Mental Health, Drug Use, Co-Occurring Disorders and Dual Diagnosis

Data, Statistics, and Information Regarding Mental Health, Drug Use, Co-Occurring Disorders and Dual Diagnosis

Mental Health Treatment Admissions, Discharges, and Client Outcomes

"In the 2015 reporting period, six states and jurisdictions (Connecticut [adults only], the District of Columbia, Louisiana, Mississippi, Oklahoma, and Puerto Rico) reported a total of 417,443 admissions to MH-TEDS [Mental Health Treatment Episode Data Set]. [Table 7.1]:

"• Of admissions who began treatment prior to the 2015 reporting period, 69 percent of admissions received treatment in community programs, 57 percent in residential treatment centers, 43 percent in state psychiatric hospitals, and 31 percent in institutions under the justice system [Table 7.1].

People with Co-occurring Mental Health and Substance Use Disorders Receiving Mental Health Services

"A total of 720,987 individuals aged 12 and older with co-occurring mental health and substance use disorders were served in 2015 [Table 6.1a].

"• Among males who had co-occurring mental health and substance use disorders served in the 2015 reporting period, the most frequently reported diagnoses were depressive disorders and schizophrenia and other psychotic disorders (25 percent each); for females, they were depressive disorders (33 percent) [Table 6.1c].

People Receiving Mental Health Services in the United States

"For the 2012 reporting period, 32 states and jurisdictions reported that a total of 3,126,234 individuals had received mental health services; for the 2015 reporting period, 45 states and jurisdictions reported that a total of 5,235,883 individuals had received mental health services [Table 1.1].

"• More than 50 percent of the total individuals served were female in every reporting period between 2012 and 2015 [Table 1.2a].

Likelihood That Young People with Diagnosed Mental Health Conditions Will be Put on Long Term Opioid Therapy

"Of the 1,000,453 opioid recipients (81.7%) with at least 6 months of follow-up, 51.1% were female, and the median age was 17 years (interquartile range, 16-18 years). Among these adolescents, the estimated cumulative incidence of LTOT [Long Term Opioid Therapy] after first opioid receipt was 1.1 (95% CI, 1.1-1.2) per 1000 recipients within 1 year, 3.0 (95% CI, 2.8-3.1) per 1000 recipients within 3 years, 8.2 (95% CI, 7.8-8.6) per 1000 recipients within 6 years, and 16.1 (95% CI, 14.2-18.0) per 1000 recipients within 10 years.

Likelihood That Young People with Diagnosed Mental Health Conditions Will be Put on Long Term Opioid Therapy

"In this nationwide study of commercially insured adolescents, LTOT [Long Term Opioid Therapy] was relatively uncommon. The estimated incidence of LTOT receipt was 3.0 per 1000 adolescents within 3 years of filling an initial opioid prescription. Although adolescents with a wide range of preexisting mental health conditions and treatments were modestly more likely than adolescents without those conditions or treatments to receive an initial opioid, the former had substantially higher rates of subsequent transitioning to LTOT.

Psychosocial Interventions and Chronic Pain Outcomes in Older Adults

"Mean treatment results demonstrated in the present study obscure variations at the individual patient level. Some older patients with chronic pain may receive substantial benefit through psychological therapy, while others may not benefit. There is no evidence that the beneficial results identified at the completion of treatment persisted up to 6 months for outcomes other than pain reduction. There were too few studies reporting long-term outcomes to determine completely whether this finding was due to decreased power or to a tapering of treatment benefits over time.

Prevalence of DMS-5 Post-Traumatic Stress Disorder in the United States

"Past-year (4.7%) and lifetime (6.1%) prevalences of DSM-5 PTSD represent 10,972,986 and 14,411,005 affected U.S. adults, respectively. Broadly consistent with previous findings [3, 4, 42, 43], prevalences were higher among women and respondents aged <65 years, previously married, and with <high school education and household income <$70,000. Rates were also higher among Native American, but lower among Asian and Pacific Islander and Hispanic, versus non-Hispanic white, respondents, and lower among urban than rural residents.

Alcohol Use Disorder, Comorbidity/Co-Occurring Disorders, and Treatment

"We generally found significant associations between 12-month and lifetime AUD and other substance use disorders, major depressive disorder, bipolar I disorder, specific phobia, and antisocial and borderline PDs when we controlled for sociodemographic characteristics and other disorders. Significant associations between persistent depressive disorder, posttraumatic stress disorder, panic disorder, and generalized anxiety disorder with lifetime AUD were also observed.

Demographics of Alcohol Use Disorder in the United States

"Consistent with previous research, rates of AUD [Alcohol Use Disorder] were greater among men than women.1,2,5,14 Age was inversely related to 12-month AUD, a finding also observed in earlier epidemiologic studies.1-5,14 Whether this result is owing to cohort effects, differential mortality, or recall bias merits further investigation. The 12-month rate of 7.1% for severe AUD among 18- to 29-year-old respondents is especially striking.

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