Behavioral Health Barometer - SAMHSA

Behavioral Health Barometer

Washington, 2014

Acknowledgments This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by RTI International under contract No. 283?07?0208 with SAMHSA, U.S. Department of Health and Human Services (HHS). Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS. Electronic Access and Printed Copies This publication may be downloaded or ordered at . Or call SAMHSA at 1?877? SAMHSA?7 (1?877?726?4727) (English and Espa?ol). Recommended Citation Substance Abuse and Mental Health Services Administration. Behavioral Health Barometer: Washington, 2014. HHS Publication No. SMA?15?4895WA. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015. Originating Office Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, Rockville, MD 20857.

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CONTENTS

FOREWORD.......................................................................................................................................... iii YOUTH SUBSTANCE USE.................................................................................................................... 1

Illicit Drug Use.................................................................................................................................... 1 Cigarette Use..................................................................................................................................... 2 Binge Alcohol Use............................................................................................................................. 3 Substance Use Initiation and Risk Perceptions................................................................................... 4 YOUTH MENTAL HEALTH AND TREATMENT..................................................................................... 6 Depression........................................................................................................................................ 6 Treatment for Depression................................................................................................................... 7 MENTAL HEALTH AND TREATMENT.................................................................................................. 8 Thoughts of Suicide........................................................................................................................... 8 Serious Mental Illness........................................................................................................................ 9 Treatment for Any Mental Illness....................................................................................................... 10 Mental Health Consumers.................................................................................................................11 SUBSTANCE USE............................................................................................................................... 12 Alcohol Dependence or Abuse........................................................................................................ 12 Illicit Drug Dependence or Abuse..................................................................................................... 13 Heavy Alcohol Use............................................................................................................................14 SUBSTANCE USE TREATMENT........................................................................................................ 15 Enrollment and Treatment Focus...................................................................................................... 15 Alcohol............................................................................................................................................ 16 Opioids (Medication-Assisted Therapy)..............................................................................................17 Illicit Drugs....................................................................................................................................... 18 FIGURE NOTES.................................................................................................................................. 19 DEFINITIONS...................................................................................................................................... 20 SOURCES........................................................................................................................................... 21

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FOREWORD

The Substance Abuse and Mental Health Services Administration (SAMHSA), an operating division within the U.S. Department of Health and Human Services (HHS), is charged with reducing the impact of substance abuse and mental illness on America's communities. SAMHSA is pursuing this mission at a time of significant change. Health reform has been enacted, bringing sweeping changes to how the United States delivers, pays for, and monitors health care. Simultaneously, state budgets are shrinking, and fiscal restraint is a top priority. This is the second edition of the Behavioral Health Barometer: Washington, one of a series of state and national reports that provide a snapshot of behavioral health in the United States. The reports present a set of substance use and mental health indicators as measured through data collection efforts sponsored by SAMHSA, including the National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services. This array of indicators provides a unique overview of the nation's behavioral health at a point in time as well as a mechanism for tracking change and trends over time. As new data become available, indicators highlighted in these reports will be updated to reflect the current state of the science and incorporate new measures of interest. The Behavioral Health Barometers will provide critical information to a variety of audiences in support of SAMHSA's mission of reducing the impact of substance abuse and mental illness on America's communities. Behavioral Health Barometers for all 50 states, the District of Columbia, and the nation are published on a regular basis as part of SAMHSA's larger behavioral health quality improvement approach. Pamela S. Hyde, JD, Administrator Substance Abuse and Mental Health Services Administration

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YOUTH SUBSTANCE USE

ILLICIT DRUG USE

Past-Month Illicit Drug Use Among Adolescents Aged 12?17 in Washington and the United States (2009?2013)1

Washington's percentage of illicit drug use among adolescents was higher than the national percentage in 2012?2013.

20%

Washington United States

15% 10%

10.8% 10.1%

12.5% 10.1%

12.2% 9.8%

11.5% 9.2%

5%

0% 2009?2010

2010?2011

2011?2012

Years

2012?2013

11.5%

In Washington, about 60,000 adolescents (11.5% of all adolescents) per year in 2009?2013* reported using illicit drugs within the month prior to being surveyed.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009 to 2013.

*T hese estimates are based on combined data from multiple years of the National Survey of Drug Use and Health (NSDUH), whereas estimates in the accompanying figure are from an estimation procedure that uses 2 consecutive years of NSDUH data plus other information from the state. The estimates from these two methods may differ. For more information, please see Figure Notes 1 and 2 on p. 19.

Statistical tests (t-tests) have been conducted for all statements appearing in the text on this page of the report that compare estimates between years or between the state and the nation as a whole. Unless explicitly stated that a difference is not statistically significant, all statements that describe differences are significant at the .05 level.

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YOUTH SUBSTANCE USE

CIGARETTE USE

Past-Month Cigarette Use Among Adolescents Aged 12?17 in Washington and the United States (2009?2013)1

Washington's percentage of cigarette use among adolescents was similar to the national percentage in 2012?2013.

20%

Washington United States

15%

10%

8.7% 8.0%

5%

8.6% 8.1%

7.7% 7.2%

6.6% 6.1%

0% 2009?2010

2010?2011

2011?2012

Years

2012?2013

8.1%

In Washington, about 43,000 adolescents (8.1% of all adolescents) per year in 2009?2013* reported using cigarettes within the month prior to being surveyed.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009 to 2013.

*T hese estimates are based on combined data from multiple years of the National Survey of Drug Use and Health (NSDUH), whereas estimates in the accompanying figure are from an estimation procedure that uses 2 consecutive years of NSDUH data plus other information from the state. The estimates from these two methods may differ. For more information, please see Figure Notes 1 and 2 on p. 19.

Statistical tests (t-tests) have been conducted for all statements appearing in the text on this page of the report that compare estimates between years or between the state and the nation as a whole. Unless explicitly stated that a difference is not statistically significant, all statements that describe differences are significant at the .05 level.

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YOUTH SUBSTANCE USE

BINGE ALCOHOL USE

Past-Month Binge Alcohol Use Among People Aged 12?20 in Washington and the United States (2009?2013)1

Washington's percentage of binge alcohol use among people aged 12?20 was similar to the national percentage in 2012?2013.

25%

20% 15%

18.9% 17.5%

10%

5%

0% 2009?2010

Washington United States

16.5% 16.3%

15.0% 15.6%

2010?2011

2011?2012

Years

15.5% 14.7%

2012?2013

16.3%

In Washington, about 136,000 people aged 12?20 (16.3% of all people in this age group) per year in 2009?2013* reported binge alcohol use within the month prior to being surveyed.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009 to 2013.

*T hese estimates are based on combined data from multiple years of the National Survey of Drug Use and Health (NSDUH), whereas estimates in the accompanying figure are from an estimation procedure that uses 2 consecutive years of NSDUH data plus other information from the state. The estimates from these two methods may differ. For more information, please see Figure Notes 1 and 2 on p. 19.

Statistical tests (t-tests) have been conducted for all statements appearing in the text on this page of the report that compare estimates between years or between the state and the nation as a whole. Unless explicitly stated that a difference is not statistically significant, all statements that describe differences are significant at the .05 level.

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YOUTH SUBSTANCE USE

SUBSTANCE USE INITIATION AND RISK PERCEPTIONS

Past-Year Initiation of Substance Use Among Adolescents Aged 12?17 in Washington, by Substance of Abuse (2009?2013)2

Among adolescents in Washington, 8.7% initiated alcohol use (i.e., used it for the first time) within the year prior to being surveyed, and 5.9% initiated marijuana use within the year prior to being surveyed.

16%

12% 8% 4%

4.2%

8.7%

5.9%

4.1%

0% Cigarettes

Alcohol

Marijuana

Nonmedical Use of Psychotherapeutics

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009 to 2013.

Adolescents Aged 12?17 in Washington and the United States Who Perceived No Great Risk from Smoking One or More Packs of Cigarettes a Day (2009?2013)1

80%

Washington

United States

60%

40% 33.8% 34.6% 36.4% 34.3% 36.2% 34.1% 35.0% 35.0% 20%

0% 2009?2010 2010?2011 2011?2012 2012?2013

Years

35.0%

About 4 in 10 (35.0%) adolescents in Washington in 2012?2013 perceived no great risk from smoking one or more packs of cigarettes a day--a percentage similar to the national percentage.

The percentage of Washington adolescents perceiving no great risk from daily cigarette use did not change significantly from 2009 to 2013.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009 to 2013.

Statistical tests (t-tests) have been conducted for all statements appearing in the text on this page of the report that compare estimates between years or between the state and the nation as a whole. Unless explicitly stated that a difference is not statistically significant, all statements that describe differences are significant at the .05 level.

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