Section 11 SE Tables – Results from the 2018 National Survey on Drug Use and Health: Detailed Tables, Sections 1

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Table 11.1C – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17: Standard Errors of Numbers in Thousands, 2002-2018
Setting Where Mental Health Service Was Received	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SPECIALTY MENTAL HEALTH SERVICE¹	70	71	78	75	74	77	72	74	73	75	70	80	84	80	81	89	92
Outpatient	67	68	75	73	72	72	70	70	68	73	67	75	80	77	78	86	87
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor	63	61	64	66	65	67	68	65	63	67	65	68	76	74	74	81	83
Mental Health Clinic or Center	35	31	38	34	33	30	33	32	32	30	31	40	39	41	43	47	49
Partial Day Hospital or Day Treatment Program	27	25	28	29	31	28	26	24	26	26	25	31	33	31	34	34	34
In-Home Therapist, Counselor, or Family Preservation Worker	33	32	40	36	37	37	36	35	34	39	38	40	41	42	39	41	46
Inpatient or Residential¹	31	33	35	35	35	33	31	31	31	31	31	35	38	38	40	40	40
Hospital	28	31	32	30	33	31	28	28	28	28	29	32	36	36	38	37	37
Residential Treatment Center	20	23	24	22	20	17	19	20	19	22	20	21	23	23	26	26	25
NONSPECIALTY MENTAL HEALTH SERVICE²	nc	nc	nc	nc	nc	nc	nc	79	75	75	74	80	85	86	85	87	89
Education^2,3	nc	nc	nc	nc	nc	nc	nc	73	70	68	70	78	81	82	80	83	85
School Social Worker, School Psychologist, or School Counselor	nc	nc	nc	nc	nc	nc	nc	63	64	61	63	65	72	72	68	70	76
Special School or Program within a Regular School for Students with Emotional or Behavioral Problems	nc	nc	nc	nc	nc	nc	nc	43	42	46	47	48	51	53	55	57	53
General Medicine
Pediatrician or Other Family Doctor	33	37	36	42	35	35	36	34	33	35	32	36	38	38	38	43	42
Juvenile Justice
Juvenile Detention Center, Prison, or Jail	--	--	--	--	--	--	--	14	12	14	12	10	12	10	11	10	11
Child Welfare
Foster Care or Therapeutic Foster Care	15	19	18	17	17	13	14	13	14	18	13	13	14	13	16	14	15
SPECIALTY MENTAL HEALTH SERVICES AND EDUCATION, GENERAL MEDICINE OR CHILD WELFARE SERVICES^1,2,3	nc	nc	nc	nc	nc	nc	nc	48	47	49	49	52	57	52	56	62	62
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive. ¹ Because of revisions in 2013 to Specialty Mental Health Service estimates, these 2002 to 2012 estimates may differ from estimates published prior to the 2013 NSDUH. ² Because of revisions in 2009 to the questions on the Source of Youth Mental Health Education Services, these estimates are not comparable with the education services estimates published prior to the 2009 NSDUH. ³ Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

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Table 11.1D – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17: Standard Errors of Percentages, 2002-2018
Setting Where Mental Health Service Was Received	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SPECIALTY MENTAL HEALTH SERVICE¹	0.28	0.28	0.31	0.30	0.29	0.31	0.29	0.30	0.30	0.31	0.28	0.32	0.34	0.32	0.33	0.36	0.38
Outpatient	0.27	0.27	0.30	0.29	0.29	0.29	0.29	0.29	0.28	0.30	0.27	0.31	0.33	0.31	0.32	0.35	0.36
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor	0.25	0.25	0.26	0.26	0.26	0.27	0.27	0.27	0.26	0.27	0.26	0.28	0.31	0.30	0.30	0.33	0.34
Mental Health Clinic or Center	0.14	0.13	0.15	0.14	0.13	0.12	0.13	0.13	0.13	0.12	0.13	0.16	0.16	0.17	0.18	0.19	0.20
Partial Day Hospital or Day Treatment Program	0.11	0.10	0.11	0.11	0.12	0.11	0.10	0.10	0.11	0.10	0.10	0.13	0.13	0.12	0.14	0.14	0.14
In-Home Therapist, Counselor, or Family Preservation Worker	0.13	0.13	0.16	0.14	0.15	0.15	0.15	0.14	0.14	0.16	0.15	0.16	0.17	0.17	0.16	0.17	0.19
Inpatient or Residential¹	0.12	0.13	0.14	0.14	0.14	0.13	0.13	0.13	0.13	0.13	0.13	0.14	0.15	0.15	0.16	0.16	0.16
Hospital	0.11	0.12	0.13	0.12	0.13	0.12	0.11	0.11	0.12	0.11	0.12	0.13	0.15	0.15	0.16	0.15	0.15
Residential Treatment Center	0.08	0.09	0.09	0.09	0.08	0.07	0.08	0.08	0.08	0.09	0.08	0.08	0.09	0.09	0.11	0.11	0.10
NONSPECIALTY MENTAL HEALTH SERVICE²	nc	nc	nc	nc	nc	nc	nc	0.33	0.32	0.31	0.30	0.33	0.35	0.35	0.35	0.36	0.37
Education^2,3	nc	nc	nc	nc	nc	nc	nc	0.30	0.29	0.28	0.29	0.32	0.33	0.34	0.33	0.34	0.35
School Social Worker, School Psychologist, or School Counselor	nc	nc	nc	nc	nc	nc	nc	0.26	0.27	0.25	0.26	0.27	0.29	0.30	0.28	0.29	0.31
Special School or Program within a Regular School for Students with Emotional or Behavioral Problems	nc	nc	nc	nc	nc	nc	nc	0.18	0.18	0.19	0.19	0.20	0.21	0.22	0.23	0.23	0.22
General Medicine
Pediatrician or Other Family Doctor	0.13	0.15	0.15	0.17	0.14	0.14	0.14	0.14	0.14	0.14	0.13	0.15	0.15	0.16	0.15	0.17	0.17
Juvenile Justice
Juvenile Detention Center, Prison, or Jail	--	--	--	--	--	--	--	0.06	0.05	0.06	0.05	0.04	0.05	0.04	0.05	0.04	0.04
Child Welfare
Foster Care or Therapeutic Foster Care	0.06	0.08	0.07	0.07	0.07	0.05	0.06	0.05	0.06	0.07	0.05	0.05	0.06	0.05	0.07	0.06	0.06
SPECIALTY MENTAL HEALTH SERVICES AND EDUCATION, GENERAL MEDICINE OR CHILD WELFARE SERVICES^1,2,3	nc	nc	nc	nc	nc	nc	nc	0.20	0.20	0.20	0.20	0.21	0.23	0.21	0.23	0.25	0.25
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive. ¹ Because of revisions in 2013 to Specialty Mental Health Service estimates, these 2002 to 2012 estimates may differ from estimates published prior to the 2013 NSDUH. ² Because of revisions in 2009 to the questions on the Source of Youth Mental Health Education Services, these estimates are not comparable with the education services estimates published prior to the 2009 NSDUH. ³ Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

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Table 11.1P – Settings Where Mental Health Services Were Received in Past Year among Persons Aged 12 to 17: P Values from Tests of Differences of Percentages, 2018 Versus 2002-2017
Setting Where Mental Health Service Was Received	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
SPECIALTY MENTAL HEALTH SERVICE¹	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0144	0.0246
Outpatient	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0002	0.0000	0.0089	0.0472
Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0005	0.0000	0.0212	0.1041
Mental Health Clinic or Center	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0001	0.0006	0.0025	0.4642	0.8398
Partial Day Hospital or Day Treatment Program	0.2980	0.1282	0.2160	0.2972	0.5712	0.0824	0.0086	0.0007	0.0069	0.0278	0.1796	0.8470	0.7045	0.5082	0.9268	0.7077
In-Home Therapist, Counselor, or Family Preservation Worker	0.0000	0.0000	0.0008	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0016	0.0025	0.0062	0.0636	0.0490	0.0772	0.0659
Inpatient or Residential¹	0.0006	0.0048	0.2132	0.1346	0.0519	0.0279	0.0039	0.0022	0.0053	0.0017	0.0061	0.0388	0.1654	0.4406	0.3520	0.6843
Hospital	0.0001	0.0024	0.0368	0.0563	0.0335	0.0269	0.0026	0.0004	0.0012	0.0002	0.0018	0.0312	0.2382	0.6913	0.2816	0.8048
Residential Treatment Center	0.0184	0.0376	0.8567	0.0217	0.0107	0.0005	0.0012	0.0073	0.0131	0.0647	0.0476	0.0036	0.1618	0.3783	0.7523	0.6214
NONSPECIALTY MENTAL HEALTH SERVICE²	nc	nc	nc	nc	nc	nc	nc	0.0000	0.0001	0.0000	0.0017	0.0040	0.0371	0.0182	0.0290	0.1445
Education^2,3	nc	nc	nc	nc	nc	nc	nc	0.0000	0.0001	0.0000	0.0039	0.0080	0.0501	0.0362	0.0180	0.0519
School Social Worker, School Psychologist, or School Counselor	nc	nc	nc	nc	nc	nc	nc	0.2889	0.1365	0.0186	0.7780	0.2435	0.7895	0.1169	0.1965	0.1252
Special School or Program within a Regular School for Students with Emotional or Behavioral Problems	nc	nc	nc	nc	nc	nc	nc	0.0000	0.0000	0.0000	0.0000	0.0006	0.0005	0.1427	0.0499	0.1104
General Medicine
Pediatrician or Other Family Doctor	0.0328	0.4225	0.3164	0.7045	0.0925	0.1009	0.2535	0.0032	0.0036	0.0050	0.0067	0.1401	0.2089	0.0766	0.3013	0.5636
Juvenile Justice
Juvenile Detention Center, Prison, or Jail	--	--	--	--	--	--	--	0.0005	0.0385	0.0024	0.0295	0.4736	0.3255	0.7130	0.7305	0.8665
Child Welfare
Foster Care or Therapeutic Foster Care	0.0035	0.0006	0.0092	0.0370	0.1472	0.3725	0.2423	0.9717	0.4241	0.0481	0.9468	0.7899	0.9267	0.4396	0.5122	0.9368
SPECIALTY MENTAL HEALTH SERVICES AND EDUCATION, GENERAL MEDICINE OR CHILD WELFARE SERVICES^1,2,3	nc	nc	nc	nc	nc	nc	nc	0.0000	0.0000	0.0000	0.0000	0.0063	0.0036	0.0002	0.0134	0.2554
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents could indicate multiple service settings; thus, the response categories are not mutually exclusive. ¹ Because of revisions in 2013 to Specialty Mental Health Service estimates, the 2002 to 2012 estimates that are used in the comparisons may differ from estimates published prior to the 2013 NSDUH. ² Because of revisions in 2009 to the questions on the Source of Youth Mental Health Education Services, the estimates that are used in the comparisons are not comparable with the education services estimates published prior to the 2009 NSDUH. ³ Respondents who did not report their school enrollment status, who reported not being enrolled in school in the past 12 months, or who reported being home-schooled were not asked about receipt of mental health services from this setting; however, respondents who reported not being enrolled in school in the past 12 months were classified as not having received treatment/counseling from this setting. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

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Table 11.2C – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	62	63	60	63	60	59	57	58	63	72	77	80	77	85	88
AGE GROUP
12-13	29	27	27	25	27	26	25	24	29	32	37	38	34	35	39
14-15	37	40	34	36	37	39	34	38	40	49	48	53	47	52	56
16-17	48	42	45	44	44	41	41	45	42	46	52	54	59	63	70
GENDER
Male	32	32	32	33	30	32	30	32	32	40	39	41	42	44	47
Female	51	52	50	51	50	46	45	49	51	57	63	69	62	69	70
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	56	56	51	57	54	53	51	50	53	61	66	68	67	71	73
White	53	53	45	53	49	48	49	46	48	56	62	66	63	68	68
Black or African American	26	27	22	26	25	27	22	22	23	25	26	25	24	28	28
AIAN	3	3	3	2	5	3	2	5	3	2	3	*	5	7	7
NHOPI	*	*	*	*	*	*	1	*	*	*	*	*	*	*	*
Asian	17	12	21	15	19	14	12	17	12	22	20	18	22	21	27
Two or More Races	10	7	12	7	10	6	9	12	12	13	12	15	14	15	16
Hispanic or Latino	28	29	29	26	27	26	27	32	33	38	38	41	40	44	46
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

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Table 11.2D – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Standard Errors of Percentages, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	0.25	0.25	0.24	0.25	0.25	0.24	0.24	0.24	0.26	0.30	0.32	0.33	0.32	0.35	0.36
AGE GROUP
12-13	0.33	0.33	0.34	0.32	0.35	0.34	0.32	0.30	0.36	0.40	0.46	0.49	0.44	0.45	0.50
14-15	0.42	0.44	0.38	0.41	0.42	0.44	0.42	0.44	0.45	0.52	0.55	0.57	0.52	0.59	0.61
16-17	0.54	0.47	0.48	0.49	0.48	0.45	0.46	0.48	0.48	0.54	0.56	0.59	0.63	0.67	0.71
GENDER
Male	0.25	0.25	0.25	0.26	0.24	0.26	0.25	0.26	0.25	0.33	0.31	0.33	0.34	0.36	0.38
Female	0.42	0.42	0.41	0.43	0.42	0.39	0.39	0.41	0.43	0.48	0.53	0.58	0.52	0.58	0.59
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.27	0.27	0.25	0.28	0.28	0.27	0.27	0.26	0.28	0.32	0.35	0.36	0.36	0.39	0.40
White	0.31	0.32	0.27	0.33	0.31	0.31	0.33	0.31	0.33	0.37	0.43	0.46	0.44	0.47	0.48
Black or African American	0.63	0.64	0.52	0.63	0.62	0.71	0.59	0.59	0.60	0.68	0.71	0.70	0.69	0.75	0.79
AIAN	2.03	1.44	2.44	1.60	2.89	2.03	1.77	3.68	2.15	1.33	1.82	*	2.98	4.35	4.09
NHOPI	*	*	*	*	*	*	1.07	*	*	*	*	*	*	*	*
Asian	1.64	1.17	1.98	1.42	1.80	1.39	1.11	1.33	0.98	1.63	1.52	1.43	1.63	1.52	1.79
Two or More Races	2.15	1.62	2.54	1.59	1.84	1.24	1.69	1.60	1.59	1.71	1.53	1.67	1.68	1.77	1.85
Hispanic or Latino	0.67	0.68	0.65	0.58	0.58	0.56	0.56	0.61	0.61	0.70	0.70	0.72	0.71	0.76	0.79
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

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Table 11.2P – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2004-2017
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
TOTAL	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0001	0.0007	0.0196
AGE GROUP
12-13	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0004	0.0990	0.4474	0.1063	0.0298
14-15	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0002	0.0000	0.0633	0.0136	0.3486
16-17	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0001	0.0575	0.1693
GENDER
Male	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0001	0.0003	0.0106	0.1102
Female	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0153	0.0074	0.0623
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0011	0.0078	0.0407
White	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0108	0.0516	0.0839
Black or African American	0.0107	0.0092	0.0000	0.0126	0.0015	0.0257	0.0004	0.0008	0.0154	0.1115	0.2634	0.1927	0.2828	0.4598
AIAN	0.1031	0.0346	0.2095	0.0161	0.3012	0.0885	0.0784	0.4798	0.0297	0.0129	0.0645	*	0.4494	0.8451
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	0.0317	0.0005	0.0273	0.0024	0.0213	0.0087	0.0001	0.0077	0.0000	0.1657	0.1677	0.0986	0.5159	0.3349
Two or More Races	0.0328	0.0034	0.1304	0.0014	0.0282	0.0000	0.0009	0.0039	0.0087	0.0636	0.0295	0.3841	0.1210	0.7469
Hispanic or Latino	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0006	0.0005	0.0260	0.0302	0.2305
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

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Table 11.3C – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	50	49	54	49	48	47	53	62	66	68	65	74	71
AGE GROUP
12-13	18	18	22	21	21	19	25	26	30	29	27	28	29
14-15	31	30	30	32	28	30	33	43	41	43	40	45	47
16-17	38	34	39	36	33	36	35	39	44	45	48	53	59
GENDER
Male	24	26	24	25	26	26	25	33	31	34	35	38	37
Female	44	41	45	40	39	37	45	51	56	59	53	62	60
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	43	45	48	44	42	41	44	52	55	58	58	62	63
White	37	41	44	39	41	35	40	47	52	55	53	56	56
Black or African American	17	20	21	22	17	20	16	20	21	20	19	24	22
AIAN	3	2	3	2	2	5	2	2	2	*	3	2	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	19	10	16	11	10	14	9	20	16	13	19	18	21
Two or More Races	7	6	9	6	8	9	12	9	9	13	13	11	14
Hispanic or Latino	25	21	23	22	22	24	29	33	32	34	32	38	37
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.3D – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: Standard Errors of Percentages, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	0.20	0.20	0.22	0.20	0.20	0.19	0.22	0.26	0.27	0.28	0.27	0.31	0.29
AGE GROUP
12-13	0.22	0.23	0.28	0.28	0.27	0.24	0.31	0.33	0.38	0.38	0.36	0.36	0.36
14-15	0.35	0.35	0.35	0.36	0.34	0.36	0.38	0.47	0.48	0.49	0.46	0.51	0.53
16-17	0.42	0.39	0.43	0.40	0.38	0.39	0.40	0.46	0.49	0.52	0.53	0.59	0.61
GENDER
Male	0.18	0.20	0.20	0.21	0.21	0.21	0.20	0.26	0.25	0.28	0.28	0.30	0.30
Female	0.36	0.34	0.38	0.34	0.33	0.31	0.38	0.42	0.47	0.50	0.45	0.52	0.51
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.21	0.22	0.24	0.22	0.22	0.21	0.23	0.27	0.29	0.31	0.31	0.34	0.34
White	0.23	0.26	0.28	0.26	0.28	0.24	0.28	0.32	0.37	0.41	0.39	0.40	0.41
Black or African American	0.42	0.50	0.53	0.59	0.47	0.55	0.46	0.56	0.57	0.58	0.57	0.67	0.64
AIAN	1.91	1.07	2.27	1.66	1.58	3.56	1.31	1.24	1.49	*	2.19	1.17	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	1.81	1.04	1.60	1.14	0.98	1.10	0.80	1.46	1.25	1.04	1.42	1.36	1.40
Two or More Races	1.67	1.50	1.76	1.12	1.45	1.23	1.56	1.22	1.25	1.56	1.57	1.32	1.73
Hispanic or Latino	0.57	0.47	0.49	0.48	0.47	0.46	0.54	0.61	0.59	0.61	0.57	0.66	0.64
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.3P – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2006-2017
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
TOTAL	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0022	0.0063	0.1054
AGE GROUP
12-13	0.0000	0.0000	0.0000	0.0001	0.0000	0.0000	0.0039	0.0465	0.8233	0.8696	0.4850	0.2142
14-15	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0080	0.0008	0.1028	0.0323	0.5074
16-17	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0006	0.0016	0.0951	0.2304
GENDER
Male	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0001	0.0006	0.0023	0.0799	0.3809
Female	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0012	0.0716	0.0239	0.1566
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0096	0.0565	0.0566
White	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0008	0.0689	0.1883	0.0966
Black or African American	0.0001	0.0252	0.0057	0.1406	0.0022	0.0624	0.0066	0.3817	0.4950	0.2149	0.2569	0.8953
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	0.0964	0.0028	0.0356	0.0219	0.0048	0.0205	0.0000	0.6162	0.1843	0.0411	0.9522	0.5173
Two or More Races	0.0101	0.0052	0.1048	0.0001	0.0002	0.0041	0.0249	0.0063	0.0135	0.4899	0.1666	0.1315
Hispanic or Latino	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0016	0.0448	0.0391	0.1050	0.0407	0.9414
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.4C – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	41	39	41	41	37	35	37	37	38	44	51	53	52	55	60
AGE GROUP
12-13	17	14	16	17	14	12	14	13	15	20	21	19	20	22	24
14-15	22	26	21	22	22	19	22	21	23	27	28	35	30	32	36
16-17	31	25	30	27	27	26	25	28	26	28	35	35	37	40	41
GENDER
Male	20	18	19	22	17	17	17	20	16	21	24	24	25	24	29
Female	35	34	36	34	33	30	32	32	33	39	44	48	46	51	53
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	38	36	35	38	33	31	32	34	33	36	46	45	46	49	49
White	33	30	29	33	31	27	30	28	28	33	41	39	41	44	44
Black or African American	13	19	10	17	12	13	9	13	14	12	17	17	14	16	15
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	10	*	9	9
Hispanic or Latino	17	17	21	13	16	16	17	15	18	25	23	26	25	25	33
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.4D – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic Characteristics: Standard Errors of Percentages, 2004-2018
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	1.38	1.42	1.60	1.52	1.48	1.52	1.51	1.47	1.34	1.35	1.42	1.40	1.30	1.29	1.36
AGE GROUP
12-13	3.18	2.89	3.39	3.73	3.27	3.31	3.68	3.51	2.96	3.45	3.22	2.91	3.15	3.23	3.00
14-15	2.25	2.46	2.49	2.51	2.55	2.27	2.52	2.45	2.19	2.15	2.27	2.27	2.20	2.15	2.26
16-17	2.14	2.04	2.44	2.10	2.19	2.36	2.32	2.23	2.02	2.00	2.28	2.11	1.83	1.96	2.00
GENDER
Male	2.56	2.61	2.85	2.83	2.74	2.55	2.65	2.80	2.35	2.82	2.74	2.60	2.62	2.44	2.55
Female	1.67	1.61	1.88	1.83	1.74	1.79	1.82	1.74	1.61	1.55	1.66	1.62	1.48	1.53	1.58
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1.48	1.59	1.69	1.64	1.58	1.60	1.69	1.65	1.54	1.47	1.59	1.58	1.48	1.47	1.46
White	1.62	1.74	1.81	1.84	1.89	1.81	1.90	1.84	1.73	1.75	1.89	1.80	1.70	1.70	1.73
Black or African American	3.60	4.67	3.60	4.36	3.57	4.01	3.37	4.30	4.06	3.48	4.19	4.50	3.96	3.99	3.58
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	5.78	*	5.05	5.23
Hispanic or Latino	3.63	3.61	4.38	3.66	4.10	3.68	3.69	3.16	2.72	3.21	3.09	2.90	2.76	2.66	3.02
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.4P – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode in Past Year, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2004-2017
Demographic Characteristic	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
TOTAL	0.5689	0.0633	0.2199	0.2429	0.0676	0.0009	0.0738	0.1268	0.0199	0.0845	0.8991	0.2740	0.7662	0.9458
AGE GROUP
12-13	0.5642	0.0605	0.2115	0.8783	0.1063	0.0167	0.0840	0.3401	0.0177	0.7147	0.2656	0.0308	0.1929	0.4839
14-15	0.0742	0.9558	0.4049	0.1895	0.0251	0.0122	0.4013	0.1356	0.1418	0.1911	0.7217	0.8437	0.9881	0.2804
16-17	0.2800	0.0979	0.7336	0.4918	0.8478	0.1601	0.4026	0.6555	0.5240	0.2509	0.3945	0.9221	0.7751	0.1467
GENDER
Male	0.9600	0.3423	0.5634	0.8234	0.3381	0.0214	0.1299	0.5532	0.0078	0.0406	0.9684	0.7373	0.2578	0.1462
Female	0.5123	0.0922	0.2748	0.2385	0.1123	0.0122	0.2469	0.1610	0.2158	0.3869	0.8361	0.2444	0.8043	0.3905
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.4503	0.0993	0.1649	0.5014	0.1209	0.0005	0.0264	0.4002	0.0940	0.0471	0.6636	0.3214	0.8920	0.3854
White	0.6104	0.0059	0.0570	0.1863	0.2475	0.0009	0.0542	0.0654	0.0277	0.0689	1.0000	0.0222	0.6925	0.5486
Black or African American	0.2632	0.4224	0.2766	0.3685	0.6706	0.0473	0.0191	0.2556	0.8335	0.2315	0.2659	0.2016	0.9813	0.9306
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	0.1181	*	0.1650
Hispanic or Latino	0.8122	0.1911	0.6986	0.0409	0.1393	0.3037	0.9150	0.0523	0.0804	0.8152	0.2563	0.5537	0.3466	0.1964
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.5C – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	37	35	33	32	31	33	34	41	43	46	45	50	53
AGE GROUP
12-13	12	13	13	11	10	12	13	19	17	17	17	20	19
14-15	20	20	19	16	19	20	20	25	24	30	27	28	31
16-17	28	23	24	25	22	23	22	26	31	31	33	37	36
GENDER
Male	15	18	14	15	15	17	14	19	19	22	21	20	26
Female	34	29	30	28	27	27	30	36	38	41	40	47	46
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	33	32	30	27	28	30	29	34	39	39	41	45	43
White	27	29	29	23	25	25	26	30	34	34	37	40	38
Black or African American	9	12	11	12	8	13	10	11	15	14	10	15	13
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	19	11	12	15	15	15	17	23	20	22	21	22	29
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.5D – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year, by Demographic Characteristics: Standard Errors of Percentages, 2006-2018
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	1.95	1.90	1.73	1.83	1.80	1.79	1.66	1.61	1.67	1.63	1.58	1.57	1.65
AGE GROUP
12-13	4.23	4.51	4.25	4.05	3.93	4.16	3.80	4.27	3.89	3.64	3.83	4.08	3.83
14-15	2.97	3.09	3.03	2.69	3.10	3.05	2.66	2.58	2.72	2.56	2.63	2.58	2.65
16-17	2.95	2.66	2.61	2.87	2.65	2.64	2.40	2.40	2.62	2.48	2.20	2.36	2.32
GENDER
Male	3.57	3.53	3.25	3.21	3.22	3.37	3.24	3.60	3.43	3.27	3.17	3.01	3.13
Female	2.24	2.25	2.06	2.12	2.18	2.07	1.96	1.83	1.90	1.87	1.78	1.78	1.89
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2.07	2.06	1.92	1.90	1.99	1.97	1.86	1.76	1.90	1.84	1.79	1.76	1.73
White	2.16	2.33	2.22	2.12	2.18	2.23	2.12	2.07	2.19	2.05	2.03	2.07	2.08
Black or African American	4.80	4.98	4.31	5.08	4.62	5.03	4.76	4.40	5.04	5.20	4.49	4.76	4.64
AIAN	*	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	5.64	4.22	4.37	4.65	4.59	4.36	3.42	3.89	3.76	3.57	3.60	3.22	3.77
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.5P – Receipt of Treatment for Depression in Past Year among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2006-2017
Demographic Characteristic	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
TOTAL	0.8809	0.2341	0.0738	0.0011	0.0182	0.1561	0.0123	0.4090	0.3396	0.3128	0.9331	0.8143
AGE GROUP
12-13	0.5822	0.4073	0.1197	0.0163	0.0008	0.3877	0.0048	0.8247	0.1120	0.0495	0.0592	0.8547
14-15	0.8314	0.5568	0.0808	0.0080	0.8720	0.2588	0.1763	0.5225	0.5623	0.9444	0.6016	0.3752
16-17	0.7905	0.4114	0.7988	0.2086	0.1496	0.5155	0.4648	0.4503	0.9389	0.8382	0.6654	0.2085
GENDER
Male	0.4568	0.4689	0.1363	0.0308	0.0231	0.1651	0.0395	0.1291	0.6047	0.9003	0.2976	0.0703
Female	0.8444	0.3585	0.2026	0.0096	0.1959	0.4482	0.0722	0.8702	0.3857	0.2604	0.6317	0.1978
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.9801	0.6477	0.2178	0.0003	0.0081	0.2708	0.1013	0.3134	0.7610	0.3856	0.7327	0.2003
White	0.5498	0.7119	0.3759	0.0004	0.0190	0.1747	0.0486	0.3114	0.4258	0.0202	0.8733	0.4026
Black or African American	0.4871	0.6881	0.7341	0.1023	0.0438	0.5170	0.3886	0.4177	0.3303	0.2009	0.6411	0.8231
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	0.5782	0.0146	0.0314	0.5076	0.7502	0.2390	0.0364	0.9865	0.1438	0.5233	0.3446	0.1644
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.6C – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Standard Errors of Numbers in Thousands, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	46	47	46	54
Marijuana	35	32	32	31	32	30	29	32	31	36	39	39	40	39	46
Cocaine	11	12	11	11	12	8	9	9	10	7	11	9	8	8	10
Crack	6	5	6	7	5	4	4	5	3	2	5	*	3	2	0
Heroin	4	4	4	4	5	4	4	4	4	4	6	3	2	3	3
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	18	16	18	16
LSD	9	9	5	5	8	8	6	7	8	7	12	13	9	13	11
PCP	8	5	4	3	5	4	3	5	3	3	5	2	3	5	4
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	10	12	10	10
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	22	19	17	20
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7	3	5	4
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	29	30	30	31
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	23	26	21	24
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	21	19	21	17
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	15	18	20	20
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	14	19	20	19
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7	8	6	10
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	13	18	20	19
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	23	26	21	24
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	37	35	36	38
PAST MONTH USE
Alcohol	37	30	33	35	33	30	29	32	30	30	36	36	33	35	39
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	27	25	26	29
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	12	11	9	6
Cigarette Use	30	28	26	27	26	24	22	22	21	22	24	24	23	23	22
Daily Cigarette Use	17	14	14	14	11	11	9	11	9	7	11	12	6	7	7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.6D – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Standard Errors of Percentages, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.28	1.25	1.19	1.21
Marijuana	1.29	1.25	1.38	1.33	1.37	1.34	1.35	1.37	1.18	1.22	1.24	1.16	1.14	1.09	1.09
Cocaine	0.47	0.53	0.53	0.54	0.57	0.39	0.45	0.45	0.44	0.26	0.40	0.29	0.27	0.24	0.30
Crack	0.26	0.22	0.30	0.32	0.26	0.19	0.19	0.23	0.15	0.08	0.18	*	0.09	0.05	0.01
Heroin	0.17	0.17	0.22	0.19	0.26	0.19	0.20	0.19	0.19	0.14	0.21	0.09	0.05	0.09	0.07
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.58	0.52	0.55	0.47
LSD	0.41	0.39	0.28	0.22	0.38	0.41	0.29	0.33	0.35	0.26	0.43	0.42	0.30	0.41	0.32
PCP	0.34	0.21	0.20	0.16	0.27	0.20	0.18	0.24	0.12	0.13	0.19	0.06	0.08	0.17	0.11
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.32	0.37	0.31	0.29
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.70	0.59	0.53	0.56
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.22	0.08	0.15	0.11
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.91	0.91	0.88	0.85
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.75	0.80	0.64	0.67
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.67	0.59	0.64	0.49
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.48	0.59	0.61	0.57
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.45	0.59	0.60	0.54
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.24	0.27	0.17	0.29
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.44	0.57	0.60	0.53
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.75	0.80	0.64	0.67
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.12	1.01	1.01	1.00
PAST MONTH USE
Alcohol	1.33	1.21	1.36	1.41	1.43	1.32	1.38	1.34	1.22	1.04	1.17	1.09	0.98	0.99	1.00
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.84	0.78	0.78	0.77
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.40	0.35	0.27	0.17
Cigarette Use	1.16	1.15	1.21	1.18	1.15	1.15	1.08	1.01	0.89	0.84	0.82	0.73	0.70	0.67	0.61
Daily Cigarette Use	0.75	0.61	0.68	0.66	0.53	0.54	0.45	0.53	0.41	0.27	0.40	0.40	0.20	0.23	0.21
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.6P – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: P Values from Tests of Differences of Percentages, 2018 Versus 2004-2017
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.5072	0.5638	0.0568
Marijuana	0.2910	0.9841	0.6907	0.3067	0.4669	0.5420	0.9801	0.6541	0.7620	0.7747	0.5169	0.0668	0.5727	0.0860
Cocaine	0.0005	0.0001	0.0002	0.0001	0.0023	0.0167	0.0105	0.0017	0.0089	0.8552	0.3421	0.8166	0.7803	0.7250
Crack	0.0109	0.0112	0.0079	0.0089	0.0241	0.0115	0.0206	0.0249	0.0506	0.2967	0.0293	*	0.1233	0.2700
Heroin	0.0671	0.0593	0.0428	0.2582	0.1835	0.0382	0.0462	0.0273	0.0499	0.2104	0.0982	0.5147	0.9832	0.3531
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1631	0.1896	0.0660
LSD	0.7638	0.8960	0.0418	0.0102	0.4256	0.4421	0.2045	0.5204	0.9651	0.1073	0.9359	0.5702	0.2604	0.3824
PCP	0.0310	0.0181	0.0753	0.2661	0.0065	0.0505	0.2226	0.1292	0.1490	0.7154	0.2964	0.5122	0.8312	0.3407
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.6809	0.1605	0.7146
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1723	0.9709	0.4479
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.3504	0.8624	0.2705
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.2356	0.0420	0.5632
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1043	0.0040	0.6752
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0231	0.2017	0.1072
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.2003	0.4484	0.6644
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1603	0.5827	0.3869
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.7337	0.2740	0.3895
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1394	0.5979	0.4580
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1013	0.0034	0.6300
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0517	0.1191	0.8325
PAST MONTH USE
Alcohol	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0441	0.0062	0.3948	0.7524	0.8500
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.3798	0.8630	0.5689
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0157	0.0064	0.0672
Cigarette Use	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0023	0.0640	0.0732	0.5470
Daily Cigarette Use	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0013	0.0318	0.0110	0.4572	0.7131
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use that are used in the comparisons include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.7C – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year: Standard Errors of Numbers in Thousands, 2006-2018
Substance	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	42	40	40	47
Marijuana	27	25	29	27	23	26	27	30	35	36	35	33	41
Cocaine	8	10	11	7	7	8	9	5	9	9	8	7	8
Crack	4	7	2	3	3	5	3	2	3	*	3	2	0
Heroin	4	4	5	3	4	3	4	4	6	2	2	2	3
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	18	15	17	15
LSD	4	4	7	6	5	6	8	5	12	13	8	12	10
PCP	4	3	5	2	2	4	3	3	5	2	3	5	4
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	10	10	10	10
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	19	16	16	18
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	6	2	5	4
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	27	27	27	27
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	21	23	18	20
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	20	18	20	16
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	14	17	18	19
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	13	17	18	18
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	7	8	5	9
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	13	17	18	18
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	21	22	18	20
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	34	31	32	32
PAST MONTH USE
Alcohol	28	29	29	26	24	26	26	26	31	30	28	31	35
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	24	21	24	26
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	12	10	8	5
Cigarette Use	23	22	23	22	18	18	18	20	21	23	20	20	20
Daily Cigarette Use	12	11	10	9	7	9	8	6	11	12	5	7	6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.7D – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year: Standard Errors of Percentages, 2006-2018
Substance	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.55	1.43	1.49	1.51
Marijuana	1.71	1.55	1.62	1.63	1.56	1.57	1.46	1.43	1.49	1.42	1.34	1.32	1.39
Cocaine	0.59	0.71	0.72	0.48	0.54	0.55	0.58	0.27	0.47	0.42	0.35	0.29	0.32
Crack	0.31	0.47	0.17	0.20	0.24	0.33	0.22	0.11	0.16	*	0.12	0.07	0.01
Heroin	0.27	0.28	0.36	0.20	0.27	0.25	0.27	0.19	0.29	0.09	0.08	0.10	0.11
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.81	0.65	0.74	0.61
LSD	0.30	0.31	0.47	0.43	0.39	0.40	0.51	0.26	0.58	0.59	0.37	0.53	0.41
PCP	0.28	0.20	0.36	0.16	0.17	0.25	0.17	0.17	0.26	0.09	0.12	0.24	0.16
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.45	0.45	0.42	0.42
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.89	0.72	0.67	0.71
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.26	0.10	0.22	0.15
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.17	1.14	1.08	1.06
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.95	0.98	0.77	0.82
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.89	0.83	0.84	0.62
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.65	0.77	0.76	0.77
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.59	0.78	0.75	0.73
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.35	0.38	0.24	0.38
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.57	0.75	0.75	0.72
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.95	0.97	0.77	0.82
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.40	1.23	1.26	1.19
PAST MONTH USE
Alcohol	1.66	1.72	1.69	1.55	1.61	1.59	1.46	1.27	1.42	1.30	1.18	1.26	1.27
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	1.07	0.92	0.99	0.99
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.56	0.45	0.33	0.21
Cigarette Use	1.55	1.41	1.37	1.44	1.29	1.21	1.09	1.01	1.00	1.00	0.87	0.84	0.79
Daily Cigarette Use	0.86	0.79	0.65	0.66	0.55	0.64	0.50	0.32	0.53	0.55	0.22	0.30	0.25
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.7P – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with Major Depressive Episode with Severe Impairment in Past Year: P Values from Tests of Differences of Percentages, 2018 Versus 2006-2017
Substance	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.9385	0.4475	0.0323
Marijuana	0.5332	0.1130	0.4287	0.3624	0.0742	0.6458	0.5522	0.4613	0.2447	0.2320	0.3988	0.0433
Cocaine	0.0004	0.0003	0.0060	0.0179	0.0186	0.0187	0.0079	0.6442	0.3679	0.4400	0.5764	0.8298
Crack	0.0191	0.0100	0.0319	0.0253	0.0365	0.0245	0.0506	0.2988	0.0851	*	0.1242	0.2706
Heroin	0.0768	0.2526	0.2343	0.1610	0.0744	0.0720	0.0495	0.2438	0.1028	0.9628	0.9895	0.7852
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1453	0.4015	0.1278
LSD	0.0171	0.0189	0.3398	0.9799	0.2335	0.3875	0.7921	0.0200	0.8823	0.4747	0.2085	0.5242
PCP	0.1195	0.6560	0.0292	0.3747	0.6914	0.3606	0.2758	0.7474	0.3146	0.5083	0.8404	0.3811
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.6762	0.5426	0.8379
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.3422	0.7913	0.4468
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.4532	0.8082	0.1675
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0721	0.0173	0.9238
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0680	0.0028	0.7126
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0166	0.1167	0.3374
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1728	0.5946	0.6727
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1322	0.6979	0.9912
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.9277	0.2144	0.3723
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.1116	0.6656	0.9512
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0680	0.0022	0.6582
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0141	0.1041	0.9887
PAST MONTH USE
Alcohol	0.0000	0.0000	0.0001	0.0000	0.0057	0.0036	0.0017	0.3626	0.0780	0.6838	0.6890	0.8658
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.5434	0.6125	0.9448
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0085	0.0244	0.1435
Cigarette Use	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0004	0.0264	0.0370	0.1631	0.9233
Daily Cigarette Use	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0001	0.0174	0.0275	0.0081	0.6597	0.7950
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use that are used in the comparisons include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006-2018.

190418

Table 11.8C – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with No Major Depressive Episode in Past Year: Standard Errors of Numbers in Thousands, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	90	84	88	87
Marijuana	76	76	77	74	73	78	87	81	79	72	76	75	71	79	76
Cocaine	25	25	25	23	20	21	20	16	17	12	18	18	15	14	13
Crack	8	8	10	9	6	5	3	5	7	3	2	3	3	6	1
Heroin	9	6	7	5	9	6	7	9	8	6	5	6	4	4	3
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	33	27	30	25
LSD	15	15	13	14	16	11	16	14	13	13	21	23	18	19	18
PCP	9	13	10	9	8	9	7	6	10	5	7	10	5	5	3
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	21	17	18	15
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	33	28	29	33
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7	7	8	8
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	52	46	44	42
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	41	36	35	33
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	28	27	26	22
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	32	26	28	25
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	29	25	26	25
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	13	12	12	9
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	29	24	26	25
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	42	36	35	33
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	67	55	56	57
PAST MONTH USE
Alcohol	87	85	84	88	80	84	81	77	83	73	74	66	69	68	65
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	52	48	50	48
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	20	17	17	16
Cigarette Use	74	68	64	64	55	62	62	56	51	45	45	41	36	35	31
Daily Cigarette Use	35	31	31	31	27	28	27	25	23	19	24	18	14	11	13
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.8D – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with No Major Depressive Episode in Past Year: Standard Errors of Percentages, 2004-2018
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.38	0.36	0.37	0.40
Marijuana	0.31	0.30	0.31	0.30	0.29	0.32	0.36	0.34	0.31	0.31	0.33	0.33	0.31	0.34	0.35
Cocaine	0.11	0.11	0.11	0.10	0.09	0.09	0.09	0.07	0.07	0.05	0.09	0.08	0.07	0.06	0.06
Crack	0.04	0.03	0.04	0.04	0.02	0.02	0.01	0.02	0.03	0.01	0.01	0.01	0.01	0.03	0.01
Heroin	0.04	0.03	0.03	0.02	0.04	0.03	0.03	0.04	0.04	0.03	0.03	0.03	0.02	0.02	0.01
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.15	0.13	0.14	0.12
LSD	0.07	0.06	0.05	0.06	0.07	0.05	0.07	0.06	0.06	0.06	0.10	0.11	0.08	0.09	0.09
PCP	0.04	0.06	0.05	0.04	0.03	0.04	0.03	0.02	0.05	0.02	0.03	0.05	0.02	0.02	0.02
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.10	0.08	0.08	0.07
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.15	0.13	0.14	0.16
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.03	0.03	0.04	0.04
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.23	0.21	0.21	0.20
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.19	0.17	0.16	0.16
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.13	0.12	0.12	0.11
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.15	0.12	0.13	0.12
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.14	0.11	0.12	0.12
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.06	0.05	0.06	0.04
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.13	0.11	0.12	0.12
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.19	0.17	0.16	0.16
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.30	0.24	0.26	0.27
PAST MONTH USE
Alcohol	0.33	0.33	0.34	0.35	0.32	0.33	0.33	0.31	0.32	0.31	0.32	0.30	0.31	0.31	0.29
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.24	0.22	0.23	0.22
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.10	0.08	0.08	0.08
Cigarette Use	0.30	0.29	0.27	0.27	0.24	0.26	0.27	0.24	0.22	0.20	0.20	0.19	0.17	0.16	0.15
Daily Cigarette Use	0.15	0.13	0.14	0.14	0.12	0.12	0.12	0.11	0.10	0.09	0.11	0.08	0.07	0.05	0.06
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.8P – Substance Use in Past Year and Past Month among Persons Aged 12 to 17 with No Major Depressive Episode in Past Year: P Values from Tests of Differences of Percentages, 2018 Versus 2004-2017
Substance	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
PAST YEAR USE
Illicit Drugs	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0131	0.2374	0.5299
Marijuana	0.0000	0.0003	0.0002	0.0179	0.0007	0.0000	0.0000	0.0000	0.0001	0.0047	0.0245	0.1529	0.4375	0.4248
Cocaine	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0162	0.1846	0.0335	0.0314	0.2330	0.2748
Crack	0.0000	0.0000	0.0000	0.0000	0.0002	0.0018	0.0108	0.0012	0.1300	0.0632	0.1075	0.1991	0.2916	0.0704
Heroin	0.0009	0.0090	0.0063	0.0656	0.0244	0.0051	0.0637	0.0011	0.0815	0.0320	0.1644	0.1307	0.3873	0.5904
Hallucinogens	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0074	0.1999	0.0248
LSD	0.2011	0.0975	0.0072	0.0937	0.9161	0.0323	0.1043	0.1652	0.0976	0.1365	0.4243	0.1843	0.4735	0.1909
PCP	0.0001	0.0000	0.0004	0.0000	0.0001	0.0061	0.0153	0.0049	0.0073	0.0562	0.0492	0.0396	0.4267	0.6106
Ecstasy	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0104	0.1848	0.0960
Inhalants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.7369	0.0298	0.2558
Methamphetamine	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.2916	0.3526	0.8694
Misuse of Psychotherapeutics	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0001	0.2673	0.4926
Pain Relievers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0000	0.0328	0.1224
Stimulants	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0584	0.2554	0.1867
Tranquilizers or Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.4110	0.9194	0.4045
Tranquilizers	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.6505	0.9755	0.5148
Sedatives	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0086	0.1584	0.1791
Benzodiazepines	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.7723	0.9515	0.3811
Opioids	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0000	0.0275	0.1440
Illicit Drugs Other Than Marijuana¹	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0006	0.7616	0.4095
PAST MONTH USE
Alcohol	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0740	0.4139	0.0161
Binge Alcohol Use²	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0002	0.5412	0.0526
Heavy Alcohol Use	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	0.0287	0.2712	0.3346
Cigarette Use	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0041	0.0207
Daily Cigarette Use	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0000	0.0033	0.2939	0.7311
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ¹ Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ² Estimates of binge alcohol use that are used in the comparisons include use by those who were heavy alcohol users. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190419

Table 11.9C – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Standard Errors of Numbers in Thousands, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	28	27	27	29
Male	14	12	15	16
Female	24	24	23	24
Illicit Drug Use Disorder	23	23	24	25
Male	11	11	14	13
Female	20	20	20	21
Alcohol Use Disorder	22	20	19	20
Male	11	8	11	*
Female	19	18	16	16
NO SUBSTANCE USE DISORDER	83	80	86	95
Male	39	41	43	47
Female	73	68	74	81
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.9D – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Standard Errors of Percentages, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	2.04	2.12	2.27	2.42
Male	2.27	2.28	2.93	3.26
Female	3.09	3.18	3.20	3.55
Illicit Drug Use Disorder	2.40	2.49	2.68	2.73
Male	2.54	2.79	3.28	3.31
Female	3.69	3.77	3.94	3.88
Alcohol Use Disorder	3.08	3.14	3.29	3.68
Male	3.53	3.79	5.11	*
Female	4.33	4.31	4.47	5.13
NO SUBSTANCE USE DISORDER	0.33	0.32	0.34	0.36
Male	0.32	0.34	0.34	0.38
Female	0.59	0.52	0.58	0.60
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.9P – Major Depressive Episode in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
Substance Use Disorder Status/Gender	2015	2016	2017
SUBSTANCE USE DISORDER	0.0002	0.0136	0.1652
Male	0.0030	0.0043	0.3988
Female	0.0131	0.2953	0.1636
Illicit Drug Use Disorder	0.0001	0.0021	0.0878
Male	0.0026	0.0133	0.5083
Female	0.0017	0.0284	0.0358
Alcohol Use Disorder	0.1045	0.7995	0.6559
Male	*	*	*
Female	0.8693	0.2523	0.8493
NO SUBSTANCE USE DISORDER	0.0003	0.0016	0.0238
Male	0.0016	0.0597	0.1430
Female	0.0183	0.0053	0.0761
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.10C – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Standard Errors of Numbers in Thousands, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	26	24	25	26
Male	12	10	14	14
Female	23	22	20	22
Illicit Drug Use Disorder	22	21	21	23
Male	10	10	12	11
Female	20	19	18	20
Alcohol Use Disorder	20	18	16	18
Male	10	7	10	*
Female	18	16	13	15
NO SUBSTANCE USE DISORDER	65	65	74	74
Male	31	34	35	36
Female	59	54	63	65
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.10D – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: Standard Errors of Percentages, 2015-2018
Substance Use Disorder Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER	1.94	2.02	2.14	2.38
Male	2.04	2.05	2.72	3.01
Female	3.03	3.08	3.10	3.66
Illicit Drug Use Disorder	2.34	2.41	2.48	2.74
Male	2.31	2.54	3.04	3.04
Female	3.64	3.76	3.73	4.09
Alcohol Use Disorder	2.98	3.07	3.09	3.67
Male	3.26	3.50	4.80	*
Female	4.28	4.30	4.18	5.21
NO SUBSTANCE USE DISORDER	0.27	0.26	0.30	0.28
Male	0.26	0.28	0.29	0.29
Female	0.49	0.44	0.51	0.50
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 11.10P – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder Status and Gender: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
Substance Use Disorder Status/Gender	2015	2016	2017
SUBSTANCE USE DISORDER	0.0143	0.0942	0.2311
Male	0.0549	0.0463	0.8481
Female	0.0850	0.4186	0.1028
Illicit Drug Use Disorder	0.0181	0.0393	0.1913
Male	0.0895	0.1030	0.8582
Female	0.0326	0.1087	0.0319
Alcohol Use Disorder	0.2258	0.8249	0.3311
Male	*	*	*
Female	0.8755	0.4384	0.4014
NO SUBSTANCE USE DISORDER	0.0015	0.0079	0.1206
Male	0.0036	0.2119	0.3574
Female	0.0518	0.0133	0.2101
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.11C – Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Gender: Standard Errors of Numbers in Thousands, 2015-2018
Substance Use Disorder/ MDE Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER
MDE	28	27	27	29
Male	14	12	15	16
Female	24	24	23	24
MDE WITH SEVERE IMPAIRMENT	26	24	25	26
Male	12	10	14	14
Female	23	22	20	22
NO MDE	45	40	37	36
Male	34	32	28	28
Female	30	24	25	22
ILLICIT DRUG USE DISORDER
MDE	23	23	24	25
Male	11	11	14	13
Female	20	20	20	21
MDE WITH SEVERE IMPAIRMENT	22	21	21	23
Male	10	10	12	11
Female	20	19	18	20
NO MDE	37	35	32	28
Male	28	29	24	24
Female	23	20	21	16
ALCOHOL USE DISORDER
MDE	22	20	19	20
Male	11	8	11	12
Female	19	18	16	16
MDE WITH SEVERE IMPAIRMENT	20	18	16	18
Male	10	7	10	11
Female	18	16	13	15
NO MDE	33	24	24	25
Male	26	18	17	17
Female	21	16	17	18
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.11D – Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Gender: Standard Errors of Percentages, 2015-2018
Substance Use Disorder/ MDE Status/Gender	2015	2016	2017	2018
SUBSTANCE USE DISORDER
MDE	0.86	0.83	0.80	0.77
Male	1.82	1.46	1.67	1.69
Female	0.99	0.99	0.94	0.90
MDE WITH SEVERE IMPAIRMENT	1.11	1.06	1.02	0.97
Male	2.32	1.85	2.19	2.14
Female	1.30	1.23	1.15	1.15
NO MDE	0.21	0.19	0.17	0.17
Male	0.29	0.27	0.23	0.24
Female	0.31	0.24	0.26	0.24
ILLICIT DRUG USE DISORDER
MDE	0.73	0.73	0.70	0.68
Male	1.46	1.42	1.50	1.33
Female	0.84	0.85	0.81	0.81
MDE WITH SEVERE IMPAIRMENT	0.99	0.94	0.88	0.86
Male	1.93	1.83	1.98	1.69
Female	1.14	1.08	0.99	1.03
NO MDE	0.17	0.16	0.15	0.14
Male	0.24	0.24	0.20	0.21
Female	0.24	0.20	0.21	0.17
ALCOHOL USE DISORDER
MDE	0.70	0.61	0.57	0.55
Male	1.45	0.98	1.22	1.24
Female	0.80	0.75	0.67	0.61
MDE WITH SEVERE IMPAIRMENT	0.90	0.80	0.70	0.73
Male	1.94	1.29	1.58	1.65
Female	1.04	0.96	0.79	0.82
NO MDE	0.15	0.12	0.11	0.12
Male	0.22	0.15	0.14	0.15
Female	0.21	0.17	0.18	0.19
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

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Table 11.11P – Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder in Past Year among Persons Aged 12 to 17, by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status and Gender: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
Substance Use Disorder/ MDE Status/Gender	2015	2016	2017
SUBSTANCE USE DISORDER
MDE	0.2775	0.6615	0.6888
Male	1.0000	0.2059	0.9727
Female	0.1858	0.2124	0.6175
MDE WITH SEVERE IMPAIRMENT	0.1183	0.5314	0.8296
Male	0.5832	0.3582	0.7557
Female	0.1368	0.2150	0.9560
NO MDE	0.0000	0.0061	0.1106
Male	0.0001	0.0366	0.5255
Female	0.0002	0.0819	0.0786
ILLICIT DRUG USE DISORDER
MDE	0.9426	0.6986	0.9476
Male	0.4835	0.3653	0.8714
Female	0.7272	0.9269	0.9958
MDE WITH SEVERE IMPAIRMENT	0.4729	0.9764	0.9282
Male	0.8682	0.5781	0.4793
Female	0.4642	0.7924	0.7464
NO MDE	0.0000	0.0048	0.0693
Male	0.0058	0.0624	0.5285
Female	0.0002	0.0249	0.0241
ALCOHOL USE DISORDER
MDE	0.0212	0.1029	0.4830
Male	0.3847	0.2165	0.9075
Female	0.0262	0.0100	0.4493
MDE WITH SEVERE IMPAIRMENT	0.0276	0.1550	0.9773
Male	0.2883	0.2940	0.8983
Female	0.0502	0.0264	0.8979
NO MDE	0.0000	0.2181	0.4251
Male	0.0001	0.0996	0.5731
Female	0.0688	0.9185	0.5814
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.12C – Co-Occurring Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, by Gender: Standard Errors of Numbers in Thousands, 2015-2018
Substance Use Disorder (SUD), Illicit Drug Use Disorder (IDUD), or Alcohol Use Disorder (AUD) and MDE/Gender	2015	2016	2017	2018
SUD and MDE	27	27	27	28
Male	14	12	15	16
Female	24	24	23	24
SUD and MDE with Severe Impairment	25	24	25	26
Male	12	10	14	14
Female	23	22	20	22
IDUD and MDE	23	23	24	25
Male	11	11	13	13
Female	20	20	20	21
IDUD and MDE with Severe Impairment	22	21	21	22
Male	10	10	12	11
Female	19	19	18	19
AUD and MDE	22	19	19	20
Male	11	8	11	12
Female	19	18	16	16
AUD and MDE with Severe Impairment	20	18	16	18
Male	10	7	9	11
Female	18	16	14	15
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.12D – Co-Occurring Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, by Gender: Standard Errors of Percentages, 2015-2018
Substance Use Disorder (SUD), Illicit Drug Use Disorder (IDUD), or Alcohol Use Disorder (AUD) and MDE/Gender	2015	2016	2017	2018
SUD and MDE	0.11	0.11	0.11	0.12
Male	0.11	0.10	0.12	0.13
Female	0.20	0.20	0.19	0.20
SUD and MDE with Severe Impairment	0.10	0.10	0.10	0.11
Male	0.10	0.08	0.11	0.12
Female	0.19	0.18	0.17	0.19
IDUD and MDE	0.09	0.10	0.10	0.10
Male	0.09	0.09	0.11	0.10
Female	0.17	0.17	0.17	0.18
IDUD and MDE with Severe Impairment	0.09	0.09	0.09	0.09
Male	0.08	0.08	0.10	0.09
Female	0.16	0.16	0.15	0.17
AUD and MDE	0.09	0.08	0.08	0.08
Male	0.09	0.06	0.09	0.10
Female	0.16	0.15	0.14	0.13
AUD and MDE with Severe Impairment	0.08	0.07	0.07	0.08
Male	0.08	0.06	0.08	0.09
Female	0.15	0.14	0.11	0.13
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.12P – Co-Occurring Substance Use Disorder, Illicit Drug Use Disorder, or Alcohol Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 12 to 17, by Gender: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
Substance Use Disorder (SUD), Illicit Drug Use Disorder (IDUD), or Alcohol Use Disorder (AUD) and MDE/Gender	2015	2016	2017
SUD and MDE	0.8076	0.4964	0.7116
Male	0.2071	0.0401	0.5517
Female	0.6012	0.6636	0.9592
SUD and MDE with Severe Impairment	0.7200	0.7504	0.7149
Male	0.5333	0.1454	0.9655
Female	0.4275	0.6594	0.6816
IDUD and MDE	0.2344	0.1841	0.5527
Male	0.0667	0.0939	0.7112
Female	0.7476	0.5765	0.6342
IDUD and MDE with Severe Impairment	0.7767	0.4195	0.6687
Male	0.3861	0.2756	0.7220
Female	0.8851	0.7158	0.4722
AUD and MDE	0.1563	0.4028	0.8558
Male	0.9967	0.0918	0.8151
Female	0.0899	0.0514	0.7036
AUD and MDE with Severe Impairment	0.1579	0.4576	0.7318
Male	0.8183	0.1744	0.7480
Female	0.1307	0.1073	0.8495
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.13C – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Standard Errors of Numbers in Thousands, 2004-2018
Type of Treatment	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SAW OR TALKED TO A HEALTH PROFESSIONAL OR USED PRESCRIPTION MEDICATION	39	38	37	40	35	35	35	35	37	43	50	51	51	54	59
Saw or Talked to a Health Professional BUT Did Not Use Prescription Medication	30	28	28	27	27	26	25	26	27	31	36	38	37	37	46
Used Prescription Medication BUT Did Not See or Talk to a Health Professional	11	10	9	11	10	9	12	10	9	17	14	14	11	13	12
Saw or Talked to a Health Professional AND Used Prescription Medication	25	24	21	24	21	20	20	21	23	23	32	30	34	37	33
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.13D – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: Standard Errors of Percentages, 2004-2018
Type of Treatment	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
SAW OR TALKED TO A HEALTH PROFESSIONAL OR USED PRESCRIPTION MEDICATION	1.35	1.40	1.54	1.51	1.45	1.51	1.48	1.45	1.35	1.35	1.42	1.37	1.29	1.26	1.36
Saw or Talked to a Health Professional BUT Did Not Use Prescription Medication	1.21	1.19	1.30	1.17	1.22	1.19	1.22	1.20	1.10	1.10	1.19	1.12	1.09	1.04	1.20
Used Prescription Medication BUT Did Not See or Talk to a Health Professional	0.47	0.45	0.47	0.52	0.48	0.47	0.63	0.50	0.40	0.65	0.50	0.47	0.36	0.41	0.36
Saw or Talked to a Health Professional AND Used Prescription Medication	1.03	1.02	0.98	1.10	1.00	0.99	0.95	0.97	0.97	0.86	1.07	0.94	1.02	1.01	0.89
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.13P – Type of Treatment Received in Past Year for Depression among Persons Aged 12 to 17 with Major Depressive Episode in Past Year: P Values from Tests of Differences of Percentages, 2018 Versus 2004-2017
Type of Treatment	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017
SAW OR TALKED TO A HEALTH PROFESSIONAL OR USED PRESCRIPTION MEDICATION	0.5172	0.0368	0.0495	0.1440	0.0655	0.0006	0.0406	0.0645	0.0409	0.1152	0.8367	0.2666	0.9120	0.8708
Saw or Talked to a Health Professional BUT Did Not Use Prescription Medication	0.1375	0.0533	0.5739	0.0512	0.3233	0.0459	0.1571	0.2408	0.1667	0.3757	0.2467	0.2223	0.0558	0.1454
Used Prescription Medication BUT Did Not See or Talk to a Health Professional	0.0468	0.4335	0.7833	0.4965	0.2286	0.8166	0.2755	0.5443	0.8093	0.0549	0.3656	0.2623	0.5861	0.7534
Saw or Talked to a Health Professional AND Used Prescription Medication	0.9775	0.3427	0.0199	0.9295	0.0527	0.0076	0.0897	0.1559	0.1930	0.0126	0.4831	0.6453	0.0116	0.0695
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates that are used in the comparisons may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2004-2018.

190418

Table 11.14C – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Standard Errors of Numbers in Thousands, 2015-2018
Substance Use Disorder (SUD) Status/MDE Status/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and MDE
Received SU Tx at a Specialty Facility OR MH Services	22	23	21	24
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	3	*	2
Received MH Services BUT NOT SU Tx at a Specialty Facility	21	22	20	23
Received SU Tx at a Specialty Facility AND MH Services	5	5	6	6
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	17	15	16	18
SUD and MDE with Severe Impairment
Received SU Tx at a Specialty Facility OR MH Services	21	22	19	22
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	3	*	2
Received MH Services BUT NOT SU Tx at a Specialty Facility	20	21	18	22
Received SU Tx at a Specialty Facility AND MH Services	5	5	6	5
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	15	12	15	14
SUD and No MDE
Received SU Tx at a Specialty Facility OR MH Services	25	23	22	19
Received SU Tx at a Specialty Facility BUT NOT MH Services	5	8	4	6
Received MH Services BUT NOT SU Tx at a Specialty Facility	24	21	21	17
Received SU Tx at a Specialty Facility AND MH Services	6	6	7	6
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	38	31	30	30
MDE and No SUD
Received SU Tx at a Specialty Facility OR MH Services	55	55	64	61
Received SU Tx at a Specialty Facility BUT NOT MH Services	0	0	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	55	55	64	61
Received SU Tx at a Specialty Facility AND MH Services	3	1	4	2
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	60	54	54	66
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.14D – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Standard Errors of Percentages, 2015-2018
Substance Use Disorder (SUD) Status/MDE Status/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and MDE
Received SU Tx at a Specialty Facility OR MH Services	3.80	3.83	3.65	4.16
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	0.99	*	0.56
Received MH Services BUT NOT SU Tx at a Specialty Facility	3.87	4.00	3.71	4.35
Received SU Tx at a Specialty Facility AND MH Services	1.29	1.52	1.66	1.76
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	3.80	3.83	3.65	4.16
SUD and MDE with Severe Impairment
Received SU Tx at a Specialty Facility OR MH Services	4.07	3.89	4.17	4.13
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	1.18	*	0.71
Received MH Services BUT NOT SU Tx at a Specialty Facility	4.15	4.17	4.28	4.29
Received SU Tx at a Specialty Facility AND MH Services	1.48	1.81	2.06	1.65
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	4.07	3.89	4.17	4.13
SUD and No MDE
Received SU Tx at a Specialty Facility OR MH Services	2.46	2.68	2.93	3.14
Received SU Tx at a Specialty Facility BUT NOT MH Services	0.61	1.19	0.65	1.04
Received MH Services BUT NOT SU Tx at a Specialty Facility	2.41	2.66	2.88	2.93
Received SU Tx at a Specialty Facility AND MH Services	0.74	0.84	1.10	1.17
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	2.46	2.68	2.93	3.14
MDE and No SUD
Received SU Tx at a Specialty Facility OR MH Services	1.50	1.35	1.43	1.36
Received SU Tx at a Specialty Facility BUT NOT MH Services	0.01	0.01	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	1.50	1.35	1.42	1.36
Received SU Tx at a Specialty Facility AND MH Services	0.13	0.02	0.15	0.06
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1.50	1.35	1.43	1.36
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 11.14P – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services (Specialty or Nonspecialty) in Past Year among Persons Aged 12 to 17, by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment Status: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
Substance Use Disorder (SUD) Status/MDE Status/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017
SUD and MDE
Received SU Tx at a Specialty Facility OR MH Services	0.6524	0.2777	0.5919
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	0.5361	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	0.9848	0.2922	0.6374
Received SU Tx at a Specialty Facility AND MH Services	0.4606	0.7382	0.8239
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	0.6524	0.2777	0.5919
SUD and MDE with Severe Impairment
Received SU Tx at a Specialty Facility OR MH Services	0.3665	0.6316	0.2628
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	0.5558	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	0.5130	0.8475	0.1765
Received SU Tx at a Specialty Facility AND MH Services	0.8656	0.7446	0.3066
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	0.3665	0.6316	0.2628
SUD and No MDE
Received SU Tx at a Specialty Facility OR MH Services	0.8292	0.4116	0.4078
Received SU Tx at a Specialty Facility BUT NOT MH Services	0.3958	0.4883	0.4164
Received MH Services BUT NOT SU Tx at a Specialty Facility	0.8427	0.5960	0.3059
Received SU Tx at a Specialty Facility AND MH Services	0.7655	0.8170	0.7808
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	0.8292	0.4116	0.4078
MDE and No SUD
Received SU Tx at a Specialty Facility OR MH Services	0.3860	0.1394	0.0164
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	0.3389	0.1306	0.0197
Received SU Tx at a Specialty Facility AND MH Services	0.2349	0.2784	0.3690
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	0.3860	0.1394	0.0164
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental health services for persons aged 12 to 17 includes treatment/counseling for emotional or behavioral problems not caused by drug or alcohol use. Respondents with unknown mental health service information were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.