Mental Health Annual Report 2016: Use of Mental Health Services: National Client-Level Data

2018·3.4 MB·English

Mental Health Annual Report 2016
Use of Mental Health Services: National Client-Level Data
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Acknowledgments
This report was prepared for the Substance Abuse and Mental Health Services Administration
(SAMHSA), U.S. Department of Health and Human Services (HHS), by Eagle Technologies, Inc.,
under Contract No. HHSS283201600001C. The Contracting Officer’s Representative (COR) at
SAMHSA/CBHSQ was Cathie E. Alderks, PhD.
SAMHSA complies with applicable federal civil rights laws and does not discriminate on the
basis of race, color, national origin, age, disability, or sex. SAMHSA cumple con las leyes federales
de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad,
discapacidad o sexo.
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, U.S. Department of Health and Human Services.
Recommended Citation
Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics
and Quality. Mental Health Annual Report: 2016. Use of Mental Health Services: National Client-
Level Data. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2018.
Electronic Access and Copies of Publication
This publication may be downloaded or ordered at datafiles.samhsa.gov.
Originating Office
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration
5600 Fishers Lane, Room 15SEH03
Rockville, Maryland 20857
August 2018
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Table of Contents
List of Tables .................................................................................................................................vi
List of Figures ............................................................................................................................xix
Highlights ........................................................................................................................................1
Background ....................................................................................................................................5
Introduction ....................................................................................................................................9
Chapter 1. Summary of Annual Data in State Client-Level Data Reporting:
2013–2016......................................................................................................................................13
Individuals Served ..................................................................................................................13
Regional Distributions .............................................................................................................16
Any-Mention Mental Health Diagnoses, by Gender, Race, and Ethnicity ..............................16
Chapter 2. Characteristics of Children and Adolescents Aged 17 Years and
Younger Receiving Mental Health Services: 2016 ....................................................................19
Number Served ........................................................................................................................19
Gender ......................................................................................................................................19
Race .........................................................................................................................................20
Ethnicity ...................................................................................................................................20
Living Arrangements ...............................................................................................................20
SED Status ...............................................................................................................................20
Level of Functioning ................................................................................................................20
Client Treatment Status at the Start of the Reporting Period ...................................................21
SED Status and Level of Functioning, by Service Setting.......................................................21
Chapter 3. Characteristics of Young Adults Aged 18 to 24 Years Receiving Mental
Health Services: 2016 ...................................................................................................................23
Number Served ........................................................................................................................23
Gender ......................................................................................................................................23
Race and Ethnicity ...................................................................................................................24
Education .................................................................................................................................24
Marital Status ...........................................................................................................................24
Living Arrangements ...............................................................................................................24
SMI status ................................................................................................................................25
Level of Functioning ................................................................................................................25
Employment Status ..................................................................................................................25
iii
Table of Contents (continued)
Client Treatment Status at the Start of the Reporting Period ...................................................25
Service Setting .........................................................................................................................25
SMI Status and Level of Functioning by Service Setting ........................................................26
Chapter 4. Characteristics of Adults Aged 25 to 54 Years Receiving Mental Health
Services: 2016 ...............................................................................................................................27
Number Served ........................................................................................................................27
Gender ......................................................................................................................................27
Race .........................................................................................................................................27
Ethnicity ...................................................................................................................................27
Education .................................................................................................................................28
Marital Status ...........................................................................................................................28
Living Arrangements ...............................................................................................................28
SMI Status ................................................................................................................................28
Level of Functioning ................................................................................................................29
Employment Status ..................................................................................................................29
Client Treatment Status at the Start of the Reporting Period ...................................................29
Service Setting .........................................................................................................................30
SMI Status and Level of Functioning, by Service Setting .......................................................30
Chapter 5. Characteristics of Older Adults Aged 55 Years and Older Receiving
Mental Health Services: 2016 .....................................................................................................31
Number Served ........................................................................................................................31
Gender ......................................................................................................................................31
Race .........................................................................................................................................31
Ethnicity ...................................................................................................................................32
Education .................................................................................................................................32
Marital Status ...........................................................................................................................32
Living Arrangements ...............................................................................................................32
SMI Status ................................................................................................................................33
Level of Functioning ................................................................................................................33
Employment Status ..................................................................................................................33
Client Treatment Status at the Start of the Reporting Period ...................................................33
Service Setting .........................................................................................................................34
SMI Status and Level of Functioning by Service Setting ........................................................34
iv
Table of Contents (continued)
Chapter 6. Characteristics of Individuals With Co-occurring Mental Health and
Substance Use Disorders Receiving Mental Health Services: 2016 .........................................35
Number Served ........................................................................................................................35
Gender ......................................................................................................................................35
Age ...........................................................................................................................................35
Race .........................................................................................................................................36
Ethnicity ...................................................................................................................................36
Substance Use Diagnosis .........................................................................................................36
Living Arrangements ...............................................................................................................36
SMI/SED Status .......................................................................................................................36
Level of Functioning ................................................................................................................37
Employment Status ..................................................................................................................37
Service Setting .........................................................................................................................37
Client Treatment Status at the Start of the Reporting Period ...................................................37
Chapter 7. Client Outcomes Among Individuals Receiving Mental Health Services:
2013 and 2016 ...............................................................................................................................39
Living Arrangements ...............................................................................................................39
Employment Status ..................................................................................................................39
Transitions in Living Arrangements ........................................................................................40
Transitions in Employment Status ...........................................................................................43
Tables .............................................................................................................................................47
Appendix A. MH-TEDS/MH-CLD Crosswalk Tables ............................................................241
Appendix B. MH-TEDS and MH-CLD 2011–2016 Reporting Methods and 2016
Reporting Period, by State or Jurisdiction ..............................................................................251
Appendix C. MH-TEDS and MH-CLD Data Dictionary of Included Variables .................253
Appendix D. SMI/SED Federal Definitions and CGAS/GAF Scale ......................................267
Appendix E. Mental Health and Substance Use Diagnosis Codes.........................................271
Appendix F. Terms and Acronyms ...........................................................................................285
Appendix G. List of Contributors ............................................................................................287
v
List of Tables
Annual Data 2013–2016
1.1 Individuals, by mental health diagnosis: Number and percent distribution,
2013–2016..........................................................................................................................48
1.2a Individuals, by gender and age: Number and percent distribution, 2013–2016 ................49
1.2b Individuals aged 17 and younger, by mental health diagnosis: Number and
percent distribution, 2013–2016 ........................................................................................50
1.2c Individuals aged 18 to 24, by mental health diagnosis: Number and percent
distribution, 2013–2016 .....................................................................................................51
1.2d Individuals aged 25 to 54, by mental health diagnosis: Number and percent
distribution, 2013–2016 .....................................................................................................52
1.2e Individuals aged 55 and older, by mental health diagnosis: Number and
percent distribution, 2013–2016 ........................................................................................53
1.3 Individuals, by race and ethnicity: Number and percent distribution, 2013–2016 ............54
1.4 Individuals, by marital status and living arrangement: Number and percent
distribution, 2013–2016 .....................................................................................................55
1.5 Individuals, by SMI/SED status, functioning (CGAS/GAF), and co-
occurring mental health and substance use disorder: Number and percent
distribution, 2013–2016 .....................................................................................................56
1.6 Individuals aged 18 years and older, by employment status: Number and
percent distribution, 2013–2016 ........................................................................................57
1.7 Individuals, by timing of admission and mental health service setting:
Number and percent distribution, 2013–2016 ...................................................................58
1.8 Individuals, by Census region, timing of admission, and mental health
service setting: Number and percent distribution, 2015–2016 ..........................................59
1.9 Individuals, by Census region and mental health diagnosis: Number and
percent distribution, 2016 ..................................................................................................60
1.1 Individuals, by number of mental health diagnoses and any mention of
mental health diagnosis: Number and percent distribution, 2013–2016 ............................61
1.11a Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Number, 2013 ....................................................................................................62
vi
List of Tables (continued)
1.11b Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Column percent distribution, 2013 ....................................................................63
1.11c Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Row percent, 2013 .............................................................................................64
1.12a Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Number, 2014 ....................................................................................................65
1.12b Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Column percent distribution, 2014 ....................................................................66
1.12c Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Row percent, 2014 .............................................................................................67
1.13a Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Number, 2015 ....................................................................................................68
1.13b Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Column percent distribution, 2015 ....................................................................69
1.13c Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Row percent, 2015 .............................................................................................70
1.14a Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Number, 2016 ....................................................................................................71
1.14b Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Column percent distribution, 2016 ....................................................................72
1.14c Any mention of selected mental health diagnoses, by gender, race, and
ethnicity: Row percent, 2016 .............................................................................................73
1.15 Mental health individuals and U.S population, by marital status and age
group: Number and percent distribution, 2016 ..................................................................74
Children and Adolescents (Aged 17 Years and Younger)
2.1a Individuals aged 17 and younger, by mental health diagnosis, gender, race,
and ethnicity: Number, 2016 ..............................................................................................75
2.1b Individuals aged 17 and younger, by mental health diagnosis, gender, race,
and ethnicity: Column percent distribution, 2016 ..............................................................76
2.1c Individuals aged 17 and younger, by mental health diagnosis, gender, race,
and ethnicity: Row percent distribution, 2016 ...................................................................77
vii
List of Tables (continued)
2.2a Individuals aged 17 and younger with SED, by mental health diagnosis,
gender, race, and ethnicity: Number, 2016 ........................................................................78
2.2b Individuals aged 17 and younger with SED, by mental health diagnosis,
gender, race, and ethnicity: Column percent distribution, 2016 ........................................79
2.2c Individuals aged 17 and younger with SED, by mental health diagnosis,
gender, race, and ethnicity: Row percent distribution, 2016 .............................................80
2.3a Individuals aged 17 and younger, by mental health diagnosis, living
arrangement, SED status, and functioning score (CGAS): Number, 2016 ........................81
2.3b Individuals aged 17 and younger, by mental health diagnosis, living
arrangement, SED status, and functioning score (CGAS): Column percent
distribution, 2016 ...............................................................................................................82
2.3c Individuals aged 17 and younger, by mental health diagnosis, living
arrangement, SED status, and functioning score (CGAS): Row percent
distribution, 2016 ...............................................................................................................83
2.4a Individuals aged 17 and younger with SED, by mental health diagnosis,
living arrangement, and functioning score (CGAS): Number, 2016 .................................84
2.4b Individuals aged 17 and younger with SED, by mental health diagnosis,
living arrangement, and functioning score (CGAS): Column percent
distribution, 2016 ...............................................................................................................85
2.4c Individuals aged 17 and younger with SED, by mental health diagnosis,
living arrangement, and functioning score (CGAS): Row percent
distribution, 2016 ...............................................................................................................86
2.5a Individuals aged 17 and younger, by mental health diagnosis, timing of
admission, and mental health service setting: Number, 2016 ............................................87
2.5b Individuals aged 17 and younger, by mental health diagnosis, timing of
admission, and mental health service setting: Column percent distribution, 2016 ............88
2.5c Individuals aged 17 and younger, by mental health diagnosis, timing of
admission, and mental health service setting: Row percent distribution, 2016 .................89
2.6a Individuals aged 17 and younger with SED, by mental health diagnosis,
timing of admission, and mental health service setting: Number, 2016 ............................90
viii
List of Tables (continued)
2.6b Individuals aged 17 and younger with SED, by mental health diagnosis,
timing of admission, and mental health service setting: Column percent
distribution, 2016 ...............................................................................................................91
2.6c Individuals aged 17 and younger with SED, by mental health diagnosis,
timing of admission, and mental health service setting: Row percent
distribution, 2016 ...............................................................................................................92
2.7. Individuals aged 17 and younger, by mental health service setting, SED
status, and functioning score (CGAS): Number and percent distribution, 2016 ...............93
Younger Adults (Aged 18 to 24 Years)
3.1a Individuals aged 18 to 24, by mental health diagnosis, gender, race, and
ethnicity: Number, 2016 ....................................................................................................94
3.1b Individuals aged 18 to 24, by mental health diagnosis, gender, race, and
ethnicity: Column percent distribution, 2016 ....................................................................95
3.1c Individuals aged 18 to 24, by mental health diagnosis, gender, race, and
ethnicity: Row percent distribution, 2016 ..........................................................................96
3.2a Individuals aged 18 to 24 with SMI, by mental health diagnosis, gender,
race, and ethnicity: Number, 2016 .....................................................................................97
3.2b Individuals aged 18 to 24 with SMI, by mental health diagnosis, gender,
race, and ethnicity: Column percent distribution, 2016 .....................................................98
3.2c Individuals aged 18 to 24 with SMI, by mental health diagnosis, gender,
race, and ethnicity: Row percent distribution, 2016 ..........................................................99
3.3a Individuals aged 18 to 24, by mental health diagnosis, education, and
marital status: Number, 2016 ...........................................................................................100
3.3b Individuals aged 18 to 24, by mental health diagnosis, education, and
marital status: Column percent distribution, 2016 ...........................................................101
3.3c Individuals aged 18 to 24, by mental health diagnosis, education, and
marital status: Row percent distribution, 2016 ................................................................102
3.4a Individuals aged 18 to 24 with SMI, by mental health diagnosis, education,
and marital status: Number, 2016 ....................................................................................103
3.4b Individuals aged 18 to 24 with SMI, by mental health diagnosis, education,
and marital status: Column percent distribution, 2016 ....................................................104
ix
List of Tables (continued)
3.4c Individuals aged 18 to 24 with SMI, by mental health diagnosis, education,
marital status: Row percent distribution, 2016 ................................................................105
3.5a Individuals aged 18 to 24, by mental health diagnosis, living arrangement,
SMI status, and functioning score (GAF): Number, 2016 ...............................................106
3.5b Individuals aged 18 to 24, by mental health diagnosis, living arrangement,
SMI status, and functioning score (GAF): Column percent distribution, 2016 ...............107
3.5c Individuals aged 18 to 24, by mental health diagnosis, living arrangement,
SMI status, and functioning score (GAF): Row percent distribution, 2016 ....................108
3.6a Individuals aged 18 to 24 with SMI, by mental health diagnosis, living
arrangement, and functioning score (GAF): Number, 2016 ............................................109
3.6b Individuals aged 18 to 24 with SMI, by mental health diagnosis, living
arrangement, and functioning score (GAF): Column percent distribution, 2016 ............110
3.6c Individuals ages 18 to 24 with SMI, by mental health diagnosis, living
arrangement, and functioning score (GAF): Row percent distribution, 2016 .................111
3.7a Individuals aged 18 to 24, by mental health diagnosis and employment
status: Number, 2016 .......................................................................................................112
3.7b Individuals aged 18 to 24, by mental health diagnosis and employment
status: Column percent distribution, 2016 .......................................................................113
3.7c Individuals aged 18 to 24, by mental health diagnosis and employment
status: Row percent distribution, 2016 .............................................................................114
3.8a Individuals aged 18 to 24 with SMI, by mental health diagnosis and
employment status: Number, 2016 ..................................................................................115
3.8b Individuals aged 18 to 24 with SMI, by mental health diagnosis and
employment status: Column percent distribution, 2016 ..................................................116
3.8c Individuals aged 18 to 24 with SMI, by mental health diagnosis and
employment status: Row percent distribution, 2016 ........................................................117
3.9a Individuals aged 18 to 24, by mental health diagnosis, timing of admission,
and mental health service setting: Number, 2016 ............................................................118
3.9b Individuals aged 18 to 24, by mental health diagnosis, timing of admission,
and mental health service setting: Column percent distribution, 2016 ............................119
x