Mental Health Annual Report 2015 - SAMHSA · Mental Health Annual Report 2015. Use of Mental Health Services: National Client-Level Data. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Mental Health Annual Report 2015Use of Mental Health Services: National Client-Level Data

DEPARTMENT OF HEALTH AND HUMAN SERVICESSubstance Abuse and Mental Health Services Administration

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Acknowledgments

This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). Work was performed under Task Order HHSS283200700048I/HHSS28342001T, Reference No. 283-07-4803 (Cathie Alderks, Task Order Officer).

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: 2015. Use of Mental Health Services: National Client Level Data. BHSIS Series S-92, HHS Publication No. (SMA) 17-5038. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2017.

electRonic Access And coPies of PublicAtion

This publication may be downloaded or ordered at datafiles.samhsa.gov.

Or call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Español).

oRiginAting office

Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration

5600 Fishers Lane, Room 15SEH03 Rockville, Maryland 20857

June 2017

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tAble of contents

List of Tables ...................................................................................................................................v

List of Figures ........................................................................................................................... xxiii

Highlights ........................................................................................................................................1

Background ....................................................................................................................................5

Introduction ....................................................................................................................................9

Chapter 1. Summary of Annual Data in State Client-Level Data Reporting: 2012-2015 ......................................................................................................................................13

Chapter 2. Characteristics of Children and Adolescents Aged 17 and Younger Receiving Mental Health Services: 2015 ....................................................................................19

Chapter 3. Characteristics of Young Adults Aged 18 to 25 Receiving Mental Health Services: 2015 ...................................................................................................................23

Chapter 4. Characteristics of Adults Aged 26 to 54 Receiving Mental Health Services: 2015 ...............................................................................................................................27

Chapter 5. Characteristics of Older Adults Aged 55 and Older Receiving Mental Health Services: 2015 ...................................................................................................................31

Chapter 6. Characteristics of Individuals with Co-occurring Mental Health and Substance Use Disorders Receiving Mental Health Services: 2015 .........................................35

Chapter 7. MH-TEDS Admissions and Discharges: 2015 ........................................................39

Chapter 8. Client Outcomes Among Individuals Receiving Mental Health Services: 2012 and 2015 ...............................................................................................................43

Tables .............................................................................................................................................53

Appendix A. MH-TEDS/MH-CLD Crosswalk Tables ............................................................293

Appendix B. MH-TEDS and MH-CLD 2012-2015 Reporting Methods and 2015 Reporting Period, by State and Jurisdiction ...........................................................................303

Appendix C. MH-TEDS and MH-CLD Data Dictionary of Included Variables .................305

Appendix D. SMI/SED Federal Definitions and CGAS/GAF Scale ......................................319

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Appendix E. Mental Health And Substance Use Diagnosis Codes ........................................323

Appendix F. Terms and Acronyms ...........................................................................................335

Appendix G. List of Contributors ............................................................................................337

tAble of contents (continued)

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Annual Data 2012-2015

1.1. Individuals, by mental health diagnosis: Number and percent distribution, 2012-2015 ...........................................................................................................................54

1.2a. Individuals, by gender and age: Number and percent distribution, 2012-2015 ..................55

1.2b. Individuals aged 17 and younger, by mental health diagnosis: Number and percent distribution, 2012-2015 ..........................................................................................56

1.2c. Individuals aged 18 to 25, by mental health diagnosis: Number and percent distribution, 2012-2015 .......................................................................................................57

1.2d. Individuals aged 26 to 54, by mental health diagnosis: Number and percent distribution, 2012-2015 .......................................................................................................58

1.2e. Individuals aged 55 and older, by mental health diagnosis: Number and percent distribution, 2012-2015 .......................................................................................................59

1.3. Individuals, by race and ethnicity: Number and percent distribution, 2012-2015 ..............60

1.4. Individuals, by marital status and living arrangement: Number and percent distribution, 2012-2015 .......................................................................................................61

1.5. Individuals, by SMI/SED status, functioning (CGAS/GAF), and co-occurring mental health and substance use disorder: Number and percent distribution, 2012-2015 ...........................................................................................................................62

1.6. Individuals aged 18 years and older, by employment status: Number and percent distribution, 2012-2015 .......................................................................................................63

1.7. Individuals, by timing of admission and mental health service setting: Number and percent distribution, 2012-2015 ...................................................................................64

1.8. Individuals, by Census region, timing of admission, and mental health service setting: Number and percent distribution, 2014-2015 ........................................................65

1.9. Individuals, by Census region and mental health diagnosis: Number and percent distribution, 2015 ................................................................................................................66

list of tAbles

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list of tAbles (continued)

1.10. Individuals, by number of mental health diagnoses and any mention of mental health diagnosis: Number and percent distribution, 2012-2015 .........................................67

1.11a. Any mention of selected mental health diagnoses, by gender, race, and ethnicity: Number, 2012 ......................................................................................................................68

1.11b. Any mention of selected mental health diagnoses, by gender, race, and ethnicity: Column percent distribution, 2012 .....................................................................................69

1.11c. Any mention of selected mental health diagnoses, by gender, race, and ethnicity: Row percent, 2012 ..............................................................................................................70










1.15. Mental health individuals and U.S. population, by marital status and age group: Number and percent distribution, 2015 ..............................................................................80

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Children and Adolescents (aged 17 and younger)

2.1a. Individuals aged 17 and younger, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 .....................................................................................................81

2.1b. Individuals aged 17 and younger, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 .....................................................................82

2.1c. Individuals aged 17 and younger, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 ...........................................................................83

2.2a. Individuals aged 17 and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 ......................................................................................84

2.2b. Individuals aged 17 and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 ......................................................85

2.2c. Individuals aged 17 and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 ...........................................................86

2.3a. Individuals aged 17 and younger, by mental health diagnosis, living arrangement, SED status, and functioning score (CGAS): Number, 2015 ...............................................87

2.3b. Individuals aged 17 and younger, by mental health diagnosis, living arrangement, SED status, and functioning score (CGAS): Column percent distribution, 2015 ...............88

2.3c. Individuals aged 17 and younger, by mental health diagnosis, living arrangement, SED status, and functioning score (CGAS): Row percent distribution, 2015 ....................89

2.4a. Individuals aged 17 and younger with SED, by mental health diagnosis, living arrangement, and functioning score (CGAS): Number, 2015 ............................................90

2.4b. Individuals aged 17 and younger with SED, by mental health diagnosis, living arrangement, and functioning score (CGAS): Column percent distribution, 2015 ............91

2.4c. Individuals aged 17 and younger with SED, by mental health diagnosis, living arrangement, and functioning score (CGAS): Row percent distribution, 2015 ..................92

2.5a. Individuals aged 17 and younger, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ...............................................................93

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2.5b. Individuals aged 17 and younger, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 .............94

2.5c. Individuals aged 17 and younger, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 ..................95

2.6a. Individuals aged 17 and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ........................................96

2.6b. Individuals aged 17 and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 ........97

2.6c. Individuals aged 17 and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 ..............98

2.7. Individuals aged 17 and younger, by mental health service setting, SED status, and functioning score (CGAS): Number and percent distribution, 2015 ..................................99

Younger Adults (aged 18 to 25)

3.1a. Individuals aged 18 to 25, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 ....................................................................................................................100

3.1b. Individuals aged 18 to 25, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 ...................................................................................101

3.1c. Individuals aged 18 to 25, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 .........................................................................................102

3.2a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 .............................................................................................103

3.2b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 .............................................................104

3.2c. Individuals aged 18 to 25 with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 ..................................................................105

3.3a. Individuals aged 18 to 25, by mental health diagnosis, education, and marital status: Number, 2015 ........................................................................................................106

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3.3b. Individuals aged 18 to 25, by mental health diagnosis, education, and marital status: Column percent distribution, 2015 ........................................................................107

3.3c. Individuals aged 18 to 25, by mental health diagnosis, education, and marital status: Row percent distribution, 2015 ..............................................................................108

3.4a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, education, and marital status: Number, 2015 ............................................................................................109

3.4b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2015 ............................................................110

3.4c. Individuals aged 18 to 25 with SMI, by mental health diagnosis, education, marital status: Row percent distribution, 2015 .................................................................111

3.5a. Individuals aged 18 to 25, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Number, 2015 ........................................................112

3.5b. Individuals aged 18 to 25, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Column percent distribution, 2015 ........................113

3.5c. Individuals aged 18 to 25, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Row percent distribution, 2015 .............................114

3.6a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Number, 2015 .............................................115

3.6b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Column percent distribution, 2015 .............116

3.6c. Individuals ages 18 to 25 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Row percent distribution, 2015 ..................117

3.7a. Individuals aged 18 to 25, by mental health diagnosis and employment status: Number, 2015 ....................................................................................................................118

3.7b. Individuals aged 18 to 25, by mental health diagnosis and employment status: Column percent distribution, 2015 ...................................................................................119

3.7c. Individuals aged 18 to 25, by mental health diagnosis and employment status: Row percent distribution, 2015 .........................................................................................120

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3.8a. Individuals aged 18 to 25 with SMI, by mental health diagnosis and employment status: Number, 2015 ........................................................................................................121

3.8b. Individuals aged 18 to 25 with SMI, by mental health diagnosis and employment status: Column percent distribution, 2015 ........................................................................122

3.8c. Individuals aged 18 to 25 with SMI, by mental health diagnosis and employment status: Row percent distribution, 2015 ..............................................................................123

3.9a. Individuals aged 18 to 25, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ....................................................................124

3.9b. Individuals aged 18 to 25, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 ....................................125

3.9c. Individuals aged 18 to 25, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 .........................................126

3.10a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ...........................................127

3.10b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 ...........128

3.10c. Individuals aged 18 to 25 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 ................129

3.11. Individuals aged 18 to 25, by mental health service setting, SMI status, and functioning score (GAF): Number and percent distribution, 2015 ...................................130

Adults (aged 26 to 54)

4.1a. Individuals aged 26 to 54, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 ....................................................................................................................131

4.1b. Individuals aged 26 to 54, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 ...................................................................................132

4.1c. Individuals aged 26 to 54, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 .........................................................................................133

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4.2a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 .............................................................................................134

4.2b. Individuals aged 26 to 54 with SMI, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 .............................................................135

4.2c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 ..................................................................136

4.3a. Individuals aged 26 to 54, by mental health diagnosis, education, and marital status: Number, 2015 ........................................................................................................137

4.3b. Individuals aged 26 to 54, by mental health diagnosis, education, and marital status: Column percent distribution, 2015 ........................................................................138

4.3c. Individuals aged 26 to 54, by mental health diagnosis, education, and marital status: Row percent distribution, 2015 ..............................................................................139

4.4a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, education, and marital status: Number, 2015 ............................................................................................140

4.4b. Individuals aged 26 to 54 with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2015 ............................................................141

4.4c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, education, and marital status: Row percent distribution, 2015 .................................................................142

4.5a. Individuals aged 26 to 54, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Number, 2015 ........................................................143

4.5b. Individuals aged 26 to 54, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Column percent distribution, 2015 ........................144

4.5c. Individuals aged 26 to 54, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Row percent distribution, 2015 .............................145

4.6a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Number, 2015 .............................................146

4.6b. Individuals aged 26 to 54 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Column percent distribution, 2015 .............147

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4.6c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Row percent distribution, 2015 ..................148

4.7a. Individuals aged 26 to 54, by mental health diagnosis and employment status: Number, 2015 ....................................................................................................................149

4.7b. Individuals aged 26 to 54, by mental health diagnosis and employment status: Column percent distribution, 2015 ...................................................................................150

4.7c. Individuals aged 26 to 54, by mental health diagnosis and employment status: Row percent distribution, 2015 .........................................................................................151

4.8a. Individuals aged 26 to 54 with SMI, by mental health diagnosis and employment status: Number, 2015 ........................................................................................................152

4.8b. Individuals aged 26 to 54 with SMI, by mental health diagnosis and employment status: Column percent distribution, 2015 ........................................................................153

4.8c. Individuals aged 26 to 54 with SMI, by mental health diagnosis and employment status: Row percent distribution, 2015 ..............................................................................154

4.9a. Individuals aged 26 to 54, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ....................................................................155

4.9b. Individuals aged 26 to 54, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 ....................................156

4.9c. Individuals aged 26 to 54, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 .........................................157

4.10a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ...........................................158

4.10b. Individuals aged 26 to 54 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 ...........159

4.10c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 ................160

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4.11. Individuals aged 26 to 54, by mental health service setting, SMI status, and functioning score (GAF): Number and percent distribution, 2015 ...................................161

Older Adults (aged 55 and older)

5.1a. Individuals aged 55 and older, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 ...................................................................................................162

5.1b. Individuals aged 55 and older, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 ...................................................................163

5.1c. Individuals aged 55 and older, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 .........................................................................164

5.2a. Individuals aged 55 and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2015 ....................................................................................165

5.2b. Individuals aged 55 and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015 ....................................................166

5.2c. Individuals aged 55 and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015 .........................................................167

5.3a. Individuals aged 55 and older, by mental health diagnosis, education, and marital status: Number, 2015 ............................................................................................168

5.3b. Individuals aged 55 and older, by mental health diagnosis, education, and marital status: Column percent distribution, 2015 ............................................................169

5.3c. Individuals aged 55 and older, by mental health diagnosis, education, and marital status: Row percent distribution, 2015 .................................................................170

5.4a. Individuals aged 55 and older with SMI, by mental health diagnosis, education, and marital status: Number, 2015 .....................................................................................171

5.4b. Individuals aged 55 and older with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2015 .....................................................172

5.4c. Individuals aged 55 and older with SMI, by mental health diagnosis, education, and marital status: Row percent distribution, 2015 ..........................................................173

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5.5a. Individuals aged 55 and older, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Number, 2015 ................................................174

5.5b. Individuals aged 55 and older, by mental health diagnostic category, living arrangement, SMI status, and functioning score (GAF): Column percent distribution, 2015 ..............................................................................................................175

5.5c. Individuals aged 55 and older, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Row percent distribution, 2015 .....................176

5.6a. Individuals aged 55 and older with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Number, 2015 .............................................177

5.6b. Individuals aged 55 and older with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Column percent distribution, 2015 .............178

5.6c. Individuals aged 55 and older with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Row percent distribution, 2015 ..................179

5.7a. Individuals aged 55 and older, by mental health diagnosis and employment status: Number, 2015 ........................................................................................................180

5.7b. Individuals aged 55 and older, by mental health diagnosis and employment status: Column percent distribution, 2015 ........................................................................181

5.7c. Individuals aged 55 and older, by mental health diagnosis and employment status: Row percent distribution, 2015 ..............................................................................182

5.8a. Individuals aged 55 and older with SMI, by mental health diagnosis and employment status: Number, 2015 ...................................................................................183

5.8b. Individuals aged 55 and older with SMI, by mental health diagnosis and employment status: Column percent distribution, 2015 ...................................................184

5.8c. Individuals aged 55 and older with SMI, by mental health diagnosis and employment status: Row percent distribution, 2015 .........................................................185

5.9a. Individuals aged 55 and older, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 .............................................................186

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5.9b. Individuals aged 55 and older, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 .............................187

5.9c. Individuals aged 55 and older, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 ..................................188

5.10a. Individuals aged 55 and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ...........................................189

5.10b. Individuals aged 55 and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 ...........190

5.10c. Individuals aged 55 and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 ................191

5.11. Individuals aged 55 and older, by mental health service setting, SMI status, and functioning score (GAF): Number and percent distribution, 2015 ...................................192

Co-occurring Mental Health and Substance Use Disorder (individuals aged 12 and older)

6.1a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, gender, and age: Number, 2015 ......................193

6.1b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, gender, and age: Column percent distribution, 2015 ..............................................................................................................194

6.1c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, gender, and age: Row percent distribution, 2015 ..............................................................................................................195

6.2a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, race, and ethnicity: Number, 2015 ..................196

6.2b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, race, and ethnicity: Column percent distribution, 2015 ..............................................................................................................197

6.2c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, race, and ethnicity: Row percent distribution, 2015 ..............................................................................................................198

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6.3a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and substance abuse diagnosis: Number, 2015 ....................................................................................................................199

6.3b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and substance abuse diagnosis: Column percent distribution, 2015 ...................................................................................200

6.3c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and substance abuse diagnosis: Row percent distribution, 2015 .................................................................................................201

6.4a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, living arrangement, SMI/SED status, and functioning score (CGAS/GAF) : Number, 2015 ......................................................202

6.4b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, living arrangement, SMI/SED status, and functioning score (CGAS/GAF): Column percent distribution, 2015 .......................203

6.4c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, living arrangement, SMI/SED status, and functioning score (CGAS/GAF): Row percent distribution, 2015 .............................204

6.5a. Individuals aged 18 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and employment status: Number, 2015 ............205

6.5b. Individuals aged 18 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and employment status: Column percent distribution, 2015 .................................................................................................206

6.5c. Individuals aged 18 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and employment status: Row percent distribution, 2015 ..............................................................................................................207

6.6a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015 ..........................................................................................208

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6.6b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015 ..........................................................209

6.6c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015 ................................................................210

MH-TEDS Admissions and Discharges: 2015

7.1. MH-TEDS admissions, by mental health service setting, and month and year of admission: Number and percent distribution, 2015 ..........................................................211

7.2a. MH-TEDS admissions, by mental health diagnosis, and month and year of admission: Number, 2015 .................................................................................................212

7.2b. MH-TEDS admissions, by mental health diagnosis, and month and year of admission: Column percent distribution, 2015 .................................................................213

7.2c. MH-TEDS admissions, by mental health diagnosis, and month and year of admission: Row percent distribution, 2015 ......................................................................214

7.3a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, gender, and age: Number, 2015 .......................................................................215

7.3b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, gender, and age: Column percent distribution, 2015 .......................................216

7.3c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, gender, and age: Row percent distribution, 2015 ............................................217

7.4a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, race, and ethnicity: Number, 2015 ...................................................................218

7.4b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, race, and ethnicity: Column percent distribution, 2015 ...................................219

7.4c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, race, and ethnicity: Row percent distribution, 2015 ........................................220

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7.5a. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Number, 2015 .......................221

7.5b. MH-TEDS admissions prior to the start of the reporting period age 18 and older, by mental health diagnosis, education, and marital status: Column percent distribution, 2015 ..............................................................................................................222

7.5c. MH-TEDS admissions prior to the start of the reporting period age 18 and older, by mental health diagnosis, education, and marital status: Row percent distribution, 2015 ..............................................................................................................223

7.6a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Number, 2015...................................................................................................................................224

7.6b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Column percent distribution, 2015 .................................................................................................225

7.6c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Row percent distribution, 2015 ..............................................................................................................226

7.7a. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis and employment status: Number, 2015 .................................227

7.7b. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis and employment status: Column percent distribution, 2015...................................................................................................................................228

7.7c. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis and employment status: Row percent distribution, 2015 ......229

7.8a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Number, 2015 .............................................................................230

7.8b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Column percent distribution, 2015 .............................................231


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7.8c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Row percent distribution, 2015 ..................................................232

7.9a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, mental health service setting, and referral source: Number, 2015 ...................233

7.9b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, mental health service setting, and referral source: Column percent distribution, 2015 ..............................................................................................................234

7.9c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, mental health service setting, and referral source: Row percent distribution, 2015 ..............................................................................................................235

7.10a. MH-TEDS admissions during the reporting period, by mental health diagnosis, gender, and age: Number, 2015 ........................................................................................236

7.10b. MH-TEDS admissions during the reporting period, by mental health diagnosis, gender, and age: Column percent distribution, 2015 ........................................................237

7.10c. MH-TEDS admissions during the reporting period, by mental health diagnosis, gender, and age: Row percent distribution, 2015 ..............................................................238

7.11a. MH-TEDS admissions during the reporting period, by mental health diagnosis, race, and ethnicity: Number, 2015 ....................................................................................239

7.11b. MH-TEDS admissions during the reporting period, by mental health diagnosis, race, and ethnicity: Column percent distribution, 2015 ....................................................240

7.11c. MH-TEDS admissions during the reporting period, by mental health diagnosis, race, and ethnicity: Row percent distribution, 2015 .........................................................241

7.12a. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Number, 2015 ........................................242

7.12b. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Column percent distribution, 2015...................................................................................................................................243


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7.12c. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Row percent distribution, 2015 .............244

7.13a. MH-TEDS admissions during the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Number, 2015 ........................245

7.13b. MH-TEDS admissions during the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Column percent distribution, 2015 ..............................................................................................................246

7.13c. MH-TEDS admissions during the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Row percent distribution, 2015 ..............................................................................................................247

7.14a. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis and employment status: Number, 2015 ..................................................248

7.14b. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis and employment status: Column percent distribution, 2015 ..................249

7.14c. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis and employment status: Row percent distribution, 2015 .......................250

7.15a. MH-TEDS admissions during the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Number, 2015 ..............................................................................................251

7.15b. MH-TEDS admissions during the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Column percent distribution, 2015 ..............................................................252

7.15c. MH-TEDS admissions during the reporting period, by mental health diagnosis, SMI/SED score, functioning score (CGAS/GAF), and co-occurring substance use problem: Row percent distribution, 2015 ...................................................................253

7.16a. MH-TEDS admissions during the reporting period, by mental health diagnosis, mental health service setting, and referral source: Number, 2015 ....................................254


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7.16b. MH-TEDS admissions during the reporting period, by mental health diagnosis, mental health service setting, and referral source: Column percent distribution, 2015...................................................................................................................................255

7.16c. MH-TEDS admissions during the reporting period, by mental health diagnosis, mental health service setting, and referral source: Row percent distribution, 2015...................................................................................................................................256

7.17. MH-TEDS discharges, by mental health service setting, and month and year of discharge: Number and percent distribution, 2015 ...........................................................257

7.18. MH-TEDS discharges, by mental health service setting, reason for discharge, and days in treatment episode: Number and percent distribution, 2015 ...........................258

7.19a. MH-TEDS discharges, by mental health diagnosis, reason for discharge, and days in treatment episode: Number, 2015 .........................................................................259

7.19b. MH-TEDS discharges, by mental health diagnosis, reason for discharge, and days in treatment episode: Column percent distribution, 2015 .........................................260

7.19c. MH-TEDS discharges, by mental health diagnosis, reason for discharge, and days in treatment episode: Row percent distribution, 2015 ..............................................261

Individuals Served in 2012 and 2015

8.1a. Individuals served in 2012 and 2015, by living arrangement and selected characteristics in 2012: Number, 2012 .............................................................................262

8.1b. Individuals served in 2012 and 2015, by living arrangement and selected characteristics in 2012: Column percent distribution, 2012 .............................................265

8.1c. Individuals served in 2012 and 2015, by living arrangement and selected characteristics in 2012: Row percent distribution, 2012 ...................................................268

8.2a. Individuals served in 2012 and 2015, by living arrangement and selected characteristics in 2015: Number, 2015 .............................................................................271

8.2b. Individuals served in 2012 and 2015, by living arrangement and selected characteristics in 2015: Column percent distribution, 2015 .............................................274


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8.2c. Individuals served in 2012 and 2015, by living arrangement and selected characteristics in 2015: Row percent distribution, 2015 ...................................................277

8.3a. Individuals served in 2012 and 2015, by employment status and selected characteristics in 2012: Number, 2012 .............................................................................280

8.3b. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Column percent distribution, 2012 .............................................282

8.3c. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Row percent distribution, 2012 ...................................................284

8.4a. Individuals served in 2012 and 2015, by employment status and selected characteristics in 2015: Number, 2015 .............................................................................286

8.4b. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Column percent distribution, 2015 .............................................288

8.4c. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Row percent distribution, 2015 ...................................................290

Appendix A.

A.1. MH-TEDS/MH-CLD Crosswalk ......................................................................................294

Appendix B.

B.1. MH-TEDS and MH-CLD 2012-2015 Reporting Methods and 2015 Reporting Period, by State And Jurisdiction ......................................................................................303

Appendix C.

C.1. Number of states reporting data, MH-CLD 2012-2015 ....................................................315

C.2. Item percentage response rate, by state or jurisdiction: MH-CLD and MH-TEDS 2015...................................................................................................................................316

Appendix D.

D.1. Children’s Global Assessment Scale (CGAS) ..................................................................320

D.2. Global Assessment of Functioning (GAF) Scale ..............................................................321

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Figure 1 Individuals who reported living in a private residence in 2012, by mental health diagnosis in 2012 and living arrangement in 2015 ..........................................45

Figure 2 Individuals who reported being homeless in 2012, by mental health diagnosis in 2012 and living arrangement in 2015 ......................................................46

Figure 3 Individuals who reported being in jail in 2012, by mental health diagnosis in 2012 and living arrangement in 2015 ......................................................................47

Figure 4 Individuals who reported being employed in 2012, by mental health diagnosis in 2012 and employment status in 2015 ......................................................49

Figure 5 Individuals who reported being unemployed in 2012, by mental health diagnosis in 2012 and employment status in 2015 ......................................................50

Figure 6 Individuals who reported not being in the labor force in 2012, by mental health diagnosis in 2012 and employment status in 2015 ............................................51

list of figuRes

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1

HigHligHts

This report presents results from the Mental Health Client-Level Data (MH-CLD) and MentalHealth Treatment Episode Data Set (MH-TEDS) for individuals receiving mental health treat-

ment services in 2015, as well as selected data collection trends for such individuals from 2012 to 2015. The report provides information on mental health diagnoses, mental health treatment services, and demographic and substance use characteristics of individuals in mental health treatment in facilities that reported to individual state administrative data systems. One chapter is also devoted to characteristics of admissions to and discharges from mental health treatment, which can feature the same individual on multiple occasions.

• Forty-five states and jurisdictions submitted 5,235,883 records for individuals receiving mentalhealth services in 2015. Alaska, American Samoa, Federated States of Micronesia, Georgia,Guam, Kansas, Maine, Marshall Islands, Michigan, New Hampshire, Palau, Pennsylvania,U.S. Virgin Islands, and West Virginia had submitted no data or incomplete data for 2015 as ofNovember 01, 2016 [Table 1.1 and Appendix B].

• Of the 5,235,883 eligible client-level records, 87 percent (or 4,550,634 records) had mentalhealth diagnoses. Such records form the basis for most tables in this report. However, individualrecords may not have data for all variables, so the analysis of specific variables may be basedon a smaller number of individuals [Table 1.1].

State Client-Level Data Reporting: 2012-2015

For the 2012 reporting period, 32 states and jurisdictions reported that a total of 3,126,234 individu-als 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 periodbetween 2012 and 2015 [Table 1.2a].

• For the 2012 to 2015 reporting periods, Whites represented between 67 and 71 percent of theindividuals served; Blacks or African Americans represented between 20 and 21 percent; andAmerican Indians or Alaska Natives, Asians, Native Hawaiians or other Pacific Islanders, andother groups combined represented between 8 and 12 percent [Table 1.3].

• In every reporting period, depressive disorders were the most frequently reported any-mention1

mental health diagnoses, regardless of gender or ethnicity, and for every race except Blacks orAfrican Americans and Asians in the 2012 reporting period. For these two exceptions, schizo-phrenia and other psychotic disorders were the most frequently reported any-mention diagnoses[Tables 1.11c, 1.12c, 1.13c, and 1.14c].

1 ‘Any-mention’ diagnoses include first, second, or third mental health diagnoses, not just the first-mentioned one

2

Children and Adolescents Aged 17 and Younger Receiving Mental Health Services: 2015

A total of 1,298,578 children and adolescents were served in 2015 [Table 2.1a].

• Twenty-two percent of females aged 17 and younger had reported diagnoses of depressive disorders [Table 2.1c].

• Twenty-seven percent of males aged 17 and younger had a diagnosis of ADD/ADHD, compared with only 13 percent of their female counterparts.

Young Adults Aged 18 to 25 Receiving Mental Health Services: 2015

A total of 525,228 young adults aged 18 to 25 were served in 2015 [Table 3.1a].

• Depressive disorders were the most frequently reported diagnoses among individuals served aged 18 to 25 of each gender and every racial and ethnic group [Table 3.1c].

Adults Aged 26 to 54 Receiving Mental Health Services: 2015

A total of 2,038,415 adults aged 26 to 54 were served in 2015 [Table 4.1a].

• Among males aged 26 to 54 served in the 2015 reporting period, the most frequently reported diagnoses were schizophrenia and other psychotic disorders and depressive disorders (26 per-cent each) [Table 4.1c].

• Depressive disorders were the most frequently reported diagnoses for all races served aged 26 to 54, except Asians, ranging from 31 percent among Blacks or African Americans to 33 percent among Whites. Among Asians aged 26 to 54, schizophrenia and other psychotic disorders and depressive disorders were the most frequently reported diagnoses (33 percent each).

Older Adults Aged 55 and Older Receiving Mental Health Services: 2015

A total of 685,985 adults aged 55 and older were served in 2015 [Table 5.1a].

• Among females served aged 55 years and older in 2015, the most frequently reported diagnoses were depressive disorders (42 percent), schizophrenia and other psychotic disorders (20 percent), and bipolar disorders (17 percent) [Table 5.1c].

• Depressive disorders were the most frequently reported diagnoses for individuals served aged 55 and older of all races except Blacks or African Americans, ranging from 36 percent of American Indians or Alaska Natives to 50 percent of Asians. Among Black or African American individu-als aged 55 and older, the most frequently reported diagnoses were schizophrenia and other psychotic disorders (40 percent).

Individuals with Co-occurring Mental Health and Substance Use Disorders Receiving Mental Health Services: 2015

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].

3

• 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 depres-sive disorders (33 percent) [Table 6.1c].

• Depressive disorders were the most frequently reported diagnoses for individuals served who had co-occurring alcohol dependence (36 percent), opioid dependence and non-dependent opioid use (35 percent each), or cocaine dependence (30 percent) [Table 6.3c].

State MH-TEDS Admissions and Discharges: 2015

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 admis-sions to MH-TEDS. [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].

• More than half (66 percent) of admissions for individuals in treatment during the 2015 reporting period occurred prior to the reporting period [Table 7.2b].

• There were more male than female admissions for ADD/ADHD, conduct disorder, and opposi-tional defiant disorder. There were more female than male admissions for adjustment disorders, anxiety disorders, bipolar disorders, and depressive disorders [Table 7.3a,Table 7.10a].

Client Outcomes Among Individuals Receiving Mental Health Services: 2012 and 2015

States reported a total of 701,355 individuals served in 2012 that were also reported to have received services in the 2015 reporting period and had known living arrangements in 2012 [Table 8.1a].

• Among individuals served in both the 2012 and 2015 reporting periods overall, less than one-third of those who were homeless in 2012 also reported being homeless in 2015 (29 percent) [Figure 2].

States reported a total of 497,340 individuals served in 2012 that were also reported to have received services in the 2015 reporting period and had known employment status in 2012 [Table 8.3a].

• A higher percentage of individuals served in both periods reported being unemployed among those with alcohol and drug related disorders (69 percent) compared with all individuals served in both periods that reported being unemployed in 2012 and 2015 (51 percent) [Figure 5].

4

5

Background

Mental health services data are currently collected for and reported to the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Center for Behavioral Health Statis-

tics and Quality (CBHSQ). The State Mental Health Agencies (SMHAs) are the state entities with primary responsibility for reporting the data in accordance with the reporting terms and conditions of the Behavioral Health Services Information System (BHSIS) Agreements funded by SAMHSA. The BHSIS Agreement stipulates that states and jurisdictions submit Uniform Reporting System (URS) data and client-level data on the first of December each year, in compliance with Mental Health Block Grant reporting requirements (42 U.S.C. § 300x-6).

URS data reporting started in early 2000 in an effort spearheaded by SAMHSA’s Center for Mental Health Services (CMHS) to collect both system performance measures and client outcomes at an aggregate level. Collection of client-level data came later.

In 2008, SAMHSA, through CMHS, tested the feasibility of transitioning from aggregate report-ing of SAMHSA’s mental health National Outcome Measures (NOMs)2 to individual-level data reporting. This led to the development of the Mental Health Client-level Data (MH-CLD) report-ing method. The development was supported by Data Infrastructure Grants (DIGs), which were a vehicle through which states and jurisdictions received financial and technical assistance from SAMHSA to assist in their capacity-building effort to meet the Block Grant reporting requirements.

The general framework for the MH-CLD involves a compilation of the demographic, clinical, and outcome data of individuals served by the SMHA within a state-defined 12-month reporting period. States may choose the calendar year or the state fiscal year for their reporting period. “Individu-als served” is defined as all enrolled individuals who received mental health and support services, including screening, assessment, crisis services, and telemedicine from programs operated or funded by the SMHA during the reporting period.

For MH-CLD, two data sets are submitted each reporting period: Basic Client Information (BCI) is due each December 1st and the State Hospital Readmission (SHR) is due March 1st of the following year. Data from these two data sets inform five mental health NOMs: Access to Services/Capacity, Stability in Housing/Residential Status, 30-day and 180-day Readmission to State Hospital, Adult Employment or Children’s School Attendance and Education Level, and Criminal Justice Involve-ment. Five additional NOMs—Social Connectedness, Decreased Mental Illness Symptomatology, Perception of Care, Cost Effectiveness, and Use of Evidence-Based Practices (EBP) —have not been converted into client-level data reporting and continue to be captured in the URS. Data are reported in accordance with the HIPAA rules for non-Protected Health Information (non-PHI).

2 National outcome measures can be found at http://wwwdasis.samhsa.gov/dasis2/noms/noms_attch1.pdf.

6

In 2010, SAMHSA, through CBHSQ, began a parallel effort of testing the feasibility of building a national behavioral health database that integrates both mental health and substance use data using a uniform platform for data reporting. This effort led to the integration of mental health data into the well-established system of reporting for substance use client-level data, known as the Treatment Episode Data Set (TEDS).3 To enable reporting of mental health client data to TEDS, the system was modified to incorporate data elements that capture the characteristics unique to the mental health services system and the individuals receiving mental health services. These characteristics include, among others, the extended period of time that an individual may be engaged in treatment, the recovery process, and the simultaneous receipt of different types of services from different service providers, etc. This method of reporting mental health data at the individual level is referred to as the Mental Health Treatment Episode Data Set (MH-TEDS).

Unlike MH-CLD, MH-TEDS is structured around treatment events, that is, admissions and discharges from specific service settings. Admission and discharge records can be linked to track treatment episodes and the treatment services received by individuals. Thus, with MH-TEDS, both the indi-vidual client and the treatment episode can serve as a unit of analysis, whereas with MH-CLD the client is the sole unit of analysis. The common TEDS platform in which both the substance use and mental health data are reported enhances the ability to report data on people with co-occurring mental health and substance use disorders. It also offers optional data fields for individuals with mental illness that are not captured in MH-CLD, such as referral source, details on criminal justice referral, income sources, and health insurance.

MH-TEDS is a compilation of demographic, substance use, mental health, clinical, legal, and socioeconomic characteristics of individuals who are primarily receiving publicly-funded mental health and/or substance use services. MH-TEDS data support program performance measurement and management goals. The same set of mental health NOMs enumerated under MH-CLD is also supported by MH-TEDS. Thus, while both MH-TEDS and MH-CLD collect similar client-level data, the collection methodology differs.

National mental health client-level data reporting was launched in 2011, when MH-CLD was the only reporting method available. States, the District of Columbia, and U.S. jurisdictions including Puerto Rico, the U.S. Virgin Islands, and the six Pacific jurisdictions (American Samoa, Guam, the Republic of the Marshall Islands, the Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, and Palau) with the capacity to report client-level data were encouraged to do so. The number of states reporting MH-CLD or MH-TEDS data increased from 19 in 2011, to 32 in 2012, to 46 in 2013, and 47 (6 MH-TEDS) in 2014 before decreasing slightly to 45 (6 MH-TEDS) in 2015. See Appendix B for the number of states that used each reporting method. The Commonwealth of the Northern Mariana Islands was the first Pacific jurisdiction to report data (for the 2012 reporting period), and it is the only Pacific jurisdiction to do so as of this report’s

3 See: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2004-2014. National Admissions to Substance Abuse Treatment Services. BHSIS Series S-84, HHS Publication No. (SMA) 16-4986. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2016, and Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2013. Discharges from Substance Abuse Treatment Services. BHSIS Series S-86, HHS Publication No. (SMA) 16-4988. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2016.

7

publication date. While the number reporting client-level data has increased, it is also important to note that the level of reporting varies. Two states (New York and Tennessee) are able to submit data only for a subset of the total number of individuals that they served during a reporting period.

Beginning in the 2014 reporting period, states could choose which method to use for data reporting, either MH-CLD or MH-TEDS. In 2015, 40 states chose MH-CLD, and four states (Connecticut, Louisiana, Mississippi, and Oklahoma,) and two jurisdictions (Puerto Rico and Washington, DC) chose MH-TEDS. However, because Connecticut uses both methods (MH-CLD to report data for children and adolescents and MH-TEDS to report data for adults), a total of 45 states and jurisdic-tions reported client-level data for the 2015 reporting period.

In summary, this report presents the client-level data reported for the 2012 through 2015 reporting periods. Data from all four reporting periods are presented in Chapter 1; only data for the 2015 reporting period are used in Chapters 2 through 7. Chapter 8 presents outcomes for individuals served in both 2012 and 2015 (regardless of whether they were served in intervening years). Data for the 2012 through 2013 reporting periods were collected using the MH-CLD while the 2014 and 2015 data are derived from a reconciliation of the two reporting methods (MH-TEDS and MH-CLD) using the individual as the unit of analysis.

See Appendix A for a crosswalk of data fields collected in MH-TEDS and MH-CLD.

8

9

This report presents mental health client-level data submitted for the 2012 through 2015 report-ing periods using the Mental Health Client-Level Data (MH-CLD) and the Mental Health

Treatment Episode Data Set (MH-TEDS). This report provides information on the demographics, characteristics, and outcomes of individuals served by the State Mental Health Agencies (SMHAs) for these four reporting periods, with particular focus on the most recent reporting period. The Substance Abuse and Mental Health Services Administration (SAMHSA) has provided support to states to build capacity to collect and report client-level data.

Methodology

Reconciling data from MH-TEDS and MH-CLD

Both the MH-TEDS and MH-CLD include individuals served through the SMHA during the state-defined 12-month reporting period. Most states selected to use the state fiscal year, which, for the 2015 reporting period, usually ran from July 1, 2014, through June 30, 2015, but some states define their fiscal year differently. (See Appendix B for details.)

MH-CLD contains one record for each individual served. Data items are populated by the states based on the status of the individual either at the start and end of the state’s reporting period or the most recently available data. The MH-TEDS dataset contains one record for each admission to and discharge from a particular service type/setting (referred to as a treatment episode) within the client’s treatment continuum during the reporting period. Data collected from MH-TEDS admis-sion records and update/discharge records are stored as two separate datasets, which can be linked using an HIPAA-compliant, non-protected health information unique client identifier located in both files. Linking the records allows for the creation of a single client record comparable to the MH-CLD format.

The general MH-CLD framework was applied to the MH-TEDS dataset. An analytic file was devel-oped by transposing the admission and discharge MH-TEDS records into a client-level file. The final step crosswalked MH-TEDS variables to MH-CLD variables. (See Appendix A for details).

The process of creating an individual record using the MH-TEDS data allowed for combined reporting of the individuals reported in the MH-TEDS and MH-CLD datasets. Tables in Chapters 1 through 6 and Chapter 8 of this report use individuals as the unit of analysis for the combined data from MH-TEDS and MH-CLD. Tables in Chapter 7 report on the MH-TEDS data at the treat-ment episode level. Tables in Chapter 8 report on individuals who received mental health services through the SMHAs in both the 2012 and 2015 reporting periods, focusing on client outcomes in employment and living arrangement.

introduction

10

Selection of reporting variables

MH-TEDS and MH-CLD collect a variety of data items including demographics (e.g., gender, race, and ethnicity); National Outcome Measures (NOMs) such as living arrangements and employment status; and other clinical measures (e.g., co-occurring mental health and substance use disorders). The data collection protocol for the NOMS on criminal justice involvement and school attendance were introduced in client-level reporting in early 2013, and so were first submitted for the 2014 reporting period. However, because valid data were reported for only 40 percent of the individuals served, arrest data were excluded from this report. See Appendix C for a description of the variables and Appendix D for the federal definitions of serious mental illness (SMI) and serious emotional disturbance (SED) and for CGAS/GAF scale definitions.

Mental health diagnoses are reported in the MH-TEDS and MH-CLD as either ICD-9-CM, ICD-10-CM or DSM-IV codes. Up to three mental health diagnostic codes may be reported for eachindividual. For this report, diagnostic categories were categorized based on the Clinical Classifica-tion Software (CCS). The mental health section of the CCS has 15 diagnostic categories and 25subcategories; in all, thirteen such categories or subcategories were selected for tabulation, withall other mental health diagnoses grouped to “other” mental health diagnoses for a given table. Thefrequency distribution of the reported diagnoses for all individuals served and the specific diagnosesincluded in the federal definition of SMI and SED informed the selection of the most appropriateCCS categories or subcategories used in this report. See Appendix E.

The thirteen specific mental health diagnoses used in this report are adjustment disorders: anxiety disorders; attention deficit disorder and attention deficit hyperactivity disorder (ADD/ADHD); con-duct disorder; delirium, dementia, and amnestic and other cognitive disorders (delirium/dementia); bipolar disorders; depressive disorders; oppositional defiant disorder; personality disorders; pervasive developmental disorders; schizophrenia and other psychotic disorders; alcohol-related disorders; and substance-related disorders. In order to use CCS to properly classify certain ICD-10-CM codes, it was necessary to add more specific, third-level classifications to those codes so that the following mental health diagnoses could be distinguished from more general diagnoses: conduct disorders; attention deficit and attention deficit hyperactivity disorder; pervasive developmental disorders; bipolar disorders; and depressive disorders.

All other mental disorders are grouped together as “other mental health disorders.” There is also a category of no diagnosis or deferred diagnosis. The list of tabulated mental health diagnoses (and hence the diagnoses grouped together as “other”) varies somewhat by age group. For example, conduct disorder, oppositional defiant disorder, and pervasive developmental disorders, which are all typically identified in individuals aged 17 or younger, are only included on tables showing data for children and adolescents while delirium/dementia only appears in tables showing data for older adults.

Records with partially complete data have been retained in this report. For example, an entire client record is not removed from the report because a single data item is missing. When records include missing or invalid data for a specific variable, those records are excluded from tabulations of that variable. The total number of records on which a percentage distribution is based is reported in each table.

11

Stratification of reporting population and subgroups

In general, there are two levels of data reporting: (1) the entire population with each age category, and (2) the subgroup population of individuals with or at risk for serious emotional disturbance (SED) or serious mental illness (SMI). On select tables, regional breakdowns of the data using the four Census regions4 are also presented.

Because different stages of life are associated with distinct forms of mental and behavioral disorders and with distinctive treatment service utilization patterns, this report examines the characteristics of individuals receiving mental health services by the following age groups: children and adolescents (aged 17 and younger), young adults (aged 18 to 25), adults (aged 26 to 54), and older adults (aged 55 and older). Accordingly, Chapters 2 through 5, which focus on specific age groups, include age-specific sets of mental health diagnoses.5

Additionally, this report includes the subpopulation of individuals with co-occurring mental and substance use disorders. For this subpopulation, the report includes individuals aged 12 years and older to match the population used in the substance use TEDS reports. Determination of individu-als with a co-occurring mental health and substance use disorder was based on state report of a dichotomous variable in the data set called “Co-occurring substance use and mental health prob-lems.” In accordance with the guidelines for completing this field, an individual had to have either had a substance use diagnosis, been identified with a substance use disorder through the use of a screening or assessment tool, or been enrolled in a substance use treatment program.

Identification of individuals with a serious mental illness (SMI) or serious emotional disturbance (SED) is based on the state definition for SMI and SED and is reported as a single dichotomous variable—SMI/SED status. Individuals aged 17 and younger who are indicated as having SED or being at risk of SED in the dataset are included in the SED subpopulation while individuals aged 18 and older who are indicated as having an SMI are included in the SMI subpopulation. Exceptions may exist for a few states where young adults (ages 18 to 21) continue to receive mental health services from the state’s Child Mental Health System. They are included in the SED subpopulation as reported by the state.

Individual Episode Level Analysis

Chapter 8 describes an analysis of individuals served across episodes in the 2012 and 2015 reporting periods. Individuals were selected for analysis by matching any individual records in 2012 with any in 2015 from the same state and with the same unique identification number; other individuals in

4 Northeast region: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. Midwest region: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. South region: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia. West region: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming. Puerto Rico and other jurisdictions are not grouped with any of these Census regions.

5 For example, individuals with a Mental Health Diagnosis One of Schizophrenia and Other Psychotic Disorders are grouped with “Other” for persons aged 17 and younger in chapter 2. While this information is of recent interest, this diagnostic group is not reported separately for this age group. Only 0.7 percent of all individuals served in this age group reported Schizophrenia and Other Psychotic Disorders as a diagnosis.

12

2012 and 2015 i.e., individuals who did not receive services in both of those years, were excluded from analysis in this chapter. The resulting dataset contained 1,119,528 records. NOMS transition percentages were computed only from the subset of this dataset with valid values for the NOMS measure in both 2012 and 2015.

Limitations

• For both MH-TEDS and MH-CLD, states report only individuals served through the SMHAduring the state-defined 12-month reporting period. These data do not represent the total nationaldemand for mental health treatment or describe the mental health status of the national popu-lation. In addition, New York and Tennessee report only a proportion of the total individualsserved through their SMHAs.

• Up to three mental health diagnoses per individual can be reported to MH-TEDS or MH-CLD (Mental Health Diagnoses One, Two, and Three). These diagnoses may not representa complete enumeration of all diagnoses for individuals served. Moreover, Florida has datacollection protocols that limit reporting to only one or two diagnoses.

• Except for a few tables presented in Chapter 1, this report uses the “first-mention” mental healthdiagnosis as the individual grouping variable. About 89 percent of all individuals served in the2015 data have at least one mental health diagnosis, while 47 percent have two or more mentalhealth diagnoses, and 19 percent have a three mental health diagnoses.

13

This chapter provides a brief background on state reporting of mental health client-level data anda summary of the data submitted for the 2012 through 2015 reporting periods.

In 2010, SAMHSA, through the Center for Mental Health Services (CMHS), announced the avail-ability of Data Infrastructure Grants (DIGs) to support the states, the District of Columbia, and other jurisdictions6 in building capacity to report client-level data. The client-level data encompass reporting of five mental health National Outcome Measures (NOMs): Access to Services/Capacity, Stability in Housing/Residential Status, Criminal Justice Involvement, Adult Employment/Children’s School Attendance and Education Level, and 30-day and 180-day Readmission to State Hospital. The number of states (which includes Washington, D.C.; Puerto Rico; and the Commonwealth of the Northern Mariana Islands) reporting client-level data has gradually increased: 32 states reported 2012 data, 46 reported 2013 data, 47 reported 2014 data, and 45 reported 2015 data.

For the 2012 and 2013 reporting periods, states could choose to use only the Mental Health Client-Level Data (MH-CLD). As of the 2014 reporting period, states could use either the MH-CLD or the Mental Health Treatment Episode Data Set (MH-TEDS). For this report, the MH-TEDS data reported by 6 states for the 2015 reporting period were reconciled with data collected from the 42 states using the MH-CLD. (Note: Connecticut used both methods, MH-CLD for reporting data on children and adolescents and MH-TEDS for reporting data on adults.)

Because of the changing number of states submitting data for each reporting period, caution must be used when comparing data over time. Apparent increases, changes, or other variations across reporting periods may be more a function of changes in the mix of states reporting than of actual changes in client characteristics over time.

All data tables represent individuals who received publicly-funded mental health services—indi-viduals served—through the auspices of the State Mental Health Agencies (SMHAs).

Individuals Served

Table 1.1. For the 2012 reporting period, 32 states reported that a total of 3,126,234 individuals had received mental health services; for the 2013 reporting period, 46 states reported that a total of 5,515,906 individuals had received mental health services; for the 2014 reporting period, 47 states reported that a total of 5,704,764 individuals had received mental health services; and for the 2015 reporting period, 45 states reported that a total of 5,235,883 individuals had received mental health services.7

cHapter 1summary of annual data in state client-level data

reporting: 2012-2015

6 Henceforth, “states” will refer to the 50 states, Washington, DC, and other jurisdictions, which include Puerto Rico, the U.S. Virgin Islands, and the six Pacific jurisdictions (American Samoa, Federated States of Micronesia, Guam, Marshall Islands, Commonwealth of the Northern Mariana Islands, Palau).

7 Data were not submitted or were incomplete for one or more years in some states or jurisdictions.

14

• Among individuals reported to have received services for the 2012 to 2015 reporting periods,between 38 and 41 percent had first-mention mental health diagnoses8 of mood disorders, includ-ing bipolar disorders (15 to 17 percent) and depressive disorders (23 to 24 percent); between 11and 12 percent had first-mention mental health diagnoses of schizophrenia and other psychoticdisorders; and 10 to 12 percent had first-mention mental health diagnoses of anxiety disorders.

The following paragraphs summarize data on NOMs and clinical measures for all individuals, presented by demographic characteristics and mental health diagnoses. Overall, the distributions were relatively consistent across all characteristics for all four reporting periods.

Gender

• Table 1.2a. More than 50 percent of the total individuals served were female in every reportingperiod between 2012 and 2015 (52 percent in 2012 and 51 percent in 2013, 2014, and 2015).

Age and Mental Health Diagnoses by Age Group

• Table 1.2a. For the 2012 through 2015 reporting periods (in all four reporting periods), 29 to30 percent of individuals served were aged 17 and younger, 12 percent were aged 18 to 25, 44to 46 percent were aged 26 to 54, and 13 to 15 percent were aged 55 and older.

Tables 1.2b-1.2e. Among individuals served for specific age groups, the most frequently reported diagnoses were relatively consistent across the four reporting periods.

• Among individuals served aged 17 and younger, the most frequently reported diagnoses overthe four reporting periods were ADD/ADHD (ranging from 18 to 24 percent), mood disorders(ranging from 19 to 21 percent), and adjustment disorders (ranging from 15 to 16 percent).

• Among individuals served aged 18 to 25, the most frequently reported diagnoses over thefour reporting periods were mood disorders (ranging from 42 to 45 percent), anxiety disorders(ranging from 11 to 13 percent), and schizophrenia and other psychotic disorders (9 percent).

• Among individuals served aged 26 to 54, the most frequently reported diagnoses over the fourreporting periods were mood disorders (ranging from 47 to 51 percent), schizophrenia and otherpsychotic disorders (ranging from 16 to 17 percent), and anxiety disorders (ranging from 10to 12 percent).

• Among individuals served aged 55 and older, the most frequently reported diagnoses over thefour reporting periods were mood disorders (ranging from 46 to 49 percent), schizophrenia andother psychotic disorders (ranging from 21 to 24 percent), and anxiety disorders (ranging from7 to 8 percent).

8 Throughout this report the term “diagnosis” refers to the first reported or “first mention” mental health diagnosis on the client-level data record. This is only the first of up to three diagnoses per client qualifying as a mental health diagnosis, as recorded by the reporting agency. While these first-mentioned mental health diagnoses are mutually exclusive, a client reported to receive a first-mention diagnosis of, for example, depressive disorders, may also have received a second-mention diagnosis of anxiety disorder, and a third-mention diagnosis of schizophrenia or other psychotic disorder.

15

Ethnicity9

• Table 1.3. Between 15 and 18 percent of all individuals served over the four reporting periodswere of Hispanic origin (any race).

Race

• Table 1.3. For the 2012 to 2015 reporting periods, Whites represented between 67 and 71 percentof the individuals served; Blacks or African Americans represented between 20 and 21 percent;and American Indians or Alaska Natives, Asians, Native Hawaiians or other Pacific Islanders,and other10 groups combined represented between 8 and 12 percent.

Marital Status

• Table 1.4. Among individuals served aged 18 and older, more than one half reported never beingmarried in every reporting period between 2012 and 2015 (ranging from 54 to 57 percent); lessthan one fifth (ranging from 16 to 19 percent) reported being currently married during thosereporting periods.

• Table 1.15. In the 2015 reporting period, 19 percent of individuals served aged 26 to 54 werecurrently married. In contrast, 56 percent of people in the U.S. population in that age groupwere currently married in 2015.

Living Arrangements

• Table 1.4. Over the four reporting periods, a majority of individuals served reported living in aprivate residence (ranging from 83 to 85 percent), while 3 to 4 percent reported being homeless.

SMI/SED Status

• Table 1.5. In every reporting period from 2012 to 2015, about one half of the individuals servedwere adults with serious mental illness (SMI) (ranging from 49 to 52 percent) and about onefifth were children and adolescents with or at risk for serious emotional disturbance (SED)(ranging from 20 to 22 percent).

Employment

• Table 1.6. Among individuals served aged 18 and older in the 2012 to 2015 reporting periods,between 17 and 21 percent were employed, 29 to 31 percent were unemployed, and 50 to 52percent were “not in labor force.”

9 Data on Specific Hispanic or Latino Origin (hereafter referred to as of Hispanic origin) are also presented for a subset of states that reported this information.

10 Individuals of “Other” race includes individuals who reported two or more races or some other race.

16

Timing of Admission

• Table 1.7. The population of individuals served was composed of similar proportions of indi-viduals who were newly admitted to treatment11 (ranging from 44 to 53 percent) and individualswho were continuing treatment12 (ranging from 47 to 56 percent) over the four reporting periods.

Service Setting

• Table 1.7. For the 2012 to 2015 reporting periods, a majority of individuals received mentalhealth services from community-based programs each year (98 percent).

Regional Distributions

Table 1.8. Nearly one-third (32 and 36 percent) of all individuals reported were in the South for both the 2014 and 2015 reporting periods, one-quarter (26 and 30 percent) were in the West, between one-fifth and one-tenth were in the Northeast (20 and 11 percent), and one-fifth were in the Midwest (22 and 23 percent).

• In both the 2014 and 2015 reporting periods, individuals who were newly admitted to treat-ment were most frequently reported in the South (39 and 42 percent).13 The West region wasthe region with the second highest proportions of individuals who were newly admitted (26and 29 percent, respectively).

• Regional patterns of service setting varied from those values for individuals served in non-community program settings in the 2014 and 2015 reporting periods: of individuals receivingservices in state psychiatric hospitals, a larger proportion were reported in the South (45 and 46percent, respectively) than in the West (2014) and Northeast (2015) (14 percent in each case);however, of individuals receiving services in other psychiatric inpatient14 service settings, alarger proportion were reported in the West (41 and 47 percent, respectively) than in the South(28 and 25 percent) and Northeast (9 and 8 percent respectively).

Table 1.9. While the distribution of mental health diagnoses was relatively similar across U.S. Census Regions, some variations exist.

• In the 2015 reporting period, mood disorders (bipolar and depressive disorders) were mostfrequently reported in the South (42 percent) and least frequently in the Northeast (29 percent).

• In the 2015 reporting period, anxiety disorders were more frequently reported in the West (15percent) and the Midwest (13 percent) than in the South and Northeast (9 percent each).

11 Individuals who were newly admitted to treatment either (1) had not previously received a service and started receiving services during the reporting year or (2) had previously received a service, were discharged or inactive for an extended period of time, and resumed receiving services during the reporting period.

12 Individuals who were continuing treatment were admitted prior to the start of the reporting period and received a service during the reporting period.

13 South region results are influenced by database upgrades in Florida and Tennessee that caused larger numbers of individuals to be reported.

14 Examples of “other psychiatric inpatient” facilities include psychiatric wards in private or general hospitals.

17

Any-Mention Mental Health Diagnoses, by Gender, Race, and Ethnicity

Tables 1.11a-1.14c present the number and percentage distribution of individuals who received any mention—whether first, second, or third—of the listed mental health diagnoses by gender, race, and ethnicity for the 2012, 2013, 2014, and 2015 reporting periods. Any differences across reporting periods should be interpreted with caution. Variations may be more of a function of the mix and number of reporting states than of actual differences.

• In every reporting period, depressive disorders were the most frequently reported any-mention mental health diagnoses, regardless of gender or ethnicity, and for every race except Blacks or African Americans and Asians in the 2012 reporting period. For these two exceptions, schizo-phrenia and other psychotic disorders were the most frequently reported any-mention diagnoses.

• In every reporting period, the most frequently reported any-mention mental health diagnoses for females and males were depressive disorders, but the proportions among females (ranging from 33 to 34 percent) were consistently higher than among males (ranging from 19 to 21 percent).

• The most frequently reported any-mention diagnoses among individuals of both non-Hispanic and Hispanic origin were consistently depressive disorders, with similar proportions receiving the diagnosis over the four reporting periods (ranging from 26 to 29 percent among both groups).

18

19

This chapter presents data on individuals aged 17 and younger who received mental health ser-vices through the SMHAs in the 2015 reporting period. Data on NOMs and clinical measures

are presented by demographic characteristics and mental health diagnoses for all children and adolescents. Characteristics for the subpopulation of children and adolescents with or at risk for serious emotional disturbance (SED) are presented only where they differ from the characteristics of all children and adolescents.

The mental health diagnoses presented in the chapter tables are adjustment disorders; anxiety disorders; attention deficit disorder and attention deficit hyperactivity disorder (ADD/ADHD); conduct disorder; mood disorders—bipolar disorders and depressive disorders; oppositional defiant disorder; pervasive developmental disorders; and other disorders. Four of these—ADD/ADHD, conduct disorder, oppositional defiant disorder, and pervasive developmental disorders—are typi-cally identified in childhood.

Children and Adolescents Served

Table 2.1a.-2.2c. For the 2015 reporting period, states reported a total of 1,298,578 children and adolescents served (25 percent of all individuals). About three quarters (73 percent) of these children and adolescents were reported to have or be at risk of SED.

During this period, the data indicate that mental health diagnoses for all children and adolescents differed across categories for several characteristics, including gender, race, ethnicity, living arrange-ments, SED status, level of functioning, timing of admission, and service setting.

A comparison of the findings for all children and adolescents and the subpopulation of children and adolescent with SED found similar patterns in the distribution of characteristics for both populations during the 2015 reporting period.

Gender

Tables 2.1a-2.2c. In the 2015 reporting period, the most frequently reported diagnoses differed by gender among individuals served aged 17 and younger.

• Among males aged 17 and younger served in the 2015 reporting period, the most frequently reported diagnoses were ADD/ADHD (27 percent), adjustment disorders (15 percent), and anxiety disorders (12 percent).

• Among females aged 17 and younger served in the 2015 reporting period, the most frequently reported diagnoses were depressive disorders (22 percent), adjustment disorders (20 percent), and anxiety disorders (18 percent).

cHapter 2cHaracteristics of cHildren and adolescents aged 17 and

younger receiving mental HealtH services: 2015

20

• Males aged 17 and younger had a diagnosis of ADD/ADHD almost twice as frequently as their female counterparts (27 vs. 13 percent) in the 2015 reporting period.

Race

• Tables 2.1a-2.c. The most frequently reported diagnoses among individuals served aged 17 and younger varied by race in the 2015 reporting period. Adjustment disorders were reported most frequently among Native Hawaiian or Other Pacific Islanders (20 percent); anxiety disorders among American Indians or Alaska Natives (21 percent); depressive disorders among Asians (23 percent); and ADD/ADHD among Blacks or African Americans (30 percent) and Whites (21 percent).

Ethnicity

• Tables 2.1a-2.c. Among Hispanic individuals served aged 17 and younger, the most frequently reported diagnoses were depressive disorders (19 percent).

Living Arrangements

• Tables 2.3a-2.4c. The most frequently reported diagnoses among individuals served aged 17 and younger who were in foster care or homeless were adjustment disorders (28 and 27 percent, respectively).

• Among individuals served aged 17 and younger who were living in a private residence, the most frequently reported diagnosis was ADD/ADHD (22 percent).

• Among individuals served aged 17 and younger who were in residential care, the most frequently reported diagnoses were bipolar disorders (21 percent).

SED Status

• Tables 2.3a-2.4c. The most frequently reported diagnosis among individuals served aged 17 and younger with SED was ADD/ADHD (23 percent), while the most frequently reported diagno-ses among individuals served aged 17 and younger without SED who received services were adjustment disorders (28 percent).

Level of Functioning

• Tables 2.3a-2.4c. The most frequently reported diagnoses among individuals served aged 17 and younger who had a lower level of functioning (i.e., a Children’s Global Assessment Scale (CGAS) score of 1 to 50 on the 100-point scale) were depressive disorders (21 percent).

• The most frequently reported diagnosis among individuals served aged 17 and younger who had a higher level of functioning (i.e., a CGAS score of 51 to 100) was ADD/ADHD (21 percent).

Timing of Admission

• Tables 2.5a-2.6c. The most frequently reported diagnoses among individuals served aged 17 and younger in the 2015 reporting period who were newly admitted to treatment were adjust-ment disorders (20 percent).

21

• The most frequently reported diagnosis among individuals served aged 17 and younger who were continuing treatment during that reporting period was ADD/ADHD (25 percent).

SED Status and Level of Functioning, by Service Setting

Table 2.7. SED status and level of functioning varied by service setting among individuals served aged 17 and younger. It should be noted that individuals may have received services in more than one setting during the reporting period, and therefore may be counted in multiple rows in the service setting section of Table 2.7.

• Among individuals served aged 17 and younger in a community-based program setting in the 2015 reporting period, 74 percent had SED compared with more than 80 percent of individuals served aged 17 and younger at a state psychiatric hospital, residential treatment center, or other psychiatric inpatient setting.

• For the 2015 reporting period, higher proportions of individuals served aged 17 and younger in community-based programs (51 percent) or institutions under the justice system (40 percent) had higher levels of functioning (i.e., a CGAS score of 51 to 100) compared with those in other psychiatric inpatient settings or residential treatment centers (32 percent each).

22

23

This chapter presents data on young adults aged 18 to 25 who received mental health services through the SMHAs in the 2015 reporting period. Data on NOMs and clinical measures for all

young adults are presented by demographic characteristics and mental health diagnoses. Character-istics for the subpopulation of young adults with a serious mental illness (SMI) are presented only where they differ from the characteristics of all young adults who received mental health services in the 2015 reporting period.

The mental health diagnoses presented in the chapter tables are adjustment disorders; anxiety disorders; ADD/ADHD; mood disorders—bipolar disorders and depressive disorders; personality disorders; schizophrenia and other psychotic disorders; and other disorders.

Young Adults Served

Tables 3.1a-3.2a. For the 2015 reporting period, states reported a total of 525,228 individuals served aged 18 to 25 (10 percent of all individuals served). Nearly two-thirds (63 percent) of these individuals were reported to have SMI.

During that period, the data show mental health diagnoses among young adults differed across cat-egories for several characteristics, including gender, living arrangements, detailed not in labor force, and services setting. Mental health diagnoses were largely similar across race, ethnicity, education level, marital status, SMI status, level of functioning, employment status, and timing of admission.

A comparison of the findings for all young adults and the subpopulation of young adults with SMI found similar patterns in the distribution of characteristics for both populations during the 2015 reporting period, but there were some differences depending on gender, race, and service setting.

Gender

• Tables 3.1a-3.2c. Among males aged 18 to 25 served during the 2015 reporting period, the most frequently reported diagnoses were depressive disorders (22 percent), bipolar disorders (20 percent), and schizophrenia and other psychotic disorders (17 percent).

• Among females aged 18 to 25 served, the most frequently reported diagnoses were depressive disorders (35 percent), bipolar disorders (22 percent), and anxiety disorders (19 percent).

These patterns in variation differed slightly among individuals served aged 18 to 25 with SMI dur-ing the 2015 reporting period.

• Among males served aged 18 to 25 with SMI, the most frequently reported diagnoses were bipolar disorders (25 percent), depressive disorders (24 percent), and schizophrenia and other disorders (23 percent).

cHapter 3cHaracteristics of young adults aged 18 to 25 receiving

mental HealtH services: 2015

24

• Among females served aged 18 to 25 with SMI, the most frequently reported diagnoses were depressive disorders (38 percent) and bipolar disorders (26 percent).

Race and Ethnicity

• Tables 3.1a-3.2c. Depressive disorders were the most frequently reported diagnoses among individuals served aged 18 to 25 of every racial and ethnic group.

• By race, the second most frequently reported diagnoses for individuals served aged 18 to 25 were bipolar disorders among Whites (22 percent) and Blacks or African Americans (21 percent). The second most frequently reported diagnoses among American Indians or Alaska Natives and Native Hawaiians or other Pacific Islanders were anxiety disorders (19 and 18 percent, respec-tively), and among Asians they were schizophrenia and other psychotic disorders (22 percent).

These patterns in variation did not differ individuals served aged 18 to 25 with SMI.

• The most frequently reported diagnoses among individuals served aged 18 to 25 of every race and ethnic group with SMI were depressive disorders.

Education

• Tables 3.3a-3.4c. The most frequently reported diagnoses among individuals served aged 18 to 25 who completed more than 8 grades were depressive disorders, ranging from 28 percent among individuals who completed 9 to 11 grades to 35 percent among individuals who com-pleted more than 12 grades.

• The largest proportion of individuals aged 18 to 25 who completed 0 to 8 grades was in the category for other, unspecified diagnoses (21 percent), but their most frequent specific diagnoses were depressive disorders (19 percent).

Marital Status

• Tables 3.3a-3.4c. The most frequent reported diagnoses among individuals served aged 18 to 25 across all marital status categories were also depressive disorders, ranging from 28 percent among never married individuals to 37 percent among separated individuals.

Living Arrangements

• Tables 3.5a-3.6c. Depressive disorders were the most frequently reported diagnoses among individuals served aged 18 to 25 who lived in a private residence, were homeless, or were in foster care (31, 26, and 23 percent, respectively).

• Bipolar disorders were the most frequently reported diagnoses among individuals served aged 18 to 25 who were in residential care (25 percent).

SMI Status

• Tables 3.5a-3.6c. The most frequently reported diagnoses among individuals served aged 18 to 25 with SMI were depressive disorders (31 percent).

25

• The most frequently reported diagnoses among young adults served aged 18 to 25 who did not have SMI were depressive disorders (23 percent).


• Tables 3.5a-3.6c. The most frequently reported diagnoses among individuals served aged 18 to 25 who had a Global Assessment of Functioning (GAF) score of 1 to 50 or 51 to 100 were depressive disorders (31 and 28 percent, respectively).

Employment Status

Tables 3.7a-3.8c. Among individuals served aged 18 to 25, in the 2015 reporting period 23 percent were employed, 31 percent were unemployed, and 46 percent were “not in labor force”. Among those “not in labor force,” approximately two-fifths (38 percent) were students.

• The most frequently reported diagnoses among individuals served aged 18 to 25 across each employment status were depressive disorders (ranging from 28 to 37 percent).

• Bipolar disorders were the most frequently reported diagnoses among individuals served aged 18 to 25 whose “not in labor force” status was disabled (29 percent).

• Depressive disorders were the most frequently reported diagnoses among individuals served aged 18 to 25 whose “not in labor force” status was homemakers, or students (38 and 26 per-cent, respectively).

Timing of Admission

• Tables 3.9a-3.10c. The most frequently reported diagnoses among individuals served aged 18 to 25 were depressive disorders, regardless of their timing of admission (31 percent among individuals who were newly admitted to treatment and 25 percent among individuals who were continuing treatment).

Service Setting

Tables 3.9a-3.10c. The most frequently reported diagnoses differed by mental health service set-ting. It should be noted that individuals may have received services in more than one service setting during the reporting period, and therefore may be counted in multiple rows in the service setting sections of Tables 3.9a-c and 3.10a-c.

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals aged 18 to 25 served in residential treatment centers (29 percent).

• Depressive disorders were the most frequently reported diagnoses among individuals aged 18 to 25 served in community-based programs (29 percent).

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals aged 18 to 25 served in state psychiatric hospitals (43 percent).

Similar patterns were seen among individuals served aged 18 to 25 with SMI.

26

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals aged 18 to 25 served who had SMI and were in state psychiatric hospitals (50 percent), residential treatment centers (35 percent), or other psychiatric inpatient facilities (34 percent).

SMI Status and Level of Functioning by Service Setting

Table 3.11. In the 2015 reporting period, SMI status and level of functioning varied by service set-ting among individuals served aged 18 to 25. It should be noted that individuals may have received services in more than one setting during the reporting period, and therefore may be counted in multiple rows in the service setting section of Table 3.11.

• In the 2015 reporting period, a majority (97 percent) of individuals served aged 18 to 25, regard-less of SMI status or level of functioning, were treated in community-based programs. Among those treated in a community-based program setting, 66 percent had SMI compared with more than three quarters of individuals served who had SMI and were in a state psychiatric hospital (84 percent), other psychiatric inpatient settings (83 percent), or a residential treatment center (79 percent).

• In the 2015 reporting period, higher proportions of individuals served aged 18 to 25 in com-munity-based programs (46 percent) or residential treatment centers (36 percent) functioned at the 51 to 100 level compared with those in state psychiatric hospitals or institutions under the justice system (30 percent each) or in other psychiatric inpatient settings (24 percent).

27

This chapter presents 2015 reporting period data on adults aged 26 to 54 who received mental health services through the SMHAs. Data on NOMs and clinical measures for all adults are

presented by demographic characteristics and mental health diagnoses. Characteristics for the sub-population of adults with a serious mental illness (SMI) are presented where they differ from the characteristics of all adults.

The mental health diagnoses presented in the chapter tables are adjustment disorders; anxiety disorders; ADD/ADHD; mood disorders—bipolar disorders and depressive disorders; personality disorders; schizophrenia and other psychotic disorders; and other disorders.

Adults Served

Table 4.1a-4.2a. For the 2015 reporting period, states reported a total of 2,038,415 individuals served aged 26 to 54 (39 percent of all individuals served). Nearly three quarters (72 percent) of these individuals were reported to have SMI.

During that period, the data show mental health diagnoses among adults aged 26 to 54 differed somewhat across categories for several variables, including gender, race, ethnicity, and living arrangements. Mental health diagnoses were largely similar across educational attainment, marital status, SMI status, level of functioning, employment status, and timing of admission.

A comparison of the findings for all adults aged 26 to 54 and the subpopulation of adults aged 26 to 54 with SMI found similar patterns in the distribution of characteristics across most variables for both populations during the 2015 reporting period.

Gender

Tables 4.1a-4.2c. In the 2015 reporting period, individuals served aged 26 to 54 differed slightly in their most frequently reported mental health diagnoses by gender, race, and ethnicity.

• In the 2015 reporting period, among males served aged 26 to 54, the most frequently reported diagnoses were schizophrenia and other psychotic disorders and depressive disorders (26 per-cent each).

• Among females served aged 26 to 54 in the 2015 reporting period, the most frequently reported diagnoses were depressive disorders (37 percent) and bipolar disorders (24 percent).

Race

• Tables 4.1a-4.2c. Depressive disorders were the most frequently reported diagnoses for all races. Among Asians, depressive disorders and schizophrenia and other psychotic disorders were reported equally (33 percent each).

cHapter 4cHaracteristics of adults aged 26 to 54 receiving mental

HealtH services: 2015

28

• Among Asians served aged 26 to 54, schizophrenia and other psychotic disorders and depressive disorders were the most frequently reported diagnoses (33 percent each).

Ethnicity

• Tables 4.1a-4.2c. Depressive disorders were the most frequently reported diagnoses for indi-viduals served aged 26 to 54 of Hispanic origin and non-Hispanic origin (33 percent each).

Education

• Tables 4.3a-4.4c. Among individuals served aged 26 to 54 across all education levels, depres-sive disorders were the most frequently reported diagnoses, ranging from 31 percent among those who completed at most the 8th grade to 35 percent among those who completed more than 12th grade.

• Among individuals served aged 26 to 54 who completed at most the 11th grade, the most fre-quently reported diagnoses after depressive disorders were schizophrenia and other psychotic disorders and bipolar disorders (17 and 16 percent, respectively of those who had completed at most the 8th grade and 22 and 21 percent, respectively, of those who had completed the 9th to 11th grade).

Marital Status

• Tables 4.3a-4.4c. Among individuals served aged 26 to 54, the most frequent diagnoses across all marital statuses were depressive disorders, ranging from 28 percent among those who were never married to 42 percent among those who were widowed.

Living Arrangements

• Tables 4.5a-4.6c. Individuals served aged 26 to 54 who were homeless, lived in a private resi-dence, or had “other” living arrangements15 were most frequently diagnosed with depressive disorders, ranging from 30 percent of homeless individuals to 35 percent of individuals living in a private residence.

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals served aged 26 to 54 who were living in an institutional setting (53 percent), in residential care (46 percent), in foster care (27 percent), or in jails or correctional facilities (20 percent).

• The two most frequently reported diagnoses among individuals served aged 26 to 54 who were in jails or correctional institutions were schizophrenia and other psychotic disorders (20 percent) and depressive disorders (18 percent).

SMI Status

• Tables 4.5a-4.6c. Both individuals served aged 26 to 54 who did and did not have SMI most frequently had diagnoses of depressive disorders (33 and 29 percent, respectively). The second most frequent diagnoses for those without SMI were anxiety disorders (21 percent) and “other”

15 “Other living arrangements” include crisis residence and other undefined residence.

29

(17 percent), but for those with SMI the second most frequent diagnoses were bipolar disorders (25 percent) and schizophrenia and other psychotic disorders (22 percent).


• Tables 4.5a-4.6c. For individuals served with SMI aged 26 to 54 at all levels of functioning, the most frequent diagnoses were depressive disorders (32 percent among those with GAF scores of 1 to 50, and 34 percent among those with GAF scores of 51 to 100).

Employment Status

Tables 4.7a-4.8c. In the 2015 reporting period, 23 percent of individuals served aged 26 to 54 were employed, 32 percent were unemployed, and 45 percent were “not in labor force.” The most frequent diagnoses across all employment statuses were depressive disorders.

• Among individuals served aged 26 to 54, the percentage that were employed full time ranged from 4 percent of those with diagnoses of schizophrenia and other psychotic disorders to 24 percent of those with diagnoses of adjustment disorders.

• Among individuals served aged 26 to 54, the percentages that were “not in labor force” ranged from 24 percent of those with diagnoses of adjustment disorders to 61 percent of those with diagnoses of schizophrenia and other psychotic disorders.

Timing of Admission

• Tables 4.9a-4.10c. Among individuals served aged 26 to 54, depressive disorders were the most frequently reported diagnoses across timing of admission (35 percent of individuals who were newly admitted to treatment and 30 percent of individuals who were continuing treatment). Bipolar disorders were the second most frequently reported diagnoses for individuals who were newly admitted to treatment (21 percent), however schizophrenia and other psychotic disorders were the second most frequently reported diagnoses for individuals who were continuing treat-ment (24 percent).

• Adults served aged 26 to 54 reported diagnoses of schizophrenia and other psychotic disorders nearly twice as frequently as adult individuals who were newly admitted to treatment (23 vs. 12 percent).

• Among adults served aged 26 to 54 with SMI, the most frequent diagnoses were also depressive disorders, but the next most frequent diagnoses were bipolar disorders among individuals who were newly admitted to treatment (25 percent) and schizophrenia and other psychotic disorders among individuals who were continuing treatment (29 percent).

Service Setting

Tables 4.9a-4.10c. It should be noted that individuals may have received services in more than one service setting during the reporting period and, therefore, may be counted in multiple rows in the service setting sections of Tables 4.9a-c and 4.10a-c.

30

• Among individuals served aged 26 to 54 who were in a community-based program, the most frequently reported diagnoses were depressive disorders (32 percent), bipolar disorders (22 percent), and schizophrenia and other psychotic disorders (17 percent).

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals served aged 26 to 54 who were in state psychiatric hospitals (52 percent), residential treatment centers (42 percent), other psychiatric inpatient settings (31 percent), and institutions under the justice system (20 percent).

SMI Status and Level of Functioning, by Service Setting

Table 4.11 presents 2015 data on the number and percentage of individuals served aged 26 to 54 by mental health service setting, SMI status, and level of functioning. It should be noted that individu-als may have received services in more than one setting during the reporting period, and therefore may be counted in multiple rows in the service setting section of Table 4.11.

• In the 2015 reporting period, 73 percent of individuals aged 26 to 54 who had SMI were served in community programs and 75 percent of individuals aged 26 to 54 who had SMI were served in institutions under the justice system, compared with more than 84 percent who were served in other service settings.

• Community programs reported the highest proportions of high functioning individuals served aged 26 to 54 (44 percent had a GAF score of 51 to 100).

31

This chapter presents data on individuals aged 55 and older who received mental health services in the 2015 reporting period through the SMHAs. Data on NOMs and clinical measures for

older adults are presented by diagnostic categories and mental health diagnoses. Characteristics for the subpopulation of individuals with SMI are presented where they differ from the characteristics of all older adults.

The mental health diagnoses presented in the chapter tables are adjustment disorders; anxiety disorders; delirium, dementia, and amnestic and other cognitive disorders (referred to simply as delirium/dementia in the text and tables); mood disorders—bipolar disorders and depressive dis-orders; personality disorders; schizophrenia and other psychotic disorders; and other disorders. Since delirium/dementia diagnoses become significant within this age group, the chapter tracks the reporting of these diagnoses instead of ADD/ADHD, which is a rare diagnosis for this age group.

Older Adults Served

Table 5.1a-c. For the 2015 reporting period, states reported a total of 685,985 individuals served aged 55 and older (13 percent of all individuals). Nearly three quarters (73 percent) of these indi-viduals were reported to have SMI.

During this period, the data show mental health diagnoses differed somewhat across categories for several variables, including gender, race, ethnicity, marital status, living arrangements, SMI status, and service setting. Mental health diagnoses were largely similar across educational attainment, level of functioning, employment status, and timing of admission. A comparison of the findings for all older adults and the subpopulation of older adults with SMI found similar patterns in the distribu-tion of characteristics across most variables for both populations during the 2015 reporting period.

Gender

• Tables 5.1a-5.2c. In the 2015 reporting period, among males served aged 55 years and older, the most frequently reported diagnoses were schizophrenia and other psychotic disorders (31 percent), depressive disorders (31 percent), and bipolar disorders (14 percent).

• Among females served aged 55 years and older during that period, the most frequently reported diagnoses were depressive disorders (42 percent), schizophrenia and other psychotic disorders (20 percent), and bipolar disorders (17 percent).

Race

• Tables 5.1a-5.2c. Depressive disorders were the most frequently reported diagnoses for individu-als served aged 55 and older of all races except Blacks or African Americans, ranging from 36 percent of American Indians or Alaska Natives to 50 percent of Asians.

cHapter 5cHaracteristics of older adults aged 55 and older

receiving mental HealtH services: 2015

32

• Schizophrenia and other psychotic disorders were the second most frequently reported diagnoses among individuals served aged 55 years and older for all races except for Blacks or African Americans, ranging from 20 percent of American Indians or Alaska Natives to 26 percent of Native Hawaiians or other Pacific Islanders aged 55 years and older.

• Among individuals served aged 55 years and older who were Black or African American, the two most frequently reported diagnoses were schizophrenia and other psychotic disorders (40 percent) and depressive disorders (32 percent).

Ethnicity

• Tables 5.1a-5.2c. Depressive disorders were the most frequently reported diagnoses by ethnic-ity: 38 percent of individuals served aged 55 and older who were not of Hispanic origin and 45 percent of those of Hispanic origin had these diagnoses. Schizophrenia and other psychotic disorders were the second most frequently reported diagnoses by ethnicity.

Education

Tables 5.3a-5.4c. In the 2015 reporting period, 44 percent of individuals served aged 55 and older had completed 12th grade or had a GED and 28 percent had completed more than 12th grade.

• Among individuals served aged 55 and older, depressive disorders were the most frequently reported diagnoses across all levels of educational attainment, ranging from 36 percent of those who completed 9th to 11th grade to 39 percent of those who completed less than the 9th grade.

• Among individuals served aged 55 and older, 48 percent of those with delirium/dementia had completed 12th grade or had a GED compared with only 44 percent of all individuals served in that age group.

Marital Status

• Tables 5.3a-5.4c. Depressive disorders were the most frequently reported diagnoses among individuals served aged 55 years and older across most marital status groups, ranging from 40 percent of individuals served who were divorced, 41 percent of those who were currently mar-ried, and 43 percent of those who were widowed. Among individuals served aged 55 years and older who never married, the most frequently reported diagnoses were schizophrenia and other psychotic disorders (40 percent).

Living Arrangements

• Tables 5.5a-5.6c. Similar to all individuals served aged 55 years and older, those who were liv-ing in a private residence, were homeless, or had “Other” living arrangements most frequently had reported diagnoses of depressive disorders, ranging from 34 percent among those with “Other” living arrangements to 42 percent among those who were living in a private residence.

• Diagnoses of schizophrenia and other psychotic disorders were most frequently reported among individuals served aged 55 and older who were living in residential care (60 percent), an insti-tutional setting (43 percent), foster care (40 percent), or a jail/correctional facility (28 percent).

33

SMI Status

• Tables 5.5a-5.6c. The mental health diagnoses of individuals served aged 55 years and older varied by SMI status. While individuals served aged 55 and older with or without SMI most frequently had diagnoses of depressive disorders, they differed on their second most frequent diagnoses. Among those with SMI, the second most frequently reported diagnoses were schizo-phrenia and other psychotic disorders (30 percent); however, among those without SMI the second most frequently reported diagnoses were anxiety disorders (16 percent).


• In the 2015 reporting period, while diagnoses of depressive disorders were most frequently reported at all levels of functioning among individuals served aged 55 and older, the proportion with such diagnoses increased with level of functioning.

Employment Status

Tables 5.7a-5.8c. In the 2015 reporting period, individuals served aged 55 years and older most frequently reported diagnoses of depressive disorders across all employment statuses. Almost 69 percent of individuals served aged 55 years and older were “not in labor force.” Of these, 44 percent were due to disability and 11 percent were retired.

• In the 2015 reporting period, individuals served aged 55 years and older most frequently reported diagnoses of depressive disorders across all employment statuses, ranging from 38 percent among those “not in labor force” to 45 percent among those employed full time.

• Schizophrenia and other psychotic disorders were the second most frequently reported diagnoses among individuals served aged 55 years and older who were “not in labor force” (28 percent) or unemployed (22 percent). Bipolar disorders were the second most frequently reported diagnoses among individuals served aged 55 years and older who were employed part time (20 percent) or full time (16 percent).

• Nearly half of individuals served aged 55 years and older who were “not in labor force” were disabled (44 percent); of these, over one-third reported depressive disorders (36 percent) or schizophrenia or and other psychotic disorders (31 percent).

Service Setting

Tables 5.9a-5.10c. It should be noted that individuals may have received services in more than one service setting and therefore may be counted in multiple rows in the service setting sections of Tables 5.9a-c and 5.10a-c.

• In the 2015 reporting period, the vast majority of individuals served aged 55 and older received treatment in community-based programs. Among individuals served aged 55 and older in community-based programs, the most frequently reported diagnoses were depressive disorders (38 percent).

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among older individuals served aged 55 and older in state psychiatric hospitals or residential treatment centers (57 and 54 percent, respectively) and in other psychiatric inpatient settings (37 percent).

34

Timing of Admission

• Tables 5.9a-5.10a-c. The most frequently reported diagnoses of individuals served aged 55 and older did not differ by their timing of admission—depressive disorders were the most frequently reported diagnoses for both individuals who were newly admitted to treatment and individuals who were continuing treatment (41 and 35 percent, respectively), and schizophrenia and other psychotic disorders were the second most frequently reported diagnosis (17 and 29 percent, respectively).

• In the 2015 reporting period, individuals served aged 55 and older who had SMI and who were continuing treatment more frequently reported diagnoses of schizophrenia and other psychotic disorders than those who were new admissions (35 vs. 21 percent).

SMI Status and Level of Functioning by Service Setting

Table 5.11 presents 2015 data on the number and percentage distribution of individuals served aged 55 and older by mental health service setting, SMI status, and level of functioning. It should be noted that individuals may have received services in more than one service setting during the reporting period, and therefore may be counted in multiple rows in the service setting section of Table 5.11.

• In the 2015 reporting period, community programs reported the highest percentage of the five service settings for individuals served aged 55 and older who did not have SMI (25 percent), and the highest percentage of such individuals with GAF scores of 51 to 100 (45 percent).

35

This chapter presents data on individuals aged 12 and older diagnosed with co-occurring mental health and substance use disorders who received mental health services through the auspices

of SMHA in the 2015 reporting period. Data on NOMs and clinical measures for all individuals are presented by demographic characteristics and mental health diagnoses. It should be noted that the definition used for “co-occurring substance use” includes those who have a reported, identified substance use disorder but may not have a formal substance use diagnosis in addition to a reported mental health diagnosis. It should also be noted that data reported in this chapter exclude individu-als whose only mental health diagnoses were alcohol- or substance-use disorders.

The mental health diagnoses presented in the chapter tables include adjustment disorders; anxiety disorders; ADD/ADHD; mood disorders—bipolar disorders and depressive disorders; personality disorders; schizophrenia and other psychotic disorders; and other disorders.

Individuals Served

Table 6.1a. For the 2015 reporting period, states reported a total of 720,987 individuals served aged 12 and older (14 percent of all individuals served) had co-occurring mental health and substance use disorders.

During this period, the data show that mental health diagnoses differed somewhat across categories for several variables, including gender, age group, race, ethnicity, living arrangements, employment and detailed “not in labor force,” service setting, and timing of admission. Mental health diagnoses were largely similar across SMI/SED status and level of functioning.

Gender

• Tables 6.1a-c. During the 2015 reporting period, for males served who had co-occurring mental health and substance use disorders, the most frequently reported diagnoses were schizophrenia and other psychotic disorders and depressive disorders (25 percent each).

• For their female counterparts, the most frequently reported diagnoses were depressive disorders (33 percent) and bipolar disorders (29 percent).

Age

• Tables 6.1a-c. The most frequently reported diagnoses for individuals served aged 30 to 44 who had co-occurring mental health and substance use disorders were bipolar disorders (from 28 percent to 29 percent).

• The most frequently reported diagnoses for individuals served aged 45 and older with co-occurring substance use and mental health disorders were depressive disorders (from 31 percent of those aged 45 to 49 to 35 percent of those aged 55 to 64).

cHapter 6cHaracteristics of individuals WitH co-occurring mental

HealtH and suBstance use disorders receiving mental HealtH services: 2015

36

Race

• Tables 6.2a-c. In the 2015 reporting period, the individuals served with co-occurring disorders who were of other race, American Indian or Alaska Native, or White most frequently reported diagnoses of depressive disorders (23, 29 percent and 30 percent, respectively).

• During the 2015 reporting period, schizophrenia and other psychotic disorders were the most frequently reported diagnoses for those individuals served who were Asian, Black or African American, or Native Hawaiians or other Pacific Islanders and who had co-occurring mental health and substance use disorders (35, 32, and 27 percent, respectively).

Ethnicity

• Tables 6.2a-c. During the 2015 reporting period, depressive disorders were the most frequently reported diagnoses for individuals served who were of either Hispanic or non-Hispanic origin and who had co-occurring mental health and substance use disorders (26 and 30 percent, respectively).

Substance Use Diagnosis

Tables 6.3a-c. In the 2015 reporting period, mental health diagnoses among individuals served who had co-occurring mental health and substance use disorders differed very little by substance use diagnosis. (Unlike mental health diagnoses, where up to three diagnoses are recorded per client record, each client record contains only one substance use diagnosis. See the final section of Appendix E for definitions of substance abuse codes.)

• Bipolar disorders were the most frequently reported mental health diagnoses for individuals served who had co-occurring marijuana dependence (29 percent).

• Depressive disorders were the most frequently reported diagnoses for individuals served who had co-occurring alcohol dependence (36 percent), opioid dependence and non-dependent opioid use (35 percent each), or cocaine dependence (30 percent).

• Bipolar disorders were the most frequently reported mental health diagnoses for individuals served who had co-occurring non-dependent cocaine use (29 percent), non-dependent marijuana use (26 percent), or other non-dependent substance use (26 percent).

• Depressive disorders and bipolar disorders were the most frequently reported diagnoses for indi-viduals served who had co-occurring non-dependent alcohol use (31 and 25 percent, respectively).

Living Arrangements

• Tables 6.4a-c. In the 2015 reporting period, depressive disorders were the most frequently reported diagnoses for individuals served who had co-occurring mental health and substance use disorder and were in private residences (31 percent).

• Depressive disorders and bipolar disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and were homeless (29 and 27 percent, respectively). Bipolar disorders and depressive disorders were also the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and were in jails and correctional facilities (18 percent each).

37

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and were in institutional settings and residential care (48 and 41 percent, respectively).

SMI/SED Status

• Tables 6.4a-c. Depressive disorders were the most frequently reported diagnoses among indi-viduals served who had co-occurring mental health and substance use disorders and SMI (29 percent).


• Tables 6.4a-c. Bipolar disorders were the most frequently reported diagnoses among individu-als served who had co-occurring mental health and substance use disorders and lower levels of functioning (28 percent of those scoring 1 to 50 on either CGAS or GAF).

• Depressive disorders were the most frequently reported diagnoses (28 percent) among individu-als served who had co-occurring mental health and substance use disorders and higher levels of functioning (a score of 51 to 100).

Employment Status

• Tables 6.5a-c. About one-third of individuals served who had co-occurring mental health and substance use disorders and who were employed or unemployed (35 percent each) had most frequently reported diagnoses of depressive disorders.

• Individuals served who had co-occurring mental health and substance use disorders and were “not in labor force” had most frequently reported diagnoses of bipolar disorders, depressive disorders, and schizophrenia and other psychotic disorders (27, 28, and 27 percent respectively).

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and whose “not in labor force” status was disabled (33 percent).

• Bipolar disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and whose “not in labor force” status was working in sheltered/noncompetitive settings (28 percent).

• Depressive disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and who were retired (38 percent) or homemakers (34 percent).

Service Setting

Tables 6.6a-c. It should be noted that individuals may have received services in multiple service settings during the reporting period, and therefore may be counted in multiple rows in the service setting sections of Tables 6.6a-c.

• In the 2015 reporting period, depressive disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and were in community-based programs (29 percent).

38

• Schizophrenia and other psychotic disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and were in state psychiatric hospitals (45 percent) or residential treatment centers (37 percent). Schizophre-nia and other psychotic disorders (29 percent) and bipolar disorders (28 percent) were reported as the most frequent diagnoses for individuals served who had co-occurring mental health and substance use disorders and were in other psychiatric inpatient settings.

Timing of Admission

• Depressive disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and who were newly admitted to treatment (32 percent).

• Bipolar disorders were the most frequently reported diagnoses among individuals served who had co-occurring mental health and substance use disorders and who were continuing treatment (27 percent).

39

This chapter reports on admissions to mental health treatment that received services through the auspices of SMHAs for the 2015 reporting period in six states and jurisdictions—Connecticut

[adults only], District of Columbia, Louisiana, Mississippi, Oklahoma, and Puerto Rico—that cur-rently report to MH-TEDS. Most of the variables included in the tables are similar to those included in the tables for earlier chapters, but some of the variables—veteran status, health insurance, referral source—are not available from the states that submitted data via MH-CLD.

The reporting period for 2015 MH-TEDS was July 1, 2014, through June 30, 2015.

There are three subcategories of tables for this chapter: (1) admissions prior to the beginning of the reporting period (i.e., prior to July 2014) that remained in treatment during the reporting period; (2) admissions that started treatment during the reporting period (July 2014 through June 2015); and (3) discharges that exited treatment during the reporting period (July 2014 through June 2015). Tables for admission subcategories present characteristics reported at admission. Tables present-ing data on discharges during the reporting period will report by month, service setting, reason for discharge, mental health diagnosis, and days in treatment episode.

Admissions Served

Table 7.1. 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 407,354 admissions to MH-TEDS.

• Sixty-nine percent of admissions who received treatment in community programs, 43 percent in state psychiatric hospitals, and 31 percent in institutions under the justice system, began treatment prior to the 2015 reporting period.

The distribution of characteristics varied across diagnosis for gender, age, race, employment status, SMI/SED status, level of functioning, and co-occurring mental health and substance use disorders both for admissions who started treatment prior to the 2015 reporting period and admissions that started treatment during the 2015 reporting period, but the distributions themselves were similar for both types of admissions.

Tables 7.2a-c present the number and percent distribution of admissions by their mental health diagnosis and month of admission. More than half (65 percent) of admissions for individuals in treatment during the 2015 reporting period occurred prior to the reporting period. Within-month diagnosis percentages did not fluctuate strongly for most mental health diagnoses, though fall peaks in adjustment disorders (5 percent of all admissions in October 2014), conduct disorder (3 percent in October 2014), and oppositional defiant disorder (3 percent in October 2014) were observed.

cHapter 7mH-teds admissions and discHarges: 2015

40

Admissions Continuing in the 2015 Reporting Period

Tables 7.3a-7.9c present the number and percentage distribution of mental health treatment admis-sions that were admitted to treatment prior to the 2015 reporting period by mental health diagnosis and selected characteristics in the six states and jurisdictions reporting mental health data to MH-TEDS.

• There were a greater number of male than female admissions for ADD/ADHD, conduct disorder, and oppositional defiant disorder. There were a greater number of female than male admissions for adjustment disorders, anxiety disorders, bipolar disorders, and depressive disorders [Table 7.3a].

• More than 45 percent of admissions aged 18 and older had completed 12th grade or a GED [Table 7.5b].

• The majority of admissions for each diagnosis lived in a private residence (ranging from 84 to 99 percent) [Table 7.6b].

• The majority of admissions for each diagnosis had Medicaid coverage (ranging from 75 to 98 percent) [Table 7.6b].

• Approximately three quarters or more of admissions with diagnoses of conduct disorders or oppositional defiant disorder were “not in labor force” (67 and 76 percent, respectively) [Table 7.7b].

• Admissions with diagnoses of ADD/ADHD had a higher employment rate (38 percent) than any other mental health diagnosis. [Table 7.7b].

• Fewer than 15 percent each of admissions aged 12 and older with diagnoses of conduct disorder and oppositional defiant disorder had a co-occurring mental health and substance use disorder (11 and 13 percent, respectively) [Table 7.8b].

Admissions During the 2015 Reporting Period

Tables 7.10a-7.16c present the number and percentage distribution of mental health treatment admissions that started treatment during the 2015 reporting period by mental health diagnosis and selected characteristics in the six states and jurisdictions reporting mental health data to MH-TEDS.

• There were a greater number of male than female admissions for ADD/ADHD, conduct disorder, and oppositional defiant disorder. There were a greater number of female than male admissions for adjustment disorders, anxiety disorders, bipolar disorders, and depressive disorders [Table 7.10a].

• At least 36 percent of admissions aged 18 years or older for each diagnosis completed 12th grade or a GED [Table 7.12b].

• The majority of admissions for each diagnosis lived in a private residence (ranging from 72 to 98 percent) [Table 7.13b].

• The majority of admissions for each diagnosis had Medicaid coverage (ranging from 72 to 99 percent) [Table 7.13b].

41

• The majority of admissions for each diagnosis were not veterans (ranging from 96 percent to 99 percent) [Table 7.13b].

• Thirty-nine percent and thirty-six percent of admissions aged 18 years and older diagnosed with adjustment disorders and ADD/ADHD, respectively, were employed. Twenty-five percent of admissions that had a diagnosis of ADD/ADHD and were “not in labor force” were students [Table 7.14b].

• Admissions with diagnoses of oppositional defiant disorder, conduct disorder, ADD/ADHD, and adjustment disorders were reported more frequently to have an SED (80, 74, 73, and 33 percent, respectively) than admissions during the reporting period overall (12 percent) [Table 7.15b].

• Most admissions were referred by an individual such as a family member, friend, or self (ranging from 47 to 63 percent). Among referral sources other than individual, the second most frequent referral source was school for admissions that were diagnosed with oppositional defiant dis-order (23 percent), conduct disorder (22 percent), ADD/ADHD (19 percent), and adjustment disorders (13 percent). For those that were diagnosed with anxiety disorders, mood disorders, and “Other” unspecified disorders16, the second most frequent referral was from health care providers [Table 7.16b].

Discharges During the Reporting Period

Table 7.17 presents the number and percent distribution of mental health treatment discharges by month and mental health service setting for discharges leaving treatment during the 2015 reporting period in the six states and jurisdictions reporting mental health data to MH-TEDS.

Table 7.18 presents the number and percentage distribution of mental health treatment discharges by mental health service setting, reason for discharge, and days in treatment episode for discharges that left treatment during the 2015 reporting period.

• The reason for discharge varied by mental health service setting. Discharges that completed treatment were more frequently reported in state psychiatric hospitals (90 percent), other psy-chiatric inpatient hospitals (80 percent), and residential treatment centers (57 percent) than in community based programs (19 percent) and institutions under the justice system (25 percent).

• The number of days in the treatment episode for discharges varied by mental health service setting. Most treatment episodes in other psychiatric inpatient hospitals and state psychiatric hospitals were 30 days or less (91 and 58 percent, respectively).

Tables 7.19a-c present the number and percentage distribution of mental health treatment discharges by mental health diagnosis, reason for discharge, and days in treatment episode for discharges that left treatment during the 2015 reporting period in the six states and jurisdictions reporting mental health data to MH-TEDS.

16 Other disorders are non-missing mental health diagnoses that do not correspond to adjustment, anxiety, ADD/ADHD, conduct, bipolar, depressive, or oppositional defiant disorders (e.g., schizophrenia and other psychotic disorders).

42

• The reason for discharge varied by mental health diagnosis. Discharges reporting diagnoses of bipolar disorders, adjustment disorders, and depressive disorders were more likely to complete treatment (29, 23, and 26 percent, respectively) than discharges that had diagnoses of anxiety disorders (18 percent) and ADD/ADHD (9 percent).

• The number of days in the treatment episode for discharges varied by mental health diagnosis. More than 38 percent of treatment episodes for “Other” disorders, bipolar disorders, and depres-sive disorders were 30 days or less (51, 44, and 38 percent, respectively).

43

cHapter 8client outcomes among individuals receiving mental

HealtH services: 2012 and 2015

This chapter presents data on individuals who received mental health services through the SMHAs during the 2012 and 2015 reporting periods. The individuals described in this chapter repre-

sent a cohort of individuals who received services in both 2012 and 2015. The length of treatment was not taken into consideration. Data on NOMs are presented by demographic characteristics, first-mentioned mental health diagnoses, and clinical measures for all individuals in each period. Transitions across outcome statuses between 2012 and 2015 are described for two NOMS: living arrangement and employment status.

Individuals were selected for analysis by matching individual records in 2012 with those in 2015 from the same state and with the same unique identification number; other individuals in 2012 and 2015 were excluded from analysis in this chapter. The resulting dataset contained 1,119,528 individuals.

The mental health diagnoses presented in the chapter tables are: adjustment disorders; alcohol and drug related disorders; anxiety disorders; attention deficit disorder and attention deficit hyperactivity disorder (ADD/ADHD); mood disorders—bipolar disorders and depressive disorders; personality disorders; schizophrenia and other psychotic disorders; and other disorders. One of these—ADD/ADHD—is typically identified in childhood.

Living Arrangement

Tables 8.1a-c. States reported a total of 701,355 individuals served in 2012 that were also were reported to receive services in the 2015 reporting periods and had known living arrangements in 2012.

Among individuals served in both the 2012 and 2015 reporting periods, the living arrangements reported in 2012 included: 82 percent in a private residence; 5 percent in residential care; 3 per-cent were homeless; 2 percent each in institutional settings and jail or correctional facilities; and 1 percent in foster care. More than 61 percent of individuals served in the two reporting periods lived in private residences in 2012 across all categories for several variables, including gender, age group, SED status, SMI status, co-occurring mental health and substance use disorder, and mental health diagnosis.

• Among individuals served in both reporting periods, 66 percent of those with alcohol and drug related disorders and 62 percent of those with personality disorders lived in a private residence in 2012.

• Sixteen percent of individuals served in both reporting periods with alcohol and drug related disorder were homeless in 2012.

• Among individuals served in both reporting periods with personality disorders, 23 percent lived in jail or correctional facilities in 2012.

44

• A higher percentage of females than males served in both reporting periods lived in private residence (86 percent vs 79 percent) in 2012.

Tables 8.2a-c. States reported a total of 659,993 individuals served in 2015 that were also reported to receive services in the 2012 reporting periods and had known living arrangements in 2015.

Among individuals served during both the 2012 and 2015 reporting periods, the living arrange-ments reported in 2015 included: 83 percent in a private residence; 6 percent in residential care; 3 percent were homeless; 2 percent each in institutional settings and jail or correctional facilities; and 1 percent in foster care. More than 51 percent of individuals served in the two reporting peri-ods lived in private residence across most categories for several variables, including gender, age group, SED status, SMI status, co-occurring mental health and substance use disorder, and mental health diagnosis.

• Among individuals served in both reporting periods, 70 percent of those with alcohol and drug related disorders and 51 percent of those with personality disorders lived in a private residence in 2015.

• Twelve percent of individuals served in both periods with alcohol and drug related disorder were homeless in 2015.

• Among individuals served in both periods with personality disorders, 32 percent lived in jail or correctional facilities in 2015.

• A higher percentage of females than males served in both periods lived in a private residence (86 percent vs 79 percent) in 2015.

Individuals Living in a Private Residence in 2012

• Figure 1. Among individuals served in both the 2012 and 2015 reporting periods overall, the majority of those who lived in a private residence in 2012 also reported living in a private resi-dence in 2015 (92 percent). There was some transition among these individuals from a private residence in 2012 to residential care, homelessness, other living arrangements (2 percent each), and institutional settings and jail (1 percent).

• The pattern of transition seen in the data overall is similar to the pattern of transition among individuals served in both periods with bipolar disorders and depressive disorders.

• A higher percentage of individuals served reported living in private residence in both periods among those with depressive disorder (94 percent) compared with all individuals served that reported living in a private residence in both periods (92 percent).

• Among individuals served in both the 2012 and 2015 reporting periods with schizophrenia and other psychotic disorders, 90 percent of those who lived in a private residence in 2012 also reported living in a private residence in 2015. Four percent of these individuals transitioned from a private residence in 2012 to residential care in 2015 while 2 percent became homeless or moved to institutional settings.

• Individuals served in both the 2012 and 2015 reporting periods with alcohol or drug related disorders had the largest transition from a private residence in 2012. Eight percent of these indi-viduals became homeless and 2 percent reported being in jail or correctional facilities in 2015.

45

Figure 1. Individuals Who Reported Living in a Private Residence in 2012, by Mental Health Diagnosis in 2012 and Living Arrangement in 2015

92 92 94 90

85

2 2 2 2

8

2 2 1 4

2 1 1 1 2 2 1 1 <1 1 2 2 2 2 2 1 0

10

20

30

40

50

60

70

80

90

100

All Bipolar Depressive Schizophrenia Alcohol/drug-related

Private residenceHomelessResidential careInstitutionalJail/correctionalfacilityOther

NOTES: Percentages may not sum to 100 percent due to rounding. Less than 1 percent of individuals served in 2012 and 2015 moved into foster homes or foster care in 2015.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15. Data for 2015 received through 11.01.16.

Individuals Who Were Homeless in 2012

• Figure 2. Among individuals served in both the 2012 and 2015 reporting periods overall, lessthan one-third of those who where homeless in 2012 also reported being homeless in 2015 (29percent). There was substantial transition among these individuals from homelessness in 2012to a private residence (56 percent), residential care (6 percent), other living arrangements (5percent), and institutional settings and jail or correctional facilities (2 percent each).

• The pattern of transition seen in the data overall is similar to the pattern of transition amongindividuals served in both periods with bipolar and depressive disorders.

• A higher percentage of individuals served reported moving from homelessness to a privateresidence among those with depressive and bipolar disorders (62 and 61 percent, respectively)compared with all individuals served in both periods that transitioned from homelessness to aprivate residence (56 percent).

• Among individuals served in both the 2012 and 2015 reporting periods with schizophreniaand other psychotic disorders, 32 percent of those who reported being homeless in 2012 alsoreported being homeless in 2015. Forty-seven percent of these individuals transitioned from

46

Figure 2. Individuals Who Reported Being Homeless in 2012, by Mental Health Diagnosis in 2012 and Living Arrangement in 2015

56

62 61

47 47

29 26

27

32

41

6 5 5

10

5 2 1 1

4 3 2 1 1

3 1

5 5 5 4 3

0

10

20

30

40

50

60

70


Private residenceHomelessResidential careInstitutionalJail/correctionalfacilityOther


homelessness in 2012 to a private residence in 2015 while 10 percent moved to residential care, 4 percent each went to institutional settings, and 3 percent went to jail or correctional facilities.

• Individuals served in both the 2012 and 2015 reporting periods with alcohol or drug relateddisorders had the largest proportion of individuals that remained homeless in 2015 across theselected diagnoses presented. Forty-one percent of these individuals were homeless in bothperiods and 47 percent reported living in a private residence in 2015.

Individuals in Jail or Correctional Facilities in 2012

• Figure 3. Among individuals served in both the 2012 and 2015 reporting periods overall, 64percent of those who were in jail or correctional facilities in 2012 also reported being in jailor correctional facilities in 2015. Other individuals from living in jail or correctional facilitiesin 2012 transitioned to a private residence (23 percent), residential care and homelessness (4percent each), and institutional settings (3 percent).

• The pattern of transition from jail or correctional facilities to other living arrangements variedacross mental health diagnoses.

47

Figure 3. Individuals Who Reported Being in Jail in 2012, by Mental Health Diagnosis in 2012 and Living Arrangement in 2015

64

58

71

50

23 23

32

22

27

40

4 4 3 5

15

4 3 2

8 4 3 2 1

7 9

2 1 1 3

9

0

10

20

30

40

50

60

70

80


Private residence

Homeless

Residential care

Institutional

Jail/correctionalfacility

Other


• A higher percentage of individuals served reported moving from jail or correctional facilities toa private residence among those with alcohol or drug related disorders (40 percent) comparedwith all individuals served in both periods that reported transitioning from jail or correctionalfacilities to a private residence (23 percent).

• Among individuals served in both the 2012 and 2015 reporting periods with depressive disorders,71 percent of those who reported being in jail or correctional facilities in 2012 also reportedbeing in jail or correctional facilities in 2015. Twenty-two percent of these individuals transi-tioned from jail or correctional facilities in 2012 to a private residence in 2015.

• About half (50 percent) of individuals served in both the 2012 and 2015 reporting periods withschizophrenia and other psychotic disorders reported being in jail or correctional facilities in2012 and again in 2015. Twenty-seven percent of these individuals transitioned from jail or cor-rectional facilities in 2012 to a private residence in 2015 while 8 percent moved to residentialcare and 5 percent became homeless.

• Individuals served in both the 2012 and 2015 reporting periods with alcohol or drug relateddisorders had the lowest proportion to remain in jail or correctional facilities in 2015 across theselected diagnoses presented (23 percent). Forty percent of these individuals reported living ina private residence in 2015.

48

Employment Status

Tables 8.3a-c. States reported a total of 497,340 individuals served in 2012 that were also were reported to receive services in the 2015 reporting periods and had a known employment status in 2012.

Among individuals served during both the 2012 and 2015 reporting periods, the employment statuses reported in 2012 include: 61 percent “not in labor force,” 25 percent unemployed, and 14 percent employed. More than 50 percent of individuals served in the two periods were “not in labor force” across most categories including gender, age group, SED status, co-occurring mental health and substance use disorder, and mental health diagnosis. However, there were exceptions; 43 percent of individuals served in both periods reporting adjustment disorders and 33 percent of those reporting alcohol and drug abuse disorders were not in the labor force in 2012.

• Among individuals served in both reporting periods, employment status varied across age in2012. Individuals served that were aged 50 and older less frequently reported being employedand unemployed in 2012 than individuals aged 21 to 44.

• Among individuals served in both periods with adjustment disorders, 23 percent were employedin 2012.

• A lower percentage of individuals served in both periods with schizophrenia and other psychoticdisorders were employed (9 percent) in 2012 than those with any other mental health diagnosis.

Tables 8.4a-c. States reported a total of 499,389 individuals served in 2015 that were also reported to have received services in the 2012 reporting periods and had known employment status in 2015.

Among individuals served during both the 2012 and 2015 reporting periods, the employment sta-tuses reported included: 67 percent not in the labor force, 19 percent unemployed, and 14 percent employed. More than 50 percent of individuals served in the two reporting periods were “not in labor force” across most categories for several variables, including gender, age group, SED status, SMI status, co-occurring mental health and substance use disorder, and mental health diagnosis.

• Among individuals served in both periods, employment status varied across age.

• Among individuals served in both periods with adjustment disorders, 21 percent were employedin 2015.

• A lower percentage of individuals served in both periods with schizophrenia and other psychoticdisorders than with any other mental health diagnosis were employed (9 percent) in 2015.

Individuals Who Were Employed in 2012

• Figure 4. Among individuals served in both the 2012 and 2015 reporting periods overall, 57percent of those who were employed in 2012 also reported being employed in 2015. Therewas substantial transition among these individuals from employed in 2012 to unemployed (16percent) and “not in labor force” (26 percent).

• A higher percentage of individuals served with alcohol and drug related disorders who reportedbeing employed in both reporting periods (62 percent) than among all individuals served in bothreporting periods (57 percent).

49

Figure 4. Individuals Who Reported Being Employed in 2012, by Mental Health Diagnosis in 2012 and Employment Status in 2015

57 57 59

55

62

16 17 16 14

23

26 27 25

31

16

0

10

20

30

40

50

60

70


Employed

UnemployedNot in Labor Force

NOTE: Percentages may not sum to 100 percent due to rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15. Data for 2015 received through 11.01.16.

• Figure 5. Among individuals served in both the 2012 and 2015 reporting reporting periodsoverall, 51 percent of those who were unemployed in 2012 also reported being unemployed in2015. There was substantial transition among these individuals from unemployed in 2012 to“not in labor force” (37 percent) and employed (12 percent) in 2015.

• A higher percentage of individuals served reported being unemployed in both reporting periodsamong those with alcohol and drug related disorders (69 percent) than among all individualsserved in both periods that reported being unemployed in 2012 (51 percent).

Individuals Who Were Unemployed in 2012

50

Figure 5. Individuals Who Reported Being Unemployed in 2012, by Mental Health Diagnosis in 2012 and Employment Status in 2015

51 50 51 51

69

37 36 36

41

17

12 14 14

7

13

0

10

20

30

40

50

60

70

80


EmployedUnemployedNot in Labor Force


Individuals Who Were Not in Labor Force in 2012

• Figure 6. Among individuals served in both the 2012 and 2015 reporting periods overall, themajority (84 percent) of those who were “not in labor force” in 2012 also reported not being“not in labor force” in 2015. There was some transition among these individuals from “not inlabor force” in 2012 to unemployed (10 percent) and employed (6 percent) in 2015.

• A higher percentage of individuals served reported being unemployed in 2015 among thosewith alcohol and drug related disorders (15 percent) than among all individuals served in bothreporting periods that reported being unemployed in 2015 (10 percent).

51

Figure 6. Individuals Who Reported Not Being in the Labor Force in 2012, by Mental Health Diagnosis in 2012 and Employment Status in 2015

84 83 85 87

80

10 10 9 9

15

6 8 7 4 5

0

10

20

30

40

50

60

70

80

90

100


Employed Unemployed Not in Labor Force


52

53

taBles

54

2012 2013 2014 2015 2012 2013 2014 2015 Number of states reporting 32 46 47 45 32 46 47 45

Total 3,126,234 5,515,906 5,704,764 5,235,883 100.0 100.0 100.0 100.0Adjustment disorders 245,275 428,391 431,584 382,329 7.8 7.8 7.6 7.3Anxiety disorders 305,892 573,035 602,809 621,843 9.8 10.4 10.6 11.9Attention deficit disorders+ 247,949 432,292 402,842 316,345 7.9 7.8 7.1 6.0Conduct disorder+ 72,375 132,592 127,051 106,740 2.3 2.4 2.2 2.0Delirium/dementia 12,618 25,728 27,897 21,816 † † † †Mood disorders 1,280,794 2,140,405 2,183,365 2,038,762 41.0 38.8 38.3 38.9

Bipolar disorders 540,568 865,775 880,289 783,075 17.3 15.7 15.4 15.0Depressive disorders 740,226 1,274,630 1,303,076 1,255,687 23.7 23.1 22.8 24.0

Oppositional defiant disorder+ 65,379 121,288 114,950 95,878 2.1 2.2 2.0 1.8Pervasive developmental disorders+ 24,605 61,901 72,798 50,461 † 1.1 1.3 †Personality disorders 19,945 26,128 28,452 28,556 † † † †Schizophrenia and other psychotic disorders 388,371 637,048 645,960 601,932 12.4 11.5 11.3 11.5Alcohol and drug related disorders 35,221 158,760 186,933 116,596 1.1 2.9 3.3 2.2Other mental disorders2 77,175 170,730 174,915 169,376 2.5 3.1 3.1 3.2No/deferred diagnosis 350,635 607,608 705,208 685,249 11.2 11.0 12.4 13.1

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. Data for 2012-2014 received through 05.08.15, data for 2015 received through 11.01.16.

Table 1.1. Individuals, by mental health diagnosis: Number and percent distribution, 2012-2015

2 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.

Number of individuals Percent distribution of individualsMental health diagnosis 1

1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.

+ Indicates diagnoses typically identified in childhood (age < 18); † Less than one percent of individuals.

NOTE: Percentages may not sum to 100 percent because of rounding.

55

Table 1.2a. Individuals, by gender and age: Number and percent distribution, 2012-2015

Gender and ageNumber of individuals Percent distribution of individuals

2012 2013 2014 2015 2012 2013 2014 2015

Number of states reporting 32 46 47 45 32 46 47 45

Gender

Total 3,126,234 5,515,906 5,704,764 5,235,883 100.0 100.0 100.0 100.0

Male 1,511,833 2,686,044 2,773,991 2,539,214 48.4 48.8 48.7 48.5Female 1,611,897 2,822,404 2,923,298 2,690,892 51.6 51.2 51.3 51.5

1Age

Total 3,123,730 5,508,448 5,697,289 5,230,106 100.0 100.0 100.0 100.0

0 to 11 years 441,890 804,058 836,315 719,892 14.1 14.6 14.7 13.812 to 17 years 460,061 832,569 846,173 776,507 14.7 15.1 14.8 14.818 to 20 years 145,645 267,528 257,566 231,230 4.7 4.9 4.5 4.421 to 25 years 231,396 409,776 419,527 382,192 7.4 7.4 7.4 7.326 to 29 years 203,040 354,779 368,822 342,992 6.5 6.4 6.5 6.630 to 34 years 250,817 442,170 463,152 430,871 8.0 8.0 8.1 8.235 to 39 years 217,219 378,781 398,337 382,401 7.0 6.9 7.0 7.340 to 44 years 236,422 402,604 406,867 364,354 7.6 7.3 7.1 7.045 to 49 years 261,120 431,391 434,181 386,080 8.4 7.8 7.6 7.450 to 54 years 255,882 438,887 460,046 423,409 8.2 8.0 8.1 8.155 to 59 years 187,908 332,416 359,726 345,596 6.0 6.0 6.3 6.660 to 64 years 111,390 199,556 218,737 217,942 3.6 3.6 3.8 4.265 years and older 122,279 215,189 232,237 228,810 3.9 3.9 4.1 4.4

Total 3,125,069 5,509,704 5,701,686 5,232,276 100.0 100.0 100.0 100.01 Age is based on the individual's age at the midpoint of the reporting period.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. Data for 2012-2014 received through 05.08.15, data for 2015 received through 11.01.16.

56

2012 2013 2014 2015 2012 2013 2014 2015Number of states reporting 32 46 47 45 32 46 47 45

Total individuals aged 0 to 17 901,951 1,636,627 1,682,488 1,496,399 100.0 100.0 100.0 100.0Adjustment disorders 133,679 258,263 260,394 223,074 14.8 15.8 15.5 14.9Anxiety disorders 84,329 171,183 186,421 188,410 9.3 10.5 11.1 12.6Attention deficit disorder and attention deficit hyperactivity disorder 216,220 375,873 347,388 270,464 24.0 23.0 20.6 18.1Conduct disorder 66,951 122,518 118,155 97,684 7.4 7.5 7.0 6.5Mood disorders 175,383 319,573 334,903 307,269 19.4 19.5 19.9 20.5

Bipolar disorders 81,586 133,759 136,267 113,430 9.0 8.2 8.1 7.6Depressive disorders 93,797 185,814 198,636 193,839 10.4 11.4 11.8 13.0

Oppositional defiant disorder 59,088 110,703 105,785 86,734 6.6 6.8 6.3 5.8Pervasive developmental disorders 17,624 48,190 57,115 36,211 2.0 2.9 3.4 2.4Alcohol and drug related disorders 1,560 9,333 15,344 8,714 † † † †Other mental disorders2 35,303 80,599 89,250 80,018 3.9 4.9 5.3 5.3No/deferred diagnosis 111,814 140,392 167,733 197,821 12.4 8.6 10.0 13.2

Total 901,951 1,636,627 1,682,488 1,496,399 100.0 100.0 100.0 100.0

Table 1.2b. Individuals aged 17 and younger, by mental health diagnosis: Number and percent distribution, 2012-2015



1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.

† Less than one percent of individuals.


57


Total individuals aged 18 to 25 377,041 677,304 677,093 613,422 100.0 100.0 100.0 100.0Adjustment disorders 28,342 44,213 41,068 36,390 7.5 6.5 6.1 5.9Anxiety disorders 41,472 76,946 78,097 81,124 11.0 11.4 11.5 13.2Attention deficit disorder and attention deficit hyperactivity disorder 18,674 32,286 29,181 24,219 5.0 4.8 4.3 3.9Mood disorders 170,051 284,329 281,699 259,917 45.1 42.0 41.6 42.4

Bipolar disorders 80,706 129,510 127,159 110,244 21.4 19.1 18.8 18.0Depressive disorders 89,345 154,819 154,540 149,673 23.7 22.9 22.8 24.4

Personality disorders 3,481 4,282 4,397 4,599 † † † †Schizophrenia and other psychotic disorders 34,343 60,718 62,427 58,188 9.1 9.0 9.2 9.5Alcohol and drug related disorders 4,970 29,461 33,296 17,743 1.3 4.3 4.9 2.9Other mental disorders2 24,475 50,288 46,196 43,048 6.5 7.4 6.8 7.0No/deferred diagnosis 51,233 94,781 100,732 88,194 13.6 14.0 14.9 14.4

Total 377,041 677,304 677,093 613,422 100.0 100.0 100.0 100.0

2 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.


Table 1.2c. Individuals aged 18 to 25, by mental health diagnosis: Number and percent distribution, 2012-2015

1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.




58

Table 1.2d. Individuals aged 26 to 54, by mental health diagnosis: Number and percent distribution, 2012-2015

Mental health diagnosis 1Number of individuals Percent distribution of individuals

2012 2013 2014 2015 2012 2013 2014 2015Number of states reporting

Total individuals aged 26 to 54 Adjustment disordersAnxiety disordersAttention deficit disorder and attention deficit hyperactivity disorderMood disorders

Bipolar disordersDepressive disorders

Personality disordersSchizophrenia and other psychotic disordersAlcohol and drug related disorders

2Other mental disordersNo/deferred diagnosis

Total

32

1,424,50068,021

148,520

12,177727,647313,973413,67413,454

247,31224,12638,452

144,7911,424,500

46

2,448,612101,880265,788

21,8771,182,135

495,431686,70417,205

396,995104,68075,270

282,7822,448,612

47

2,531,405104,579275,677

23,9641,197,072

503,532693,54018,660

397,592120,21475,230

318,4172,531,405

45

2,330,10796,711

285,831

20,1451,103,768

449,036654,73218,397

364,61773,41475,532

291,6922,330,107

32

100.0 4.810.4

†51.122.029.0

†17.4 1.7 2.710.2

100.0

46

100.0 4.210.9

†48.320.228.0

†16.2 4.3 3.111.5

100.0

47

100.0 4.110.9

†47.319.927.4

†15.7 4.7 3.012.6

100.0

45

100.0 4.212.3

†47.419.328.1

†15.6 3.2 3.212.5

100.0

† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. Data for 2012-2014 received through 05.08.15, data for 2015 received through 11.01.16.

59

Table 1.2e. Individuals aged 55 and older, by mental health diagnosis: Number and percent distribution, 2012-2015

Mental health diagnosis 1Number of individuals Percent distribution of individuals


Total individuals aged 55 and olderAdjustment disordersAnxiety disordersDelirium/dementiaMood disorders




Total

32

421,57715,20231,538 9,318

207,62464,256

143,368 2,295

100,896 4,563 8,13642,005

421,577

46

747,16123,90458,91518,983

353,790106,883246,907

3,473168,51614,95518,97285,653

747,161

47

810,70025,42862,34619,913

369,285113,156256,129

4,186174,87217,56319,684

117,423

810,700

45

792,34825,99666,16915,259

367,307110,139257,168

4,318169,64016,19421,102

106,363

792,348

32

100.03.67.52.2

49.215.234.0

†23.91.11.9

10.0

100.0

46

100.03.27.92.5

47.414.333.0

†22.62.02.5

11.5

100.0

47

100.03.17.72.5

45.614.031.6

†21.62.22.4

14.5

100.0

45

100.03.38.41.9

46.413.932.5

†21.42.02.7

13.4

100.0† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.


60

Table 1.3. Individuals, by race and ethnicity: Number and percent distribution, 2012-2015

Race and ethnicityNumber of individuals Percent distribution of individuals

2012 2013 2014 2015 2012 2013 2014 2015

Number of states reporting

RaceAmerican Indian or Alaska Native

1AsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther

EthnicityNot of Hispanic or Latino OriginHispanic or Latino Origin

Specific Hispanic or Latino OriginMexicanPuerto RicanCubanOther specific

Total

Total

Total

Total

32

3,126,234

38,96424,068

597,704 6,399

2,036,490160,176

2,863,801

2,293,859403,929

2,697,788

25,67729,49314,50247,502

117,174

46

5,515,906

60,38659,552

1,041,218 8,454

3,438,489474,806

5,082,905

3,857,529754,643

4,612,172

43,17245,72910,31049,021

148,232

47

5,704,764

71,08968,072

1,093,778 8,560

3,558,020481,256

5,280,775

3,946,837774,130

4,720,967

57,06444,656 9,66559,957

171,342

45

5,235,883

70,84866,199

988,678 9,019

3,211,686435,792

4,782,222

3,528,513759,168

4,287,681

66,29053,080 9,87555,118

184,363

32

100.0

1.4 †

20.9 †

71.1 5.6

100.0

85.015.0

100.0

21.925.212.440.5

100.0

46

100.0

1.2 1.220.5

†67.6 9.3

100.0

83.616.4

100.0

29.130.8 7.033.1

100.0

47

100.0

1.3 1.320.7

†67.4 9.1

100.0

83.616.4

100.0

33.326.1 5.635.0

100.0

45

100.0

1.5 1.420.7

†67.2 9.1

100.0

82.317.7

100.0

36.028.8 5.429.9

100.0

† Less than one percent of individuals.1 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and MTEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. D

ental Health Serata for 2012-201

vices Administration, Mental He4 received through 05.08.15, data for

alth Treatmen 2015 re

t Episode Data Setceived throug

(MH-h 11.01.16.

61

Table 1.4. Individuals, by marital status and living arrangement: Number and percent distribution, 2012-2015

Marital status and living arrangementNumber of individuals Percent distribution of individuals

2012 2013 2014 2015 2012 2013 2014 2015


Total

Marital status

Total individuals aged 18 and older Never marriedCurrently marriedSeparatedDivorcedWidowed

Total

Living arrangement1

HomelessFoster home/foster careResidential careInstitutional settingJail/correctional facilityPrivate residenceOther

Total

32

3,126,234

2,223,118693,012241,64784,658

218,09041,230

1,278,637

61,76430,64766,85231,80439,868

1,714,373101,797

2,047,105

46

5,515,906

3,873,0771,122,358

350,087135,765337,66563,248

2,009,123

115,07458,141

117,73550,73269,678

2,854,813106,589

3,372,762

47

5,704,764

4,019,1981,273,489

366,050159,796367,74868,538

2,235,621

114,88259,999

125,97359,42565,989

2,767,524144,602

3,338,394

45

5,235,883

3,735,8771,073,584

339,241132,066327,70261,409

1,934,002

117,34048,888

122,76555,45962,467

2,740,122118,421

3,265,462

32

100.0

71.154.218.9 6.617.1 3.2

100.0

3.0 1.5 3.3 1.6 1.983.7 5.0

100.0

46

100.0

70.355.917.4 6.816.8 3.1

100.0

3.4 1.7 3.5 1.5 2.184.6 3.2

100.0

47

100.0

70.557.016.4 7.116.4 3.1

100.0

3.4 1.8 3.8 1.8 2.082.9 4.3

100.0

45

100.0

71.455.517.5 6.816.9 3.2

100.0

3.6 1.5 3.8 1.7 1.983.9 3.6

100.01 This report uses the most recent living arrangement status during the reporting period.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health SerTEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. Data for 2012-201

vices Administration, Mental He4 received through 05.08.15, data for

alth Treatmen 2015 re

t Episode Data Setceived throug

(MH-h 11.01.16.

62

Table 1.5. Individuals, by SMI/SED status, functioning (CGAS/GAF), and co-occurring mental health and substance use disorder: Number and percent distribution, 2012-2015

SMI/SED status, functioning (CGAS/GAF), and co-occurring substance abuse

Number of individuals Percent of individuals


Total1SMI/SED status

SMISEDNot SMI/SED

Total

Functioning (CGAS/GAF)2

01-5051-100

Total 3Co-occurring substance use problem

Total individuals age 12 and olderYesNo

Total4

32

3,126,234

1,436,577587,883877,924

2,902,384

60,725684,005645,161

1,389,891

2,683,179520,358

1,683,768

2,204,126

46

5,515,906

2,558,9341,078,1081,434,387

5,071,429

128,0481,166,0711,006,647

2,300,766

4,705,646915,127

3,483,513

4,398,640

47

5,704,764

2,735,2881,191,1911,370,217

5,296,696

122,9871,128,7701,104,602

2,356,359

4,865,371893,136

3,236,341

4,129,477

45

5,235,883

2,539,7381,052,0421,320,177

4,911,957

122,3961,104,8261,057,510

2,284,732

4,512,384812,061

3,157,938

3,969,999

32

100.0

49.520.330.2

100.0

4.449.246.4

100.0

85.923.676.4

100.0

46

100.0

50.521.328.3

100.0

5.650.743.8

100.0

85.420.879.2

100.0

47

100.0

51.622.525.9

100.0

5.247.946.9

100.0

85.321.678.4

100.0

45

100.0

51.721.426.9

100.0

5.448.446.3

100.0

86.220.579.5

100.0CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; SED = serious emotional disturbance; SMI = serious mental illness.1 The definitions for SED and SMI status can be found in Appendix D.2 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and Global Assessment of Function (GAF) for information on these measures can be found in Appendix D.3 Co-occurring substance use problems are only reported for individuals aged 12 and older.4 Total number of individuals aged 12 and older for whom co-occurring substance use problem was reported.

adults. Further

63

Table 1.6. Individuals aged 18 years and older, by employment status: Number and percent distribution, 2012-2015

Employment statusNumber of individuals Percent distribution of individuals

2012 2013 2014 2015 2012 2013 2014 2015


Total individuals aged 18 and olderEmployment status

EmployedFull timePart time

UnemployedNot in labor force (see detail below)

Total

Detailed not in labor forceTotal individuals aged 18 and older

not in labor forceDisabledStudentHomemakerRetiredSheltered/non-competitive employmentOther

Total

32

2,223,118

228,60594,24683,516

396,010678,031

1,302,646

678,031336,19038,76236,14922,238

3,507241,185

678,031

46

3,873,077

334,980146,636126,423602,111

1,025,176

1,962,267

1,025,176383,760106,63347,62629,585

8,621448,951

1,025,176

47

4,019,198

393,461150,634133,483588,869

1,074,690

2,057,020

1,074,690396,40194,30444,06633,777

17,038489,104

1,074,690

45

3,735,877

414,808205,661143,015576,886

1,011,306

2,003,000

1,011,306377,46272,79740,11534,373

8,675477,884

1,011,306

32

100.0

17.5 7.2 6.430.452.1

100.0

52.149.6 5.7 5.3 3.3

†35.6

100.0

46

100.0

17.1 7.5 6.430.752.2

100.0

52.237.410.4 4.6 2.9

†43.8

100.0

47

100.0

19.1 7.3 6.528.652.2

100.0

52.236.9 8.8 4.1 3.1

1.645.5

100.0

45

100.0

20.710.3 7.128.850.5

100.0

50.537.3 7.2 4.0 3.4

†47.3

100.0† Less than one percent of individuals.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. Data for 2012-2014 received through 05.08.15, data for 2015 received through 11.01.16.

64

Table 1.7. Individuals, by timing of admission and mental health service setting: Number and percent distribution, 2012-2015

Timing of admission and mental health service setting

Number of individuals Percent distribution of individuals

2012 2013 2014 2015 2012 2013 2014 2015

Number of states reporting 32 46 47 45 32 46 47 45

Timing of admissionNew individuals 1,380,598 2,679,289 2,802,282 2,763,836 44.2 48.6 49.1 52.8Continuing individuals 1,745,636 2,836,617 2,902,164 2,470,981 55.8 51.4 50.9 47.2

Total 3,126,234 5,515,906 5,704,446 5,234,817 100.0 100.0 100.0 100.0

2Mental health service setting

1Number of individuals Percent of individuals 1

State psychiatric hospital 92,025 122,313 125,122 118,375 2.9 2.2 2.2 2.3Community-based program 3,054,932 5,411,407 5,590,088 5,018,747 97.7 98.1 98.0 97.6Residential treatment center 30,877 48,444 44,087 42,707 † † † †Other psychiatric inpatient 108,797 148,453 151,453 170,013 3.5 2.7 2.7 3.3Institutions under the justice system 24,660 48,724 67,223 70,262 † † 1.2 1.4

Total 3,126,234 5,515,906 5,704,764 5,144,427 100.0 100.0 100.0 100.0† Less than one percent of individuals.1 Numbers may not sum to total and percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.2 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. Data for 2012-2014 received through 05.08.15, data for 2015 received through 11.01.16.

65

Table 1.8. Individuals, by Census region, timing of admission, and mental health service setting: Number and percent distribution, 2014-2015


Census region

Number of individuals

2014 2015

Total 1 Northeast Midwest South West Total 1 Northeast Midwest South West

Number of states reporting 47 7 11 15 12 45 6 10 15 12

Timing of admissionNew individuals 2,802,282 322,826 652,329 1,085,962 726,092 2,763,836 191,663 610,069 1,150,032 790,356Continuing individuals 2,902,164 796,520 606,785 730,879 767,919 2,470,981 362,260 596,588 729,117 782,968

Total 5,704,446 1,119,664 1,259,114 1,816,841 1,494,011 5,234,817 553,923 1,206,657 1,879,149 1,573,324

2,3Mental health service settingState psychiatric hospitalCommunity-based programResidential treatment center

125,1225,590,088

44,087

18,7531,095,461

6,659

30,3781,237,807

9,723

56,6991,793,432

10,844

17,9201,450,701

16,780

118,3755,018,747

42,707

16,581523,159

7,170

21,7291,190,559

10,466

54,4501,788,520

8,820

24,8921,511,158

16,245Other psychiatric inpatientInstitutions under the justice system

151,45367,223

11,63116,615

34,667 370

42,519 3,758

61,38046,480

170,01370,262

12,44917,209

34,645 349

42,799 3,799

79,62948,905

Timing of admissionNew individuals

Percent distribution of individuals

100.0 11.5 23.3 38.8 25.9 100.0 6.9 22.1 41.6 28.6Continuing individuals 100.0 27.4 20.9 25.2 26.5 100.0 14.7 24.1 29.5 31.7

Total 100.0 19.6 22.1 31.8 26.2 100.0 10.6 23.1 35.9 30.1

2,3Mental health service settingState psychiatric hospitalCommunity-based programResidential treatment center

100.0100.0100.0

15.019.615.1

24.322.122.1

45.3 14.332.1 26.024.6 38.1

100.0100.0100.0

14.010.416.8

18.423.724.5

46.035.620.7

21.030.138.0

Other psychiatric inpatientInstitutions under the justice system

100.0100.0

7.724.7

22.9 †

28.1 40.5 5.6 69.1

100.0100.0

7.324.5

20.4 †

25.2 5.4

46.869.6

† Less than one percent of individuals.1 The total is the sum of all areas including the District of Columbia, Puerto Rico, and Northern Mariana Islands.2 Individuals could receive services in more than one service setting in the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set TEDS) and Mental Health Client-Level Data (MH-CLD), 2014-2015 reporting periods. Data for 2014 received through 05.08.15, data for 2015 received through 11.01.16.

(MH-

66

Table 1.9. Individuals, by Census region and mental health diagnosis: Number and percent distribution, 2015

Mental health diagnosis 1

Census region


Total 2 Northeast Midwest South West Total 2 Northeast Midwest South West

TotalAdjustment disordersAnxiety disordersAttention deficit disorder and attention deficit hyperactivity disorder+ Conduct disorder+Delirium, dementia and other cognitive disordersMood disorders


Oppositional defiant disorder+Pervasive developmental disorders+Schizophrenia and other psychotic disordersAlcohol and drug related disorders


685,249382,329621,843

316,345106,740

21,8162,038,762

783,0751,255,687

95,87850,461

28,556601,932116,596169,376

127,93650,32148,575

18,797 5,700

3,074160,88358,226

102,657 6,800 3,942

7,60874,22220,62525,931

119,68496,840

162,606

93,84727,616

4,701480,465173,281307,18426,14616,525

7,635113,81823,04933,725

299,865111,264172,087

141,20337,303

7,008787,164320,459466,70538,11712,598

5,962216,06415,21935,476

115,673123,900238,572

62,49536,121

7,032610,234231,103379,13124,81517,396

7,350197,81457,68074,242

100.0 7.311.9

6.0 2.0

†38.915.024.0 1.8

†

†11.5 2.2 3.2

23.1 9.1 8.8

3.4 1.0

†29.010.518.5 1.2

†

1.413.4 3.7 4.7

9.9 8.013.5

7.8 2.3

†39.814.425.5 2.2 1.4

† 9.4 1.9 2.8

16.0 5.9 9.2

7.5 2.0

†41.917.124.8 2.0

†

†11.5

† 1.9

7.4 7.915.2

4.0 2.3

†38.814.724.1 1.6 1.1

†12.6 3.7 4.7

+ Indicates diagnoses typically identified in childhood (age < 18); † Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The total is the sum of all areas including the District of Columbia, Puerto Rico, and Northern Mariana Islands.3 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

67

Table 1.10. Individuals, by number of mental health diagnoses and any mention of mental health diagnosis: Number and percent distribution, 2012-2015

Number of diagnoses and any mention of diagnosis



Number of mental health diagnoses

Total 3,126,234 5,515,906 5,704,764 5,235,883 100.0 100.0 100.0 100.0

1 1,801,381 2,435,673 2,488,478 2,199,101 57.6 44.2 43.6 42.02 655,541 1,617,394 1,538,907 1,479,800 21.0 29.3 27.0 28.33 376,925 918,988 1,072,463 969,636 12.1 16.7 18.8 18.5None 292,387 543,851 604,916 587,346 9.4 9.9 10.6 11.2

Total 3,126,234 5,515,906 5,704,764 5,235,883 100.0 100.0 100.0 100.0

2Any mention of mental health diagnosisAdjustment disordersAnxiety disordersAttention deficit disorder and attention deficit hyperactivity disorderConduct disorderMood disorders


Oppositional defiant disorderPervasive developmental disordersSchizophrenia and other psychotic disordersPersonality disordersAlcohol and drug related disordersDelirium/dementia


1Number of individuals Percent of individuals 1

271,366543,459

347,58794,040

1,395,635594,427825,619110,53438,403

409,087117,73271,86619,546

349,929292,387

478,173 493,184996,801 1,095,656

598,138 593,670172,549 171,452

2,363,312 2,431,081968,239 984,514

1,442,249 1,506,010199,964 190,83486,943 99,071

675,568 689,999166,788 172,000314,801 337,54738,105 43,695

1,278,328 1,239,158543,851 604,916

434,2671,096,932

479,308143,481

2,266,396881,160

1,443,898159,59974,477

642,612156,360260,74033,876

1,177,546587,346

8.717.4

11.1 3.044.619.026.4 3.5 1.2

13.1 3.8 2.3

†11.2 9.4

8.718.1

10.8 3.142.817.626.1 3.6 1.6

12.2 3.0 5.7

†23.2 9.9

8.619.2

10.4 3.042.617.326.4 3.3 1.7

12.1 3.0 5.9

†21.710.6

8.321.0

9.2 2.743.316.827.6 3.0 1.4

12.3 3.0 5.0

†22.511.2

† Less than one percent of individuals.1 Numbers may not sum to the total and percentages may not sum to 100 percent because up to three diagnoses may be reported for an individual. 2 Up to three diagnoses can be reported for each individual; "any mention" includes all diagnoses reported. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.3 "Other mental disorders" include all mental health diagnoses not assigned to any of the above categories, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012-2015 reporting periods. Data for 2012-2014 received through 05.08.15, data for 2015 received through 11.01.16.

68

Table 1.11a. Any mention of selected mental health diagnoses, by gender, race, and ethnicity: Number, 2012

Gender, race, and ethnicity

1Selected mental health diagnosis


Total unique 2individuals

Adjustmentdisorders

Anxietydisorders ADD/ADHD

Mood disordersPersonality disorders

Schizophrenia, other psychotic

disorders Bipolar

disordersDepressivedisorders

GenderMaleFemale




Specific Hispanic or Latino OriginMexicanPuerto RicanCubanOther Specific

Total

Total

Total

Total

1,511,8331,611,897

3,123,730

38,96424,068

597,704 6,399

2,036,490160,176

2,863,801

2,293,859403,929

2,697,788

25,67729,49314,50247,502

117,174

125,606145,646

271,252

4,780 1,68542,320 618

169,79212,877

232,072

187,19141,362

228,553

3,418 1,565 751 4,84910,583

195,351347,839

543,190

8,335 3,35759,519 1,247

408,76926,394

507,621

426,72969,180

495,909

5,968 3,838 1,281 6,82217,909

241,967105,529

347,496

3,744 911

78,927 504

219,21919,175

322,480

268,39951,553

319,952

3,191 2,744 1,208 6,12813,271

251,041343,173

594,214

6,346 3,10793,880 1,109

433,49724,301

562,240

484,50261,635

546,137

2,839 4,301 1,550 6,05714,747

298,508526,658

825,166

11,035 6,404

131,899 1,922

576,14838,579

765,987

631,215106,959

738,174

7,689 7,796 5,80213,38134,668

49,36968,319

117,688

1,291 626

18,246 354

90,047 3,680

114,244

98,55010,964

109,514

323 233 71 651 1,278

245,476163,482

408,958

4,233 6,809

134,396 1,609

229,74215,223

392,012

318,42943,388

361,817

1,861 2,996 2,592 5,16412,613

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Up to three diagnoses can be reported for each individual; this table includes all diagnoses reported. Mental Mental Health and Substance Use Diagnosis Codes.2 The total column includes individuals with no mention of the listed diagnoses.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services and Mental Health Client-Level Data (MH-CLD), 2012 reporting period. Data received through 05.08.15.

health diagnostic category definitions can be found in Appendix E:

Administration, Mental Health Treatment Episode Data Set (MH-TEDS)

69

Table 1.11b. Any mention of selected mental health diagnoses, by gender, race, and ethnicity: Column percent distribution, 2012



Column percent distribution of individuals


Adjustmentdisorders




disorders Bipolar


GenderMale 48.4 46.3 36.0 69.6 42.2 36.2 41.9 60.0Female 51.6 53.7 64.0 30.4 57.8 63.8 58.1 40.0

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native 1.4 2.1 1.6 1.2 1.1 1.4 1.1 1.1

3Asian † † † † † † † 1.7Black or African American 20.9 18.2 11.7 24.5 16.7 17.2 16.0 34.3Native Hawaiian or Other Pacific Islander † † † † † † † †White 71.1 73.2 80.5 68.0 77.1 75.2 78.8 58.6Other 5.6 5.5 5.2 5.9 4.3 5.0 3.2 3.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

EthnicityNot of Hispanic or Latino Origin 85.0 81.9 86.0 83.9 88.7 85.5 90.0 88.0Hispanic or Latino Origin 15.0 18.1 14.0 16.1 11.3 14.5 10.0 12.0

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Specific Hispanic or Latino OriginMexican 21.9 32.3 33.3 24.0 19.3 22.2 25.3 14.8Puerto Rican 25.2 14.8 21.4 20.7 29.2 22.5 18.2 23.8Cuban 12.4 7.1 7.2 9.1 10.5 16.7 5.6 20.6Other specific 40.5 45.8 38.1 46.2 41.1 38.6 50.9 40.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Up to three diagnoses can be reported for each individual; this table includes all diagnoses reported. Mental Mental Health and Substance Use Diagnosis Codes.2 The total column includes individuals with no mention of the listed diagnoses.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services and Mental Health Client-Level Data (MH-CLD), 2012 reporting period. Data received through 05.08.15.



70

Table 1.11c. Any mention of selected mental health diagnoses, by gender, race, and ethnicity: Row percent, 2012


1Selected mental health diagnosis2Row percent of individuals


Adjustmentdisorders




disorders Bipolar



Total 100.0 8.7 17.4 11.1 19.0 26.4 3.8 13.1


4Asian 100.0 7.0 13.9 3.8 12.9 26.6 2.6 28.3Black or African American 100.0 7.1 10.0 13.2 15.7 22.1 3.1 22.5Native Hawaiian or Other Pacific Islander 100.0 9.7 19.5 7.9 17.3 30.0 5.5 25.1White 100.0 8.3 20.1 10.8 21.3 28.3 4.4 11.3Other 100.0 8.0 16.5 12.0 15.2 24.1 2.3 9.5

Total 100.0 8.1 17.7 11.3 19.6 26.7 4.0 13.7


Total 100.0 8.5 18.4 11.9 20.2 27.4 4.1 13.4

Specific Hispanic or Latino OriginMexican 100.0 13.3 23.2 12.4 11.1 29.9 1.3 7.2Puerto Rican 100.0 5.3 13.0 9.3 14.6 26.4 † 10.2Cuban 100.0 5.2 8.8 8.3 10.7 40.0 † 17.9Other specific 100.0 10.2 14.4 12.9 12.8 28.2 1.4 10.9

Total 100.0 9.0 15.3 11.3 12.6 29.6 1.1 10.8

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Up to three diagnoses can be reported for each individual; this table includes all diagnoses reported. Mental health diagnostic category definitions Mental Health and Substance Use Diagnosis Codes.2 Numbers may not sum to totals and percentages may not sum to 100 percent because up to three diagnoses may be reported for an individual. 3 The total column includes individuals with no mention of the listed diagnoses.4 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatmand Mental Health Client-Level Data (MH-CLD), 2012 reporting period. Data received through 05.08.15.

can be found in Appendix E:

ent Episode Data Set (MH-TEDS)

71






Adjustmentdisorders




disorders Bipolar


GenderMaleFemale




Specific Hispanic or Latino OriginMexicanPuerto RicanCubanOther Specific

Total

Total

Total

Total

2,686,0442,822,404

5,508,448

60,38659,552

1,041,218 8,454

3,438,489474,806

5,082,905

3,857,529754,643

4,612,172

43,17245,72910,31049,021

148,232

223,463254,399

477,862

6,423 4,27177,480 844

292,26748,173

429,458

297,73081,727

379,457

5,742 3,183 479 4,78714,191

361,097635,103

996,200

13,97410,453

115,344 1,632

705,58583,324

930,312

729,080137,832

866,912

10,564 8,003 1,101 8,92928,597

415,560182,344

597,904

6,075 2,383

134,827 701

359,49656,425

559,907

428,89693,468

522,364

5,935 5,807 678 5,78118,201

412,409555,310

967,719

9,834 6,538

153,757 1,295

676,60760,481

908,512

741,034102,636

843,670

5,286 7,069 1,488 7,58121,424

520,113921,040

1,441,153

16,85318,940

236,571 2,288

935,228128,464

1,338,344

1,025,556209,779

1,235,335

14,45815,970 3,82615,35949,613

67,89898,809

166,707

1,812 1,05424,337 282

122,932 8,529

158,946

132,98416,380

149,364

571 372 77 591 1,611

407,957267,189

675,146

6,40015,161

202,462 1,611

350,53843,827

619,999

493,48775,382

568,869

3,074 6,567 2,214 5,87117,726

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Up to three diagnoses can be reported for each individual; this table includes all diagnoses reported. Mental Mental Health and Substance Use Diagnosis Codes.2 The total column includes individuals with no mention of the listed diagnoses.3 For some states, “Asian” includes “Pacific Islanders”. See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services and Mental Health Client-Level Data (MH-CLD), 2013 reporting period. Data received through 05.08.15.



72






Adjustmentdisorders




disorders Bipolar



Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


3Asian 1.2 † 1.1 † † 1.4 † 2.4Black or African American 20.5 18.0 12.4 24.1 16.9 17.7 15.3 32.7Native Hawaiian or Other Pacific Islander † † † † † † † †White 67.6 68.1 75.8 64.2 74.5 69.9 77.3 56.5Other 9.3 11.2 9.0 10.1 6.7 9.6 5.4 7.1

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0




73





Adjustmentdisorders




disorders Bipolar



Total 100.0 8.7 18.1 10.9 17.6 26.2 3.0 12.3



Total 100.0 8.4 18.3 11.0 17.9 26.3 3.1 12.2


Total 100.0 8.2 18.8 11.3 18.3 26.8 3.2 12.3

Specific Hispanic or Latino OriginMexican 100.0 13.3 24.5 13.7 12.2 33.5 1.3 7.1Puerto Rican 100.0 7.0 17.5 12.7 15.5 34.9 † 14.4Cuban 100.0 4.6 10.7 6.6 14.4 37.1 † 21.5Other specific 100.0 9.8 18.2 11.8 15.5 31.3 1.2 12.0

Total 100.0 9.6 19.3 12.3 14.5 33.5 1.1 12.0

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Up to three diagnoses can be reported for each individual; this table includes all diagnoses reported. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Numbers may not sum to the total and percentages may not sum to 100 percent because up to three diagnoses may be reported for an individual. 3 The total column includes individuals with no mention of the listed diagnoses.4 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2013 reporting period. Data received through 05.08.15.

74






Adjustmentdisorders




disorders Bipolar


GenderMaleFemale





Total

Total

Total

Total

2,773,9912,923,298

5,697,289

71,08968,072

1,093,778 8,560

3,558,020481,256

5,280,775

3,946,837774,130

4,720,967

57,06444,656 9,66559,957

171,342

230,296262,521

492,817

8,129 5,48180,289 861

305,05349,243

449,056

303,12685,452

388,578

7,939 2,608 497 6,58217,626

401,111693,969

1,095,080

18,71413,561

132,416 1,695

775,67586,772

1,028,833

805,051146,161

951,212

15,241 6,379 1,17713,56536,362

409,040184,489

593,529

7,241 2,721

127,787 711

365,25456,795

560,509

424,41991,524

515,943

7,180 3,975 515 6,47918,149

422,407561,246

983,653

11,391 7,239

159,210 1,272

687,07859,646

925,836

750,207100,883

851,090

7,433 5,423 1,445 9,61523,916

548,259956,532

1,504,791

21,58823,871

244,499 2,426

983,962128,648

1,404,994

1,070,171210,773

1,280,944

18,380 9,107 3,56117,94948,997

70,129101,808

171,937

2,096 1,17225,337 220

126,833 8,651

164,309

138,29916,780

155,079

895 843 77

1,395 3,210

418,382270,539

688,921

7,39016,131

201,724 1,487

363,81443,294

633,840

506,60473,172

579,776

4,227 3,536 1,507 6,15115,421




75






Adjustmentdisorders




disorders Bipolar



Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


3Asian 1.3 1.2 1.3 † † 1.7 † 2.5Black or African American 20.7 17.9 12.9 22.8 17.2 17.4 15.4 31.8Native Hawaiian or Other Pacific Islander † † † † † † † †White 67.4 67.9 75.4 65.2 74.2 70.0 77.2 57.4Other 9.1 11.0 8.4 10.1 6.4 9.2 5.3 6.8

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0




76





Adjustmentdisorders




disorders Bipolar



Total 100.0 8.7 19.2 10.4 17.3 26.4 3.0 12.1



Total 100.0 8.5 19.5 10.6 17.5 26.6 3.1 12.0


Total 100.0 8.2 20.1 10.9 18.0 27.1 3.3 12.3

Specific Hispanic or Latino OriginMexican 100.0 13.9 26.7 12.6 13.0 32.2 1.6 7.4Puerto Rican 100.0 5.8 14.3 8.9 12.1 20.4 1.9 7.9Cuban 100.0 5.1 12.2 5.3 15.0 36.8 † 15.6Other specific 100.0 11.0 22.6 10.8 16.0 29.9 2.3 10.3

Total 100.0 10.3 21.2 10.6 14.0 28.6 1.9 9.0


77






Adjustmentdisorders




disorders Bipolar


GenderMaleFemale





Total

Total

Total

Total

2,539,2142,690,892

5,230,106

70,84866,199

988,678 9,019

3,211,686435,792

4,782,222

3,528,513759,168

4,287,681

66,29053,080 9,87555,118

184,363

205,175228,540

433,715

6,188 4,19371,052 872

262,64343,508

388,456

257,93580,426

338,361

7,678 2,620 522 5,37716,197

407,605688,600

1,096,205

18,08312,678

131,257 1,909

767,10586,947

1,017,979

794,993151,602

946,595

18,690 6,720 1,35312,73639,499

331,131147,841

478,972

5,292 2,267

112,868 664

284,39543,629

449,115

333,93872,772

406,710

7,197 3,464 532 5,49316,686

379,396500,885

880,281

11,020 6,809

145,260 1,224

606,21752,441

822,971

663,49689,484

752,980

8,483 5,201 1,439 8,10523,228

530,443911,967

1,442,410

21,00323,153

242,421 2,610

924,868115,644

1,329,699

1,014,373197,870

1,212,243

21,725 8,995 3,46616,88351,069

64,10892,145

156,253

1,934 1,09223,215 235

113,325 8,266

148,067

121,34016,024

137,364

1,111 815 85 959 2,970

393,969247,847

641,816

6,97015,431

195,057 1,379

327,00942,019

587,865

457,30669,236

526,542

4,234 3,406 1,453 5,41114,504




78






Adjustmentdisorders




disorders Bipolar



Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


3Asian 1.4 1.1 1.2 † † 1.7 † 2.6Black or African American 20.7 18.3 12.9 25.1 17.7 18.2 15.7 33.2Native Hawaiian or Other Pacific Islander † † † † † † † †White 67.2 67.6 75.4 63.3 73.7 69.6 76.5 55.6Other 9.1 11.2 8.5 9.7 6.4 8.7 5.6 7.1

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0




79





Adjustmentdisorders




disordersBipolar



Total 100.0 8.3 21.0 9.2 16.8 27.6 3.0 12.3



Total 100.0 8.1 21.3 9.4 17.2 27.8 3.1 12.3


Total 100.0 7.9 22.1 9.5 17.6 28.3 3.2 12.3

Specific Hispanic or Latino OriginMexican 100.0 11.6 28.2 10.9 12.8 32.8 1.7 6.4Puerto Rican 100.0 4.9 12.7 6.5 9.8 16.9 1.5 6.4Cuban 100.0 5.3 13.7 5.4 14.6 35.1 † 14.7Other specific 100.0 9.8 23.1 10.0 14.7 30.6 1.7 9.8

Total 100.0 8.8 21.4 9.1 12.6 27.7 1.6 7.9


80

Table 1.15. Mental health individuals and U.S. population, by marital status and age group: Number and percent distribution, 2015

Marital status

Age groups

Number Percent distribution

Under 18 18-25 26-54 55 and older Total Under 18 18-25 26-54 55 and older Total

Mental health individualsNever marriedCurrently marriedSeparatedDivorcedWidowed

612,7721,734

510588174

275,31817,7775,5484,000

308

653,587224,02094,766

205,97220,474

144,67997,44431,752

117,73040,627

1,686,356340,975132,576328,29061,583

99.5 † † † †

90.9 5.9 1.8 1.3

†

54.518.7 7.917.2 1.7

33.522.5 7.327.2 9.4

66.113.4 5.212.9 2.4

Total 615,778 302,951 1,198,819 432,232 2,549,780 100.0 100.0 100.0 100.0 100.0

U.S. populationNever marriedCurrently marriedSeparatedDivorcedWidowed

Total

73,402,51066,74615,4324,6492,477

73,491,814

32,284,2403,420,118

193,089278,83321,798

36,198,078

34,680,53768,547,8063,656,965

14,783,8681,215,739

122,884,915

6,482,12751,043,9561,580,816

13,310,15413,865,19686,282,249

146,849,414123,078,626

5,446,30228,377,50415,105,210

318,857,056

99.9 † † † †

100.0

89.2 9.4

† † †

100.0

28.255.8 3.012.0 1.0

100.0

7.559.2 1.815.416.1

100.0

46.138.6 1.7 8.9 4.7

100.0

† Less than one percent of individuals.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCES: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16. U.S. population: U.S. Census ACS tables.

Episode Data Set (MH-TEDS) and

81

Table 2.1a. Individuals aged 17 and younger, by mental health diagnosis, gender, race, and ethnicity: Number, 2015


1Mental health diagnosis


TotalAdjustmentdisorders


Conduct disorder

Mood disorders

ODD PDD OtherBipolar


Total individuals age 0 to 17

GenderMaleFemale

Total



Total


Total


Total

1,298,578

738,135559,584

1,297,719

18,99410,301

258,873

2,629706,264187,495

1,184,556

823,594282,624

1,106,218

31,156 8,318 1,27518,615

59,364

223,074

109,759113,193

222,952

3,457 1,71235,866

514129,49828,767

199,814

133,25550,326

183,581

5,163 1,551 176 3,100

9,990

188,410

88,75999,546

188,305

4,032 1,79022,994

394111,88230,540

171,632

119,25145,364

164,615

6,470 1,208 203 3,309

11,190

270,464

198,06572,188

270,253

2,711 1,06877,122

351148,76423,394

253,410

186,98442,151

229,135

4,771 1,979 337 3,469

10,556

97,684

68,47629,154

97,630

922 558

26,928

22043,93417,849

90,411

60,56323,127

83,690

2,171 676 80

1,396

4,323

113,430

60,89852,487

113,385

1,495 651

23,013

17867,13013,344

105,811

79,71820,876

100,594

2,214 761 98

1,495

4,568

193,839

72,805120,863

193,668

3,455 2,40428,461

493106,02436,033

176,870

115,87252,827

168,699

7,011 1,072 244 3,618

11,945

86,734

58,11228,577

86,689

1,229 368

26,924

13241,03411,216

80,903

59,55914,666

74,225

1,677 543 71

1,199

3,490

36,211

29,306 6,889

36,195

426 627 3,959

6823,914 4,291

33,285

25,142 6,260

31,402

236 211 23 279

749

88,732

51,95536,687

88,642

1,267 1,12313,606

27934,08422,061

72,420

43,25027,027

70,277

1,443 317 43 750

2,553

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C.

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

82

Table 2.1b. Individuals aged 17 and younger, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015






Conductdisorder

Mood disorders



Total individuals aged 0 to 17

GenderMaleFemale

Total



Total


Total


Total

100.0

56.943.1

100.0

1.6 †

21.9

†59.615.8

100.0

74.525.5

100.0

52.514.0 2.131.4

100.0

100.0

49.250.8

100.0

1.7 †

17.9

†64.814.4

100.0

72.627.4

100.0

51.715.5 1.831.0

100.0

100.0

47.152.9

100.0

2.3 1.013.4

†65.217.8

100.0

72.427.6

100.0

57.810.8 1.829.6

100.0

100.0

73.326.7

100.0

1.1 †

30.4

†58.7 9.2

100.0

81.618.4

100.0

45.218.7 3.232.9

100.0

100.0

70.129.9

100.0

1.0 †

29.8

†48.619.7

100.0

72.427.6

100.0

50.215.6 1.932.3

100.0

100.0

53.746.3

100.0

1.4 †

21.7

†63.412.6

100.0

79.220.8

100.0

48.516.7 2.132.7

100.0

100.0

37.662.4

100.0

2.0 1.416.1

†59.920.4

100.0

68.731.3

100.0

58.7 9.0 2.030.3

100.0

100.0

67.033.0

100.0

1.5 †

33.3

†50.713.9

100.0

80.219.8

100.0

48.115.6 2.034.4

100.0

100.0

81.019.0

100.0

1.3 1.911.9

†71.812.9

100.0

80.119.9

100.0

31.528.2 3.137.2

100.0

100.0

58.641.4

100.0

1.7 1.618.8

†47.130.5

100.0

61.538.5

100.0

56.512.4 1.729.4

100.0† Less than one percent of individuals.ADD/ADHD = Attention deficit disorder/Attention deficit hyperactivity disorder; ODD = Oppositional defiant disorder; PDD = Pervasive developmental disorders.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

83

Table 2.1c. Individuals aged 17 and younger, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015



Row percent distribution of individuals



Conductdisorder

Mood disorders




GenderMaleFemale

Total



Total


Total


Total

100.0

100.0100.0

100.0

100.0100.0100.0

100.0100.0100.0

100.0

100.0100.0

100.0

100.0100.0100.0100.0

100.0

17.2

14.920.2

17.2

18.216.613.9

19.618.315.3

16.9

16.217.8

16.6

16.618.613.816.7

16.8

14.5

12.017.8

14.5

21.217.4 8.9

15.015.816.3

14.5

14.516.1

14.9

20.814.515.917.8

18.8

20.8

26.812.9

20.8

14.310.429.8

13.421.112.5

21.4

22.714.9

20.7

15.323.826.418.6

17.8

7.5

9.3 5.2

7.5

4.9 5.410.4

8.4 6.2 9.5

7.6

7.4 8.2

7.6

7.0 8.1 6.3 7.5

7.3

8.7

8.3 9.4

8.7

7.9 6.3 8.9

6.8 9.5 7.1

8.9

9.7 7.4

9.1

7.1 9.1 7.7 8.0

7.7

14.9

9.921.6

14.9

18.223.311.0

18.815.019.2

14.9

14.118.7

15.3

22.512.919.119.4

20.1

6.7

7.9 5.1

6.7

6.5 3.610.4

5.0 5.8 6.0

6.8

7.2 5.2

6.7

5.4 6.5 5.6 6.4

5.9

2.8

4.0 1.2

2.8

2.2 6.1 1.5

2.6 3.4 2.3

2.8

3.1 2.2

2.8

† 2.5 1.8 1.5

1.3

6.8

7.0 6.6

6.8

6.710.9 5.3

10.6 4.811.8

6.1

5.3 9.6

6.4

4.6 3.8 3.4 4.0

4.3† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

84

Table 2.2a. Individuals aged 17 and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Number, 2015






Conductdisorder

Mood disorders



Total SED individuals aged 0 to 172

GenderMaleFemale

Total



Total


Total


Total

946,928

543,141403,294

946,435

11,622 7,804

201,211

1,979496,725154,495

873,836

600,058208,445

808,503

20,378 6,157 1,11214,154

41,801

129,037

64,14664,825

128,971

1,478 1,09219,378

34070,52222,223

115,033

71,94929,074

101,023

2,098 949 129 1,813

4,989

144,142

68,37675,691

144,067

2,803 1,43418,177

32982,58126,847

132,171

90,50635,664

126,170

4,718 926 184 2,619

8,447

216,842

158,75357,991

216,744

1,635 832

66,591

294114,73520,313

204,400

151,84132,426

184,267

3,597 1,569 316 2,941

8,423

76,818

54,06822,715

76,783

619 463

22,276

18332,05716,109

71,707

46,60118,911

65,512

1,478 522 73

1,175

3,248

91,888

49,64342,215

91,858

1,064 557

19,489

14852,92811,690

85,876

64,68517,157

81,842

1,630 618 89

1,174

3,511

155,714

58,79296,802

155,594

2,482 2,04823,639

40681,63332,718

142,926

91,33644,628

135,964

4,991 804 224 2,843

8,862

66,105

44,53721,537

66,074

776 319

20,993

11229,853 9,882

61,935

44,54911,722

56,271

1,111 418 56 945

2,530

23,957

19,413 4,537

23,950

253 416 2,672

4915,210 3,455

22,055

16,366 4,544

20,910

125 139 8

187

459

42,425

25,41316,981

42,394

512 643 7,996

11817,20611,258

37,733

22,22514,319

36,544

630 212 33 457

1,332ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

85

Table 2.2b. Individuals aged 17 and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015






Conductdisorder

Mood disorders




GenderMaleFemale

Total



Total


Total


Total

100.0

57.442.6

100.0

1.3 †

23.0

†56.817.7

100.0

74.225.8

100.0

48.814.7 2.733.9

100.0

100.0

49.750.3

100.0

1.3 †

16.8

†61.319.3

100.0

71.228.8

100.0

42.119.0 2.636.3

100.0

100.0

47.552.5

100.0

2.1 1.113.8

†62.520.3

100.0

71.728.3

100.0

55.911.0 2.231.0

100.0

100.0

73.226.8

100.0

† †

32.6

†56.1 9.9

100.0

82.417.6

100.0

42.718.6 3.834.9

100.0

100.0

70.429.6

100.0

† †

31.1

†44.722.5

100.0

71.128.9

100.0

45.516.1 2.236.2

100.0

100.0

54.046.0

100.0

1.2 †

22.7

†61.613.6

100.0

79.021.0

100.0

46.417.6 2.533.4

100.0

100.0

37.862.2

100.0

1.7 1.416.5

†57.122.9

100.0

67.232.8

100.0

56.3 9.1 2.532.1

100.0

100.0

67.432.6

100.0

1.3 †

33.9

†48.216.0

100.0

79.220.8

100.0

43.916.5 2.237.4

100.0

100.0

81.118.9

100.0

1.1 1.912.1

†69.015.7

100.0

78.321.7

100.0

27.230.3 1.740.7

100.0

100.0

59.940.1

100.0

1.4 1.721.2

†45.629.8

100.0

60.839.2

100.0

47.315.9 2.534.3

100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

86

Table 2.2c. Individuals aged 17 and younger with SED, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015






Conductdisorder

Mood disorders




GenderMaleFemale

Total Race

American Indian or Alaska Native3Asian

Black or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther

TotalEthnicity

Not of Hispanic or Latino OriginHispanic or Latino Origin

TotalSpecific Hispanic or Latino Origin

MexicanPuerto RicanCubanOther specific

Total

100.0

100.0100.0

100.0

100.0100.0100.0100.0100.0100.0

100.0

100.0100.0

100.0

100.0100.0100.0100.0

100.0

13.6

11.816.1

13.6

12.714.0 9.617.214.214.4

13.2

12.013.9

12.5

10.315.411.612.8

11.9

15.2

12.618.8

15.2

24.118.4 9.016.616.617.4

15.1

15.117.1

15.6

23.215.016.518.5

20.2

22.9

29.214.4

22.9

14.110.733.114.923.113.1

23.4

25.315.6

22.8

17.725.528.420.8

20.2

8.1

10.0 5.6

8.1

5.3 5.911.1 9.2 6.510.4

8.2

7.8 9.1

8.1

7.3 8.5 6.6 8.3

7.8

9.7

9.110.5

9.7

9.2 7.1 9.7 7.510.7 7.6

9.8

10.8 8.2

10.1

8.010.0 8.0 8.3

8.4

16.4

10.824.0

16.4

21.426.211.720.516.421.2

16.4

15.221.4

16.8

24.513.120.120.1

21.2

7.0

8.2 5.3

7.0

6.7 4.110.4 5.7 6.0 6.4

7.1

7.4 5.6

7.0

5.5 6.8 5.0 6.7

6.1

2.5

3.6 1.1

2.5

2.2 5.3 1.3 2.5 3.1 2.2

2.5

2.7 2.2

2.6

† 2.3

† 1.3

1.1

4.5

4.7 4.2

4.5

4.4 8.2 4.0 6.0 3.5 7.3

4.3

3.7 6.9

4.5

3.1 3.4 3.0 3.2

3.2† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

87

Table 2.3a. Individuals aged 17 and younger, by mental health diagnosis, living arrangement, SED status, and functioning score (CGAS): Number, 2015

Living arrangement, SED status and functioning score (CGAS)





Conductdisorder

Mood disorders




Living arrangementHomelessFoster home/foster careResidential carePrivate residenceOther

Total2SED status

SEDNot SED

Total

Functioning score (CGAS)3

01-5051-100

Total

1,298,578

3,44129,49114,152

706,41530,682

784,181

946,928325,990

1,272,918

29,266265,423304,631

599,320

223,074

912 8,242 1,636

106,907 6,887

124,584

129,03790,021

219,058

5,03026,38458,729

90,143

188,410

607 6,340 2,387

108,018 4,785

122,137

144,14240,869

185,011

2,89543,73145,804

92,430

270,464

408 3,467 1,494

152,769 3,830

161,968

216,84248,432

265,274

3,10942,44562,470

108,024

97,684

207 1,971 1,07651,965 2,301

57,520

76,81819,125

95,943

1,94022,41022,132

46,482

113,430

293 2,309 2,92267,864 3,281

76,669

91,88819,359

111,247

2,19531,45525,469

59,119

193,839

501 2,760 2,536

112,514 4,656

122,967

155,71434,558

190,272

4,71056,53644,879

106,125

86,734

175 1,452 924

49,987 1,720

54,258

66,10518,838

84,943

1,41918,39114,867

34,677

36,211

48 389 249

20,428 405

21,519

23,95710,815

34,772

501 6,912 5,797

13,210

88,732

290 2,561 928

35,963 2,817

42,559

42,42543,973

86,398

7,46717,15924,484

49,110

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents. Further information on CGAS can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

88

Table 2.3b. Individuals aged 17 and younger, by mental health diagnosis, living arrangement, SED status, and functioning score (CGAS): Column percent distribution, 2015






Conductdisorder

Mood disorders





Total2SED status

SEDNot SED

Total


01-5051-100

Total

100.0

† 3.8 1.890.1 3.9

100.0

74.425.6

100.0

4.944.350.8

100.0

100.0

† 6.6 1.385.8 5.5

100.0

58.941.1

100.0

5.629.365.2

100.0

100.0

† 5.2 2.088.4 3.9

100.0

77.922.1

100.0

3.147.349.6

100.0

100.0

† 2.1

†94.3 2.4

100.0

81.718.3

100.0

2.939.357.8

100.0

100.0

† 3.4 1.990.3 4.0

100.0

80.119.9

100.0

4.248.247.6

100.0

100.0

† 3.0 3.888.5 4.3

100.0

82.617.4

100.0

3.753.243.1

100.0

100.0

† 2.2 2.191.5 3.8

100.0

81.818.2

100.0

4.453.342.3

100.0

100.0

† 2.7 1.792.1 3.2

100.0

77.822.2

100.0

4.153.042.9

100.0

100.0

† 1.8 1.294.9 1.9

100.0

68.931.1

100.0

3.852.343.9

100.0

100.0

† 6.0 2.284.5 6.6

100.0

49.150.9

100.0

15.234.949.9

100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents. Further information on CGAS can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

89

Table 2.3c. Individuals aged 17 and younger, by mental health diagnosis, living arrangement, SED status, and functioning score (CGAS): Row percent distribution, 2015






Conductdisorder

Mood disorders





Total2SED status

SEDNot SED

Total


01-5051-100

Total

100.0

100.0100.0100.0100.0100.0

100.0

100.0100.0

100.0

100.0100.0100.0

100.0

17.2

26.527.911.615.122.4

15.9

13.627.6

17.2

17.2 9.919.3

15.0

14.5

17.621.516.915.315.6

15.6

15.212.5

14.5

9.916.515.0

15.4

20.8

11.911.810.621.612.5

20.7

22.914.9

20.8

10.616.020.5

18.0

7.5

6.0 6.7 7.6 7.4 7.5

7.3

8.1 5.9

7.5

6.6 8.4 7.3

7.8

8.7

8.5 7.820.6 9.610.7

9.8

9.7 5.9

8.7

7.511.9 8.4

9.9

14.9

14.6 9.417.915.915.2

15.7

16.410.6

14.9

16.121.314.7

17.7

6.7

5.1 4.9 6.5 7.1 5.6

6.9

7.0 5.8

6.7

4.8 6.9 4.9

5.8

2.8

1.4 1.3 1.8 2.9 1.3

2.7

2.5 3.3

2.7

1.7 2.6 1.9

2.2

6.8

8.4 8.7 6.6 5.1 9.2

5.4

4.513.5

6.8

25.5 6.5 8.0

8.2

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents. Further information on CGAS can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

90

Table 2.4a. Individuals aged 17 and younger with SED, by mental health diagnosis, living arrangement, and functioning score (CGAS): Number, 2015

Living arrangement andfunctioning score (CGAS)





Conductdisorder

Mood disorders



Total SED individuals age 0 to 172


Total


01-5051-100

Total

946,928

2,72023,76811,977

543,25923,700

605,424

22,341233,590205,081

461,012

129,037

599 6,269 1,00558,962 3,761

70,596

4,58321,15732,701

58,441

144,142

509 5,523 2,11685,857 3,973

97,978

2,67239,87132,226

74,769

216,842

359 2,917 1,361

133,358 3,551

141,546

2,88738,95447,242

89,083

76,818

175 1,654 967

42,121 2,071

46,988

1,86619,89616,164

37,926

91,888

254 2,031 2,69856,907 2,922

64,812

2,08728,51618,563

49,166

155,714

432 2,409 2,26292,565 4,187

101,855

4,56351,25132,166

87,980

66,105

137 1,187 699

39,299 1,178

42,500

1,38015,19910,756

27,335

23,957

39 300 184

14,177 295

14,995

438 5,594 3,459

9,491

42,425

216 1,478 685

20,013 1,762

24,154

1,86513,15211,804

26,821

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents. Further information on CGAS can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

91

Table 2.4b. Individuals aged 17 and younger with SED, by mental health diagnosis, living arrangement, and functioning score (CGAS): Column percent distribution, 2015

Living arrangement and functioning score (CGAS)





Conductdisorder

Mood disorders





Total


01-5051-100

Total

100.0

† 3.9 2.089.7 3.9

100.0

4.850.744.5

100.0

100.0

† 8.9 1.483.5 5.3

100.0

7.836.256.0

100.0

100.0

† 5.6 2.287.6 4.1

100.0

3.653.343.1

100.0

100.0

† 2.1

†94.2 2.5

100.0

3.243.753.0

100.0

100.0

† 3.5 2.189.6 4.4

100.0

4.952.542.6

100.0

100.0

† 3.1 4.287.8 4.5

100.0

4.258.037.8

100.0

100.0

† 2.4 2.290.9 4.1

100.0

5.258.336.6

100.0

100.0

† 2.8 1.692.5 2.8

100.0

5.055.639.3

100.0

100.0

† 2.0 1.294.5 2.0

100.0

4.658.936.4

100.0

100.0

† 6.1 2.882.9 7.3

100.0

7.049.044.0

100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents. Further information on CGAS can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

92

Table 2.4c. Individuals aged 17 and younger with SED, by mental health diagnosis, living arrangement, and functioning score (CGAS): Row percent distribution, 2015

Living arrangement and functioning score (CGAS)





Conductdisorder

Mood disorders





Total


01-5051-100

Total

100.0

100.0100.0100.0100.0100.0

100.0

100.0100.0100.0

100.0

13.6

22.026.4 8.410.915.9

11.7

20.5 9.115.9

12.7

15.2

18.723.217.715.816.8

16.2

12.017.115.7

16.2

22.9

13.212.311.424.515.0

23.4

12.916.723.0

19.3

8.1

6.4 7.0 8.1 7.8 8.7

7.8

8.4 8.5 7.9

8.2

9.7

9.3 8.522.510.512.3

10.7

9.312.2 9.1

10.7

16.4

15.910.118.917.017.7

16.8

20.421.915.7

19.1

7.0

5.0 5.0 5.8 7.2 5.0

7.0

6.2 6.5 5.2

5.9

2.5

1.4 1.3 1.5 2.6 1.2

2.5

2.0 2.4 1.7

2.1

4.5

7.9 6.2 5.7 3.7 7.4

4.0

8.3 5.6 5.8

5.8

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; ODD = Oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents. Further information on CGAS can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

93

Table 2.5a. Individuals aged 17 and younger, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015






Conductdisorder

Mood disorders

ODD PDD OtherBipolardisorder

Depressivedisorder


Timing of admissionNew individualsContinuing individuals

Total2,3Mental health service setting

State psychiatric hospitalCommunity-based programResidential treatment centerOther psychiatric inpatientInstitutions under the justice system

1,298,578

701,379597,133

1,298,512

8,1781,270,752

11,11822,162 7,422

223,074

141,49681,564

223,060

512219,192

692 1,678 603

188,410

98,67189,730

188,401

733185,556

1,820 2,787 699

270,464

121,543148,908

270,451

629265,430

1,314 2,134 276

97,684

53,77443,908

97,682

52895,362 971 576 1,217

113,430

53,07660,351

113,427

2,272109,897

2,595 5,046 1,261

193,839

115,26578,556

193,821

2,179188,184

2,237 7,114 1,093

86,734

43,19343,539

86,732

34885,044 710 712 535

36,211

15,23320,978

36,211

17635,865 206 498 21

88,732

59,12829,599

88,727

80186,222 573 1,617 1,717

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

94

Table 2.5b. Individuals aged 17 and younger, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015

Timing of admisisons and mental health service setting





Conductdisorder

Mood disorders




Timing of admission

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

New individuals 54.0 63.4 52.4 44.9 55.1 46.8 59.5 49.8 42.1 66.6Continuing individuals 46.0 36.6 47.6 55.1 44.9 53.2 40.5 50.2 57.9 33.4

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

3Mental health service settingState psychiatric hospitalCommunity-based programResidential treatment centerOther psychiatric inpatientInstitutions under the justice system

2Column percent of individuals

†99.0

† 1.7

†

†99.4

† † †

†99.2

† 1.5

†

†99.6

† † †

†98.6 1.0

† 1.3

2.097.7 2.3 4.5 1.1

1.198.5 1.2 3.7

†

†99.3

† † †

†99.6

† 1.4

†

†98.0

† 1.8 2.0

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

95

Table 2.5c. Individuals aged 17 and younger, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015

Timing of admissions and mental health service setting





Conductdisorder

Mood disorders







100.0

100.0100.0

100.0

100.0100.0100.0100.0100.0

17.2

20.213.7

17.2

6.317.2 6.2 7.6 8.1

14.5

14.115.0

14.5

9.014.616.412.6 9.4

20.8

17.324.9

20.8

7.720.911.8 9.6 3.7

7.5

7.7 7.4

7.5

6.5 7.5 8.7 2.616.4

8.7

7.610.1

8.7

27.8 8.623.322.817.0

14.9

16.413.2

14.9

26.614.820.132.114.7

6.7

6.2 7.3

6.7

4.3 6.7 6.4 3.2 7.2

2.8

2.2 3.5

2.8

2.2 2.8 1.9 2.2

†

6.8

8.4 5.0

6.8

9.8 6.8 5.2 7.323.1

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders.

1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

96

Table 2.6a. Individuals aged 17 and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015






Conductdisorder

Mood disorders



Total SED individuals ages 0 to 172




946,928

487,251459,652

946,903

6,583931,152

9,76017,789 6,274

129,037

80,00849,029

129,037

331127,670

518 746 470

144,142

73,00871,134

144,142

608142,374

1,485 2,188 637

216,842

94,836122,000

216,836

586214,635

1,164 1,551 254

76,818

40,59536,222

76,817

45075,262 876 451 1,160

91,888

42,28049,607

91,887

1,99189,186 2,406 4,468 1,222

155,714

90,80864,891

155,699

1,627152,000

2,067 6,324 1,030

66,105

32,10134,002

66,103

28365,137 630 490 493

23,957

9,67814,279

23,957

13723,808 152 406 20

42,425

23,93718,488

42,425

57041,080 462 1,165 988

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

97

Table 2.6b. Individuals aged 17 and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015






Conductdisorder

Mood disorders




Timing of admission

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

New individuals 51.5 62.0 50.7 43.7 52.8 46.0 58.3 48.6 40.4 56.4Continuing individuals 48.5 38.0 49.3 56.3 47.2 54.0 41.7 51.4 59.6 43.6

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



†99.0 1.0 1.9

†

†99.6

† † †

†99.3 1.0 1.5

†

†99.8

† † †

†98.6 1.1

† 1.5

2.297.5 2.6 4.9 1.3

1.198.6 1.3 4.1

†

†99.3

† † †

†99.7

† 1.7

†

1.497.5 1.1 2.8 2.3

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

98

Table 2.6c. Individuals aged 17 and younger with SED, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015

Timing of admissions mental health service setting





Conductdisorder

Mood disorders







100.0

100.0100.0

100.0

100.0100.0100.0100.0100.0

13.6

16.410.7

13.6

5.013.7 5.3 4.2 7.5

15.2

15.015.5

15.2

9.215.315.212.310.2

22.9

19.526.5

22.9

8.923.111.9 8.7 4.0

8.1

8.3 7.9

8.1

6.8 8.1 9.0 2.518.5

9.7

8.710.8

9.7

30.2 9.624.725.119.5

16.4

18.614.1

16.4

24.716.321.235.616.4

7.0

6.6 7.4

7.0

4.3 7.0 6.5 2.8 7.9

2.5

2.0 3.1

2.5

2.1 2.6 1.6 2.3

†

4.5

4.9 4.0

4.5

8.7 4.4 4.7 6.515.7


ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder; PDD = pervasive developmental disorders; SED = serious emotional disturbance.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SED status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

99

Table 2.7. Individuals aged 17 and younger, by mental health service setting, SED status, and functioning score (CGAS): Number and percent distribution, 2015

SED status and functioning score (CGAS)

Total unique individuals

Mental health service setting 1

Number of individuals 2 Percent distribution of individuals

State psychiatric

hospital

Community-based

program

Residential treatment

center

Other psychiatric inpatient

Institutions under the

justice system

State psychiatric

hospital

Community-based

program


center



justice system

Total individuals aged 0 to 173SED status

SEDNot SED

Total


01-5051-100

Total

1,479,062

1,035,183367,594

1,402,777

30,522278,766326,047

635,335

9,526

7,552 1,497

9,049

46 2,533 980

3,559

1,463,917

1,024,651363,601

1,388,252

29,663275,651324,056

629,370

13,192

11,438 1,360

12,798

37 3,739 1,755

5,531

23,938

19,238 4,256

23,494

594 5,424 2,878

8,896

7,912

6,361 1,500

7,861

1,659 2,920 3,086

7,665

†

83.516.5

100.0

1.371.227.5

100.0

99.0

73.826.2

100.0

4.743.851.5

100.0

1.1

89.410.6

100.0

†67.631.7

100.0

1.9

81.918.1

100.0

6.761.032.4

100.0

†

80.919.1

100.0

21.638.140.3

100.0† Less than one percent of individuals.CGAS = Children's Global Assessment Scale; SED = serious emotional disturbance.1 Mental health services setting category definitions can be found in Appendix C.2 Numbers may not sum to the Total unique individuals column because individuals could receive services in more than one mental health service setting during the reporting period.3 The definition for SED status can be found in Appendix D.4 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents. Further information on CGAS can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) anHealth Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

d Mental

100

Table 3.1a. Individuals aged 18 to 25, by mental health diagnosis, gender, race, and ethnicity: Number, 2015






Mood disordersPersonalitydisorders


disorders OtherBipolar



GenderMaleFemale

Total



Total


Total


Total

525,228

257,956266,586

524,542

7,927 6,509

106,954 951

309,85347,923

480,117

362,07478,788

440,862

8,069 3,193 658 6,464

18,384

36,390

16,50619,805

36,311

445 503 7,555 53

20,584 3,174

32,314

22,414 5,869

28,283

577 232 45 493

1,347

81,124

30,61150,446

81,057

1,471 876

10,062 169

55,162 6,643

74,383

57,67011,535

69,205

1,603 492 92

1,115

3,302

24,219

16,780 7,411

24,191

233 171 5,742 24

14,845 1,207

22,222

15,830 2,448

18,278

199 148 49 222

618

110,244

52,58157,531

110,112

1,394 887

21,969 164

69,543 8,472

102,429

81,15313,859

95,012

1,258 741 138 1,259

3,396

149,673

55,69193,820

149,511

2,437 1,93328,742 269

91,27013,530

138,181

105,74922,489

128,238

3,057 943 204 2,122

6,326

4,599

2,171 2,426

4,597

84 29 884 9

2,942 315

4,263

3,535 555

4,090

38 29

^ 33

102

58,188

43,05715,078

58,135

721 1,42519,832 162

23,990 7,019

53,149

39,26210,571

49,833

717 354 78 788

1,937

60,791

40,55920,069

60,628

1,142 685

12,168 101

31,517 7,563

53,176

36,46111,462

47,923

620 254 50 432

1,356^ Less than three individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Client-Level Data (CLD), 2015 reporting period. Data received through 11.01.16.

101

Table 3.1b. Individuals aged 18 to 25, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015










Total individuals aged 18 to 25 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

GenderMale 49.2 45.5 37.8 69.4 47.8 37.2 47.2 74.1 66.9Female 50.8 54.5 62.2 30.6 52.2 62.8 52.8 25.9 33.1

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native 1.7 1.4 2.0 1.0 1.4 1.8 2.0 1.4 2.1

2Asian 1.4 1.6 1.2 † † 1.4 † 2.7 1.3Black or African American 22.3 23.4 13.5 25.8 21.4 20.8 20.7 37.3 22.9Native Hawaiian or Other Pacific Islander † † † † † † † † †White 64.5 63.7 74.2 66.8 67.9 66.1 69.0 45.1 59.3Other 10.0 9.8 8.9 5.4 8.3 9.8 7.4 13.2 14.2

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

EthnicityNot of Hispanic or Latino Origin 82.1 79.2 83.3 86.6 85.4 82.5 86.4 78.8 76.1Hispanic or Latino Origin 17.9 20.8 16.7 13.4 14.6 17.5 13.6 21.2 23.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Specific Hispanic or Latino OriginMexican 43.9 42.8 48.5 32.2 37.0 48.3 37.3 37.0 45.7Puerto Rican 17.4 17.2 14.9 23.9 21.8 14.9 28.4 18.3 18.7Cuban 3.6 3.3 2.8 7.9 4.1 3.2 2.0 4.0 3.7Other specific 35.2 36.6 33.8 35.9 37.1 33.5 32.4 40.7 31.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

102

Table 3.1c. Individuals aged 18 to 25, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015










Total individuals aged 18 to 25 100.0 6.9 15.4 4.6 21.0 28.5 † 11.1 11.6

GenderMale 100.0 6.4 11.9 6.5 20.4 21.6 † 16.7 15.7Female 100.0 7.4 18.9 2.8 21.6 35.2 † 5.7 7.5

Total 100.0 6.9 15.5 4.6 21.0 28.5 † 11.1 11.6


2Asian 100.0 7.7 13.5 2.6 13.6 29.7 † 21.9 10.5Black or African American 100.0 7.1 9.4 5.4 20.5 26.9 † 18.5 11.4Native Hawaiian or Other Pacific Islander 100.0 5.6 17.8 2.5 17.2 28.3 † 17.0 10.6White 100.0 6.6 17.8 4.8 22.4 29.5 † 7.7 10.2Other 100.0 6.6 13.9 2.5 17.7 28.2 † 14.6 15.8

Total 100.0 6.7 15.5 4.6 21.3 28.8 † 11.1 11.1

EthnicityNot of Hispanic or Latino Origin 100.0 6.2 15.9 4.4 22.4 29.2 † 10.8 10.1Hispanic or Latino Origin 100.0 7.4 14.6 3.1 17.6 28.5 † 13.4 14.5

Total 100.0 6.4 15.7 4.1 21.6 29.1 † 11.3 10.9

Specific Hispanic or Latino OriginMexican 100.0 7.2 19.9 2.5 15.6 37.9 † 8.9 7.7Puerto Rican 100.0 7.3 15.4 4.6 23.2 29.5 † 11.1 8.0Cuban 100.0 6.8 14.0 7.4 21.0 31.0 † 11.9 7.6Other specific 100.0 7.6 17.2 3.4 19.5 32.8 † 12.2 6.7

Total 100.0 7.3 18.0 3.4 18.5 34.4 † 10.5 7.4† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

103

Table 3.2a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2015










Total individuals with SMI aged 18 to 252 331,136 12,659 45,094 10,062 83,517 102,766 3,177 51,309 22,552

GenderMale 162,913 5,888 16,885 6,878 39,940 38,490 1,492 38,049 15,291Female 167,893 6,726 28,179 3,179 43,500 64,186 1,685 13,217 7,221

Total 330,806 12,614 45,064 10,057 83,440 102,676 3,177 51,266 22,512

RaceAmerican Indian or Alaska Native 4,510 91 885 99 935 1,587 49 592 272

3Asian 4,486 208 516 59 722 1,399 20 1,292 270Black or African American 68,610 2,399 5,325 2,184 16,929 19,217 613 17,409 4,534Native Hawaiian or Other Pacific Islander 635 29 97 5 131 196 5 136 36White 189,329 6,421 29,443 6,049 51,689 61,527 1,997 21,004 11,199Other 35,127 1,837 4,682 621 6,966 10,828 240 6,489 3,464

Total 302,697 10,985 40,948 9,017 77,372 94,754 2,924 46,922 19,775

EthnicityNot of Hispanic or Latino Origin 224,211 6,448 30,925 5,693 60,630 70,782 2,435 34,499 12,799Hispanic or Latino Origin 53,418 2,423 6,916 1,034 11,255 16,922 412 9,711 4,745

Total 277,629 8,871 37,841 6,727 71,885 87,704 2,847 44,210 17,544

Specific Hispanic or Latino OriginMexican 4,805 114 688 61 970 2,182 28 614 148Puerto Rican 1,898 64 185 49 549 639 15 311 86Cuban 468 29 59 29 108 151 ^ 74 16Other specific 4,282 174 585 92 984 1,564 19 692 172

Total 11,453 381 1,517 231 2,611 4,536 64 1,691 422^ Less than three individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

104

Table 3.2b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015










Total individuals with SMI aged 18 to 252 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native 1.5 † 2.2 1.1 1.2 1.7 1.7 1.3 1.4


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

105

Table 3.2c. Individuals aged 18 to 25 wit


Total

Total individuals with SMI aged 18 to 252 100.0

h SMI, by me

Adjustmentdisorders

3.8

ntal health d

Anxietydisorders

13.6

iagnosis, gender, race, and ethnicity: R



Mood disordersBipolar Depressive

ADD/ADHD disorders disorders

3.0 25.2 31.0

ow percent d

Personalitydisorders

†

istribution, 2015


disorders

15.5

Other

6.8

GenderMale 100.0 3.6 10.4 4.2 24.5 23.6 † 23.4 9.4Female 100.0 4.0 16.8 1.9 25.9 38.2 1.0 7.9 4.3

Total 100.0 3.8 13.6 3.0 25.2 31.0 † 15.5 6.8


3Asian 100.0 4.6 11.5 1.3 16.1 31.2 † 28.8 6.0Black or African American 100.0 3.5 7.8 3.2 24.7 28.0 † 25.4 6.6Native Hawaiian or Other Pacific Islander 100.0 4.6 15.3 † 20.6 30.9 † 21.4 5.7White 100.0 3.4 15.6 3.2 27.3 32.5 1.1 11.1 5.9Other 100.0 5.2 13.3 1.8 19.8 30.8 † 18.5 9.9

Total 100.0 3.6 13.5 3.0 25.6 31.3 † 15.5 6.5

EthnicityNot of Hispanic or Latino Origin 100.0 2.9 13.8 2.5 27.0 31.6 1.1 15.4 5.7Hispanic or Latino Origin 100.0 4.5 12.9 1.9 21.1 31.7 † 18.2 8.9

Total 100.0 3.2 13.6 2.4 25.9 31.6 1.0 15.9 6.3

Specific Hispanic or Latino OriginMexican 100.0 2.4 14.3 1.3 20.2 45.4 † 12.8 3.1Puerto Rican 100.0 3.4 9.7 2.6 28.9 33.7 † 16.4 4.5Cuban 100.0 6.2 12.6 6.2 23.1 32.3 † 15.8 3.4Other specific 100.0 4.1 13.7 2.1 23.0 36.5 † 16.2 4.0

Total 100.0 3.3 13.2 2.0 22.8 39.6 † 14.8 3.7† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

106

Table 3.3a. Individuals aged 18 to 25, by mental health diagnosis, education, and marital status: Number, 2015

Education and marital status










Highest school grade completed0 to 89 to 1112 (or GED)More than 12

Total

Marital statusNever marriedCurrently marriedSeparatedDivorcedWidowed

Total

525,228

24,04158,31989,70133,682

205,743

238,99815,155 4,638 3,403 264

262,458

36,390

2,759 3,578 4,467 1,877

12,681

17,234 1,233 376 208 18

19,069

81,124

3,244 8,33114,506 6,107

32,188

33,119 2,883 833 694 37

37,566

24,219

3,178 3,147 2,705 1,209

10,239

14,287 349 79 52 9

14,776

110,244

3,40413,08121,064 7,231

44,780

53,210 3,551 1,118 821 50

58,750

149,673

4,56116,61628,77511,665

61,617

67,489 5,381 1,699 1,191 91

75,851

4,599

218 810 1,198 311

2,537

2,318 175 57 33

^

2,585

58,188

1,610 6,40810,169 2,819

21,006

28,238 728 245 204 19

29,434

60,791

5,067 6,348 6,817 2,463

20,695

23,103 855 231 200 38

24,427^ Less than three individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

107

Table 3.3b. Individuals aged 18 to 25, by mental health diagnosis, ducation, and marital status: Column e percent distribution, 2015











Highest school grade completed0 to 8 11.7 21.8 10.1 31.0 7.6 7.4 8.6 7.7 24.59 to 11 28.3 28.2 25.9 30.7 29.2 27.0 31.9 30.5 30.712 (or GED) 43.6 35.2 45.1 26.4 47.0 46.7 47.2 48.4 32.9More than 12 16.4 14.8 19.0 11.8 16.1 18.9 12.3 13.4 11.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Marital statusNever married 91.1 90.4 88.2 96.7 90.6 89.0 89.7 95.9 94.6Currently married 5.8 6.5 7.7 2.4 6.0 7.1 6.8 2.5 3.5Separated 1.8 2.0 2.2 † 1.9 2.2 2.2 † †Divorced 1.3 1.1 1.8 † 1.4 1.6 1.3 † †Widowed † † † † † † † † †

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

108

Table 3.3c. Individuals aged 18 to 25, by mental health diagnosis, education, and marital status: Row percent distribution, 2015











Highest school grade completed0 to 8 100.0 11.5 13.5 13.2 14.2 19.0 † 6.7 21.19 to 11 100.0 6.1 14.3 5.4 22.4 28.5 1.4 11.0 10.912 (or GED) 100.0 5.0 16.2 3.0 23.5 32.1 1.3 11.3 7.6More than 12 100.0 5.6 18.1 3.6 21.5 34.6 † 8.4 7.3

Total 100.0 6.2 15.6 5.0 21.8 29.9 1.2 10.2 10.1

Marital statusNever married 100.0 7.2 13.9 6.0 22.3 28.2 † 11.8 9.7Currently married 100.0 8.1 19.0 2.3 23.4 35.5 1.2 4.8 5.6Separated 100.0 8.1 18.0 1.7 24.1 36.6 1.2 5.3 5.0Divorced 100.0 6.1 20.4 1.5 24.1 35.0 † 6.0 5.9Widowed 100.0 6.8 14.0 3.4 18.9 34.5 † 7.2 14.4

Total 100.0 7.3 14.3 5.6 22.4 28.9 † 11.2 9.3† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

109

Table 3.4a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, education, and marital status: Number, 2015











Highest school grade completed0 to 8 12,627 575 1,947 1,268 2,410 3,001 164 1,388 1,8749 to 11 38,325 893 4,942 1,399 9,861 12,251 628 5,775 2,57612 (or GED) 62,962 1,099 8,604 1,200 16,834 22,398 833 9,255 2,739More than 12 22,700 464 3,401 466 5,734 9,106 227 2,551 751

Total 136,614 3,031 18,894 4,333 34,839 46,756 1,852 18,969 7,940

Marital statusNever married 147,771 4,580 16,531 5,333 40,096 46,336 1,639 24,797 8,459Currently married 10,042 348 1,642 177 2,841 3,972 127 625 310Separated 3,224 106 505 34 908 1,319 40 216 96Divorced 2,338 58 404 22 673 905 19 178 79Widowed 173 7 19 5 38 71 ^ 14 17

Total 163,548 5,099 19,101 5,571 44,556 52,603 1,827 25,830 8,961^ Less than three individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

110

Table 3.4b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2015












Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Marital statusNever married 90.4 89.8 86.5 95.7 90.0 88.1 89.7 96.0 94.4Currently married 6.1 6.8 8.6 3.2 6.4 7.6 7.0 2.4 3.5Separated 2.0 2.1 2.6 † 2.0 2.5 2.2 † 1.1Divorced 1.4 1.1 2.1 † 1.5 1.7 1.0 † †Widowed † † † † † † † † †

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

111

Table 3.4c. Individuals aged 18 to 25 with SMI, by mental health diagnosis, education, marital status: Row percent distribution, 2015










Total individuals with SMI aged 18 to 252 100.0 3.8 13.6 3.0 25.2 31.0 † 15.5 6.8


Total 100.0 2.2 13.8 3.2 25.5 34.2 1.4 13.9 5.8

Marital statusNever married 100.0 3.1 11.2 3.6 27.1 31.4 1.1 16.8 5.7Currently married 100.0 3.5 16.4 1.8 28.3 39.6 1.3 6.2 3.1Separated 100.0 3.3 15.7 1.1 28.2 40.9 1.2 6.7 3.0Divorced 100.0 2.5 17.3 † 28.8 38.7 † 7.6 3.4Widowed 100.0 4.0 11.0 2.9 22.0 41.0 1.2 8.1 9.8

Total 100.0 3.1 11.7 3.4 27.2 32.2 1.1 15.8 5.5† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; SMI = serious mental illness1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

112

Table 3.5a. Individuals aged 18 to 25, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Number, 2015

Living arrangement, SMI status, and functioning score (GAF)










Living arrangementHomelessFoster home/foster careResidential careInstitutional settingJail/correctional facilityPrivate residenceOther

Total2SMI status

SMINot SMI

Total

Functioning score (GAF)3

01-5051-100

Total

525,228

12,627 4,49311,486 4,28311,331

284,95215,733

344,905

331,136163,935

495,071

14,030116,543105,544

236,117

36,390

536 336 457 134 1,71216,105 1,375

20,655

12,65921,581

34,240

839 3,549 8,725

13,113

81,124

1,494 780 1,404 333 1,38345,764 3,257

54,415

45,09431,589

76,683

1,38312,75917,761

31,903

24,219

154 277 304 67 188

11,422 809

13,221

10,06212,256

22,318

362 1,977 4,566

6,905

110,244

3,207 950 2,896 989 1,92163,727 2,996

76,686

83,51721,110

104,627

2,39929,89422,844

55,137

149,673

3,317 1,034 2,274 651 1,69888,775 4,687

102,436

102,76638,500

141,266

2,70435,65930,015

68,378

4,599

148 59 143 176 670 2,220 115

3,531

3,177 1,249

4,426

68 734 830

1,632

58,188

2,341 352 2,554 1,470 1,42531,114 1,393

40,649

51,309 4,148

55,457

2,10622,235 8,984

33,325

60,791

1,430 705 1,454 463 2,33425,825 1,101

33,312

22,55233,502

56,054

4,169 9,73611,819

25,724ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

113

Table 3.5b. Individuals aged 18 to 25, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Column percent distribution, 2015












Total2SMI status

SMINot SMI

Total


01-5051-100

Total

100.0

3.7 1.3 3.3 1.2 3.382.6 4.6

100.0

66.933.1

100.0

5.949.444.7

100.0

100.0

2.6 1.6 2.2

† 8.378.0 6.7

100.0

37.063.0

100.0

6.427.166.5

100.0

100.0

2.7 1.4 2.6

† 2.584.1 6.0

100.0

58.841.2

100.0

4.340.055.7

100.0

100.0

1.2 2.1 2.3

† 1.486.4 6.1

100.0

45.154.9

100.0

5.228.666.1

100.0

100.0

4.2 1.2 3.8 1.3 2.583.1 3.9

100.0

79.820.2

100.0

4.454.241.4

100.0

100.0

3.2 1.0 2.2

† 1.786.7 4.6

100.0

72.727.3

100.0

4.052.143.9

100.0

100.0

4.2 1.7 4.0 5.019.062.9 3.3

100.0

71.828.2

100.0

4.245.050.9

100.0

100.0

5.8 †

6.3 3.6 3.576.5 3.4

100.0

92.5 7.5

100.0

6.366.727.0

100.0

100.0

4.3 2.1 4.4 1.4 7.077.5 3.3

100.0

40.259.8

100.0

16.237.845.9

100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

114

Table 3.5c. Individuals aged 18 to 25, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Row percent distribution, 2015











Living arrangement

100.0 6.9 15.4 4.6 21.0 28.5 † 11.1 11.6

Homeless 100.0 4.2 11.8 1.2 25.4 26.3 1.2 18.5 11.3Foster home/foster care 100.0 7.5 17.4 6.2 21.1 23.0 1.3 7.8 15.7Residential care 100.0 4.0 12.2 2.6 25.2 19.8 1.2 22.2 12.7Institutional setting 100.0 3.1 7.8 1.6 23.1 15.2 4.1 34.3 10.8Jail/correctional facility 100.0 15.1 12.2 1.7 17.0 15.0 5.9 12.6 20.6Private residence 100.0 5.7 16.1 4.0 22.4 31.2 † 10.9 9.1Other 100.0 8.7 20.7 5.1 19.0 29.8 † 8.9 7.0

Total2SMI status

100.0 6.0 15.8 3.8 22.2 29.7 1.0 11.8 9.7

SMI 100.0 3.8 13.6 3.0 25.2 31.0 † 15.5 6.8Not SMI 100.0 13.2 19.3 7.5 12.9 23.5 † 2.5 20.4

Total


100.0 6.9 15.5 4.5 21.1 28.5 † 11.2 11.3

0 100.0 6.0 9.9 2.6 17.1 19.3 † 15.0 29.71-50 100.0 3.0 10.9 1.7 25.7 30.6 † 19.1 8.451-100 100.0 8.3 16.8 4.3 21.6 28.4 † 8.5 11.2

Total 100.0 5.6 13.5 2.9 23.4 29.0 † 14.1 10.9† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

115

Table 3.6a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Number, 2015

Living arrangement and functioning score (GAF)









Total individuals with SMI aged 18 to 252


Total


01-5051-100

Total

331,136

9,420 2,717 8,613 2,992 7,245

192,713 8,822

232,522

9,95897,99265,075

173,025

12,659

219 127 156 61 616 5,577 176

6,932

767 2,178 3,894

6,839

45,094

1,024 421 943 179 937

26,971 1,452

31,927

1,046 9,322 9,056

19,424

10,062

72 135 140 23 102 4,738 172

5,382

305 1,090 1,960

3,355

83,517

2,792 693 2,467 708 1,60250,081 2,705

61,048

2,25926,81116,882

45,952

102,766

2,671 679 1,746 472 1,16865,110 2,518

74,364

2,43231,25521,045

54,732

3,177

111 46 103 100 608 1,481 79

2,528

52 578 562

1,192

51,309

2,082 287 2,427 1,241 1,28328,013 1,338

36,671

2,06321,065 7,720

30,848

22,552

449 329 631 208 929

10,742 382

13,670

1,034 5,693 3,956


116

Table 3.6b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Column percent distribution, 2015












Total


01-5051-100

Total

100.0

4.1 1.2 3.7 1.3 3.182.9 3.8

100.0

5.856.637.6

100.0

100.0

3.2 1.8 2.3

† 8.980.5 2.5

100.0

11.231.856.9

100.0

100.0

3.2 1.3 3.0

† 2.984.5 4.5

100.0

5.448.046.6

100.0

100.0

1.3 2.5 2.6

† 1.988.0 3.2

100.0

9.132.558.4

100.0

100.0

4.6 1.1 4.0 1.2 2.682.0 4.4

100.0

4.958.336.7

100.0

100.0

3.6 †

2.3 †

1.687.6 3.4

100.0

4.457.138.5

100.0

100.0

4.4 1.8 4.1 4.024.158.6 3.1

100.0

4.448.547.1

100.0

100.0

5.7 †

6.6 3.4 3.576.4 3.6

100.0

6.768.325.0

100.0

100.0

3.3 2.4 4.6 1.5 6.878.6 2.8

100.0

9.753.337.0


117

Table 3.6c. Individuals ages 18 to 25 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Row percent distribution, 2015











Living arrangement

100.0 3.8 13.6 3.0 25.2 31.0 † 15.5 6.8

Homeless 100.0 2.3 10.9 † 29.6 28.4 1.2 22.1 4.8Foster home/foster care 100.0 4.7 15.5 5.0 25.5 25.0 1.7 10.6 12.1Residential care 100.0 1.8 10.9 1.6 28.6 20.3 1.2 28.2 7.3Institutional setting 100.0 2.0 6.0 † 23.7 15.8 3.3 41.5 7.0Jail/correctional facility 100.0 8.5 12.9 1.4 22.1 16.1 8.4 17.7 12.8Private residence 100.0 2.9 14.0 2.5 26.0 33.8 † 14.5 5.6Other 100.0 2.0 16.5 1.9 30.7 28.5 † 15.2 4.3

Total


100.0 3.0 13.7 2.3 26.3 32.0 1.1 15.8 5.9

0 100.0 7.7 10.5 3.1 22.7 24.4 † 20.7 10.41-50 100.0 2.2 9.5 1.1 27.4 31.9 † 21.5 5.851-100 100.0 6.0 13.9 3.0 25.9 32.3 † 11.9 6.1

Total 100.0 4.0 11.2 1.9 26.6 31.6 † 17.8 6.2† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

118

Table 3.7a. Individuals aged 18 to 25, by mental health diagnosis and employment status: Number, 2015

Employment status

Total



Adjustmentdisorders







Employment statusEmployed

Full timePart time


Total

Detailed not in labor forceTotal individuals aged 18 to 25


Total

525,228

68,30730,57228,21190,536

137,892

296,735

137,89220,36352,071 4,382 345 1,30659,425

137,892

36,390

4,551 2,104 1,859 4,773 6,666

15,990

6,666 440 3,640 341 12 87

2,146

6,666

81,124

13,585 6,844 5,66813,96820,394

47,947

20,394 2,108 7,165 973 45 190 9,913

20,394

24,219

2,085 715 960 2,419 7,517

12,021

7,517 786 4,327 67 11 70

2,256

7,517

110,244

14,039 5,694 5,70922,08730,858

66,984

30,858 5,89210,553 949 91 291

13,082

30,858

149,673

25,06411,05710,15328,98938,635

92,688

38,635 4,16513,759 1,652 54 368

18,637

38,635

4,599

724 468 221 718 1,099

2,541

1,099 225 228 29 3 14 600

1,099

58,188

3,769 1,304 1,76811,26517,387

32,421

17,387 4,930 4,047 192 89 134 7,995

17,387

60,791

4,490 2,386 1,873 6,31715,336

26,143

15,336 1,817 8,352 179 40 152 4,796

15,336

^ Less than three individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

119

Table 3.7b. Individuals aged 18 to 25, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status

Total



Adjustmentdisorders







Employment statusEmployed 23.0 28.5 28.3 17.3 21.0 27.0 28.5 11.6 17.2

Full time 10.3 13.2 14.3 5.9 8.5 11.9 18.4 4.0 9.1Part time 9.5 11.6 11.8 8.0 8.5 11.0 8.7 5.5 7.2

Unemployed 30.5 29.8 29.1 20.1 33.0 31.3 28.3 34.7 24.2Not in labor force (see detail below) 46.5 41.7 42.5 62.5 46.1 41.7 43.3 53.6 58.7

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


not in labor force 46.5 41.7 42.5 62.5 46.1 41.7 43.3 53.6 58.7Disabled 14.8 6.6 10.3 10.5 19.1 10.8 20.5 28.4 11.8Student 37.8 54.6 35.1 57.6 34.2 35.6 20.7 23.3 54.5Homemaker 3.2 5.1 4.8 † 3.1 4.3 2.6 1.1 1.2Retired † † † † † † † † †Sheltered/non-competitive employment † 1.3 † † † † 1.3 † †Other 43.1 32.2 48.6 30.0 42.4 48.2 54.6 46.0 31.3

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

120

Table 3.7c. Individuals aged 18 to 25, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status

Total



Adjustmentdisorders








Full time 100.0 6.9 22.4 2.3 18.6 36.2 1.5 4.3 7.8Part time 100.0 6.6 20.1 3.4 20.2 36.0 † 6.3 6.6

Unemployed 100.0 5.3 15.4 2.7 24.4 32.0 † 12.4 7.0Not in labor force (see detail below) 100.0 4.8 14.8 5.5 22.4 28.0 † 12.6 11.1

Total 100.0 5.4 16.2 4.1 22.6 31.2 † 10.9 8.8


not in labor force 100.0 4.8 14.8 5.5 22.4 28.0 † 12.6 11.1Disabled 100.0 2.2 10.4 3.9 28.9 20.5 1.1 24.2 8.9Student 100.0 7.0 13.8 8.3 20.3 26.4 † 7.8 16.0Homemaker 100.0 7.8 22.2 1.5 21.7 37.7 † 4.4 4.1Retired 100.0 3.5 13.0 3.2 26.4 15.7 † 25.8 11.6Sheltered/non-competitive employment 100.0 6.7 14.5 5.4 22.3 28.2 1.1 10.3 11.6Other 100.0 3.6 16.7 3.8 22.0 31.4 1.0 13.5 8.1

Total 100.0 4.8 14.8 5.5 22.4 28.0 † 12.6 11.1

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

121

Table 3.8a. Individuals aged 18 to 25 with SMI, by mental health diagnosis and employment status: Number, 2015

Employment status

Total



Adjustmentdisorders







Employment statusEmployed 45,846 1,500 7,871 869 11,229 18,726 487 3,413 1,751

Full time 20,388 767 4,253 335 4,268 8,350 322 1,121 972Part time 19,286 660 3,410 476 4,487 7,772 137 1,626 718

Unemployed 64,876 1,653 8,740 1,183 17,639 22,449 416 10,343 2,453Not in labor force (see detail below) 91,426 2,186 11,873 2,904 24,163 27,424 775 15,794 6,307

Total 202,148 5,339 28,484 4,956 53,031 68,599 1,678 29,550 10,511

Detailed not in labor forceTotal individuals with SMI aged 18 to 25

not in labor force 91,426 2,186 11,873 2,904 24,163 27,424 775 15,794 6,307Disabled 15,777 142 1,260 336 5,178 3,140 167 4,634 920Student 31,674 1,360 4,117 1,826 7,573 9,571 166 3,620 3,441Homemaker 2,926 131 528 35 746 1,211 19 180 76Retired 278 5 31 3 87 46 ^ 88 16Sheltered/non-competitive employment 946 36 127 25 272 281 10 130 65Other 39,825 512 5,810 679 10,307 13,175 411 7,142 1,789

Total 91,426 2,186 11,873 2,904 24,163 27,424 775 15,794 6,307^ Less than three individuals.

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

122

Table 3.8b. Individuals aged 18 to 25 with SMI, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status

Total



Adjustmentdisorders










Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


not in labor force 45.2 40.9 41.7 58.6 45.6 40.0 46.2 53.4 60.0Disabled 17.3 6.5 10.6 11.6 21.4 11.4 21.5 29.3 14.6Student 34.6 62.2 34.7 62.9 31.3 34.9 21.4 22.9 54.6Homemaker 3.2 6.0 4.4 1.2 3.1 4.4 2.5 1.1 1.2Retired † † † † † † † † †Sheltered/non-competitive employment 1.0 1.6 1.1 † 1.1 1.0 1.3 † 1.0Other 43.6 23.4 48.9 23.4 42.7 48.0 53.0 45.2 28.4

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

123

Table 3.8c. Individuals aged 18 to 25 with SMI, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status













Total 100.0 2.6 14.1 2.5 26.2 33.9 † 14.6 5.2


not in labor force 100.0 2.4 13.0 3.2 26.4 30.0 † 17.3 6.9Disabled 100.0 † 8.0 2.1 32.8 19.9 1.1 29.4 5.8Student 100.0 4.3 13.0 5.8 23.9 30.2 † 11.4 10.9Homemaker 100.0 4.5 18.0 1.2 25.5 41.4 † 6.2 2.6Retired 100.0 1.8 11.2 1.1 31.3 16.5 † 31.7 5.8Sheltered/non-competitive employment 100.0 3.8 13.4 2.6 28.8 29.7 1.1 13.7 6.9Other 100.0 1.3 14.6 1.7 25.9 33.1 1.0 17.9 4.5

Total 100.0 2.4 13.0 3.2 26.4 30.0 † 17.3 6.9

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

124

Table 3.9a. Individuals aged 18 to 25, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015










Total individuals aged 18 to 25 525,228 36,390 81,124 24,219 110,244 149,673 4,599 58,188 60,791

Timing of admissionNew individuals 313,875 24,134 51,122 10,451 62,713 97,398 2,526 29,287 36,244Continuing individuals 211,243 12,253 29,980 13,761 47,515 52,252 2,072 28,881 24,529

Total 525,118 36,387 81,102 24,212 110,228 149,650 4,598 58,168 60,7732,3Mental health service setting

State psychiatric hospital 15,064 563 513 132 3,467 2,217 426 6,546 1,200Community-based program 500,722 34,963 79,050 23,467 105,460 144,156 4,292 53,415 55,919Residential treatment center 4,703 156 507 126 1,126 772 85 1,356 575Other psychiatric inpatient 24,045 616 1,790 290 6,150 6,247 320 6,926 1,706Institutions under the justice system 12,682 1,847 1,423 112 2,211 1,329 667 1,627 3,466

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of reported mental health diagnoses for this age group. Mental health diagnostic category definitions 2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental HealtHealth Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

up to three diagnoses reported for the individual. This table focuses on the most frequently can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.

h Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental

125

Table 3.9b. Individuals aged 18 to 25, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015











Timing of admissionNew individuals 59.8 66.3 63.0 43.2 56.9 65.1 54.9 50.3 59.6Continuing individuals 40.2 33.7 37.0 56.8 43.1 34.9 45.1 49.7 40.4

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



2.996.9

† 4.7 2.5

1.696.9

† 1.7 5.1

†98.6

† 2.2 1.8

†99.1

† 1.2

†

3.297.1 1.0 5.7 2.0

1.598.3

† 4.3

†

9.393.7 1.9 7.014.6

11.493.1 2.412.1 2.8

2.093.4

† 2.8 5.8

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

126

Table 3.9c. Individuals aged 18 to 25, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015











Timing of admissionNew individuals 100.0 7.7 16.3 3.3 20.0 31.0 † 9.3 11.5Continuing individuals 100.0 5.8 14.2 6.5 22.5 24.7 † 13.7 11.6

Total 100.0 6.9 15.4 4.6 21.0 28.5 † 11.1 11.62,3Mental health service setting

State psychiatric hospital 100.0 3.7 3.4 † 23.0 14.7 2.8 43.5 8.0Community-based program 100.0 7.0 15.8 4.7 21.1 28.8 † 10.7 11.2

Residential treatment center 100.0 3.3 10.8 2.7 23.9 16.4 1.8 28.8 12.2

Other psychiatric inpatient 100.0 2.6 7.4 1.2 25.6 26.0 1.3 28.8 7.1Institutions under the justice system 100.0 14.6 11.2 † 17.4 10.5 5.3 12.8 27.3

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

127

Table 3.10a. Individuals aged 18 to 25 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015











Timing of admissionNew individuals 192,056 8,581 27,844 4,068 47,367 66,375 1,621 25,007 11,193Continuing individuals 139,020 4,078 17,247 5,994 36,135 36,374 1,556 26,282 11,354

Total 331,076 12,659 45,091 10,062 83,502 102,749 3,177 51,289 22,5473,4Mental health service setting

State psychiatric hospital 10,563 242 306 58 2,469 1,414 276 5,237 561Community-based program 316,790 11,913 43,778 9,929 80,370 99,438 3,005 47,876 20,481Residential treatment center 3,631 91 337 50 953 605 71 1,283 241Other psychiatric inpatient 18,792 295 1,098 169 5,285 4,563 271 6,322 789Institutions under the justice system 9,232 912 1,134 91 2,103 989 630 1,596 1,777

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

128

Table 3.10b. Individuals aged 18 to 25 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015












Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Column percent of individuals 3

3.296.8 1.1 5.7 2.8

1.994.5

† 2.3 7.2

†98.1

† 2.5 2.5

†99.0

† 1.7

†

3.097.3 1.2 6.4 2.5

1.498.5

† 4.5

†

8.794.9 2.2 8.619.9

10.394.2 2.512.4 3.1

2.591.9 1.1 3.5 8.0

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

129

Table 3.10c. Individuals aged 18 to 25 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015











Timing of admissionNew individuals 100.0 4.5 14.5 2.1 24.7 34.6 † 13.0 5.8Continuing individuals 100.0 2.9 12.4 4.3 26.0 26.2 1.1 18.9 8.2

Total 100.0 3.8 13.6 3.0 25.2 31.0 † 15.5 6.83,4Mental health service setting

State psychiatric hospital 100.0 2.3 2.9 † 23.4 13.4 2.6 49.6 5.3Community-based program 100.0 3.8 13.8 3.1 25.4 31.4 † 15.1 6.5Residential treatment center 100.0 2.5 9.3 1.4 26.2 16.7 2.0 35.3 6.6Other psychiatric inpatient 100.0 1.6 5.8 † 28.1 24.3 1.4 33.6 4.2Institutions under the justice system 100.0 9.9 12.3 † 22.8 10.7 6.8 17.3 19.2

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

130

Table 3.11. Individuals aged 18 to 25, by mental health service setting, SMI status, and functioning score (GAF): Number and percent distribution, 2015

SMI status and functioning score (GAF)




State psychiatric

hospital

Community-based

program


center



justice system

State psychiatric

hospital

Community-based

program


center



justice system

Total individuals aged 18 to 253SMI status

SMINot SMI

TotalFunctioning score (GAF)4

01-5051-100

Total

602,694

363,993186,910

550,903

15,308123,638114,274

253,220

17,793

12,588 2,353

14,941

180 4,679 2,041

6,900

583,751

352,199182,599

534,798

14,143117,603111,496

243,242

5,154

3,812 1,040

4,852

241 1,616 1,059

2,916

27,161

21,387 4,351

25,738

1,305 8,588 3,151

13,044

13,677

9,337 3,859

13,196

1,471 5,725 3,093

10,289

3.0

84.315.7

100.0

2.667.829.6

100.0

96.9

65.934.1

100.0

5.848.345.8

100.0

†

78.621.4

100.0

8.355.436.3

100.0

4.5

83.116.9

100.0

10.065.824.2

100.0

2.3

70.829.2

100.0

14.355.630.1

100.0

† Less than one percent of individuals.GAF = Global Assessment of Function; SMI = serious mental illness.1 Mental health services setting category definitions can be found in Appendix C.2 Numbers may not sum to the Total unique individuals column because individuals could receive services in more than one mental health service setting during the reporting period.3 The definition for SMI status can be found in Appendix D.4 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and MentalHealth Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

131

Table 4.1a. Individuals aged 26 to 54, by mental health diagnosis, gender, race, and ethnicity: Number, 2015











GenderMaleFemale

Total



Total


Total


Total

2,038,415

913,5051,122,628

2,036,133

27,79829,071

384,667 3,577

1,308,874118,489

1,872,476

1,457,921219,069

1,676,990

19,14411,817 3,66918,919

53,549

96,711

41,97154,515

96,486

1,112 1,19816,576 183

61,233 5,651

85,953

56,31413,131

69,445

969 513 191 1,047

2,720

285,831

102,199183,435

285,634

5,035 2,85532,545 461

208,10015,045

264,041

211,06429,752

240,816

3,697 1,545 471 3,038

8,751

20,145

10,553 9,577

20,130

203 148 1,993 29

15,620 597

18,590

13,174 1,620

14,794

113 71 19 154

357

449,036

181,227267,330

448,557

5,288 3,63469,496 631

318,02022,458

419,527

342,03739,459

381,496

3,433 2,701 764 3,749

10,647

654,732

239,632414,428

654,060

8,916 9,607

120,578 1,128

427,96638,094

606,289

476,72871,556

548,284

7,558 4,279 1,383 6,958

20,178

18,397

8,969 9,416

18,385

289 124 3,057 34

12,871 899

17,274

13,621 1,755

15,376

77 87 11 93

268

364,617

236,390127,829

364,219

4,014 9,722

114,992 889

178,19324,307

332,117

261,45240,001

301,453

2,383 2,048 762 3,209

8,402

148,946

92,56456,098

148,662

2,941 1,78325,430 222

86,87111,438

128,685

83,53121,795

105,326

914 573 68 671

2,226ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

132

Table 4.1b. Individuals aged 26 to 54, by diagnosis,


Total

Total individuals aged 26 to 54 100.0

mental health

Adjustmentdisorders

100.0

Anxietydisorders

100.0

gender, race, and ethnicity: Column per





100.0 100.0 100.0

cent distrib


100.0

ution, 2015


disorders

100.0

Other

100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

133

Table 4.1c. Individuals aged 26 to 54, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015










Total individuals aged 26 to 54 100.0 4.7 14.0 † 22.0 32.1 † 17.9 7.3

GenderMale 100.0 4.6 11.2 1.2 19.8 26.2 † 25.9 10.1Female 100.0 4.9 16.3 † 23.8 36.9 † 11.4 5.0

Total 100.0 4.7 14.0 † 22.0 32.1 † 17.9 7.3

RaceAmerican Indian or Alaska Native 100.0 4.0 18.1 † 19.0 32.1 1.0 14.4 10.6

2Asian 100.0 4.1 9.8 † 12.5 33.0 † 33.4 6.1Black or African American 100.0 4.3 8.5 † 18.1 31.3 † 29.9 6.6Native Hawaiian or Other Pacific Islander 100.0 5.1 12.9 † 17.6 31.5 † 24.9 6.2White 100.0 4.7 15.9 1.2 24.3 32.7 † 13.6 6.6Other 100.0 4.8 12.7 † 19.0 32.1 † 20.5 9.7

Total 100.0 4.6 14.1 † 22.4 32.4 † 17.7 6.9

EthnicityNot of Hispanic or Latino Origin 100.0 3.9 14.5 † 23.5 32.7 † 17.9 5.7Hispanic or Latino Origin 100.0 6.0 13.6 † 18.0 32.7 † 18.3 9.9

Total 100.0 4.1 14.4 † 22.7 32.7 † 18.0 6.3

Specific Hispanic or Latino OriginMexican 100.0 5.1 19.3 † 17.9 39.5 † 12.4 4.8Puerto Rican 100.0 4.3 13.1 † 22.9 36.2 † 17.3 4.8Cuban 100.0 5.2 12.8 † 20.8 37.7 † 20.8 1.9Other specific 100.0 5.5 16.1 † 19.8 36.8 † 17.0 3.5

Total 100.0 5.1 16.3 † 19.9 37.7 † 15.7 4.2† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

134

Table 4.2a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2015











GenderMaleFemale

Total



Total


Total


Total

1,457,968

652,801803,970

1,456,771

18,51723,355

284,627 2,845

919,99194,063

1,343,398

1,061,528160,760

1,222,288

14,347 9,048 3,45315,421

42,269

32,161

14,37917,663

32,042

259 515 5,016 89

18,764 3,279

27,922

17,639 5,104

22,743

217 209 166 507

1,099

171,859

60,134111,633

171,767

3,321 1,94018,397 310

123,01711,110

158,095

126,48318,596

145,079

2,121 690 413 1,923

5,147

8,513

4,332 4,175

8,507

87 44 740 14

6,604 314

7,803

5,210 631

5,841

43 31 15 80

169

365,631

146,681218,652

365,333

4,110 3,12657,291 539

257,11119,379

341,556

279,30034,097

313,397

3,085 2,391 735 3,414

9,625

487,135

177,257309,506

486,763

6,398 8,03888,481 934

315,21632,257

451,324

355,87856,385

412,263

6,440 3,511 1,321 6,139

17,411

12,763

6,046 6,711

12,757

190 90

2,133 29

8,746 733

11,921

9,738 1,273

11,011

34 47 9 60

150

326,953

212,383114,324

326,707

3,392 8,972

102,628 825

159,36122,673

297,851

236,04437,060

273,104

2,196 1,903 750 3,048

7,897

52,953

31,58921,306

52,895

760 630 9,941 105

31,172 4,318

46,926

31,236 7,614

38,850

211 266 44 250

771ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

135

Table 4.2b. Individuals aged 26 to 54 with S


Total

Total individuals with SMI aged 26 to 542 100.0

MI, by mental

Adjustmentdisorders

100.0

health diagn

Anxietydisorders

100.0

osis, gender, race, and ethnicity: Column percent distribution, 2015





100.0 100.0 100.0


100.0


disorders

100.0

Other

100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native 1.4 † 2.1 1.1 1.2 1.4 1.6 1.1 1.6


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

136

Table 4.2c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015










Total individuals with SMI aged 26 to 542 100.0 2.2 11.8 † 25.1 33.4 † 22.4 3.6

GenderMale 100.0 2.2 9.2 † 22.5 27.2 † 32.5 4.8Female 100.0 2.2 13.9 † 27.2 38.5 † 14.2 2.7

Total 100.0 2.2 11.8 † 25.1 33.4 † 22.4 3.6


3Asian 100.0 2.2 8.3 † 13.4 34.4 † 38.4 2.7Black or African American 100.0 1.8 6.5 † 20.1 31.1 † 36.1 3.5Native Hawaiian or Other Pacific Islander 100.0 3.1 10.9 † 18.9 32.8 1.0 29.0 3.7White 100.0 2.0 13.4 † 27.9 34.3 † 17.3 3.4Other 100.0 3.5 11.8 † 20.6 34.3 † 24.1 4.6

Total 100.0 2.1 11.8 † 25.4 33.6 † 22.2 3.5

EthnicityNot of Hispanic or Latino Origin 100.0 1.7 11.9 † 26.3 33.5 † 22.2 2.9Hispanic or Latino Origin 100.0 3.2 11.6 † 21.2 35.1 † 23.1 4.7

100.0 1.9 11.9 † 25.6 33.7 † 22.3 3.2

Specific Hispanic or Latino OriginMexican 100.0 1.5 14.8 † 21.5 44.9 † 15.3 1.5Puerto Rican 100.0 2.3 7.6 † 26.4 38.8 † 21.0 2.9Cuban 100.0 4.8 12.0 † 21.3 38.3 † 21.7 1.3Other specific 100.0 3.3 12.5 † 22.1 39.8 † 19.8 1.6

Total 100.0 2.6 12.2 † 22.8 41.2 † 18.7 1.8† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

137

Table 4.3a. Individuals aged 26 to 54, by mental health diagnosis, education, and marital status: Number, 2015












Total


Total

2,038,415

75,908160,015379,414233,519

848,856

580,845195,38382,459

181,50718,017

1,058,211

96,711

6,076 7,17015,04310,882

39,171

29,32513,447 4,536 6,840 768

54,916

285,831

9,49219,31553,77637,014

119,597

67,44332,23111,17425,512 2,422

138,782

20,145

1,904 988 2,387 2,529

7,808

7,772 2,167 464 1,337 75

11,815

449,036

12,15533,05385,60257,298

188,108

122,63545,32821,29449,566 4,110

242,933

654,732

23,68450,553

129,00981,817

285,063

164,52572,78431,02767,061 7,547

342,944

18,397

746 2,353 4,667 2,589

10,355

6,188 1,666 704 1,811 121

10,490

364,617

13,26035,48367,20430,535

146,482

143,33017,795 9,09022,330 2,220

194,765

148,946

8,59111,10021,72610,855

52,272

39,627 9,965 4,170 7,050 754

61,566ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development.

1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

138

Table 4.3b. Individuals aged 26 to 54, by mental health diagnosis, education, and marital status: Column percent distribution, 2015












Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Marital statusNever married 54.9 53.4 48.6 65.8 50.5 48.0 59.0 73.6 64.4Currently married 18.5 24.5 23.2 18.3 18.7 21.2 15.9 9.1 16.2Separated 7.8 8.3 8.1 3.9 8.8 9.0 6.7 4.7 6.8Divorced 17.2 12.5 18.4 11.3 20.4 19.6 17.3 11.5 11.5Widowed 1.7 1.4 1.7 † 1.7 2.2 1.2 1.1 1.2

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

139

Table 4.3c. Individuals aged 26 to 54, by mental health diagnosis, education, and marital status: Row percent distribution, 2015











Highest school grade completed0 to 8 100.0 8.0 12.5 2.5 16.0 31.2 † 17.5 11.39 to 11 100.0 4.5 12.1 † 20.7 31.6 1.5 22.2 6.912 (or GED) 100.0 4.0 14.2 † 22.6 34.0 1.2 17.7 5.7More than 12 100.0 4.7 15.9 1.1 24.5 35.0 1.1 13.1 4.6

Total 100.0 4.6 14.1 † 22.2 33.6 1.2 17.3 6.2

Marital statusNever married 100.0 5.0 11.6 1.3 21.1 28.3 1.1 24.7 6.8Currently married 100.0 6.9 16.5 1.1 23.2 37.3 † 9.1 5.1Separated 100.0 5.5 13.6 † 25.8 37.6 † 11.0 5.1Divorced 100.0 3.8 14.1 † 27.3 36.9 † 12.3 3.9Widowed 100.0 4.3 13.4 † 22.8 41.9 † 12.3 4.2

Total 100.0 5.2 13.1 1.1 23.0 32.4 † 18.4 5.8† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

140

Table 4.4a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, education, and marital status: Number, 2015












Total


Total

1,457,968

51,067120,950283,434172,124

627,575

417,414133,32061,198

138,94613,553

764,431

32,161

1,210 1,793 3,408 2,228

8,639

8,341 3,382 1,391 2,142 241

15,497

171,859

5,92512,47533,41721,956

73,773

36,22417,769 7,06215,733 1,475

78,263

8,513

695 446 1,096 975

3,212

3,068 945 227 600 33

4,873

365,631

9,78827,42270,77048,515

156,495

100,99037,37317,84942,613 3,461

202,286

487,135

17,97440,215

102,11065,331

225,630

119,14553,39424,20753,231 5,931

255,908

12,763

539 1,812 3,188 1,757

7,296

4,315 1,154 472 1,340 88

7,369

326,953

11,82832,88961,26227,909

133,888

130,62316,048 8,28120,464 2,038

177,454

52,953

3,108 3,898 8,183 3,453

18,642

14,708 3,255 1,709 2,823 286

22,781ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

141

Table 4.4b. Individuals aged 26 to 54 with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2015












Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Marital statusNever married 54.6 53.8 46.3 63.0 49.9 46.6 58.6 73.6 64.6Currently married 17.4 21.8 22.7 19.4 18.5 20.9 15.7 9.0 14.3Separated 8.0 9.0 9.0 4.7 8.8 9.5 6.4 4.7 7.5Divorced 18.2 13.8 20.1 12.3 21.1 20.8 18.2 11.5 12.4Widowed 1.8 1.6 1.9 † 1.7 2.3 1.2 1.1 1.3

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

142

Table 4.4c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, education, and marital status: Row percent distribution, 2015











Highest school grade completed0 to 8 100.0 2.4 11.6 1.4 19.2 35.2 1.1 23.2 6.19 to 11 100.0 1.5 10.3 † 22.7 33.2 1.5 27.2 3.212 (or GED) 100.0 1.2 11.8 † 25.0 36.0 1.1 21.6 2.9More than 12 100.0 1.3 12.8 † 28.2 38.0 1.0 16.2 2.0

Total 100.0 1.4 11.8 † 24.9 36.0 1.2 21.3 3.0

Marital statusNever married 100.0 2.0 8.7 † 24.2 28.5 1.0 31.3 3.5Currently married 100.0 2.5 13.3 † 28.0 40.0 † 12.0 2.4Separated 100.0 2.3 11.5 † 29.2 39.6 † 13.5 2.8Divorced 100.0 1.5 11.3 † 30.7 38.3 † 14.7 2.0Widowed 100.0 1.8 10.9 † 25.5 43.8 † 15.0 2.1

Total 100.0 2.0 10.2 † 26.5 33.5 † 23.2 3.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

143

Table 4.5a. Individuals aged 26 to 54, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Number, 2015












Total2SMI status

SMINot SMI

Total


01-5051-100

Total

2,038,415

74,527 6,38455,84020,38433,424

1,103,25257,018

1,350,829

1,457,968508,556

1,966,524

49,681481,416402,096

933,193

96,711

2,206 179 883 274 3,81437,683 3,893

48,932

32,16161,567

93,728

2,129 7,16720,535

29,831

285,831

7,757 934 4,075 934 4,206

160,70010,626

189,232

171,859106,360

278,219

4,79646,63759,536

110,969

20,145

208 36 256 37 122 9,213 778

10,650

8,51311,046

19,559

338 1,283 4,226

5,847

449,036

18,068 1,20710,445 3,483 5,841

263,78110,953

313,778

365,63168,814

434,445

8,972120,84299,849

229,663

654,732

22,292 1,441 9,906 3,091 6,012

382,20118,073

443,016

487,135146,116

633,251

12,176152,748128,816

293,740

18,397

724 103 535 483 2,451 8,489 425

13,210

12,763 4,985

17,748

258 3,135 3,224

6,617

364,617

16,977 1,69425,84610,725 6,711

189,850 9,399

261,202

326,95324,190

351,143

10,657128,51861,750

200,925

148,946

6,295 790 3,894 1,357 4,26751,335 2,871

70,809

52,95385,478

138,431

10,35521,08624,160

55,601ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment of Function; SMI = serious mental illness.

1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

144

Table 4.5b. Individuals aged 26 to 54, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Column percent distribution, 2015












Total2SMI status

SMINot SMI

Total


01-5051-100

Total

100.0

5.5 †

4.1 1.5 2.581.7 4.2

100.0

74.125.9

100.0

5.351.643.1

100.0

100.0

4.5 †

1.8 †

7.877.0 8.0

100.0

34.365.7

100.0

7.124.068.8

100.0

100.0

4.1 †

2.2 †

2.284.9 5.6

100.0

61.838.2

100.0

4.342.053.7

100.0

100.0

2.0 †

2.4 †

1.186.5 7.3

100.0

43.556.5

100.0

5.821.972.3

100.0

100.0

5.8 †

3.3 1.1 1.984.1 3.5

100.0

84.215.8

100.0

3.952.643.5

100.0

100.0

5.0 †

2.2 †

1.486.3 4.1

100.0

76.923.1

100.0

4.152.043.9

100.0

100.0

5.5 †

4.0 3.718.664.3 3.2

100.0

71.928.1

100.0

3.947.448.7

100.0

100.0

6.5 †

9.9 4.1 2.672.7 3.6

100.0

93.1 6.9

100.0

5.364.030.7

100.0

100.0

8.9 1.1 5.5 1.9 6.072.5 4.1

100.0

38.361.7

100.0

18.637.943.5


145

Table 4.5c. Individuals aged 26 to 54, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Row percent distribution, 2015











Living arrangement

100.0 4.7 14.0 † 22.0 32.1 † 17.9 7.3

Homeless 100.0 3.0 10.4 † 24.2 29.9 † 22.8 8.4Foster home/foster care 100.0 2.8 14.6 † 18.9 22.6 1.6 26.5 12.4Residential care 100.0 1.6 7.3 † 18.7 17.7 † 46.3 7.0Institutional setting 100.0 1.3 4.6 † 17.1 15.2 2.4 52.6 6.7Jail/correctional facility 100.0 11.4 12.6 † 17.5 18.0 7.3 20.1 12.8Private residence 100.0 3.4 14.6 † 23.9 34.6 † 17.2 4.7Other 100.0 6.8 18.6 1.4 19.2 31.7 † 16.5 5.0

Total2SMI status

100.0 3.6 14.0 † 23.2 32.8 † 19.3 5.2

SMI 100.0 2.2 11.8 † 25.1 33.4 † 22.4 3.6Not SMI 100.0 12.1 20.9 2.2 13.5 28.7 † 4.8 16.8

Total


100.0 4.8 14.1 † 22.1 32.2 † 17.9 7.0

0 100.0 4.3 9.7 † 18.1 24.5 † 21.5 20.81-50 100.0 1.5 9.7 † 25.1 31.7 † 26.7 4.451-100 100.0 5.1 14.8 1.1 24.8 32.0 † 15.4 6.0

Total 100.0 3.2 11.9 † 24.6 31.5 † 21.5 6.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

146

Table 4.6a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Number, 2015












Total


01-5051-100

Total

1,457,968

59,942 3,59747,05616,38723,155

865,06536,915

1,052,117

38,893431,871288,475

759,239

32,161

1,027 31 273 100 1,17514,513 483

17,602

1,911 4,235 9,822

15,968

171,859

5,581 438 2,679 599 3,055

105,562 5,347

123,261

3,82535,46532,538

71,828

8,513

89 11 111 17 78

4,323 87

4,716

291 678 1,861

2,830

365,631

16,058 685 9,242 2,742 5,059

226,48910,129

270,404

8,573113,16181,156

202,890

487,135

18,453 779 7,841 2,326 3,933

308,42910,585

352,346

11,385139,71198,112

249,208

12,763

548 78 389 280 2,245 6,133 316

9,989

209 2,573 2,330

5,112

326,953

15,655 1,31224,779 9,607 6,160

176,786 8,982

243,281

10,461124,02255,276

189,759

52,953

2,531 263 1,742 716 1,45022,830 986

30,518

2,23812,026 7,380


147

Table 4.6b. Individuals aged 26 to 54 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Column percent distribution, 2015


Column percent distribution of individualsLiving arrangement and functioning score (GAF) Mood disorders Schizophrenia,

Adjustment Anxiety Bipolar Depressive Personality other psychoticTotal disorders disorders ADD/ADHD disorders disorders disorders disorders Other


Living arrangementHomeless 5.7 5.8 4.5 1.9 5.9 5.2 5.5 6.4 8.3Foster home/foster care † † † † † † † † †Residential care 4.5 1.6 2.2 2.4 3.4 2.2 3.9 10.2 5.7Institutional setting 1.6 † † † 1.0 † 2.8 3.9 2.3Jail/correctional facility 2.2 6.7 2.5 1.7 1.9 1.1 22.5 2.5 4.8Private residence 82.2 82.5 85.6 91.7 83.8 87.5 61.4 72.7 74.8Other 3.5 2.7 4.3 1.8 3.7 3.0 3.2 3.7 3.2

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


0 5.1 12.0 5.3 10.3 4.2 4.6 4.1 5.5 10.31-50 56.9 26.5 49.4 24.0 55.8 56.1 50.3 65.4 55.651-100 38.0 61.5 45.3 65.8 40.0 39.4 45.6 29.1 34.1

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

148

Table 4.6c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Row percent distribution, 2015











Living arrangement

100.0 2.2 11.8 † 25.1 33.4 † 22.4 3.6

Homeless 100.0 1.7 9.3 † 26.8 30.8 † 26.1 4.2Foster home/foster care 100.0 † 12.2 † 19.0 21.7 2.2 36.5 7.3Residential care 100.0 † 5.7 † 19.6 16.7 † 52.7 3.7Institutional setting 100.0 † 3.7 † 16.7 14.2 1.7 58.6 4.4Jail/correctional facility 100.0 5.1 13.2 † 21.8 17.0 9.7 26.6 6.3Private residence 100.0 1.7 12.2 † 26.2 35.7 † 20.4 2.6Other 100.0 1.3 14.5 † 27.4 28.7 † 24.3 2.7

Total


100.0 1.7 11.7 † 25.7 33.5 † 23.1 2.9

0 100.0 4.9 9.8 † 22.0 29.3 † 26.9 5.81-50 100.0 † 8.2 † 26.2 32.4 † 28.7 2.851-100 100.0 3.4 11.3 † 28.1 34.0 † 19.2 2.6

Total 100.0 2.1 9.5 † 26.7 32.8 † 25.0 2.9† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

149

Table 4.7a. Individuals aged 26 to 54, by mental health diagnosis and employment status: Number, 2015

Employment status

Total



Adjustmentdisorders








Full timePart time


Total



Total

2,038,415

256,409132,10687,883

364,307506,574

1,127,290

506,574204,93316,87927,531 3,326 5,527

248,378

506,574

96,711

14,909 8,702 4,29013,034 9,002

36,945

9,002 2,647 758 1,324 90 206 3,977

9,002

285,831

46,92327,61015,64853,15065,440

165,513

65,44021,256 2,727 5,717 440 719

34,581

65,440

20,145

3,858 1,996 1,164 2,821 2,612

9,291

2,612 874 461 255 12 55 955

2,612

449,036

56,71825,76720,23390,500

120,515

267,733

120,51552,510 3,820 6,405 777 1,17055,833

120,515

654,732

95,56149,73531,207

131,289163,167

390,017

163,16759,833 4,86510,929 853 1,55585,132

163,167

18,397

2,434 1,590 684 2,457 4,591

9,482

4,591 1,734 119 153 31 62

2,492

4,591

364,617

23,388 8,69210,75454,742

124,487

202,617

124,48760,563 2,506 1,980 978 1,22457,236

124,487

148,946

12,618 8,014 3,90316,31416,760

45,692

16,760 5,516 1,623 768 145 536 8,172

16,760ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

150

Table 4.7b. Individuals aged 26 to 54, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status

Total



Adjustmentdisorders










Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


not in labor force 44.9 24.4 39.5 28.1 45.0 41.8 48.4 61.4 36.7Disabled 40.5 29.4 32.5 33.5 43.6 36.7 37.8 48.7 32.9Student 3.3 8.4 4.2 17.6 3.2 3.0 2.6 2.0 9.7Homemaker 5.4 14.7 8.7 9.8 5.3 6.7 3.3 1.6 4.6Retired † † † † † † † † †Sheltered/non-competitive employment 1.1 2.3 1.1 2.1 † † 1.4 † 3.2Other 49.0 44.2 52.8 36.6 46.3 52.2 54.3 46.0 48.8

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

151

Table 4.7c. Individuals aged 26 to 54, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status










Employment statusEmployed 100.0 5.8 18.3 1.5 22.1 37.3 † 9.1 4.9


Unemployed 100.0 3.6 14.6 † 24.8 36.0 † 15.0 4.5Not in labor force (see detail below) 100.0 1.8 12.9 † 23.8 32.2 † 24.6 3.3

Total 100.0 3.3 14.7 † 23.8 34.6 † 18.0 4.1


not in labor force 100.0 1.8 12.9 † 23.8 32.2 † 24.6 3.3Disabled 100.0 1.3 10.4 † 25.6 29.2 † 29.6 2.7Student 100.0 4.5 16.2 2.7 22.6 28.8 † 14.8 9.6Homemaker 100.0 4.8 20.8 † 23.3 39.7 † 7.2 2.8Retired 100.0 2.7 13.2 † 23.4 25.6 † 29.4 4.4Sheltered/non-competitive employment 100.0 3.7 13.0 † 21.2 28.1 1.1 22.1 9.7Other 100.0 1.6 13.9 † 22.5 34.3 1.0 23.0 3.3

Total 100.0 1.8 12.9 † 23.8 32.2 † 24.6 3.3† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

152

Table 4.8a. Individuals aged 26 to 54 with SMI, by mental health diagnosis and employment status: Number, 2015

Employment status











Full timePart time


Total



Total

1,457,968

184,11091,56767,152

281,955421,998

888,063

421,998172,93612,32020,264 2,814 4,336

209,328

421,998

32,161

5,131 3,287 1,649 5,249 3,339

13,719

3,339 1,011 306 576 41 92

1,313

3,339

171,859

28,59317,64010,21434,73745,566

108,896

45,56614,130 1,655 3,417 295 480

25,589

45,566

8,513

1,678 1,026 595 1,459 1,262

4,399

1,262 418 203 130 6 23 482

1,262

365,631

47,27920,10817,06475,408

107,169

229,856

107,16947,355 3,310 5,351 709 1,08949,355

107,169

487,135

74,05938,29825,572

105,960135,782

315,801

135,78248,673 3,887 8,519 728 1,23572,740

135,782

12,763

1,635 1,051 460 1,547 3,550

6,732

3,550 1,379 86 103 24 51

1,907

3,550

326,953

21,062 7,18310,03551,385

117,126

189,573

117,12657,069 2,384 1,838 945 1,15453,736

117,126

52,953

4,673 2,974 1,563 6,210 8,204

19,087

8,204 2,901 489 330 66 212 4,206

8,204

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

153

Table 4.8b. Individuals aged 26 to 54 with SMI, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status













Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


not in labor force 47.5 24.3 41.8 28.7 46.6 43.0 52.7 61.8 43.0Disabled 41.0 30.3 31.0 33.1 44.2 35.8 38.8 48.7 35.4Student 2.9 9.2 3.6 16.1 3.1 2.9 2.4 2.0 6.0Homemaker 4.8 17.3 7.5 10.3 5.0 6.3 2.9 1.6 4.0Retired † 1.2 † † † † † † †Sheltered/non-competitive employment 1.0 2.8 1.1 1.8 1.0 † 1.4 † 2.6Other 49.6 39.3 56.2 38.2 46.1 53.6 53.7 45.9 51.3

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

154

Table 4.8c. Individuals aged 26 to 54 with SMI, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status










Employment statusEmployed 100.0 2.8 15.5 † 25.7 40.2 † 11.4 2.5

Full time 100.0 3.6 19.3 1.1 22.0 41.8 1.1 7.8 3.2Part time 100.0 2.5 15.2 † 25.4 38.1 † 14.9 2.3

Unemployed 100.0 1.9 12.3 † 26.7 37.6 † 18.2 2.2Not in labor force (see detail below) 100.0 † 10.8 † 25.4 32.2 † 27.8 1.9

Total 100.0 1.5 12.3 † 25.9 35.6 † 21.3 2.1


not in labor force 100.0 † 10.8 † 25.4 32.2 † 27.8 1.9Disabled 100.0 † 8.2 † 27.4 28.1 † 33.0 1.7Student 100.0 2.5 13.4 1.6 26.9 31.6 † 19.4 4.0Homemaker 100.0 2.8 16.9 † 26.4 42.0 † 9.1 1.6Retired 100.0 1.5 10.5 † 25.2 25.9 † 33.6 2.3Sheltered/non-competitive employment 100.0 2.1 11.1 † 25.1 28.5 1.2 26.6 4.9Other 100.0 † 12.2 † 23.6 34.7 † 25.7 2.0

Total 100.0 † 10.8 † 25.4 32.2 † 27.8 1.9† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

155

Table 4.9a. Individuals aged 26 to 54, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015














2,038,415

1,040,221997,893

2,038,114

58,5891,947,922

16,48784,75038,981

96,711

59,16837,538

96,706

1,26193,632 387 1,572 4,048

285,831

165,166120,648

285,814

1,618279,595

1,065 6,343 4,195

20,145

9,70110,441

20,142

10519,772

87 236 85

449,036

216,941232,046

448,987

11,495431,429

3,29720,970 7,306

654,732

360,191294,481

654,672

8,051632,470

2,90722,611 5,217

18,397

7,82810,562

18,390

1,65717,127 230 1,069 2,490

364,617

129,861234,630

364,491

30,453338,155

6,95126,136 7,902

148,946

91,36557,547

148,912

3,949135,742

1,563 5,813 7,738

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

156

Table 4.9b. Individuals aged 26 to 54, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015











Timing of admission

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

New individuals 51.0 61.2 57.8 48.2 48.3 55.0 42.6 35.6 61.4Continuing individuals 49.0 38.8 42.2 51.8 51.7 45.0 57.4 64.4 38.6

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



2.997.1

† 4.2 1.9

1.397.4

† 1.6 4.2

†99.0

† 2.2 1.5

†99.1

† 1.2

†

2.697.7

† 4.7 1.7

1.398.6

† 3.5

†

9.193.6 1.3 5.813.6

8.594.3 1.9 7.3 2.2

2.792.4 1.1 4.0 5.3

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

157

Table 4.9c. Individuals aged 26 to 54, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015











Timing of admission

100.0 4.7 14.0 † 22.0 32.1 † 17.9 7.3

New individuals 100.0 5.7 15.9 † 20.9 34.6 † 12.5 8.8Continuing individuals 100.0 3.8 12.1 1.0 23.3 29.5 1.1 23.5 5.8


100.0 4.7 14.0 † 22.0 32.1 † 17.9 7.3

State psychiatric hospital 100.0 2.2 2.8 † 19.6 13.7 2.8 52.0 6.7Community-based program 100.0 4.8 14.4 1.0 22.1 32.5 † 17.4 7.0Residential treatment center 100.0 2.3 6.5 † 20.0 17.6 1.4 42.2 9.5Other psychiatric inpatient 100.0 1.9 7.5 † 24.7 26.7 1.3 30.8 6.9Institutions under the justice system 100.0 10.4 10.8 † 18.7 13.4 6.4 20.3 19.9

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

158

Table 4.10a. Individuals aged 26 to 54 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015














1,457,968

709,046748,665

1,457,711

44,5881,403,091

14,24667,92329,831

32,161

21,89110,269

32,160

59630,444 246 787 1,846

171,859

98,02173,828

171,849

1,004168,116

801 4,029 3,485

8,513

4,230 4,282

8,512

57 8,358 68 126 73

365,631

173,963191,620

365,583

8,857354,355

3,01218,344 6,962

487,135

264,848222,233

487,081

5,601474,041

2,53217,047 3,617

12,763

4,983 7,777

12,760

1,09412,067 206 917 2,365

326,953

110,540216,291

326,831

25,554308,507

6,52323,995 7,759

52,953

30,57022,365

52,935

1,82547,203 858 2,678 3,724

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

159

Table 4.10b. Individuals aged 26 to 54 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015











Timing of admission

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



3.197.3

† 4.7 2.1

1.995.0

† 2.5 5.8

†98.7

† 2.4 2.0

†98.7

† 1.5

†

2.497.8

† 5.1 1.9

1.298.8

† 3.6

†

8.694.7 1.6 7.218.6

7.995.0 2.0 7.4 2.4

3.590.6 1.6 5.1 7.1

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

160

Table 4.10c. Individuals aged 26 to 54 with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015











Timing of admission

100.0 2.2 11.8 † 25.1 33.4 † 22.4 3.6

New individuals 100.0 3.1 13.8 † 24.5 37.4 † 15.6 4.3Continuing individuals 100.0 1.4 9.9 † 25.6 29.7 1.0 28.9 3.0


100.0 2.2 11.8 † 25.1 33.4 † 22.4 3.6

State psychiatric hospital 100.0 1.3 2.3 † 19.9 12.6 2.5 57.3 4.1Community-based program 100.0 2.2 12.0 † 25.3 33.8 † 22.0 3.4Residential treatment center 100.0 1.7 5.6 † 21.1 17.8 1.4 45.8 6.0Other psychiatric inpatient 100.0 1.2 5.9 † 27.0 25.1 1.4 35.3 3.9Institutions under the justice system 100.0 6.2 11.7 † 23.3 12.1 7.9 26.0 12.5

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

161

Table 4.11. Individuals aged 26 to 54, by mental health service setting, SMI status, and functioning score (GAF): Number and percent distribution, 2015





State psychiatric

hospital

Community-based

program


center



justice system

State psychiatric

hospital

Community-based

program


center



justice system

Total individuals aged 26 to 543SMI status

SMINot SMI

Total


01-5051-100

Total

2,285,609

1,596,076578,311

2,174,387

54,323517,508440,464

1,012,295

69,230

52,732 6,931

59,663

61917,539 8,383

26,541

2,218,767

1,550,662566,242

2,116,904

51,371498,302432,263

981,936

17,508

14,989 2,108

17,097

1,109 5,456 3,992

10,557

94,368

75,84214,858

90,700

3,82030,21312,896

46,929

41,607

30,39710,060

40,457

3,53316,850 9,162

29,545

3.0

88.411.6

100.0

2.366.131.6

100.0

97.1

73.326.7

100.0

5.250.744.0

100.0

†

87.712.3

100.0

10.551.737.8

100.0

4.1

83.616.4

100.0

8.164.427.5

100.0

1.8

75.124.9

100.0

12.057.031.0

100.0† Less than one percent of individuals.GAF = Global Assessment of Function; SMI = serious mental illness.1 Mental health services setting category definitions can be found in Appendix C.2 Numbers may not sum to the Total unique individuals column because individuals 3 The definition for SMI status can be found in Appendix D.4 Functioning is measured by the Global Assessment of Function (GAF) for adults. FNOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11

could receive services in more than one mental health service setting during the reporting period.

urther information on GAF can be found in Appendix D.

Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) an.01.16.

d Mental

162

Table 5.1a. Individuals aged 55 and older, by mental health diagnosis, gender, race, and ethnicity: Number, 2015





Anxietydisorders

Delirium/ dementia





Total individuals aged 55 and older

GenderMaleFemale

Total



Total


Total


Total

685,985

277,787407,142

684,929

6,48713,624

120,323 886

454,48829,689

625,497

473,71958,686

532,405

3,252 3,491 2,776 5,098

14,617

25,996

10,67315,246

25,919

226 344 3,323 18

18,013 970

22,894

12,412 2,519

14,931

105 77 78 166

426

66,169

22,72843,386

66,114

891 1,390 6,848 68

48,675 2,653

60,525

47,135 5,765

52,900

410 326 248 516

1,500

15,259

6,891 8,354

15,245

225 295 2,240 17

10,622 704

14,103

10,765 1,072

11,837

36 30 9 65

140

110,139

39,86470,106

109,970

943 903

13,717 130

82,679 4,006

102,378

83,871 6,894

90,765

411 541 355 757

2,064

257,168

86,480170,334

256,814

2,317 6,85238,680 392

172,34913,091

233,681

179,66926,420

206,089

1,548 1,685 1,490 2,496

7,219

4,318

2,036 2,275

4,311

49 29 550 4

3,303 101

4,036

2,535 279

2,814

7 10 5 7

29

169,640

87,11782,243

169,360

1,312 3,41448,239 233

95,986 6,607

155,791

120,32011,979

132,299

644 737 569 982

2,932

37,296

21,99815,198

37,196

524 397 6,726 24

22,861 1,557

32,089

17,012 3,758

20,770

91 85 22 109

3071 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

163

Table 5.1b. Individuals aged 55 and older, by mental health diagnosis, gender, race, and ethnicity: Column percent distribution, 2015





Anxietydisorders

Delirium/ dementia





Total individuals aged 55 and older 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native 1.0 † 1.5 1.6 † † 1.2 † 1.6

2Asian 2.2 1.5 2.3 2.1 † 2.9 † 2.2 1.2Black or African American 19.2 14.5 11.3 15.9 13.4 16.6 13.6 31.0 21.0Native Hawaiian or Other Pacific Islander † † † † † † † † †White 72.7 78.7 80.4 75.3 80.8 73.8 81.8 61.6 71.2Other 4.7 4.2 4.4 5.0 3.9 5.6 2.5 4.2 4.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

164

Table 5.1c. Individuals aged 55 and older, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015





Anxietydisorders

Delirium/ dementia





Total individuals aged 55 and older 100.0 3.8 9.6 2.2 16.1 37.5 † 24.7 5.4


Total 100.0 3.8 9.7 2.2 16.1 37.5 † 24.7 5.4

RaceAmerican Indian or Alaska Native 100.0 3.5 13.7 3.5 14.5 35.7 † 20.2 8.1

2Asian 100.0 2.5 10.2 2.2 6.6 50.3 † 25.1 2.9Black or African American 100.0 2.8 5.7 1.9 11.4 32.1 † 40.1 5.6Native Hawaiian or Other Pacific Islander 100.0 2.0 7.7 1.9 14.7 44.2 † 26.3 2.7White 100.0 4.0 10.7 2.3 18.2 37.9 † 21.1 5.0Other 100.0 3.3 8.9 2.4 13.5 44.1 † 22.3 5.2

Total 100.0 3.7 9.7 2.3 16.4 37.4 † 24.9 5.1


Total 100.0 2.8 9.9 2.2 17.0 38.7 † 24.8 3.9

Specific Hispanic or Latino OriginMexican 100.0 3.2 12.6 1.1 12.6 47.6 † 19.8 2.8Puerto Rican 100.0 2.2 9.3 † 15.5 48.3 † 21.1 2.4Cuban 100.0 2.8 8.9 † 12.8 53.7 † 20.5 †Other specific 100.0 3.3 10.1 1.3 14.8 49.0 † 19.3 2.1

Total 100.0 2.9 10.3 † 14.1 49.4 † 20.1 2.1† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

165

Table 5.2a. Individuals aged 55 and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Number, 2015





Anxietydisorders

Delirium/ dementia





2Total individuals with SMI aged 55 and older 501,948 7,594 38,801 8,622 90,239 191,796 2,582 149,346 12,968

GenderMale 201,971 3,323 12,904 3,906 32,226 63,865 1,157 77,069 7,521Female 299,455 4,229 25,874 4,707 57,925 127,755 1,424 72,111 5,430

Total 501,426 7,552 38,778 8,613 90,151 191,620 2,581 149,180 12,951

RaceAmerican Indian or Alaska Native 4,454 49 580 99 767 1,670 32 1,117 140

3Asian 11,379 148 1,079 158 792 5,931 20 3,131 120Black or African American 91,247 906 3,871 1,450 11,108 28,477 309 42,544 2,582Native Hawaiian or Other Pacific Islander 771 13 53 9 116 348 4 222 6White 326,222 4,675 27,784 5,726 67,636 126,355 1,967 84,116 7,963Other 24,228 515 1,948 458 3,455 11,142 76 6,091 543

Total 458,301 6,306 35,315 7,900 83,874 173,923 2,408 137,221 11,354

EthnicityNot of Hispanic or Latino Origin 363,019 4,116 28,582 5,413 70,212 138,127 1,804 108,220 6,545Hispanic or Latino Origin 43,931 976 3,397 615 5,983 20,519 143 10,915 1,383

Total 406,950 5,092 31,979 6,028 76,195 158,646 1,947 119,135 7,928

Specific Hispanic or Latino OriginMexican 2,668 26 235 15 374 1,365 5 618 30Puerto Rican 2,860 27 151 10 485 1,442 7 689 49Cuban 2,694 74 226 6 348 1,460 4 561 15Other specific 4,479 87 358 30 702 2,309 ^ 939 52

Total 12,701 214 970 61 1,909 6,576 18 2,807 146^ Less than three individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

166

Table 5.2b. Individuals aged 55 and older with


Total2Total individuals with SMI aged 55 and older 100.0

SMI, by ment

Adjustmentdisorders

100.0

al health dia

Anxietydisorders

100.0

gnosis, gender, race, and ethnicity: Col



Mood disordersDelirium/ Bipolar Depressivedementia disorders disorders

100.0 100.0 100.0

umn percent


100.0

distribution, 2015


disorders

100.0

Other

100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native † † 1.6 1.3 † † 1.3 † 1.2

3Asian 2.5 2.3 3.1 2.0 † 3.4 † 2.3 1.1Black or African American 19.9 14.4 11.0 18.4 13.2 16.4 12.8 31.0 22.7Native Hawaiian or Other Pacific Islander † † † † † † † † †White 71.2 74.1 78.7 72.5 80.6 72.6 81.7 61.3 70.1Other 5.3 8.2 5.5 5.8 4.1 6.4 3.2 4.4 4.8

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

167

Table 5.2c. Individuals aged 55 and older with SMI, by mental health diagnosis, gender, race, and ethnicity: Row percent distribution, 2015


Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia





2Total individuals with SMI aged 55 and older 100.0 1.5 7.7 1.7 18.0 38.2 † 29.8 2.6


Total 100.0 1.5 7.7 1.7 18.0 38.2 † 29.8 2.6

RaceAmerican Indian or Alaska Native 100.0 1.1 13.0 2.2 17.2 37.5 † 25.1 3.1

3Asian 100.0 1.3 9.5 1.4 7.0 52.1 † 27.5 1.1Black or African American 100.0 † 4.2 1.6 12.2 31.2 † 46.6 2.8Native Hawaiian or Other Pacific Islander 100.0 1.7 6.9 1.2 15.0 45.1 † 28.8 †White 100.0 1.4 8.5 1.8 20.7 38.7 † 25.8 2.4Other 100.0 2.1 8.0 1.9 14.3 46.0 † 25.1 2.2

Total 100.0 1.4 7.7 1.7 18.3 37.9 † 29.9 2.5


Total 100.0 1.3 7.9 1.5 18.7 39.0 † 29.3 1.9

Specific Hispanic or Latino OriginMexican 100.0 † 8.8 † 14.0 51.2 † 23.2 1.1Puerto Rican 100.0 † 5.3 † 17.0 50.4 † 24.1 1.7Cuban 100.0 2.7 8.4 † 12.9 54.2 † 20.8 †Other specific 100.0 1.9 8.0 † 15.7 51.6 † 21.0 1.2

Total 100.0 1.7 7.6 † 15.0 51.8 † 22.1 1.1† Less than one percent of individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

168

Table 5.3a. Individuals aged 55 and older, by mental health diagnosis, education, and marital status: Number, 2015





Anxietydisorders

Delirium/dementia







Total


Total

685,985

37,87744,546

132,59584,393

299,411

128,65381,34227,164

102,30034,818

374,277

25,996

1,366 1,325 5,908 4,248

12,847

3,625 6,341 1,656 3,625 1,825

17,072

66,169

3,792 3,82812,448 8,225

28,293

9,692 9,102 2,204 9,154 3,292

33,444

15,259

1,375 758 2,971 1,046

6,150

1,743 2,039 173 1,102 1,875

6,932

110,139

3,844 5,96620,06216,566

46,438

17,86712,743 4,40420,812 5,066

60,892

257,168

14,90616,17548,70231,696

111,479

36,71233,19410,98940,71315,141

136,749

4,318

264 360 1,182 848

2,654

1,018 620 219 765 144

2,766

169,640

10,05213,78733,52217,723

75,084

51,36011,038 5,58121,835 6,046

95,860

37,296

2,278 2,347 7,800 4,041

16,466

6,636 6,265 1,938 4,294 1,429

20,562GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

169

Table 5.3b. Individuals aged 55 and older, by mental health diagnosis, education, and marital status: Column percent distribution, 2015





Anxietydisorders

Delirium/ dementia







Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Marital statusNever married 34.4 21.2 29.0 25.1 29.3 26.8 36.8 53.6 32.3Currently married 21.7 37.1 27.2 29.4 20.9 24.3 22.4 11.5 30.5Separated 7.3 9.7 6.6 2.5 7.2 8.0 7.9 5.8 9.4Divorced 27.3 21.2 27.4 15.9 34.2 29.8 27.7 22.8 20.9Widowed 9.3 10.7 9.8 27.0 8.3 11.1 5.2 6.3 6.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

170

Table 5.3c. Individuals aged 55 and older, by mental health diagnosis, education, and marital status: Row percent distribution, 2015





Anxietydisorders

Delirium/ dementia






Highest school grade completed0 to 8 100.0 3.6 10.0 3.6 10.1 39.4 † 26.5 6.09 to 11 100.0 3.0 8.6 1.7 13.4 36.3 † 31.0 5.312 (or GED) 100.0 4.5 9.4 2.2 15.1 36.7 † 25.3 5.9More than 12 100.0 5.0 9.7 1.2 19.6 37.6 1.0 21.0 4.8

Total 100.0 4.3 9.4 2.1 15.5 37.2 † 25.1 5.5

Marital statusNever married 100.0 2.8 7.5 1.4 13.9 28.5 † 39.9 5.2Currently married 100.0 7.8 11.2 2.5 15.7 40.8 † 13.6 7.7Separated 100.0 6.1 8.1 † 16.2 40.5 † 20.5 7.1Divorced 100.0 3.5 8.9 1.1 20.3 39.8 † 21.3 4.2Widowed 100.0 5.2 9.5 5.4 14.5 43.5 † 17.4 4.1

Total 100.0 4.6 8.9 1.9 16.3 36.5 † 25.6 5.5† Less than one percent of individuals.GED = General Educational Development.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

171

Table 5.4a. Individuals aged 55 and older with SMI, by mental health diagnosis, education, and marital status: Number, 2015





Anxietydisorders

Delirium/ dementia






Highest school grade completed0 to 8 28,049 479 2,340 785 3,009 11,394 165 8,769 1,1089 to 11 34,951 325 2,393 465 5,042 12,934 215 12,667 91012 (or GED) 96,695 1,087 6,973 1,861 16,580 37,173 596 29,800 2,625More than 12 62,344 620 4,745 671 14,200 24,474 492 16,015 1,127

Total 222,039 2,511 16,451 3,782 38,831 85,975 1,468 67,251 5,770

Marital statusNever married 98,949 1,160 5,395 1,033 14,654 26,661 630 46,547 2,869Currently married 52,125 1,153 4,519 1,309 10,362 23,212 266 9,704 1,600Separated 19,444 358 1,308 118 3,669 8,189 103 4,975 724Divorced 79,123 961 5,513 724 18,079 31,959 463 19,852 1,572Widowed 25,217 480 1,838 1,224 4,216 11,388 90 5,386 595

Total 274,858 4,112 18,573 4,408 50,980 101,409 1,552 86,464 7,360GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is reported mental health diagnoses for this age group. Mental health diagnostic category 2 The definition for SMI status can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and MHealth Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.0

the first of up to three diagnoses reported for the individual. This table focuses on the most frequently definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.

ental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental 1.16.

172

Table 5.4b. Individuals aged 55 and older with SMI, by mental health diagnosis, education, and marital status: Column percent distribution, 2015





Anxietydisorders

Delirium/ dementia





2Total individuals with SMI aged 55 and older 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Marital statusNever married 36.0 28.2 29.0 23.4 28.7 26.3 40.6 53.8 39.0Currently married 19.0 28.0 24.3 29.7 20.3 22.9 17.1 11.2 21.7Separated 7.1 8.7 7.0 2.7 7.2 8.1 6.6 5.8 9.8Divorced 28.8 23.4 29.7 16.4 35.5 31.5 29.8 23.0 21.4Widowed 9.2 11.7 9.9 27.8 8.3 11.2 5.8 6.2 8.1

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

173

Table 5.4c. Individuals aged 55 and older with SMI, by mental health diagnosis, education, and marital status: Row percent distribution, 2015


Row percent distribution of individualsEducation and marital status


Anxietydisorders

Delirium/ dementia






Highest school grade completed0 to 8 100.0 1.7 8.3 2.8 10.7 40.6 † 31.3 4.09 to 11 100.0 † 6.8 1.3 14.4 37.0 † 36.2 2.612 (or GED)More than 12

100.0100.0

1.1 †

7.2 7.6

1.9 1.1

17.122.8

38.439.3

† †

30.825.7

2.7 1.8

Total 100.0 1.1 7.4 1.7 17.5 38.7 † 30.3 2.6

Marital statusNever married 100.0 1.2 5.5 1.0 14.8 26.9 † 47.0 2.9Currently marriedSeparatedDivorced

100.0100.0100.0

2.2 1.8 1.2

8.7 6.7 7.0

2.5 † †

19.918.922.8

44.542.140.4

† † †

18.625.625.1

3.1 3.7 2.0

Widowed 100.0 1.9 7.3 4.9 16.7 45.2 † 21.4 2.4

Total 100.0 1.5 6.8 1.6 18.5 36.9 † 31.5 2.7† Less than one percent of individuals.

GED = General Educational Development; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

174

Table 5.5a. Individuals aged 55 and older, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Number, 2015





Anxietydisorders

Delirium/ dementia







Total2SMI status

SMINot SMI

Total


01-5051-100

Total

685,985

15,579 3,03530,73319,948 3,558

345,38917,197

435,439

501,948157,864

659,812

17,221155,910134,679

307,810

25,996

494 81 301 242 295 8,102 830

10,345

7,59417,438

25,032

455 1,814 4,409

6,678

66,169

1,165 377 1,252 1,042 312

34,704 1,960

40,812

38,80125,208

64,009

1,37110,24013,651

25,262

15,259

106 120 932 2,739 56

4,530 532

9,015

8,622 5,722

14,344

365 2,843 547

3,755

110,139

2,977 385 3,677 2,278 464

63,891 2,456

76,128

90,23916,006

106,245

2,32127,52127,388

57,230

257,168

5,753 647 5,032 4,347 748

143,527 5,872

165,926

191,79656,357

248,153

5,83658,80155,859

120,496

4,318

98 24 180 155 208 1,705 62

2,432

2,582 1,579

4,161

46 608 578

1,232

169,640

3,960 1,21318,425 8,644 1,01178,877 4,852

116,982

149,34613,835

163,181

4,57050,03727,668

82,275

37,296

1,026 188 934 501 464

10,053 633

13,799

12,96821,719

34,687

2,257 4,046 4,579

10,882GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

175

Table 5.5b. Individuals aged 55 and older, by mental health diagnostic category, living arrangement, SMI status, and functioning score (GAF): Column percent distribution, 2015





Anxietydisorders

Delirium/ dementia







Total2SMI status

SMINot SMI

Total


01-5051-100

Total

100.0

3.6 †

7.1 4.6

†79.3 3.9

100.0

76.123.9

100.0

5.650.743.8

100.0

100.0

4.8 †

2.9 2.3 2.978.3 8.0

100.0

30.369.7

100.0

6.827.266.0

100.0

100.0

2.9 †

3.1 2.6

†85.0 4.8

100.0

60.639.4

100.0

5.440.554.0

100.0

100.0

1.2 1.310.330.4

†50.2 5.9

100.0

60.139.9

100.0

9.775.714.6

100.0

100.0

3.9 †

4.8 3.0

†83.9 3.2

100.0

84.915.1

100.0

4.148.147.9

100.0

100.0

3.5 †

3.0 2.6

†86.5 3.5

100.0

77.322.7

100.0

4.848.846.4

100.0

100.0

4.0 †

7.4 6.4 8.670.1 2.5

100.0

62.137.9

100.0

3.749.446.9

100.0

100.0

3.4 1.015.8 7.4

†67.4 4.1

100.0

91.5 8.5

100.0

5.660.833.6

100.0

100.0

7.4 1.4 6.8 3.6 3.472.9 4.6

100.0

37.462.6

100.0

20.737.242.1

100.0† Less than one percent of individuals.GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

176

Table 5.5c. Individuals aged 55 and older, by mental health diagnosis, living arrangement, SMI status, and functioning score (GAF): Row percent distribution, 2015





Anxietydisorders

Delirium/ dementia






Living arrangement

100.0 3.8 9.6 2.2 16.1 37.5 † 24.7 5.4

Homeless 100.0 3.2 7.5 † 19.1 36.9 † 25.4 6.6Foster home/foster care 100.0 2.7 12.4 4.0 12.7 21.3 † 40.0 6.2Residential care 100.0 † 4.1 3.0 12.0 16.4 † 60.0 3.0Institutional setting 100.0 1.2 5.2 13.7 11.4 21.8 † 43.3 2.5Jail/correctional facility 100.0 8.3 8.8 1.6 13.0 21.0 5.8 28.4 13.0Private residence 100.0 2.3 10.0 1.3 18.5 41.6 † 22.8 2.9Other 100.0 4.8 11.4 3.1 14.3 34.1 † 28.2 3.7

Total2SMI status

100.0 2.4 9.4 2.1 17.5 38.1 † 26.9 3.2

SMI 100.0 1.5 7.7 1.7 18.0 38.2 † 29.8 2.6Not SMI 100.0 11.0 16.0 3.6 10.1 35.7 1.0 8.8 13.8

Total


100.0 3.8 9.7 2.2 16.1 37.6 † 24.7 5.3

0 100.0 2.6 8.0 2.1 13.5 33.9 † 26.5 13.11-50 100.0 1.2 6.6 1.8 17.7 37.7 † 32.1 2.651-100 100.0 3.3 10.1 † 20.3 41.5 † 20.5 3.4

Total 100.0 2.2 8.2 1.2 18.6 39.1 † 26.7 3.5† Less than one percent of individuals.GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

177

Table 5.6a. Individuals aged 55 and older with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Number, 2015


Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia





Total individuals with SMI



01-5051-100

2aged 55 and older

Total

Total

501,948

12,969 1,65727,24615,455 2,477

286,38112,247

358,432

14,590143,276104,280

262,146

7,594

239 40 102 94 80

3,252 125

3,932

397 1,033 2,038

3,468

38,801

847 165 785 620 237

23,754 1,121

27,529

1,153 8,096 7,985

17,234

8,622

71 35 579 1,421 31

2,766 192

5,095

299 1,839 407

2,545

90,239

2,688 193 3,250 1,887 397

56,605 2,259

67,279

2,23826,09223,192

51,522

191,796

4,928 305 4,171 3,365 468

120,097 3,752

137,086

5,62254,85643,520

103,998

2,582

76 14 123 105 193 1,309 40

1,860

40 515 429

984

149,346

3,679 853

17,776 7,693 925

74,055 4,556

109,537

4,47348,66225,170

78,305

12,968

441 52 460 270 146 4,543 202

6,114

368 2,183 1,539

4,090GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

178

Table 5.6b. Individuals aged 55 and older with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Column percent distribution, 2015


Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia








01-5051-100

2aged 55 and older

Total

Total

100.0

3.6 †

7.6 4.3

†79.9 3.4

100.0

5.654.739.8

100.0

100.0

6.1 1.0 2.6 2.4 2.082.7 3.2

100.0

11.429.858.8

100.0

100.0

3.1 †

2.9 2.3

†86.3 4.1

100.0

6.747.046.3

100.0

100.0

1.4 †

11.427.9

†54.3 3.8

100.0

11.772.316.0

100.0

100.0

4.0 †

4.8 2.8

†84.1 3.4

100.0

4.350.645.0

100.0

100.0

3.6 †

3.0 2.5

†87.6 2.7

100.0

5.452.741.8

100.0

100.0

4.1 †

6.6 5.610.470.4 2.2

100.0

4.152.343.6

100.0

100.0

3.4 †

16.2 7.0

†67.6 4.2

100.0

5.762.132.1

100.0

100.0

7.2 †

7.5 4.4 2.474.3 3.3

100.0

9.053.437.6

100.0† Less than one percent of individuals.GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

179

Table 5.6c. Individuals aged 55 and older with SMI, by mental health diagnosis, living arrangement, and functioning score (GAF): Row percent distribution, 2015


Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia






Living arrangement

2aged 55 and older 100.0 1.5 7.7 1.7 18.0 38.2 † 29.8 2.6

Homeless 100.0 1.8 6.5 † 20.7 38.0 † 28.4 3.4Foster home/foster care 100.0 2.4 10.0 2.1 11.6 18.4 † 51.5 3.1Residential care 100.0 † 2.9 2.1 11.9 15.3 † 65.2 1.7Institutional setting 100.0 † 4.0 9.2 12.2 21.8 † 49.8 1.7Jail/correctional facility 100.0 3.2 9.6 1.3 16.0 18.9 7.8 37.3 5.9Private residence 100.0 1.1 8.3 † 19.8 41.9 † 25.9 1.6Other 100.0 1.0 9.2 1.6 18.4 30.6 † 37.2 1.6


Total 100.0 1.1 7.7 1.4 18.8 38.2 † 30.6 1.7

0 100.0 2.7 7.9 2.0 15.3 38.5 † 30.7 2.51-50 100.0 † 5.7 1.3 18.2 38.3 † 34.0 1.551-100 100.0 2.0 7.7 † 22.2 41.7 † 24.1 1.5

Total 100.0 1.3 6.6 † 19.7 39.7 † 29.9 1.6† Less than one percent of individuals.GAF = Global Assessment of Function; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

180

Table 5.7a. Individuals aged 55 and older, by mental health diagnosis and employment status: Number, 2015

Employment status

Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia







Full timePart time


Total



Total

685,985

39,52317,55016,52774,020

247,180

360,723

247,180109,088

1,501 6,47026,798 1,384

101,939

247,180

25,996

1,583 866 546 2,074 4,183

7,840

4,183 1,112 45 197 1,322 35

1,472

4,183

66,169

5,058 2,629 2,046 7,47723,250

35,785

23,250 9,334 155 793 2,889 110 9,969

23,250

15,259

295 196 92 759 5,650

6,704

5,650 1,867 36 69

1,293 16

2,369

5,650

110,139

7,449 2,828 3,33113,55643,320

64,325

43,32020,803 289 1,192 4,609 225

16,202

43,320

257,168

17,082 7,875 6,84731,43794,441

142,960

94,44139,655 520 3,08511,348 423

39,410

94,441

4,318

262 153 81 310 1,306

1,878

1,306 538 3 15 83 7

660

1,306

169,640

6,314 2,173 3,04816,46670,374

93,154

70,37434,153 377 989 4,438 499

29,918

70,374

37,296

1,480 830 536 1,941 4,656

8,077

4,656 1,626 76 130 816 69

1,939

4,6561 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

181

Table 5.7b. Individuals aged 55 and olde

Employment status

Total

Total individuals aged 55 and older 100.0

r, by mental h

Adjustmentdisorders

100.0

ealth diagno

Anxietydisorders

100.0

sis and employment status: Column per



Mood disordersDelirium/ Bipolar Depressivedementia disorders disorders

100.0 100.0 100.0

cent distrib


100.0

ution, 2015


disorders

100.0

Other

100.0




Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


not in labor force 68.5 53.4 65.0 84.3 67.3 66.1 69.5 75.5 57.6Disabled 44.1 26.6 40.1 33.0 48.0 42.0 41.2 48.5 34.9Student † 1.1 † † † † † † 1.6Homemaker 2.6 4.7 3.4 1.2 2.8 3.3 1.1 1.4 2.8Retired 10.8 31.6 12.4 22.9 10.6 12.0 6.4 6.3 17.5Sheltered/non-competitive employment † † † † † † † † 1.5Other 41.2 35.2 42.9 41.9 37.4 41.7 50.5 42.5 41.6

Total 100.0 100.0† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is reported mental health diagnoses for this age group. Mental health diagnostic category NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and MHealth Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.0

100.0 100.0 100.0 100.0 100.0 100.0 100.0


ental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental 1.16.

182

Table 5.7c. Individuals aged 55 and older, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status

Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia






Employment statusEmployed 100.0 4.0 12.8 † 18.8 43.2 † 16.0 3.7

Full time 100.0 4.9 15.0 1.1 16.1 44.9 † 12.4 4.7Part time 100.0 3.3 12.4 † 20.2 41.4 † 18.4 3.2


Total 100.0 2.2 9.9 1.9 17.8 39.6 † 25.8 2.2


not in labor force 100.0 1.7 9.4 2.3 17.5 38.2 † 28.5 1.9Disabled 100.0 1.0 8.6 1.7 19.1 36.4 † 31.3 1.5Student 100.0 3.0 10.3 2.4 19.3 34.6 † 25.1 5.1Homemaker 100.0 3.0 12.3 1.1 18.4 47.7 † 15.3 2.0Retired 100.0 4.9 10.8 4.8 17.2 42.3 † 16.6 3.0Sheltered/non-competitive employment 100.0 2.5 7.9 1.2 16.3 30.6 † 36.1 5.0Other 100.0 1.4 9.8 2.3 15.9 38.7 † 29.3 1.9

Total 100.0 1.7 9.4 2.3 17.5 38.2 † 28.5 1.9† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

183

Table 5.8a. Individuals aged 55 and older with SMI, by mental health diagnosis and employment status: Number, 2015

Employment status

Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia






Employment statusEmployed 30,083 560 3,097 138 6,355 13,570 183 5,584 596

Full time 12,497 319 1,675 79 2,227 6,050 105 1,709 333Part time 13,331 223 1,318 55 2,912 5,728 57 2,801 237

Unemployed 61,211 836 5,273 377 11,696 26,358 207 15,667 797Not in labor force (see detail below) 207,534 1,565 15,576 3,001 38,814 79,003 1,036 66,216 2,323

Total 298,828 2,961 23,946 3,516 56,865 118,931 1,426 87,467 3,716

Detailed not in labor forceTotal individuals with SMI aged 55 and older

not in labor force 207,534 1,565 15,576 3,001 38,814 79,003 1,036 66,216 2,323Disabled 92,399 475 6,134 1,138 18,819 32,729 405 31,874 825Student 1,236 15 84 24 264 442 ^ 364 41Homemaker 5,112 81 451 39 1,050 2,489 11 929 62Retired 20,773 516 1,725 688 4,014 9,262 59 4,184 325Sheltered/non-competitive employment 1,143 16 72 12 203 345 4 471 20Other 86,871 462 7,110 1,100 14,464 33,736 555 28,394 1,050

Total 207,534 1,565 15,576 3,001 38,814 79,003 1,036 66,216 2,323^ Less than three individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

184

Table 5.8b. Individuals aged 55 and older with SMI, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status

Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia





2Total individuals with SMI aged 55 and older 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0




Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


not in labor force 69.4 52.9 65.0 85.4 68.3 66.4 72.7 75.7 62.5Disabled 44.5 30.4 39.4 37.9 48.5 41.4 39.1 48.1 35.5Student † † † † † † † † 1.8Homemaker 2.5 5.2 2.9 1.3 2.7 3.2 1.1 1.4 2.7Retired 10.0 33.0 11.1 22.9 10.3 11.7 5.7 6.3 14.0Sheltered/non-competitive employment † 1.0 † † † † † † †Other 41.9 29.5 45.6 36.7 37.3 42.7 53.6 42.9 45.2

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

185

Table 5.8c. Individuals aged 55 and older with SMI, by mental health diagnosis and employment status: Row percent distribution, 2015


Row percent distribution of individualsEmployment status


Anxietydisorders

Delirium/ dementia







Full time100.0100.0

1.9 2.6

10.313.4

† †

21.117.8

45.148.4

† †

18.613.7

2.0 2.7

Part time 100.0 1.7 9.9 † 21.8 43.0 † 21.0 1.8UnemployedNot in labor force (see detail below)

100.0100.0

1.4 †

8.6 7.5

† 1.4

19.118.7

43.138.1

† †

25.631.9

1.3 1.1

Total 100.0 † 8.0 1.2 19.0 39.8 † 29.3 1.2


not in labor force 100.0 † 7.5 1.4 18.7 38.1 † 31.9 1.1Disabled 100.0 † 6.6 1.2 20.4 35.4 † 34.5 †Student 100.0 1.2 6.8 1.9 21.4 35.8 † 29.4 3.3Homemaker 100.0 1.6 8.8 † 20.5 48.7 † 18.2 1.2Retired 100.0 2.5 8.3 3.3 19.3 44.6 † 20.1 1.6Sheltered/non-competitive employmentOther

100.0100.0

1.4 †

6.3 8.2

1.0 1.3

17.816.6

30.238.8

† †

41.232.7

1.7 1.2

Total 100.0 † 7.5 1.4 18.7 38.1 † 31.9 1.1† Less than one percent of individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is reported mental health diagnoses for this age group. Mental health diagnostic category 2 The definition for SMI status can be found in Appendix D.


NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

186

Table 5.9a. Individuals aged 55 and older, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015





Anxietydisorders

Delirium/ dementia









685,985

265,792420,075

685,867

18,058655,506

6,05721,665 4,658

25,996

12,09113,903

25,994

20625,426

96 289 339

66,169

30,61035,556

66,166

27565,014 194 1,178 366

15,259

8,321 6,929

15,250

1,47313,447

96 1,269 79

110,139

40,86969,257

110,126

2,571105,948

906 3,934 726

257,168

109,641147,506

257,147

1,968249,641

1,021 5,529 801

4,318

1,127 3,188

4,315

377 3,994 41 150 215

169,640

46,176123,402

169,578

10,278157,506

3,253 8,038 1,296

37,296

16,95720,334

37,291

91034,530 450 1,278 836

1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

187

Table 5.9b. Individuals aged 55 and older, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015





Anxietydisorders

Delirium/ dementia







Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



2.797.2

† 3.2

†

†98.5

† 1.1 1.3

†99.2

† 1.8

†

9.788.5

† 8.4

†

2.497.9

† 3.6

†

†99.0

† 2.2

†

8.892.9

† 3.5 5.0

6.294.8 2.0 4.8

†

2.594.2 1.2 3.5 2.3

† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

188

Table 5.9c. Individuals aged 55 and older, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015





Anxietydisorders

Delirium/ dementia






Timing of admission

100.0 3.8 9.6 2.2 16.1 37.5 † 24.7 5.4

New individuals 100.0 4.5 11.5 3.1 15.4 41.3 † 17.4 6.4Continuing individuals 100.0 3.3 8.5 1.6 16.5 35.1 † 29.4 4.8


100.0 3.8 9.6 2.2 16.1 37.5 † 24.7 5.4

State psychiatric hospital 100.0 1.1 1.5 8.2 14.2 10.9 2.1 56.9 5.0Community-based program 100.0 3.9 9.9 2.1 16.2 38.1 † 24.0 5.3Residential treatment center 100.0 1.6 3.2 1.6 15.0 16.9 † 53.7 7.4Other psychiatric inpatient 100.0 1.3 5.4 5.9 18.2 25.5 † 37.1 5.9Institutions under the justice system 100.0 7.3 7.9 1.7 15.6 17.2 4.6 27.8 17.9

† Less than one percent of individuals.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

189

Table 5.10a. Individuals aged 55 and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015

Timing of admisison and mental health service setting




Anxietydisorders

Delirium/ dementia





2Total individuals with SMI aged 55 and older




501,948

182,294319,563

501,857

13,762485,596

5,01517,302 3,682

7,594

4,460 3,134

7,594

91 7,364 40 116 171

38,801

17,28121,519

38,800

17038,297 135 761 315

8,622

3,722 4,899

8,621

954 7,702 57 707 74

90,239

32,31757,912

90,229

1,98387,992 785 3,401 704

191,796

80,503111,276

191,779

1,377188,300

796 4,258 567

2,582

645 1,937

2,582

206 2,412 32 127 212

149,346

37,600111,686

149,286

8,641141,597

2,931 7,337 1,269

12,968

5,766 7,200

12,966

34011,932 239 595 370

SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

190

Table 5.10b. Individuals aged 55 and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015


Total



Adjustmentdisorders

Anxietydisorders

Delirium/ dementia






Timing of admission

2aged 55 and older 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



2.897.4 1.0 3.5

†

1.297.2

† 1.5 2.3

†99.2

† 2.0

†

11.189.6

† 8.2

†

2.298.1

† 3.8

†

†99.1

† 2.2

†

8.093.6 1.2 4.9 8.2

5.895.3 2.0 4.9

†

2.793.2 1.9 4.6 2.9

† Less than one percent of individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

191

Table 5.10c. Individuals aged 55 and older with SMI, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015





Anxietydisorders

Delirium/ dementia





2Total individuals with SMI aged 55 and older

Timing of admission

100.0 1.5 7.7 1.7 18.0 38.2 † 29.8 2.6

New individuals 100.0 2.4 9.5 2.0 17.7 44.2 † 20.6 3.2Continuing individuals 100.0 † 6.7 1.5 18.1 34.8 † 34.9 2.3


100.0 1.5 7.7 1.7 18.0 38.2 † 29.7 2.6

State psychiatric hospital 100.0 † 1.2 6.9 14.4 10.0 1.5 62.8 2.5Community-based program 100.0 1.5 7.9 1.6 18.1 38.8 † 29.2 2.5Residential treatment center 100.0 † 2.7 1.1 15.7 15.9 † 58.4 4.8Other psychiatric inpatient 100.0 † 4.4 4.1 19.7 24.6 † 42.4 3.4Institutions under the justice system 100.0 4.6 8.6 2.0 19.1 15.4 5.8 34.5 10.0

† Less than one percent of individuals.SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. This table focuses on the most frequently reported mental health diagnoses for this age group. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definition for SMI status can be found in Appendix D.3 Individuals could receive services in more than one service setting during the reporting period.4 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

192

Table 5.11. Individuals aged 55 and older, by mental health service setting, SMI status, and functioning score (GAF): Number and percent distribution, 2015





State psychiatric

hospital

Community-based

program


center



justice system

State psychiatric

hospital

Community-based

program


center



justice system


3SMI statusSMINot SMI

Total


01-5051-100

Total

773,581

552,149184,510

736,659

18,724167,578150,699

337,001

21,825

16,569 1,993

18,562

183 4,913 2,243

7,339

750,619

536,415180,608

717,023

18,137163,021149,057

330,215

6,810

5,575 988

6,563

355 1,512 1,443

3,310

24,462

19,403 3,913

23,316

913 6,295 3,066

10,274

5,088

3,820 1,122

4,942

485 2,117 1,240

3,842

2.8

89.310.7

100.0

2.566.930.6

100.0

97.0

74.825.2

100.0

5.549.445.1

100.0

†

84.915.1

100.0

10.745.743.6

100.0

3.2

83.216.8

100.0

8.961.329.8

100.0

†

77.322.7

100.0

12.655.132.3

100.0† Less than one percent of individuals.GAF = Global Assesment of Function; SMI = serious mental illness.1 Mental health services setting category definitions can be found in Appendix C.2 Numbers may not sum to the Total unique individuals column because individuals could receive services in more than one mental health service setting during the reporting period.3 The definition for SMI status can be found in Appendix D.4 Functioning is measured by the Global Assessment of Function (GAF) for adults. Further information on GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) anHealth Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

d Mental

193

Table 6.1a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, gender, and age: Number, 2015

Gender and age









Total co-occurring individuals aged 12 and older

GenderMaleFemale

Total 2Age

12 to 17 years18 to 20 years21 to 25 years26 to 29 years30 to 34 years35 to 39 years40 to 44 years45 to 49 years50 to 54 years55 to 59 years60 to 64 years65 years and older

Total

720,987

401,136319,407

720,543

42,40730,13571,76871,13092,04877,91172,61778,63982,34657,08128,54216,363

720,987

23,394

13,794 9,582

23,376

2,987 1,488 2,941 2,615 3,051 2,355 1,979 1,941 1,759 1,163 614 501

23,394

85,028

38,54946,453

85,002

4,953 3,771 9,89910,51913,16710,315 8,733 8,199 7,571 4,603 2,153 1,145

85,028

6,765

5,008 1,756

6,764

2,538 838 893 653 670 417 264 204 158 79 36 15

6,765

183,637

89,83293,685

183,517

7,496 7,31519,12319,31225,44821,91820,76621,08920,20212,397 5,710 2,861

183,637

206,841

101,232105,493

206,725

10,090 7,67317,94718,27223,50420,97820,91024,35427,44420,20210,088 5,379

206,841

9,537

5,798 3,732

9,530

101 412 1,271 1,201 1,404 1,158 1,056 1,044 961 534 236 159

9,537

136,229

98,53637,612

136,148

805 3,54412,61112,66817,24014,93413,78216,15318,57914,186 7,456 4,271

136,229

69,556

48,38721,094

69,481

13,437 5,094 7,083 5,890 7,564 5,836 5,127 5,655 5,672 3,917 2,249 2,032

69,556ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Age is based on the individual's age at the midpoint of the reporting period.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

the individual. Mental health diagnostic category

Health Treatment Episode Data Set (MH-TEDS)

definitions

and Mental

194

Table 6.1b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, gender, and age: Column percent distribution, 2015

Gender and age

Total



Adjustmentdisorders






Total co-occurring individuals aged 12 and older 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.02Age

12 to 17 years 5.9 12.8 5.8 37.5 4.1 4.9 1.1 † 19.318 to 20 years 4.2 6.4 4.4 12.4 4.0 3.7 4.3 2.6 7.321 to 25 years 10.0 12.6 11.6 13.2 10.4 8.7 13.3 9.3 10.226 to 29 years 9.9 11.2 12.4 9.7 10.5 8.8 12.6 9.3 8.530 to 34 years 12.8 13.0 15.5 9.9 13.9 11.4 14.7 12.7 10.935 to 39 years 10.8 10.1 12.1 6.2 11.9 10.1 12.1 11.0 8.440 to 44 years 10.1 8.5 10.3 3.9 11.3 10.1 11.1 10.1 7.445 to 49 years 10.9 8.3 9.6 3.0 11.5 11.8 10.9 11.9 8.150 to 54 years 11.4 7.5 8.9 2.3 11.0 13.3 10.1 13.6 8.255 to 59 years 7.9 5.0 5.4 1.2 6.8 9.8 5.6 10.4 5.660 to 64 years 4.0 2.6 2.5 † 3.1 4.9 2.5 5.5 3.265 years and older 2.3 2.1 1.3 † 1.6 2.6 1.7 3.1 2.9

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Age is based on the individual's age at the midpoint of the reporting period.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.


Health Treatment Episode Data Set (MH-TEDS) and

195

Table 6.1c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, gender, and age: Row percent distribution, 2015

Gender and age

Total



Adjustmentdisorders






Total co-occurring individuals aged 12 and older 100.0 3.2 11.8 † 25.5 28.7 1.3 18.9 9.6

GenderMale 100.0 3.4 9.6 1.2 22.4 25.2 1.4 24.6 12.1Female 100.0 3.0 14.5 † 29.3 33.0 1.2 11.8 6.6

Total 100.0 3.2 11.8 † 25.5 28.7 1.3 18.9 9.62Age

12 to 17 years 100.0 7.0 11.7 6.0 17.7 23.8 † 1.9 31.718 to 20 years 100.0 4.9 12.5 2.8 24.3 25.5 1.4 11.8 16.921 to 25 years 100.0 4.1 13.8 1.2 26.6 25.0 1.8 17.6 9.926 to 29 years 100.0 3.7 14.8 † 27.2 25.7 1.7 17.8 8.330 to 34 years 100.0 3.3 14.3 † 27.6 25.5 1.5 18.7 8.235 to 39 years 100.0 3.0 13.2 † 28.1 26.9 1.5 19.2 7.540 to 44 years 100.0 2.7 12.0 † 28.6 28.8 1.5 19.0 7.145 to 49 years 100.0 2.5 10.4 † 26.8 31.0 1.3 20.5 7.250 to 54 years 100.0 2.1 9.2 † 24.5 33.3 1.2 22.6 6.955 to 59 years 100.0 2.0 8.1 † 21.7 35.4 † 24.9 6.960 to 64 years 100.0 2.2 7.5 † 20.0 35.3 † 26.1 7.965 years and older 100.0 3.1 7.0 † 17.5 32.9 † 26.1 12.4

Total 100.0 3.2 11.8 † 25.5 28.7 1.3 18.9 9.6† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Age is based on the individual's age at the midpoint of the reporting period.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions can

and Mental

196

Table 6.2a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, race, and ethnicity: Number, 2015

Race and ethnicity

Total



Adjustmentdisorders









Total


Total


Total

720,987

12,196 5,865

128,935 1,490

465,31857,600

671,404

532,42494,356

626,780

6,779 6,373 842 7,392

21,386

23,394

527 162 3,761 52

15,850 1,542

21,894

17,190 3,212

20,402

338 215 43 383

979

85,028

1,952 401 8,663 144

64,062 5,133

80,355

67,493 9,932

77,425

1,178 906 97

1,149

3,330

6,765

118 23 942 5

5,064 402

6,554

5,246 950

6,196

124 64 11 106

305

183,637

2,453 1,08226,694 326

130,12812,238

172,921

142,05920,372

162,431

1,428 1,481 218 1,691

4,818

206,841

3,520 1,33634,276 347

141,78913,464

194,732

157,55224,284

181,836

2,261 2,183 258 2,396

7,098

9,537

170 43

1,846 23

6,126 685

8,893

6,989 1,322

8,311

34 71

^ 41

148

136,229

1,694 2,07941,549 400

69,09611,626

126,444

100,16117,856

118,017

796 1,127 179 1,181

3,283

69,556

1,762 739

11,204 193

33,20312,510

59,611

35,73416,428

52,162

620 326 34 445

1,425^ Less than three individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C. SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions can

and Mental

197

Table 6.2b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, race, and ethnicity: Column percent distribution, 2015


Column percent distribution of individualsRace and ethnicity









2Asian † † † † † † † 1.6 1.2Black or African American 19.2 17.2 10.8 14.4 15.4 17.6 20.8 32.9 18.8Native Hawaiian or Other Pacific Islander † † † † † † † † †White 69.3 72.4 79.7 77.3 75.3 72.8 68.9 54.6 55.7Other 8.6 7.0 6.4 6.1 7.1 6.9 7.7 9.2 21.0

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


84.915.1

84.315.7

87.212.8

84.715.3

87.512.5

86.613.4

84.115.9

84.915.1

68.531.5

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C.

the individual. Mental health diagnostic category definitions

NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

Health Treatment Episode Data Set (MH-TEDS) and Mental

198

Table 6.2c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, race, and ethnicity: Row percent distribution, 2015


Row percent distribution of individualsRace and ethnicity









2Asian 100.0 2.8 6.8 † 18.4 22.8 † 35.4 12.6Black or African American 100.0 2.9 6.7 † 20.7 26.6 1.4 32.2 8.7Native Hawaiian or Other Pacific Islander 100.0 3.5 9.7 † 21.9 23.3 1.5 26.8 13.0White 100.0 3.4 13.8 1.1 28.0 30.5 1.3 14.8 7.1Other 100.0 2.7 8.9 † 21.2 23.4 1.2 20.2 21.7

Total 100.0 3.3 12.0 † 25.8 29.0 1.3 18.8 8.9


100.0100.0

3.2 3.4

12.710.5

† 1.0

26.721.6

29.625.7

1.3 1.4

18.818.9

6.717.4

Total 100.0 3.3 12.4 † 25.9 29.0 1.3 18.8 8.3

Specific Hispanic or Latino OriginMexican 100.0 5.0 17.4 1.8 21.1 33.4 † 11.7 9.1Puerto Rican 100.0 3.4 14.2 1.0 23.2 34.3 1.1 17.7 5.1Cuban 100.0 5.1 11.5 1.3 25.9 30.6 † 21.3 4.0Other specific 100.0 5.2 15.5 1.4 22.9 32.4 † 16.0 6.0

Total 100.0 4.6 15.6 1.4 22.5 33.2 † 15.4 6.7† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 For some states, “Asian” includes “Pacific Islanders.” See Appendix C.

the individual. Mental health diagnostic category definitions

NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

Health Treatment Episode Data Set (MH-TEDS) and Mental

199

Table 6.3a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and substance abuse diagnosis: Number, 2015

Substance abuse diagnosis 1









Total co-occurring individuals aged 12 and older 720,987 23,394 85,028 6,765 183,637 206,841 9,537 136,229 69,556

Alcoholic psychoses 6,225 199 786 25 1,098 1,921 77 673 1,446Alcohol intoxication 2,480 201 228 13 495 695 47 282 519Drug psychoses 13,644 345 1,498 97 2,522 2,762 330 2,079 4,011Dependence

Alcohol 95,038 2,444 10,487 390 24,939 33,800 1,692 14,646 6,640Cocaine 18,419 395 1,673 79 5,327 5,485 292 4,104 1,064Marijuana 41,762 1,396 4,557 686 11,907 10,590 731 7,739 4,156Opioid 40,297 1,491 7,900 451 10,235 14,289 576 2,245 3,110Other 119,367 2,149 10,051 629 36,843 25,940 2,175 29,717 11,863

Non-dependent abuseAlcohol 61,099 2,261 5,668 350 15,512 18,877 624 12,499 5,308Cocaine 9,579 208 587 40 2,792 2,618 81 2,630 623Marijuana 60,700 2,250 5,162 1,352 15,773 14,213 504 11,672 9,774Opioid 5,580 266 810 47 1,506 1,951 67 498 435Other 24,614 635 2,153 177 6,464 5,271 342 6,382 3,190

None reported 9,417 153 1,613 276 2,133 2,744 11 2,213 274ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Substance abuse diagnostic category definitions can be found in Appendix D.2 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions

and Mental

200

Table 6.3b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and substance abuse diagnosis: Column percent distribution, 2015











Alcoholic psychoses 1.2 1.4 1.5 † † 1.4 1.0 † 2.8Alcohol intoxication † 1.4 † † † † † † †Drug psychoses 2.7 2.4 2.8 2.1 1.8 2.0 4.4 2.1 7.7Substance dependence

Alcohol 18.7 17.0 19.7 8.5 18.1 23.9 22.4 15.0 12.7Cocaine 3.6 2.7 3.1 1.7 3.9 3.9 3.9 4.2 2.0Marijuana 8.2 9.7 8.6 14.9 8.7 7.5 9.7 7.9 7.9Opioid 7.9 10.4 14.9 9.8 7.4 10.1 7.6 2.3 5.9Other 23.5 14.9 18.9 13.6 26.8 18.4 28.8 30.5 22.6

Non-dependent substance abuseAlcohol 12.0 15.7 10.7 7.6 11.3 13.4 8.3 12.8 10.1Cocaine 1.9 1.4 1.1 † 2.0 1.9 1.1 2.7 1.2Marijuana 11.9 15.6 9.7 29.3 11.5 10.1 6.7 12.0 18.6Opioid 1.1 1.8 1.5 1.0 1.1 1.4 † † †Other 4.8 4.4 4.0 3.8 4.7 3.7 4.5 6.6 6.1

None reported 1.9 1.1 3.0 6.0 1.6 1.9 † 2.3 †† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Substance abuse diagnostic category definitions can be found in Appendix D.2 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions

and

201

Table 6.3c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and substance abuse diagnosis: Row percent distribution, 2015











Alcoholic psychoses 100.0 3.2 12.6 † 17.6 30.9 1.2 10.8 23.2Alcohol intoxication 100.0 8.1 9.2 † 20.0 28.0 1.9 11.4 20.9Drug psychoses 100.0 2.5 11.0 † 18.5 20.2 2.4 15.2 29.4Substance dependence

Alcohol 100.0 2.6 11.0 † 26.2 35.6 1.8 15.4 7.0Cocaine 100.0 2.1 9.1 † 28.9 29.8 1.6 22.3 5.8Marijuana 100.0 3.3 10.9 1.6 28.5 25.4 1.8 18.5 10.0Opioid 100.0 3.7 19.6 1.1 25.4 35.5 1.4 5.6 7.7Other 100.0 1.8 8.4 † 30.9 21.7 1.8 24.9 9.9

Non-dependent substance abuseAlcohol 100.0 3.7 9.3 † 25.4 30.9 1.0 20.5 8.7Cocaine 100.0 2.2 6.1 † 29.1 27.3 † 27.5 6.5Marijuana 100.0 3.7 8.5 2.2 26.0 23.4 † 19.2 16.1Opioid 100.0 4.8 14.5 † 27.0 35.0 1.2 8.9 7.8Other 100.0 2.6 8.7 † 26.3 21.4 1.4 25.9 13.0

None reported 100.0 1.6 17.1 2.9 22.7 29.1 † 23.5 2.9† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 Substance abuse diagnostic category definitions can be found in Appendix D.2 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions

and

202

Table 6.4a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, living arrangement, SMI/SED status, and functioning score (CGAS/GAF) : Number, 2015

Living arrangement, SMI/SED status, and functioning score (CGAS/GAF)












SMISEDNot SMI/SED

Total

Functioning score (CGAS/GAF)3

01-5051-100

Total

720,987

42,036 2,53231,68711,00527,571

416,46622,790

554,087

518,01435,653

147,744

701,411

12,532240,725165,432

418,689

23,394

1,012 184 490 167 2,69212,416 1,033

17,994

7,403 2,02913,102

22,534

221 3,142 6,932

10,295

85,028

4,184 382 2,376 503 3,76353,059 4,200

68,467

49,201 4,16529,230

82,596

96020,02121,308

42,289

6,765

130 54 245 58 207 4,441 153

5,288

1,626 2,083 2,719

6,428

63 1,465 2,187

3,715

183,637

11,481 442 6,564 2,025 4,877

113,953 4,833

144,175

147,262 6,68325,116

179,061

2,78867,42443,842

114,054

206,841

12,382 567 6,212 1,785 4,889

129,842 6,887

162,564

151,239 8,68441,376

201,299

2,58964,91945,682

113,190

9,537

563 27 376 451 2,366 3,845 219

7,847

6,937 92

2,210

9,239

159 2,033 2,013

4,205

136,229

9,293 479

13,106 5,250 4,36271,321 4,091

107,902

126,720 760 5,962

133,442

2,77860,91322,743

86,434

69,556

2,991 397 2,318 766 4,41527,589 1,374

39,850

27,62611,15728,029

66,812

2,97420,80820,725

44,507

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definitions for SMI and SED statuses can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

203

Table 6.4b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, living arrangement, SMI/SED status, and functioning score (CGAS/GAF): Column percent distribution, 2015


Column percent distribution of individualsLiving arrangement, SMI/SED status, and functioning score (CGAS/GAF) Mood disorders Schizophrenia,

Adjustment Anxiety Bipolar Depressive Personality other psychoticTotal disorders disorders ADD/ADHD disorders disorders disorders disorders Other


Living arrangementHomeless 7.6 5.6 6.1 2.5 8.0 7.6 7.2 8.6 7.5Foster home/foster care † 1.0 † 1.0 † † † † †Residential care 5.7 2.7 3.5 4.6 4.6 3.8 4.8 12.1 5.8Institutional setting 2.0 † † 1.1 1.4 1.1 5.7 4.9 1.9Jail/correctional facility 5.0 15.0 5.5 3.9 3.4 3.0 30.2 4.0 11.1Private residence 75.2 69.0 77.5 84.0 79.0 79.9 49.0 66.1 69.2Other 4.1 5.7 6.1 2.9 3.4 4.2 2.8 3.8 3.4

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.02SMI/SED status

SMI 73.9 32.9 59.6 25.3 82.2 75.1 75.1 95.0 41.3SED 5.1 9.0 5.0 32.4 3.7 4.3 † † 16.7Not SMI/SED 21.1 58.1 35.4 42.3 14.0 20.6 23.9 4.5 42.0

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


0 3.0 2.1 2.3 1.7 2.4 2.3 3.8 3.2 6.71-50 57.5 30.5 47.3 39.4 59.1 57.4 48.3 70.5 46.851-100 39.5 67.3 50.4 58.9 38.4 40.4 47.9 26.3 46.6

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definitions for SMI and SED statuses can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

204

Table 6.4c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, living arrangement, SMI/SED status, and functioning score (CGAS/GAF): Row percent distribution, 2015

Living arrangement, SMI/SED status, and functioning score (CGAS/GAF)










Living arrangement

100.0 3.2 11.8 † 25.5 28.7 1.3 18.9 9.6

Homeless 100.0 2.4 10.0 † 27.3 29.5 1.3 22.1 7.1Foster home/foster care 100.0 7.3 15.1 2.1 17.5 22.4 1.1 18.9 15.7Residential care 100.0 1.5 7.5 † 20.7 19.6 1.2 41.4 7.3Institutional setting 100.0 1.5 4.6 † 18.4 16.2 4.1 47.7 7.0Jail/correctional facility 100.0 9.8 13.6 † 17.7 17.7 8.6 15.8 16.0Private residence 100.0 3.0 12.7 1.1 27.4 31.2 † 17.1 6.6Other 100.0 4.5 18.4 † 21.2 30.2 † 18.0 6.0


100.0 3.2 12.4 † 26.0 29.3 1.4 19.5 7.2

SMI 100.0 1.4 9.5 † 28.4 29.2 1.3 24.5 5.3SED 100.0 5.7 11.7 5.8 18.7 24.4 † 2.1 31.3Not SMI/SED 100.0 8.9 19.8 1.8 17.0 28.0 1.5 4.0 19.0

Total


100.0 3.2 11.8 † 25.5 28.7 1.3 19.0 9.5

0 100.0 1.8 7.7 † 22.2 20.7 1.3 22.2 23.71-50 100.0 1.3 8.3 † 28.0 27.0 † 25.3 8.651-100 100.0 4.2 12.9 1.3 26.5 27.6 1.2 13.7 12.5

Total 100.0 2.5 10.1 † 27.2 27.0 1.0 20.6 10.6† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 The definitions for SMI and SED statuses can be found in Appendix D.3 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

205

Table 6.5a. Individuals aged 18 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and employment status: Number, 2015

Employment status

Total



Adjustmentdisorders








Full timePart time


Total

Detailed not in labor forceTotal co-occurring individuals aged

18 and older not in labor forceDisabledStudentHomemakerRetiredSheltered/non-competitive employmentOther

Total

678,580

80,55337,27533,694

145,476191,032

417,061

191,03276,50711,773 6,577 3,808 1,84190,526

191,032

20,407

3,896 2,319 1,392 4,421 2,907

11,224

2,907 627 381 257 119 22

1,501

2,907

80,075

12,868 6,705 5,80620,92220,290

54,080

20,290 6,193 1,265 1,239 364 134

11,095

20,290

4,227

983 548 392 1,033 957

2,973

957 202 318 38 5 7

387

957

176,141

21,906 9,051 8,95441,17950,944

114,029

50,94421,486 2,956 1,895 917 521

23,169

50,944

196,751

27,87613,05911,05550,33554,398

132,609

54,39820,516 2,751 2,254 1,437 460

26,980

54,398

9,436

911 523 339 1,385 1,841

4,137

1,841 609 103 60 22 36

1,011

1,841

135,424

8,056 2,605 4,24420,48352,255

80,794

52,25525,592 1,463 594 687 402

23,517

52,255

56,119

4,057 2,465 1,512 5,718 7,440

17,215

7,440 1,282 2,536 240 257 259 2,866

7,440ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions

and Mental

206

Table 6.5b. Individuals aged 18 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status

Total



Adjustmentdisorders










Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


18 and older not in labor force 45.8 25.9 37.5 32.2 44.7 41.0 44.5 64.7 43.2Disabled 40.0 21.6 30.5 21.1 42.2 37.7 33.1 49.0 17.2Student 6.2 13.1 6.2 33.2 5.8 5.1 5.6 2.8 34.1Homemaker 3.4 8.8 6.1 4.0 3.7 4.1 3.3 1.1 3.2Retired 2.0 4.1 1.8 † 1.8 2.6 1.2 1.3 3.5Sheltered/non-competitive employment † † † † 1.0 † 2.0 † 3.5Other 47.4 51.6 54.7 40.4 45.5 49.6 54.9 45.0 38.5

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



207

Table 6.5c. Individuals aged 18 and older with co-occurring mental health and substance use disorder, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status

Total



Adjustmentdisorders









Unemployed 100.0 3.0 14.4 † 28.3 34.6 † 14.1 3.9Not in labor force (see detail below) 100.0 1.5 10.6 † 26.7 28.5 † 27.4 3.9

Total 100.0 2.7 13.0 † 27.3 31.8 † 19.4 4.1


18 and older not in labor force 100.0 1.5 10.6 † 26.7 28.5 † 27.4 3.9Disabled 100.0 † 8.1 † 28.1 26.8 † 33.5 1.7Student 100.0 3.2 10.7 2.7 25.1 23.4 † 12.4 21.5Homemaker 100.0 3.9 18.8 † 28.8 34.3 † 9.0 3.6Retired 100.0 3.1 9.6 † 24.1 37.7 † 18.0 6.7Sheltered/non-competitive employment 100.0 1.2 7.3 † 28.3 25.0 2.0 21.8 14.1Other 100.0 1.7 12.3 † 25.6 29.8 1.1 26.0 3.2

Total 100.0 1.5 10.6 † 26.7 28.5 † 27.4 3.9† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions

and Mental

208

Table 6.6a. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, timing of admission, and mental health service setting: Number, 2015














720,987

364,620356,149

720,769

29,698683,96611,70247,02435,681

23,394

15,906 7,485

23,391

65122,376 179 708 2,630

85,028

50,49034,527

85,017

93582,312 825 2,963 4,037

6,765

3,766 2,997

6,763

109 6,546 132 209 129

183,637

89,14094,468

183,608

6,900175,514

2,62613,098 7,421

206,841

115,21791,597

206,814

4,762200,019

2,07812,777 4,336

9,537

4,037 5,493

9,530

1,152 8,620 217 483 2,573

136,229

46,39689,710

136,106

13,469127,605

4,36713,452 6,264

69,556

39,66829,872

69,540

1,72060,974 1,278 3,334 8,291

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



209

Table 6.6b. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, timing of admission, and mental health service setting: Column percent distribution, 2015











Timing of admission

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0



4.295.7 1.6 6.6 5.0

2.896.2

† 3.011.3

1.197.5

† 3.5 4.8

1.697.8 2.0 3.1 1.9

3.896.3 1.4 7.2 4.1

2.397.9 1.0 6.3 2.1

12.190.7 2.3 5.127.1

10.094.3 3.2 9.9 4.6

2.588.3 1.8 4.812.0

† Less than one percent of individuals.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for the individual. Mental health diagnostic category can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Percentages may not sum to 100 percent because individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages for timing of admission may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.

definitions

and Mental

210

Table 6.6c. Individuals aged 12 and older with co-occurring mental health and substance use disorder, by mental health diagnosis, timing of admission, and mental health service setting: Row percent distribution, 2015











Timing of admission

100.0 3.2 11.8 † 25.5 28.7 1.3 18.9 9.6

New individuals 100.0 4.4 13.8 1.0 24.4 31.6 1.1 12.7 10.9Continuing individuals 100.0 2.1 9.7 † 26.5 25.7 1.5 25.2 8.4


100.0 3.2 11.8 † 25.5 28.7 1.3 18.9 9.6

State psychiatric hospital 100.0 2.2 3.1 † 23.2 16.0 3.9 45.4 5.8Community-based program 100.0 3.3 12.0 † 25.7 29.2 1.3 18.7 8.9Residential treatment center 100.0 1.5 7.1 1.1 22.4 17.8 1.9 37.3 10.9Other psychiatric inpatient 100.0 1.5 6.3 † 27.9 27.2 1.0 28.6 7.1Institutions under the justice system 100.0 7.4 11.3 † 20.8 12.2 7.2 17.6 23.2


ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Individuals could receive services in more than one service setting during the reporting period.3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Client-Level Data (MH-CLD), 2015 reporting period. Data received through 11.01.16.



definitions

and Mental

211

Table 7.1. MH-TEDS admissions, by mental health service setting, and month and year of admission: Number and percent distribution, 2015

Month and year of admission

Total


Number of admissions Percent distribution of admissions

State psychiatric

hospital

Community-based

program


center



justice system

State psychiatric

hospital

Community-based

program


center



justice system Total

Prior to July 2014July 2014August 2014September 2014October 2014November 2014December 2014January 2015February 2015March 2015April 2015May 2015June 2015TOTAL

Total

274,20013,78812,49413,07913,63210,11510,77210,308 9,52011,03810,467 8,580 9,361

407,354 - -

4,969 651 627 642 706 574 617 458 539 533 473 332 351

11,472 - -

265,07712,51811,19711,80712,288 9,006 9,566 9,301 8,511 9,940 9,452 7,804 8,565

385,032 - -

2,104 132 173 162 177 149 156 137 105 112 110 84 86

3,687 - -

1,878 445 469 436 428 367 392 387 343 418 398 324 331 6,616

- -

172 42 28 32 33 19 41 25 22 35 34 36 28 547

- -

43.3 5.7 5.5 5.6 6.2 5.0 5.4 4.0 4.7 4.6 4.1 2.9 3.1

100.0 †

68.8 3.3 2.9 3.1 3.2 2.3 2.5 2.4 2.2 2.6 2.5 2.0 2.2

100.0 †

57.1 3.6 4.7 4.4 4.8 4.0 4.2 3.7 2.8 3.0 3.0 2.3 2.3

100.0 †

28.4 6.7 7.1 6.6 6.5 5.5 5.9 5.8 5.2 6.3 6.0 4.9 5.0

100.0 †

31.4 7.7 5.1 5.9 6.0 3.5 7.5 4.6 4.0 6.4 6.2 6.6 5.1

100.0 †

67.3 3.4 3.1 3.2 3.3 2.5 2.6 2.5 2.3 2.7 2.6 2.1 2.3

100.0 †

- - Quantity is zero; † Less than one percent of admissions.1 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental through 11.01.16 as part of 2015 reporting period.

Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS). Data received

212

Table 7.2a. MH-TEDS admissions, by mental health diagnosis, and month and year of admission: Number, 2015



Number of admissions

Mood disorders

ODD OtherTotalAdjustmentdisorders


Conductdisorder

Bipolardisorders

Depressivedisorders


Total

235,08712,56111,42612,00012,607 9,51110,146 9,827 8,92110,24410,178 8,332 9,400

360,240 - -

8,802 668 614 625 726 559 486 533 497 563 583 413 533

15,602 - -

20,795 1,347 1,251 1,382 1,379 968 1,125 1,086 977 1,189 1,153 964 1,08934,705

- -

18,683 394 524 648 612 461 437 427 382 458 405 280 272

23,983 - -

4,045 136 128 176 172 117 89 113 105 131 132 102 116 5,562

- -

42,765 2,774 2,358 2,424 2,453 1,799 2,072 1,897 1,771 2,005 1,920 1,597 1,75267,587

- -

70,924 3,658 3,332 3,587 3,623 2,860 3,049 2,984 2,691 3,021 3,042 2,439 2,664

107,874 - -

5,923 145 161 193 217 111 111 145 117 135 163 89 84

7,594 - -

63,150 3,439 3,058 2,965 3,425 2,636 2,777 2,642 2,381 2,742 2,780 2,448 2,89097,333

- -

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.

each admission. Mental health diagnostic

Health Treatment Episode Data Set (MH-

213

Table 7.2b. MH-TEDS admissions, by mental health diagnosis, and month and year of admission: Column percent distribution, 2015



Column percent distribution of admissions

Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders


Total

65.3 3.5 3.2 3.3 3.5 2.6 2.8 2.7 2.5 2.8 2.8 2.3 2.6

100.0 †

56.4 4.3 3.9 4.0 4.7 3.6 3.1 3.4 3.2 3.6 3.7 2.6 3.4

100.0 †

59.9 3.9 3.6 4.0 4.0 2.8 3.2 3.1 2.8 3.4 3.3 2.8 3.1

100.0 †

77.9 1.6 2.2 2.7 2.6 1.9 1.8 1.8 1.6 1.9 1.7 1.2 1.1

100.0 †

72.7 2.4 2.3 3.2 3.1 2.1 1.6 2.0 1.9 2.4 2.4 1.8 2.1

100.0 †

63.3 4.1 3.5 3.6 3.6 2.7 3.1 2.8 2.6 3.0 2.8 2.4 2.6

100.0 †

65.7 3.4 3.1 3.3 3.4 2.7 2.8 2.8 2.5 2.8 2.8 2.3 2.5

100.0 †

78.0 1.9 2.1 2.5 2.9 1.5 1.5 1.9 1.5 1.8 2.1 1.2 1.1

100.0 †

64.9 3.5 3.1 3.0 3.5 2.7 2.9 2.7 2.4 2.8 2.9 2.5 3.0

100.0 †

† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



214

Table 7.2c. MH-TEDS admissions, by mental health diagnosis, and month and year of admission: Row percent distribution, 2015



Row percent distribution of admissions

Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Prior to July 2014 100.0 3.7 8.8 7.9 1.7 18.2 30.2 2.5 26.9July 2014 100.0 5.3 10.7 3.1 1.1 22.1 29.1 1.2 27.4August 2014 100.0 5.4 10.9 4.6 1.1 20.6 29.2 1.4 26.8September 2014 100.0 5.2 11.5 5.4 1.5 20.2 29.9 1.6 24.7October 2014 100.0 5.8 10.9 4.9 1.4 19.5 28.7 1.7 27.2November 2014 100.0 5.9 10.2 4.8 1.2 18.9 30.1 1.2 27.7December 2014 100.0 4.8 11.1 4.3 † 20.4 30.1 1.1 27.4January 2015 100.0 5.4 11.1 4.3 1.1 19.3 30.4 1.5 26.9February 2015 100.0 5.6 11.0 4.3 1.2 19.9 30.2 1.3 26.7March 2015 100.0 5.5 11.6 4.5 1.3 19.6 29.5 1.3 26.8April 2015 100.0 5.7 11.3 4.0 1.3 18.9 29.9 1.6 27.3May 2015 100.0 5.0 11.6 3.4 1.2 19.2 29.3 1.1 29.4June 2015 100.0 5.7 11.6 2.9 1.2 18.6 28.3 † 30.7TOTAL 100.0 4.3 9.6 6.7 1.5 18.8 29.9 2.1 27.0

Total † † † † † † † † †† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



215

Table 7.3a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, gender, and age: Number, 2015

Gender and age



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

2Total prior admissions

GenderMaleFemale

Total

Age0 to 11 years12 to 17 years18 to 20 years21 to 25 years26 to 29 years30 to 34 years35 to 39 years40 to 44 years45 to 49 years50 to 54 years55 to 59 years60 to 64 years65 years and older

Total

235,087

110,401124,304

234,705

28,47617,647 9,30317,37015,99220,52619,97923,22326,43324,57016,839 8,157 6,309

234,824

8,802

3,953 4,849

8,802

3,737 1,877 252 364 301 383 361 356 326 293 247 167 135

8,799

20,795

7,37013,412

20,782

1,098 1,197 1,116 1,990 1,851 2,406 2,078 2,295 2,359 2,028 1,218 630 508

20,774

18,683

12,983 5,654

18,637

13,572 3,371 458 339 234 219 126 125 98 35 34 23 10

18,644

4,045

2,739 1,298

4,037

2,729 1,211 44 20 13 8

^ 10

^^

3 - -

^

4,044

42,765

16,54626,121

42,667

1,158 2,140 2,168 3,960 3,647 4,666 4,465 5,163 5,403 4,816 2,960 1,349 837

42,732

70,924

24,65446,147

70,801

1,431 3,763 2,512 4,928 4,598 6,257 6,536 8,069 9,938 9,922 6,955 3,165 2,739

70,813

5,923

3,773 2,143

5,916

3,156 2,618 99 31 9 3 3

- - - -

^^^

- -

5,923

63,150

38,38324,680

63,063

1,595 1,470 2,654 5,738 5,339 6,584 6,408 7,205 8,308 7,473 5,421 2,821 2,079

63,095- - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (Juthe start of the reporting period (July 1, 2014).SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.


ly 1, 2014) and (2) a discharge date after


216

Table 7.3b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, gender, and age: Column percent distribution, 2015

Gender and age



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders


GenderMaleFemale

Total

Age

0 to 11 years12 to 17 years18 to 20 years21 to 25 years26 to 29 years30 to 34 years35 to 39 years40 to 44 years45 to 49 years50 to 54 years55 to 59 years60 to 64 years65 years and older

Total

100.0

47.053.0

100.0

12.1 7.5 4.0 7.4 6.8 8.7 8.5 9.911.310.5 7.2 3.5 2.7

100.0

100.0

44.955.1

100.0

42.521.3 2.9 4.1 3.4 4.4 4.1 4.0 3.7 3.3 2.8 1.9 1.5

100.0

100.0

35.564.5

100.0

5.3 5.8 5.4 9.6 8.911.610.011.011.4 9.8 5.9 3.0 2.4

100.0

100.0

69.730.3

100.0

72.818.1 2.5 1.8 1.3 1.2

† † † † † † †

100.0

100.0

67.832.2

100.0

67.529.9 1.1

† † † † † † † † † †

100.0

100.0

38.861.2

100.0

2.7 5.0 5.1 9.3 8.510.910.412.112.611.3 6.9 3.2 2.0

100.0

100.0

34.865.2

100.0

2.0 5.3 3.5 7.0 6.5 8.8 9.211.414.014.0 9.8 4.5 3.9

100.0

100.0

63.836.2

100.0

53.344.2 1.7

† † † † † † † † † †

100.0

100.0

60.939.1

100.0

2.5 2.3 4.2 9.1 8.510.410.211.413.211.8 8.6 4.5 3.3

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

217

Table 7.3c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, gender, and age: Row percent distribution, 2015

Gender and age



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders


GenderMaleFemale

Total

Age


Total

100.0

100.0100.0

100.0

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

3.7

3.6 3.9

3.8

13.110.6 2.7 2.1 1.9 1.9 1.8 1.5 1.2 1.2 1.5 2.0 2.1 3.7

8.8

6.710.8

8.9

3.9 6.812.011.511.611.710.4 9.9 8.9 8.3 7.2 7.7 8.1 8.8

7.9

11.8 4.5

7.9

47.719.1 4.9 2.0 1.5 1.1

† † † † † † †

7.9

1.7

2.5 1.0

1.7

9.6 6.9

† † † † † † † † † † †

1.7

18.2

15.021.0

18.2

4.112.123.322.822.822.722.322.220.419.617.616.513.318.2

30.2

22.337.1

30.2

5.021.327.028.428.830.532.734.737.640.441.338.843.430.2

2.5

3.4 1.7

2.5

11.114.8 1.1

† † † † † † † † † †

2.5

26.9

34.819.9

26.9

5.6 8.328.533.033.432.132.131.031.430.432.234.633.026.9

† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

218

Table 7.4a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, race, and ethnicity: Number, 2015


Number of admissionsRace and ethnicity Mood disorders

Adjustment Anxiety Conduct Bipolar DepressiveTotal disorders disorders ADD/ADHD disorder disorders disorders ODD Other

2Total prior admissions 235,087 8,802 20,795 18,683 4,045 42,765 70,924 5,923 63,150

RaceAmerican Indian or Alaska Native 2,788 191 329 124 49 610 839 56 590Asian 1,112 30 74 18 ^ 164 299 5 521Black or African American 87,380 2,898 4,423 10,720 2,591 10,884 24,236 4,099 27,529Native Hawaiian or Other Pacific Islander 276 4 28 ^ ^ 73 88 ^ 78White 125,380 5,002 13,946 7,038 1,245 27,940 38,968 1,577 29,664Other 13,501 489 1,605 441 91 2,309 4,883 125 3,558

Total 230,437 8,614 20,405 18,343 3,979 41,980 69,313 5,863 61,940

EthnicityNot of Hispanic or Latino Origin 195,071 7,506 17,559 16,938 3,727 35,617 55,306 5,601 52,817Hispanic or Latino Origin 17,297 566 2,057 334 83 3,152 6,624 103 4,378

Total 212,368 8,072 19,616 17,272 3,810 38,769 61,930 5,704 57,195

Specific Hispanic or Latino OriginMexican 634 67 89 91 22 70 189 29 77Puerto Rican 9,798 198 1,220 47 11 1,778 3,971 8 2,565Cuban 198 3 21 11 - - 50 64 ^ 47Other specific 4,686 131 511 41 ^ 905 1,827 ^ 1,267

Total 15,316 399 1,841 190 35 2,803 6,051 41 3,956- - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

219

Table 7.4b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, race, and ethnicity: Column percent distribution, 2015


Column percent distribution of admissionsRace and ethnicity Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

2Total prior admissions 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native 1.2 2.2 1.6 † 1.2 1.5 1.2 † †Asian † † † † † † † † †Black or African American 37.9 33.6 21.7 58.4 65.1 25.9 35.0 69.9 44.4Native Hawaiian or Other Pacific Islander † † † † † † † † †White 54.4 58.1 68.3 38.4 31.3 66.6 56.2 26.9 47.9Other 5.9 5.7 7.9 2.4 2.3 5.5 7.0 2.1 5.7

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


91.9 8.1

93.0 7.0

89.510.5

98.1 1.9

97.8 2.2

91.9 8.1

89.310.7

98.2 1.8

92.3 7.7

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Specific Hispanic or Latino OriginMexican 4.1 16.8 4.8 47.9 62.9 2.5 3.1 70.7 1.9Puerto Rican 64.0 49.6 66.3 24.7 31.4 63.4 65.6 19.5 64.8Cuban 1.3 † 1.1 5.8 † 1.8 1.1 4.9 1.2Other specific 30.6 32.8 27.8 21.6 5.7 32.3 30.2 4.9 32.0

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

220

Table 7.4c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, race, and ethnicity: Row percent distribution, 2015


Row percent distribution of admissionsRace and ethnicity Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

2Total prior admissions 100.0 3.7 8.8 7.9 1.7 18.2 30.2 2.5 26.9

RaceAmerican Indian or Alaska Native 100.0 6.9 11.8 4.4 1.8 21.9 30.1 2.0 21.2Asian 100.0 2.7 6.7 1.6 † 14.7 26.9 † 46.9Black or African American 100.0 3.3 5.1 12.3 3.0 12.5 27.7 4.7 31.5Native Hawaiian or Other Pacific Islander 100.0 1.4 10.1 † † 26.4 31.9 † 28.3White 100.0 4.0 11.1 5.6 † 22.3 31.1 1.3 23.7Other 100.0 3.6 11.9 3.3 † 17.1 36.2 † 26.4

Total 100.0 3.7 8.9 8.0 1.7 18.2 30.1 2.5 26.9


100.0100.0

3.8 3.3

9.011.9

8.7 1.9

1.9 †

18.318.2

28.438.3

2.9 †

27.125.3

Total 100.0 3.8 9.2 8.1 1.8 18.3 29.2 2.7 26.9

Specific Hispanic or Latino OriginMexican 100.0 10.6 14.0 14.4 3.5 11.0 29.8 4.6 12.1Puerto Rican 100.0 2.0 12.5 † † 18.1 40.5 † 26.2Cuban 100.0 1.5 10.6 5.6 † 25.3 32.3 1.0 23.7Other specific 100.0 2.8 10.9 † † 19.3 39.0 † 27.0

Total 100.0 2.6 12.0 1.2 † 18.3 39.5 † 25.8† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

221

Table 7.5a. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Number, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar


Total prior admissions aged 218 and older


Total


Total

188,701

14,45628,22265,93138,105

146,714

95,60826,55210,71335,153 6,254

174,280

3,185

192 374 1,087 917

2,570

1,445 662 216 480 106

2,909

18,479

1,381 2,684 6,793 4,537

15,395

8,697 3,433 1,126 3,653 639

17,548

1,701

96 187 581 495

1,359

1,136 245 42 146 9

1,578

104

8 20 30 11

69

85 4 3 3

- -

95

39,434

2,404 5,43914,217 9,255

31,315

18,112 6,140 2,409 8,895 1,033

36,589

65,619

5,498 9,59122,12913,503

50,721

27,49311,142 4,75013,854 3,025

60,264

149

14 40 61 3

118

136 - -

3 - -

^

140

60,030

4,863 9,88721,033 9,384

45,167

38,504 4,926 2,164 8,122 1,441

55,157- - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

222

Table 7.5b. MH-TEDS admissions prior to the start of the reporting period age 18 and older, by mental health diagnosis, education, and marital status: Column percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar


Total prior admissions aged2 18 and older


Total


Total

100.0

9.919.244.926.0

100.0

54.915.2 6.120.2 3.6

100.0

100.0

7.514.642.335.7

100.0

49.722.8 7.416.5 3.6

100.0

100.0

9.017.444.129.5

100.0

49.619.6 6.420.8 3.6

100.0

100.0

7.113.842.836.4

100.0

72.015.5 2.7 9.3

†

100.0

100.0

11.629.043.515.9

100.0

89.5 4.2 3.2 3.2

†

100.0

100.0

7.717.445.429.6

100.0

49.516.8 6.624.3 2.8

100.0

100.0

10.818.943.626.6

100.0

45.618.5 7.923.0 5.0

100.0

100.0

11.933.951.7 2.5

100.0

97.1 †

2.1 † †

100.0

100.0

10.821.946.620.8

100.0

69.8 8.9 3.914.7 2.6

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

223

Table 7.5c. MH-TEDS admissions prior to the start of the reporting period age 18 and older, by mental health diagnosis, education, and marital status: Row percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar


Total prior admissions aged2 18 and older 100.0 1.7 9.8 † † 20.9 34.8 † 31.8

Highest school grade completed0 to 8 100.0 1.3 9.6 † † 16.6 38.0 † 33.69 to 11 100.0 1.3 9.5 † † 19.3 34.0 † 35.012 (or GED) 100.0 1.6 10.3 † † 21.6 33.6 † 31.9More than 12 100.0 2.4 11.9 1.3 † 24.3 35.4 † 24.6

Total 100.0 1.8 10.5 † † 21.3 34.6 † 30.8

Marital statusNever married 100.0 1.5 9.1 1.2 † 18.9 28.8 † 40.3Currently married 100.0 2.5 12.9 † † 23.1 42.0 † 18.6Separated 100.0 2.0 10.5 † † 22.5 44.3 † 20.2Divorced 100.0 1.4 10.4 † † 25.3 39.4 † 23.1Widowed 100.0 1.7 10.2 † † 16.5 48.4 † 23.0

Total 100.0 1.7 10.1 † † 21.0 34.6 † 31.6† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

224

Table 7.6a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Number, 2015

Living arrangement, health insurance, and veteran status



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders



Total

Health insurance3Private insurance

MedicareMedicaidOtherNone

Total

Veteran statusTotal admissions aged

18 and olderVeteranNot a veteran

Total

235,087

5,142 203 7,167 2,029 1,108

180,236 368

196,253

2,008 1,48737,713 3,847 1,929

46,984

188,701 4,280

157,963

162,243

8,802

130 42 44 8 14

7,576^

7,815

61 11

1,937 33 34

2,076

3,185 85

2,723

2,808

20,795

485 22 353 70 60

16,969 30

17,989

122 83

2,348 169 138

2,860

18,479 393

16,232

16,625

18,683

58 64 50 6 13

16,968^

17,160

57 4

3,173 36 40

3,310

1,701 21

1,481

1,502

4,045

10 7 10 3

^ 3,788

- -

3,820

6^

693 5 5

710

104 5 82

87

42,765

1,347 14

1,061 217 227

32,568 62

35,496

512 353 6,843 1,031 359

9,098

39,434 828

33,402

34,230

70,924

1,701 21 932 343 189

53,399 59

56,644

947 368

13,408 1,553 625

16,901

65,619 1,13054,062

55,192

5,923

12 21 22 7 14

5,627^

5,705

14^

663 5 4

688

149^

123

124

63,150

1,399 12

4,695 1,375 589

43,341 213

51,624

289 665 8,648 1,015 724

11,341

60,030 1,81749,858

51,675- - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 Private insurance includes the following subcategories: private insurance, Blue Cross/Blue Shield, and health maintenance organization.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

225

Table 7.6b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Column percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total



Total

Veteran status

Total admissions aged 18 and olderVeteranNot a veteran

Total

100.0

2.6 †

3.7 1.0

†91.8

†

100.0

4.3 3.280.3 8.2 4.1

100.0

188,701 2.697.4

100.0

100.0

1.7 † † † †

96.9 †

100.0

2.9 †

93.3 1.6 1.6

100.0

3,185 3.097.0

100.0

100.0

2.7 †

2.0 † †

94.3 †

100.0

4.3 2.982.1 5.9 4.8

100.0

18,479 2.497.6

100.0

100.0

† † † † †

98.9 †

100.0

1.7 †

95.9 1.1 1.2

100.0

1,701 1.498.6

100.0

100.0

† † † † †

99.2 †

100.0

† †

97.6 † †

100.0

104 5.794.3

100.0

100.0

3.8 †

3.0 † †

91.8 †

100.0

5.6 3.975.211.3 3.9

100.0

39,434 2.497.6

100.0

100.0

3.0 †

1.6 † †

94.3 †

100.0

5.6 2.279.3 9.2 3.7

100.0

65,619 2.098.0

100.0

100.0

† † † † †

98.6 †

100.0

2.0 †

96.4 † †

100.0

149 †

99.2

100.0

100.0

2.7 †

9.1 2.7 1.184.0

†

100.0

2.5 5.976.3 8.9 6.4

100.0

60,030 3.596.5

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 Private insurance includes the following subcategories: private insurance, Blue Cross/Blue Shield, and health maintenance organization.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

226

Table 7.6c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Row percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total



Total

Veteran status


Total

100.0

100.0100.0100.0100.0100.0100.0100.0

100.0

100.0100.0100.0100.0100.0

100.0

188,701100.0100.0

100.0

3.7

2.520.7

† †

1.3 4.2

†

4.0

3.0 †

5.1 †

1.8

4.4

3,185 2.0 1.7

1.7

8.8

9.410.8 4.9 3.4 5.4 9.4 8.2

9.2

6.1 5.6 6.2 4.4 7.2

6.1

18,479 9.210.3

10.2

7.9

1.131.5

† †

1.2 9.4

†

8.7

2.8 †

8.4 †

2.1

7.0

1,701 † †

†

1.7

† 3.4

† † †

2.1 †

1.9

† †

1.8 † †

1.5

104 † †

†

18.2

26.2 6.914.810.720.518.116.8

18.1

25.523.718.126.818.6

19.4

39,43419.321.1

21.1

30.2

33.110.313.016.917.129.616.0

28.9

47.224.735.640.432.4

36.0

65,61926.434.2

34.0

2.5

†10.3

† †

1.3 3.1

†

2.9

† †

1.8 † †

1.5

149 † †

†

26.9

27.2 5.965.567.853.224.057.9

26.3

14.444.722.926.437.5

24.1

60,03042.531.6

31.9† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 Private insurance includes the following subcategories: private insurance, Blue Cross/Blue Shield, and health maintenance organization.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

227

Table 7.7a. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis and employment status: Number, 2015

Employment status



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total prior admissions 2aged 18 and older


Full timePart time


Total

Detailed not in labor forceTotal prior admissions aged 18

and older not in labor forceDisabledStudentHomemakerRetiredSheltered/non-competitive employmentOther

Total

235,087

23,95911,98011,97937,48592,453

153,897

92,45354,724 4,205 2,999 2,959 1,29625,474

91,657

8,802

796 467 329 707 1,120

2,623

1,120 393 113 65 100 8

423

1,102

20,795

3,553 2,012 1,541 4,167 8,258

15,978

8,258 3,922 554 515 322 50

2,817

8,180

18,683

529 308 221 310 560

1,399

560 148 187 22

^ 3

190

551

4,045

15 6 9 12 55

82

55 26 13

- - - -

^ 14

55

42,765

5,386 2,713 2,673 9,02317,647

32,056

17,64710,082 782 687 421 354 5,167

17,493

70,924

9,086 4,746 4,34013,18429,962

52,232

29,96215,816 1,415 1,360 1,436 581 9,202

29,810

5,923

12 10

^ 18 94

124

94 21 49

- - - - - -

21

91

63,150

4,582 1,718 2,86410,06434,757

49,403

34,75724,316 1,092 350 679 298 7,640

34,375- - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional 1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to tthe reporting period (July 1, 2014).SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Healreporting period. Data received through 11.01.16.

defiant disorder.up to three diagnoses reported for each admission. Mental health diagnostic

he start of the reporting period (July 1, 2014) and (2) a discharge date after the start

th Services Administration, Mental Health Treatment Episode Data Set (MH-

category

of

TEDS), 2015

228

Table 7.7b. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total prior admissions 2aged 18 and older


Full timePart time


Total


and older not in labor forceDisabledStudentHomemakerRetiredSheltered/non-competitive employmentOther

Total

100.0

15.6 7.8 7.824.460.1

100.0

60.159.7 4.6 3.3 3.2 1.427.8

100.0

100.0

30.317.812.527.042.7

100.0

42.735.710.3 5.9 9.1

†38.4

100.0

100.0

22.212.6 9.626.151.7

100.0

51.747.9 6.8 6.3 3.9

†34.4

100.0

100.0

37.822.015.822.240.0

100.0

40.026.933.9 4.0

† †

34.5

100.0

100.0

18.3 7.311.014.667.1

100.0

67.147.323.6

† †

3.625.5

100.0

100.0

16.8 8.5 8.328.155.1

100.0

55.157.6 4.5 3.9 2.4 2.029.5

100.0

100.0

17.4 9.1 8.325.257.4

100.0

57.453.1 4.7 4.6 4.8 1.930.9

100.0

100.0

9.7 8.1 1.614.575.8

100.0

75.823.153.8

† † †

23.1

100.0

100.0

9.3 3.5 5.820.470.4

100.0

70.470.7 3.2 1.0 2.0

†22.2

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

229

Table 7.7c. MH-TEDS admissions prior to the start of the reporting period aged 18 and older, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total prior admissions2 aged 18 and older

Employment status

100.0 3.7 8.8 7.9 1.7 18.2 30.2 2.5 26.9

Employed 100.0 3.3 14.8 2.2 † 22.5 37.9 † 19.1Full time 100.0 3.9 16.8 2.6 † 22.6 39.6 † 14.3Part time 100.0 2.7 12.9 1.8 † 22.3 36.2 † 23.9

Unemployed 100.0 1.9 11.1 † † 24.1 35.2 † 26.8Not in labor force (see detail below) 100.0 1.2 8.9 † † 19.1 32.4 † 37.6

Total


100.0 1.7 10.4 † † 20.8 33.9 † 32.1

and older not in labor force 100.0 1.2 8.9 † † 19.1 32.4 † 37.6Disabled 100.0 † 7.2 † † 18.4 28.9 † 44.4Student 100.0 2.7 13.2 4.4 † 18.6 33.7 1.2 26.0Homemaker 100.0 2.2 17.2 † † 22.9 45.3 † 11.7Retired 100.0 3.4 10.9 † † 14.2 48.5 † 22.9Sheltered/non-competitive employment 100.0 † 3.9 † † 27.3 44.8 † 23.0Other 100.0 1.7 11.1 † † 20.3 36.1 † 30.0

Total 100.0 1.2 8.9 † † 19.1 32.5 † 37.5† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

230

Table 7.8a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Number, 2015

SMI/SED status, functioning score, and co-occurring susbtance use problem





Conduct disorder

Mood disorders

ODD OtherBipolar


2Total prior admissions3SMI/SED status

SMISEDNot SMI/SED

Total


01-5051-100

Total

Co-occurring substance use problemTotal prior admissions

aged 12 and olderYesNo

Total

235,087

159,65935,89329,564

225,116

11,69467,96041,089

120,743

206,34872,55051,837

124,387

8,802

1,308 3,875 3,305

8,488

182 1,340 1,869

3,391

5,062 1,350 1,152

2,502

20,795

10,118 1,544 8,586

20,248

1,042 6,280 4,819

12,141

19,676 7,454 4,656

12,110

18,683

86414,704 2,262

17,830

92 1,254 1,487

2,833

5,072 654 1,055

1,709

4,045

69 3,346 477

3,892

6 304 319

629

1,315 30 249

279

42,765

35,529 2,330 2,644

40,503

2,38614,250 9,422

26,058

41,57416,12911,611

27,740

70,924

58,130 3,625 5,494

67,249

3,32819,91914,391

37,638

69,38221,68418,954

40,638

5,923

117 4,862 717

5,696

10 408 213

631

2,767 48 333

381

63,150

53,524 1,607 6,079

61,210

4,64824,205 8,569

37,422

61,50025,20113,827

39,028

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; ODD = oppositional defiant disorder; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 The definitions for SMI and SED statuses can be found in Appendix D.4 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

231

Table 7.8b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Column percent distribution, 2015

SMI/SED status, functioning score, andco-occurring substance use problem





Conductdisorder

Mood disorders

ODD OtherBipolar



SMISEDNot SMI/SED

Total


01-5051-100

Total



Total

100.0

70.915.913.1

100.0

9.756.334.0

100.0

58.341.7

100.0

100.0

15.445.738.9

100.0

5.439.555.1

100.0

54.046.0

100.0

100.0

50.0 7.642.4

100.0

8.651.739.7

100.0

61.638.4

100.0

100.0

4.882.512.7

100.0

3.244.352.5

100.0

38.361.7

100.0

100.0

1.886.012.3

100.0

†48.350.7

100.0

10.889.2

100.0

100.0

87.7 5.8 6.5

100.0

9.254.736.2

100.0

58.141.9

100.0

100.0

86.4 5.4 8.2

100.0

8.852.938.2

100.0

53.446.6

100.0

100.0

2.185.412.6

100.0

1.664.733.8

100.0

12.687.4

100.0

100.0

87.4 2.6 9.9

100.0

12.464.722.9

100.0

64.635.4

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; ODD = oppositional defiant disorder; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 The definitions for SMI and SED statuses can be found in Appendix D.4 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

232

Table 7.8c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Row percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar



SMISEDNot SMI/SED

Total


01-5051-100

Total



Total

100.0

100.0100.0100.0

100.0

100.0100.0100.0

100.0

100.0100.0

100.0

3.7

†10.811.2

3.8

1.6 2.0 4.5

2.8

1.9 2.2

2.0

8.8

6.3 4.329.0

9.0

8.9 9.211.7

10.1

10.3 9.0

9.7

7.9

†41.0 7.7

7.9

† 1.8 3.6

2.3

† 2.0

1.4

1.7

† 9.3 1.6

1.7

† † †

†

† †

†

18.2

22.3 6.5 8.9

18.0

20.421.022.9

21.6

22.222.4

22.3

30.2

36.410.118.6

29.9

28.529.335.0

31.2

29.936.6

32.7

2.5

†13.5 2.4

2.5

† † †

†

† †

†

26.9

33.5 4.520.6

27.2

39.735.620.9

31.0

34.726.7

31.4† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; ODD = oppositional defiant disorder; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 The definitions for SMI and SED statuses can be found in Appendix D.4 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

233

Table 7.9a. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, mental health service setting, and referral source: Number, 2015

Mental health service setting and referral source



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

2Total prior admissions3Mental health service setting


Total

Referral sourceIndividual (includes self)Health care providerSchoolOther community referralCourt/criminal justiceOther

Total

235,087

1,919230,948

1,857 193 163

235,080

96,52048,202 9,31315,560 7,780 284

177,659

8,802

5 8,790

4^^

8,801

4,129 1,256 1,005 652 386 23

7,451

20,795

2320,688

61 7 16

20,795

10,620 4,172 421 1,384 559 49

17,205

18,683

318,664

16 - - - -

18,683

9,841 1,953 3,628 463 279 23

16,187

4,045

5 4,037

3 - - - -

4,045

1,827 552 839 97 285 4

3,604

42,765

20342,170 260 59 72

42,764

17,837 9,397 640 3,498 1,465 39

32,876

70,924

18670,507 147 44 39

70,923

30,19914,691 688 6,106 1,479 99

53,262

5,923

4 5,912

6 - -

^

5,923

2,599 941 1,385 121 353

- -

5,399

63,150

1,49060,180 1,360 82 34

63,146

19,46815,240 707 3,239 2,974 47

41,675 - - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

234

Table 7.9b. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, mental health service setting, and referral source: Column percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total


Total

100.0

†98.2

† † †

100.0

54.327.1 5.2 8.8 4.4

†

100.0

100.0

†99.9

† † †

100.0

55.416.913.5 8.8 5.2

†

100.0

100.0

†99.5

† † †

100.0

61.724.2 2.4 8.0 3.2

†

100.0

100.0

†99.9

† † †

100.0

60.812.122.4 2.9 1.7

†

100.0

100.0

†99.8

† † †

100.0

50.715.323.3 2.7 7.9

†

100.0

100.0

†98.6

† † †

100.0

54.328.6 1.910.6 4.5

†

100.0

100.0

†99.4

† † †

100.0

56.727.6 1.311.5 2.8

†

100.0

100.0

†99.8

† † †

100.0

48.117.425.7 2.2 6.5

†

100.0

100.0

2.495.3 2.2

† †

100.0

46.736.6 1.7 7.8 7.1

†

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

235

Table 7.9c. MH-TEDS admissions prior to the start of the reporting period, by mental health diagnosis, mental health service setting, and referral source: Row percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total


Total

100.0

100.0100.0100.0100.0100.0

100.0

100.0100.0100.0100.0100.0100.0

100.0

3.7

† 3.8

† † †

3.7

4.3 2.610.8 4.2 5.0 8.1

4.2

8.8

1.2 9.0 3.3 3.6 9.8

8.8

11.0 8.7 4.5 8.9 7.217.3

9.7

7.9

† 8.1

† † †

7.9

10.2 4.139.0 3.0 3.6 8.1

9.1

1.7

† 1.7

† † †

1.7

1.9 1.1 9.0

† 3.7 1.4

2.0

18.2

10.618.314.030.644.2

18.2

18.519.5 6.922.518.813.7

18.5

30.2

9.730.5 7.922.823.9

30.2

31.330.5 7.439.219.034.9

30.0

2.5

† 2.6

† † †

2.5

2.7 2.014.9

† 4.5

†

3.0

26.9

77.626.173.242.520.9

26.9

20.231.6 7.620.838.216.5

23.5† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Prior admissions are defined as those episodes of treatment with (1) an admission date prior to the start of the reporting period (July 1, 2014) and (2) a discharge date after the start of the reporting period (July 1, 2014).3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

236

Table 7.10a. MH-TEDS admissions during the reporting period, by mental health diagnosis, gender, and age: Number, 2015

Gender and age



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total admissions during reporting period2

GenderMaleFemale

Total


Total

125,153

61,99563,039

125,034

10,21311,321 6,84213,55811,66313,66811,56610,14910,63610,923 7,994 3,931 2,529

124,993

6,800

3,296 3,498

6,794

2,721 1,500 275 376 263 316 293 250 209 224 176 98 93

6,794

13,910

5,610 8,295

13,905

1,042 1,246 951 1,671 1,441 1,776 1,417 1,068 1,126 1,013 651 311 181

13,894

5,300

3,655 1,634

5,289

3,049 1,405 276 213 115 99 61 19 29 17 7 5 4

5,299

1,517

1,066 450

1,516

835 583 44 21 7 8 8 4

^ 3

^^

- -

1,517

24,822

11,28413,511

24,795

319 1,189 1,599 3,184 2,721 3,246 2,834 2,533 2,410 2,204 1,517 687 352

24,795

36,950

15,35321,558

36,911

605 3,275 2,047 3,927 3,351 3,966 3,454 3,278 3,656 4,097 3,010 1,384 825

36,875

1,671

1,076 594

1,670

660 920 59 20 8

^^

- - - -

^ - - - -

^

1,671

34,183

20,65513,499

34,154

982 1,203 1,591 4,146 3,757 4,256 3,498 2,997 3,205 3,364 2,631 1,445 1,073

34,148 - - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



237

Table 7.10b. MH-TEDS admissions during the reporting period, by mental health diagnosis, gender, and age: Column percent distribution, 2015

Gender and age



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders


GenderMaleFemale

Total


Total

100.0

49.650.4

100.0

8.2 9.1 5.510.8 9.310.9 9.3 8.1 8.5 8.7 6.4 3.1 2.0

100.0

100.0

48.551.5

100.0

40.122.1 4.0 5.5 3.9 4.7 4.3 3.7 3.1 3.3 2.6 1.4 1.4

100.0

100.0

40.359.7

100.0

7.5 9.0 6.812.010.412.810.2 7.7 8.1 7.3 4.7 2.2 1.3

100.0

100.0

69.130.9

100.0

57.526.5 5.2 4.0 2.2 1.9 1.2

† † † † † †

100.0

100.0

70.329.7

100.0

55.038.4 2.9 1.4

† † † † † † † † †

100.0

100.0

45.554.5

100.0

1.3 4.8 6.412.811.013.111.410.2 9.7 8.9 6.1 2.8 1.4

100.0

100.0

41.658.4

100.0

1.6 8.9 5.610.6 9.110.8 9.4 8.9 9.911.1 8.2 3.8 2.2

100.0

100.0

64.435.6

100.0

39.555.1 3.5 1.2

† † † † † † † † †

100.0

100.0

60.539.5

100.0

2.9 3.5 4.712.111.012.510.2 8.8 9.4 9.9 7.7 4.2 3.1

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



238

Table 7.10c. MH-TEDS admissions during the reporting period, by mental health diagnosis, gender, and age: Row percent distribution, 2015

Gender and age



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders


GenderMaleFemale

Total


Total

100.0

100.0100.0

100.0

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0

5.4

5.3 5.5

5.4

26.613.2 4.0 2.8 2.3 2.3 2.5 2.5 2.0 2.1 2.2 2.5 3.7

5.4

11.1

9.013.2

11.1

10.211.013.912.312.413.012.310.510.6 9.3 8.1 7.9 7.2

11.1

4.2

5.9 2.6

4.2

29.912.4 4.0 1.6

† † † † † † † † †

4.2

1.2

1.7 †

1.2

8.2 5.1

† † † † † † † † † † †

1.2

19.8

18.221.4

19.8

3.110.523.423.523.323.724.525.022.720.219.017.513.9

19.8

29.5

24.834.2

29.5

5.928.929.929.028.729.029.932.334.437.537.735.232.6

29.5

1.3

1.7 †

1.3

6.5 8.1

† † † † † † † † † † †

1.3

27.3

33.321.4

27.3

9.610.623.330.632.231.130.229.530.130.832.936.842.4

27.3† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



239

Table 7.11a. MH-TEDS admissions during the reporting period, by mental health diagnosis, race, and ethnicity: Number, 2015

Race and ethnicity



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders


RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteOther

Total


Total


Total

125,153

5,765 786

34,620

32375,122 6,298

122,914

104,80111,134

115,935

238 3,913 60

2,447

6,658

6,800

352 39

1,612

24 4,063 542

6,632

5,538 783

6,321

31 153

^ 127

312

13,910

692 78

2,492

41 9,453 898

13,654

11,612 1,594

13,206

32 580 8

394

1,014

5,300

138 23

2,610

5 2,225 189

5,190

4,442 253

4,695

16 46

^ 25

89

1,517

68 5

689

4 635 71

1,472

1,247 125

1,372

^ 10

- - 3

14

24,822

1,196 138 5,408

7216,620 975

24,409

21,370 1,814

23,184

23 652 17 468

1,160

36,950

1,825 200 9,073

9523,324 1,758

36,275

30,426 3,505

33,931

76 1,413 18 733

2,240

1,671

101^

819

^ 635 85

1,643

1,482 90

1,572

7 6

- - 6

19

34,183

1,393 301

11,917

8118,167 1,780

33,639

28,684 2,970

31,654

52 1,053 14 691

1,810 - - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



240

Table 7.11b. MH-TEDS admissions during the reporting period, by mental health diagnosis, race, and ethnicity: Column percent distribution, 2015


Column percent distribution of admissionsRace and ethnicity Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total admissions during reporting period2 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

RaceAmerican Indian or Alaska Native 4.7 5.3 5.1 2.7 4.6 4.9 5.0 6.1 4.1Asian † † † † † † † † †Black or African American 28.2 24.3 18.3 50.3 46.8 22.2 25.0 49.8 35.4Native Hawaiian or Other Pacific Islander † † † † † † † † †White 61.1 61.3 69.2 42.9 43.1 68.1 64.3 38.6 54.0Other 5.1 8.2 6.6 3.6 4.8 4.0 4.8 5.2 5.3

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0


Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Specific Hispanic or Latino OriginMexican 3.6 9.9 3.2 18.0 7.1 2.0 3.4 36.8 2.9Puerto Rican 58.8 49.0 57.2 51.7 71.4 56.2 63.1 31.6 58.2Cuban † † † 2.2 † 1.5 † † †Other specific 36.8 40.7 38.9 28.1 21.4 40.3 32.7 31.6 38.2

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.


2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.


241

Table 7.11c. MH-TEDS admissions during the reporting period, by mental health diagnosis, race, and ethnicity: Row percent distribution, 2015


Row percent distribution of admissionsRace and ethnicity Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total admissions during reporting period2 100.0 5.4 11.1 4.2 1.2 19.8 29.5 1.3 27.3

RaceAmerican Indian or Alaska Native 100.0 6.1 12.0 2.4 1.2 20.7 31.7 1.8 24.2Asian 100.0 5.0 9.9 2.9 † 17.6 25.4 † 38.3Black or African American 100.0 4.7 7.2 7.5 2.0 15.6 26.2 2.4 34.4Native Hawaiian or Other Pacific Islander 100.0 7.4 12.7 1.5 1.2 22.3 29.4 † 25.1White 100.0 5.4 12.6 3.0 † 22.1 31.0 † 24.2Other 100.0 8.6 14.3 3.0 1.1 15.5 27.9 1.3 28.3

Total 100.0 5.4 11.1 4.2 1.2 19.9 29.5 1.3 27.4

EthnicityNot of Hispanic or Latino Origin 100.0 5.3 11.1 4.2 1.2 20.4 29.0 1.4 27.4Hispanic or Latino Origin 100.0 7.0 14.3 2.3 1.1 16.3 31.5 † 26.7

Total 100.0 5.5 11.4 4.0 1.2 20.0 29.3 1.4 27.3

Specific Hispanic or Latino OriginMexican 100.0 13.0 13.4 6.7 † 9.7 31.9 2.9 21.8Puerto Rican 100.0 3.9 14.8 1.2 † 16.7 36.1 † 26.9Cuban 100.0 1.7 13.3 3.3 † 28.3 30.0 † 23.3Other specific 100.0 5.2 16.1 1.0 † 19.1 30.0 † 28.2

Total 100.0 4.7 15.2 1.3 † 17.4 33.6 † 27.2† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.


2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.


242

Table 7.12a. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Number, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar


Total admissions during reporting2 period aged 18 and older


Total


Total

103,459

6,32114,31832,67017,788

71,097

46,45011,752 5,17115,255 2,235

80,863

2,573

115 325 835 615

1,890

1,111 458 118 306 77

2,070

11,606

747 1,701 3,897 2,620

8,965

5,142 1,707 678 1,863 260

9,650

845

30 130 278 231

669

550 99 18 58

^

727

99

4 18 29 4

55

63 5

^^

- -

71

23,287

1,190 3,151 7,350 4,191

15,882

9,706 2,781 1,268 3,819 439

18,013

32,995

2,239 4,36510,788 6,346

23,738

13,195 4,616 2,095 5,626 936

26,468

91

6 23 19 4

52

59^

- -^

- -

62

31,963

1,990 4,605 9,474 3,777

19,846

16,624 2,085 993 3,579 521

23,802 - - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

243

Table 7.12b. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Column percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar


Total admissions during reporting2 period aged 18 and older


Total


Total

100.0

8.920.146.025.0

100.0

57.414.5 6.418.9 2.8

100.0

100.0

6.117.244.232.5

100.0

53.722.1 5.714.8 3.7

100.0

100.0

8.319.043.529.2

100.0

53.317.7 7.019.3 2.7

100.0

100.0

4.519.441.634.5

100.0

75.713.6 2.5 8.0

†

100.0

100.0

7.332.752.7 7.3

100.0

88.7 7.0 1.4 2.8

†

100.0

100.0

7.519.846.326.4

100.0

53.915.4 7.021.2 2.4

100.0

100.0

9.418.445.426.7

100.0

49.917.4 7.921.3 3.5

100.0

100.0

11.544.236.5 7.7

100.0

95.2 1.6

† 3.2

†

100.0

100.0

10.023.247.719.0

100.0

69.8 8.8 4.215.0 2.2

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

244

Table 7.12c. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis, education, and marital status: Row percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar


Total admissions during reporting2 period aged 18 and older 100.0 2.5 11.2 † † 22.5 31.9 † 30.9

Highest school grade completed0 to 8 100.0 1.8 11.8 † † 18.8 35.4 † 31.59 to 11 100.0 2.3 11.9 † † 22.0 30.5 † 32.212 (or GED) 100.0 2.6 11.9 † † 22.5 33.0 † 29.0More than 12 100.0 3.5 14.7 1.3 † 23.6 35.7 † 21.2

Total 100.0 2.7 12.6 † † 22.3 33.4 † 27.9

Marital statusNever married 100.0 2.4 11.1 1.2 † 20.9 28.4 † 35.8Currently married 100.0 3.9 14.5 † † 23.7 39.3 † 17.7Separated 100.0 2.3 13.1 † † 24.5 40.5 † 19.2Divorced 100.0 2.0 12.2 † † 25.0 36.9 † 23.5Widowed 100.0 3.4 11.6 † † 19.6 41.9 † 23.3

Total 100.0 2.6 11.9 † † 22.3 32.7 † 29.4† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; GED = General Educational Development; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

245

Table 7.13a. MH-TEDS admissions during the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Number, 2015




Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders



Total



Total

Veteran statusTotal admissions aged

18 and olderVeteranNot a veteran

Total

125,153

5,990 54

3,025 2,452 1,17575,930 342

88,968

550 2,38725,998 363 2,326

31,624

103,459 2,22277,733

79,955

6,800

117 17 28 23 19

5,199 - -

5,403

13 29

2,378 4 30

2,454

2,573 67

1,958

2,025

13,910

630 11 247 64 63

9,819 11

10,845

46 145 2,971 21 131

3,314

11,606 336 9,238

9,574

5,300

24 12 30 10

^ 4,061

^

4,140

13 19

1,876 5 30

1,943

845 10 696

706

1,517

7^

9 8 11

1,140 - -

1,177

4^

781 10 11

807

99^

69

70

24,822

1,433 3

528 426 205

14,521 67

17,183

129 599 4,321 112 500

5,661

23,287 453

17,564

18,017

36,950

1,754 3

533 242 152

23,999 47

26,730

225 637 7,545 135 693

9,235

32,995 622

25,312

25,934

1,671

^^

11 5 4

1,366^

1,392

^^

665 3

^

673

91^

59

61

34,183

2,023 4

1,639 1,674 719

15,825 214

22,098

118 955 5,461 73 930

7,537

31,963 731

22,837

23,568 - - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 Private insurance includes the following subcategories: private insurance, Blue Cross/Blue Shield, and health maintenance organization.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

246

Table 7.13b. MH-TEDS admissions during the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Column percent distribution, 2015



Column percent distribution of admission



Conductdisorder

Mood disorders

ODD OtherBipolar




Total



Total

Veteran status


Total

100.0

6.7 †

3.4 2.8 1.385.3

†

100.0

1.7 7.582.2 1.1 7.4

100.0

103,459 2.897.2

100.0

100.0

2.2 † † † †

96.2 †

100.0

† 1.296.9

† 1.2

100.0

2,573 3.396.7

100.0

100.0

5.8 †

2.3 † †

90.5 †

100.0

1.4 4.489.6

† 4.0

100.0

11,606 3.596.5

100.0

100.0

† † † † †

98.1 †

100.0

† †

96.6 †

1.5

100.0

845 1.498.6

100.0

100.0

† † † † †

96.9 †

100.0

† †

96.8 1.2 1.4

100.0

99 1.498.6

100.0

100.0

8.3 †

3.1 2.5 1.284.5

†

100.0

2.310.676.3 2.0 8.8

100.0

23,287 2.597.5

100.0

100.0

6.6 †

2.0 † †

89.8 †

100.0

2.4 6.981.7 1.5 7.5

100.0

32,995 2.497.6

100.0

100.0

† † † † †

98.1 †

100.0

† †

98.8 † †

100.0

91 3.396.7

100.0

100.0

9.2 †

7.4 7.6 3.371.6

†

100.0

1.612.772.5

†12.3

100.0

31,963 3.196.9

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 Private insurance includes the following subcategories: private insurance, Blue Cross/Blue Shield, and health maintenance organization.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatmentreporting period. Data received through 11.01.16.

Mental health diagnostic category

Episode Data Set (MH-TEDS), 2015

247

Table 7.13c. MH-TEDS admissions during the reporting period, by mental health diagnosis, living arrangement, health insurance, and veteran status: Row percent distribution, 2015



Row percent distribution of admission



Conductdisorder

Mood disorders

ODD OtherBipolar




Total



Total

Veteran status


Total

100.0

100.0100.0100.0100.0100.0100.0100.0

100.0

100.0100.0100.0100.0100.0

100.0

103,459100.0100.0

100.0

5.4

2.031.5

† †

1.6 6.8

†

6.1

2.4 1.2 9.1 1.1 1.3

7.8

2,573 3.0 2.5

2.5

11.1

10.520.4 8.2 2.6 5.412.9 3.2

12.2

8.4 6.111.4 5.8 5.6

10.5

11,60615.111.9

12.0

4.2

†22.2

† † †

5.3 †

4.7

2.4 †

7.2 1.4 1.3

6.1

845 † †

†

1.2

† 3.7

† † †

1.5 †

1.3

† †

3.0 2.8

†

2.6

99 † †

†

19.8

23.9 5.617.517.417.419.119.6

19.3

23.525.116.630.921.5

17.9

23,28720.422.6

22.5

29.5

29.3 5.617.6 9.912.931.613.7

30.0

40.926.729.037.229.8

29.2

32,99528.032.6

32.4

1.3

† 3.7

† † †

1.8 †

1.6

† †

2.6 † †

2.1

91 † †

†

27.3

33.8 7.454.268.361.220.862.6

24.8

21.540.021.020.140.0

23.8

31,96332.929.4

29.5† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 Private insurance includes the following subcategories: private insurance, Blue Cross/Blue Shield, and health maintenance organization.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

248

Table 7.14a. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis and employment status: Number, 2015


Number of admissionsEmployment status Mood disorders

Adjustment Anxiety Conduct Bipolar DepressiveTotal disorders disorders ADD/ADHD disorder disorders disorders ODD Other

Total admissions during reporting2 period aged 18 and older 103,459 2,573 11,606 845 99 23,287 32,995 91 31,963

Employment statusEmployed 13,290 730 2,245 235 13 2,762 5,141 11 2,153

Full time 7,815 484 1,325 113 6 1,546 3,129 7 1,205Part time 5,475 246 920 122 7 1,216 2,012 4 948

Unemployed 24,149 530 2,836 143 13 5,979 8,466 5 6,177Not in labor force (see detail below) 33,496 596 3,719 273 35 6,934 9,711 33 12,195

Total 70,935 1,856 8,800 651 61 15,675 23,318 49 20,525

Detailed not in labor forceTotal admissions during reporting period

aged 18 and older not in labor force 33,496 596 3,719 273 35 6,934 9,711 33 12,195Disabled 17,366 192 1,573 72 14 3,718 4,329 7 7,461Student 1,384 76 252 66 4 296 449 16 225Homemaker 1,466 45 299 14 - - 293 637 ^ 177Retired 946 44 99 3 - - 150 420 - - 230Sheltered/non-competitive employment 268 7 20 ^ - - 81 124 - - 35Other 11,816 230 1,435 112 17 2,351 3,714 9 3,948

Total 33,246 594 3,678 268 35 6,889 9,673 33 12,076 - - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

249

Table 7.14b. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis and employment status: Column percent distribution, 2015

Employment status



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total admissions during reporting2 period age 18 and older


Full timePart time


Total


aged 18 and older not in labor forceDisabledStudentHomemakerRetiredSheltered/non-competitive employmentOther

Total

100.0

18.711.0 7.734.047.2

100.0

47.252.2 4.2 4.4 2.8

†35.5

100.0

100.0

39.326.113.328.632.1

100.0

32.132.312.8 7.6 7.4 1.238.7

100.0

100.0

25.515.110.532.242.3

100.0

42.342.8 6.9 8.1 2.7

†39.0

100.0

100.0

36.117.418.722.041.9

100.0

41.926.924.6 5.2 1.1

†41.8

100.0

100.0

21.3 9.811.521.357.4

100.0

57.440.011.4

† † †

48.6

100.0

100.0

17.6 9.9 7.838.144.2

100.0

44.254.0 4.3 4.3 2.2 1.234.1

100.0

100.0

22.013.4 8.636.341.6

100.0

41.644.8 4.6 6.6 4.3 1.338.4

100.0

100.0

22.414.3 8.210.267.3

100.0

67.321.248.5 3.0

† †

27.3

100.0

100.0

10.5 5.9 4.630.159.4

100.0

59.461.8 1.9 1.5 1.9

†32.7

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental period. Data received through 11.01.16.

each admission. Mental health diagnostic category definitions

Health Treatment Episode Data Set (MH-TEDS), 2015 reporting

250

Table 7.14c. MH-TEDS admissions during the reporting period aged 18 and older, by mental health diagnosis and employment status: Row percent distribution, 2015

Employment status



Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders

Total admissions during reporting2 period age 18 and older

Employment status

100.0 5.4 11.1 4.2 1.2 19.8 29.5 1.3 27.3

Employed 100.0 5.5 16.9 1.8 † 20.8 38.7 † 16.2Full time 100.0 6.2 17.0 1.4 † 19.8 40.0 † 15.4Part time 100.0 4.5 16.8 2.2 † 22.2 36.7 † 17.3

Unemployed 100.0 2.2 11.7 † † 24.8 35.1 † 25.6Not in labor force (see detail below) 100.0 1.8 11.1 † † 20.7 29.0 † 36.4

Total


100.0 2.6 12.4 † † 22.1 32.9 † 28.9

aged 18 and older not in labor force 100.0 1.8 11.1 † † 20.7 29.0 † 36.4Disabled 100.0 1.1 9.1 † † 21.4 24.9 † 43.0Student 100.0 5.5 18.2 4.8 † 21.4 32.4 1.2 16.3Homemaker 100.0 3.1 20.4 † † 20.0 43.5 † 12.1Retired 100.0 4.7 10.5 † † 15.9 44.4 † 24.3Sheltered/non-competitive employment 100.0 2.6 7.5 † † 30.2 46.3 † 13.1Other 100.0 1.9 12.1 † † 19.9 31.4 † 33.4

Total 100.0 1.8 11.1 † † 20.7 29.1 † 36.3† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental period. Data received through 11.01.16.

each admission. Mental health diagnostic category definitions

Health Treatment Episode Data Set (MH-TEDS), 2015 reporting

251

Table 7.15a. MH-TEDS admissions during the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Number, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar


Total admissions duringreporting period2

3SMI/SED statusSMISEDNot SMI/SED

Total


01-5051-100

Total

Co-occurring substance use problemTotal admissions during reporting

period aged 12 and olderYesNo

Total

125,153

68,39312,94022,238

103,571

4,72952,59721,076

78,402

114,78032,40362,659

95,062

6,800

591 1,999 3,402

5,992

163 1,616 2,329

4,108

4,073 919 2,114

3,033

13,910

4,969 1,361 5,791

12,121

480 5,545 3,930

9,955

12,852 3,806 7,223

11,029

5,300

247 3,410 1,011

4,668

46 878 826

1,750

2,250 333 861

1,194

1,517

33 940 294

1,267

3 400 331

734

682 37 386

423

24,822

16,675 973 2,403

20,051

95011,708 3,654

16,312

24,476 8,00113,099

21,100

36,950

24,234 2,325 4,716

31,275

1,07816,271 6,998

24,347

36,270 9,50720,646

30,153

1,671

22 1,187 278

1,487

4 438 235

677

1,011 18 504

522

34,183

21,622 745 4,343

26,710

2,00515,741 2,773

20,519

33,166 9,78217,826

27,608

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; ODD = oppositional defiant disorder; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 The definitions for SMI and SED statuses can be found in Appendix D.4 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

252

Table 7.15b. MH-TEDS admissions during the reporting period, by mental health diagnosis, SMI/SED status, functioning score (CGAS/GAF), and co-occurring substance use problem: Column percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total


01-5051-100

Total



Total

100.0

66.012.521.5

100.0

6.067.126.9

100.0

34.165.9

100.0

100.0

9.933.456.8

100.0

4.039.356.7

100.0

30.369.7

100.0

100.0

41.011.247.8

100.0

4.855.739.5

100.0

34.565.5

100.0

100.0

5.373.121.7

100.0

2.650.247.2

100.0

27.972.1

100.0

100.0

2.674.223.2

100.0

†54.545.1

100.0

8.791.3

100.0

100.0

83.2 4.912.0

100.0

5.871.822.4

100.0

37.962.1

100.0

100.0

77.5 7.415.1

100.0

4.466.828.7

100.0

31.568.5

100.0

100.0

1.579.818.7

100.0

†64.734.7

100.0

3.496.6

100.0

100.0

81.0 2.816.3

100.0

9.876.713.5

100.0

35.464.6

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; ODD = oppositional defiant disorder; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 The definitions for SMI and SED statuses can be found in Appendix D.4 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

253

Table 7.15c. MH-TEDS admissions during the reporting period, by mental health diagnosis, SMI/SED score, functioning score (CGAS/GAF), and co-occurring substance use problem: Row percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total


01-5051-100

Total



Total

100.0

100.0100.0100.0

100.0

100.0100.0100.0

100.0

100.0100.0

100.0

5.4

†15.415.3

5.8

3.4 3.111.1

5.2

2.8 3.4

3.2

11.1

7.310.526.0

11.7

10.210.518.6

12.7

11.711.5

11.6

4.2

†26.4 4.5

4.5

† 1.7 3.9

2.2

1.0 1.4

1.3

1.2

† 7.3 1.3

1.2

† †

1.6

†

† †

†

19.8

24.4 7.510.8

19.4

20.122.317.3

20.8

24.720.9

22.2

29.5

35.418.021.2

30.2

22.830.933.2

31.1

29.332.9

31.7

1.3

† 9.2 1.3

1.4

† †

1.1

†

† †

†

27.3

31.6 5.819.5

25.8

42.429.913.2

26.2

30.228.4

29.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; CGAS = Children's Global Assessment Scale; GAF = Global Assessment of Function; ODD = oppositional defiant disorder; SED = serious emotional disturbance; SMI = serious mental illness.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for each admission. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 The definitions for SMI and SED statuses can be found in Appendix D.4 Functioning is measured by the Children's Global Assessment Scale (CGAS) for children and adolescents, and the Global Assessment of Function (GAF) for adults. Further information on CGAS and GAF can be found in Appendix D.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting period. Data received through 11.01.16.

254

Table 7.16a. MH-TEDS admissions during the reporting period, by mental health diagnosis, mental health service setting, and referral source: Number, 2015




Mood disorders



Conductdisorder

Bipolardisorders

Depressivedisorders



Total


Total

125,153

5,04399,669 1,474 3,883 290

110,359

56,83026,684 3,804 6,18510,317

87

103,907

6,800

55 6,052

4 27 7

6,145

3,361 793 807 676 439 7

6,083

13,910

9812,358

69 75 43

12,643

7,736 2,468 440 956 700 21

12,321

5,300

6 5,093 18 15

- -

5,132

2,607 533 815 186 122 4

4,267

1,517

17 1,384 17 3 3

1,424

611 143 273 83 126

- -

1,236

24,822

94219,124 299 1,256 77

21,698

10,936 6,198 227 1,110 2,269

7

20,747

36,950

76431,147 425 912 101

33,349

18,069 8,463 551 1,665 2,092 21

30,861

1,671

4 1,554

6^

4

1,569

758 181 337 73 133

^

1,484

34,183

3,15722,957 636 1,594 55

28,399

12,752 7,905 354 1,436 4,436 25

26,908 - - Quantity is zero; ^ Less than three admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 Mental health services setting category definitions can be found in Appendix C.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental 2015 reporting period. Data received through 11.01.16.

each admission. Mental health diagnostic category

Health Treatment Episode Data Set (MH-TEDS),

255

Table 7.16b. MH-TEDS admissions during the reporting period, by mental health diagnosis, mental health service setting, and referral source: Column percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total


Total

100.0

4.690.3 1.3 3.5

†

100.0

54.725.7 3.7 6.0 9.9

†

100.0

100.0

†98.5

† † †

100.0

55.313.013.311.1 7.2

†

100.0

100.0

†97.7

† † †

100.0

62.820.0 3.6 7.8 5.7

†

100.0

100.0

†99.2

† † †

100.0

61.112.519.1 4.4 2.9

†

100.0

100.0

1.297.2 1.2

† †

100.0

49.411.622.1 6.710.2

†

100.0

100.0

4.388.1 1.4 5.8

†

100.0

52.729.9 1.1 5.410.9

†

100.0

100.0

2.393.4 1.3 2.7

†

100.0

58.527.4 1.8 5.4 6.8

†

100.0

100.0

†99.0

† † †

100.0

51.112.222.7 4.9 9.0

†

100.0

100.0

11.180.8 2.2 5.6

†

100.0

47.429.4 1.3 5.316.5

†

100.0† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



256

Table 7.16c. MH-TEDS admissions during the reporting period, by mental health diagnosis, mental health service setting, and referral source: Row percent distribution, 2015






Conductdisorder

Mood disorders

ODD OtherBipolar




Total


Total

100.0

100.0100.0100.0100.0100.0

100.0

100.0100.0100.0100.0100.0100.0

100.0

5.4

1.1 6.1

† †

2.4

5.6

5.9 3.021.210.9 4.3 8.0

5.9

11.1

1.912.4 4.7 1.914.8

11.5

13.6 9.211.615.5 6.824.1

11.9

4.2

† 5.1 1.2

† †

4.7

4.6 2.021.4 3.0 1.2 4.6

4.1

1.2

† 1.4 1.2

† 1.0

1.3

1.1 †

7.2 1.3 1.2

†

1.2

19.8

18.719.220.332.326.6

19.7

19.223.2 6.017.922.0 8.0

20.0

29.5

15.131.328.823.534.8

30.2

31.831.714.526.920.324.1

29.7

1.3

† 1.6

† †

1.4

1.4

1.3 †

8.9 1.2 1.3 2.3

1.4

27.3

62.623.043.141.119.0

25.7

22.429.6 9.323.243.028.7

25.9† Less than one percent of admissions.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.2 Admissions during the reporting period are defined as those admissions occurring on or between July 1, 2013 and June 30, 2014.3 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



257

Table 7.17. MH-TEDS discharges, by mental health service setting, and month and year of discharge: Number and percent distribution, 2015

Month and year of discharge

Total


Number of discharges Percent distribution of discharges

State psychiatric

hospital

Community-based

program


center



justice system

State psychiatric

hospital

Community-based

program


center



justice system

July 2014August 2014September 2014October 2014November 2014December 2014January 2015February 2015March 2015April 2015May 2015June 2015After June 2015

Total

11,11411,458 9,615 9,744 8,219 9,804 7,578 7,484 7,682 7,188 6,272 6,954 2,885

105,997

618 560 558 607 594 530 417 448 489 433 348 359 103 6,064

9,93410,317 8,484 8,585 7,186 8,788 6,860 6,771 6,911 6,493 5,677 6,345 2,74995,100

103 120 127 121 100 124 107 93 83 81 90 79 19

1,247

438 440 423 408 327 354 187 147 191 178 154 170 12

3,429

21 21 23 23 12 8 7 25 8 3 3

^^

157

10.2 9.2 9.210.0 9.8 8.7 6.9 7.4 8.1 7.1 5.7 5.9 1.7

100.0

10.410.8 8.9 9.0 7.6 9.2 7.2 7.1 7.3 6.8 6.0 6.7 2.9

100.0

8.3 9.610.2 9.7 8.0 9.9 8.6 7.5 6.7 6.5 7.2 6.3 1.5

100.0

12.812.812.311.9 9.510.3 5.5 4.3 5.6 5.2 4.5 5.0

†100.0

13.413.414.614.6 7.6 5.1 4.515.9 5.1 1.9 1.9

† 1.3

100.0

^ Less than three admissions; † Less than one percent of admissions.1 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental period. Data received through 11.01.16.

Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015 reporting

258

Table 7.18. MH-TEDS discharges, by mental health service setting, reason for discharge, and days in treatment episode: Number and percent distribution, 2015

Reason for discharge and days in treatment

Total


Number of discharges Percent distribution of discharges

State psychiatric

hospital

Community-based

program


center



justice system

State psychiatric

hospitalCommunity

program


center



justice system

Total discharges

Reason for dischargeTreatment completedDropped out of treatmentTerminated by facilityTransferred to another treatment programIncarcerated or released to courtsOther

Total

Days in treatment episode0 to 30 days31 to 90 days91 to 180 days181 to 365 daysMore than 365 days

Total

105,997

26,13235,442 6,215

12,163

89422,341

103,187

26,330 9,01711,10623,30235,466

105,221

6,064

5,231 16 4

329

48 176

5,804

3,341 1,366 476 296 290

5,769

95,100

18,21835,297 6,158

11,139

80121,990

93,603

19,246 7,29610,45122,80834,845

94,646

1,247

629 46 48

291

8 85

1,107

616 203 90 100 224

1,233

3,429

2,014 8 4

394

16 80

2,516

3,107 138 40 38 93

3,416

157

40 75

^

10

21 10

157

20 14 49 60 14

157

100.0

90.1 † †

5.7

† 3.0

100.0

57.923.7 8.3 5.1 5.0

100.0

100.0

19.537.7 6.6

11.9

†23.5

100.0

20.3 7.711.024.136.8

100.0

100.0

56.8 4.2 4.3

26.3

† 7.7

100.0

50.016.5 7.3 8.118.2

100.0

100.0

80.0 † †

15.7

† 3.2

100.0

91.0 4.0 1.2 1.1 2.7

100.0

100.0

25.547.8

†

6.4

13.4 6.4

100.0

12.7 8.931.238.2 8.9

100.0^ Less than three discharges; † Less than one percent of discharges.1 Mental health services setting category definitions can be found in Appendix C.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental reporting period. Data received through 11.01.16.

Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS), 2015

259

Table 7.19a. MH-TEDS discharges, by mental health diagnosis, reason for discharge, and days in treatment episode: Number, 2015

Reason for discharge and days in treatment episode


Number of discharges



Conductdisorder

Mood disorders

ODD OtherBipolar


Total discharges


Total


Total

85,609

21,89015,884 5,832

9,206

69529,995

83,502

33,714 7,480 9,53413,34420,964

85,036

4,114

956 1,077 331

265

4 1,467

4,100

1,044 392 787 1,001 878

4,102

8,530

1,532 2,011 672

898

91 3,199

8,403

2,351 924 1,306 1,737 2,183

8,501

3,332

313 1,346 535

265

11 843

3,313

338 199 388 820 1,568

3,313

966

171 330 122

80

^ 255

959

191 103 162 219 286

961

17,978

5,134 3,078 991

1,931

179 6,295

17,608

7,930 1,593 1,902 2,526 3,927

17,878

24,532

6,417 5,200 1,873

2,778

171 7,803

24,242

9,203 1,984 2,795 4,087 6,292

24,361

1,296

146 506 198

93

^ 347

1,292

146 71 177 331 568

1,293

24,861

7,221 2,336 1,110

2,896

236 9,786

23,585

12,511 2,214 2,017 2,623 5,262

24,627^ Less than three discharges.

ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



260

Table 7.19b. MH-TEDS discharges, by mental health diagnosis, reason for discharge, and days in treatment episode: Column percent distribution, 2015



Column percent distribution of discharges



Conductdisorder

Mood disorders

ODD OtherBipolar


Total discharges


Total


Total

100.0

26.219.0 7.0

11.0

†35.9

100.0

39.6 8.811.215.724.7

100.0

100.0

23.326.3 8.1

6.5

†35.8

100.0

25.5 9.619.224.421.4

100.0

100.0

18.223.9 8.0

10.7

1.138.1

100.0

27.710.915.420.425.7

100.0

100.0

9.440.616.1

8.0

†25.4

100.0

10.2 6.011.724.847.3

100.0

100.0

17.834.412.7

8.3

†26.6

100.0

19.910.716.922.829.8

100.0

100.0

29.217.5 5.6

11.0

1.035.8

100.0

44.4 8.910.614.122.0

100.0

100.0

26.521.5 7.7

11.5

†32.2

100.0

37.8 8.111.516.825.8

100.0

100.0

11.339.215.3

7.2

†26.9

100.0

11.3 5.513.725.643.9

100.0

100.0

30.6 9.9 4.7

12.3

1.041.5

100.0

50.8 9.0 8.210.721.4

100.0† Less than one percent of discharges.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



261

Table 7.19c. MH-TEDS discharges, by mental health diagnosis, reason for discharge, and days in treatment episode: Row percent distribution, 2015



Percent distribution of discharges



Conduct disorder

Mood disorders

ODD OtherBipolar


Total discharges

Reason for discharge

100.0 4.8 10.0 3.9 1.1 21.0 28.7 1.5 29.0

Treatment completed 100.0 4.4 7.0 1.4 † 23.5 29.3 † 33.0Dropped out of treatment 100.0 6.8 12.7 8.5 2.1 19.4 32.7 3.2 14.7Terminated by facilityTransferred to another treatment

100.0 5.7 11.5 9.2 2.1 17.0 32.1 3.4 19.0

programIncarcerated or released to

100.0 2.9 9.8 2.9 † 21.0 30.2 1.0 31.5

courts 100.0 † 13.1 1.6 † 25.8 24.6 † 34.0Other 100.0 4.9 10.7 2.8 † 21.0 26.0 1.2 32.6

Total

Days in treatment episode

100.0 4.9 10.1 4.0 1.1 21.1 29.0 1.5 28.2

0 to 30 days 100.0 3.1 7.0 1.0 † 23.5 27.3 † 37.131 to 90 days 100.0 5.2 12.4 2.7 1.4 21.3 26.5 † 29.691 to 180 days 100.0 8.3 13.7 4.1 1.7 19.9 29.3 1.9 21.2181 to 365 days 100.0 7.5 13.0 6.1 1.6 18.9 30.6 2.5 19.7More than 365 days 100.0 4.2 10.4 7.5 1.4 18.7 30.0 2.7 25.1

Total 100.0 4.8 10.0 3.9 1.1 21.0 28.6 1.5 29.0† Less than one percent of discharges.ADD/ADHD = attention deficit disorder/attention deficit hyperactivity disorder; ODD = oppositional defiant disorder.1 "Mental health diagnosis" refers to the first-mention mental health diagnosis, which is the first of up to three diagnoses reported for category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental TEDS), 2015 reporting period. Data received through 11.01.16.



262

Table 8.1a. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2012:Number, 2012

Selected characteristics

Total

Living arrangement


HomelessFoster

home/careResidential

careInstitutional

settingcorrectional

facilityPrivate

residence Other


Gender

MaleFemale

2Age


3SED status

SEDNot SED

3SMI status

SMINot SMI

1Total individuals

Total

Total

Total

Total

31

701,355

342,047359,211701,258

101,59972,75419,19541,16940,70355,06351,70661,35173,83874,72154,89830,66723,665

701,329

128,323553,341681,664

432,162249,502681,664

30

19,402

11,549 7,84919,398

651379532

1,5371,5282,1672,0372,5143,1352,7171,521

512170

19,400

77817,59218,370

14,876 3,49418,370

28

8,868

4,769 4,089 8,858

3,8512,871

402192120177159168211228173136180

8,868

4,774 3,449 8,223

1,003 7,220 8,223

30

34,426

20,75813,66434,422

4361,269

6631,8451,9362,6452,4923,2274,5285,2884,3722,9112,811

34,423

1,43732,31033,747

28,404 5,34333,747

30

11,727

7,248 4,47811,726

218941348814793971932997

1,1471,3311,118

7551,362

11,727

68710,14810,835

8,545 2,29010,835

31

11,553

9,349 2,20311,552

15365438

1,3301,3571,7131,3901,5101,5071,024

554222128

11,553

29210,86111,153

8,506 2,64711,153

31

578,345

270,774307,496578,270

92,07764,09415,29932,45431,94743,71141,82349,53659,35160,40744,62824,81818,180

578,325

115,342447,306562,648

350,704211,944562,648

26

37,034

17,60019,43237,032

4,3512,8351,5132,9973,0223,6792,8733,3993,9593,7262,5321,313

83437,033

5,01331,67536,688

20,12416,56436,688

Continued. See notes at end of table.

263

Table 8.1a. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2012:Number, 2012 (continued)


Living arrangement


Total HomelessFoster


careInstitutional

settingcorrectional

facilityPrivate

residence Other

Substance use diagnosisTotal individuals aged 12 and

older with co-occurring SU and MH disorders

Alcoholic psychosesAlcohol intoxicationDrug psychosesDependence

Alcohol CocaineMarijuanaOpioidOther

Non-dependent abuseAlcoholCocaineMarijuanaOpioidOther

None reported

110,079 590 273 1,434

21,316 5,926 7,198 5,78930,390

15,478 3,20511,122 909 3,999 2,450

6,2105131

111

1,429491331339

1,716

71123139552

196126

200 - - ^ ^

17 - -203

50

27 ^

623

103

6,801456

90

1,346435270205

2,274

1,17818850532

17948

2,933378

85

39881

126111

1,058

45849

27019

21617

5,31110 - -63

868282416245

2,476

38587

319219346

85,391415198

1,044

16,6804,4555,8804,585

22,081

12,2842,5179,320

7293,0762,127

3,233322840

578182155301735

43513125153

22983


264



Living arrangement




careInstitutional

settingcorrectional

facilityPrivate

residence Other

Mental health diagnosis

Adjustment disorders 26,415 431 1,217 316 168 740 20,748 2,795Anxiety disorders

Attention deficit disorder and attention deficit hyperactivity

59,758 1,543 1,323 1,497 459 833 50,286 3,817

disorder 62,443 204 1,459 418 110 116 57,301 2,835Mood disorders 314,791 10,230 2,000 9,659 2,990 4,294 269,300 16,318

Bipolar disorders 154,942 5,120 1,130 5,386 1,764 2,226 131,591 7,725Depressive disorders 159,849 5,110 870 4,273 1,226 2,068 137,709 8,593

Personality disordersSchizophrenia and other

4,827 205 15 179 185 1,091 2,970 182

psychotic disordersAlcohol and drug related

161,806 5,077 520 19,590 5,993 3,250 118,775 8,601

disorders 3,430 565 103 138 114 97 2,268 1454Other mental disorders 43,212 376 1,229 1,716 769 339 36,803 1,980

No/deferred diagnosis 24,673 771 1,002 913 939 793 19,894 361

Total 701,355 19,402 8,868 34,426 11,727 11,553 578,345 37,034- - Quantity is zero; ^ Less than three individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known living arrangements in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes betweek and excluding substance abuse diagnoses. See Appendix E. Q y, (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 re11.01.16.

295 and 316, not

, ceived through

included in

05.08.15, data for

another diagnos

p 2015 received through

tic category,

265

Table 8.1b. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2012:Column percent distribution, 2012


Total

Living arrangement

Column percent distribution

HomelessFoster


careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other

Number of states reporting1Total individuals

31

100.0

30

100.0

28

100.0

30

100.0

30

100.0

31

100.0

31

100.0

26

100.0

GenderMale

Female

2Age0 to 11 years12 to 17 years18 to 20 years21 to 25 years26 to 29 years30 to 34 years35 to 39 years40 to 44 years45 to 49 years50 to 54 years55 to 59 years60 to 64 years65 years and older

3SED statusSED

Not SED

3SMI statusSMI

Not SMI

Total

Total

Total

Total

48.8

51.2

100.0

14.510.42.75.95.87.97.48.7

10.510.77.84.43.4

100.0

18.8

81.2

100.0

63.4

36.6

100.0

59.5

40.5

100.0

3.4 2.0 2.7 7.9 7.911.210.513.016.214.0 7.8 2.6

†

100.0

4.2

95.8

100.0

81.0

19.0

100.0

53.8

46.2

100.0

43.432.4 4.5 2.2 1.4 2.0 1.8 1.9 2.4 2.6 2.0 1.5 2.0

100.0

58.1

41.9

100.0

12.2

87.8

100.0

60.3

39.7

100.0

1.3 3.7 1.9 5.4 5.6 7.7 7.2 9.413.215.412.7 8.5 8.2

100.0

4.3

95.7

100.0

84.2

15.8

100.0

61.8

38.2

100.0

1.9 8.0 3.0 6.9 6.8 8.3 7.9 8.5 9.811.3 9.5 6.411.6

100.0

6.3

93.7

100.0

78.9

21.1

100.0

80.9

19.1

100.0

† 3.2 3.811.511.714.812.013.113.0 8.9 4.8 1.9 1.1

100.0

2.6

97.4

100.0

76.3

23.7

100.0

46.8

53.2

100.0

15.911.1 2.6 5.6 5.5 7.6 7.2 8.610.310.4 7.7 4.3 3.1

100.0

20.5

79.5

100.0

62.3

37.7

100.0

47.5

52.5

100.0

11.7 7.7 4.1 8.1 8.2 9.9 7.8 9.210.710.1 6.8 3.5 2.3

100.0

13.7

86.3

100.0

54.9

45.1

100.0


266

Table 8.1b. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2012:Column percent distribution, 2012 (continued)


Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






None reported

100.0 † †

1.3

19.4 5.4 6.5 5.327.6

14.1 2.910.1

† 3.6 2.2

100.0 † †

1.8

23.0 7.9 5.3 5.527.6

11.4 3.7 6.4

† 3.2 2.0

100.0 †

1.0 †

8.5 †

10.0 1.525.0

13.5 1.031.0 1.5 5.0 1.5

100.0 † †

1.3

19.8 6.4 4.0 3.033.4

17.3 2.8 7.4

† 2.6

†

100.0 1.3

† 2.9

13.6 2.8 4.3 3.836.1

15.6 1.7 9.2

† 7.4

†

100.0 † †

1.2

16.3 5.3 7.8 4.646.6

7.2 1.6 6.0

† 1.8

†

100.0 † †

1.2

19.5 5.2 6.9 5.425.9

14.4 2.910.9

† 3.6 2.5

100.0 † †

1.2

17.9 5.6 4.8 9.322.7

13.5 4.1 7.8 1.6 7.1 2.6


267



Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other

Mental health diagnosisAdjustment disordersAnxiety disorders

Attention deficit disorder and attention deficit hyperactivity disorderMood disorders




Total

3.8 8.5

8.944.922.122.8

†

23.1

† 6.2 3.5

100.0

2.2 8.0

1.152.726.426.3 1.1

26.2

2.9 1.9 4.0

100.0

13.714.9

16.522.612.7 9.8

†

5.9

1.213.911.3

100.0

† 4.3

1.228.115.612.4

†

56.9

† 5.0 2.7

100.0

1.4 3.9

†25.515.010.5 1.6

51.1

† 6.6 8.0

100.0

6.4 7.2

1.037.219.317.9 9.4

28.1

† 2.9 6.9

100.0

3.6 8.7

9.946.622.823.8

†

20.5

† 6.4 3.4

100.0

7.510.3

7.744.120.923.2

†

23.2

† 5.3

†

100.0

† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known living arrangements in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes betweek and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding. y, (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 re11.01.16.

295 and 316, not

, ceived through

included in

05.08.15, data

a

for

nother diagnos


tic category,

268

Table 8.1c. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2012: Row percent distribution, 2012


Total

Living arrangement

Row percent distribution

HomelessFoster


careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other


31

100.0

30

2.8

28

1.3

30

4.9

30

1.7

31

1.6

31

82.5

26

5.3

GenderMaleFemale


3SED statusSEDNot SED


Total

Total

Total

Total

100.0100.0

100.0

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0

100.0100.0

100.0

100.0100.0

100.0

3.4 2.2

2.8

† †

2.8 3.7 3.8 3.9 3.9 4.1 4.2 3.6 2.8 1.7

†

2.8

3.4 3.2

2.7

3.4 1.4

2.7

1.4 1.1

1.3

3.8 3.9 2.1

† † † † † † † † † †

1.3

† †

1.2

† 2.9

1.2

6.1 3.8

4.9

† 1.7 3.5 4.5 4.8 4.8 4.8 5.3 6.1 7.1 8.0 9.511.9

4.9

6.6 5.8

5.0

6.6 2.1

5.0

2.1 1.2

1.7

† 1.3 1.8 2.0 1.9 1.8 1.8 1.6 1.6 1.8 2.0 2.5 5.8

1.7

2.0 1.8

1.6

2.0 †

1.6

2.7 †

1.6

† †

2.3 3.2 3.3 3.1 2.7 2.5 2.0 1.4 1.0

† †

1.6

2.0 2.0

1.6

2.0 1.1

1.6

79.285.6

82.5

90.688.179.778.878.579.480.980.780.480.881.380.976.8

82.5

81.280.8

82.5

81.284.9

82.5

5.1 5.4

5.3

4.3 3.9 7.9 7.3 7.4 6.7 5.6 5.5 5.4 5.0 4.6 4.3 3.5

5.3

4.7 5.7

5.4

4.7 6.6

5.4


269

Table 8.1c. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2012: Row percent distribution, 2012 (continued)


Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






None reported

100.0100.0100.0100.0

100.0100.0100.0100.0100.0

100.0100.0100.0100.0100.0100.0

5.6 8.611.4 7.7

6.7 8.3 4.6 5.9 5.6

4.6 7.2 3.6 5.7 4.9 5.1

† † † †

† † † † †

† † † † † †

6.2 7.6 2.2 6.3

6.3 7.3 3.8 3.5 7.5

7.6 5.9 4.5 3.5 4.5 2.0

2.7 6.3 2.9 5.9

1.9 1.4 1.8 1.9 3.5

3.0 1.5 2.4 2.1 5.4

†

4.8 1.7

† 4.4

4.1 4.8 5.8 4.2 8.1

2.5 2.7 2.9 2.3 2.3 1.9

77.670.372.572.8

78.375.281.779.272.7

79.478.583.880.276.986.8

2.9 5.410.3 2.8

2.7 3.1 2.2 5.2 2.4

2.8 4.1 2.3 5.8 5.7 3.4


270



Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






Total

100.0100.0

100.0100.0100.0100.0100.0

100.0

100.0100.0100.0

100.0

1.6 2.6

† 3.2 3.3 3.2 4.2

3.1

16.5 †

3.1

2.8

4.6 2.2

2.3 † † † †

†

3.0 2.8 4.1

1.3

1.2 2.5

† 3.1 3.5 2.7 3.7

12.1

4.0 4.0 3.7

4.9

† †

† †

1.1 †

3.8

3.7

3.3 1.8 3.8

1.7

2.8 1.4

† 1.4 1.4 1.322.6

2.0

2.8 †

3.2

1.6

78.584.1

91.885.584.986.161.5

73.4

66.185.280.6

82.5

10.6 6.4

4.5 5.2 5.0 5.4 3.8

5.3

4.2 4.6 1.5

5.3

† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known living arrangements in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes betweek and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding. y (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 re11.01.16.

295 and 316, not

ceived through

included in

05.08.15, data for

a nother diagno


stic category,

271

Table 8.2a. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2015:Number, 2015


Total

Living arrangement


HomelessFoster


careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other


31

659,993

30

18,029

28

7,664

30

40,404

30

13,067

31

10,679

31

546,147

26

24,003

GenderMaleFemale




Total

Total

Total

Total

319,996339,899

659,895

47,23578,64722,76433,15834,45151,48051,55953,28863,36676,31666,03444,05337,636

659,987

102,053536,172

638,225

438,322199,903

638,225

10,825 7,194

18,019

123 224 427 1,223 1,392 2,123 2,135 2,118 2,564 2,746 1,835 824 295

18,029

29616,649

16,945

14,560 2,385

16,945

4,037 3,616

7,653

1,576 2,888 830 288 197 210 207 215 236 273 266 198 280

7,664

3,678 3,425

7,103

1,448 5,655

7,103

24,63315,769

40,402

379 1,816 610 1,648 2,039 3,037 2,995 3,077 4,263 5,800 5,762 4,379 4,599

40,404

1,82437,398

39,222

33,367 5,855

39,222

7,753 5,311

13,064

114 691 382 624 716 1,051 915 910 1,047 1,494 1,513 1,288 2,322

13,067

47211,573

12,045

10,417 1,628

12,045

8,691 1,987

10,678

12 535 353 900 1,077 1,567 1,378 1,246 1,384 1,122 639 278 188

10,679

492 9,696

10,188

7,577 2,611

10,188

252,393293,684

546,077

44,05970,47918,68626,68727,39141,17841,96243,77251,53462,24953,76735,56428,813

546,141

93,010436,005

529,015

356,535172,480

529,015

11,66412,338

24,002

972 2,014 1,476 1,788 1,639 2,314 1,967 1,950 2,338 2,632 2,252 1,522 1,139

24,003

2,28121,426

23,707

14,418 9,289

23,707


272



Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






None reported

86,094 807 252 1,798

18,098 3,976 6,420 5,76620,433

11,744 2,017 9,115 870 3,360 1,438

4,532 105 38 120

1,003 281 248 332 1,130

500 167 358 44 183 23

197 - - ^

5

17 ^

18 5 46

19 3 66

^ 13

^

5,839 79 7

158

1,287 279 328 224 1,539

988 110 460 37 188 155

2,495 26 8 59

413 60 129 75 899

349 43 224 8

181 21

4,979 17

^ 101

1,324 360 512 402 1,314

433 58 323 29 82 22

65,713 542 178 1,285

13,647 2,892 5,046 4,51815,034

9,124 1,556 7,444 713 2,536 1,198

2,339 38 18 70

407 102 139 210 471

331 80 240 38 177 18


273



Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






Total

16,34256,918

45,721281,400137,104144,296

3,910

148,158

6,27534,28966,980

659,993

376 1,289

130 8,390 4,076 4,314 117

4,912

746 221 1,848

18,029

695 1,204

1,148 2,140 1,067 1,073 31

654

128 956 708

7,664

370 1,521

64410,020 5,630 4,390 168

21,671

369 1,986 3,655

40,404

98 433

86 3,265 1,908 1,357 207

6,616

115 838 1,409

13,067

712 1,013

106 3,357 1,579 1,778 1,257

2,802

170 440 822

10,679

13,06348,960

42,061244,019118,016126,003

2,003

105,344

4,42228,81557,460

546,147

1,028 2,498

1,54610,209 4,828 5,381 127

6,159

325 1,033 1,078

24,003

- - Quantity is zero; ^ Less than three individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known living arrangements in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes betweek and excluding substance abuse diagnoses. See Appendix E. Q y, (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 re11.01.16.

295 and 316, not

, ceived through

included in

05.08.15, data for

another diagno


stic category,

274

Table 8.2b. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2015:Column percent distribution, 2015


Total

Living arrangement


HomelessFoster


careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other


31

100.0

30

100.0

28

100.0

30

100.0

30

100.0

31

100.0

31

100.0

26

100.0

GenderMaleFemale




Total

Total

Total

Total

48.551.5

100.0

7.211.93.45.05.27.87.88.19.6

11.610.06.75.7

100.0

16.084.0

100.0

68.731.3

100.0

60.139.9

100.0

† 1.2 2.4 6.8 7.711.811.811.714.215.210.2 4.6 1.6

100.0

1.798.3

100.0

85.914.1

100.0

52.847.2

100.0

20.637.710.8 3.8 2.6 2.7 2.7 2.8 3.1 3.6 3.5 2.6 3.7

100.0

51.848.2

100.0

20.479.6

100.0

61.039.0

100.0

† 4.5 1.5 4.1 5.0 7.5 7.4 7.610.614.414.310.811.4

100.0

4.795.3

100.0

85.114.9

100.0

59.340.7

100.0

† 5.3 2.9 4.8 5.5 8.0 7.0 7.0 8.011.411.6 9.917.8

100.0

3.996.1

100.0

86.513.5

100.0

81.418.6

100.0

† 5.0 3.3 8.410.114.712.911.713.010.5 6.0 2.6 1.8

100.0

4.895.2

100.0

74.425.6

100.0

46.253.8

100.0

8.112.9 3.4 4.9 5.0 7.5 7.7 8.0 9.411.4 9.8 6.5 5.3

100.0

17.682.4

100.0

67.432.6

100.0

48.651.4

100.0

4.0 8.4 6.1 7.4 6.8 9.6 8.2 8.1 9.711.0 9.4 6.3 4.7

100.0

9.690.4

100.0

60.839.2

100.0


275



Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






None reported

100.0 † †

2.1

21.0 4.6 7.5 6.723.7

13.6 2.310.6 1.0 3.9 1.7

100.0 2.3

† 2.5

22.1 6.2 5.5 7.324.9

11.0 3.7 7.9

† 4.0

†

100.0 † †

2.7

8.6 1.0 9.1 2.523.4

9.6 1.533.5

† 6.6

†

100.0 1.4

† 2.4

22.0 4.8 5.6 3.826.4

16.9 1.9 7.9

† 3.2 2.7

100.0 1.0

† 2.0

16.6 2.4 5.2 3.036.0

14.0 1.7 9.0

† 7.3

†

100.0 † †

2.0

26.6 7.210.3 8.126.4

8.7 1.2 6.5

† 1.6

†

100.0 † †

3.0

20.8 4.4 7.7 6.922.9

13.9 2.411.3 1.1 3.9 1.8

100.0 1.6

† 2.1

17.4 4.4 5.9 9.020.1

14.2 3.410.3 1.6 7.6

†


276



Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






Total

2.5 8.6

6.942.620.821.9

†

22.4

† 5.210.1

100.0

2.1 7.1

†46.522.623.9

†

27.2

4.1 1.210.3

100.0

9.115.7

15.027.913.914.0

†

8.5

1.712.5 9.2

100.0

† 3.8

1.624.813.910.9

†

53.6

† 4.9 9.0

100.0

† 3.3

†25.014.610.4 1.6

50.6

† 6.410.8

100.0

6.7 9.5

†31.414.816.611.8

26.2

1.6 4.1 7.7

100.0

2.4 9.0

7.744.721.623.1

†

19.3

† 5.310.5

100.0

4.310.4

6.442.520.122.4

†

25.7

1.4 4.3 4.5

100.0

† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known living arrangements in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes betweek and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding. y (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 re11.01.16.

295 and 316, not

ceived through

included in

05.08.15, data for

a nother diagno


stic category,

277

Table 8.2c. Individuals served in both 2012 and 2015, by living arrangement and selected characteristics in 2015: Row percent distribution, 2015


Total

Living arrangement


HomelessFoster


careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other


31

100.0

30

2.7

28

1.2

30

6.1

30

2.0

31

1.6

31

82.8

26

3.6

GenderMaleFemale




Total

Total

Total

Total

100.0100.0

100.0

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0

100.0100.0

100.0

100.0100.0

100.0

3.4 2.1

2.7

† †

1.9 3.7 4.0 4.1 4.1 4.0 4.0 3.6 2.8 1.9

†

2.7

† 3.1

2.7

3.3 1.2

2.7

1.3 1.1

1.2

3.3 3.7 3.6

† † † † † † † † † †

1.2

3.6 †

1.1

† 2.8

1.1

7.7 4.6

6.1

† 2.3 2.7 5.0 5.9 5.9 5.8 5.8 6.7 7.6 8.7 9.912.2

6.1

1.8 7.0

6.1

7.6 2.9

6.1

2.4 1.6

2.0

† †

1.7 1.9 2.1 2.0 1.8 1.7 1.7 2.0 2.3 2.9 6.2

2.0

† 2.2

1.9

2.4 †

1.9

2.7 †

1.6

† †

1.6 2.7 3.1 3.0 2.7 2.3 2.2 1.5

† † †

1.6

† 1.8

1.6

1.7 1.3

1.6

78.986.4

82.8

93.389.682.180.579.580.081.482.181.381.681.480.776.6

82.8

91.181.3

82.9

81.386.3

82.9

3.6 3.6

3.6

2.1 2.6 6.5 5.4 4.8 4.5 3.8 3.7 3.7 3.4 3.4 3.5 3.0

3.6

2.2 4.0

3.7

3.3 4.6

3.7


278



Living arrangement




careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






None reported

100.0100.0100.0100.0

100.0100.0100.0100.0100.0

100.0100.0100.0100.0100.0100.0

5.313.015.1 6.7

5.5 7.1 3.9 5.8 5.5

4.3 8.3 3.9 5.1 5.4 1.6

† † † †

† † † † †

† † † † † †

6.8 9.8 2.8 8.8

7.1 7.0 5.1 3.9 7.5

8.4 5.5 5.0 4.3 5.610.8

2.9 3.2 3.2 3.3

2.3 1.5 2.0 1.3 4.4

3.0 2.1 2.5

† 5.4 1.5

5.8 2.1

† 5.6

7.3 9.1 8.0 7.0 6.4

3.7 2.9 3.5 3.3 2.4 1.5

76.367.270.671.5

75.472.778.678.473.6

77.777.181.782.075.583.3

2.7 4.7 7.1 3.9

2.2 2.6 2.2 3.6 2.3

2.8 4.0 2.6 4.4 5.3 1.3


279



Total

Living arrangement


HomelessFoster


careInstitutional

setting

Jail/correctional

facilityPrivate

residence Other






Total

100.0100.0

100.0100.0100.0100.0100.0

100.0

100.0100.0100.0

100.0

2.3 2.3

† 3.0 3.0 3.0 3.0

3.3

11.9 †

2.8

2.7

4.3 2.1

2.5 † † † †

†

2.0 2.8 1.1

1.2

2.3 2.7

1.4 3.6 4.1 3.0 4.3

14.6

5.9 5.8 5.5

6.1

† †

† 1.2 1.4

† 5.3

4.5

1.8 2.4 2.1

2.0

4.4 1.8

† 1.2 1.2 1.232.1

1.9

2.7 1.3 1.2

1.6

79.986.0

92.086.786.187.351.2

71.1

70.584.085.8

82.8

6.3 4.4

3.4 3.6 3.5 3.7 3.2

4.2

5.2 3.0 1.6

3.6

† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known living arrangements in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes betweek 2category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Ad(TEDS) and Client-Level Data (CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15,

95 and 316, not

ministration, Tr data for 2015

included in a

eatment Episoreceived through 11.01.16.

nother

d

diagno

e Data Set

stic

280

Table 8.3a. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Number, 2012


Total

Employment status


Employed UnemployedNot in labor

force


31

497,340

31

67,727

31

125,717

31

303,896

GenderMaleFemale




Total

Total

Total

Total

215,628281,659

497,287

- -10,62117,36337,03536,67750,13747,69856,86368,45469,86451,63528,84122,139

497,327

8,382479,306

487,688

403,04684,642

487,688

28,02139,693

67,714

- - 228 1,938 6,260 6,595 8,899 7,911 8,607 9,086 8,458 5,753 2,765 1,225

67,725

19666,287

66,483

51,17415,309

66,483

56,54769,150

125,697

- - 789 4,97612,96412,26715,48013,86015,39417,21515,85510,056 4,596 2,263

125,715

619121,881

122,500

97,02925,471

122,500

131,060172,816

303,876

- - 9,60410,44917,81117,81525,75825,92732,86242,15345,55135,82621,48018,651

303,887

7,567291,138

298,705

254,84343,862

298,705


281

Table 8.3a. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Number, 2012 (continued)


Employment status


Total Employed UnemployedNot in labor

force






None reportedMental health diagnosis

Adjustment disordersAnxiety disordersAttention deficit disorder and attention deficit hyperactivity disorderMood disorders




Total

101,066 543 243 1,258

20,108 5,633 6,705 5,38327,646

14,609 3,103 9,850 848 3,716 1,421

6,62740,972

5,937269,142130,492138,650

3,371

148,250 2,26810,54610,227

497,340

13,732 71 38 141

3,010 574 948 724 3,429

2,229 290 1,269 112 459 438

1,513 7,017

1,04841,01419,69121,323 559

13,177 276 1,269 1,854

67,727

28,826 178 82 439

5,785 1,437 2,060 2,021 7,520

3,829 822 2,787 279 1,108 479

2,29512,028

1,19572,59434,46738,127 910

29,990 1,246 1,939 3,520

125,717

58,508 294 123 678

11,313 3,622 3,697 2,63816,697

8,551 1,991 5,794 457 2,149 504

2,81921,927

3,694155,53476,33479,200 1,902

105,083 746 7,338 4,853

303,896

- - Quantity is zero.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known employment status in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services AMental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 areporting periods. Data for 2012 received through 05.08.15, data for 2015 received through 11.01.16.

295 and 316,

dministration, nd 2015

282

Table 8.3b. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Column percent distribution, 2012


Total

Employment status


Employed Unemployed Not in labor force


31

100.0

31

100.0

31

100.0

31

100.0

GenderMaleFemale




Total

Total

Total

Total

43.456.6

100.0

† 2.1 3.5 7.4 7.410.1 9.611.413.814.010.4 5.8 4.5

100.0

1.798.3

100.0

82.617.4

100.0

41.458.6

100.0

† †

2.99.29.7

13.111.712.713.412.58.54.11.8

100.0

†99.7

100.0

77.023.0

100.0

45.055.0

100.0

† †

4.010.39.8

12.311.012.213.712.68.03.71.8

100.0

†99.5

100.0

79.220.8

100.0

43.156.9

100.0

†3.23.45.95.98.58.5

10.813.915.011.87.16.1

100.0

2.597.5

100.0

85.314.7

100.0


283

Table 8.3b. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Column percent distribution, 2012 (continued)


Employment status


Total Employed Unemployed Not in labor force







Adjustment disordersAnxiety disordersAttention deficit disorder and attention deficit hyperactivity disorderMood disorders




Total

100.0 † †

1.2

19.9 5.6 6.6 5.327.4

14.5 3.1 9.7

† 3.7 1.4

1.3 8.2

1.254.126.227.9

†

29.8 †

2.1 2.1

100.0

100.0 † †

1.0

21.94.26.95.3

25.0

16.22.19.2 †

3.33.2

2.210.4

1.560.629.131.5

†

19.5 †

1.92.7

100.0

100.0 † †

1.5

20.15.07.17.0

26.1

13.32.99.7 †

3.81.7

1.89.6

†57.727.430.3

†

23.9 †

1.52.8

100.0

100.0 † †

1.2

19.36.26.34.5

28.5

14.63.49.9 †

3.7 †

†7.2

1.251.225.126.1

†

34.6 †

2.41.6

100.0† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known employment status in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15, data for 2015 received through 11.01.16.

284

Table 8.3c. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Row percent distribution, 2012


Total

Employment status


Employed Unemployed Not in labor force


31

100.0

31

13.6

31

25.3

31

61.1

GenderMaleFemale




Total

Total

Total

Total

100.0100.0

100.0

†100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0

100.0100.0

100.0

100.0100.0

100.0

13.014.1

13.6

†2.1

11.216.918.017.716.615.113.312.111.19.65.5

13.6

2.313.8

13.6

12.718.1

2.3

26.224.6

25.3

†7.4

28.735.033.430.929.127.125.122.719.515.910.2

25.3

7.425.4

25.1

24.130.1

7.4

60.861.4

61.1

†90.460.248.148.651.454.457.861.665.269.474.584.2

61.1

90.360.7

61.2

63.251.8

90.3


285

Table 8.3c. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2012: Row percent distribution, 2012 (continued)


Employment status


Total Employed Unemployed Not in labor force


older with co-occurring SU and MH disorders 100.0 13.6 28.5 57.9

Alcoholic psychoses 100.0 13.1 32.8 54.1Alcohol intoxication 100.0 15.6 33.7 50.6Drug psychosesDependence

100.0 11.2 34.9 53.9

Alcohol 100.0 15.0 28.8 56.3Cocaine 100.0 10.2 25.5 64.3Marijuana 100.0 14.1 30.7 55.1Opioid 100.0 13.4 37.5 49.0Other

Non-dependent abuse100.0 12.4 27.2 60.4

Alcohol 100.0 15.3 26.2 58.5Cocaine 100.0 9.3 26.5 64.2Marijuana 100.0 12.9 28.3 58.8Opioid 100.0 13.2 32.9 53.9Other 100.0 12.4 29.8 57.8


100.0 30.8 33.7 35.5

Adjustment disorders 100.0 22.8 34.6 42.5Anxiety disordersAttention deficit disorder and attention deficit hyperactivity

100.0 17.1 29.4 53.5

disorder 100.0 17.7 20.1 62.2Mood disorders 100.0 15.2 27.0 57.8

Bipolar disorders 100.0 15.1 26.4 58.5Depressive disorders 100.0 15.4 27.5 57.1

Personality disordersSchizophrenia and other psychotic

100.0 16.6 27.0 56.4

disorders 100.0 8.9 20.2 70.9Alcohol and drug related disorders 100.0 12.2 54.9 32.9

4Other mental disorders 100.0 12.0 18.4 69.6No/deferred diagnosis 100.0 18.1 34.4 47.5

Total 100.0 13.6 25.3 61.1† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known employment status in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15, data for 2015 received through 11.01.16.

286

Table 8.4a. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Number, 2015


Total

Employment status



force


31

499,389

31

68,735

31

97,349

31

333,305

GenderMaleFemale




Total

Total

Total

Total

221,329277,995499,324

42618,89019,45028,87430,23545,33345,94547,81856,96469,44060,64340,74434,621

499,383

15,273469,103484,376

404,63179,745

484,376

28,93639,78768,723

^ 449 2,624 5,517 6,067 9,003 8,490 8,096 8,226 8,448 6,377 3,630 1,80668,734

41066,48366,893

53,47113,42266,893

44,61852,71097,328

- - 836 4,026 8,111 8,29811,59910,83010,34411,44712,594 9,725 5,775 3,76297,347

69093,09693,786

77,99015,79693,786

147,775185,498333,273

42517,60512,80015,24615,87024,73126,62529,37837,29148,39844,54131,33929,053

333,302

14,173309,524323,697

273,17050,527

323,697


287

Table 8.4a. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Number, 2015 (continued)


Employment status



force






None reported






Total

76,535 707 221 1,519

16,179 3,450 5,529 4,76418,323

10,750 1,875 7,901 758 2,947 1,612

5,94739,564

9,764239,815115,657124,158

2,563

134,532 2,68612,62251,896

499,389

11,449 91 38 204

2,660 416 908 707 2,593

1,728 206 1,089 119 373 317

1,275 6,651

1,41337,89418,31019,584 363

11,810 410 1,257 7,662

68,735

18,479 176 65 374

3,672 750 1,389 1,580 4,359

2,265 439 1,896 208 738 568

1,414 8,518

1,19950,49724,66825,829 476

24,421 1,182 1,596 8,046

97,349

46,607 440 118 941

9,847 2,284 3,232 2,47711,371

6,757 1,230 4,916 431 1,836 727

3,25824,395

7,152151,42472,67978,745 1,724

98,301 1,094 9,76936,188

333,305

- - Quantity is zero; ^ Less than three individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known employment status in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15, data for 2015 received through 11.01.16.

288

Table 8.4b. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Column percent distribution, 2015


Total

Employment status



force


31

100.0

31

100.0

31

100.0

31

100.0

GenderMaleFemale




Total

Total

Total

Total

44.355.7

100.0

† 3.8 3.9 5.8 6.1 9.1 9.2 9.611.413.912.1 8.2 6.9

100.0

3.296.8

100.0

83.516.5

100.0

42.157.9

100.0

† †

3.88.08.8

13.112.411.812.012.39.35.32.6

100.0

†99.4

100.0

79.920.1

100.0

45.854.2

100.0

† †

4.18.38.5

11.911.110.611.812.910.05.93.9

100.0

†99.3

100.0

83.216.8

100.0

44.355.7

100.0

†5.33.84.64.87.48.08.8

11.214.513.49.48.7

100.0

4.495.6

100.0

84.415.6

100.0


289

Table 8.4b. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Column percent distribution, 2015 (continued)


Employment status



force






None reported






Total

100.0 † †

2.0

21.1 6.2 4.521.1 7.2

23.9 †

14.0 3.910.3 2.4

1.2 7.9

2.048.023.224.9

†

26.9 †

2.510.4

100.0

100.0 † †

1.8

23.23.67.96.2

22.6

15.11.89.51.03.32.8

1.99.7

2.155.126.628.5

†

17.2 †

1.811.1

100.0

100.0 † †

2.0

19.94.17.58.6

23.6

12.32.4

10.31.14.03.1

1.58.7

1.251.925.326.5

†

25.11.21.68.3

100.0

100.0 † †

2.0

21.14.96.95.3

24.4

14.52.6

10.5 †

3.91.6

†7.3

2.145.421.823.6

†

29.5 †

2.910.9

100.0† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known employment status in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15, data for 2015 received through 11.01.16.

290

Table 8.4c. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Row percent distribution, 2015


Total

Employment status



force


31

100.0

31

13.8

31

19.5

31

66.7

GenderMaleFemale


3SED statusSED

Not SED

3SMI statusSMI

Not SMI

Total

Total

Total

Total

100.0100.0100.0

100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0100.0

100.0

100.0

100.0

100.0

100.0

100.0

13.114.313.8

†2.4

13.519.120.119.918.516.914.412.210.58.95.2

13.8

2.7

14.2

13.8

13.2

16.8

13.8

20.219.019.5

†4.4

20.728.127.425.623.621.620.118.116.014.210.919.5

4.5

19.8

19.4

19.3

19.8

19.4

66.866.766.7

99.893.265.852.852.554.657.961.465.569.773.476.983.966.7

92.8

66.0

66.8

67.5

63.4

66.8


291

Table 8.4c. Individuals served in both 2012 and 2015, by employment status and selected characteristics in 2015: Row percent distribution, 2015 (continued)


Employment status



force


older with co-occurring SU and MH disorders 100.0 15.0 24.1 60.9

Alcoholic psychoses 100.0 12.9 24.9 62.2Alcohol intoxication 100.0 17.2 29.4 53.4Drug psychosesDependence

100.0 13.4 24.6 61.9

Alcohol 100.0 16.4 22.7 60.9Cocaine 100.0 12.1 21.7 66.2Marijuana 100.0 16.4 25.1 58.5Opioid 100.0 14.8 33.2 52.0Other

Non-dependent abuse100.0 14.2 23.8 62.1

Alcohol 100.0 16.1 21.1 62.9Cocaine 100.0 11.0 23.4 65.6Marijuana 100.0 13.8 24.0 62.2Opioid 100.0 15.7 27.4 56.9Other 100.0 12.7 25.0 62.3

None reported

Mental health diagnosis

100.0 19.7 35.2 45.1

Adjustment disorders 100.0 21.4 23.8 54.8Anxiety disorders

Attention deficit disorder and attention deficit hyperactivity

100.0 16.8 21.5 61.7

disorder 100.0 14.5 12.3 73.2Mood disorders 100.0 15.8 21.1 63.1

Bipolar disorders 100.0 15.8 21.3 62.8Depressive disorders 100.0 15.8 20.8 63.4

Personality disordersSchizophrenia and other

100.0 14.2 18.6 67.3

psychotic disorders 100.0 8.8 18.2 73.1Alcohol and drug related disorders 100.0 15.3 44.0 40.7

4Other mental disorders 100.0 10.0 12.6 77.4No/deferred diagnosis 100.0 14.8 15.5 69.7

Total 100.0 13.8 19.5 66.7† Less than one percent of individuals.MH = mental health; SED = serious emotional disturbance; SMI = serious mental illness; SU = substance use.1 Includes individuals served in both 2012 and 2015 with known employment status in both reporting years.2 Age is based on the individual's age at the midpoint of the reporting period.3 The definitions for SED and SMI status can be found in Appendix D.4 "Other mental disorders" include all other mental health diagnoses, DSM/ICD-9-CM diagnostic codes between 295 and 316, not included in another diagnostic category, and excluding substance abuse diagnoses. See Appendix E.NOTE: Percentages may not sum to 100 percent because of rounding.SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD), 2012 and 2015 reporting periods. Data for 2012 received through 05.08.15, data for 2015 received through 11.01.16.

292

293

Appendix AMH-TedS/MH-CLd CroSSwALk TAbLeS

Table A.1. MH-TEDS/MH-CLD Crosswalk

294

MH-TEDS MH-CLD

Data Field Reference No.Data Field

Reference No.

Discharge/Update Record Data Files

Variable Name Admission

Record

Value taken from

admission record

Value taken at discharge

or data update Categories Variable Name BCI SHR Categories

System Transaction Type SDS 1 DIS 1 A=Add Transaction Type C-00 R-00 A=AddC=Change C=ChangeD=Delete D=Delete

State Code –- Key field SDS 2 DIS 2 2 alphanumeric Reporting State Code H-02 H-01 2 alphanumericReporting Date SDS 3 DIS 3 MMYYYY contained in the file name algorithm MMDDYYYY

CLIENT RECORD CLIENT RECORDState Provider entifierId – Key field MDS 1 DIS 11 DIS 4 1-15 alphanumeric Not reportedClient Identifier – Key field

MDS 2 DIS 12 DIS 5 1-15 alphanumeric Client Identifier C-01 R-01 1-15 alphanumeric

Codependent Collateral – Key field MDS 3 DIS 13 DIS 6 1=codependent/collateral Not reportedClient

or Transaction Type – Key field MDS 4 A=Initial Admission (SA) Not reported

T=Transfer or change in service (SA)M=Initial Admission (MH)X=Transfer or change in service (MH)

Date of Admission – Key field MDS 5 DIS 15 MMDDYYYY Information used in determining client status - at start of reporting period

C-02 Start of reporting period: 2=Continuing client;

1=New client;

Date of Birth MDS 8 DIS 17 MMDDYYYY Information used in calculating age C-0501010007=unknown01010008=not collected

Gender MDS 9 DIS 18 1=male Gender C-04 1=male 2=female 2=female

7=unknown 7=unknown8=not collected 8=not collected

Race MDS 10 DIS 19 01=Alaska Native Race C-06

02=American Indian and Alaska Native 02=American Indian and Alaska Native13=Asian

13=Asian

23=Native Hawaiian or other Pacific 23=Native Hawaiian or other Pacific Islander Islander

03=Asian or Pacific Islander 03=Asian code)

or Pacific Islander (temporary

04= Black or African American 04= Black or African American05=White 05=White20=Other single race 20=Some other race alone21=Two or more races 21=Two or more races

22=Hispanic (temporary code)97=unknown 97=unknown98=not collected 98=not collected


MH-TEDS MH-CLD

Data Field Reference No.



Record

Discharge/Update Record

Categories Variable Name

Data Files

Categories

Value taken from

admission record


or data update BCI SHR

Hispanic or Latino Origin (Ethnicity) MDS 11 DIS 20 01=Puerto Rico Ethnicity C-07 11=Puerto Rican (optional)02=Mexican 12=Mexican (optional)03=Cuban 13=Cuban (optional)04=Other Specific Hispanic or Latino 14=Other Specific Hispanic05 Not of Hispanic Origin 02=Not of Hispanic Origin

06=Hispanic, specific origin not specified 01=Hispanic origin regardless of race97=unknown 97=unknown98=not collected 98=Not collected

Education MDS 12 MHD 5 (reported only for ages 3-17 and up to 21 if in special education).

School Grade Level For ages 3-17 (and up to 21 if in special education), grade level is linked to School Attendance Status. For adults, report highest grade completed.

C-25

00= less than schooling

one grade completed or no 00=no years of schooling

01-11=grades 1 thru 11th 01-11=grades 1 thru 11th12=12th grade or GED 12 = 12th grade

13=Freshman or first (Associate) Degree

year in a 2-year 17=freshman (1st year in College)

14=Sophomore or second year year (Associate) Degree

in a 2-18=sophomor (2nd year in College)

15=Junior in college 19=junior e

(3rd year in College)

16=SeniorDegree

in college or Bachelor's 20=senior (4th year in College)

17=Some Post-Graduate not completed

Study- Degree

18= Master's Degree completed 19-25= Post graduate study

70= graduate or be used instead

professional school of codes 17-25)

(can 21=Graduate professional school

71=vocational school 16=vocational school

72=nursery school, pre-school13=nursery start)

or

school, pre-school (head

73=kindergarten 14=kindergarten

74=self-contained class

special education 15=self-contained class

special education

97=unknown 97 = unknown98=not collected 98=not collected

295


296

MH-TEDS MH-CLD




Record



Data Files

Categories

Value taken from

admission record



Employment Status MDS 13 DIS 24

01=full time

Competitive Employment admission and end of the period (>= 16 yrs old)

Status at reporting

C-09 and C-10

01=full time02=part-time 02=part time03=unemployed 03=unemployed04=not in labor force 84=not in labor force

05=employed, full/part-time (temporary code)

not specified 05=employed, full/part-time (temporary code)

not specified


Type of Treatment Setting – Key field

Service/ Treatment MDS 18 DIS 16 DIS 7 Service Setting Status Reporting Period

Throughout the C-15

1=state psychiatric hospital

01=detox, 24-hr, hospital02= detox, 24-hr, residential

03=rehabilitation/residential-hospital detox)

(not

04=rehabilitation/residential-short (<30 days)

term

05=rehabilitation/ (>30 days)

residential-long term

06=ambulatory-intensive outpatient

07=ambulatory-non-intensive outpatient08=ambulatory-detoxification72=state psychiatric hospital

73=SMHA funded/operated based program

community-

2=SMHA funded/operated based program

community-

74=residential treatment center 3=residential treatment center75=other psychiatric inpatient 4=other psychiatric inpatient

76=institutions under the justice system5=institutions under the justice system

96=Not applicable (use only for codependents or collateral clients (SA) and for MH clients receiving MH assessments, evaluation, or screening only)

Date of Last Key field

Contact or Data Update - DIS 8 MMDDYYYY 01010007 = Unknown 01010008 = Not Collected

Information used status

in determining client


297

MH-TEDS MH-CLD




Record



Data Files

Categories

Value taken from

admission record



Reason for Discharge, Transfer, Discontinuance of Treatment

or DIS 10 Discharge reasons BCI (C-03) SHR (R-03)

01=treatment completed completed 01=completed SH inpatient treatment

02= dropped out of treatment (lost contact, administrative discharge, left against medical advise, eloped, failed return from leave, and client choice)

to 22= lost contactadministrative discharge

or 03=left against medical advise, eloped, failed to return from leave, non-compliance with treatment and/or policy; 04=client choice

03=terminated by facility

04=transferred to another treatment program or facility provider 07=discharged to other inpatient provider

14=transferred to another treatment program/facility but did not report

05=incarcerated courts

or released by or to 32=discharged corrections, jail

to 02=released by or to courts

06=death

43=death of client 06=death07=Other (includes aging out ofchildren's MH system, extended placement (conditional release),other reasons)

the

and all 52=aged out; 62= other specified reasons

05=extended placement; classified elsewhere

09=reason not

08= Unknown - This code will continue to be accepted. However, states are encouraged to use the code 97 Unknown instead 24=transferred to another treatment program or facility that is not in the state reporting system

34 =discharged temporarily to an acute medical facility for medical services

08=discharged to an acute facility for medical services

medical

96 = Not appliciable

97=unknown 72=reason unknown 97=unknown

98=not collected82=reason not collected 98=not collected

Client field

Discharge Transaction Type - Key DIS 14 DIS 28 D=Discharge (SA (MH client) client)

client) U=Data

E=Discharge update (MH

Not reported


298

MH-TEDS MH-CLD




Record



Data Files

Categories

Value taken from

admission record



Co-occurring substance abuse and mental health problems (old name in TEDS: Psychiatric problem in addition to alcohol and drug)

SuDS 5

1=yes

Substance abuse problem C-21

1=yes2=no 2=no7=unknown 7=unknown8=not collected 8=not collected

Date of Discharge - Key field DIS 9 MMDDYYYY Information used status - at end of

in determining Client the reporting period

C-03

Living Arrangements SuDS 8 DIS 23 Residential statusreporting period

at start and end of the C-12 and C-13

01=homeless 01=homeless

02=dependent living (under age 18 living with parents, relatives, or guardians) 37=private residence (children only)

22=dependent living: residential other residential status

care and 03=residential care08=other residential status

32=dependent care

living: foster home/foster 02=fosterhome/foster care

42=dependent living: crisis residence 04=crisis residence

52=dependent living:institutional setting 05=institutional setting

62=dependent institutions under

living: jail and other the justice system 06=jail/correctional facility

72=dependent living: residence who needs living

adults in private assistance in daily 27=private

(adult)residence, dependent living

03=independent living 17=private (adult)

residence, independent living

04=private residence, living arrangement not specified, adults (temporary code)

07=private residence, not specified (adult)

living arrangement

97=unknown 97=unknown 98=not collected 98=not collected


299

MH-TEDS MH-CLD

N


Reference No.



Record

Value taken from

admission record



Detailed ot-in-Labor Force SuDS 12 DIS 2501=homemaker

Competitive Employment Status -and end of the reporting period

at start C-09 and C-10 14=homemaker

02=student 24=student03=retired 34=retired04=disabled 44=disabledpreceiving services from institutional facilities such as hospitals, jails, prisons, etc. 06=other 64=other reported classification

07=sheltered/non-competitive employment

74=sheltered/non-competitive employment

96=not applicable (if is not 04, NILF)

employment status 96=not applicable

97=unknown 97=unknown84=NILF, classification not specified

98=not collected 98=not collectedArrests in Past

30 Days SuDS 16 DIS 2600-96=number of arrests

Number of Arrests in Prior 30 days - start and end of the reporting period

at C-22 and C-23 00-96=number of arrests


Diagnostic Code Set Identifier SuDS 18 MHD 1 1=DSM-IV Diagnostic Code Identifier H-08 1=DSM IV2=ICD-9 2=ICD-93=ICD-10 3=ICD 104=DSM-V5=DSM-IIIR7=unknown8=not collected

SH-Legal S tatus at Admission MHA 4 State Hospital-Admission Legal Status R-05

01=voluntary-self 01=voluntary-self

02=voluntary-others (parents, etc)

guardians, 02=voluntary-others (parents, guardians, etc)

03=involuntary-civil 03=involuntary-civil04=involuntary-criminal 04=involuntary-criminaL05=involuntary-juvenile justice 05=involuntary-juvenile justice06=involuntary-civil, sexual 06=involuntary-civil, sexual96=not applicable 97=unknown97=unknown 98=not collected98=not collected


300

MH-TEDS MH-CLD


Reference No.



Record

Value taken from

admission record



SMI/SED Status MHA 2 MHD 3 SMI/SED Status C-08

1=SMI 1=SMI2=SED 2=SED3=at risk for SED (optional) 3=at risk for SED (optional)4=Not SMI/SED 4=Not SMI/SED7=unknown 7=unknown8=not collected 8=not collected

School Attendance Status MHA 3 MHD 41=Yes, client has attended school at time in the past 3 months

any School Attendance Status (reported only for school age children, 3-17, and up to 21 if in special education).

C-241=Yes, client has attended school at time in the past 3 months

any

2=No, client has not attended school any time in the past three months

at 2=No, client has not attended school any time in the past three months

at

6=not applicable ( non-school age) 6=not applicable7=unknown 7=unknown8=not collected 8=not collected

MH Diagnostic Compatible)

Code -

one (ICD-10 MHA 1a MHD 2a xxx.xxxx; xxx-----; xxx.----; xxx.xx--; xxx.xxx-;

xxx.x---; Mental Health Diagnosis - one C-17 xxx.xxxx; xxx.xxx-; xxx.xx--; --

xxx.x---; xxx--

999.9997 unknown 999.9997=unknown999.998=not collected 999.9998=not collected


Code - two (ICD-10 MHA 1b MHD 2b Mental Health Diagnosis - two C-18

xxx.xxxx; xxx-----; xxx.----; xxx.xx--; xxx.xxx-;

xxx.x---; xxx.xxxx; xxx-----; xxx.----; xxx.x---; xxx.xx--; xxx.xxx-999.9996 no second diagnosis

999.9997 unknown 999.9997=unknown999.998=not collected 999.9998=not collected


Code - three (ICD-10 MHA 1c MHD 2c Mental Health Diagnosis - three C-19

xxx.xxxx; xxx-----; xxx.----; xxx.x---; xxx.xxxx; xxx.xxx-; xxx.xx--; xxx.x---; xxx--xxx.xx--; xxx.xxx- --

999.9996 no third diagnosis999.9997 unknown 999.9997=unknown999.998=not collected 999.9998=not collected


301

MH-TEDS MH-CLD




Record



Data Files

Categories

Value taken from

admission record



Diagnostic Code - Substance Abuse

ICD 10 Compatible, SuDS 19 optional reporting for MH Substance Abuse Diagnosis C-20

xxx.xxxx; xxx-----; xxx.xx--; xxx.xxx-

xxx.----; xxx.x---; xxx.xxxx; --

xxx.xxx-; xxx.xx--; xxx.x---; xxx--

999.9996 no substance abuse diagnosis999.9997=unknown 999.9997=unknown999.9998=not collected 999.9998=not collected

Marital Status SuDS 14 optional reporting for MH Marital Status O-1 optional reporting01=never married 01=never married

02=now married/living cohabiting

as couple or 02=married/living as couple

03=separated 03=separated04=divorced 04=divorced05=widowed 05=widowed97=unknown 97=unknown98=not collected 98=not collected

GAF/CGAS Score – Optional MHA 5 MHD 6 optional reporting GAF/CGAS Score O-02 0-100 GAF/CGAS Score 0-100 GAF/CGAS score

997 = Unknown 997=unknown998 = Not collected

Prior Treatment Episodes MDS 6 optional reporting for MH Not reportedReferral Source MDS 7 optional reporting for MH Not reportedSubstance Abuse Problem Secondary, Tertiary)

(Primary, MDS MDS MDS

14a 14b 14c

DIS DIS DIS

21a 21b 21c

optional reporting for MH Not reported

Route of Administration (Primary, Secondary, Tertiary Substances)

MDS MDS MDS

15a 15b 15c


Frequency of Use (Primary, Tertiary Substances)

Secondary, MDS MDS MDS

16a 16b 16c

DIS DIS DIS

22a 22b 22c


Age at First Use (Primary, Tertiary, Substances)

Secondary, MDS MDS MDS

17a 17b 17c


Medication-Assisted Opioid Therapy MDS 19 optional reporting for MH Not reported

Detailed Drug Code (Primary, Secondary, Tertiary)

SuDS 1 SuDS 2 SuDS 3



302

MH-TEDS MH-CLD

onal


Reference No.



Record

Value taken from

admission record



Diagnostic Code (DSM/ICD) SuDS 4 optional reporting Not reportedPregnant at Admission SuDS 6 optional reporting for MH Not reported

Veteran Status SuDS 7 optional reporting for MH Not reportedSource Income/Support SuDS 9 optional reporting for MH Not reportedHealth

of Ins SuDS 10 optional reporting for MH Not reported

PaymentActual)

urance Source, Primary (Expected or SuDS 11 optional reporting for MH Not reported

Detailed C riminal Justice Referral SuDS 13 optional reporting Not reportedDays Waiting to

Enter Treatment SuDS 15 optional reporting Not reported

Attendance at30 Days

Self-Help Groups in Past SuDS 17 DIS 27 optional reporting for MH Not reported

Not reported SH-Discharge Sequence Number R-02 ## - chronological order events from the earliest starts at 1 per client)

of discharge (numbering

Not reported SH-Number of State Hospital

Days Elapsed Readmission

Before R-04 ### - calculated difference between the discharge date and next admission date

Not reported Competitive Employment - Update Flag C-11 0=no update

1=C-10 is an update8=unknown

Not reported Residential Status - Update Flag C-14 0=no update1=C13 is an update8=unknown

Not reported One-service date flag C-16 1=one service date2=multiple service dates

Not reported Record Type H-01 H=header recordNot reported File Type H-03 H-02 P=production; T=testNot reported Start of the reporting period H-04 H-03 YYYYMMNot reported End of the reporting period H-05 H-04 YYYYMMNot reported Client re cord count H-06 H-05 ######## - total # of client recordsNot reported Opti Data Elements Report Flag H-07 1=Yes, state is reporting some or all of

2=No, state is not reporting optional data elements

any of the

LEGEND

Key field = must not be blank. Key fields, taken together, are used to uniquely identify and link records.

Variable highlighted in green = variable

not reported in MH-CLD but required in MH-TEDS.

Variable highlighted in orange

= variable reported in MH-CLD and incorporated in MH-TEDS.

APPENDIX B

MH-TEDS AND MH-CLD 2011-2015 REPORTING METHODS

AND 2015 REPORTING PERIOD, BY STATE AND JURISDICTION

Data Reporting Method

(C: MH-CLD, T: MH-TEDS)

State or Jurisdiction 2011 2012 2013 2014 2015 2015 Reporting Period

Alabama - - C C C 10/1/2014 to 9/30/2015

Alaska - - - - - -

American Samoa - - - - - -

Arizona C C C C C 7/1/2014 to 6/30/2015

Arkansas C C C C C 7/1/2014 to 6/30/2015

California - - C C C 7/1/2013 to 6/30/2014

Colorado C - C C C 7/1/2014 to 6/30/2015

Connecticut - C C T, C17 T, C 7/1/2014 to 6/30/2015

Delaware - C C C C 7/1/2014 to 6/30/2015

District of Columbia - - - T T 7/1/2014 to 6/30/2015

Federated States of Micronesia - - - - - -

Florida C C C C C 7/1/2014 to 6/30/2015

Georgia - - - - - -

Guam - - - - - -

Hawaii - C C C C 7/1/2014 to 6/30/2015

Idaho - C C C C 7/1/2014 to 6/30/2015

Illinois - - C C C 7/1/2014 to 6/30/2015

Indiana C C C C C 7/1/2014 to 6/30/2015

Iowa - - C C C 7/1/2014 to 6/30/2015

Kansas C C C C * n.a.

Kentucky C C C C C 7/1/2014 to 6/30/2015

Louisiana C C C T T 7/1/2014 to 6/30/2015

Maine - - C * * n.a.

Marshall Islands - - - - - -

Maryland - C C C C 7/1/2014 to 6/30/2015

Massachusetts - - C C C 7/1/2014 to 6/30/2015

Michigan - - - - - -

Minnesota - - - C C 1/1/2014 to 12/30/2014

Mississippi - - C T T 7/1/2014 to 6/30/2015

Missouri C C C C C 7/1/2014 to 6/30/2015

Montana C - C C C 7/1/2014 to 6/30/2015

17 Connecticut, 2014-2015: MH-TEDS for adults, MH-CLD for children/adolescents.

303

Data Reporting Method

(C: MH-CLD, T: MH-TEDS)

State or Jurisdiction 2011 2012 2013 2014 2015 2015 Reporting Period

Nebraska - C C C C 7/1/2014 to 6/30/2015

Nevada C C C C C 7/1/2014 to 6/30/2015

New Hampshire - - - - - -

New Jersey - C C C C 7/1/2014 to 6/30/2015

New Mexico - C C C C 7/1/2014 to 6/30/2015

New York - C C C C 4/1/2014 to 3/30/2015

North Carolina - - C C C 7/1/2014 to 6/30/2015

North Dakota - C C C C 7/1/2014 to 6/30/2015

Commonwealth of theNorthern Mariana Islands - C C C C 10/1/2014 to 9/30/2015

Ohio - C C C C 7/1/2014 to 6/30/2015

Oklahoma C C C T T 7/1/2014 to 6/30/2015

Oregon - - C C C 1/1/2014 to 12/30/2014

Palau - - - - - -

Pennsylvania - - C C * n.a.

Puerto Rico - - C T T 7/1/2014 to 6/30/2015

Rhode Island C C C C C 7/1/2014 to 6/30/2015

South Carolina C C C C C 7/1/2014 to 6/30/2015

South Dakota - - C C C 7/1/2014 to 6/30/2015

Tennessee - C C C C 7/1/2014 to 6/30/2015

Texas C C C C C 9/1/2014 to 8/30/2015

Utah C C C C C 7/1/2014 to 6/30/2015

Vermont - C C C C 7/1/2014 to 6/30/2015

Virginia - C C C C 7/1/2014 to 6/30/2015

U.S. Virgin Islands - - - - - -

Washington C C C C C 7/1/2014 to 6/30/2015

West Virginia - - - - - -

Wisconsin C C C C C 1/1/2014 to 12/30/2014

Wyoming C C C C C 7/1/2014 to 6/30/2015

n.a.= Not reporting.- = State is building capacity for future reporting of client-level data. * = State is building capacity to switch to MH-TEDS reporting.

304

305

Appendix CMH-TedS And MH-CLd dATA diCTionAry of inCLuded

VAriAbLeS

Variable Name: Age

Description: Thisfieldiscalculatedfromtheclient’sdateofbirthatmidpointofthestate’selectedreportingperiod.

Guidelines: Donotroundupage.Forexample,ifthecalculatedageis13and8months,reportonly13.Whentheclient’scalculatedageislessthan12months,reportageaszero.

Ifthereporteddateofbirthofaclientchangesduringthereportingperiod,usethemostrecentavailableinformationincalculatingage.

Variable Name: Competitive Employment Status (Aged 16 +) Employment Status

Description: Thisdataelementisreportedforallindividuals(16yearsoldandover)whoarereceivingservicesinnon-institutionalsettings.Institutionalsettingsincludecorrec-tionalfacilitieslikeprison,jail,detentioncenters,andmentalhealthcarefacilitieslike statehospitals,otherpsychiatric inpatient facilities,nursinghomesorotherinstitutionsthatkeepaperson,otherwiseable,fromenteringthelaborforce.

Full Time–usestatedefinitionforfulltimeemployment;includesmembersoftheArmedForces,andindividualsinfull-timeSupportedEmployment.

Part Time–usestatedefinitionforparttime;includesindividualsinpart-timeSup-portedEmployment.

Unemployed–definedasactivelylookingforworkorlaidofffromjob(andwaitingtoberecalled)inthepast30days.

Not in labor force–definedasnotemployedandnotactivelylookingforworkduringthepast30days,includesHomemaker,Student,Retired,Disabled,OtherReportedClassification(e.g.,volunteers),Sheltered/Not-CompetitiveEmployment,aninmateofaninstitution.

Guidelines: Employment StatusisdefinedbySAMHSAasanoutcomemeasureandiscollectedatadmissionanddischarge/updatetoassesschange.

Coding of individuals with overlapping employment statuses:Whenindividualsareengagedintwoormoreactivities(haveoverlappingstatus)duringtheperiodwhentheirstatusiscollectedbytheSMHA,useDOL’ssystemofprioritiestodeterminetheappropriateemploymentstatus.Theprioritizationruleis,laborforceactivities(suchasworkingorlookingforwork)takeprecedenceovernon-laborforceactivi-ties(suchasstudentandhomemaker);andworkingorhavingajobtakesprecedenceoverlookingforwork.

306

Reporting of a person in an internship program:TheIndividualwithDisabilitiesEducationAct(IDEA)ceasestoapplyforyoungindividuals(18-21yearsold)oncetheyreceivedtheirhighschooldiploma.Thefollowingrulesshouldbeobservedinmakingdeterminationwhethertheadultclientinaninternshipprogramshouldbereportedas‘NotinLaborForce’or‘Employed’.

1. Iftheinternshipisaschoolrequirement,whetherpaidornot,thepersonshouldbeconsidereda“student”(NotInLaborForce).

2. Iftheinternshipisnotaschoolrequirement,anunpaidposition,doesnotdisplaceregularemployeesordoesnotentitlethepersonforthejobattheendoftheinternshipperiod,thenreporttheperson’sstatusasNotInLaborForce-(Other).

3. Iftheinternshipisnotaschoolrequirement,paidminimumwageandovertimeprovision,theemployerbenefitsfromtheinternshipthroughtheclient’sengagementinactualoperationsofthebusinessandperformingproductivework,thenthepersonisemployed(FulltimeorParttime).

Variable Name: Co-occurring Substance Use and Mental Health Disorders

Description: Thisfieldindicateswhethertheclienthasco-occurringsubstanceuseandmentalhealthdisorders.

Yes–Clienthasco-occurringsubstanceuseandmentalhealthdisorders/diagnoses No–Clientdoesnothaveco-occurringsubstanceuseandmentalhealthdisorders/

diagnosesGuidelines: Reportingofthisfieldisoptional. Theassessmentofco-occurringsubstanceuseandmentalhealthproblemsmaybe

basedonclinicaldiagnoses,screeningresults,claimsinformation,orself-report.

Variable Name: Detailed Not In Labor Force

Description: Thisfieldprovidesmoredetailedinformationaboutthoseindividualswhoarecodedas“Notinlaborforce”inEmploymentStatus.

Homemaker, Student, Retired, Disabled, Resident of Institution–Individualsreceivingservicesfrominstitutionalfacilities

suchashospitals,jails,prisons,long-termresidentialcare,etc. Other–includesvolunteer,seasonalworker,othercategoriesusedbythestatenot

specified.Guidelines: Detailed Not in Labor ForceisdefinedbySAMHSAasanoutcomemeasure,and

iscollectedatadmissionandatdischarge/updatetoassesschange. Thisfieldisreportedforindividualsaged16andolderwhoseEmployment Status

iscoded“Notinlaborforce.”

307

Variable Name: Ethnicity

Description: ThisfieldidentifieswhetherornottheclientisofHispanicorigin.Guidelines: Iftheethnicityofaclientchangesduringthereportingperiod,reportthemostrecent

availableinformationattheendofthereportingperiod.

Variable Name: Gender

Description: Thisfieldidentifiestheclient’smostrecentreportedsexattheendofthereportingperiod.

Guidelines: Reportthemostrecentavailableinformation.

Variable Name: Global Assessment of Functioning (adult)/Children’s Global Assessment Scale (Optional)

Description: Thisfieldspecifiestheclient’slastknownGlobalAssessmentofFunctioning(GAF)foradultindividualsorChildren’sGlobalAssessmentscale(CGAS)scoreforchil-drenandadolescentsasreportedinAxisVoftheDSM.

Guidelines: ReportonlyifthestateisusingtheGAF/CGAS.

Variable Name: Health Insurance (MH-TEDS only)

Description: Thisfieldspecifiestheclient’shealthinsuranceatadmission.Theinsurancemayormaynotcoverbehavioralhealthtreatment.

Guidelines: Reportingofthisfieldisoptional.Statesareencouragedtoreportdataforallcatego-riesinthelistofvalidentries,butreportingasubsetofthecategoriesisacceptable.HealthInsuranceshouldbereported,ifcollected,whetherornotitcoversbehavioralhealthtreatment.

1. Ifthestatecollectsasubsetofthecategories,individualsnotfittingthesubsetshouldbecodedas“Notcollected.”Forexample,ifthestatecol-lectsonlyMedicareandMedicaid,allothercategoriesofHealthInsuranceshouldbecodedas“Notcollected.”

2. IfastatecollectsMedicareandMedicaidasasinglecategory,Health Insuranceshouldbecodedas“Unknown.”

3. IfthestatedoesnotcollectHealth Insurance,allrecordsshouldbecoded“Notcollected.”

Variable Name: Living Arrangements (Residential Status)

Description: Thisfieldspecifiesclient’sresidentialstatusattimeofadmission(newindividuals)orstartofthereportingperiod(continuingindividuals).

Homeless–personhasnofixedaddress;includeshomeless,shelters. Foster Home/Foster Care–individualresidesinfosterhome.Afosterhomeis

ahomethatislicensedbyacountyorstatedepartmenttoprovidefostercareto

308

children,adolescents,and/orindividuals.Thisincludestherapeuticfostercarefacili-ties.Therapeuticfostercareisaservicethatprovidestreatmentfortroubledchildrenwithinprivatehomesoftrainedfamilies.

Residential Care– individual resides ina residentialcarefacility.This levelofcaremayincludeagrouphome,therapeuticgrouphome,boardandcareresidentialtreatment,rehabilitationcenter,oragency-operatedresidentialcarefacilities.

Institutional Setting–individualresidesinaaninstitutionalcarefacilitywithcareprovidedona24hour,7daysaweekbasis.Thislevelofcaremayincludeskillednursing/intermediatecarefacility,nursinghomes,instituteofmentaldisease(IMD),inpatientpsychiatrichospital,psychiatrichealthfacility,veterans’affairshospital,statehospital,orintermediatecarefacility/MR.

Jail/Correctional Facility–individualresidesinajailand/orcorrectionalfacilitywithcareprovidedona24hour,7daysaweekbasis.Thisincludesajail,correc-tionalfacility,detentioncenters,andprison.

Dependent Living: Private Residence–adultindividualslivinginahouse,apart-ment,orothersimilardwellingwhoareheavilydependentonothersfordailylivingassistance.

Independent Living: Private Residence–individualslivingaloneorwithothersinaprivateresidenceandcapableofself-care.Includesadultchildren(age18andover)livingwithparentsandadolescentslivingindependently.Alsoincludesindividualswholiveindependentlywithcasemanagementandsupportedhousingsupport.

Other-OtherresidentialstatusGuidelines: Living Arrangements is defined bySAMHSAas an outcomemeasure and is

collectedatadmissionandatdischarge/updatetoassesschange.

Variable Name: Marital Status (Optional Reporting)

Description: Thisfieldidentifiestheclient’smaritalstatus.Thefollowingcategoriesarecompat-iblewithcategoriesusedintheU.S.Census.

Never married–includesindividualswhoaresingleorwhoseonlymarriagewasannulled.

Currently married–includesmarriedcouples,thoselivingtogetherasmarried,livingwithpartners,orcohabitating.

Separated–includesthoselegallyseparatedorotherwiseabsentfromspousebecauseofmaritaldiscord.

Guidelines: Reportmaritalstatusattimeofdischargeorthemostrecentavailablestatusattheendofthereportingperiod.

Variable Name: Mental Health Diagnosis

Description: Thisfiledspecifiestheclient’scurrentmentalhealthdiagnosesduringthereportingperiod.

309

Guidelines: ThismeasurecanbereportedbyusingeithertheDiagnostic and Statistical Manual of Mental Disorders (DSM) from theAmericanPsychiatricAssociation or the International Classification of Diseases (ICD)fromtheWorldHealthOrganization.

Statesshouldreportthemostrecentmentalhealthdiagnosesthatarecurrentdur-ingthereportingperiod.Mostrecentisdefinedbythedatewhenthediagnosisisreported.

States can reportup to threementalhealthdiagnosesbycompleting theMentalHealthDiagnosis1,2,and3dataelementsinsequentialorder.

If the client hasmore than threemost recentmental health diagnoses, use the algorithmbelow.Use this if the diagnoses are collected through administrativemethod(i.e.,basedontheclinician’sevaluationofthepersonandreportedintheclient’scaserecord):

1. Reporttheprimaryandsecondarydiagnoses(ifavailable).Ifthestatedoesnotclassifydiagnosisintoprimary/secondary;then

2. ConductyoursearchfordiagnosticcodesusingbothAxisIandII.ReportalldiagnosesinAxisI(clinicaldisorders)firstfollowedbydiagnosisinAxisII(personalitydisordersandmentalretardation)unlessapersonal-itydisorderinAxisIIwaslabeledasprimarydiagnosis,thenitshouldbereportedfirst(note:thismethodisapplicableifusingDSM-IVandotherearliereditionsorifthestatecontinuestousetheDSMaxialstructure;

Ifprimary/secondarylabelsandAxisclassifications(IandII)arenotusedbythestate,then

3. Reportinchronologicalorderstartingfromthediagnosisthatappearsontopofthelistorfirstcitedintheclinician’sreport.Reportonlymentalhealthdiagnosis.

Ifthestateisusingclaims/encounterdatatocollectaclient’sdiagnosis,usethethreemost frequently reportedmental healthdiagnoses in the client’s service claims/encountersdatathroughoutthereportingperiod.

Variable Name: Race

Description: Thisfieldspecifiestheclient’smostrecentreportedraceattheendofthereportingperiod.

Alaska Native–usedinMH-TEDSonly American Indian or Alaskan Native–Apersonhavingoriginsinanyoftheorigi-

nalpeopleofNorthAmericanSouthAmerica(includingCentralAmericaandtheoriginalpeopleofAlaska)andwhomaintainculturalidentificationthroughtribalaffiliationorcommunityattachment.

Asian–ApersonhavingoriginsinanyofthefollowingpeopleoftheFarEast,theIndian,Subcontinent,orSoutheastAsia,includingCambodia,China,India,Japan,Korea,Malaysia,PhilippineIslands,Thailand,andVietnam.

310

Asian or Pacific Islander (temporary code)–olderracialcategoryusedonlybysomestates thathavenotyetadopted theOMBrecommendedracialcategories.Between2011and2014,aminorityofindividualsclassifiedinthisreportas“Asian”in tenstates—Colorado, Iowa, Illinois,Kansas,Kentucky,Louisiana,Maryland,SouthCarolina,Tennessee,Virginia—wereclassifiedby thereportingagencyas“AsianorPacificIslanders,”whiletherestwereclassifiedassimply“Asian.”Inthreeadditionalstates—NorthCarolina,NewJersey,Vermont—amajorityofindividualsclassifiedinthisreportas“Asian”wereclassifiedbythereportingagencyas“AsianorPacificIslanders.”

Black or African American–ApersonhavingoriginsinanyoftheBlackracialgroupsofAfrica.

Hispanic (temporary code)–usedinMH-CLDonly Native Hawaiian or Other Pacific Islander–Apersonhavingoriginsinanyof

theoriginalpeoplesofHawaii,Guam,AmericanSamoa,orotherPacificIslander. White–Apersonhavingoriginsinanyof theoriginalpeopleofEurope,North

AfricaortheMiddleEast. Some Other Race Alone–usethiscategoryforinstancesinwhichtheclientisnot

identifiedinanycategoryaboveorwhoseorigingroup,becauseofareacustom,isregardedasracialclassdistinctfromtheabovecategories(donotusethiscategoryforindividualsindicatingmultipleormixedraces).

Guidelines: Forstatesthatcollect“OtherRace”orallowindividualstospecifyasingleracedifferentfromtheOMBracialcategories,use“SomeOtherRaceAlone.”Notethatthiscategoryshouldnotbeusediftheclientisindicatingmultipleormixedrace.

[MH-TEDSonly]Statesthatcollect“AlaskaNative”asaseparatecategoryshoulduse“AmericanIndian/AlaskaNative’forotherAmericanIndians.

Incaseswherethemethodofcollectingraceinformationdiffersbetweencommu-nityprogramsandstatehospitals,orwheretheracereporteddiffersbetweendatasystems,thestateshouldresolvetheissueinaccordancetothestatebusinessruleinresolvingdataqualityissues.Statesmayusethefollowingguidelinesintheabsenceofastatebusinessruleortosupplementanexistingone:

1. Usethemostrecentracereportedifvariationinaperson’sracewasreportedbythesameprovideracrosstime

2. Usethemostfrequentlyreportedraceifvariationinaperson’sracewasreportedbydifferentprovidersacrosstime

Variable Name: Reason for Discharge, Transfer, or Discontinuance of Treatment

Description: Thisfieldindicatestheoutcomeofthetreatmentepisode/eventor thereasonfortransferordiscontinuanceoftreatment.

Treatment Completed–Allpartsofthetreatmentplanorprogramwerecompleted.

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Dropped out of Treatment–Clientchosenottocompletetreatmentprogram,withorwithoutspecificadvicetocontinuetreatment.Includesindividualswhodropoutoftreatmentforunknownreasons,individualswithwhomcontactislost,individualswhofailedtoreturnfromleave(“AWOL”),andindividualswhohavenotreceivedtreatmentforsometimeandaredischargedforadministrativepurposes.

Terminated by Facility (Administrative Discharge)–Treatmentterminatedbyaction of facility, generally because of client non-compliancewith treatment orviolationofrules,laws,policy,orprocedures.

Transferred to another Treatment Program or Facility–Clientwastransferredtoanothertreatmentprogram,provider,orfacilityforcontinuationoftreatment.

Incarcerated, or Released by or to Courts–Individualswhosecourseoftreatmentisterminatedbecausetheclienthasbeensubjecttojail,prison,orhouseconfine-ment,orhasbeenreleasedbyortothecourts.

Death Other–Clienttransferredordiscontinuedtreatmentbecauseofchangeinlifecir-

cumstances.Example:changeofresidence,illnessorhospitalization,“agingout”ofchildren’sservices,completionofMHassessmentorevaluationthatdidnotresulttoreferralforatreatmentservice.

Transferred to another Treatment Program or Facility, but client is no show Clientwastransferredtoanothertreatmentprogram,provider,orfacility,anditisknownthatclientdidnotreportfortreatment.

Transferred to another Treatment Program or Facility that is not in the SSA or SMHA reporting system

Discharged from the state hospital to an acute medical facility for medical services

Variable Name: Referral Source (MH-TEDS only)

Description: Thisfielddescribesthepersonoragencyreferringtheclienttotreatment. Individual (includes self-referral)–Includestheclient,afamilymember,friend,or

anyotherindividualwhowouldnotbeincludedinanyofthefollowingcategories;includesself-referralduetopendingDWI/DUI.

Other Health Care Provider–Aphysician,psychiatrist,orotherlicensedhealthcareprofessional;orgeneralhospital,psychiatrichospital,mentalhealthprogram,ornursinghome.

School (Educational)–Aschoolprincipal,counselor,orteacher;orstudentassis-tanceprogram(SAP),theschoolsystem,oraneducationalagency.

Other Community Referral–Communityorreligiousorganizationoranyfederal,state,orlocalagencythatprovidesaidintheareasofpovertyrelief,unemployment,shelter,orsocialwelfare.Thiscategoryalsoincludesdefenseattorneysandself-helpgroupssuchasAlcoholicsAnonymous(AA),Al-AnonandNarcoticsAnonymous(NA).

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Court/Criminal Justice Referral/DUI/DWI–Anypoliceofficial,judge,prosecutor,probationofficerorotherpersonaffiliatedwithafederal,state,orcountyjudicialsystem.IncludesreferralbyacourtforDWI/DUI,individualsreferredinlieuofor fordeferredprosecution,orduringpretrial release, orbeforeor afterofficial adjudication,includesindividualsonpre-parole,pre-release,workorhomefurloughorTASC.Clientneednotbeofficiallydesignatedas“onparole.”Includesindividualsreferredthroughcivilcommitment.IndividualsinthiscategoryarefurtherdefinedinDetailedCriminalJusticeReferral.

Guidelines: Allrecordswithcode“Court/Criminal Justice Referral/DUI/DWI”shouldprovidedetailedinDetailedCriminalJusticeReferral.

Variable Name: School Grade Level – Education

Description: Thisfieldspecifiestheschoolgradelevelofthreesub-populationsofindividuals,asfollows:

Currentgradelevelforschool-agechildren(3-17yearsoldand18-21yearsofageiftheclientisinspecialeducation)whoattendedschoolatanytimeinthepastthreemonths.

Highestgradelevelcompletedforschool-agechildrenwhohavenotattendedschoolatanytimewithinthepastthreemonths.

Highesteducationalattainmentforallindividuals,whethercurrentlyinschoolornot.

Guidelines: Informationforthisdataelementshouldbecollectedandreportedforallindividuals. “School”includes,butisnotlimitedto,anyoneorcombinationofhome-schooling,

onlineeducation,alternativeschool,vocationalschool,orregularschool(public,private,charter,traditional,military,magnet,independent,parochial,etc.),atwhichthechildisenrolledinanyofthefollowingschoolgradelevels:nursery/preschool(includingHeadStart),kindergarten,elementary/middleschool(Grades1-8),highschool(Grades9-12,includingGeneralEquivalencyDegreeorGED),vocationalschool(includingbusiness,technical,secretarial,trade,orcorrespondencecourseswhicharenotcountedasregularschoolenrollmentandarenotforrecreationoradulteducationclasses),orcollege/professionaldegree.

Thismeasureistobereportedonlyonceduringthereportingperiod,eitherattimeofclientdischargeorattheendofthereportingperiodiftheclientiscontinuingtoreceiveservices.

Iftheinformationiscollectedatthetimewhentheschoolyearjustended,reporttherecentschoolgradelevelcompleted(notthegradelevelthechildisadvancingtointhenextschoolyear).

ForchildrenwhoarehomeschooledorchildreninSpecialEducationbuthavebeenmainstreamedinregularschoolgrades,pleasereporttheequivalentgradelevel.

“Anurseryschoolisdefinedasagrouporclassthatisorganizedtoprovideeduca-tionalexperiencesforchildrenduringtheyearoryearsprecedingkindergarten.It

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includesinstructionasanimportantandintegralphaseofitsprogramofchildcare.Privatehomesinwhichessentiallycustodialcareisprovidedarenotconsiderednurseryschools.Childrenattendingnurseryschoolareclassifiedasattendingdur-ingeitherpartofthedayorthefullday.Part-dayattendancereferstothosewhoattendeitherinthemorningorintheafternoon,butnotboth.Full-dayattendancereferstothosewhoattendinboththemorningandtheafternoon.ChildrenenrolledinHeadStartprogramsorsimilarprogramssponsoredbylocalagenciestoprovidepreschool education to young children are counted under nursery school” (TheAmericanCommunitySurvey[ACS]).

Apersonwhohadreachedtheageof18priortocollectingthisinformationshouldreportthelastgradecompleted,unlesstheymeettheexceptioncriteriaforyoungindividuals.

Reportthehighesteducationalattainmentcompletedforallindividuals18yearsandolder(excepttheyoungindividualsaged18-21inSpecialEducationandreceivingmentalhealthservicesfromtheChildrenMentalHealthSystem)whethertheyarecurrentlyinschoolornot.

Variable Name: Service Setting Status – Mental Health service setting

Description: Thisfieldindicatesthetypeofmentalhealthtreatmentsetting(s)inwhichtheclientreceivedservicesthroughoutthereportingperiod.

State Psychiatric Hospital–allSMHA-fundedandSMHA-operatedorganizationsoperatedashospitalsthatprovideprimaryinpatientcaretoindividualswithmentalillnessfromaspecificgeographicalareaand/orstatewide.

SMHA-Funded/Operated Community-Based Program – include communitymentalhealthcenters(CMHCs),outpatientclinics,partialcareorganizations,partialhospitalizationprograms,PACTprograms,consumerrunprograms(includingClubHousesanddrop-incenters),andallcommunitysupportprograms(CSP).

Residential Treatment Center – an organization, not licensed as a psychiatrichospital,whoseprimarypurposeistheprovisionofindividuallyplannedprogramsofmentalhealthtreatmentservicesinconjunctionwithresidentialcareforchildrenandyouth,andinsomecases,adultcare.

Other Psychiatric Inpatient–aprivateproviderormedicalproviderlicensedand/orcontractedthroughtheSMHA.Thisincludespublic/privatehospitalswithseparatepsychiatricwards.

Institutions under the Justice System–mentalhealthservicesprovidedinajail,prison,juveniledetentioncenter,etc.

Guidelines: Thisdataelementreferstotheplacewhereserviceswereprovidedandnotparticu-larlytheresidenceoftheclient.

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Variable Name: SMI/SED Status

Description: Thisfieldindicateswhethertheclienthasseriousmentalillness(SMI)orseriousemotionaldisturbance(SED)usingthestate’sdefinition.

Guidelines: ReportthemostrecentavailableSMI/SEDstatusattheendofthereportingperiod.

Variable Name: Timing of Admission

Description: Thisfieldindicateswhethertheclientisalreadyreceivingservicesatthestartofthereportingperiod(continuing)orisanewadmission.

New admission–Admissionthathappenedonthefirstdayofthereportingperiodorthereafter.

Continuing–Alreadyreceivingservicesatthestartofthereportingperiod.Theadmissiondateshouldhaveoccurredatleastadaypriortothestartofthereportingperiod.

Variable Name: Veteran Status (MH-TEDS only)

Description: Thisfieldindicateswhethertheclienthasservedintheuniformservices(Army,Navy,AirForce,MarineCorps,CoastGuard,PublicHealthServiceCommissionedCorps,CoastandGeodeticSurvey,etc.).

Guidelines: Reportingofthisfieldisoptional Aveteranisaperson16yearsoldoroverwhohasserved(evenforashorttime)

butisnotonactivedutyintheU.S.Army,Navy,AirForce,MarineCorps,CoastGuard,orCommissionedCorpsoftheU.S.PublicHealthServiceortheNationalOceanicandAtmosphericAdministration,orwhoservedasaMerchantMarinesea-manduringWorldWarII.IndividualswhoservedintheNationalGuardorMilitaryReservesareclassifiedasveteransonlyiftheyhaveeverbeencalledororderedtoactiveduty(excludingthe4-6monthsofinitialtrainingandyearlysummercamps).

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2011 2012 2013 2014Any data 32 46 47 45

Gender 32 46 47 45

Age 32 46 47 45

Race 32 46 47 45

Ethnicity 31 45 46 44

Detailed Hispanc 20 28 30 28

Marital status 24 35 37 36

SED/SMI status 32 45 47 45

CGAS/GAF scores 26 32 31 29

Co-occurring substance use 32 46 46 44

Employment 32 45 47 45

Detailed NLF 32 45 47 45

Service settings 32 46 47 45

Timing of admission 32 46 47 45

Living arrangement 32 45 47 45 y Health Treatment Episode Data Set (MH-TEDS) and Mental Health Client-Level Data (MH-CLD). Data received as part of year specific reporting period.

Number of states reportingNumber of states

Appendix C Table 1: Number of states reporting data, MH-CLD 2012-2015

316

State or jurisdictionFirst-

mentioned mental health

diagnosis 1 Age Gender Race Ethnicity Marital status Residence SED/SMI GAF/CGASEmployment

statusService setting

Timing of admission

Total 87 100 100 91 82 49 62 94 44 41 98 100

Alabama 100 100 100 100 100 100 60 92 † 60 100 100Arkansas 94 100 100 85 85 † 84 100 100 55 100 100Arizona 100 100 100 96 96 52 27 97 99 22 100 100California 99 100 100 80 77 1 55 100 99 15 100 100Colorado 92 100 100 91 97 100 100 100 86 72 100 100

Connecticut 68 100 100 95 95 56 78 94 58 48 93 99District of Columbia 93 100 100 94 11 51 3 56 † 2 6 99Delaware 89 100 100 98 95 61 89 100 6 57 100 100Florida 77 100 100 100 100 73 71 93 100 64 100 100Hawaii 93 100 97 61 59 † 29 100 † 19 100 100

Iowa 83 100 100 78 3 † 16 100 † 10 100 100Idaho 23 100 100 92 89 50 42 51 21 93 100 100Illinois 100 100 100 92 96 97 92 97 97 72 100 100Indiana 99 100 100 100 96 100 99 100 40 59 100 100Kentucky 97 100 100 100 98 100 99 97 † 66 100 100

Louisiana 92 100 98 89 84 65 42 32 49 22 63 100Massachusetts 92 100 100 84 55 86 84 100 14 65 100 100Maryland 97 100 100 98 94 80 99 100 † 45 100 100Minnesota 72 100 100 93 100 † 100 100 † 76 100 100Missouri 96 100 100 97 100 61 91 96 48 61 100 100

Northern Marianas 38 100 100 40 † 97 80 79 40 71 100 100Mississippi 99 100 100 100 99 99 92 92 † 90 89 100Montana 88 100 100 95 100 † 22 100 22 18 100 100North Carolina 97 100 100 99 99 99 100 100 † 78 100 100North Dakota 86 100 100 100 100 † 95 100 † 74 100 100

Nebraska 93 100 100 100 97 100 91 99 98 87 100 100New Jersey 76 100 100 81 14 81 12 84 2 3 100 100New Mexico 86 100 100 71 73 1 10 100 † 3 100 100Nevada 87 100 99 85 78 76 66 62 68 45 100 100New York 97 100 100 90 86 94 91 100 47 49 100 100

Appendix C Table 2. Item percentage response rate, by state or jurisdiction: MH-CLD and MH-TEDS 2014

[Based on administrative data reported to MH-CLD or MH-TEDS by all reporting states and jurisdictions. Comparisons among states should be made with caution.]


317

State or jurisdictionFirst-

mentioned mental health

diagnosis 1 Age Gender Race Ethnicity Marital status Residence SED/SMI GAF/CGASEmployment

statusService setting

Timing of admission

Total 87 100 100 91 82 49 62 94 44 41 98 100

Ohio 94 100 100 94 74 2 7 100 † 3 100 100Oklahoma 88 100 100 100 100 78 81 80 80 81 77 100Oregon 73 100 100 85 81 64 92 80 † 54 100 100Puerto Rico † 100 100 73 99 98 32 34 95 37 29 98Rhode Island 69 100 100 81 96 91 71 67 69 55 100 100South Carolina 96 100 100 98 77 98 12 92 95 16 100 100South Dakota 99 100 100 100 99 68 56 90 † 38 100 100Tennessee 76 100 99 88 61 54 68 100 3 43 100 100Texas 50 100 100 100 100 59 69 93 74 53 100 100Utah 87 100 100 92 93 92 94 93 83 57 100 100Virginia 94 100 100 98 95 † 96 92 † 69 100 100Vermont 68 100 100 95 89 93 79 35 61 24 100 100Washington 90 100 100 92 84 † 75 80 80 59 100 100Wisconsin 90 100 100 98 91 † 35 100 † 26 100 100Wyoming 97 100 100 95 97 96 98 100 99 62 100 100

1 The first-mentioned mental health diagnosis is the first of up to three diagnoses reported for the individual. Mental health diagnostic category definitions can be found in Appendix E: Mental Health and Substance Use Diagnosis Codes.

SOURCE: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Mental Health Treatment Episode Data Set (MH-TEDS). Data received 11.01.16 as part of 2015 reporting period.


Appendix C Table 2. Item percentage response rate, by state or jurisdiction: MH-CLD and MH-TEDS 2014 (continued)

[Based on administrative data reported to MH-CLD or MH-TEDS by all reporting states and jurisdictions. Comparisons among states should be made with caution.]

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319

Appendix dSMi/Sed FederAl deFinitionS And

CGAS/GAF SCAle

Serious Mental Illness (SMI)

Pursuant to section 1912 (c) of the Public Health Service Act, as amended by Public Law 102-321 “adult with a serious mental illness” are individuals:

1. age 18 and over;2. who currently or at any time during the past year, have had a diagnosable mental

behavioral or emotional disorder of sufficient duration to meet diagnostic criteriaspecified within DSM-III-R; and

3. this disorder has resulted in functional impairment which substantially interfereswith or limits one or more major life activities

“These disorders include any mental disorders (including those of biological etiology) listed in DSM-III-R or their ICD-9-CM equivalent (and subsequent revisions), with the exception of DSM-III-R “V” codes, substance use disorders, and developmental disorders, which are exclud-ed, unless they co-occur with another diagnosable serious mental illness…” (p. 29425).

Serious Emotional Disability (SED)

Pursuant to section 1912 (c) of the Public Health Service Act, as amended by Public Law 102-321 “children with a serious emotional disturbance” are individuals:

1. from birth up to age 18;2. who currently or at any time during the past year have had a diagnosable mental,

behavioral, or emotional disorder of sufficient duration to meet diagnostic criteriaspecified within DSM- III-R; and

3. this disorder resulted in functional impairment, which substantially interferes withor limits the child’s role or functioning in family, school, or community activities(p.29425).

“These disorders include any mental disorder (including those of biological etiology) listed in DSM-III-R or their ICD-9-CM equivalent (and subsequent revisions) with the exception of DSM-III-R ‘V’ codes, substance use, and developmental disorders, which are excluded, unless they co-occur with another diagnosable serious emotional disturbance…” (p. 29425).

“Functional impairment is defined as difficulties that substantially interfere with or limit a child or adolescent from achieving or maintaining one or more developmentally-appropriate social, behav-ioral, cognitive, communicative, or adaptive skills. Functional impairments of episodic, recurrent, and continuous duration are included unless they are temporary and expected responses to stressful events in their environment. Children who would have met functional impairment criteria during the referenced year without the benefit of treatment or other support services are included in this

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definition….” (p. 29425). Source: Federal Register 58(96): 29422-29425. May 20, 1993; http://www.samhsa.gov/sites/default/files/federal-register-notice-58-96-definitions.pdf

Global Assessment of Functioning (GAF)

GAF is a numeric scale (0-100) that subjectively rates individuals (18 years old and above) in the areas of social, occupational, and psychological functioning. A higher score means a higher level of functioning. This is reported as Axis V in the Diagnostic and Statistical Manual of Men-tal Disorders (DSM). Source: MH-CLD Instruction Manual (V. 2.5)

Children’s Global Assessment Scale (CGAS)

CGAS is a numeric scale (0-100) widely used by mental health clinicians to measure the overall severity of disturbance among children under the age of 18. A higher score means higher level of functioning in all areas measured by the instrument (i.e., social, psychological, and occupational functioning of a child). This is reported as Axis V in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Source: MH-CLD Instruction Manual (V. 2.5)

Appendix D, Table 1. Children’s Global Assessment Scale (CGAS)

Code Description of Functioning

100-91 Superior functioning

90-81 Good functioning

80-71 No more than a slight impairment in functioning

70-61 Some difficulty in a single area, but generally functioning pretty well

60-51 Variable functioning with sporadic difficulties

50-41 Moderate degree of interference in functioning

40-31 Major impairment to functioning in several areas

30-21 Unable to function in almost all areas

20-11 Need considerable supervision

10-1 Needs constant supervision

0 Inadequate information

Source:http://www.excellenceforchildandyouth.ca/sites/default/files/meas_attach/Childrens_Global_Assessment_Scale_(CGAS).pdf

http://www.excellenceforchildandyouth.ca/sites/default/files/meas_attach/Childrens_Global_Assessment_Scale_(CGAS).pdf

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Appendix D, Table 2. Global Assessment of Functioning (GAF) Scale

GAF Range Description of Level of Functioning

Superior functioning in a wide range of activities, life’s problems never seem to get 100-91 out of hand, is sought out by others because of his or her many positive qualities. No

symptoms.

Absent minimal symptoms (e.g., mild anxiety before an exam), good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally 90-81 satisfied with life, no more than everyday problems or concerns (e.g., an occasional argument with family members)

If symptoms are present, they are transient and expectable reactions to psychosocial stressors (e.g., difficulty concentration after family argument); no more than slight im-80-71 pairment in social, occupational, or school functioning (e.g., temporarily falling behind in school work).

Some mild symptoms (e.g., depressed mood and mild insomnia) OR some difficulty in social, occupational, or school functioning (e.g., occasional truancy, or theft within the 70-61 household), but generally functioning pretty well, has some meaningful interpersonal relationships.

Moderate symptoms (e.g., flat and circumstantial speech, occasional panic attacks) 60-51 OR moderate difficulty in social occupational, or social functioning (e.g., few friends,

conflicts with co-workers)

Serious symptoms (e.g., suicidal ideation, severe obsession rituals, frequent shoplift-50-41 ing) OR any serious impairment in social, occupational, or school functioning (e.g., no

friends, unable to keep a job).

Some impairment in reality testing or communication (e.g., speech is at times illogical, obscure, or irrelevant) OR major impairment in several areas, such as work or school,

40-31 family relations, judgment, thinking, or mood (e.g., depressed man avoids friends, neglect family, and is unable to work, child frequently beats up younger children, is defiant at home, and is failing at school).

Behavior is considerably influenced by delusions or hallucinations OR serious impair-ment in communication or judgment (e.g., sometimes incoherent, acts grossly inap-30-21 propriately, suicidal preoccupation) OR inability to function in almost all areas (e.g., stays in bed all day, no job, home or friends).

Some danger of hurting self or others (e.g., suicide attempts without clear expectation of death, frequently violent, manic excitement) OR occasionally fails to maintain mini-20-11 mal personal hygiene (e.g., smears faces) OR gross impairment in communication (e.g., largely incoherent or mute).

Persistent danger of severely hurting self or others (e.g., recurrent violence) OR per-10-1 sistent inability to maintain minimal personal hygiene OR serious suicidal act with

clear expectation of death.

0 Inadequate information

Source:[https://www.omh.ny.gov/omhweb/childservice/mrt/global_assessment_functioning.pdf]

https://www.omh.ny.gov/omhweb/childservice/mrt/global_assessment_functioning.pdf

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323

Appendix eMentAl HeAltH And SubStAnce uSe diAgnoSiS codeS

Mental Health Diagnostic Groups with Corresponding ICD-9 Diagnostic Codes

The listings below group ICD-9 codes into Clinical Classification Software (CCS) mental health “multi-level” diagnostic category codes (5.1, 5.2, and so on;) and their labels (adjustment disorders, anxiety disorders, and so on). Notes:• Underlined CCS diagnostic groups are displayed in one or more tables in this report; records with

ICD-9 codes in other diagnostic groups are grouped together as “other” mental health diagnoses.• Italicized codes in parentheses are nonstandard ICD-9 codes in the data that were recognized

to belong to the same CCS mental health diagnostic group.• Entries in brackets ([650], [651], and so on) are “single level CCS diagnosis categories” that

are otherwise ignored in this report but are noted here for convenience.• The ICD-9 diagnostic codes shown below have omitted the decimal point after the first three

digits.

5.1 Adjustment disorders [650]18

3090 3091 30922 30923 30924 30928 30929 3093 3094 30982 30983 30989 3099

(309 30900 30910 30920 30930 30940 30980 3098 30990)

5.2 Anxiety disorders [651]29384 30000 30001 30002 30009 30010 30020 30021 30022 30023 30029 3003 3005 30089 3009 3080 3081 3082 3083 3084 3089 30981 3130 3131 31321 31322 3133 31382 31383

(3000 300 3001 3002 30030 30050 30090 30800 308 30810 30820 30830 30840 30890 313 31300 3138 31380)

5.3 Attentiondeficit,conduct,anddisruptivebehaviordisorders[652]

5.3.1 Conduct disorder [6521]31200 31201 31202 31203 31210 31211 31212 31213 31220 31221 31222 31223 3124 3128 31281 31282 31289 3129

(312 3120 3121 3122 31240 31280 31290)

18 For these and other underlined (i.e., tabulated) CCS diagnostic groups, table column and row headers drop the word “disorders” from the description.

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19 Referred to as “delirium/dementia” in tables and text.

5.3.2 Oppositionaldefiantdisorder[6522]31381

5.3.3 AttentiondeficitdisorderandAttentiondeficithyperactivitydisorder[6523]31400 31401 3141 3142 3148 3149

(314 3140 31410 31480 31490)

5.4 Delirium,dementia,andamnesticandothercognitivedisorders[653]19

2900 29010 29011 29012 29013 29020 29021 2903 29040 29041 29042 29043 2908 2909 2930 2931 2940 2941 29410 29411 29420 29421 2948 2949 3100 3102 3108 31081 31089 3109 3310 3311 33111 33119 3312 33182 797

(29000 290 2901 2902 29030 2904 29080 29090 293 29300 29400 294 2942 29480 29490 310 31000 31020 31090 331 33100 33110)

5.5 Developmentaldisorders[654]

5.5.1 Communication disorders [6541]3070 3079 31531 31534 31535 31539 V401

(30700 307 30790)

5.5.2 Developmentaldisabilities[6542]31501 31502 31509 31532 3155 3158

(31550 31580)

5.5.3 Intellectualdisabilities[6543]317 3180 3181 3182 319

(3170 31700 318 31800 31810 31820 31900)

5.5.4 Learning disorders [6544]31500 3151 3152 3159 V400

(3150 315 31510 31520 31540)

5.5.5 Motor skill disorders [6545]3154

(31540)

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5.6 Disordersusuallydiagnosedininfancy,childhood,oradolescence[655]

5.6.1 Elimination disorders [6551]3076 3077

(30760 30770)

5.6.2 Otherdisordersofinfancy,childhood,oradolescence[6552]3073 30921 31323 31389 3139

(31390)

5.6.3 Pervasivedevelopmentaldisorders[6553]29900 29901 29910 29911 29980 29981 29990 29991

(299 2991 2998 2999)

5.6.4 Tic disorders [6554] 65530720 30721 30722 30723

5.7 Impulsecontroldisorders,notelsewhereclassified[656]31230 31231 31232 31233 31234 31235 31239

(3123)

5.8 Mood disorders [657]

5.8.1 Bipolar disorders [6571]29600 29601 29602 29603 29604 29605 29606 29610 29611 29612 29613 29614 29615 29616 29640 29641 29642 29643 29644 29645 29646 29650 29651 29652 29653 29654 29655 29656 29660 29661 29662 29663 29664 29665 29666 2967 29680 29681 29682 29689 29690 29699

(296 2960 2961 2964 2965 2966 29670 2968 2969)

5.8.2 Depressivedisorders[6572]29383 29620 29621 29622 29623 29624 29625 29626 29630 29631 29632 29633 29634 29635 29636 3004 311

(2962 2963 30040 31100 3110)

5.9 Personality disorders [658]3010 30110 30111 30112 30113 30120 30121 30122 3013 3014 30150 30151 30159 3016 3017 30181 30182 30183 30184 30189 3019

(30100 301 3011 3012 30130 30140 3015 30160 30170 30190)

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20 Referred to as “Schizophrenia, other psychotic” in tables. 21 Regardless of their “co-occurring” flag in the data, individuals reported to be diagnosed with only alcohol-related

disorders and/or substance-related disorders are not counted as having co-occurring mental health and substance use disorders for the purpose of Chapter 6; some other, non-alcohol and non-substance-related disorder diagnosis is necessary.

5.10 Schizophrenia and other psychotic disorders [659]20

29381 29382 29500 29501 29502 29503 29504 29505 29510 29511 29512 29513 29514 29515 29520 29521 29522 29523 29524 29525 29530 29531 29532 29533 29534 29535 29540 29541 29542 29543 29544 29545 29550 29551 29552 29553 29554 29555 29560 29561 29562 29563 29564 29565 29570 29571 29572 29573 29574 29575 29580 29581 29582 29583 29584 29585 29590 29591 29592 29593 29594 29595 2970 2971 2972 2973 2978 2979 2980 2981 2982 2983 2984 2988 2989

(295 2950 2951 2952 2953 2954 2955 2956 2957 2958 2959 29700 297 29710 29720 20730 20780 20790 29800 298 29810 29820 29830 29840 29880 29890)

5.11 Alcohol-related disorders [660]21

2910 2911 2912 2913 2914 2915 2918 29181 29182 29189 2919 30300 30301 30302 30303 30390 30391 30392 30393 30500 30501 30502 30503 3575 4255 53530 53531 5710 5711 5712 5713 76071 9800

(29100 291 29110 29120 29130 29140 29150 29180 20190 303 3030 3039 305 3050)

5.12 Substance-relateddisorders[661]21

2920 29211 29212 2922 29281 29282 29283 29284 29285 29289 2929 30400 30401 30402 30403 30410 30411 30412 30413 30420 30421 30422 30423 30430 30431 30432 30433 30440 30441 30442 30443 30450 30451 30452 30453 30460 30461 30462 30463 30470 30471 30472 30473 30480 30481 30482 30483 30490 30491 30492 30493 30520 30521 30522 30523 30530 30531 30532 30533 30540 30541 30542 30543 30550 30551 30552 30553 30560 30561 30562 30563 30570 30571 30572 30573 30580 30581 30582 30583 30590 30591 30592 30593 64830 64831 64832 64833 64834 65550 65551 65553 76072 76073 76075 7795 96500 96501 96502 96509 V6542

(292 29200 20220 20290 304 3040 3041 3042 3043 3044 3045 3046 3047 3048 3049 3052 3053 3054 3055 3057 3058 3059)

5.13 Suicideandintentionalself-inflictedinjury[662]E9500 E9501 E9502 E9503 E9504 E9505 E9506 E9507 E9508 E9509 E9510 E9511 E9518 E9520 E9521 E9528 E9529 E9530 E9531 E9538 E9539 E954 E9550 E9551 E9552 E9553 E9554 E9555 E9556 E9557 E9559 E956 E9570 E9571 E9572 E9579 E9580 E9581 E9582 E9583 E9584 E9585 E9586 E9587 E9588 E9589 E959 V6284

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5.14 Screeningandhistoryofmentalhealthandsubstanceusecodes[663]33392 V110 V111 V112 V114 V118 V119 V154 V1541 V1542 V1549 V1582 V6285 V663 V701 V702 V7101 V7102 V7109 V790 V792 V793 V798 V799 3051 30510 30511 30512 30513 5353 7903 V113 V791

5.15 Miscellaneous mental disorders [670]30012 30013 30014 30015 3006 3071 30750 30751 30752 30753 30754 30759 30016 30019 3060 3061 3062 3063 3064 30650 30652 30653 30659 3066 3067 3068 3069 3021 3022 3023 3024 30250 30251 30252 30253 3026 30270 30271 30272 30273 30274 30275 30276 30279 30281 30282 30283 30284 30285 30289 3029 30651 30740 30741 30742 30743 30744 30745 30746 30747 30748 30749 30011 3007 30081 30082 30780 30781 30789 29389 2939 3101 316 64840 64841 64842 64843 64844 V402 V403 V4031 V4039 V409 V673

(30060 30710 3075 306 30600 30610 30630 30640 30680 30690 30210 30220 30230 30240 3025 30260 3027 30290 30070 3078 29390 31010 31600 316 3160 6484 V4020 V4030 V4090)

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Mental Health Diagnostic Groups with Corresponding ICD-10 Diagnostic Codes

The listings below group ICD-10 codes into Clinical Classification Software (CCS) mental health “multi-level” diagnostic category codes (5.1, 5.2, and so on;) and their labels (adjustment disorders, anxiety disorders, and so on). Notes:• Underlined CCS diagnostic groups are displayed in one or more tables in this report; records

with ICD-10 codes in other diagnostic groups are grouped together as “other” mental health diagnoses.

• Entries in brackets ([650], [651], and so on) are “single level CCS diagnosis categories” that are otherwise ignored in this report but are noted here for convenience.

• The ICD-10 diagnostic codes shown below have omitted the decimal point after the first three digits.

• Some diagnostic groups implemented by CCS for ICD-9 codes were not implemented for ICD-10 codes (conduct disorders, oppositional defiant disorders, attention deficit and attention deficit hyperactivity disorders, pervasive developmental disorders, bipolar disorders, and depressive disorders). ICD-10 codes from broader CCS diagnostic categories were assigned to these more specific diagnostic groups by Synectics based on the ICD-10 code’s detailed meaning.

5.1 Adjustment disorders [650]22

F4320 F4321 F4322 F4323 F4324 F4325 F4329 F438 F439

5.2 Anxiety disorders [651]F064 F4000 F4001 F4002 F4010 F4011 F40210 F40218 F40220 F40228 F40230 F40231 F40232 F40233 F40240 F40241 F40242 F40243 F40248 F40290 F40291 F40298 F408 F409 F410 F411 F413 F418 F419 F42 F430 F4310 F4311 F4312 F488 F489 R452 R453 R454 R455 R456 R457 R4581 R4582 R4583 R4584

5.3.1 Conduct disorder [6521]23

F910 F911 F912 F918 F919

5.3.2 Oppositionaldefiantdisorder[6522]23

F913

5.3.3 AttentiondeficitdisorderandAttentiondeficithyperactivitydisorder[6523]24

F900 F901 F902 F908 F909 R460 R461 R462 R463 R464 R465 R466 R467 R4681 R4689

22 For these and other underlined (i.e., tabulated) CCS diagnostic groups, table column and row headers drop the word “disorders” from the description.

23 Codes in this category were assigned from a more general CCS diagnostic group to this one based on the code’s detailed meaning.

24 Referred to as “delirium/dementia” in tables and text.

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5.4 Delirium,dementia,andamnesticandothercognitivedisorders[653]F0150 F0151 F0280 F0281 F0390 F0391 F04 F05 F070 F0781 F0789 F079 F09 F482 G300 G301 G308 G309 G3101 G3109 G311 G3183 R4181 R54

5.5 Developmentaldisorders[654]F70 F71 F72 F73 F78 F79 F800 F801 F802 F804 F8081 F8089 F809 F810 F812 F8181 F8189 F819 F82 F88 F89 F985 R4183 R480

5.6 Disordersusuallydiagnosedininfancy,childhood,oradolescence[655]F642 F930 F938 F939 F940 F941 F942 F948 F949 F950 F951 F952 F958 F959 F980 F981 F9821 F9829 F983 F984 F988 F989

5.6.3 Pervasivedevelopmentaldisorders[6553]24

F840 F842 F843 F845 F848 F849

5.7 Impulsecontroldisorders,notelsewhereclassified[656]F630 F631 F632 F633 F6381 F6389 F639 R45850

5.8 Mood disorders [657]25

F0630 F0631 F0632 F0633 F0634 F3010 F3011 F3012 F3013 F302 F303 F304 F308 F309 F340 F341 F348 F349 F39 R4586

5.8.1 Bipolar disorders [6571]24

F310 F3110 F3111 F3112 F3113 F312 F3130 F3131 F3132 F314 F315 F3160 F3161 F3162 F3163 F3164 F3170 F3171 F3172 F3173 F3174 F3175 F3176 F3177 F3178 F3181 F3189 F319 5.8.2 F320

5.8.2 Depressivedisorders[6572]24

F321 5.8.2 F322 5.8.2 F323 5.8.2 F324 5.8.2 F325 5.8.2 F328 5.8.2 F329 5.8.2 F330 5.8.2 F331 5.8.2 F332 5.8.2 F333 5.8.2 F3340 5.8.2 F3341 5.8.2 F3342 5.8.2 F338 5.8.2 F339

5.9 Personality disorders [658]F600 F601 F602 F603 F604 F605 F606 F607 F6081 F6089 F609 F69

5.10 Schizophrenia and other psychotic disorders [659]26

F060 F062 F200 F201 F202 F203 F205 F2081 F2089 F209 F21 F22 F23 F24 F250 F251 F258 F259 F28 F29

25 Mood disorder codes that could not not be assigned to bipolar or depressive disorders.26 Referred to as “Schizophrenia, other psychotic” in tables.

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5.11 Alcohol-related disorders [660]27

F1010 F10120 F10121 F10129 F1014 F10150 F10151 F10159 F10180 F10181 F10182 F10188 F1019 F1020 F1021 F10220 F10221 F10229 F10230 F10231 F10232 F10239 F1024 F10250 F10251 F10259 F1026 F1027 F10280 F10281 F10282 F10288 F1029 F10920 F10921 F10929 F1094 F10950 F10951 F10959 F1096 F1097 F10980 F10981 F10982 F10988 F1099 G621 I426 K2920 K2921 K700 K7010 K7011 K702 K7030 K7031 K7040 K709 O99310 O99311 O99312 O99313 O99314 O99315 P043 Q860

5.12 Substance-relateddisorders[661]27

F1110 F11120 F11121 F11122 F11129 F1114 F11150 F11151 F11159 F11181 F11182 F11188 F1119 F1120 F1121 F11220 F11221 F11222 F11229 F1123 F1124 F11250 F11251 F11259 F11281 F11282 F11288 F1129 F1190 F11920 F11921 F11922 F11929 F1193 F1194 F11950 F11951 F11959 F11981 F11982 F11988 F1199 F1210 F12120 F12121 F12122 F12129 F12150 F12151 F12159 F12180 F12188 F1219 F1220 F1221 F12220 F12221 F12222 F12229 F12250 F12251 F12259 F12280 F12288 F1229 F1290 F12920 F12921 F12922 F12929 F12950 F12951 F12959 F12980 F12988 F1299 F1310 F13120 F13121 F13129 F1314 F13150 F13151 F13159 F13180 F13181 F13182 F13188 F1319 F1320 F1321 F13220 F13221 F13229 F13230 F13231 F13232 F13239 F1324 F13250 F13251 F13259 F1326 F1327 F13280 F13281 F13282 F13288 F1329 F1390 F13920 F13921 F13929 F13930 F13931 F13932 F13939 F1394 F13950 F13951 F13959 F1396 F1397 F13980 F13981 F13982 F13988 F1399 F1410 F14120 F14121 F14122 F14129 F1414 F14150 F14151 F14159 F14180 F14181 F14182 F14188 F1419 F1420 F1421 F14220 F14221 F14222 F14229 F1423 F1424 F14250 F14251 F14259 F14280 F14281 F14282 F14288 F1429 F1490 F14920 F14921 F14922 F14929 F1494 F14950 F14951 F14959 F14980 F14981 F14982 F14988 F1499 F1510 F15120 F15121 F15122 F15129 F1514 F15150 F15151 F15159 F15180 F15181 F15182 F15188 F1519 F1520 F1521 F15220 F15221 F15222 F15229 F1523 F1524 F15250 F15251 F15259 F15280 F15281 F15282 F15288 F1529 F1590 F15920 F15921 F15922 F15929 F1593 F1594 F15950 F15951 F15959 F15980 F15981 F15982 F15988 F1599 F1610 F16120 F16121 F16122 F16129 F1614 F16150 F16151 F16159 F16180 F16183 F16188 F1619 F1620 F1621 F16220 F16221 F16229 F1624 F16250 F16251 F16259 F16280 F16283 F16288 F1629 F1690 F16920 F16921 F16929 F1694 F16950 F16951 F16959 F16980 F16983 F16988 F1699 F17200 F17201 F17203 F17208 F17209 F17210 F17211 F17213 F17218 F17219 F17220 F17221 F17223 F17228 F17229 F17290 F17291 F17293 F17298 F17299 F1810 F18120 F18121 F18129 F1814

27 Regardless of their “co-occurring” flag in the data, individuals reported to be diagnosed with only alcohol-related disorders and/or substance-related disorders are not counted as having co-occurring mental health and substance use disorders for the purpose of Chapter 6; some other, non-alcohol and non-substance-related disorder diagnosis is necessary.

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F18150 F18151 F18159 F1817 F18180 F18188 F1819 F1820 F1821 F18220 F18221 F18229 F1824 F18250 F18251 F18259 F1827 F18280 F18288 F1829 F1890 F18920 F18921 F18929 F1894 F18950 F18951 F18959 F1897 F18980 F18988 F1899 F1910 F19120 F19121 F19122 F19129 F1914 F19150 F19151 F19159 F1916 F1917 F19180 F19181 F19182 F19188 F1919 F1920 F1921 F19220 F19221 F19222 F19229 F19230 F19231 F19232 F19239 F1924 F19250 F19251 F19259 F1926 F1927 F19280 F19281 F19282 F19288 F1929 F1990 F19920 F19921 F19922 F19929 F19930 F19931 F19932 F19939 F1994 F19950 F19951 F19959 F1996 F1997 F19980 F19981 F19982 F19988 F1999 F550 F551 F552 F553 F554 F558 O355XX0 O355XX1 O355XX2 O355XX3 O355XX4 O355XX5 O355XX9 O99320 O99321 O99322 O99323 O99324 O99325 P0441 P0449 P961 P962 T400X1A T400X1D T400X1S T400X3A T400X3D T400X3S T400X4A T400X4D T400X4S T400X5A T400X5D T400X5S T400X6A T400X6D T400X6S T401X1A T401X1D T401X1S T401X3A T401X3D T401X3S T401X4A T401X4D T401X4S T401X5A T401X5D T401X5S T405X1A T405X1D T405X1S T405X3A T405X3D T405X3S T405X4A T405X4D T405X4S T405X5A T405X5D T405X5S T405X6A T405X6D T405X6S T407X1A T407X1D T407X1S T407X3A T407X3D T407X3S T407X4A T407X4D T407X4S T407X5A T407X5D T407X5S T407X6A T407X6D T407X6S T408X1A T408X1D T408X1S T408X3A T408X3D T408X3S T408X4A T408X4D T408X4S T408X5A T408X5D T408X5S T40901A T40901D T40901S T40903A T40903D T40903S T40904A T40904D T40904S T40905A T40905D T40905S T40906A T40906D T40906S T40991A T40991D T40991S T40993A T40993D T40993S T40994A T40994D T40994S T40995A T40995D T40995S T40996A T40996D T40996S

5.13 Suicideandintentionalself-inflictedinjury[662]R45851 T1491 T360X2A T360X2D T360X2S T361X2A T361X2D T361X2S T362X2A T362X2D T362X2S T363X2A T363X2D T363X2S T364X2A T364X2D T364X2S T365X2A T365X2D T365X2S T366X2A T366X2D T366X2S T367X2A T367X2D T367X2S T368X2A T368X2D T368X2S T3692XA T3692XD T3692XS T370X2A T370X2D T370X2S T371X2A T371X2D T371X2S T372X2A T372X2D T372X2S T373X2A T373X2D T373X2S T374X2A T374X2D T374X2S T375X2A T375X2D T375X2S T378X2A T378X2D T378X2S T3792XA T3792XD T3792XS T380X2A T380X2D T380X2S T381X2A T381X2D T381X2S T382X2A T382X2D T382X2S T383X2A T383X2D T383X2S T384X2A T384X2D T384X2S T385X2A T385X2D T385X2S T386X2A T386X2D T386X2S T387X2A T387X2D T387X2S T38802A T38802D T38802S T38812A T38812D T38812S T38892A T38892D T38892S T38902A T38902D T38902S T38992A T38992D T38992S T39012A T39012D T39012S T39092A T39092D T39092S T391X2A T391X2D T391X2S T392X2A T392X2D T392X2S T39312A T39312D T39312S T39392A T39392D T39392S T394X2A T394X2D T394X2S T398X2A T398X2D T398X2S T3992XA T3992XD T3992XS T400X2A T400X2D T400X2S T401X2A T401X2D T401X2S T402X2A T402X2D T402X2S T403X2A T403X2D T403X2S T404X2A T404X2D T404X2S T405X2A T405X2D T405X2S T40602A T40602D T40602S T40692A T40692D T40692S T407X2A T407X2D T407X2S T408X2A T408X2D T408X2S T40902A T40902D T40902S T40992A T40992D T40992S T410X2A T410X2D T410X2S T411X2A T411X2D T411X2S T41202A T41202D T41202S T41292A T41292D T41292S T413X2A T413X2D T413X2S T4142XA T4142XD T4142XS T415X2A T415X2D T415X2S T420X2A T420X2D T420X2S T421X2A T421X2D T421X2S T422X2A T422X2D T422X2S T423X2A T423X2D T423X2S T424X2A

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T424X2D T424X2S T425X2A T425X2D T425X2S T426X2A T426X2D T426X2S T4272XA T4272XD T4272XS T428X2A T428X2D T428X2S T43012A T43012D T43012S T43022A T43022D T43022S T431X2A T431X2D T431X2S T43202A T43202D T43202S T43212A T43212D T43212S T43222A T43222D T43222S T43292A T43292D T43292S T433X2A T433X2D T433X2S T434X2A T434X2D T434X2S T43502A T43502D T43502S T43592A T43592D T43592S T43602A T43602D T43602S T43612A T43612D T43612S T43622A T43622D T43622S T43632A T43632D T43632S T43692A T43692D T43692S T438X2A T438X2D T438X2S T4392XA T4392XD T4392XS T440X2A T440X2D T440X2S T441X2A T441X2D T441X2S T442X2A T442X2D T442X2S T443X2A T443X2D T443X2S T444X2A T444X2D T444X2S T445X2A T445X2D T445X2S T446X2A T446X2D T446X2S T447X2A T447X2D T447X2S T448X2A T448X2D T448X2S T44902A T44902D T44902S T44992A T44992D T44992S T450X2A T450X2D T450X2S T451X2A T451X2D T451X2S T452X2A T452X2D T452X2S T453X2A T453X2D T453X2S T454X2A T454X2D T454X2S T45512A T45512D T45512S T45522A T45522D T45522S T45602A T45602D T45602S T45612A T45612D T45612S T45622A T45622D T45622S T45692A T45692D T45692S T457X2A T457X2D T457X2S T458X2A T458X2D T458X2S T4592XA T4592XD T4592XS T460X2A T460X2D T460X2S T461X2A T461X2D T461X2S T462X2A T462X2D T462X2S T463X2A T463X2D T463X2S T464X2A T464X2D T464X2S T465X2A T465X2D T465X2S T466X2A T466X2D T466X2S T467X2A T467X2D T467X2S T468X2A T468X2D T468X2S T46902A T46902D T46902S T46992A T46992D T46992S T470X2A T470X2D T470X2S T471X2A T471X2D T471X2S T472X2A T472X2D T472X2S T473X2A T473X2D T473X2S T474X2A T474X2D T474X2S T475X2A T475X2D T475X2S T476X2A T476X2D T476X2S T477X2A T477X2D T477X2S T478X2A T478X2D T478X2S T4792XA T4792XD T4792XS T480X2A T480X2D T480X2S T481X2A T481X2D T481X2S T48202A T48202D T48202S T48292A T48292D T48292S T483X2A T483X2D T483X2S T484X2A T484X2D T484X2S T485X2A T485X2D T485X2S T486X2A T486X2D T486X2S T48902A T48902D T48902S T48992A T48992D T48992S T490X2A T490X2D T490X2S T491X2A T491X2D T491X2S T492X2A T492X2D T492X2S T493X2A T493X2D T493X2S T494X2A T494X2D T494X2S T495X2A T495X2D T495X2S T496X2A T496X2D T496X2S T497X2A T497X2D T497X2S T498X2A T498X2D T498X2S T4992XA T4992XD T4992XS T500X2A T500X2D T500X2S T501X2A T501X2D T501X2S T502X2A T502X2D T502X2S T503X2A T503X2D T503X2S T504X2A T504X2D T504X2S T505X2A T505X2D T505X2S T506X2A T506X2D T506X2S T507X2A T507X2D T507X2S T508X2A T508X2D T508X2S T50902A T50902D T50902S T50992A T50992D T50992S T50A12A T50A12D T50A12S T50A22A T50A22D T50A22S T50A92A T50A92D T50A92S T50B12A T50B12D T50B12S T50B92A T50B92D T50B92S T50Z12A T50Z12D T50Z12S T50Z92A T50Z92D T50Z92S T510X2A T510X2D T510X2S T511X2A T511X2D T511X2S T512X2A T512X2D T512X2S T513X2A T513X2D T513X2S T518X2A T518X2D T518X2S T5192XA T5192XD T5192XS T520X2A T520X2D T520X2S T521X2A T521X2D T521X2S T522X2A T522X2D T522X2S T523X2A T523X2D T523X2S T524X2A T524X2D T524X2S T528X2A T528X2D T528X2S T5292XA T5292XD T5292XS T530X2A T530X2D T530X2S T531X2A T531X2D T531X2S T532X2A T532X2D T532X2S T533X2A T533X2D T533X2S T534X2A T534X2D T534X2S T535X2A T535X2D T535X2S T536X2A T536X2D T536X2S T537X2A T537X2D T537X2S T5392XA T5392XD T5392XS T540X2A T540X2D T540X2S T541X2A T541X2D T541X2S T542X2A T542X2D T542X2S T543X2A T543X2D T543X2S T5492XA T5492XD T5492XS T550X2A T550X2D T550X2S T551X2A T551X2D T551X2S T560X2A T560X2D T560X2S T561X2A T561X2D T561X2S T562X2A T562X2D T562X2S T563X2A T563X2D T563X2S T564X2A T564X2D T564X2S T565X2A T565X2D T565X2S T566X2A T566X2D T566X2S T567X2A T567X2D T567X2S T56812A

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T56812D T56812S T56892A T56892D T56892S T5692XA T5692XD T5692XS T570X2A T570X2D T570X2S T571X2A T571X2D T571X2S T572X2A T572X2D T572X2S T573X2A T573X2D T573X2S T578X2A T578X2D T578X2S T5792XA T5792XD T5792XS T5802XA T5802XD T5802XS T5812XA T5812XD T5812XS T582X2A T582X2D T582X2S T588X2A T588X2D T588X2S T5892XA T5892XD T5892XS T590X2A T590X2D T590X2S T591X2A T591X2D T591X2S T592X2A T592X2D T592X2S T593X2A T593X2D T593X2S T594X2A T594X2D T594X2S T595X2A T595X2D T595X2S T596X2A T596X2D T596X2S T597X2A T597X2D T597X2S T59812A T59812D T59812S T59892A T59892D T59892S T5992XA T5992XD T5992XS T600X2A T600X2D T600X2S T601X2A T601X2D T601X2S T602X2A T602X2D T602X2S T603X2A T603X2D T603X2S T604X2A T604X2D T604X2S T608X2A T608X2D T608X2S T6092XA T6092XD T6092XS T6102XA T6102XD T6102XS T6112XA T6112XD T6112XS T61772A T61772D T61772S T61782A T61782D T61782S T618X2A T618X2D T618X2S T6192XA T6192XD T6192XS T620X2A T620X2D T620X2S T621X2A T621X2D T621X2S T622X2A T622X2D T622X2S T628X2A T628X2D T628X2S T6292XA T6292XD T6292XS T63002A T63002D T63002S T63012A T63012D T63012S T63022A T63022D T63022S T63032A T63032D T63032S T63042A T63042D T63042S T63062A T63062D T63062S T63072A T63072D T63072S T63082A T63082D T63082S T63092A T63092D T63092S T63112A T63112D T63112S T63122A T63122D T63122S T63192A T63192D T63192S T632X2A T632X2D T632X2S T63302A T63302D T63302S T63312A T63312D T63312S T63322A T63322D T63322S T63332A T63332D T63332S T63392A T63392D T63392S T63412A T63412D T63412S T63422A T63422D T63422S T63432A T63432D T63432S T63442A T63442D T63442S T63452A T63452D T63452S T63462A T63462D T63462S T63482A T63482D T63482S T63512A T63512D T63512S T63592A T63592D T63592S T63612A T63612D T63612S T63622A T63622D T63622S T63632A T63632D T63632S T63692A T63692D T63692S T63712A T63712D T63712S T63792A T63792D T63792S T63812A T63812D T63812S T63822A T63822D T63822S T63832A T63832D T63832S T63892A T63892D T63892S T6392XA T6392XD T6392XS T6402XA T6402XD T6402XS T6482XA T6482XD T6482XS T650X2A T650X2D T650X2S T651X2A T651X2D T651X2S T65212A T65212D T65212S T65222A T65222D T65222S T65292A T65292D T65292S T653X2A T653X2D T653X2S T654X2A T654X2D T654X2S T655X2A T655X2D T655X2S T656X2A T656X2D T656X2S T65812A T65812D T65812S T65822A T65822D T65822S T65832A T65832D T65832S T65892A T65892D T65892S T6592XA T6592XD T6592XS T71112A T71112D T71112S T71122A T71122D T71122S T71132A T71132D T71132S T71152A T71152D T71152S T71162A T71162D T71162S T71192A T71192D T71192S T71222A T71222D T71222S T71232A T71232D T71232S X710XXA X710XXD X710XXS X711XXA X711XXD X711XXS X712XXA X712XXD X712XXS X713XXA X713XXD X713XXS X718XXA X718XXD X718XXS X719XXA X719XXD X719XXS X72XXXA X72XXXD X72XXXS X730XXA X730XXD X730XXS X731XXA X731XXD X731XXS X732XXA X732XXD X732XXS X738XXA X738XXD X738XXS X739XXA X739XXD X739XXS X7401XA X7401XD X7401XS X7402XA X7402XD X7402XS X7409XA X7409XD X7409XS X748XXA X748XXD X748XXS X749XXA X749XXD X749XXS X75XXXA X75XXXD X75XXXS X76XXXA X76XXXD X76XXXS X770XXA X770XXD X770XXS X771XXA X771XXD X771XXS X772XXA X772XXD X772XXS X773XXA X773XXD X773XXS X778XXA X778XXD X778XXS X779XXA X779XXD X779XXS X780XXA X780XXD X780XXS X781XXA X781XXD X781XXS X782XXA X782XXD X782XXS X788XXA X788XXD X788XXS X789XXA X789XXD X789XXS X79XXXA X79XXXD X79XXXS X80XXXA X80XXXD X80XXXS X810XXA X810XXD X810XXS X811XXA X811XXD X811XXS X818XXA X818XXD X818XXS X820XXA X820XXD X820XXS X821XXA X821XXD X821XXS X822XXA X822XXD X822XXS X828XXA X828XXD X828XXS X830XXA

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X830XXD X830XXS X831XXA X831XXD X831XXS X832XXA X832XXD X832XXS X838XXA X838XXD X838XXS Z915

5.14 Screeningandhistoryofmentalhealthandsubstanceusecodes[663]R780 R781 R782 R783 R784 R785 R786 Z046 Z134 Z72810 Z72811 Z8651 Z8659 Z87891 Z91410 Z91411 Z91412 Z91419 Z9149

5.15 Miscellaneous mental disorders [670]F061 F068 F440 F441 F442 F444 F445 F446 F447 F4481 F4489 F449 F450 F451 F4520 F4521 F4522 F4529 F4541 F4542 F458 F459 F481 F5000 F5001 F5002 F502 F508 F509 F5101 F5102 F5103 F5104 F5105 F5109 F5111 F5112 F5113 F5119 F513 F514 F515 F518 F519 F520 F521 F5221 F5222 F5231 F5232 F524 F525 F526 F528 F529 F53 F54 F59 F641 F648 F649 F650 F651 F652 F653 F654 F6550 F6551 F6552 F6581 F6589 F659 F66 F6810 F6811 F6812 F6813 F688 F99 O906 R37 R4589 R630 R632 Z87890 Z9183

TEDSsubstanceusediagnosiscodes291 - 291.99: Alcoholic Psychoses

292.00-292.99: Drug Psychoses

303.00-303.89: Alcohol Intoxication

303.90-303.99: Alcohol Dependence

304.00-304.09: Opioid Dependence

304.20-304.29: Cocaine Dependence

304.30-304.39: Marijuana Dependence

304.10-304.19,

304.40-304.99,

305.10-305.19: Other Substance Dependence

305.00-305.09: Alcohol Use

305.60-305.69: Cocaine Use

305.20-305.29: Marijuana Use

305.50-305.59: Opioid Use

305.30-305.49,

305.70-305.99: Other Substance Use

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Appendix FTerms And Acronyms

Admission

Admission indicates the beginning of mental health service provision to a person with mental illness though programs under the autopsies of the State Mental Health Agency (SMHA). This includes new admissions (someone who has never received any services from the SMHA) and readmissions (someone who had previously received services from the SMHA, had been discharged, and started receiving services during the reporting period). ADHD – Attention Deficit Hyperactivity Disorder. ADHD is a chronic condition marked by persistent inattention, hyperactivity, and sometimes impul-sivity. ADHD begins in childhood and often lasts into adulthood. ADD – Attention Deficit Disorder. ADD is a condition whose symptoms include impulsiveness and a short attention span. ADHD is a common condition that affects children and adolescents, while ADD is more common in individuals. CBHSQ – Center for Behavioral Health Statistics and Quality. A center within the Substance Abuse and Mental Health Services Administration (SAMHSA) under the U.S. Department of Health and Human Services (HHS), CBHSQ is the lead government agency for behavioral health statistics as designed by the Office of Management and Budget (OMB). [Source: http://www.samhsa.gov/about-us/who-we-are/offices-centers/cbhsq]. CD – Conduct disorder. CD is a serious behavioral and emotional disorder that can occur in children and teens. A child with this disorder may display a pattern of disruptive and violent behavior and have problems following rules. CGAS – Children’s Global Assessment Scale. CGAS is a numeric scale (0-100) widely used by mental health clinicians to measure the overall severity of disturbance among children under the age of 18. A higher score means higher level of functioning in all areas measured by the instrument (i.e., social, psychological, and occupational functioning of child). This is reported as Axis V in Diagnostic Statistical Manual of Mental Dis-order (DSM). DSM-5 – Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. DSM-5 is the standard classification of mental disorders used by mental health professionals in the United States. DSM consists of three major components: the diagnostic classification, the diagnos-tic criteria sets, and the descriptive text. [Source: APA https://www.psychiatry.org/psychiatrists/practice/dsm]GED – General Educational Development.

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GED is designed for people who, for various reasons, did not graduate from high school but want a certificate equivalent to the traditional high school diploma. ICD-9-CM – International Classification of Diseases, Ninth Revision, Clinical Modification. ICD-9-CM is based on the World Health Organization’s Ninth Revision, International Classifica-tion of Diseases (ICD-9). ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States. ODD – Oppositional Defiant Disorder. ODD is a childhood disorder that is characterized by negative, defiant, disobedient, and often hostile behavior toward individuals and authority figures primarily. PDD – Pervasive Developmental Disorders. PDD refers to a group of conditions that involve delays in the development of many basic skills. Most notable among them are the ability to socialize with others, to communicate, and to use imagination.

Source: MH-CLD Instruction Manual (V. 2.5) and Combined SA and MH TEDS State Instruction Manual (V.4.1)

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Appendix GList of Contributors

This report was prepared by the Center for Behavioral Health Statistics and Quality (CBHSQ), Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services (HHS). Work was performed under Contract No. HHSS283200700048I/ HHSS28342001T.Production of the report at SAMHSA was managed by Cathie Alderks. SAMHSA contributors and reviewers, listed alphabetically, include Cathie Alderks, Herman Alvarado, Elizabeth Hoeffel, Heydy Juarez, Sharon Liu, and Nichele Waller.

Documents

Mental Health Annual Report 2015 - SAMHSA · Mental Health Annual Report 2015. Use of Mental Health Services: National Client-Level Data. DEPARTMENT OF HEALTH AND HUMAN SERVICES