6	29.9^a	28.7
Smokeless Tobacco	4.5	4.4	4.7	3.7	4.5	4.4
Cigars	11.1	10.8	14.9	14.0	10.8	10.4
Pipe Tobacco³	--	--	--	--	--	--
Alcohol	69.8^a	68.6	71.1	71.7	69.7^a	68.3
Binge Alcohol Use⁴	--	--	--	--	--	--
Heavy Alcohol Use⁴	--	--	--	--	--	--
PAST MONTH
Any Tobacco²	32.2	31.6	48.2	47.3	30.7	30.0
Cigarettes	27.5	27.0	45.1	44.2	25.9	25.2
Smokeless Tobacco	3.5	3.4	3.3	2.4	3.5	3.5
Cigars	5.5	5.5	7.4	6.9	5.4	5.4
Pipe Tobacco	0.8	0.7	1.3	1.3	0.8	0.6
Alcohol	54.9	53.9	52.8	53.2	55.1	53.9
Binge Alcohol Use⁴	24.3	24.0	28.8	28.9	23.9	23.5
Heavy Alcohol Use⁴	7.2	7.3	9.7	9.6	7.0	7.1
Low precision; no estimate reported. -- Not available. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ³ Information about past year use of pipe tobacco was not collected. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.8A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Any Illicit Drug Use and Demographic Characteristics: Numbers in Thousands, 2002 and 2003**
Demographic Characteristic	Total		ANY ILLICIT DRUG USE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	17,483^b	19,588	5,061	5,341	12,423^b	14,248
AGE
18–25	4,085^a	4,420	1,965^a	2,181	2,120	2,239
26–49	9,534^a	10,418	2,730	2,840	6,804^a	7,578
50 or Older	3,865^a	4,750	366	320	3,499^a	4,431
GENDER
Male	6,041^a	6,887	2,282	2,134	3,759^b	4,753
Female	11,442^b	12,702	2,779^a	3,207	8,663	9,495
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	15,760^a	17,257	4,492	4,801	11,268^a	12,456
White	12,639^b	14,308	3,751	3,965	8,888^b	10,343
Black or African American	2,032	1,992	547	604	1,485	1,387
American Indian or Alaska Native	161	96	*	*	122	62
Native Hawaiian or Other Pacific Islander	40	52	*	*	23	29
Asian	600	536	53	*	546	425
Two or More Races	289	273	*	63	203	211
Hispanic or Latino	1,724^b	2,331	569	540	1,155^b	1,792
EDUCATION
< High School	3,591^a	4,276	1,115	1,184	2,476^a	3,092
High School Graduate	5,839	6,360	1,516	1,706	4,323	4,654
Some College	4,991	5,388	1,724	1,679	3,267	3,709
College Graduate	3,062	3,564	705	771	2,357	2,793
CURRENT EMPLOYMENT
Full-Time	8,453^b	9,583	2,562	2,795	5,891^a	6,788
Part-Time	2,664	2,861	829	878	1,834	1,983
Unemployed	1,078	1,230	548	495	530	736
Other²	5,289	5,914	1,122	1,174	4,167	4,740
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.8B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Any Illicit Drug Use and Demographic Characteristics: Percentages, 2002 and 2003**
Demographic Characteristic	Total		ANY ILLICIT DRUG USE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	8.3^b	9.2	17.1	18.1	6.9^b	7.8
AGE
18–25	13.2	13.9	17.9^a	19.9	10.6	10.8
26–49	9.5^a	10.4	17.0	17.9	8.1^a	9.0
50 or Older	4.9	5.9	14.0	11.7	4.6^a	5.7
GENDER
Male	6.0^a	6.7	13.3	12.5	4.5^b	5.6
Female	10.5^a	11.5	22.2^a	25.7	8.9	9.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.5^a	9.2	17.2	18.5	7.1^a	7.7
White	8.4^b	9.5	17.9	18.6	6.9^b	8.0
Black or African American	8.8	8.4	14.3	17.3	7.7	6.9
American Indian or Alaska Native	12.5	8.9	*	*	11.4	6.9
Native Hawaiian or Other Pacific Islander	5.4	12.4	*	*	3.9	8.6
Asian	7.5	6.1	9.3	*	7.3	5.2
Two or More Races	13.6	12.6	*	14.8	12.0	12.0
Hispanic or Latino	6.9^b	9.0	16.0	15.3	5.3^b	8.0
EDUCATION
< High School	9.6^a	11.3	19.8	21.2	7.8^a	9.6
High School Graduate	8.6	9.5	16.0	17.9	7.4	8.1
Some College	9.5	10.3	19.9	19.3	7.4	8.5
College Graduate	5.8	6.5	11.9	13.5	5.0	5.7
CURRENT EMPLOYMENT
Full-Time	7.3^b	8.2	14.6	16.2	6.0^a	6.8
Part-Time	9.7	10.0	16.2	16.5	8.2	8.5
Unemployed	14.2	15.2	24.7	21.3	9.9	12.8
Other²	9.0	10.0	23.3	25.5	7.7	8.7
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.9A Any Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Demographic Characteristics: Numbers in Thousands, 2002 and 2003**
Demographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	29,638	29,538	5,061	5,341	24,577	24,197
AGE
18–25	11,000	10,976	1,965^a	2,181	9,035	8,795
26–49	16,031	15,835	2,730	2,840	13,301	12,995
50 or Older	2,608	2,727	366	320	2,242	2,407
GENDER
Male	17,132	17,044	2,282	2,134	14,851	14,910
Female	12,506	12,494	2,779^a	3,207	9,727	9,287
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	26,087	26,020	4,492	4,801	21,595	21,219
White	20,900	21,275	3,751	3,965	17,149	17,310
Black or African American	3,835	3,496	547	604	3,289	2,891
American Indian or Alaska Native	220	179	*	*	181	145
Native Hawaiian or Other Pacific Islander	123	74	*	*	107	52
Asian	576	575	53	*	523	463
Two or More Races	433	421	*	*	347	359
Hispanic or Latino	3,552	3,518	569	540	2,983	2,978
EDUCATION
< High School	5,618	5,579	1,115	1,184	4,503	4,395
High School Graduate	9,460	9,549	1,516	1,706	7,944	7,843
Some College	8,656	8,678	1,724	1,679	6,931	6,999
College Graduate	5,905	5,732	705	771	5,200	4,960
CURRENT EMPLOYMENT
Full-Time	17,505	17,305	2,562	2,795	14,943	14,510
Part-Time	5,105	5,310	829	878	4,276	4,433
Unemployed	2,218	2,320	548	495	1,671	1,826
Other²	4,809	4,602	1,122	1,174	3,688	3,428
Low precision; no estimate reported. NOTE: Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.9B Any Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Demographic Characteristics: Percentages, 2002 and 2003**
Demographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	14.1	13.9	28.9	27.3	12.7	12.5
AGE
18–25	35.5	34.6	48.1	49.3	33.5^a	32.2
26–49	16.0	15.8	28.6	27.3	14.7	14.5
50 or Older	3.3	3.4	9.5	6.7	3.0	3.2
GENDER
Male	17.0	16.7	37.8^a	31.0	15.6	15.6
Female	11.4	11.3	24.3	25.2	9.9	9.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14.1	13.9	28.5	27.8	12.7	12.5
White	13.9	14.1	29.7	27.7	12.5	12.7
Black or African American	16.5	14.7	26.9	30.3	15.5^a	13.3
American Indian or Alaska Native	17.0	16.6	*	*	16.0	14.7
Native Hawaiian or Other Pacific Islander	16.8	17.8	*	*	15.4	14.2
Asian	7.2	6.5	8.9	*	7.0	5.6
Two or More Races	20.4	19.4	*	*	18.9	18.9
Hispanic or Latino	14.1	13.6	33.0^a	23.2	12.7	12.7
EDUCATION
< High School	15.1	14.7	31.0	27.7	13.4	13.1
High School Graduate	13.9	14.2	26.0	26.8	12.8	12.9
Some College	16.5	16.5	34.5	31.2	14.6	14.9
College Graduate	11.2	10.4	23.0	21.6	10.5	9.6
CURRENT EMPLOYMENT
Full-Time	15.0	14.8	30.3	29.2	13.8	13.5
Part-Time	18.6	18.5	31.1	30.7	17.3	17.2
Unemployed	29.2	28.7	50.8	40.2	25.7	26.6
Other²	8.2	7.8	21.2	19.8	6.9	6.5
Low precision; no estimate reported. NOTE: Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.10A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Substance Dependence or Abuse: Numbers in Thousands, 2002 and 2003**
Dependence/Abuse	Total		DEPENDENCE¹				DEPENDENCE OR ABUSE¹
	Total		Yes		No		Yes		No
	2002	2003	2002	2003	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG²	17,483^b	19,588	1,260	1,298	16,223^b	18,290	1,671	1,694	15,812^b	17,895
Marijuana	17,483^b	19,588	573	649	16,910^b	18,939	883	927	16,600^b	18,662
ANY ILLICIT DRUG OTHER THAN MARIJUANA²	17,483^b	19,588	790	775	16,693^b	18,813	1,050	1,035	16,433^b	18,553
ALCOHOL	17,483^b	19,588	2,013	1,941	15,471^b	17,648	3,155	3,334	14,328^b	16,254
ANY ILLICIT DRUG OR ALCOHOL²	17,483^b	19,588	2,836	2,875	14,648^b	16,713	4,048	4,179	13,435^b	15,409
BOTH ANY ILLICIT DRUG AND ALCOHOL²	17,483^b	19,588	438	364	17,046^b	19,224	779	848	16,705^b	18,740
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ² Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.10B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Substance Dependence or Abuse: Percentages, 2002 and 2003**
Dependence/Abuse	Total		DEPENDENCE¹				DEPENDENCE OR ABUSE¹
	Total		Yes		No		Yes		No
	2002	2003	2002	2003	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG²	8.3^b	9.2	32.7	35.3	7.9^b	8.8	29.1	30.5	7.7^b	8.6
Marijuana	8.3^b	9.2	28.6	32.2	8.1^b	9.0	27.3	28.6	8.0^b	8.9
ANY ILLICIT DRUG OTHER THAN MARIJUANA²	8.3^b	9.2	38.5	39.6	8.0^b	8.9	33.4	34.9	7.9^b	8.8
ALCOHOL	8.3^b	9.2	26.2	27.5	7.6^b	8.6	19.0	20.4	7.4^b	8.3
ANY ILLICIT DRUG OR ALCOHOL²	8.3^b	9.2	27.2	29.2	7.3^b	8.2	20.4	21.6	7.0^b	8.0
BOTH ANY ILLICIT DRUG AND ALCOHOL²	8.3^b	9.2	38.9	40.5	8.1^b	9.1	30.1	33.8	8.0^b	8.9
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ² Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.11A Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Numbers in Thousands, 2002 and 2003**
Dependence/Abuse	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
DEPENDENCE OR ABUSE²
Any Illicit Drug³	5,740	5,548	1,671	1,694	4,069	3,854
Marijuana	3,239	3,243	883	927	2,356	2,316
Any Illicit Drug Other Than Marijuana³	3,146	2,969	1,050	1,035	2,097	1,933
Alcohol	16,647	16,334	3,155	3,334	13,491	13,000
Any Illicit Drug or Alcohol³	19,797	19,372	4,048	4,179	15,749	15,193
Both Any Illicit Drug and Alcohol³	2,590	2,509	779	848	1,811	1,661
DEPENDENCE²
Any Illicit Drug³	3,855	3,680	1,260	1,298	2,594	2,382
Marijuana	2,006	2,018	573	649	1,433	1,368
Any Illicit Drug Other Than Marijuana³	2,052	1,956	790	775	1,261	1,181
Alcohol	7,695	7,051	2,013	1,941	5,682	5,110
Any Illicit Drug or Alcohol³	10,425	9,832	2,836	2,875	7,589	6,957
Both Any Illicit Drug and Alcohol³	1,125	899	438	364	687	535
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.11B Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Percentages, 2002 and 2003**
Dependence/Abuse	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
DEPENDENCE OR ABUSE²
Any Illicit Drug³	2.7	2.6	9.6	8.6	2.1	2.0
Marijuana	1.5	1.5	5.1	4.7	1.2	1.2
Any Illicit Drug Other Than Marijuana³	1.5	1.4	6.0	5.3	1.1	1.0
Alcohol	7.9	7.7	18.0	17.0	7.0	6.7
Any Illicit Drug or Alcohol³	9.4	9.1	23.2	21.3	8.2	7.9
Both Any Illicit Drug and Alcohol³	1.2	1.2	4.5	4.3	0.9	0.9
DEPENDENCE²
Any Illicit Drug³	1.8	1.7	7.2	6.6	1.3	1.2
Marijuana	1.0	0.9	3.3	3.3	0.7	0.7
Any Illicit Drug Other Than Marijuana³	1.0	0.9	4.5	4.0	0.7	0.6
Alcohol	3.7	3.3	11.5	9.9	2.9	2.6
Any Illicit Drug or Alcohol³	5.0	4.6	16.2	14.7	3.9	3.6
Both Any Illicit Drug and Alcohol³	0.5	0.4	2.5	1.9	0.4	0.3
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.12A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Any Illicit Drug Dependence or Abuse, Gender, and Age Group: Numbers in Thousands, 2002 and 2003**
Gender/Age	Total		ANY ILLICIT DRUG DEPENDENCE OR ABUSE^1,2
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	17,483^b	19,588	1,671	1,694	15,812^b	17,895
18–25	4,085^a	4,420	689	734	3,396^a	3,687
26–49	9,534^a	10,418	871	906	8,662^a	9,512
50 or Older	3,865^a	4,750	*	*	3,754^a	4,696
MALE	6,041^a	6,887	926	786	5,115^b	6,100
18–25	1,560	1,690	343	355	1,218	1,335
26–49	3,322	3,438	487	418	2,835	3,020
50 or Older	1,159^a	1,758	*	*	1,063^b	1,744
FEMALE	11,442^b	12,702	745	907	10,697^a	11,794
18–25	2,525	2,730	346	378	2,178	2,351
26–49	6,211^a	6,980	384	488	5,828^a	6,491
50 or Older	2,706	2,992	*	*	2,691	2,952
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.12B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Any Illicit Drug Dependence or Abuse, Gender, and Age Group: Percentages, 2002 and 2003**
Gender/Age	Total		ANY ILLICIT DRUG DEPENDENCE OR ABUSE^1,2
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	8.3^b	9.2	29.1	30.5	7.7^b	8.6
18–25	13.2	13.9	27.0	29.5	11.9	12.6
26–49	9.5^a	10.4	31.8	32.1	8.9^a	9.8
50 or Older	4.9	5.9	*	*	4.8^a	5.8
MALE	6.0^a	6.7	24.5	22.3	5.3^a	6.2
18–25	10.0	10.6	21.0	22.8	8.8	9.3
26–49	6.7	7.0	26.3	23.5	6.0	6.4
50 or Older	3.2^a	4.7	*	*	3.0^b	4.7
FEMALE	10.5^a	11.5	37.9	44.7	10.0^a	10.9
18–25	16.3	17.3	37.9	40.8	14.9	15.8
26–49	12.2^b	13.8	42.9	46.8	11.6^a	13.1
50 or Older	6.3	6.8	*	*	6.3	6.7
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.13A Any Illicit Drug Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Numbers in Thousands, 2002 and 2003**
Gender/Age	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	5,740	5,548	1,671	1,694	4,069	3,854
18–25	2,548	2,486	689	734	1,859	1,752
26–49	2,744	2,820	871	906	1,873	1,914
50 or Older	448	242	111	54	337	188
MALE	3,773	3,519	926	786	2,847	2,733
18–25	1,634	1,558	343	355	1,291	1,203
26–49	1,850	1,777	487	418	1,362	1,360
50 or Older	289	184	*	*	193	170
FEMALE	1,967	2,028	745	907	1,222	1,121
18–25	914	928	346	378	568	550
26–49	894	1,042	384	488	510	554
50 or Older	159	58	15	41	144^a	17
Low precision; no estimate reported. NOTE: Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. NOTE: Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.13B Any Illicit Drug Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Percentages, 2002 and 2003**
Gender/Age	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	2.7	2.6	9.6	8.6	2.1	2.0
18–25	8.2	7.8	16.9	16.6	6.9	6.4
26–49	2.7	2.8	9.1	8.7	2.1	2.1
50 or Older	0.6	0.3	2.9	1.1	0.4	0.2
MALE	3.7	3.4	15.3^a	11.4	3.0	2.9
18–25	10.5	9.8	22.0	21.0	9.2	8.5
26–49	3.8	3.6	14.7	12.1	3.0	3.0
50 or Older	0.8	0.5	*	*	0.6	0.5
FEMALE	1.8	1.8	6.5	7.1	1.2	1.1
18–25	5.9	5.9	13.7	13.9	4.4	4.2
26–49	1.8	2.1	6.2	7.0	1.1	1.3
50 or Older	0.4	0.1	0.6	1.4	0.4^a	0.0
Low precision; no estimate reported. NOTE: Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. NOTE: Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.14A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Alcohol Dependence or Abuse, Gender, and Age Group: Numbers in Thousands, 2002 and 2003**
Gender/Age	Total		ALCOHOL DEPENDENCE OR ABUSE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	17,483^b	19,588	3,155	3,334	14,328^b	16,254
18–25	4,085^a	4,420	1,137	1,200	2,948^a	3,220
26–49	9,534^a	10,418	1,676	1,756	7,857^a	8,661
50 or Older	3,865^a	4,750	342	377	3,523^a	4,373
MALE	6,041^a	6,887	1,687	1,715	4,354^a	5,172
18–25	1,560	1,690	543	596	1,018	1,095
26–49	3,322	3,438	874	865	2,448	2,573
50 or Older	1,159^a	1,758	270	254	888^b	1,504
FEMALE	11,442^b	12,702	1,468	1,619	9,974^a	11,083
18–25	2,525	2,730	594	605	1,930^a	2,125
26–49	6,211^a	6,980	802	891	5,409^a	6,089
50 or Older	2,706	2,992	*	*	2,635	2,869
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.14B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Alcohol Dependence or Abuse, Gender, and Age Group: Percentages, 2002 and 2003**
Gender/Age	Total		ALCOHOL DEPENDENCE OR ABUSE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	8.3^b	9.2	19.0	20.4	7.4^b	8.3
18–25	13.2	13.9	20.8	22.0	11.5	12.3
26–49	9.5^a	10.4	19.0	20.5	8.6^a	9.5
50 or Older	4.9	5.9	14.6	16.5	4.6	5.6
MALE	6.0^a	6.7	14.6	15.4	4.9^a	5.7
18–25	10.0	10.6	15.3	17.2	8.5	8.8
26–49	6.7	7.0	14.2	14.6	5.7	5.9
50 or Older	3.2^a	4.7	14.3	14.9	2.6^b	4.3
FEMALE	10.5^a	11.5	29.0	31.0	9.6^a	10.5
18–25	16.3	17.3	30.8	30.3	14.2	15.4
26–49	12.2^b	13.8	29.9	33.6	11.2^a	12.7
50 or Older	6.3	6.8	*	*	6.2	6.6
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.15A Alcohol Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Numbers in Thousands, 2002 and 2003**
Gender/Age	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	16,647	16,334	3,155	3,334	13,491	13,000
18–25	5,477	5,462	1,137	1,200	4,340	4,262
26–49	8,825	8,584	1,676	1,756	7,148	6,828
50 or Older	2,345	2,287	342	377	2,003	1,910
MALE	11,579	11,105	1,687	1,715	9,892	9,390
18–25	3,550	3,469	543	596	3,008	2,873
26–49	6,143	5,935	874	865	5,269	5,070
50 or Older	1,885	1,701	*	254	1,615	1,447
FEMALE	5,067	5,229	1,468	1,619	3,599	3,610
18–25	1,927	1,993	594	605	1,333	1,389
26–49	2,681	2,649	802	891	1,879	1,758
50 or Older	459	586	72	123	388	463
Low precision; no estimate reported. NOTE: Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.15B Alcohol Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Percentages, 2002 and 2003**
Gender/Age	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	7.9	7.7	18.0	17.0	7.0	6.7
18–25	17.7	17.2	27.8	27.2	16.1	15.6
26–49	8.8	8.6	17.6	16.9	7.9	7.6
50 or Older	3.0	2.8	8.8	7.9	2.7	2.5
MALE	11.5	10.9	27.9	24.9	10.4	9.8
18–25	22.9	21.8	34.8	35.2	21.5	20.2
26–49	12.5	12.1	26.3	25.2	11.5	11.1
50 or Older	5.2	4.6	*	14.4	4.6	4.1
FEMALE	4.6	4.7	12.8	12.7	3.7	3.7
18–25	12.4	12.6	23.5	22.2	10.3	10.6
26–49	5.3	5.2	12.9	12.8	4.2	4.0
50 or Older	1.1	1.3	2.6	4.1	1.0	1.1
Low precision; no estimate reported. NOTE: Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

Table 6.16A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling and Detailed Age Categories: Numbers in Thousands, 2002 and 2003
Age Category	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	17,483^b	19,588	8,355^a	9,253	9,091^b	10,312
18	543	644	153	193	386	451
19	514^a	619	170	195	343	421
20	511	574	137	172	374	402
21	571	544	209	191	362	353
22	533	508	168	186	365	318
23	518	518	189	197	328	320
24	426^b	545	155^a	217	271	328
25	469	468	213	199	256	269
26–29	1,458	1,725	595	663	858	1,062
30–34	2,132	1,967	1,051	990	1,080	977
35–39	1,995	2,253	1,052	1,084	943	1,168
40–44	2,236	2,248	1,312	1,148	924	1,100
45–49	1,713^a	2,224	1,163	1,258	535^b	961
50–54	1,397	1,718	856	1,102	541	605
55–59	904	991	532	495	372	495
60–64	416	521	105^a	285	311	236
65 or Older	1,148	1,521	294^a	675	842	845
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent persons aged 18 or older with past year serious mental illness, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

**Table 6.16B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling and Detailed Age Categories: Percentages, 2002 and 2003**
Age Category	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	8.3^b	9.2	30.6	33.0	5.0^a	5.6
18	12.4	14.0	35.6	39.3	9.9	11.0
19	12.6^b	15.9	41.7	48.7	9.3^a	12.1
20	12.8	14.3	36.4	42.9	10.4	11.1
21	14.1	13.9	44.5	41.4	10.1	10.2
22	13.8	12.6	42.3	41.6	10.6	9.0
23	13.6	12.9	44.3	42.3	9.7	9.1
24	12.1^b	15.0	39.3^a	50.7	8.7	10.3
25	14.1	12.9	56.1^a	44.7	8.7	8.5
26–29	9.5^a	11.7	34.3	41.1	6.4	8.1
30–34	10.7	9.7	37.4	34.6	6.3	5.7
35–39	9.1	10.8	35.0	36.4	5.0	6.5
40–44	10.2	9.9	35.8	34.2	5.1	5.7
45–49	8.1^b	10.4	34.9	33.6	3.0^b	5.4
50–54	7.4	8.6	29.5	34.2	3.4	3.6
55–59	6.2	6.6	22.1	21.5	3.0	3.9
60–64	3.6	4.4	8.9	18.9	3.0	2.3
65 or Older	3.4	4.4	9.8^b	23.1	2.7	2.7
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent persons aged 18 or older with past year serious mental illness, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

Table 6.17A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling and Demographic Characteristics: Numbers in Thousands, 2002 and 2003
Demographic Characteristic	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	17,483^b	19,588	8,355^a	9,253	9,091^b	10,312
AGE
18–25	4,085^a	4,420	1,394	1,551	2,685	2,862
26–49	9,534^a	10,418	5,173	5,144	4,340^b	5,269
50 or Older	3,865^a	4,750	1,787^b	2,558	2,065	2,182
GENDER
Male	6,041^a	6,887	2,376	2,649	3,647^a	4,236
Female	11,442^b	12,702	5,978	6,604	5,444	6,076
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	15,760^a	17,257	7,703^a	8,571	8,019	8,668
White	12,639^b	14,308	6,547^a	7,548	6,057	6,753
Black or African American	2,032	1,992	750	725	1,281	1,256
American Indian or Alaska Native	161	96	*	*	66	45
Native Hawaiian or Other Pacific Islander	40	52	*	*	35	44
Asian	600	536	*	*	405	445
Two or More Races	289	273	*	*	176	126
Hispanic or Latino	1,724^b	2,331	651	682	1,072^b	1,644
EDUCATION
< High School	3,591^a	4,276	1,404	1,666	2,172	2,610
High School Graduate	5,839	6,360	2,631	2,821	3,199	3,539
Some College	4,991	5,388	2,576	2,729	2,410	2,635
College Graduate	3,062	3,564	1,743	2,036	1,309	1,528
CURRENT EMPLOYMENT
Full-Time	8,453^b	9,583	3,796	4,061	4,641^b	5,520
Part-Time	2,664	2,861	1,346	1,368	1,310	1,487
Unemployed	1,078	1,230	457	444	621	775
Other³	5,289	5,914	2,756^a	3,380	2,519	2,529
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent persons aged 18 or older with past year SMI, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40503

Table 6.17B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling and Demographic Characteristics: Percentages, 2002 and 2003
Demographic Characteristic	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	8.3^b	9.2	30.6	33.0	5.0^a	5.6
AGE
18–25	13.2	13.9	42.5	43.8	9.7	10.2
26–49	9.5^a	10.4	35.5	35.3	5.1^b	6.2
50 or Older	4.9	5.9	18.8^a	25.7	3.0	3.1
GENDER
Male	6.0^a	6.7	27.1	30.4	4.0	4.5
Female	10.5^a	11.5	32.2	34.1	6.0	6.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.5^a	9.2	30.5	33.0	5.0	5.4
White	8.4^b	9.5	29.7^a	32.8	4.7	5.3
Black or African American	8.8	8.4	38.0	35.8	6.1	5.8
American Indian or Alaska Native	12.5	8.9	*	*	6.2	4.7
Native Hawaiian or Other Pacific Islander	5.4	12.4	*	*	5.0	12.2
Asian	7.5	6.1	*	*	5.5	5.4
Two or More Races	13.6	12.6	*	*	9.9	7.1
Hispanic or Latino	6.9^b	9.0	31.9	33.3	4.7^b	6.9
EDUCATION
< High School	9.6^a	11.3	32.6^a	42.0	6.6	7.7
High School Graduate	8.6	9.5	33.3	33.7	5.3	6.0
Some College	9.5	10.3	34.2	35.0	5.4	5.9
College Graduate	5.8	6.5	23.0	25.7	2.9	3.2
CURRENT EMPLOYMENT
Full-Time	7.3^b	8.2	29.0	29.3	4.5^b	5.4
Part-Time	9.7	10.0	34.5	32.9	5.6	6.1
Unemployed	14.2	15.2	42.4	42.4	9.6	11.1
Other³	9.0	10.0	29.8^b	37.5	5.1	5.1
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent persons aged 18 or older with past year SMI, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40513

Table 6.18A Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling and Geographic Characteristics: Numbers in Thousands, 2002 and 2003
Geographic Characteristic	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	17,483^b	19,588	8,355^a	9,253	9,091^b	10,312
GEOGRAPHIC DIVISION
Northeast	3,441	3,403	1,745	1,666	1,695	1,732
New England	1,007	949	653	548	354	401
Middle Atlantic	2,434	2,454	1,092	1,119	1,341	1,330
Midwest	4,048	4,285	1,912	2,231	2,112	2,054
East North Central	2,831	2,944	1,330	1,381	1,476	1,564
West North Central	1,217	1,341	581^b	850	635	490
South	6,325^a	7,288	2,999	3,464	3,315	3,812
South Atlantic	3,353	3,641	1,594	1,837	1,758	1,805
East South Central	1,195	1,295	636	582	558	713
West South Central	1,777^b	2,352	769^a	1,046	999^a	1,295
West	3,669^b	4,612	1,699	1,892	1,969^b	2,714
Mountain	1,117^b	1,475	507	715	610	759
Pacific	2,552	3,137	1,191	1,176	1,359^a	1,956
COUNTY TYPE³
Large Metro	8,730^a	9,875	4,056	4,433	4,659^a	5,421
Small Metro	5,426^a	6,174	2,774	3,046	2,638^a	3,126
250K – 1 Mil. Pop.	3,476^a	4,073	1,704	2,052	1,757	2,019
< 250K Pop.	1,950	2,101	1,070	994	880	1,106
Nonmetro	3,327	3,539	1,525	1,774	1,795	1,765
Urbanized	1,283	1,618	689	828	587	790
Less Urbanized	1,694	1,651	731	788	961	863
Completely Rural	350	270	*	*	246^a	112
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent persons aged 18 or older with past year serious mental illness, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40513

Table 6.18B Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling and Geographic Characteristics: Percentages, 2002 and 2003
Geographic Characteristic	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	8.3^b	9.2	30.6	33.0	5.0^a	5.6
GEOGRAPHIC DIVISION
Northeast	8.5	8.3	31.2	29.8	4.9	4.9
New England	9.5	8.9	35.7	30.0	4.0	4.5
Middle Atlantic	8.1	8.2	29.0	29.8	5.1	5.1
Midwest	8.5	8.9	30.8	32.5	5.1	5.0
East North Central	8.5	8.7	31.7	30.0	5.1	5.4
West North Central	8.5	9.3	28.8^a	37.5	5.2	4.1
South	8.4^a	9.6	32.5	35.0	5.1	5.8
South Atlantic	8.5	9.1	32.9	34.2	5.1	5.2
East South Central	9.4	10.1	36.4	34.3	5.1	6.4
West South Central	7.8^b	10.2	29.1^a	36.8	4.9^a	6.4
West	7.8^b	9.6	27.1^a	33.2	4.8^b	6.4
Mountain	8.2^b	10.6	28.0	37.3	5.2	6.4
Pacific	7.6	9.2	26.7	31.0	4.7^a	6.5
COUNTY TYPE³
Large Metro	7.8^a	8.8	28.6	31.1	4.7^a	5.5
Small Metro	8.7	9.6	32.3	34.3	4.9	5.7
250K – 1 Mil. Pop.	8.6	9.7	30.4^a	35.6	5.0	5.6
< 250K Pop.	9.1	9.5	36.0	32.0	4.8	5.9
Nonmetro	9.3	9.9	33.3	35.8	5.8	5.7
Urbanized	9.0	10.1	32.3	36.1	4.8	5.8
Less Urbanized	9.7	10.2	34.9	35.8	6.3	6.2
Completely Rural	8.8	7.4	*	*	6.8^a	3.5
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent persons aged 18 or older with past year serious mental illness, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

Table 6.19A Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Detailed Age Categories: Numbers in Thousands, 2002 and 2003
Age Category	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	27,322	28,056	8,355^a	9,253	18,968	18,803
18	431	492	153	193	277	298
19	407	400	170	195	237	206
20	377	402	137	172	240	230
21	469	462	209	191	260	270
22	398	447	168	186	230	261
23	427	467	189	197	238	269
24	396	428	155^a	217	240	211
25	380	444	213	199	166^b	246
26–29	1,738	1,615	595	663	1,142	952
30–34	2,811	2,864	1,051	990	1,760	1,874
35–39	3,006	2,976	1,052	1,084	1,954	1,892
40–44	3,668	3,357	1,312	1,148	2,356	2,209
45–49	3,333	3,743	1,163	1,258	2,171	2,485
50–54	2,900	3,219	*	1,102	2,044	2,117
55–59	2,408	2,305	*	*	1,876	1,809
60–64	1,188	1,509	*	*	1,082	1,224
65 or Older	2,988	2,926	*	*	2,694	2,251
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.19B Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Detailed Age Categories: Percentages, 2002 and 2003**
Age Category	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	13.0	13.2	47.9	47.3	9.9	9.8
18	9.9	10.7	28.4	30.0	7.3	7.5
19	10.0	10.3	33.1	31.6	6.6	6.3
20	9.5	10.0	26.8	30.0	6.9	6.7
21	11.6	11.8	36.6	35.1	7.5	8.0
22	10.3	11.2	31.5	36.9	6.9	7.5
23	11.2	11.7	36.6	38.2	7.2	7.8
24	11.2	11.8	36.4	39.8	7.8	6.9
25	11.4	12.3	45.4	42.4	5.8^a	7.8
26–29	11.4	11.0	41.0	38.4	8.3	7.3
30–34	14.2	14.2	49.3	50.3	9.9	10.3
35–39	13.7	14.2	52.7	48.1	9.8	10.1
40–44	16.8	14.9	58.7	51.1	12.0	10.9
45–49	15.8	17.5	68.5^b	56.7	11.2	13.0
50–54	15.4	16.2	*	64.6	11.7	11.6
55–59	16.4	15.4	*	*	13.6	13.0
60–64	10.3	12.8	*	*	9.7	10.9
65 or Older	8.8	8.6	*	*	8.2	6.9
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

Table 6.20A Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Demographic Characteristics: Numbers in Thousands, 2002 and 2003
Demographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	27,322	28,056	8,355^a	9,253	18,968	18,803
AGE
18–25	3,283	3,542	1,394	1,551	1,888	1,991
26–49	14,556	14,555	5,173	5,144	9,383	9,412
50 or Older	9,483	9,958	1,787^b	2,558	7,696	7,400
GENDER
Male	8,784	8,716	2,376	2,649	6,408	6,068
Female	18,538	19,340	5,978	6,604	12,560	12,735
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25,277	26,007	7,703^a	8,571	17,574	17,436
White	22,014	22,999	6,547^a	7,548	15,467	15,451
Black or African American	1,973	2,023	750	725	1,223	1,298
American Indian or Alaska Native	228	136	*	*	134	84
Native Hawaiian or Other Pacific Islander	29	*	*	*	24	*
Asian	682	424	*	91	486	333
Two or More Races	352	374	*	*	240	226
Hispanic or Latino	2,045	2,049	651	682	1,394	1,367
EDUCATION
< High School	4,311	3,965	1,404	1,666	2,907^a	2,299
High School Graduate	7,912	8,367	2,631	2,821	5,281	5,546
Some College	7,528	7,801	2,576	2,729	4,952	5,071
College Graduate	7,571	7,923	1,743	2,036	5,828	5,887
CURRENT EMPLOYMENT
Full-Time	13,090	13,844	3,796	4,061	9,295	9,783
Part-Time	3,901	4,158	1,346	1,368	2,554	2,790
Unemployed	1,077	1,049	457	444	620	604
Other²	9,255	9,005	2,756^a	3,380	6,499^a	5,625
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

**Table 6.20B Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Demographic Characteristics: Percentages, 2002 and 2003**
Demographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	13.0	13.2	47.9	47.3	9.9	9.8
AGE
18–25	10.6	11.2	34.2	35.2	7.0	7.3
26–49	14.6	14.6	54.4^a	49.4	10.4	10.5
50 or Older	12.0	12.3	46.4	54.0	10.3	9.7
GENDER
Male	8.7	8.5	39.5	38.5	6.8	6.4
Female	17.0	17.6	52.3	52.1	12.8	13.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13.7	13.9	49.0	49.7	10.4	10.3
White	14.7	15.3	51.9	52.8	11.3	11.3
Black or African American	8.5	8.5	36.9	36.6	5.8	6.0
American Indian or Alaska Native	17.8	12.6	*	*	11.9	8.5
Native Hawaiian or Other Pacific Islander	3.9	*	*	*	3.5	*
Asian	8.5^a	4.9	*	17.0	6.6	4.1
Two or More Races	16.6	17.5	*	*	13.1	12.1
Hispanic or Latino	8.2	8.0	37.8	29.3	6.0	5.8
EDUCATION
< High School	11.7	10.5	39.3	39.0	8.7^a	6.9
High School Graduate	11.7	12.5	45.1	44.4	8.5	9.2
Some College	14.3	14.9	51.7	50.9	10.4	10.8
College Graduate	14.4	14.4	57.1	57.1	11.8	11.4
CURRENT EMPLOYMENT
Full-Time	11.3	11.9	45.0	42.4	8.6	9.1
Part-Time	14.2	14.5	50.7	47.9	10.3	10.8
Unemployed	14.2	13.0	42.4	36.4	9.6	8.8
Other²	15.8	15.3	52.2	57.2	12.2	10.6
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40513

Table 6.21A Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Geographic Characteristics: Numbers in Thousands, 2002 and 2003
Geographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	27,322	28,056	8,355^a	9,253	18,968	18,803
GEOGRAPHIC DIVISION
Northeast	5,597	5,582	1,745	1,666	3,852	3,916
New England	1,828	1,828	653	548	1,175	1,281
Middle Atlantic	3,769	3,754	1,092	1,119	2,677	2,635
Midwest	6,208^a	6,860	1,912	2,231	4,297	4,629
East North Central	4,192	4,594	1,330	1,381	2,861	3,214
West North Central	2,017	2,265	581^b	850	1,435	1,415
South	9,239	9,908	2,999	3,464	6,239	6,444
South Atlantic	4,846	5,367	1,594	1,837	3,252	3,531
East South Central	1,747	1,697	636	582	1,110	1,115
West South Central	2,646	2,844	769^a	1,046	1,877	1,798
West	6,278	5,705	1,699	1,892	4,580^a	3,814
Mountain	1,810	1,916	507	715	1,303	1,201
Pacific	4,468	3,789	1,191	1,176	3,276^a	2,613
COUNTY TYPE²
Large Metro	14,159	14,237	4,056	4,433	10,103	9,805
Small Metro	8,587	8,869	2,774	3,046	5,814	5,822
250K – 1 Mil. Pop.	5,614	5,758	1,704	2,052	3,910	3,706
< 250K Pop.	2,973	3,111	1,070	994	1,904	2,116
Nonmetro	4,576	4,950	1,525	1,774	3,051	3,176
Urbanized	2,134	2,293	689	828	1,445	1,465
Less Urbanized	2,096	2,200	731	788	1,365	1,412
Completely Rural	346	456	*	*	241	299
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40513

**Table 6.21B Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Geographic Characteristics: Percentages, 2002 and 2003**
Geographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	13.0	13.2	47.9	47.3	9.9	9.8
GEOGRAPHIC DIVISION
Northeast	13.8	13.7	50.7	49.0	10.4	10.5
New England	17.2	17.1	64.9	57.7	12.2	13.2
Middle Atlantic	12.6	12.5	44.9	45.7	9.8	9.6
Midwest	13.0^a	14.3	47.5	52.1	9.9	10.6
East North Central	12.6	13.7	47.4	46.9	9.4	10.5
West North Central	14.1	15.8	47.8^b	63.4	11.0	10.9
South	12.3	13.1	47.5	47.6	9.1	9.4
South Atlantic	12.3	13.5	47.6	50.4	9.0	9.7
East South Central	13.8	13.3	53.3	44.9	9.7	9.7
West South Central	11.6	12.3	43.5	44.7	8.9	8.7
West	13.4	11.9	46.3	41.1	10.6^a	8.8
Mountain	13.3	13.8	45.4	48.5	10.4	9.7
Pacific	13.4^a	11.1	46.7	37.6	10.6^a	8.5
COUNTY TYPE²
Large Metro	12.6	12.7	46.5	45.0	9.8	9.6
Small Metro	13.9	13.9	51.3	49.4	10.3	10.1
250K – 1 Mil. Pop.	13.9	13.8	49.2	50.4	10.6	9.8
< 250K Pop.	13.9	14.1	54.9	47.3	9.8	10.6
Nonmetro	12.8	13.8	45.9	50.1	9.4	9.8
Urbanized	14.9	14.3	54.0	51.2	11.1	10.2
Less Urbanized	12.0	13.6	43.2	47.7	8.7	9.7
Completely Rural	8.8	12.5	*	*	6.7	8.8
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

**Table 6.22A Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Detailed Age Categories: Numbers in Thousands, 2002 and 2003**
Age Category	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	27,322	28,056	1,472	1,792	15,627	15,219	22,005	23,253
18	431	492	48	71	258	287	281	348
19	407	400	45	31	255	222	276	286
20	377	402	33	46	246	221	259	293
21	469	462	46	48	299	267	327	366
22	398	447	30	37	281	257	285	331
23	427	467	41	39	281	313	316	353
24	396	428	18	28	238	298	277	315
25	380	444	33	24	252	269	295	330
26–29	1,738	1,615	134	127	1,150	1,049	1,296	1,243
30–34	2,811	2,864	116	172	1,832	1,829	2,103	2,197
35–39	3,006	2,976	151	114	1,856	1,762	2,322	2,459
40–44	3,668	3,357	228	190	2,126	2,018	2,953	2,696
45–49	3,333	3,743	182	282	2,044	2,118	2,710^a	3,241
50–54	2,900	3,219	73	158	1,680	1,776	2,402	2,726
55–59	2,408	2,305	52	116	1,220	1,037	2,186	2,107
60–64	1,188	1,509	82	60	516	594	991	1,376
65 or Older	2,988	2,926	160	250	1,092	901	2,726	2,586
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

**Table 6.22B Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Detailed Age Categories: Percentages, 2002 and 2003**
Age Category	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	13.0	13.2	0.7	0.8	7.4	7.2	10.5	10.9
18	9.9	10.7	1.1	1.5	5.9	6.2	6.5	7.6
19	10.0	10.3	1.1	0.8	6.2	5.7	6.8	7.4
20	9.5	10.0	0.8	1.1	6.2	5.5	6.5	7.3
21	11.6	11.8	1.1	1.2	7.4	6.8	8.1	9.3
22	10.3	11.2	0.8	0.9	7.3	6.4	7.4	8.2
23	11.2	11.7	1.1	1.0	7.4	7.9	8.3	8.8
24	11.2	11.8	0.5	0.8	6.8	8.2	7.9	8.7
25	11.4	12.3	1.0	0.7	7.6	7.4	8.9	9.1
26–29	11.4	11.0	0.9	0.9	7.5	7.1	8.5	8.4
30–34	14.2	14.2	0.6	0.9	9.2	9.1	10.6	10.9
35–39	13.7	14.2	0.7	0.5	8.5	8.4	10.6	11.8
40–44	16.8	14.9	1.0	0.8	9.7	8.9	13.5	11.9
45–49	15.8	17.5	0.9	1.3	9.7	9.9	12.8^a	15.1
50–54	15.4	16.2	0.4	0.8	9.0	8.9	12.8	13.7
55–59	16.4	15.4	0.4	0.8	8.3	7.0	14.9	14.1
60–64	10.3	12.8	0.7	0.5	4.5	5.1	8.6	11.7
65 or Older	8.8	8.6	0.5	0.7	3.2	2.6	8.0	7.6
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

Table 6.23A Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Detailed Age Categories: Numbers in Thousands, 2002 and 2003
Age Category	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	8,355^a	9,253	669^b	1,099	5,737	6,079	7,185^a	8,104
18	153	193	23	35	105	126	105^a	149
19	170	195	17	21	119	130	118	137
20	137	172	17	18	97	106	114	145
21	209	191	13	28	148	137	160	157
22	168	186	20	27	129	110	131	148
23	189	197	18	19	129	152	158	171
24	155^a	217	10	12	106^a	166	117	159
25	213	199	24	16	149	135	170	163
26–29	595	663	26	101	456	471	499	556
30–34	1,051	990	88	89	748	699	879	854
35–39	1,052	1,084	53	89	727	718	880	954
40–44	1,312	1,148	136	108	936	825	1,175	1,032
45–49	1,163	1,258	120	217	723	873	1,025	1,149
50–54	*	1,102	34	148	*	727	*	998
55–59	*	*	*	*	*	*	*	*
60–64	*	*	*	*	*	*	*	*
65 or Older	*	*	*	*	*	*	*	*
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

Table 6.23B Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Detailed Age Categories: Percentages, 2002 and 2003
Age Category	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL 18 OR OLDER	47.9	47.3	3.8^a	5.6	32.8	31.1	41.1	41.4
18	28.4	30.0	4.2	5.4	19.5	19.7	19.4	23.2
19	33.1	31.6	3.4	3.3	23.3	21.0	23.0	22.3
20	26.8	30.0	3.3	3.1	19.1	18.4	22.4	25.2
21	36.6	35.1	2.3	5.1	26.0	25.2	28.0	28.9
22	31.5	36.9	3.8	5.3	24.2	21.9	24.5	29.1
23	36.6	38.2	3.4	3.7	25.0	29.4	30.7	33.0
24	36.4	39.8	2.3	2.3	25.0	30.4	27.5	29.1
25	45.4	42.4	5.1	3.5	31.8	28.9	36.3	34.8
26–29	41.0	38.4	1.8	5.8	31.3	27.3	34.2	32.2
30–34	49.3	50.3	4.1	4.5	35.1	35.6	41.3	43.4
35–39	52.7	48.1	2.6	3.9	36.4	31.9	44.1	42.4
40–44	58.7	51.1	6.1	4.8	41.9	36.7	52.5	45.9
45–49	68.5^b	56.7	7.0	9.8	42.4	39.4	60.1	51.8
50–54	*	64.6	2.4	8.6	*	43.5	*	58.1
55–59	*	*	*	*	*	*	*	*
60–64	*	*	*	*	*	*	*	*
65 or Older	*	*	*	*	*	*	*	*
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

**Table 6.24A Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2002 and 2003**
Demographic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	27,322	28,056	1,472	1,792	15,627	15,219	22,005	23,253
AGE
18–25	3,283	3,542	294	324	2,109	2,134	2,316^b	2,621
26–49	14,556	14,555	811	884	9,009	8,776	11,384	11,837
50 or Older	9,483	9,958	367	584	4,509	4,308	8,304	8,795
GENDER
Male	8,784	8,716	725	832	4,763	4,896	6,767	6,773
Female	18,538	19,340	748	960	10,864	10,323	15,238	16,479
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25,277	26,007	1,267	1,478	14,511	14,135	20,475	21,647
White	22,014	22,999	853	989	12,407	12,522	18,165	19,375
Black or African American	1,973	2,023	331	412	1,244	1,040	1,362	1,534
American Indian or Alaska Native	228	136	26	31	120	70	200^a	108
Native Hawaiian or Other Pacific Islander	29	*	1	0	7	6	25	*
Asian	682	424	37	25	534	272	462	294
Two or More Races	352	374	19	21	200	225	262	284
Hispanic or Latino	2,045	2,049	205	314	1,116	1,084	1,530	1,606
EDUCATION
< High School	4,311	3,965	602	570	2,026	1,945	3,490	3,357
High School Graduate	7,912	8,367	473	688	4,029	4,019	6,779	7,118
Some College	7,528	7,801	210^a	390	4,531	4,223	6,107	6,789
College Graduate	7,571	7,923	188	145	5,041	5,032	5,629	5,989
CURRENT EMPLOYMENT
Full-Time	13,090	13,844	387	371	7,574	7,767	9,980^a	11,077
Part-Time	3,901	4,158	217	182	2,374	2,418	3,145	3,388
Unemployed	1,077	1,049	102	131	740	642	823	799
Other³	9,255	9,005	767^a	1,108	4,938	4,393	8,057	7,989
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

**Table 6.24B Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2002 and 2003**
Demographic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	13.0	13.2	0.7	0.8	7.4	7.2	10.5	10.9
AGE
18–25	10.6	11.2	0.9	1.0	6.8	6.7	7.5^a	8.3
26–49	14.6	14.6	0.8	0.9	9.0	8.8	11.4	11.9
50 or Older	12.0	12.3	0.5	0.7	5.7	5.3	10.5	10.9
GENDER
Male	8.7	8.5	0.7	0.8	4.7	4.8	6.7	6.6
Female	17.0	17.6	0.7	0.9	9.9	9.4	13.9	14.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13.7	13.9	0.7	0.8	7.8	7.6	11.1	11.6
White	14.7	15.3	0.6	0.7	8.3	8.3	12.1	12.9
Black or African American	8.5	8.5	1.4	1.7	5.4	4.4	5.9	6.5
American Indian or Alaska Native	17.8	12.6	2.1	2.9	9.3	6.5	15.6	10.1
Native Hawaiian or Other Pacific Islander	3.9	*	0.1	0.0	0.9	1.5	3.4	*
Asian	8.5^a	4.9	0.5	0.3	6.7^a	3.1	5.7	3.4
Two or More Races	16.6	17.5	0.9	1.0	9.4	10.5	12.4	13.3
Hispanic or Latino	8.2	8.0	0.8	1.2	4.5	4.2	6.1	6.2
EDUCATION
< High School	11.7	10.5	1.6	1.5	5.5	5.1	9.4	8.9
High School Graduate	11.7	12.5	0.7	1.0	5.9	6.0	10.0	10.6
Some College	14.3	14.9	0.4^a	0.7	8.6	8.1	11.6	13.0
College Graduate	14.4	14.4	0.4	0.3	9.6	9.1	10.7	10.9
CURRENT EMPLOYMENT
Full-Time	11.3	11.9	0.3	0.3	6.5	6.7	8.6^a	9.5
Part-Time	14.2	14.5	0.8	0.6	8.7	8.5	11.5	11.8
Unemployed	14.2	13.0	1.3	1.6	9.8	8.0	10.9	9.9
Other³	15.8	15.3	1.3^a	1.9	8.4	7.5	13.7	13.6
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

Table 6.25A Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2002 and 2003
Demographic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	8,355^a	9,253	669^b	1,099	5,737	6,079	7,185^a	8,104
AGE
18–25	1,394	1,551	142	176	984	1,062	1,074^a	1,229
26–49	5,173	5,144	421	603	3,590	3,586	4,458	4,545
50 or Older	1,787^b	2,558	105^a	319	1,163	1,431	1,653^a	2,329
GENDER
Male	2,376	2,649	305	461	1,565	1,753	1,996	2,214
Female	5,978	6,604	364^b	638	4,173	4,326	5,188^a	5,890
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,703^a	8,571	624^a	915	5,304	5,620	6,629^a	7,497
White	6,547^a	7,548	429^a	659	4,431	4,938	5,723^b	6,728
Black or African American	750	725	148	207	578	491	561	541
American Indian or Alaska Native	*	*	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	*	91	*	18	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*
Hispanic or Latino	651	682	44^a	184	433	459	556	607
EDUCATION
< High School	1,404	1,666	253	333	824	1,004	1,195	1,447
High School Graduate	2,631	2,821	200^a	380	1,699	1,781	2,347	2,479
Some College	2,576	2,729	115^a	252	1,906	1,780	2,160	2,440
College Graduate	1,743	2,036	100	134	1,308	1,514	1,483	1,737
CURRENT EMPLOYMENT
Full-Time	3,796	4,061	125	204	2,539	2,644	3,135	3,513
Part-Time	1,346	1,368	115	108	882	994	1,135	1,173
Unemployed	457	444	42	78	333	335	404	376
Other³	2,756^a	3,380	387^a	709	1,982	2,105	2,511	3,041
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40427

Table 6.25B Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Percentages, 2002 and 2003
Demographic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	47.9	47.3	3.8^a	5.6	32.8	31.1	41.1	41.4
AGE
18–25	34.2	35.2	3.5	4.0	24.1	24.1	26.3	27.8
26–49	54.4^a	49.4	4.4	5.8	37.7	34.5	46.8	43.7
50 or Older	46.4	54.0	2.7	6.7	30.1	30.4	42.9	49.0
GENDER
Male	39.5	38.5	5.0	6.7	26.0	25.6	33.1	32.2
Female	52.3	52.1	3.2^a	5.0	36.5	34.1	45.4	46.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	49.0	49.7	4.0	5.3	33.7	32.7	42.1	43.5
White	51.9	52.8	3.4	4.6	35.1	34.6	45.4	47.0
Black or African American	36.9	36.6	7.3	10.4	28.4	24.8	27.6	27.2
American Indian or Alaska Native	*	*	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	*	17.0	*	3.4	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*
Hispanic or Latino	37.8	29.3	2.6^a	7.9	25.1	19.7	32.3	26.1
EDUCATION
< High School	39.3	39.0	7.1	7.8	23.0	23.5	33.4	33.8
High School Graduate	45.1	44.4	3.4	6.0	29.1	28.1	40.2	39.0
Some College	51.7	50.9	2.3^a	4.7	38.2	33.1	43.3	45.4
College Graduate	57.1	57.1	3.3	3.8	42.9	42.9	48.4	48.7
CURRENT EMPLOYMENT
Full-Time	45.0	42.4	1.5	2.1	30.1	27.6	37.1	36.7
Part-Time	50.7	47.9	4.3	3.8	33.1	34.8	42.7	41.0
Unemployed	42.4	36.4	3.9	6.3	30.9	27.5	37.5	30.6
Other³	52.2	57.2	7.3^a	12.0	37.5	35.9	47.6	51.5
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40426

Table 6.26A Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2002 and 2003
Geographic/Socioeconomic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	27,322	28,056	1,472	1,792	15,627	15,219	22,005	23,253
GEOGRAPHIC REGION
Northeast	5,597	5,582	314	390	3,512	3,398	4,432	4,379
Midwest	6,208^a	6,860	282	305	3,403	3,714	4,951^b	5,810
South	9,239	9,908	614	729	4,819	4,935	7,692	8,558
West	6,278	5,705	262	368	3,893^a	3,173	4,930	4,506
COUNTY TYPE³
Large Metro	14,159	14,237	715	955	8,623	8,127	11,140	11,514
Small Metro	8,587	8,869	486	563	4,698	4,690	6,978	7,380
250K – 1 Mil. Pop.	5,614	5,758	351	401	3,032	3,060	4,571	4,805
< 250K Pop.	2,973	3,111	135	162	1,666	1,630	2,407	2,575
Nonmetro	4,576	4,950	272	274	2,306	2,402	3,887	4,358
Urbanized	2,134	2,293	91	169	1,145	1,069	1,812	2,021
Less Urbanized	2,096	2,200	172	80	1,005	1,125	1,791	1,902
Completely Rural	346	456	9	25	156	207	285	436
FAMILY INCOME
Less Than $20,000	6,364	6,420	752	894	3,616	3,568	5,293	5,344
$20,000 – $49,999	9,851	9,777	508	627	5,180	4,868	7,935	8,333
$50,000 – $74,999	4,897	5,270	105	171	2,766	2,881	4,074	4,520
$75,000 or More	6,211	6,588	108	100	4,064	3,902	4,704	5,056
GOVERNMENT ASSISTANCE⁴
Yes	4,968	5,316	693	834	2,890	2,940	4,143	4,617
No	22,355	22,740	780	959	12,736	12,279	17,863	18,636
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ⁴ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40426

**Table 6.26B Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Geographic or Socioeconomic Characteristics: Percentages, 2002 and 2003**
Geographic/Socioeconomic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	13.0	13.2	0.7	0.8	7.4	7.2	10.5	10.9
GEOGRAPHIC REGION
Northeast	13.8	13.7	0.8	1.0	8.7	8.3	10.9	10.8
Midwest	13.0^a	14.3	0.6	0.6	7.1	7.8	10.4^b	12.1
South	12.3	13.1	0.8	1.0	6.4	6.5	10.3	11.3
West	13.4	11.9	0.6	0.8	8.3^a	6.6	10.5	9.4
COUNTY TYPE³
Large Metro	12.6	12.7	0.6	0.8	7.7	7.2	9.9	10.2
Small Metro	13.9	13.9	0.8	0.9	7.6	7.3	11.3	11.6
250K – 1 Mil. Pop.	13.9	13.8	0.9	1.0	7.5	7.3	11.3	11.5
< 250K Pop.	13.9	14.1	0.6	0.7	7.8	7.4	11.3	11.7
Nonmetro	12.8	13.8	0.8	0.8	6.5	6.7	10.9	12.1
Urbanized	14.9	14.3	0.6	1.1	8.0	6.7	12.7	12.6
Less Urbanized	12.0	13.6	1.0	0.5	5.7	6.9	10.2	11.7
Completely Rural	8.8	12.5	0.2	0.7	4.0	5.7	7.2^a	11.9
FAMILY INCOME
Less Than $20,000	15.4	15.4	1.8	2.1	8.8	8.6	12.8	12.8
$20,000 – $49,999	12.2	12.2	0.6	0.8	6.4	6.1	9.8	10.4
$50,000 – $74,999	12.9	13.3	0.3	0.4	7.3	7.3	10.8	11.4
$75,000 or More	12.4	13.0	0.2	0.2	8.1	7.7	9.4	10.0
GOVERNMENT ASSISTANCE⁴
Yes	18.8	19.3	2.6	3.0	11.0	10.7	15.7	16.7
No	12.2	12.3	0.4	0.5	6.9	6.7	9.7	10.1
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ⁴ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

Table 6.27A Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2002 and 2003
Geographic/Socioeconomic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	8,355^a	9,253	669^b	1,099	5,737	6,079	7,185^a	8,104
GEOGRAPHIC REGION
Northeast	1,745	1,666	184	256	1,176	1,123	1,545	1,438
Midwest	1,912	2,231	119	141	1,252	1,498	1,595^b	2,010
South	2,999	3,464	284^a	474	2,041	2,089	2,637	3,077
West	1,699	1,892	81^a	227	1,267	1,368	1,408	1,578
COUNTY TYPE³
Large Metro	4,056	4,433	317^a	576	2,861	3,045	3,422	3,836
Small Metro	2,774	3,046	221	333	1,963	1,909	2,396	2,659
250K – 1 Mil. Pop.	1,704	2,052	152	244	1,167	1,264	1,451^a	1,838
< 250K Pop.	1,070	994	69	89	796	644	945	821
Nonmetro	1,525	1,774	131	190	914	1,125	1,367	1,608
Urbanized	689	828	33	113	454	526	616	761
Less Urbanized	731	788	91	60	392	479	650	697
Completely Rural	*	*	7	*	*	*	*	*
FAMILY INCOME
Less Than $20,000	2,457	2,632	352	536	1,723	1,725	2,105	2,251
$20,000 – $49,999	3,270	3,617	224	363	2,070	2,321	2,838	3,150
$50,000 – $74,999	1,345	1,523	64	142	956	1,040	1,157	1,385
$75,000 or More	1,283	1,482	29	58	988	992	1,085	1,317
GOVERNMENT ASSISTANCE⁴
Yes	2,153	2,336	340	526	1,466	1,540	1,891	2,122
No	6,202	6,917	329^a	573	4,271	4,539	5,294	5,982
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ⁴ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40430

Table 6.27B Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic or Socioeconomic Characteristics: Percentages, 2002 and 2003
Geographic/Socioeconomic Characteristic	Received Mental Health Treatment/Counseling¹		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING²
	Received Mental Health Treatment/Counseling¹		Inpatient		Outpatient		Prescription Medication
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	47.9	47.3	3.8^a	5.6	32.8	31.1	41.1	41.4
GEOGRAPHIC REGION
Northeast	50.7	49.0	5.4	7.5	34.2	33.0	44.9	42.3
Midwest	47.5	52.1	2.9	3.3	31.0	35.1	39.6^b	46.9
South	47.5	47.6	4.5	6.5	32.3	28.7	41.7	42.2
West	46.3	41.1	2.2^a	4.9	34.6	29.9	38.4	34.3
COUNTY TYPE³
Large Metro	46.5	45.0	3.6	5.8	32.8	30.9	39.3	38.9
Small Metro	51.3	49.4	4.1	5.4	36.2	31.2	44.2	43.1
250K – 1 Mil. Pop.	49.2	50.4	4.4	6.0	33.7	31.2	41.8	45.1
< 250K Pop.	54.9	47.3	3.6	4.2	40.8	31.2	48.5^a	39.1
Nonmetro	45.9	50.1	3.9	5.4	27.5	31.8	41.1	45.4
Urbanized	54.0	51.2	2.6	7.0	35.5	32.5	48.1	47.0
Less Urbanized	43.2	47.7	5.4	3.6	23.2	29.0	38.4	42.2
Completely Rural	*	*	1.9	*	*	*	*	*
FAMILY INCOME
Less Than $20,000	45.4	45.8	6.5	9.3	31.8	30.1	38.9	39.1
$20,000 – $49,999	48.5	44.6	3.3	4.5	30.7	28.8	42.0	38.8
$50,000 – $74,999	51.5	52.5	2.5	4.9	36.6	35.9	44.3	47.8
$75,000 or More	47.8	52.7	1.1	2.1	36.7	35.3	40.5	46.9
GOVERNMENT ASSISTANCE⁴
Yes	56.4	50.8	8.9	11.4	38.4	33.8	49.5	46.1
No	45.5	46.2	2.4	3.8	31.3	30.3	38.8	39.9
Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. ³ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ⁴ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40624

Table 6.28A Perceived a Great Deal or a Lot of Help in the Past Year from Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Past Year Mental Health Treatment/Counseling, by Past Year Serious Mental Illness and Demographic Characteristics: Numbers in Thousands, 2002 and 2003
Demographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	15,863	15,964	4,299	4,723	11,564	11,242
AGE
18–25	1,459	1,543	625	682	834	860
26–49	8,282	8,434	2,645	2,705	5,637	5,729
50 or Older	6,121	5,988	1,029	1,335	5,092	4,653
GENDER
Male	4,442	4,308	1,054	1,162	3,388	3,146
Female	11,421	11,657	3,245	3,561	8,176	8,096
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14,799	14,927	3,920	4,426	10,879	10,501
White	13,201	13,486	3,422	3,871	9,780	9,615
Black or African American	989	986	*	*	670	*
American Indian or Alaska Native	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*
Asian	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*
Hispanic or Latino	1,064	1,037	*	*	685	741
EDUCATION
< High School	2,102	1,774	560	670	1,543^a	1,103
High School Graduate	4,641	4,919	1,439	1,558	3,202	3,361
Some College	4,489	4,370	1,365	1,295	3,124	3,075
College Graduate	4,631	4,902	936	1,200	3,695	3,702
CURRENT EMPLOYMENT
Full-Time	7,824	8,165	2,034	2,179	5,790	5,986
Part-Time	2,345	2,404	662	750	1,683	1,654
Unemployed	587	440	*	*	*	276
Other²	5,108	4,955	1,363	1,629	3,745	3,327
Low precision; no estimate reported. NOTE: Respondents were asked how much the counseling or medicine they received in the past year improved their ability to manage daily activities. Respondents with missing information are excluded. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40624

Table 6.28B Perceived a Great Deal or a Lot of Help in the Past Year from Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Past Year Mental Health Treatment/Counseling, by Past Year Serious Mental Illness and Demographic Characteristics: Percentages, 2002 and 2003
Demographic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	58.7	57.5	51.8	51.2	61.8	60.6
AGE
18–25	45.0	44.0	45.0	44.2	44.9	43.9
26–49	57.3	58.6	51.3	52.9	60.7	61.7
50 or Older	65.6	60.7	58.7	52.2	67.2	63.7
GENDER
Male	51.2	50.2	44.4	43.9	53.8	53.0
Female	62.2	60.7	54.7	54.2	65.8	64.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	59.1	58.0	51.2	51.8	62.6	61.0
White	60.6	59.1	52.7	51.4	64.0	62.9
Black or African American	50.9	49.7	*	*	56.1	*
American Indian or Alaska Native	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*
Asian	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*
Hispanic or Latino	53.1	51.2	*	*	50.6	54.9
EDUCATION
< High School	50.2	45.4	40.3	40.4	55.1	49.1
High School Graduate	59.5	59.7	55.4	55.6	61.5	61.9
Some College	59.8	56.3	53.1	47.5	63.3	61.1
College Graduate	61.6	62.2	53.7	59.1	63.9	63.3
CURRENT EMPLOYMENT
Full-Time	60.2	59.4	53.7	53.7	62.8	61.8
Part-Time	60.2	58.4	49.2	55.1	66.0	60.1
Unemployed	54.6	42.1	*	*	*	46.0
Other²	56.4	55.8	50.2	48.6	59.1	60.2
Low precision; no estimate reported. NOTE: Respondents were asked how much the counseling or medicine they received in the past year improved their ability to manage daily activities. Respondents with missing information are excluded. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40624

Table 6.29A Perceived a Great Deal or a Lot of Help in the Past Year from Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Past Year Mental Health Treatment/Counseling, by Past Year Serious Mental Illness and Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2002 and 2003
Geographic/Socioeconomic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	15,863	15,964	4,299	4,723	11,564	11,242
GEOGRAPHIC REGION
Northeast	3,518^a	2,914	900	776	2,617	2,138
Midwest	3,662	3,780	1,067	1,104	2,595	2,676
South	4,881^a	5,684	1,448	1,759	3,433	3,925
West	3,802	3,586	884	1,084	2,918	2,502
COUNTY TYPE²
Large Metro	8,128	7,890	2,000	2,099	6,128	5,791
Small Metro	5,102	5,033	1,438	1,540	3,664	3,493
250K – 1 Mil. Pop.	3,484	3,293	959	1,007	2,525	2,287
< 250K Pop.	1,618	1,739	479	533	1,139	1,206
Nonmetro	2,633	3,041	861	1,084	1,772	1,957
Urbanized	1,271	1,304	*	495	894	809
Less Urbanized	1,201	1,420	440	467	760	953
Completely Rural	*	*	*	*	*	*
FAMILY INCOME
Less Than $20,000	3,193	3,053	1,136	1,225	2,057	1,828
$20,000 – $49,999	5,564	5,714	1,640	1,879	3,924	3,835
$50,000 – $74,999	3,211	3,291	810	793	2,401	2,499
$75,000 or More	3,895	3,906	713	826	3,182	3,080
GOVERNMENT ASSISTANCE³
Yes	2,804	2,689	1,061	1,083	1,743	1,606
No	13,059	13,275	3,238	3,639	9,821	9,636
Low precision; no estimate reported. NOTE: Respondents were asked how much the counseling or medicine they received in the past year improved their ability to manage daily activities. Respondents with missing information are excluded. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ³ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40624

Table 6.29B Perceived a Great Deal or a Lot of Help in the Past Year from Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Past Year Mental Health Treatment/Counseling, by Past Year Serious Mental Illness and Geographic or Socioeconomic Characteristics: Percentages, 2002 and 2003
Geographic/Socioeconomic Characteristic	Total		SERIOUS MENTAL ILLNESS¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	58.7	57.5	51.8	51.2	61.8	60.6
GEOGRAPHIC REGION
Northeast	63.8^b	52.5	51.8	46.8	69.2^b	54.9
Midwest	59.5	55.7	56.1	49.9	61.0	58.6
South	53.5	58.0	48.7	50.9	55.8	61.9
West	61.1	63.5	52.3	57.4	64.4	66.6
COUNTY TYPE²
Large Metro	58.2	55.9	49.8	47.5	61.6	59.8
Small Metro	59.9	57.1	51.9	50.8	63.8	60.4
250K – 1 Mil. Pop.	62.5	57.5	56.3	49.4	65.2	62.0
< 250K Pop.	55.0	56.4	44.9	53.7	60.8	57.6
Nonmetro	58.0	62.6	56.9	61.3	58.5	63.4
Urbanized	60.0	58.5	*	59.8	62.5	57.8
Less Urbanized	57.7	65.0	60.9	59.6	56.0	68.0
Completely Rural	*	*	*	*	*	*
FAMILY INCOME
Less Than $20,000	51.3	48.5	47.0	46.9	54.0	49.7
$20,000 – $49,999	57.1	58.9	50.4	52.2	60.4	62.9
$50,000 – $74,999	65.6	62.9	60.2	52.1	67.7	67.4
$75,000 or More	63.3	59.6	55.6	55.7	65.3	60.7
GOVERNMENT ASSISTANCE³
Yes	58.0^a	51.2	49.7	46.7	64.6^a	54.8
No	58.9	58.9	52.5	52.8	61.3	61.6
Low precision; no estimate reported. NOTE: Respondents were asked how much the counseling or medicine they received in the past year improved their ability to manage daily activities. Respondents with missing information are excluded. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ² Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ³ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

**Table 6.30A Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	29,638	29,538	5,677	5,980	23,908	23,512
Marijuana and Hashish	21,850	21,486	3,959	3,977	17,865	17,479
Cocaine	5,394	5,470	1,311	1,076	4,067	4,379
Crack	1,454	1,310	446	371	1,004	938
Heroin	353	278	122	90	229	188
Hallucinogens	3,804^b	3,158	707	552	3,083^b	2,598
LSD	684^b	409	140^a	67	545^b	341
PCP	126	130	28	34	92	94
Ecstasy	2,621^b	1,790	487^b	314	2,126^b	1,471
Inhalants	1,005	956	215	203	790	747
Nonmedical Use of Any Psychotherapeutic⁴	12,397	12,697	2,908	3,200	9,454	9,475
Pain Relievers	9,122	9,753	2,095	2,279	6,999	7,462
Tranquilizers	4,281	4,465	1,228	1,379	3,046	3,073
Stimulants	2,531	2,183	642	553	1,870	1,627
Methamphetamine	1,315	1,141	296	255	1,013	887
Sedatives	843	700	355	320	476	380
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	17,086	16,954	3,800	3,928	13,236	12,991
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year use for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

**Table 6.30B Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	14.1	13.9	20.8	21.3	13.1	12.8
Marijuana and Hashish	10.4	10.1	14.5	14.2	9.8	9.5
Cocaine	2.6	2.6	4.8	3.8	2.2	2.4
Crack	0.7	0.6	1.6	1.3	0.6	0.5
Heroin	0.2	0.1	0.4	0.3	0.1	0.1
Hallucinogens	1.8^b	1.5	2.6^a	2.0	1.7^b	1.4
LSD	0.3^b	0.2	0.5^a	0.2	0.3^b	0.2
PCP	0.1	0.1	0.1	0.1	0.1	0.1
Ecstasy	1.2^b	0.8	1.8^b	1.1	1.2^b	0.8
Inhalants	0.5	0.4	0.8	0.7	0.4	0.4
Nonmedical Use of Any Psychotherapeutic⁴	5.9	6.0	10.6	11.4	5.2	5.1
Pain Relievers	4.3	4.6	7.7	8.1	3.8	4.1
Tranquilizers	2.0	2.1	4.5	4.9	1.7	1.7
Stimulants	1.2	1.0	2.3	2.0	1.0	0.9
Methamphetamine	0.6	0.5	1.1	0.9	0.6	0.5
Sedatives	0.4	0.3	1.3	1.1	0.3	0.2
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	8.1	8.0	13.9	14.0	7.3	7.1
*Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year use for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

**Table 6.31A Tobacco and Alcohol Use in the Past Year and Past Month among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
PAST YEAR
Any Tobacco³	78,892	77,781	11,404	11,674	67,321	65,950
Cigarettes	66,273	65,116	10,300	10,458	55,839	54,517
Smokeless Tobacco	9,514	9,312	938	953	8,548	8,338
Cigars	23,417	22,898	2,924	2,927	20,462	19,934
Pipe Tobacco⁴	--	--	--	--	--	--
Alcohol	146,912	145,978	19,185	20,093	127,475	125,671
Binge Alcohol Use⁵	--	--	--	--	--	--
Heavy Alcohol Use⁵	--	--	--	--	--	--
PAST MONTH
Any Tobacco³	67,732	67,147	9,850	10,235	57,737	56,771
Cigarettes	57,928	57,391	9,117	9,395	48,698	47,868
Smokeless Tobacco	7,299	7,214	611	685	6,661	6,507
Cigars	11,634	11,722	1,350	1,370	10,256	10,318
Pipe Tobacco	1,679	1,458	243	271	1,435	1,188
Alcohol	115,455	114,539	14,735	15,218	100,506	99,155
Binge Alcohol Use⁵	51,146	51,112	5,978	5,911	45,017	45,106
Heavy Alcohol Use⁵	15,231	15,492	1,773	1,763	13,431	13,680
*Low precision; no estimate reported. -- Not available. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year and past month use for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ⁴ Information about past year use of pipe tobacco was not collected. ⁵ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

**Table 6.31B Tobacco and Alcohol Use in the Past Year and Past Month among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
PAST YEAR
Any Tobacco³	37.5	36.6	41.7	41.6	36.9	35.8
Cigarettes	31.5	30.6	37.7	37.3	30.6	29.6
Smokeless Tobacco	4.5	4.4	3.4	3.4	4.7	4.5
Cigars	11.1	10.8	10.7	10.4	11.2	10.8
Pipe Tobacco⁴	--	--	--	--	--	--
Alcohol	69.8^a	68.6	70.2	71.6	69.8^a	68.2
Binge Alcohol Use⁵	--	--	--	--	--	--
Heavy Alcohol Use⁵	--	--	--	--	--	--
PAST MONTH
Any Tobacco³	32.2	31.6	36.1	36.5	31.6	30.8
Cigarettes	27.5	27.0	33.4	33.5	26.7	26.0
Smokeless Tobacco	3.5	3.4	2.2	2.4	3.6	3.5
Cigars	5.5	5.5	4.9	4.9	5.6	5.6
Pipe Tobacco	0.8	0.7	0.9	1.0	0.8	0.6
Alcohol	54.9	53.9	53.9	54.2	55.1	53.8
Binge Alcohol Use⁵	24.3	24.0	21.9	21.1	24.7	24.5
Heavy Alcohol Use⁵	7.2	7.3	6.5	6.3	7.4	7.4
*Low precision; no estimate reported. -- Not available. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year and past month use for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ⁴ Information about past year use of pipe tobacco was not collected. ⁵ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

**Table 6.32A Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003**
Dependence/Abuse	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
DEPENDENCE OR ABUSE³
Any Illicit Drug or Alcohol⁴	19,797	19,372	4,276	3,956	15,469	15,385
Any Illicit Drug⁴	5,740	5,548	1,665	1,525	4,059	4,014
Alcohol	16,647	16,334	3,298	3,116	13,298	13,191
DEPENDENCE³
Any Illicit Drug or Alcohol⁴	10,425	9,832	2,813	2,493	7,581	7,319
Any Illicit Drug⁴	3,855	3,680	1,171	1,153	2,680	2,523
Alcohol	7,695	7,051	1,999	1,660	5,668	5,373
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year dependence/abuse for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ⁴ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

**Table 6.32B Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003**
Dependence/Abuse	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
DEPENDENCE OR ABUSE³
Any Illicit Drug or Alcohol⁴	9.4	9.1	15.6	14.1	8.5	8.4
Any Illicit Drug⁴	2.7	2.6	6.1	5.4	2.2	2.2
Alcohol	7.9	7.7	12.1	11.1	7.3	7.2
DEPENDENCE³
Any Illicit Drug or Alcohol⁴	5.0	4.6	10.3	8.9	4.2	4.0
Any Illicit Drug⁴	1.8	1.7	4.3	4.1	1.5	1.4
Alcohol	3.7	3.3	7.3^a	5.9	3.1	2.9
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year dependence/abuse for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ⁴ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

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Table 6.33A Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2002 and 2003
Location of Treatment/Counseling¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Outpatient Mental Health Clinic or Center	3,136	2,983	479	507	1,956	1,710	702	766
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	8,461	8,216	1,091	1,112	4,914	5,034	2,456	2,069
Doctor's Office - Not Part of a Clinic	3,796	3,669	383	396	2,173	2,113	1,239	1,159
Outpatient Medical Clinic	950	997	167	159	400	539	383	299
Partial Day Hospital or Day Treatment Program	289	310	72	49	199	191	19	70
School or University Setting/Clinic/Center²	107	78	70	49	37	30	*	*
Church/Religious Setting²	82	138	25	27	57	93	*	17
Some Other Place	389	403	56	77	229	209	104	117
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. ² Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

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Table 6.33B Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Percentages, 2002 and 2003
Location of Treatment/Counseling¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Outpatient Mental Health Clinic or Center	20.1	19.6	22.7	23.7	21.7	19.5	15.6	17.8
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	54.1	54.0	51.7	52.1	54.5	57.4	54.5	48.0
Doctor's Office - Not Part of a Clinic	24.3	24.1	18.2	18.6	24.1	24.1	27.5	26.9
Outpatient Medical Clinic	6.1	6.5	7.9	7.4	4.4	6.1	8.5	6.9
Partial Day Hospital or Day Treatment Program	1.9	2.0	3.4	2.3	2.2	2.2	0.4	1.6
School or University Setting/Clinic/Center²	0.7	0.5	3.3	2.3	0.4	0.3	*	*
Church/Religious Setting²	0.5	0.9	1.2	1.3	0.6	1.1	*	0.4
Some Other Place	2.5	2.6	2.7	3.6	2.5	2.4	2.3	2.7
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. ² Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.34A Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2002 and 2003
Location of Treatment/Counseling¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Outpatient Mental Health Clinic or Center	1,415	1,531	263	294	928	961	*	276
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	3,034	3,125	554	557	1,861	1,829	*	*
Doctor's Office - Not Part of a Clinic	1,528	1,621	194	208	1,044	990	*	*
Outpatient Medical Clinic	370	413	65	91	166	238	*	*
Partial Day Hospital or Day Treatment Program	100	171	21	30	64	104	*	37
School or University Setting/Clinic/Center²	36	41	27	16	9	25	*	*
Church/Religious Setting²	25	58	8	16	17	42	*	*
Some Other Place	138	188	21	38	89	105	*	*
Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. ² Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.34B Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Percentages, 2002 and 2003
Location of Treatment/Counseling¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Outpatient Mental Health Clinic or Center	24.7	25.2	26.7	27.7	25.9	26.8	*	19.3
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	52.9	51.4	56.2	52.4	51.9	51.0	*	*
Doctor's Office - Not Part of a Clinic	26.6	26.7	19.7	19.6	29.1	27.6	*	*
Outpatient Medical Clinic	6.5	6.8	6.7	8.5	4.6	6.7	*	*
Partial Day Hospital or Day Treatment Program	1.7	2.8	2.2	2.8	1.8	2.9	*	2.6
School or University Setting/Clinic/Center²	0.6	0.7	2.7	1.5	0.3	0.7	*	*
Church/Religious Setting²	0.4	1.0	0.8	1.5	0.5	1.2	*	*
Some Other Place	2.4	3.1	2.2	3.6	2.5	2.9	*	*
Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. ² Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.35A Source of Payment for Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2002 and 2003
Source of Payment¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Self or Family Member Living in Household	5,883	5,744	811	924	3,621	3,458	1,451	1,362
Family Member Not Living in Household	247^a	394	170	196	50^b	170	28	28
Private Health Insurance	7,077	7,254	764	736	4,248	4,238	2,064	2,281
Medicare	1,473	1,313	89	106	487	600	897	608
Medicaid	1,240	1,245	150	166	774	801	316	278
Rehabilitation Program	79	54	10	6	49	36	*	12
Employer	1,368	1,448	111	96	955	962	302	390
VA or Other Military Program	371	450	22	38	227	161	122	251
Other Public Source	407	485	85	71	237	367	85	47
Other Private Source	257	181	47	49	63	113	147^a	19
Free Treatment	1,060^a	714	318^b	221	567^b	301	175	191
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple sources of payment; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.35B Source of Payment for Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Percentages, 2002 and 2003
Source of Payment¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Self or Family Member Living in Household	37.6	37.7	38.4^a	43.3	40.2	39.4	32.2	31.6
Family Member Not Living in Household	1.6^b	2.6	8.1	9.2	0.6^b	1.9	0.6	0.6
Private Health Insurance	45.3	47.7	36.2	34.5	47.2	48.3	45.8	52.9
Medicare	9.4	8.6	4.2	5.0	5.4	6.8	19.9	14.1
Medicaid	7.9	8.2	7.1	7.8	8.6	9.1	7.0	6.4
Rehabilitation Program	0.5	0.4	0.5	0.3	0.5	0.4	*	0.3
Employer	8.8	9.5	5.3	4.5	10.6	11.0	6.7	9.1
VA or Other Military Program	2.4	3.0	1.1	1.8	2.5	1.8	2.7	5.8
Other Public Source	2.6	3.2	4.0	3.3	2.6	4.2	1.9	1.1
Other Private Source	1.6	1.2	2.2	2.3	0.7	1.3	3.3^a	0.4
Free Treatment	6.8^a	4.7	15.1^b	10.4	6.3^b	3.4	3.9	4.4
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple sources of payment; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.36A Source of Payment for Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2002 and 2003
Source of Payment¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Self or Family Member Living in Household	2,025	2,253	418	503	1,403	1,250	*	*
Family Member Not Living in Household	126	187	95	104	17^a	82	*	1
Private Health Insurance	2,682	2,694	393	394	1,664	1,579	*	*
Medicare	512	707	37	35	272	390	*	*
Medicaid	684	757	95	101	401	505	*	151
Rehabilitation Program	30	43	4	2	27	29	*	*
Employer	410	432	29^a	56	364	284	*	92
VA or Other Military Program	158	221	10	17	117	116	*	88
Other Public Source	208	258	44	35	133	220	*	3
Other Private Source	71	82	29	28	33	48	*	*
Free Treatment	378	298	120^b	70	190	113	*	*
Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple sources of payment; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.36B Source of Payment for Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Percentages, 2002 and 2003
Source of Payment¹	Total		AGE GROUP (Years)
	Total		18–25		26–49		50 or Older
	2002	2003	2002	2003	2002	2003	2002	2003
Self or Family Member Living in Household	35.3	37.1	42.5	47.4	39.1	34.9	*	*
Family Member Not Living in Household	2.2	3.1	9.7	9.7	0.5^a	2.3	*	0.1
Private Health Insurance	46.8	44.3	39.9	37.1	46.4	44.0	*	*
Medicare	8.9	11.6	3.8	3.3	7.6	10.9	*	*
Medicaid	11.9	12.5	9.6	9.5	11.2	14.1	*	10.6
Rehabilitation Program	0.5	0.7	0.4	0.2	0.7	0.8	*	*
Employer	7.1	7.1	2.9	5.2	10.1	7.9	*	6.4
VA or Other Military Program	2.8	3.6	1.0	1.6	3.3	3.2	*	6.2
Other Public Source	3.6	4.2	4.5	3.3	3.7	6.1	*	0.2
Other Private Source	1.2	1.4	3.0	2.6	0.9	1.3	*	*
Free Treatment	6.6	4.9	12.2^b	6.6	5.3	3.2	*	*
Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple sources of payment; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.37A Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment and Demographic Characteristics: Numbers in Thousands, 2002 and 2003
Demographic Characteristic	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	11,272	10,781	5,259	5,311	5,998	5,451
AGE
18–25	2,621	2,628	1,039	1,045	1,577	1,581
26–49	6,783	6,349	3,325	3,207	3,448	3,135
50 or Older	1,868	1,804	895	1,059	973	735
GENDER
Male	3,719	3,275	1,396	1,382	2,314	1,885
Female	7,552	7,506	3,863	3,929	3,684	3,566
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,209	9,636	4,805	4,797	5,389	4,820
White	8,371	8,207	4,087	4,193	4,274	4,006
Black or African American	1,303	999	525	426	777	562
Other or Two or More Races	535	430	193	178	338	252
Hispanic or Latino	1,063	1,145	454	514	609	631
EDUCATION
< High School	1,963	1,596	996	846	963^a	743
High School Graduate	3,055	3,010	1,439	1,396	1,615	1,614
Some College	3,414	3,322	1,504	1,629	1,910	1,681
College Graduate	2,839	2,853	1,320	1,440	1,511	1,413
CURRENT EMPLOYMENT
Full-Time	5,624	5,440	2,316	2,523	3,298	2,910
Part-Time	2,019	2,042	952	910	1,062	1,131
Unemployed	691	654	282	267	409	377
Other³	2,938	2,645	1,709	1,611	1,228	1,033
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.37B Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment and Demographic Characteristics: Percentages, 2002 and 2003
Demographic Characteristic	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	5.4	5.1	19.3	19.0	3.3	3.0
AGE
18–25	8.5	8.3	31.7	29.6	5.7	5.6
26–49	6.8	6.4	22.9	22.1	4.0	3.7
50 or Older	2.4	2.2	9.5	10.6	1.4	1.0
GENDER
Male	3.7	3.2	16.0	15.9	2.5^a	2.0
Female	6.9	6.8	20.9	20.3	4.1	3.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.5	5.2	19.1	18.5	3.4	3.0
White	5.6	5.5	18.6	18.3	3.4	3.1
Black or African American	5.6	4.2	26.9	21.1	3.7	2.6
Other or Two or More Races	4.4	3.5	15.0	18.1	3.1	2.2
Hispanic or Latino	4.2	4.5	22.2	25.1	2.7	2.7
EDUCATION
< High School	5.3^a	4.2	23.4	21.4	2.9^a	2.2
High School Graduate	4.5	4.5	18.2	16.7	2.7	2.8
Some College	6.5	6.3	20.0	20.9	4.3	3.8
College Graduate	5.4	5.2	17.4	18.2	3.4	3.0
CURRENT EMPLOYMENT
Full-Time	4.8	4.7	17.7	18.2	3.2	2.8
Part-Time	7.4	7.1	24.4	21.9	4.5	4.6
Unemployed	9.1	8.1	26.3	25.5	6.3	5.4
Other³	5.0	4.5	18.6	17.9	2.5	2.1
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Retired person, disabled person, homemaker, student, or other person not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.38A Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment and Past Year Serious Mental Illness, Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2002 and 2003
Serious Mental Illness or Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	11,272	10,781	5,259	5,311	5,998	5,451
SERIOUS MENTAL ILLNESS³
Yes	5,330	5,874	3,160	3,336	2,161	2,526
No	5,942^b	4,907	2,099	1,975	3,838^b	2,925
GEOGRAPHIC REGION
Northeast	2,006	1,866	945	849	1,061	1,017
Midwest	2,574	2,706	1,213	1,458	1,360	1,248
South	3,964	3,459	1,943	1,804	2,012^a	1,636
West	2,727	2,750	1,158	1,200	1,565	1,550
COUNTY TYPE⁴
Large Metro	5,947	5,651	2,634	2,619	3,310	3,020
Small Metro	3,676	3,398	1,766	1,754	1,899	1,643
Nonmetro	1,649	1,733	859	938	790	788
FAMILY INCOME
Less Than $20,000	3,006	2,856	1,641	1,525	1,364	1,319
$20,000 – $49,999	4,480	4,237	2,110	2,126	2,356	2,105
$50,000 – $74,999	1,781	1,822	705	805	1,076	1,016
$75,000 or More	2,005	1,866	803	855	1,203	1,011
GOVERNMENT ASSISTANCE⁵
Yes	2,427	2,397	1,424	1,341	1,003	1,056
No	8,845	8,384	3,835	3,970	4,995^a	4,395
Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ⁴ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ⁵ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.38B Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment and Past Year Serious Mental Illness, Geographic or Socioeconomic Characteristics: Percentages, 2002 and 2003
Serious Mental Illness or Geographic/Socioeconomic Characteristic	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
TOTAL	5.4	5.1	19.3	19.0	3.3	3.0
SERIOUS MENTAL ILLNESS³
Yes	30.5	30.1	37.8	36.1	23.8	24.6
No	3.1^b	2.5	11.1	10.5	2.2^b	1.7
GEOGRAPHIC REGION
Northeast	5.0	4.6	17.0	15.2	3.0	2.9
Midwest	5.4	5.6	19.6	21.3	3.3	3.0
South	5.3^a	4.6	21.1	18.2	3.1^a	2.5
West	5.8	5.7	18.4	21.0	3.9	3.7
COUNTY TYPE⁴
Large Metro	5.3	5.0	18.6	18.4	3.4	3.1
Small Metro	5.9	5.3	20.7	19.8	3.6	3.0
Nonmetro	4.6	4.8	18.8	19.0	2.5	2.6
FAMILY INCOME
Less Than $20,000	7.3	6.9	25.9	23.8	3.9	3.8
$20,000 – $49,999	5.6	5.3	21.5	21.7	3.3	3.0
$50,000 – $74,999	4.7	4.6	14.4	15.3	3.3	3.0
$75,000 or More	4.0	3.7	12.9	13.0	2.7	2.3
GOVERNMENT ASSISTANCE⁵
Yes	9.2	8.7	29.0	25.3	4.7	4.7
No	4.8	4.5	17.2	17.5	3.1^a	2.7
Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ³ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ⁴ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ⁵ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40728

Table 6.39A Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment in the Past Year, by Receipt of Past Year Mental Health Treatment: Numbers in Thousands, 2003
Reason Did Not Receive Treatment/Counseling¹	Total²	MENTAL HEALTH TREATMENT/COUNSELING³
Reason Did Not Receive Treatment/Counseling¹	Total²	Received	Not Received
Cost/Insurance Barriers⁴	5,056	2,585	2,460
Stigma⁵	2,433	1,190	1,243
Did Not Feel Need for Treatment/Could Handle the Problem Without Treatment⁶	3,735	1,519	2,214
Treatment Would Not Help	1,050	485	563
Did Not Have Time	1,906	911	988
Did Not Know Where to Go for Services	2,091	842	1,248
Fear of Being Committed/Have to Take Medicine	810	416	392
Other Access Barriers⁷	694	495	199
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Includes reasons of "Could not afford," "Health insurance does not pay enough," "Health insurance does not cover mental health treatment," and other specify responses of "No health insurance." ⁵ Includes reasons of "Might cause neighbors/community to have negative opinion," "Might have negative effect on job," "Concerned about confidentiality," "Did not want others to find out," and other specify responses of "Ashamed/embarrassed/afraid," "Concerned how court system would treat me," and "Concerned how it would affect future insurability." ⁶ Includes reasons of "Did not feel need for treatment," "Could handle problem without treatment," and other specify responses of "Work on problems with family/friends" and "Work on problems through religion/spirituality." ⁷ Includes reasons of "No transportation/inconvenient" and other specify responses of "Too much red tape/hassle to get services," "No openings/long waiting lists/delays," "Services unavailable/limited in area," "Attempted to get treatment but unsuccessful in finding help," and "Could not find program/counselor comfortable with." Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003.

40728

Table 6.39B Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment in the Past Year, by Receipt of Past Year Mental Health Treatment: Percentages, 2003
Reason Did Not Receive Treatment/Counseling¹	Total²	MENTAL HEALTH TREATMENT/COUNSELING³
Reason Did Not Receive Treatment/Counseling¹	Total²	Received	Not Received
Cost/Insurance Barriers⁴	46.9	48.7	45.1
Stigma⁵	22.6	22.4	22.8
Did Not Feel Need for Treatment/Could Handle the Problem Without Treatment⁶	34.6	28.6	40.6
Treatment Would Not Help	9.7	9.1	10.3
Did Not Have Time	17.7	17.2	18.1
Did Not Know Where to Go for Services	19.4	15.9	22.9
Fear of Being Committed/Have to Take Medicine	7.5	7.8	7.2
Other Access Barriers⁷	6.4	9.3	3.7
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Includes reasons of "Could not afford," "Health insurance does not pay enough," "Health insurance does not cover mental health treatment," and other specify responses of "No health insurance." ⁵ Includes reasons of "Might cause neighbors/community to have negative opinion," "Might have negative effect on job," "Concerned about confidentiality," "Did not want others to find out," and other specify responses of "Ashamed/embarrassed/afraid," "Concerned how court system would treat me," and "Concerned how it would affect future insurability." ⁶ Includes reasons of "Did not feel need for treatment," "Could handle problem without treatment," and other specify responses of "Work on problems with family/friends" and "Work on problems through religion/spirituality." ⁷ Includes reasons of "No transportation/inconvenient" and other specify responses of "Too much red tape/hassle to get services," "No openings/long waiting lists/delays," "Services unavailable/limited in area," "Attempted to get treatment but unsuccessful in finding help," and "Could not find program/counselor comfortable with." Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003.

40715

Table 6.40A Detailed Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment in the Past Year, by Receipt of Past Year Mental Health Treatment: Numbers in Thousands, 2002 and 2003
Reason Did Not Receive Treatment/Counseling¹	Total²		MENTAL HEALTH TREATMENT/COUNSELING³
	Total²		Received		Not Received
	2002	2003	2002	2003	2002	2003
Could Not Afford Cost	4,302	4,226	2,095	2,104	2,196	2,111
Might Cause Neighbors/Community to Have Negative Opinion⁴	1,152	938	486	388	667	551
Might Have Negative Effect on Job	880	673	426	325	444	349
Health Insurance Does Not Cover Any Mental Health Treatment/Counseling	659	552	265	254	394	298
Health Insurance Does Not Cover Enough Mental Health Treatment/Counseling	1,258	1,472	810	926	447	546
Did Not Know Where to Go for Services	2,013	2,091	800	842	1,208	1,248
Concerned About Confidentiality	1,332^a	974	528	534	795^b	440
Fear of Being Committed/Have to Take Medicine	876	810	500	416	376	392
Did Not Feel Need for Treatment⁴	--	1,143	--	483	--	659
Could Handle the Problem Without Treatment⁴	--	3,353	--	1,341	--	2,011
Treatment Would Not Help⁴	--	1,050	--	485	--	563
Did Not Have Time⁴	--	1,906	--	911	--	988
Did Not Want Others to Find Out⁴	--	704	--	301	--	403
No Transportation/Inconvenient⁴	--	432	--	297	--	135
Some Other Reason⁴	--	810	--	474	--	334
*Low precision; no estimate reported. -- Not available. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Due to questionnaire changes in 2003, these 2002 estimates are not comparable with those published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.40B Detailed Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment in the Past Year, by Receipt of Past Year Mental Health Treatment: Percentages, 2002 and 2003
Reason Did Not Receive Treatment/Counseling¹	Total²		MENTAL HEALTH TREATMENT/COUNSELING³
	Total²		Received		Not Received
	2002	2003	2002	2003	2002	2003
Could Not Afford Cost	38.2	39.2	39.8	39.6	36.6	38.7
Might Cause Neighbors/Community to Have Negative Opinion⁴	10.2	8.7	9.2	7.3	11.1	10.1
Might Have Negative Effect on Job	7.8	6.2	8.1	6.1	7.4	6.4
Health Insurance Does Not Cover Any Mental Health Treatment/Counseling	5.8	5.1	5.0	4.8	6.6	5.5
Health Insurance Does Not Cover Enough Mental Health Treatment/Counseling	11.2	13.7	15.4	17.4	7.5	10.0
Did Not Know Where to Go for Services	17.9	19.4	15.2	15.9	20.1	22.9
Concerned About Confidentiality	11.8^a	9.0	10.0	10.1	13.3^b	8.1
Fear of Being Committed/Have to Take Medicine	7.8	7.5	9.5	7.8	6.3	7.2
Did Not Feel Need for Treatment⁴	--	10.6	--	9.1	--	12.1
Could Handle the Problem Without Treatment⁴	--	31.1	--	25.2	--	36.9
Treatment Would Not Help⁴	--	9.7	--	9.1	--	10.3
Did Not Have Time⁴	--	17.7	--	17.2	--	18.1
Did Not Want Others to Find Out⁴	--	6.5	--	5.7	--	7.4
No Transportation/Inconvenient⁴	--	4.0	--	5.6	--	2.5
Some Other Reason⁴	--	7.5	--	8.9	--	6.1
*Low precision; no estimate reported. -- Not available. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Due to questionnaire changes in 2003, these 2002 estimates are not comparable with those published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40728

Table 6.41A Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment and Serious Mental Illness in the Past Year, by Receipt of Past Year Mental Health Treatment: Numbers in Thousands, 2003
Reason Did Not Receive Treatment/Counseling¹	Total²	MENTAL HEALTH TREATMENT/COUNSELING³
Reason Did Not Receive Treatment/Counseling¹	Total²	Received	Not Received
Cost/Insurance Barriers⁴	2,947	1,638	1,299
Stigma⁵	1,481	802	679
Did Not Feel Need for Treatment/Could Handle the Problem Without Treatment⁶	1,646	819	825
Treatment Would Not Help	644	363	280
Did Not Have Time	911	508	404
Did Not Know Where to Go for Services	1,304	594	710
Fear of Being Committed/Have to Take Medicine	598	331	265
Other Access Barriers⁷	434	329	105
Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment and serious mental illness, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Includes reasons of "Could not afford," "Health insurance does not pay enough," "Health insurance does not cover mental health treatment," and other specify responses of "No health insurance." ⁵ Includes reasons of "Might cause neighbors/community to have negative opinion," "Might have negative effect on job," "Concerned about confidentiality," "Did not want others to find out," and other specify responses of "Ashamed/embarrassed/afraid," "Concerned how court system would treat me," and "Concerned how it would affect future insurability." ⁶ Includes reasons of "Did not feel need for treatment," "Could handle problem without treatment," and other specify responses of "Work on problems with family/friends" and "Work on problems through religion/spirituality." ⁷ Includes reasons of "No transportation/inconvenient" and other specify responses of "Too much red tape/hassle to get services," "No openings/long waiting lists/delays," "Services unavailable/limited in area," "Attempted to get treatment but unsuccessful in finding help," and "Could not find program/counselor comfortable with." Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003

40728

Table 6.41B Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment and Serious Mental Illness in the Past Year, by Receipt of Past Year Mental Health Treatment: Percentages, 2003
Reason Did Not Receive Treatment/Counseling¹	Total²	MENTAL HEALTH TREATMENT/COUNSELING³
Reason Did Not Receive Treatment/Counseling¹	Total²	Received	Not Received
Cost/Insurance Barriers⁴	50.2	49.1	51.4
Stigma⁵	25.2	24.1	26.9
Did Not Feel Need for Treatment/Could Handle the Problem Without Treatment⁶	28.0	24.6	32.7
Treatment Would Not Help	11.0	10.9	11.1
Did Not Have Time	15.5	15.2	16.0
Did Not Know Where to Go for Services	22.2	17.8	28.1
Fear of Being Committed/Have to Take Medicine	10.2	9.9	10.5
Other Access Barriers⁷	7.4	9.9	4.1
Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment and serious mental illness, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Includes reasons of "Could not afford," "Health insurance does not pay enough," "Health insurance does not cover mental health treatment," and other specify responses of "No health insurance." ⁵ Includes reasons of "Might cause neighbors/community to have negative opinion," "Might have negative effect on job," "Concerned about confidentiality," "Did not want others to find out," and other specify responses of "Ashamed/embarrassed/afraid," "Concerned how court system would treat me," and "Concerned how it would affect future insurability." ⁶ Includes reasons of "Did not feel need for treatment," "Could handle problem without treatment," and other specify responses of "Work on problems with family/friends" and "Work on problems through religion/spirituality." ⁷ Includes reasons of "No transportation/inconvenient" and other specify responses of "Too much red tape/hassle to get services," "No openings/long waiting lists/delays," "Services unavailable/limited in area," "Attempted to get treatment but unsuccessful in finding help," and "Could not find program/counselor comfortable with." Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003

40715

Table 6.42A Detailed Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment and Serious Mental Illness in the Past Year, by Receipt of Past Year Mental Health Treatment: Numbers in Thousands, 2002 and 2003
Reason Did Not Receive Treatment/Counseling¹	Total²		MENTAL HEALTH TREATMENT/COUNSELING³
	Total²		Received		Not Received
	2002	2003	2002	2003	2002	2003
Could Not Afford Cost	2,360	2,510	1,333	1,363	1,018	1,136
Might Cause Neighbors/Community to Have Negative Opinion⁴	610	578	335	268	275	310
Might Have Negative Effect on Job	440	448	265	218	167	231
Health Insurance Does Not Cover Any Mental Health Treatment/Counseling	371	327	199	155	172	172
Health Insurance Does Not Cover Enough Mental Health Treatment/Counseling	684	858	506	529	178^a	329
Did Not Know Where to Go for Services	1,093	1,304	536	594	557	710
Concerned About Confidentiality	716	581	371	369	336^a	213
Fear of Being Committed/Have to Take Medicine	615	598	417	331	198	265
Did Not Feel Need for Treatment⁴	--	603	--	325	--	276
Could Handle the Problem Without Treatment⁴	--	1,441	--	699	--	741
Treatment Would Not Help⁴	--	644	--	363	--	280
Did Not Have Time⁴	--	911	--	508	--	404
Did Not Want Others to Find Out⁴	--	421	--	186	--	235
No Transportation/Inconvenient⁴	--	267	--	194	--	73
Some Other Reason⁴	--	486	--	345	--	140
Low precision; no estimate reported. -- Not available. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment and serious mental illness, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Due to questionnaire changes in 2003, these 2002 estimates are not comparable with those published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.42B Detailed Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment and Serious Mental Illness in the Past Year, by Receipt of Past Year Mental Health Treatment: Percentages, 2002 and 2003
Reason Did Not Receive Treatment/Counseling¹	Total²		MENTAL HEALTH TREATMENT/COUNSELING³
	Total²		Received		Not Received
	2002	2003	2002	2003	2002	2003
Could Not Afford Cost	44.3	42.7	42.2	40.9	47.1	45.0
Might Cause Neighbors/Community to Have Negative Opinion⁴	11.4	9.8	10.6	8.0	12.7	12.3
Might Have Negative Effect on Job	8.3	7.6	8.4	6.5	7.7	9.1
Health Insurance Does Not Cover Any Mental Health Treatment/Counseling	7.0	5.6	6.3	4.6	8.0	6.8
Health Insurance Does Not Cover Enough Mental Health Treatment/Counseling	12.8	14.6	16.0	15.9	8.2	13.0
Did Not Know Where to Go for Services	20.5	22.2	17.0	17.8	25.8	28.1
Concerned About Confidentiality	13.4	9.9	11.7	11.0	15.5^b	8.4
Fear of Being Committed/Have to Take Medicine	11.5	10.2	13.2	9.9	9.2	10.5
Did Not Feel Need for Treatment⁴	--	10.3	--	9.7	--	10.9
Could Handle the Problem Without Treatment⁴	--	24.5	--	21.0	--	29.3
Treatment Would Not Help⁴	--	11.0	--	10.9	--	11.1
Did Not Have Time⁴	--	15.5	--	15.2	--	16.0
Did Not Want Others to Find Out⁴	--	7.2	--	5.6	--	9.3
No Transportation/Inconvenient⁴	--	4.6	--	5.8	--	2.9
Some Other Reason⁴	--	8.3	--	10.3	--	5.5
Low precision; no estimate reported. -- Not available. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. ² Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment and serious mental illness, including those with unknown mental health treatment/counseling information. ³ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ⁴ Due to questionnaire changes in 2003, these 2002 estimates are not comparable with those published in prior NSDUH reports. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.43A Substance Use, Substance Dependence or Abuse, and Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of and Perceived Need for Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003
Substance Use/Dependence or Abuse/Serious Mental Illness	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
			Received				Not Received
			Unmet Need		No Unmet Need		Unmet Need		No Unmet Need
	2002	2003	2002	2003	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	29,638	29,538	1,659	1,801	4,017	4,159	2,039	1,823	21,853	21,677
Marijuana and Hashish	21,850	21,486	1,172	1,243	2,787	2,728	1,352	1,288	16,506	16,183
Nonmedical Use of Any Psychotherapeutic⁴	12,397	12,697	920	1,014	1,988	2,168	1,108	954	8,338	8,512
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	17,086	16,954	1,230	1,245	2,570	2,663	1,480	1,214	11,743	11,765
CIGARETTES	66,273	65,116	2,612	2,588	7,653	7,848	2,867	2,653	52,907	51,794
ALCOHOL	146,912	145,978	3,841	4,025	15,311	16,053	4,842	4,448	122,570	121,073
ANY ILLICIT DRUG OR ALCOHOL DEPENDENCE OR ABUSE^3,5	19,797	19,372	1,429	1,299	2,847	2,640	1,532	1,517	13,905	13,859
Any Illicit Drug Dependence or Abuse^3,5	5,740	5,548	665	678	1,001	829	588	603	3,467	3,401
Alcohol Dependence or Abuse⁵	16,647	16,334	1,052	1,000	2,246	2,111	1,227	1,225	12,041	11,961
SERIOUS MENTAL ILLNESS⁶	17,483^b	19,588	3,160	3,336	5,193^a	5,900	2,161	2,526	6,923^a	7,751
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent substance use, dependence or abuse, and serious mental illness in the past year for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with missing treatment/counseling information are excluded. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ⁶ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.43B Substance Use, Substance Dependence or Abuse, and Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Receipt of and Perceived Need for Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003
Substance Use/Dependence or Abuse/Serious Mental Illness	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
			Received				Not Received
			Unmet Need		No Unmet Need		Unmet Need		No Unmet Need
	2002	2003	2002	2003	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	14.1	13.9	31.6	33.9	18.3	18.3	34.0	33.4	12.4	12.1
Marijuana and Hashish	10.4	10.1	22.3	23.4	12.7	12.0	22.5	23.6	9.4	9.1
Nonmedical Use of Any Psychotherapeutic⁴	5.9	6.0	17.5	19.1	9.0	9.5	18.5	17.5	4.7	4.8
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	8.1	8.0	23.4	23.4	11.7	11.7	24.7	22.3	6.7	6.6
CIGARETTES	31.5	30.6	49.7	48.7	34.8	34.6	47.8	48.7	30.0	29.0
ALCOHOL	69.8^a	68.6	73.0	75.8	69.6	70.7	80.7	81.6	69.5^a	67.9
ANY ILLICIT DRUG OR ALCOHOL DEPENDENCE OR ABUSE^3,5	9.4	9.1	27.2	24.5	12.9	11.6	25.5	27.8	7.9	7.8
Any Illicit Drug Dependence or Abuse^3,5	2.7	2.6	12.6	12.8	4.6	3.6	9.8	11.1	2.0	1.9
Alcohol Dependence or Abuse⁵	7.9	7.7	20.0	18.8	10.2	9.3	20.5	22.5	6.8	6.7
SERIOUS MENTAL ILLNESS⁶	8.3^b	9.2	60.1	62.8	23.6	26.0	36.0^b	46.3	3.9	4.3
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent substance use, dependence or abuse, and serious mental illness in the past year for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with missing treatment/counseling information are excluded. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ⁶ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.44A Substance Use, Substance Dependence or Abuse, and Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Perceived Need for Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003
Substance Use/Dependence or Abuse/Serious Mental Illness	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Unmet Need		No Unmet Need
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	29,638	29,538	3,700	3,630	25,884	25,855
Marijuana and Hashish	21,850	21,486	2,524	2,531	19,303	18,926
Nonmedical Use of Any Psychotherapeutic⁴	12,397	12,697	2,028	1,968	10,335	10,695
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	17,086	16,954	2,711	2,467	14,324	14,445
CIGARETTES	66,273	65,116	5,479	5,259	60,602	59,710
ALCOHOL	146,912	145,978	8,684	8,492	137,974	137,226
ANY ILLICIT DRUG OR ALCOHOL DEPENDENCE OR ABUSE^3,5	19,797	19,372	2,961	2,823	16,784	16,506
Any Illicit Drug Dependence or Abuse^3,5	5,740	5,548	1,253	1,282	4,470	4,234
Alcohol Dependence or Abuse⁵	16,647	16,334	2,280	2,233	14,319	14,078
SERIOUS MENTAL ILLNESS⁶	17,483^b	19,588	5,330	5,874	12,136^b	13,663
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent substance use, dependence or abuse, and serious mental illness in the past year for all persons aged 18 or older, including those with unknown perceived need for mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with missing treatment/counseling information are excluded. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ⁶ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.44B Substance Use, Substance Dependence or Abuse, and Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Perceived Need for Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003
Substance Use/Dependence or Abuse/Serious Mental Illness	Total		MENTAL HEALTH TREATMENT/COUNSELING²
	Total		Unmet Need		No Unmet Need
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	14.1	13.9	32.8	33.7	13.0	12.8
Marijuana and Hashish	10.4	10.1	22.4	23.5	9.7	9.4
Nonmedical Use of Any Psychotherapeutic⁴	5.9	6.0	18.0	18.3	5.2	5.3
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	8.1	8.0	24.1	22.9	7.2	7.2
CIGARETTES	31.5	30.6	48.6	48.8	30.5	29.7
ALCOHOL	69.8^a	68.6	77.0	78.8	69.4^a	68.2
ANY ILLICIT DRUG OR ALCOHOL DEPENDENCE OR ABUSE^3,5	9.4	9.1	26.3	26.2	8.4	8.2
Any Illicit Drug Dependence or Abuse^3,5	2.7	2.6	11.1	11.9	2.2	2.1
Alcohol Dependence or Abuse⁵	7.9	7.7	20.2	20.7	7.2	7.0
SERIOUS MENTAL ILLNESS⁶	8.3^b	9.2	47.3^b	54.5	6.1^b	6.8
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent substance use, dependence or abuse, and serious mental illness in the past year for all persons aged 18 or older, including those with unknown perceived need for mental health treatment/counseling information. ² Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with missing treatment/counseling information are excluded. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV). ⁶ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.45A Received Mental Health Treatment/Counseling and/or Illicit Drug or Alcohol Treatment at a Specialty Facility in the Past Year among Persons Aged 18 or Older With Serious Mental Illness and/or Illicit Drug or Alcohol Dependence or Abuse in the Past Year: Numbers in Thousands, 2002 and 2003
Serious Mental Illness/Illicit Drug or Alcohol Dependence or Abuse	Mental Health Treatment or Substance Use Treatment at a Specialty Facility^1,2		Mental Health Treatment Only¹		Substance Use Treatment at a Specialty Facility Only²		Mental Health Treatment and Substance Use Treatment at a Specialty Facility^1,2
	2002	2003	2002	2003	2002	2003	2002	2003
EITHER SMI OR DEPENDENCE/ABUSE^3,4	11,416	11,894	9,879	10,601	641	653	892^a	631
SMI³	8,471^a	9,444	7,782^a	8,850	117	191	572	403
SMI but not Dependence/Abuse^3,4	6,534^a	7,314	6,399^a	7,189	39	38	96	87
Dependence/Abuse⁴	4,882	4,579	3,480	3,412	603	615	796^a	544
Dependence/Abuse but not SMI^3,4	2,945^a	2,450	2,097	1,751	525	462	320	228
Both SMI and Dependence/Abuse^3,4	1,937	2,130	1,383	1,661	78	153	476	315
NEITHER SMI NOR DEPENDENCE/ABUSE^3,4	17,002	17,122	16,379	16,708	451	297	172	116
Low precision; no estimate reported. NOTE: Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Received Illicit Drug or Alcohol Treatment at a Specialty Facility refers to treatment received at a hospital (inpatient), a 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. ³ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ⁴ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.45B Received Mental Health Treatment/Counseling and/or Illicit Drug or Alcohol Treatment at a Specialty Facility in the Past Year among Persons Aged 18 or Older With Serious Mental Illness and/or Illicit Drug or Alcohol Dependence or Abuse in the Past Year: Percentages, 2002 and 2003
Serious Mental Illness/Illicit Drug or Alcohol Dependence or Abuse	Mental Health Treatment or Substance Use Treatment at a Specialty Facility^1,2		Mental Health Treatment Only¹		Substance Use Treatment at a Specialty Facility Only²		Mental Health Treatment and Substance Use Treatment at a Specialty Facility^1,2
	2002	2003	2002	2003	2002	2003	2002	2003
EITHER SMI OR DEPENDENCE/ABUSE^3,4	34.4	34.2	29.8	30.5	1.9	1.9	2.7^a	1.8
SMI³	48.6	48.3	44.6	45.2	0.7	1.0	3.3^a	2.1
SMI but not Dependence/Abuse^3,4	48.7	47.5	47.7	46.7	0.3	0.2	0.7	0.6
Dependence/Abuse⁴	24.7	23.7	17.6	17.6	3.0	3.2	4.0^a	2.8
Dependence/Abuse but not SMI^3,4	18.7	16.1	13.3	11.5	3.3	3.0	2.0	1.5
Both SMI and Dependence/Abuse^3,4	48.0	51.0	34.2	39.8	1.9	3.7	11.8	7.5
NEITHER SMI NOR DEPENDENCE/ABUSE^3,4	9.6	9.6	9.3	9.4	0.3	0.2	0.1	0.1
Low precision; no estimate reported. NOTE: Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Mental Health Treatment/Counseling is defined as having received inpatient care, outpatient care, or using prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with missing treatment/counseling information are excluded. ² Received Illicit Drug or Alcohol Treatment at a Specialty Facility refers to treatment received at a hospital (inpatient), a 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. ³ Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders* (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. See Section B.4 of Appendix B of the Results from the 2003 National Survey on Drug Use and Health: National Findings. ⁴ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.46A Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Age Group and Demographic Characteristics: Numbers in Thousands, 2002 and 2003**
Demographic Characteristic	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	4,765^b	5,142	1,631	1,728	1,680	1,781	1,454^a	1,633
GENDER
Male	2,267	2,416	901	879	744	827	622	710
Female	2,498^a	2,726	730^a	849	937	954	832	923
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4,080^a	4,366	1,408	1,463	1,420	1,523	1,252	1,379
White	3,113	3,249	1,029	1,058	1,082	1,123	1,002	1,068
Black or African American	696	783	288	281	236	280	172	222
American Indian or Alaska Native	*	*	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	134	167	48	58	52	63	34	46
Two or More Races	81	99	28	39	28	33	25	*
Hispanic or Latino	685	776	223	265	260	258	202	253
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.46B Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Age Group and Demographic Characteristics: Percentages, 2002 and 2003**
Demographic Characteristic	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	19.3^b	20.6	19.8	20.5	19.9^a	21.6	18.2	19.8
GENDER
Male	18.0	19.0	20.9	20.3	17.5^a	19.6	15.4	17.0
Female	20.7^a	22.4	18.5^a	20.8	22.3	23.7	21.1	22.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	19.6^a	20.9	20.3	20.9	20.1^a	21.9	18.5	19.9
White	20.1	20.9	20.4	20.6	20.4	21.7	19.5	20.5
Black or African American	19.3	21.0	22.2	21.6	19.6	22.5	15.6	18.8
American Indian or Alaska Native	*	*	*	*	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*	*	*
Asian	13.4	17.2	14.5	19.3	15.0	19.7	10.4	13.1
Two or More Races	20.7	24.9	16.5	24.8	23.1	24.3	24.8	*
Hispanic or Latino	17.5	19.2	16.9	18.6	19.0	20.2	16.5	18.9
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.47A Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Age Group and Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2002 and 2003**
Geographic/Socioeconomic Characteristic	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	4,765^b	5,142	1,631	1,728	1,680	1,781	1,454^a	1,633
GEOGRAPHIC REGION
Northeast	955	982	351	305	311	344	293	333
Midwest	1,112	1,197	385	378	376	433	351	385
South	1,654	1,707	584	584	572	564	497	559
West	1,045^b	1,256	310^b	462	421	439	313	355
COUNTY TYPE¹
Large Metro	2,621	2,808	900	919	906	965	815	925
Small Metro	1,398	1,524	459	531	518	536	421	457
250K – 1 Mil. Pop.	943	1,045	298^a	370	355	368	290	307
< 250K Pop.	455	478	161	160	163	169	131	149
Nonmetro	747	810	273	279	256	280	218	251
Urbanized	307	352	105	127	107	121	96	103
Less Urbanized	361	373	137	127	121	129	103	117
Completely Rural	78	86	30	25	29	30	19	30
FAMILY INCOME
Less Than $20,000	952^b	1,123	335	382	328	396	289	344
$20,000 – $49,999	1,696	1,808	620	645	618	627	458	536
$50,000 – $74,999	881	921	282	285	322	346	277	291
$75,000 or More	1,237	1,290	394	417	412	412	431	461
GOVERNMENT ASSISTANCE²
Yes	943^b	1,178	372	423	335^a	425	236^b	329
No	3,822	3,965	1,259	1,305	1,345	1,356	1,218	1,303
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ² One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.47B Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Age Group and Geographic or Socioeconomic Characteristics: Percentages, 2002 and 2003**
Geographic/Socioeconomic Characteristic	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
TOTAL	19.3^b	20.6	19.8	20.5	19.9^a	21.6	18.2	19.8
GEOGRAPHIC REGION
Northeast	21.4	22.0	23.2^a	20.0	20.7	22.8	20.4	23.2
Midwest	19.6	21.1	20.5	19.6	19.7^a	23.4	18.6	20.3
South	18.9	19.2	19.6	20.2	19.4	18.8	17.6	18.6
West	18.0^b	21.4	16.4^b	22.3	20.1	23.5	17.1	18.4
COUNTY TYPE¹
Large Metro	19.9^a	21.2	20.3	20.2	20.2	22.2	19.1	21.2
Small Metro	19.3	20.6	18.9	21.4	21.1	21.8	17.9	18.7
250K – 1 Mil. Pop.	19.3	21.1	18.1^a	21.9	21.2	23.0	18.5	18.4
< 250K Pop.	19.5	19.8	20.6	20.5	20.9	19.7	16.8	19.2
Nonmetro	17.4	19.0	19.3	20.3	17.0	19.5	15.9	17.2
Urbanized	17.9	19.0	18.7	19.7	17.7	20.3	17.2	17.1
Less Urbanized	17.2	18.8	19.8	21.4	16.2	19.0	15.7	16.6
Completely Rural	16.4	19.5	19.6	18.3	17.5	19.1	12.2^a	21.0
FAMILY INCOME
Less Than $20,000	21.8^a	24.8	22.1	23.8	22.1^a	26.5	21.0	24.2
$20,000 – $49,999	19.1	20.7	20.8	21.7	19.6	21.9	16.6	18.4
$50,000 – $74,999	18.1	19.4	17.1	18.4	20.0	21.3	17.2	18.4
$75,000 or More	18.9	18.7	18.7	18.2	18.7	18.3	19.2	19.6
GOVERNMENT ASSISTANCE²
Yes	23.5^a	26.7	25.5	26.0	24.7^a	29.9	19.7^a	24.3
No	18.5	19.3	18.5	19.2	19.0	19.9	17.9	18.9
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ² One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

Table 6.48A Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Past Year Any Illicit Drug Use and Demographic Characteristics: Numbers in Thousands, 2002 and 2003
Demographic Characteristic	Total		ANY ILLICIT DRUG USE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	4,765^b	5,142	1,460	1,519	3,306^b	3,623
AGE
12–13	1,631	1,728	234	237	1,397	1,491
14–15	1,680	1,781	498	535	1,182	1,246
16–17	1,454^a	1,633	728	747	726^b	886
GENDER
Male	2,267	2,416	641	664	1,626	1,752
Female	2,498^a	2,726	818	856	1,680^a	1,871
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4,080^a	4,366	1,280	1,293	2,801^b	3,073
White	3,113	3,249	1,063	1,034	2,050	2,215
Black or African American	696	783	148	177	548	606
American Indian or Alaska Native	*	*	*	17	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*
Asian	134	167	*	*	116	136
Two or More Races	81	99	25	*	56	69
Hispanic or Latino	685	776	180	226	505	550
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.48B Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Past Year Any Illicit Drug Use and Demographic Characteristics: Percentages, 2002 and 2003**
Demographic Characteristic	Total		ANY ILLICIT DRUG USE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	19.3^b	20.6	26.7	28.1	17.2^b	18.6
AGE
12–13	19.8	20.5	31.2	31.3	18.6	19.5
14–15	19.9^a	21.6	26.3	29.7	18.0	19.4
16–17	18.2	19.8	25.7	26.2	14.1^a	16.4
GENDER
Male	18.0	19.0	22.7	24.1	16.6	17.6
Female	20.7^a	22.4	31.0	32.1	17.8^a	19.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	19.6^a	20.9	27.5	28.4	17.4^b	18.8
White	20.1	20.9	28.6	29.2	17.4	18.5
Black or African American	19.3	21.0	22.3	24.8	18.6	20.1
American Indian or Alaska Native	*	*	*	29.3	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*	*	*
Asian	13.4	17.2	*	*	12.9	16.1
Two or More Races	20.7	24.9	27.2	*	18.7	22.6
Hispanic or Latino	17.5	19.2	22.2	26.2	16.3	17.3
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

Table 6.49A Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Past Year Any Illicit Drug Use and Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2002 and 2003
Geographic/Socioeconomic Characteristic	Total		ANY ILLICIT DRUG USE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	4,765^b	5,142	1,460	1,519	3,306^b	3,623
GEOGRAPHIC REGION
Northeast	955	982	278	278	677	704
Midwest	1,112	1,197	361	346	751^a	850
South	1,654	1,707	491	511	1,163	1,196
West	1,045^b	1,256	329	384	715^b	872
COUNTY TYPE²
Large Metro	2,621	2,808	781	826	1,840	1,982
Small Metro	1,398	1,524	446	437	952^a	1,087
250K – 1 Mil. Pop.	943	1,045	303	283	640^a	762
< 250K Pop.	455	478	143	154	312	325
Nonmetro	747	810	233	257	514	554
Urbanized	307	352	97	122	210	230
Less Urbanized	361	373	103	107	258	266
Completely Rural	78	86	32	*	46	57
FAMILY INCOME
Less Than $20,000	952^b	1,123	281	297	671^b	826
$20,000 – $49,999	1,696	1,808	516	531	1,179	1,277
$50,000 – $74,999	881	921	286	285	594	636
$75,000 or More	1,237	1,290	376	406	861	883
GOVERNMENT ASSISTANCE³
Yes	943^b	1,178	293	316	650^b	862
No	3,822	3,965	1,166	1,204	2,655	2,761
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ³ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

Table 6.49B Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17, by Past Year Any Illicit Drug Use and Geographic or Socioeconomic Characteristics: Percentages, 2002 and 2003
Geographic/Socioeconomic Characteristic	Total		ANY ILLICIT DRUG USE¹
	Total		Yes		No
	2002	2003	2002	2003	2002	2003
TOTAL	19.3^b	20.6	26.7	28.1	17.2^b	18.6
GEOGRAPHIC REGION
Northeast	21.4	22.0	27.3	29.4	19.7	20.0
Midwest	19.6	21.1	28.5	28.6	17.1	19.0
South	18.9	19.2	25.9	27.0	17.0	17.1
West	18.0^b	21.4	25.6	28.1	15.8^b	19.4
COUNTY TYPE²
Large Metro	19.9^a	21.2	26.8	29.8	17.9	18.9
Small Metro	19.3	20.6	27.9	25.6	16.9^a	19.2
250K – 1 Mil. Pop.	19.3	21.1	27.4	25.8	16.9^a	19.7
< 250K Pop.	19.5	19.8	28.8	25.2	16.9	18.0
Nonmetro	17.4	19.0	24.2	27.4	15.4	16.6
Urbanized	17.9	19.0	25.7	27.7	15.7	16.3
Less Urbanized	17.2	18.8	22.2	25.3	15.8	17.1
Completely Rural	16.4	19.5	27.6	*	12.8	15.9
FAMILY INCOME
Less Than $20,000	21.8^a	24.8	29.0	29.4	19.7^b	23.5
$20,000 – $49,999	19.1	20.7	26.0	27.1	17.1	18.8
$50,000 – $74,999	18.1	19.4	27.4	27.2	15.5	17.2
$75,000 or More	18.9	18.7	25.6	29.0	16.9	16.1
GOVERNMENT ASSISTANCE³
Yes	23.5^a	26.7	29.2	30.6	21.6^b	25.5
No	18.5	19.3	26.1	27.5	16.4	17.1
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ² Estimates for 2002 and 2003 are based on a revised definition of county type and are not comparable with estimates by county type published in prior NSDUH reports. ³ One or more household family members received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance or the family received food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

Table 6.50A Source of Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17 Who Received Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2002 and 2003
Source of Treatment/Counseling	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
RECEIVED TREATMENT/COUNSELING FROM ANY OF FOLLOWING 10 SOURCES¹	4,765^b	5,142	1,631	1,728	1,680	1,781	1,454^a	1,633
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor	2,254	2,347	658	725	861	812	735	811
School Counselors, School Psychologists, or Having Regular Meetings with Teachers²	2,111^b	2,445	781	857	780	859	550^b	729
Mental Health Clinic or Center	611	635	137^a	196	221	213	252	226
In-home Therapist, Counselor, or Family Preservation Worker	693	656	226	205	271	219	196	232
Pediatrician or Other Family Doctor	657	732	206	245	204	238	246	249
Overnight or Longer Stay in Any Type of Hospital	422	467	113	128	139	162	170	176
Special Education Services While in a Regular Classroom or in a Special Classroom or Placement in a Special Program or Special School²	839^a	959	341	318	277	322	220^b	320
Partial Day Hospital or Day Treatment Program	440	425	131	147	168	135	141	143
Overnight or Longer Stay in a Residential Treatment Center	224	233	42	54	71	77	112	101
Overnight or Longer Stay in Foster Care or in a Therapeutic Foster Care Home	157	179	47	59	49	58	60	62
*Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple sources; thus, these response categories are not mutually exclusive. ² Respondents who did not report their school enrollment status or who reported not being enrolled in school in the past 12 months were not asked about receipt of mental health treatment/counseling from this source. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40715

**Table 6.50B Source of Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17 Who Received Mental Health Treatment in the Past Year, by Age Group: Percentages, 2002 and 2003**
Source of Treatment/Counseling	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
RECEIVED TREATMENT/COUNSELING FROM ANY OF FOLLOWING 10 SOURCES¹	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor	47.6	46.1	40.8	42.6	51.4^a	46.1	50.6	49.8
School Counselors, School Psychologists, or Having Regular Meetings with Teachers²	44.6^a	48.0	48.5	50.3	46.6	48.8	37.9^b	44.7
Mental Health Clinic or Center	12.9	12.5	8.5^a	11.5	13.2	12.1	17.4	13.9
In-home Therapist, Counselor, or Family Preservation Worker	14.6	12.9	14.0	12.1	16.2^a	12.4	13.5	14.2
Pediatrician or Other Family Doctor	13.9	14.4	12.8	14.4	12.2	13.4	17.0	15.3
Overnight or Longer Stay in Any Type of Hospital	8.9	9.1	7.0	7.5	8.3	9.1	11.7	10.8
Special Education Services While in a Regular Classroom or in a Special Classroom or Placement in a Special Program or Special School²	17.7	18.8	21.1	18.6	16.6	18.2	15.2^a	19.6
Partial Day Hospital or Day Treatment Program	9.3	8.3	8.1	8.6	10.0^a	7.6	9.7	8.8
Overnight or Longer Stay in a Residential Treatment Center	4.7	4.5	2.6	3.2	4.2	4.3	7.7	6.2
Overnight or Longer Stay in Foster Care or in a Therapeutic Foster Care Home	3.3	3.5	2.9	3.4	2.9	3.2	4.1	3.8
*Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents could indicate multiple sources; thus, these response categories are not mutually exclusive. ² Respondents who did not report their school enrollment status or who reported not being enrolled in school in the past 12 months were not asked about receipt of mental health treatment/counseling from this source. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

Table 6.51A Reasons for Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17 Who Received Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2002 and 2003
Reason for Treatment/Counseling¹	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
RECEIVED TREATMENT/COUNSELING FROM ANY OF NINE SOURCES	4,433^a	4,753	1,501	1,599	1,562	1,646	1,370	1,508
Thought About Killing Self or Tried to Kill Self	775	798	169	202	301	290	304	306
Felt Depressed²	1,966	2,123	542	590	696	744	728	789
Felt Very Afraid or Tense	776^a	906	242	284	282	292	252^a	329
Breaking Rules or "Acting Out"³	1,061	1,087	358	365	414	424	289	297
Eating Problems	363	399	82	93	146	153	135	153
Family/Home Problems⁴	549	607	165	205	218	203	167	199
Social/Friend Problems⁴	316	373	100	129	121	141	95	104
School-related Issues⁴	388	442	128	132	149	167	111	142
Other Diagnosed Mental/Neurological Disorder⁴	109	125	42	38	36	44	31	43
Other Reason/Reasons	886	927	275	312	304	287	307	329
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. Youths who reported they received treatment/counseling from one specific source (i.e., "special education services while in a regular classroom or in a special classroom, a special program, or in a special school") were not asked for the reasons they received these services and were therefore excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents were asked the reasons for the last time they received mental health treatment/counseling from each reported source of treatment and could indicate multiple reasons for the last time they received treatment; thus, these response categories are not mutually exclusive. ² Includes other specify responses of "feeling inadequate, hopeless, lonely, or having low self-esteem." ³ Includes other specify responses of "difficulty controlling anger or fighting." ⁴ Respondents were permitted to specify other reasons for having received mental health treatment/counseling. This reason is one of the most commonly reported other reasons for having received treatment/counseling. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.51B Reasons for Mental Health Treatment/Counseling in the Past Year among Persons Aged 12 to 17 Who Received Mental Health Treatment in the Past Year, by Age Group: Percentages, 2002 and 2003**
Reason for Treatment/Counseling¹	Total		AGE GROUP (Years)
	Total		12–13		14–15		16–17
	2002	2003	2002	2003	2002	2003	2002	2003
RECEIVED TREATMENT/COUNSELING FROM ANY OF NINE SOURCES	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Thought About Killing Self or Tried to Kill Self	19.5	18.9	13.1	15.0	21.1	19.6	24.2	21.8
Felt Depressed²	49.5	50.2	42.0	43.7	48.8	50.2	58.0	56.3
Felt Very Afraid or Tense	19.5	21.4	18.7	21.1	19.8	19.7	20.0	23.5
Breaking Rules or "Acting Out"³	26.7	25.7	27.7	27.1	29.0	28.6	23.0	21.2
Eating Problems	9.1	9.4	6.3	6.9	10.2	10.3	10.8	11.0
Family/Home Problems⁴	13.8	14.3	12.7	15.2	15.3	13.7	13.3	14.2
Social/Friend Problems⁴	8.0	8.8	7.8	9.5	8.5	9.5	7.6	7.4
School-related Issues⁴	9.8	10.4	10.0	9.8	10.4	11.3	8.8	10.2
Other Diagnosed Mental/Neurological Disorder⁴	2.8	2.9	3.2	2.8	2.5	3.0	2.5	3.1
Other Reason/Reasons	22.3	21.9	21.3	23.1	21.3	19.4	24.4	23.5
Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. Youths who reported they received treatment/counseling from one specific source (i.e., "special education services while in a regular classroom or in a special classroom, a special program, or in a special school") were not asked for the reasons they received these services and were therefore excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Respondents were asked the reasons for the last time they received mental health treatment/counseling from each reported source of treatment and could indicate multiple reasons for the last time they received treatment; thus, these response categories are not mutually exclusive. ² Includes other specify responses of "feeling inadequate, hopeless, lonely, or having low self-esteem." ³ Includes other specify responses of "difficulty controlling anger or fighting." ⁴ Respondents were permitted to specify other reasons for having received mental health treatment/counseling. This reason is one of the most commonly reported other reasons for having received treatment/counseling. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.52A Illicit Drug Use in the Past Year among Persons Aged 12 to 17, by Receipt of Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	5,494	5,455	1,460	1,519	4,011	3,897
Marijuana and Hashish	3,905	3,745	1,013	1,009	2,872	2,709
Cocaine	508	438	180	146	326	288
Crack	100	95	43	39	57	54
Heroin	51	36	15	19	36	17
Hallucinogens	945^b	778	308	265	633^b	507
LSD	314^b	149	103^a	60	211^b	88
PCP	110	89	50	32	59	57
Ecstasy	547^b	329	182^b	118	363^b	209
Inhalants	1,078	1,119	341	387	734	729
Nonmedical Use of Any Psychotherapeutic⁴	2,283	2,289	702	728	1,570	1,545
Pain Relievers	1,870	1,917	566	602	1,294	1,301
Tranquilizers	568	586	225	221	343	358
Stimulants	650	568	256	214	392	354
Methamphetamine	226	174	98	64	127	110
Sedatives	138	131	54	62	84	69
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	3,338	3,351	977	1,049	2,347	2,281
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year use for all persons aged 12 to 17, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.52B Illicit Drug Use in the Past Year among Persons Aged 12 to 17, by Receipt of Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
ANY ILLICIT DRUG³	22.2	21.8	30.6	29.5	20.1	19.7
Marijuana and Hashish	15.8	15.0	21.3	19.6	14.4	13.7
Cocaine	2.1	1.8	3.8	2.8	1.6	1.5
Crack	0.4	0.4	0.9	0.8	0.3	0.3
Heroin	0.2	0.1	0.3	0.4	0.2	0.1
Hallucinogens	3.8^b	3.1	6.5^a	5.2	3.2^b	2.6
LSD	1.3^b	0.6	2.2^a	1.2	1.1^b	0.4
PCP	0.4	0.4	1.0	0.6	0.3	0.3
Ecstasy	2.2^b	1.3	3.8^b	2.3	1.8^b	1.1
Inhalants	4.4	4.5	7.1	7.5	3.7	3.7
Nonmedical Use of Any Psychotherapeutic⁴	9.2	9.2	14.7	14.1	7.9	7.8
Pain Relievers	7.6	7.7	11.9	11.7	6.5	6.6
Tranquilizers	2.3	2.3	4.7	4.3	1.7	1.8
Stimulants	2.6	2.3	5.4^a	4.2	2.0	1.8
Methamphetamine	0.9^a	0.7	2.1^a	1.2	0.6	0.6
Sedatives	0.6	0.5	1.1	1.2	0.4	0.3
ANY ILLICIT DRUG OTHER THAN MARIJUANA³	13.5	13.4	20.5	20.4	11.8	11.5
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year use for all persons aged 12 to 17, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ³ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Any Illicit Drug Other Than Marijuana includes cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. ⁴ Nonmedical use of any prescription-type pain reliever, tranquilizer, stimulant, or sedative; does not include over-the-counter drugs. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.53A Tobacco and Alcohol Use in the Past Year and Past Month among Persons Aged 12 to 17, by Receipt of Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
PAST YEAR
Any Tobacco³	5,839	5,634	1,457	1,440	4,356	4,172
Cigarettes	5,037^a	4,737	1,301	1,275	3,712^a	3,441
Smokeless Tobacco	1,063	1,034	237	231	822	800
Cigars	2,511	2,487	631	637	1,872	1,840
Pipe Tobacco⁴	--	--	--	--	--	--
Alcohol	8,564	8,563	1,919	2,033	6,620	6,501
Binge Alcohol Use⁵	--	--	--	--	--	--
Heavy Alcohol Use⁵	--	--	--	--	--	--
PAST MONTH
Any Tobacco³	3,767	3,610	986	927	2,760	2,668
Cigarettes	3,209	3,044	856	840	2,331	2,190
Smokeless Tobacco	487	511	99	98	388	411
Cigars	1,117	1,115	334^a	265	778	842
Pipe Tobacco	137	160	57	57	79	103
Alcohol	4,365	4,425	1,014	1,123	3,335	3,286
Binge Alcohol Use⁵	2,641	2,658	617^a	713	2,013	1,933
Heavy Alcohol Use⁵	630	652	160	162	467	486
Low precision; no estimate reported. -- Not available. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year and past month use for all persons aged 12 to 17, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ³ Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ⁴ Information about past year use of pipe tobacco was not collected. ⁵ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.53B Tobacco and Alcohol Use in the Past Year and Past Month among Persons Aged 12 to 17, by Receipt of Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003**
Drug	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
PAST YEAR
Any Tobacco³	23.6^a	22.5	30.6^a	28.0	21.9	21.1
Cigarettes	20.3^b	19.0	27.3^a	24.8	18.6^a	17.4
Smokeless Tobacco	4.3	4.1	5.0	4.5	4.1	4.0
Cigars	10.1	10.0	13.2	12.4	9.4	9.3
Pipe Tobacco⁴	--	--	--	--	--	--
Alcohol	34.6	34.3	40.3	39.5	33.2	32.9
Binge Alcohol Use⁵	--	--	--	--	--	--
Heavy Alcohol Use⁵	--	--	--	--	--	--
PAST MONTH
Any Tobacco³	15.2	14.4	20.7^a	18.0	13.9	13.5
Cigarettes	13.0	12.2	18.0	16.3	11.7	11.1
Smokeless Tobacco	2.0	2.0	2.1	1.9	1.9	2.1
Cigars	4.5	4.5	7.0^b	5.2	3.9	4.3
Pipe Tobacco	0.6	0.6	1.2	1.1	0.4	0.5
Alcohol	17.6	17.7	21.3	21.8	16.7	16.6
Binge Alcohol Use⁵	10.7	10.6	12.9	13.9	10.1	9.8
Heavy Alcohol Use⁵	2.5	2.6	3.4	3.2	2.3	2.5
Low precision; no estimate reported. -- Not available. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year and past month use for all persons aged 12 to 17, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ³ Any Tobacco product includes cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Any Tobacco use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. ⁴ Information about past year use of pipe tobacco was not collected. ⁵ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.54A Substance Dependence or Abuse in the Past Year among Persons Aged 12 to 17, by Receipt of Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2002 and 2003**
Dependence/Abuse	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
DEPENDENCE OR ABUSE³
Any Illicit Drug or Alcohol⁴	2,209	2,214	752	754	1,447	1,451
Any Illicit Drug⁴	1,376	1,287	512	465	858	815
Alcohol	1,453	1,471	493	486	954	979
DEPENDENCE³
Any Illicit Drug or Alcohol⁴	1,099	1,038	440	396	653	638
Any Illicit Drug⁴	781	694	309	276	467	416
Alcohol	527	512	233	202	294	307
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year dependence/abuse for all persons aged 12 to 17, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ³ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁴ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

40817

**Table 6.54B Substance Dependence or Abuse in the Past Year among Persons Aged 12 to 17, by Receipt of Past Year Mental Health Treatment/Counseling: Percentages, 2002 and 2003**
Dependence/Abuse	Total¹		MENTAL HEALTH TREATMENT/COUNSELING²
	Total¹		Received		Not Received
	2002	2003	2002	2003	2002	2003
DEPENDENCE OR ABUSE³
Any Illicit Drug or Alcohol⁴	8.9	8.9	15.8	14.7	7.3	7.3
Any Illicit Drug⁴	5.6	5.1	10.7^a	9.0	4.3	4.1
Alcohol	5.9	5.9	10.3	9.5	4.8	5.0
DEPENDENCE³
Any Illicit Drug or Alcohol⁴	4.4	4.2	9.2^a	7.7	3.3	3.2
Any Illicit Drug⁴	3.2	2.8	6.5	5.4	2.3	2.1
Alcohol	2.1	2.0	4.9	3.9	1.5	1.6
Low precision; no estimate reported. ^aDifference between estimate and 2003 estimate is statistically significant at the 0.05 level. ^bDifference between estimate and 2003 estimate is statistically significant at the 0.01 level. ¹ Estimates in the Total column represent past year dependence/abuse for all persons aged 12 to 17, including those with unknown mental health treatment/counseling information. ² Mental Health Treatment/Counseling for youths is defined as having received treatment or counseling from any of 10 specific sources (e.g., private therapist, school counselor, special school program) for emotional or behavioral problems NOT caused by drug or alcohol use. Youths who answered none of the source of treatment questions with a "yes" and answered "no" four or fewer times were excluded from this analysis. See Table 6.50* for a list of the 10 specific sources of treatment. ³ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁴ Any Illicit Drug includes marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or any prescription-type psychotherapeutic used nonmedically. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002 and 2003.

This page was last updated on June 03, 2008.