Appendix A: Mental Health Service Use among Adults: Detailed Tables A-1
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Appendix A: Mental Health Service Use among Adults: Detailed Tables A-1
Appendix A: Mental Health Service Use among Adults: Detailed Tables A-1 Table A.1 Demographic Characteristics of Adults Aged 18 or Older, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages Demographic Characteristic A-2 Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100% to 199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total Black or American African Indian or White American Alaska Native (68.1 Percent) (11.6 Percent) (0.5 Percent) Asian (4.6 Percent) Two or More Races (1.2 Percent) Hispanic (14.0 Percent) 48.2 (0.16) 51.8 (0.16) 48.4 (0.20) 51.6 (0.20) 44.8 (0.51) 55.2 (0.51) 45.2 (2.00) 54.8 (2.00) 46.8 (0.97) 53.2 (0.97) 48.1 (1.64) 51.9 (1.64) 50.8 (0.47) 49.2 (0.47) 14.7 15.8 27.1 42.3 (0.12) (0.13) (0.18) (0.25) 12.9 13.8 25.8 47.5 (0.13) (0.14) (0.19) (0.28) 18.0 17.4 28.5 36.0 (0.30) (0.38) (0.48) (0.72) 18.7 15.8 24.9 40.6 (1.05) (1.16) (1.46) (2.11) 15.3 20.6 32.0 32.1 (0.49) (0.75) (1.00) (1.21) 20.0 16.4 22.4 41.2 (0.80) (0.93) (1.06) (1.68) 20.2 22.7 31.1 26.0 (0.26) (0.42) (0.46) (0.56) 53.5 6.0 13.8 26.6 (0.23) (0.11) (0.14) (0.18) 57.5 6.8 13.5 22.2 (0.26) (0.13) (0.16) (0.19) 33.4 5.7 18.0 42.8 (0.63) (0.34) (0.46) (0.57) 40.2 5.9 20.2 33.8 (2.10) (1.31) (1.77) (1.85) 62.9 3.8 6.6 26.7 (0.99) (0.59) (0.59) (0.79) 40.9 6.9 18.2 33.9 (1.48) (0.97) (1.37) (1.30) 49.5 3.5 13.4 33.6 (0.49) (0.23) (0.39) (0.43) 50.0 14.1 6.2 29.8 (0.22) (0.13) (0.09) (0.23) 49.5 14.6 4.9 31.0 (0.26) (0.15) (0.09) (0.27) 48.1 12.1 11.3 28.5 (0.66) (0.36) (0.35) (0.65) 37.4 11.6 10.4 40.6 (1.80) (1.26) (1.03) (2.03) 56.3 14.3 5.2 24.2 (1.13) (0.73) (0.43) (1.02) 42.1 17.3 5.8 34.7 (1.63) (1.06) (0.51) (1.75) 52.8 13.0 8.2 26.1 (0.54) (0.31) (0.25) (0.53) 15.0 30.3 26.0 28.7 (0.15) (0.18) (0.17) (0.23) 10.6 30.8 26.4 32.2 (0.15) (0.23) (0.20) (0.27) 19.0 34.5 28.6 17.8 (0.49) (0.54) (0.48) (0.48) 23.7 39.6 26.0 10.7 (1.64) (1.96) (1.62) (1.55) 6.4 14.8 22.6 56.2 (0.55) (0.75) (0.84) (1.07) 16.4 31.6 31.6 20.3 (1.04) (1.34) (1.46) (1.24) 35.1 29.1 22.3 13.5 (0.54) (0.43) (0.42) (0.35) 13.8 (0.17) 8.9 (0.15) 26.5 (0.57) 32.1 (2.27) 12.0 (0.69) 16.5 (1.04) 26.2 (0.54) 20.1 (0.18) 16.7 (0.19) 26.6 (0.56) 26.0 (1.94) 16.1 (0.90) 26.4 (1.50) 31.0 (0.53) 66.1 (0.27) 74.3 (0.25) 46.9 (0.72) 41.9 (2.26) 71.9 (1.12) 57.1 (1.59) 42.9 (0.65) (continued) Table A.1 Demographic Characteristics of Adults Aged 18 or Older, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) A-3 Demographic Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Substance Use Disorder4 No Yes Any Mental Illness5 No Yes Serious Mental Illness6 No Yes Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic (68.1 Percent) (11.6 Percent) (0.5 Percent) (4.6 Percent) (1.2 Percent) (14.0 Percent) 16.1 42.7 10.2 16.1 14.9 (0.14) (0.24) (0.13) (0.16) (0.18) 11.7 45.9 7.9 16.3 18.2 (0.14) (0.27) (0.13) (0.19) (0.23) 19.5 34.4 18.9 16.8 10.3 (0.39) (0.59) (0.47) (0.45) (0.42) 14.9 25.3 25.1 24.3 10.4 (1.62) (1.55) (1.99) (1.71) (1.57) 13.6 54.4 7.1 17.5 7.3 (0.66) (1.13) (0.74) (0.81) (0.71) 16.5 37.1 14.8 14.3 17.3 (1.04) (1.52) (1.02) (0.94) (1.52) 35.0 31.5 14.6 13.6 5.4 (0.46) (0.49) (0.36) (0.38) (0.26) 22.7 36.6 27.4 13.3 (0.18) (0.20) (0.19) (0.16) 23.2 39.0 25.9 11.9 (0.21) (0.23) (0.22) (0.17) 20.5 32.0 30.6 16.9 (0.50) (0.55) (0.60) (0.52) 15.2 25.2 35.7 23.9 (1.38) (1.69) (2.79) (2.01) 29.1 36.1 26.0 8.8 (0.92) (1.04) (1.00) (0.73) 18.3 35.2 28.3 18.2 (1.03) (1.56) (1.59) (1.44) 20.4 29.3 32.5 17.8 (0.41) (0.50) (0.53) (0.45) 91.2 (0.09) 8.8 (0.09) 91.1 (0.11) 8.9 (0.11) 91.1 (0.27) 8.9 (0.27) 82.9 (1.33) 17.1 (1.33) 96.3 (0.23) 3.7 (0.23) 89.4 (0.71) 10.6 (0.71) 90.5 (0.25) 9.5 (0.25) 82.0 (0.13) 18.0 (0.13) 81.0 (0.16) 19.0 (0.16) 83.2 (0.37) 16.8 (0.37) 77.3 (1.60) 22.7 (1.60) 86.6 (0.62) 13.4 (0.62) 75.1 (1.25) 24.9 (1.25) 84.7 (0.36) 15.3 (0.36) 96.1 (0.07) 3.9 (0.07) 95.7 (0.08) 4.3 (0.08) 96.9 (0.15) 3.1 (0.15) 92.9 (1.11) 7.1 (1.11) 98.0 (0.25) 2.0 (0.25) 94.4 (0.68) 5.6 (0.68) 96.9 (0.16) 3.1 (0.16) NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: Types of mental health service use are not mutually exclusive; therefore totals for individual types will not equal the percentage of any service use. NOTE: Estimates for any mental illness (AMI) and serious mental illness (SMI) may differ from previously published estimates due to revised estimation procedures. For details on the methodology, see The NSDUH Report: Revised Estimates of Mental Illness from the National Survey on Drug Use and Health. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 5 Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a substance use disorder, that met the criteria found in DSM-IV. 6 Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met the criteria found in DSM-IV and resulted in serious functional impairment. 2 3 Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012; 2008-2010 AMI and SMI Data – Revised October 2013). Table A.2 Past Year Use of Mental Health Services among Adults Aged 18 or Older, by Race/Ethnicity and Type of Service: Percentages and Standard Errors, 2008-2012, Annual Averages Characteristic Any Mental Health Service Prescription Psychiatric Medication Outpatient Mental Health Service Inpatient Mental Health Service Total 13.8 (0.13) 11.7 (0.12) 6.6 (0.09) 0.8 (0.03) White 16.6 (0.16) 14.4 (0.15) 7.8 (0.12) 0.7 (0.04) Black or African American 8.6 (0.29) 6.5 (0.26) 4.7 (0.22) 1.4 (0.11) American Indian or Alaska Native 15.6 (1.54) 13.6 (1.44) 7.7 (1.08) 1.6 (0.47) Asian 4.9 (0.43) 3.1 (0.35) 2.5 (0.28) 0.6 (0.18) Two or More Races 17.1 (1.26) 14.1 (1.17) 8.8 (0.92) 1.1 (0.22) Hispanic 7.3 (0.26) 5.7 (0.24) 3.8 (0.20) 0.8 (0.08) NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). A-4 Table A.3 Past Year Use of Any Mental Health Service among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages A-5 Characteristic Total Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100%-199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total 13.8 (0.13) White 16.6 (0.16) Black or African American 8.6 (0.29) American Indian or Alaska Native 15.6 (1.54) Asian 4.9 (0.43) Two or More Races 17.1 (1.26) Hispanic 7.3 (0.26) 9.7 (0.15) 17.6 (0.18) 11.3 (0.20) 21.5 (0.24) 6.6 (0.41) 10.3 (0.42) 16.3 (2.55) 15.1 (1.79) 4.4 (0.68) 5.3 (0.56) 12.5 (1.63) 21.3 (1.78) 5.5 (0.32) 9.2 (0.38) 11.3 13.7 15.4 13.7 (0.13) (0.26) (0.21) (0.25) 14.3 18.1 19.3 15.2 (0.17) (0.35) (0.28) (0.29) 6.5 8.5 9.9 8.8 (0.27) (0.57) (0.51) (0.65) 12.2 14.5 18.5 15.9 (1.63) (2.25) (2.95) (2.98) 5.7 5.1 4.7 4.5 (0.49) (0.69) (0.68) (1.01) 14.7 14.8 19.8 17.6 (1.09) (1.95) (2.11) (2.59) 6.7 6.6 7.1 8.6 (0.25) (0.48) (0.43) (0.69) 12.6 12.4 19.9 13.3 (0.16) (0.61) (0.41) (0.19) 14.9 13.5 24.2 17.1 (0.20) (0.71) (0.53) (0.26) 6.9 8.9 11.2 8.9 (0.55) (1.59) (0.81) (0.39) 14.9 * 23.8 12.0 (2.34) (*) (4.64) (1.97) 3.9 * 6.3 6.6 (0.51) (*) (1.89) (0.65) 14.5 * 26.2 14.2 (1.92) (*) (3.51) (1.35) 6.5 7.6 9.8 7.4 (0.37) (1.70) (0.91) (0.35) 11.4 15.2 14.1 17.3 (0.17) (0.34) (0.51) (0.29) 14.4 18.2 18.9 19.3 (0.22) (0.44) (0.77) (0.38) 5.1 8.1 8.2 15.0 (0.33) (0.77) (0.78) (0.83) 14.4 12.3 14.7 19.1 (3.91) (3.90) (3.53) (3.50) 4.2 6.2 6.8 5.7 (0.58) (1.14) (1.86) (1.14) 13.7 13.7 11.8 22.6 (1.99) (1.77) (2.31) (2.56) 5.3 7.6 8.7 11.1 (0.33) (0.68) (0.99) (0.73) 11.4 12.5 14.9 15.4 (0.29) (0.22) (0.24) (0.26) 15.6 14.7 17.7 17.7 (0.46) (0.28) (0.30) (0.31) 10.6 8.3 8.2 8.0 (0.82) (0.50) (0.55) (0.70) 15.4 15.5 18.4 9.8 (3.16) (2.92) (2.55) (2.69) 9.2 4.4 4.2 4.8 (2.76) (0.97) (0.61) (0.57) 18.1 15.3 18.9 16.1 (3.53) (1.96) (2.21) (2.56) 5.3 6.3 9.1 11.5 (0.38) (0.41) (0.57) (0.95) 16.0 (0.37) 23.3 (0.60) 12.4 (0.69) 16.1 (3.11) 6.1 (1.67) 22.2 (2.79) 8.3 (0.61) 13.5 (0.30) 18.3 (0.45) 8.7 (0.69) 15.4 (3.05) 2.0 (0.43) 17.1 (2.46) 6.3 (0.46) 13.5 (0.18) 15.5 (0.21) 6.5 (0.44) 16.4 (2.79) 5.4 (0.58) 15.0 (1.76) 7.6 (0.45) (continued) Table A.3 Past Year Use of Any Mental Health Service among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) A-6 Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Past Year Substance Use Disorder4 No Yes Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic 9.4 13.8 20.4 14.7 13.0 (0.23) (0.18) (0.46) (0.31) (0.38) 13.9 16.4 26.3 17.2 13.8 (0.38) (0.21) (0.68) (0.40) (0.43) 6.1 5.6 15.8 10.1 8.0 (0.52) (0.39) (0.95) (0.76) (1.05) 8.5 * 18.3 17.2 * (2.42) (*) (3.53) (3.00) (*) 3.9 5.1 7.4 4.5 3.8 (0.85) (0.57) (2.46) (0.87) (1.66) 13.6 14.7 25.4 14.5 19.2 (2.28) (1.76) (3.11) (2.01) (4.28) 4.1 7.7 11.5 9.1 10.0 (0.30) (0.47) (0.86) (0.77) (1.44) 9.1 12.6 15.1 23.1 (0.24) (0.21) (0.28) (0.47) 11.0 15.0 19.1 27.8 (0.31) (0.27) (0.39) (0.63) 4.8 5.8 9.0 18.1 (0.50) (0.44) (0.60) (1.15) 7.0 10.4 18.8 23.9 (1.69) (1.83) (3.81) (4.47) 4.2 4.3 5.2 9.7 (0.78) (0.65) (0.90) (2.67) 10.8 12.0 17.0 31.1 (1.83) (1.76) (2.42) (4.31) 4.3 6.5 7.0 13.2 (0.44) (0.48) (0.45) (0.99) 12.8 (0.13) 24.1 (0.43) 15.5 (0.17) 27.8 (0.54) 7.8 (0.30) 17.6 (1.24) 13.2 (1.84) 27.6 (4.90) 4.5 (0.43) 14.5 (2.34) 15.8 (1.37) 27.8 (2.86) 6.7 (0.27) 12.9 (0.95) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). Table A.4 Past Year Use of Prescription Psychiatric Medication among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages A-7 Characteristic Total Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100%-199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total 11.7 (0.12) White 14.4 (0.15) Black or African American 6.5 (0.26) American Indian or Alaska Native 13.6 (1.44) Asian 3.1 (0.35) Two or More Races 14.1 (1.17) Hispanic 5.7 (0.24) 8.0 (0.14) 15.2 (0.17) 9.6 (0.18) 18.8 (0.22) 4.6 (0.35) 8.0 (0.38) 14.3 (2.45) 13.0 (1.71) 2.8 (0.54) 3.3 (0.46) 9.8 (1.37) 18.1 (1.73) 4.2 (0.29) 7.3 (0.36) 8.6 11.2 13.1 12.1 (0.11) (0.24) (0.20) (0.23) 11.3 15.2 16.7 13.6 (0.15) (0.33) (0.26) (0.28) 4.2 6.1 7.8 6.8 (0.23) (0.50) (0.46) (0.56) 9.7 10.6 15.6 15.4 (1.56) (1.94) (2.70) (2.97) 3.2 3.3 2.7 3.2 (0.39) (0.55) (0.51) (0.84) 10.6 11.4 17.1 15.3 (1.00) (1.73) (2.04) (2.37) 4.5 5.1 5.6 7.4 (0.21) (0.44) (0.38) (0.65) 11.0 10.8 17.0 10.6 (0.15) (0.53) (0.38) (0.17) 13.2 12.2 21.0 14.0 (0.19) (0.63) (0.50) (0.24) 5.4 6.1 8.7 6.4 (0.50) (1.22) (0.73) (0.33) 13.0 * 21.5 10.0 (2.18) (*) (4.55) (1.92) 2.5 * 3.3 4.3 (0.43) (*) (1.28) (0.58) 13.1 11.4 23.8 10.6 (1.91) (3.85) (3.42) (1.25) 5.2 6.7 8.3 5.5 (0.32) (1.64) (0.87) (0.32) 9.4 12.4 11.7 15.4 (0.15) (0.31) (0.47) (0.28) 12.1 15.3 16.1 17.5 (0.20) (0.41) (0.72) (0.36) 3.7 5.5 6.2 11.9 (0.29) (0.66) (0.73) (0.75) 12.5 * 12.1 18.0 (3.90) (*) (3.40) (3.46) 2.6 4.2 3.9 3.0 (0.49) (0.91) (1.38) (0.71) 9.2 11.3 9.6 20.3 (1.51) (1.65) (2.20) (2.50) 4.0 5.6 7.0 9.3 (0.30) (0.58) (0.94) (0.68) 9.5 11.0 13.0 12.4 (0.26) (0.21) (0.23) (0.23) 13.5 13.3 15.7 14.5 (0.41) (0.27) (0.29) (0.28) 8.4 6.0 6.2 5.7 (0.76) (0.43) (0.48) (0.61) 13.2 14.2 15.9 7.0 (3.09) (2.71) (2.42) (2.10) 3.9 3.8 2.8 2.9 (1.56) (0.95) (0.51) (0.47) 15.5 11.6 16.4 13.4 (3.56) (1.40) (2.17) (2.40) 4.1 5.0 7.4 8.6 (0.34) (0.38) (0.53) (0.84) 13.5 (0.35) 20.6 (0.57) 9.8 (0.64) 14.2 (3.05) 2.5 (0.79) 18.9 (2.79) 6.5 (0.56) 11.7 (0.28) 16.3 (0.42) 6.5 (0.61) 14.1 (2.98) 1.6 (0.40) 15.5 (2.44) 4.9 (0.40) 11.4 (0.16) 13.3 (0.19) 4.8 (0.38) 14.6 (2.72) 3.4 (0.47) 11.0 (1.43) 6.1 (0.41) (continued) Table A.4 Past Year Use of Prescription Psychiatric Medication among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) A-8 Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Past Year Substance Use Disorder4 No Yes Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic 7.8 11.4 17.8 12.6 11.5 (0.22) (0.16) (0.43) (0.29) (0.36) 12.0 13.8 24.0 15.1 12.4 (0.36) (0.19) (0.65) (0.38) (0.41) 4.7 3.9 12.4 7.5 5.7 (0.48) (0.33) (0.85) (0.69) (0.95) 7.2 * 17.4 14.0 * (2.36) (*) (3.49) (2.79) (*) 2.0 3.3 3.6 3.3 2.4 (0.58) (0.48) (1.21) (0.84) (1.43) 11.7 10.6 21.7 11.7 18.1 (2.20) (1.28) (3.06) (1.90) (4.27) 3.0 6.0 9.3 7.0 9.0 (0.27) (0.41) (0.80) (0.67) (1.39) 7.0 10.3 13.3 20.6 (0.21) (0.20) (0.26) (0.46) 8.7 12.6 17.3 25.7 (0.27) (0.25) (0.37) (0.63) 3.6 4.2 6.8 14.2 (0.47) (0.38) (0.53) (1.05) 4.7 7.8 18.1 22.3 (1.33) (1.53) (3.84) (4.46) 2.6 2.1 3.4 6.9 (0.70) (0.44) (0.69) (1.91) 7.1 10.7 13.9 24.3 (1.46) (1.74) (2.31) (3.59) 2.8 4.8 5.7 11.2 (0.37) (0.43) (0.42) (0.92) 10.9 (0.12) 20.1 (0.41) 13.4 (0.16) 23.8 (0.51) 5.8 (0.27) 13.6 (1.19) 11.4 (1.75) 24.3 (4.90) 2.9 (0.36) 7.9 (1.62) 13.0 (1.26) 23.5 (2.82) 5.3 (0.26) 9.8 (0.80) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). Table A.5 Past Year Use of Outpatient Mental Health Services among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages A-9 Characteristic Total Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100%-199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total 6.6 (0.09) White 7.8 (0.12) Black or African American 4.7 (0.22) 4.7 (0.11) 8.4 (0.13) 5.4 (0.14) 10.0 (0.17) 3.6 (0.28) 5.6 (0.33) American Indian or Alaska Native 7.7 (1.08) Asian 2.5 (0.28) Two or More Races 8.8 (0.92) Hispanic 3.8 (0.20) 8.1 (1.91) 7.4 (1.27) 1.8 (0.30) 3.2 (0.45) 6.2 (1.32) 11.3 (1.24) 2.8 (0.24) 4.9 (0.28) 6.1 7.3 8.0 5.7 (0.10) (0.18) (0.16) (0.17) 7.7 9.3 9.8 6.2 (0.14) (0.25) (0.21) (0.19) 3.4 5.5 5.7 4.2 (0.20) (0.47) (0.39) (0.46) 4.0 9.8 10.9 6.7 (0.73) (1.89) (2.32) (2.16) 3.7 2.8 2.7 1.7 (0.39) (0.52) (0.52) (0.56) 8.1 9.4 12.5 7.0 (0.74) (1.69) (1.82) (1.68) 3.6 3.7 4.1 3.9 (0.18) (0.36) (0.33) (0.49) 5.6 4.2 10.3 7.3 (0.11) (0.38) (0.30) (0.14) 6.5 4.4 12.2 9.3 (0.14) (0.43) (0.39) (0.20) 3.2 3.3 6.7 5.2 (0.38) (0.86) (0.64) (0.32) 7.6 * 11.1 6.5 (1.91) (*) (3.13) (1.48) 2.1 * 3.0 3.8 (0.36) (*) (1.23) (0.47) 6.2 * 13.6 8.6 (1.16) (*) (2.36) (1.09) 3.1 3.1 5.7 4.3 (0.26) (1.10) (0.71) (0.27) 5.3 7.7 7.1 8.1 (0.12) (0.24) (0.38) (0.19) 6.5 9.1 9.3 8.8 (0.15) (0.31) (0.57) (0.25) 2.6 4.5 3.8 8.0 (0.24) (0.57) (0.49) (0.61) 7.1 7.6 7.4 8.3 (2.07) (3.05) (2.60) (2.02) 2.0 3.7 4.9 2.9 (0.38) (0.95) (1.47) (0.65) 9.0 6.3 4.6 11.6 (1.89) (1.05) (1.04) (1.70) 2.7 4.2 5.1 5.7 (0.24) (0.51) (0.86) (0.50) 4.7 5.4 7.1 8.5 (0.18) (0.14) (0.16) (0.20) 6.1 6.1 8.2 9.6 (0.27) (0.17) (0.21) (0.24) 5.4 4.3 4.7 4.7 (0.64) (0.35) (0.40) (0.50) 8.2 6.4 9.2 8.0 (2.36) (1.84) (2.24) (2.46) 2.5 1.4 2.3 2.9 (1.29) (0.42) (0.46) (0.41) 8.4 7.5 9.6 10.1 (1.79) (1.66) (1.58) (2.00) 2.2 3.3 4.7 7.9 (0.22) (0.31) (0.42) (0.81) 8.4 (0.27) 12.0 (0.46) 6.8 (0.51) 8.9 (2.40) 2.5 (0.60) 12.2 (2.19) 4.6 (0.47) 6.1 (0.19) 8.1 (0.29) 4.3 (0.50) 5.6 (1.36) 0.8 (0.26) 7.6 (1.44) 3.0 (0.31) 6.3 (0.12) 7.1 (0.14) 3.4 (0.28) 8.1 (2.16) 3.0 (0.42) 9.1 (1.54) 3.9 (0.31) (continued) Table A.5 Past Year Use of Outpatient Mental Health Services among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) A-10 Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Past Year Substance Use Disorder4 No Yes Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic 4.4 6.7 10.3 7.5 5.3 (0.16) (0.13) (0.34) (0.23) (0.23) 6.3 7.9 13.0 8.6 5.4 (0.26) (0.16) (0.51) (0.29) (0.25) 3.2 2.9 8.4 5.9 4.7 (0.37) (0.27) (0.71) (0.56) (0.85) 4.9 7.7 9.8 9.4 4.4 (2.05) (2.56) (2.61) (2.06) (1.79) 2.2 2.6 3.3 2.4 1.7 (0.63) (0.40) (1.02) (0.63) (0.88) 5.6 8.5 14.5 8.4 6.9 (1.48) (1.49) (2.51) (1.47) (2.43) 2.0 4.1 6.2 4.8 5.4 (0.21) (0.35) (0.63) (0.60) (1.12) 4.5 6.2 6.9 10.6 (0.16) (0.15) (0.18) (0.34) 5.4 7.2 8.5 12.2 (0.22) (0.19) (0.25) (0.47) 2.5 3.3 4.3 9.7 (0.29) (0.33) (0.38) (0.92) 4.4 6.2 7.5 11.7 (1.39) (1.55) (2.05) (3.08) 1.9 2.6 2.6 4.9 (0.40) (0.52) (0.62) (1.68) 6.3 5.8 9.8 17.8 (1.46) (1.47) (1.56) (3.80) 2.5 3.5 3.7 6.2 (0.33) (0.36) (0.34) (0.69) 6.0 (0.09) 12.7 (0.32) 7.1 (0.12) 14.4 (0.41) 4.2 (0.23) 9.9 (0.80) 6.2 (1.11) 15.0 (3.14) 2.3 (0.28) 8.1 (1.65) 8.2 (0.99) 13.8 (2.12) 3.5 (0.20) 7.5 (0.71) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). Table A.6 Past Year Use of Inpatient Mental Health Services among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages A-11 Characteristic Total Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100%-199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total 0.8 (0.03) White 0.7 (0.04) Black or African American 1.4 (0.11) American Indian or Alaska Native 1.6 (0.47) Asian 0.6 (0.18) Two or More Races 1.1 (0.22) Hispanic 0.8 (0.08) 0.8 (0.04) 0.8 (0.05) 0.6 (0.04) 0.8 (0.06) 1.4 (0.17) 1.4 (0.16) 1.5 (0.90) 1.7 (0.46) 0.9 (0.36) 0.4 (0.11) 0.6 (0.18) 1.5 (0.39) 0.8 (0.14) 0.8 (0.10) 1.1 0.8 0.8 0.7 (0.04) (0.06) (0.05) (0.06) 1.0 0.7 0.8 0.6 (0.05) (0.07) (0.06) (0.07) 1.7 1.4 1.2 1.4 (0.15) (0.25) (0.17) (0.26) 1.4 2.2 1.2 1.7 (0.51) (0.99) (0.42) (1.05) 0.9 0.6 0.4 0.7 (0.20) (0.25) (0.27) (0.46) 1.5 0.7 1.8 0.6 (0.27) (0.32) (0.76) (0.27) 0.9 0.7 0.8 0.9 (0.10) (0.14) (0.14) (0.25) 0.4 1.2 1.5 1.1 (0.03) (0.28) (0.13) (0.05) 0.4 0.9 1.5 1.0 (0.03) (0.32) (0.16) (0.06) 0.5 2.0 2.0 1.7 (0.14) (0.82) (0.38) (0.15) 0.7 * 3.7 1.5 (0.36) (*) (2.03) (0.50) 0.3 * 1.4 0.7 (0.11) (*) (0.98) (0.20) 0.6 * 2.8 0.9 (0.24) (*) (1.03) (0.17) 0.6 1.5 0.8 1.1 (0.13) (0.65) (0.18) (0.14) 0.3 0.6 1.5 1.5 (0.03) (0.07) (0.15) (0.09) 0.3 0.6 1.6 1.3 (0.03) (0.09) (0.24) (0.09) 0.3 1.2 1.6 3.0 (0.06) (0.28) (0.28) (0.39) 0.4 1.2 * 3.5 (0.20) (0.66) (*) (1.34) 0.4 0.7 * 1.3 (0.17) (0.36) (*) (0.73) 0.5 0.8 2.2 2.1 (0.17) (0.50) (1.09) (0.67) 0.4 0.5 1.2 1.6 (0.08) (0.11) (0.26) (0.26) 1.8 0.9 0.7 0.4 (0.15) (0.05) (0.05) (0.04) 1.9 0.7 0.7 0.3 (0.23) (0.06) (0.06) (0.04) 2.7 1.6 0.9 0.4 (0.42) (0.20) (0.15) (0.16) 2.9 1.0 1.5 * (1.72) (0.36) (0.59) (*) 4.6 0.7 0.4 0.2 (2.38) (0.27) (0.12) (0.10) 1.4 1.1 1.4 0.2 (0.47) (0.29) (0.56) (0.20) 0.9 0.9 0.5 0.8 (0.15) (0.14) (0.12) (0.36) 2.1 (0.15) 2.3 (0.22) 2.4 (0.29) 3.0 (1.55) 2.8 (1.52) 2.4 (0.80) 1.5 (0.23) 1.1 (0.08) 1.0 (0.10) 1.7 (0.32) 2.0 (0.79) 0.6 (0.26) 1.6 (0.72) 0.9 (0.18) 0.4 (0.03) 0.4 (0.04) 0.6 (0.11) 0.8 (0.40) 0.3 (0.13) 0.7 (0.22) 0.3 (0.05) (continued) Table A.6 Past Year Use of Inpatient Mental Health Services among Adults Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) A-12 Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Past Year Substance Use Disorder4 No Yes Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic 0.8 0.3 2.7 0.8 0.8 (0.06) (0.03) (0.19) (0.08) (0.12) 0.9 0.3 2.7 0.7 0.7 (0.09) (0.03) (0.23) (0.09) (0.13) 1.1 0.5 3.2 1.3 1.9 (0.17) (0.12) (0.42) (0.26) (0.56) 0.8 0.1 3.8 1.8 1.0 (0.38) (0.08) (1.77) (0.75) (0.59) 0.8 0.2 4.0 0.4 0.1 (0.50) (0.09) (2.18) (0.18) (0.14) 0.9 0.6 3.0 0.8 0.7 (0.32) (0.25) (1.18) (0.30) (0.38) 0.5 0.3 2.0 1.2 1.5 (0.09) (0.08) (0.34) (0.38) (0.57) 0.4 0.4 0.9 2.4 (0.04) (0.03) (0.06) (0.16) 0.3 0.4 0.8 2.3 (0.05) (0.04) (0.08) (0.19) 0.7 0.6 1.7 2.8 (0.17) (0.10) (0.27) (0.45) 0.0 1.6 0.6 5.0 (0.01) (0.73) (0.23) (2.17) 0.3 0.4 0.6 * (0.12) (0.16) (0.34) (*) 0.3 1.0 1.7 1.6 (0.18) (0.55) (0.51) (0.56) 0.5 0.4 0.7 1.9 (0.13) (0.10) (0.12) (0.34) 0.6 (0.03) 2.6 (0.15) 0.6 (0.04) 2.3 (0.15) 1.1 (0.12) 4.3 (0.54) 0.6 (0.20) 6.4 (2.50) 0.5 (0.17) 3.3 (1.47) 0.6 (0.15) 4.7 (1.62) 0.7 (0.08) 2.2 (0.38) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). Table A.7 Reasons for Not Using Mental Health Services among Adults with an Unmet Need for Services, Aged 18 or Older, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages Reason Cost/Insurance1 Low Perceived Need2 Prejudice and Discrimination 3 Structural Barriers4 Did Not Think Mental Health Services Would Help Some Other Reason5 Total 52.5 (0.67) 27.4 (0.60) 26.3 (0.57) 30.8 (0.64) White 54.1 (0.77) 28.7 (0.72) 25.9 (0.66) 30.5 (0.72) Black or African American 45.4 (2.19) 24.5 (1.82) 25.3 (1.78) 31.6 (2.11) 8.8 (0.37) 7.5 (0.38) 9.7 (0.45) 7.4 (0.42) 5.3 (0.79) 5.2 (0.91) American Indian or Alaska Native * (*) * (*) 21.7 (4.15) 17.8 (3.76) Asian 48.7 (6.03) 31.9 (4.71) 26.5 (4.09) 39.7 (4.87) Two or More Races 41.7 (4.23) 27.3 (4.84) 21.2 (3.27) 35.9 (4.72) Hispanic 52.6 (2.23) 21.2 (1.64) 30.5 (1.99) 30.3 (2.00) 4.4 (1.48) * (*) 12.9 (3.11) * (*) 7.2 (1.67) * (*) 6.5 (1.07) 6.7 (1.11) A-13 * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 Cost/Insurance includes the following reasons for not using mental health services: could not afford cost, health insurance does not cover any mental health services, or health insurance does not pay enough for mental health services. 2 Low Perceived Need includes the following reasons for not using mental health services: did not feel need for services or could handle the problem without mental health services. 3 Prejudice and Discrimination includes the following reasons for not using mental health services: might cause neighbors/community to have negative opinion, might have negative effect on job, concerned about confidentiality, did not want others to find out, or concerned about being committed/having to take medicine. 4 Structural Barriers include the following reasons for not using mental health services: no transportation/inconvenient, did not know where to go for services, or did not have time. 5 Respondents with unknown or invalid responses to the other-specify question on some other reason for not using mental health services were classified as not having used services for Some Other Reason. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). A-14 Appendix B: Mental Health Service Use among Adults with Any Mental Illness: Detailed Tables B-1 Table B.1 Demographic Characteristics of Adults with Any Mental Illness, Aged 18 or Older, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages B-2 Demographic Characteristic Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100% to 199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total White (71.4 Percent) Black or African American (10.8 Percent) American Indian or Alaska Native (0.6 Percent) Asian (3.4 Percent) Two or More Races (1.7 Percent) Hispanic (12.0 Percent) 38.3 (0.39) 61.7 (0.39) 38.4 (0.45) 61.6 (0.45) 34.8 (1.12) 65.2 (1.12) 43.5 (4.14) 56.5 (4.14) 42.5 (2.51) 57.5 (2.51) 38.5 (2.78) 61.5 (2.78) 39.0 (1.20) 61.0 (1.20) 15.2 19.3 30.6 35.0 (0.19) (0.29) (0.36) (0.46) 13.5 18.0 30.7 37.8 (0.20) (0.32) (0.42) (0.53) 16.3 21.1 32.1 30.5 (0.56) (0.88) (1.15) (1.37) 18.0 16.8 31.9 33.4 (2.00) (2.17) (4.07) (4.66) 20.5 27.0 28.2 24.4 (1.30) (1.98) (2.13) (2.75) 20.3 17.1 26.9 35.7 (1.43) (1.73) (2.22) (3.12) 21.8 23.7 29.6 24.9 (0.68) (1.02) (1.10) (1.26) 43.5 6.0 19.7 30.8 (0.43) (0.24) (0.35) (0.34) 47.0 6.4 19.8 26.8 (0.51) (0.29) (0.40) (0.36) 25.3 6.2 21.1 47.4 (1.21) (0.72) (1.11) (1.27) 36.1 3.9 27.6 32.4 (4.13) (1.38) (3.85) (3.76) 49.0 3.1 8.4 39.4 (2.56) (1.28) (1.63) (2.30) 32.5 9.3 23.0 35.2 (2.78) (2.34) (2.32) (2.44) 39.8 3.5 19.9 36.8 (1.21) (0.52) (1.07) (1.07) 42.1 15.0 8.0 34.9 (0.43) (0.30) (0.22) (0.47) 42.6 15.4 7.0 35.0 (0.48) (0.35) (0.25) (0.54) 36.1 12.0 13.9 38.1 (1.32) (0.83) (0.79) (1.42) 30.2 10.8 12.8 46.2 (3.58) (2.42) (2.35) (4.63) 49.8 17.5 7.9 24.8 (2.59) (1.97) (1.16) (2.21) 35.2 17.0 6.8 40.9 (3.00) (1.76) (0.95) (3.06) 43.5 14.7 9.0 32.8 (1.36) (0.89) (0.65) (1.32) 16.5 29.6 28.1 25.7 (0.32) (0.37) (0.37) (0.38) 13.2 30.1 28.6 28.0 (0.34) (0.45) (0.43) (0.46) 24.7 32.5 28.1 14.8 (1.10) (1.14) (1.04) (0.83) 23.0 40.8 25.7 10.4 (3.49) (3.91) (3.54) (2.05) 7.6 16.5 24.4 51.5 (1.69) (1.91) (1.97) (2.52) 19.6 28.7 33.2 18.5 (2.27) (2.58) (2.64) (2.18) 30.6 27.5 25.7 16.2 (1.24) (1.06) (1.02) (1.01) 19.5 (0.36) 14.9 (0.34) 36.8 (1.41) 37.4 (4.73) 16.4 (1.88) 22.9 (2.48) 31.1 (1.37) 23.0 (0.36) 21.5 (0.41) 27.9 (1.24) 26.0 (3.71) 15.1 (1.78) 26.9 (2.43) 28.9 (1.22) 57.5 (0.45) 63.6 (0.49) 35.3 (1.40) 36.6 (4.47) 68.5 (2.55) 50.2 (3.06) 40.1 (1.33) (continued) Table B.1 Demographic Characteristics of Adults with Any Mental Illness, Aged 18 or Older, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) B-3 Demographic Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Substance Use Disorder4 No Yes Total White (71.4 Percent) Black or African American (10.8 Percent) American Indian or Alaska Native (0.6 Percent) Asian (3.4 Percent) Two or More Races Hispanic (1.7 Percent) (12.0 Percent) 19.1 38.0 15.2 16.2 11.5 (0.29) (0.41) (0.32) (0.30) (0.30) 16.8 41.2 12.7 16.1 13.1 (0.31) (0.48) (0.33) (0.35) (0.38) 21.8 25.8 27.7 16.0 8.6 (0.89) (1.02) (1.24) (0.85) (0.81) 16.2 22.6 29.8 24.3 7.0 (2.41) (2.92) (3.93) (3.58) (2.42) 17.3 49.4 6.2 21.5 5.6 (1.84) (2.43) (1.00) (2.08) (1.56) 17.5 32.1 19.5 15.2 15.7 (1.82) (2.65) (2.12) (1.88) (2.51) 30.6 28.0 19.7 15.9 5.8 (1.07) (1.10) (1.06) (0.91) (0.66) 13.3 31.5 30.1 25.2 (0.29) (0.40) (0.40) (0.43) 13.2 33.4 29.8 23.6 (0.34) (0.47) (0.46) (0.47) 12.7 25.2 30.4 31.7 (0.76) (1.10) (1.31) (1.42) 10.9 21.6 31.2 36.3 (2.26) (3.02) (4.11) (4.29) 18.2 34.5 30.9 16.5 (1.85) (2.40) (2.64) (2.21) 10.8 26.4 32.0 30.8 (1.38) (2.60) (2.66) (3.18) 13.0 26.1 30.7 30.2 (0.88) (1.14) (1.20) (1.40) 81.6 (0.28) 18.4 (0.28) 81.6 (0.33) 18.4 (0.33) 80.7 (0.87) 19.3 (0.87) 64.0 (4.31) 36.0 (4.31) 90.3 (1.11) 9.7 (1.11) 81.5 (1.74) 18.5 (1.74) 80.3 (0.87) 19.7 (0.87) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. NOTE: Types of mental health service use are not mutually exclusive; therefore, totals for individual types will not equal the percentage of any service use. NOTE: The estimates for any mental illness (AMI) in this table may differ from previously published estimates due to revised estimation procedures. For details on the methodology, see The NSDUH Report: Revised Estimates of Mental Illness from the National Survey on Drug Use and Health. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2011 AMI Data – Revised October 2013). Table B.2 Past Year Use of Mental Health Services among Adults with Any Mental Illness, Aged 18 or Older, by Race/Ethnicity and Type of Service: Percentages and Standard Errors, 2008-2012, Annual Averages Characteristic Any Mental Health Service Prescription Psychiatric Medication Outpatient Mental Health Service Inpatient Mental Health Service Total 41.2 (0.41) 35.8 (0.39) 23.3 (0.35) 3.2 (0.15) White 46.3 (0.47) 41.0 (0.46) 25.7 (0.41) 2.9 (0.17) Black or African American 29.8 (1.15) 23.4 (1.04) 18.7 (0.94) 5.1 (0.55) American Indian or Alaska Native 41.6 (4.51) 37.5 (4.51) 23.1 (3.36) 6.2 (1.98) Asian 18.1 (1.80) 12.2 (1.59) 11.0 (1.45) 2.5 (0.80) Two or More Races 44.8 (2.79) 37.0 (2.73) 26.1 (2.80) 3.5 (0.82) Hispanic 27.3 (1.09) 22.4 (1.03) 16.6 (0.96) 3.2 (0.36) NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). B-4 Table B.3 Past Year Use of Any Mental Health Services among Adults with Any Mental Illness, Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages Characteristic B-5 Total Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100%-199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic 41.2 (0.41) 46.3 (0.47) 29.8 (1.15) 41.6 (4.51) 18.1 (1.80) 44.8 (2.79) 27.3 (1.09) 34.1 (0.61) 45.6 (0.50) 37.7 (0.73) 51.7 (0.58) 25.3 (1.75) 32.2 (1.45) * (*) 46.7 (5.13) 17.1 (2.72) 18.9 (2.51) 41.5 (5.32) 46.7 (3.26) 24.0 (1.73) 29.4 (1.35) 32.6 38.4 44.0 44.0 (0.43) (0.76) (0.63) (0.86) 38.7 44.7 48.9 47.6 (0.53) (0.86) (0.72) (0.96) 19.3 28.0 34.2 31.9 (1.11) (2.06) (1.88) (2.65) 30.0 * * * (4.56) (*) (*) (*) 19.3 17.6 20.8 * (1.92) (2.74) (3.80) (*) 36.9 36.3 49.0 * (2.89) (4.65) (4.97) (*) 22.0 25.5 29.3 31.1 (1.00) (2.06) (1.91) (2.84) 41.9 34.8 48.3 36.9 (0.62) (2.03) (0.94) (0.56) 46.7 36.5 53.5 42.7 (0.70) (2.39) (1.08) (0.70) 28.5 27.8 35.7 28.1 (2.37) (5.41) (2.90) (1.40) * * * * (*) (*) (*) (*) 15.5 * * 21.3 (2.74) (*) (*) (2.51) 40.7 * 61.7 36.1 (5.29) (*) (5.55) (3.48) 25.9 * 29.1 27.5 (1.71) (*) (2.89) (1.53) 36.9 39.6 37.7 48.0 (0.62) (0.99) (1.40) (0.82) 42.3 45.0 44.9 51.5 (0.73) (1.17) (1.77) (0.98) 21.0 26.7 21.7 42.7 (1.57) (3.14) (2.56) (2.39) * * * * (*) (*) (*) (*) 18.9 16.8 * 15.8 (3.11) (4.08) (*) (3.12) * 37.7 * 53.5 (*) (4.90) (*) (4.98) 22.9 24.2 31.8 36.5 (1.60) (2.62) (4.06) (2.59) 34.3 38.6 43.1 46.6 (0.97) (0.72) (0.69) (0.81) 40.3 42.4 47.9 51.7 (1.29) (0.85) (0.82) (0.90) 31.7 27.7 29.9 30.7 (2.66) (1.90) (1.92) (2.69) * * * * (*) (*) (*) (*) * * 14.5 17.2 (*) (*) (2.57) (2.48) 38.5 44.9 49.2 * (5.75) (5.62) (4.67) (*) 20.7 27.6 30.0 34.8 (1.78) (1.89) (2.07) (3.13) 41.6 (0.96) 49.5 (1.15) 35.3 (2.17) * (*) 17.9 (3.91) 46.9 (5.95) 28.9 (2.50) 39.3 (0.89) 45.8 (1.12) 27.4 (2.36) * (*) 9.2 (2.71) 42.6 (4.75) 24.6 (2.03) 41.9 (0.59) 45.5 (0.66) 26.6 (1.88) * (*) 20.5 (2.59) 45.1 (4.93) 30.6 (1.83) (continued) Table B.3 Past Year Use of Any Mental Health Services among Adults with Any Mental Illness, Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) B-6 Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Past Year Substance Use Disorder4 No Yes Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic 28.9 42.6 49.9 43.0 43.3 (0.74) (0.60) (1.13) (1.00) (1.40) 34.0 47.2 56.8 48.9 46.0 (0.94) (0.68) (1.39) (1.19) (1.56) 21.6 22.4 41.0 32.8 30.8 (2.07) (1.82) (2.61) (2.54) (4.51) * * * * * (*) (*) (*) (*) (*) 14.4 19.1 * 18.0 * (4.01) (2.63) (*) (4.37) (*) 36.7 44.7 55.8 * * (5.65) (5.14) (5.61) (*) (*) 18.5 30.9 34.7 26.1 34.6 (1.62) (2.03) (2.89) (2.48) (5.43) 33.6 38.4 42.1 47.8 (1.07) (0.71) (0.81) (0.99) 37.8 43.0 48.3 52.4 (1.28) (0.82) (0.97) (1.18) 23.9 21.6 27.7 41.4 (2.88) (2.00) (2.15) (2.68) * * * * (*) (*) (*) (*) 20.4 16.0 18.8 * (3.94) (3.06) (3.55) (*) * * 38.3 * (*) (*) (4.33) (*) 21.9 26.2 26.3 35.0 (2.74) (2.12) (2.07) (2.72) 40.7 (0.46) 43.6 (0.78) 45.8 (0.53) 48.5 (0.93) 29.5 (1.33) 31.0 (2.17) 41.2 (4.97) * (*) 16.9 (1.91) 29.8 (4.98) 44.7 (3.27) 44.8 (4.89) 26.9 (1.27) 29.0 (2.16) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). Table B.4 Reasons for Not Using Mental Health Services among Adults with Any Mental Illness, Aged 18 or Older, Who Reported an Unmet Need for Services, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages Reason Cost/Insurance1 Low Perceived Need2 Prejudice and Discrimination 3 Structural Barriers4 Did Not Think Mental Health Services Would Help Some Other Reason5 Total 55.3 (0.76) 25.4 (0.66) 28.3 (0.66) 30.8 (0.72) White 57.6 (0.85) 26.1 (0.77) 27.7 (0.77) 30.3 (0.83) Black or African American 47.1 (2.49) 23.9 (2.03) 27.9 (2.16) 30.1 (2.24) 9.5 (0.44) 8.3 (0.44) 10.4 (0.54) 8.2 (0.48) 6.1 (0.99) 5.8 (1.09) American Indian or Alaska Native * (*) * (*) 23.3 (5.10) 19.4 (4.63) Asian * (*) * (*) 31.1 (4.89) 40.3 (5.62) Two or More Races 43.0 (5.01) 23.6 (4.19) 24.6 (3.82) 35.3 (5.68) Hispanic 52.6 (2.54) 21.2 (1.88) 33.2 (2.35) 33.2 (2.36) 5.6 (1.96) * (*) 11.5 (3.04) * (*) 8.5 (2.07) * (*) 6.6 (1.19) 7.0 (1.36) B-7 * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 Cost/Insurance includes the following reasons for not using mental health services: could not afford cost, health insurance does not cover any mental health services, or health insurance does not pay enough for mental health services. 2 Low Perceived Need includes the following reasons for not using mental health services: did not feel need for services or could handle the problem without mental health services. 3 Prejudice and Discrimination includes the following reasons for not using mental health services: might cause neighbors/community to have negative opinion, might have negative effect on job, concerned about confidentiality, did not want others to find out, or concerned about being committed/having to take medicine. 4 Structural Barriers include the following reasons for not using mental health services: no transportation/inconvenient, did not know where to go for services, or did not have time. 5 Respondents with unknown or invalid responses to the other-specify question on some other reason for not using mental health services were classified as not having used services for Some Other Reason. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). B-8 Appendix C: Mental Health Service Use among Adults with Serious Mental Illness: Detailed Tables C-1 Table C.1 Demographic Characteristics of Adults with Serious Mental Illness, Aged 18 or Older, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages C-2 Demographic Characteristic Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100% to 199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total White (74.4 Percent) Black or African American (9.2 Percent) American Indian or Alaska Native (0.9 Percent) Asian (2.4 Percent) 35.6 (0.79) 64.4 (0.79) 36.5 (0.91) 63.5 (0.91) 31.1 (2.30) 68.9 (2.30) * (*) * (*) 37.7 (5.51) 62.3 (5.51) 14.3 20.4 35.1 30.2 (0.36) (0.63) (0.77) (0.90) 12.6 19.5 35.5 32.5 (0.35) (0.69) (0.88) (1.03) 16.3 23.9 38.7 21.1 (1.18) (1.97) (2.43) (2.45) 10.0 15.2 * * 38.4 4.1 25.1 32.3 (0.84) (0.42) (0.76) (0.72) 41.4 4.0 25.8 28.8 (0.98) (0.46) (0.88) (0.76) 22.5 3.4 24.2 49.9 (2.31) (0.95) (2.30) (2.48) * * * * 35.9 14.4 9.7 39.9 (0.83) (0.58) (0.51) (0.94) 36.0 14.9 9.3 39.9 (0.98) (0.70) (0.57) (1.10) 29.4 11.2 13.4 46.0 (2.39) (1.43) (1.59) (2.65) 15.5 31.6 30.0 22.9 (0.58) (0.78) (0.72) (0.70) 13.5 31.9 30.0 24.6 (0.60) (0.87) (0.80) (0.81) 21.4 29.0 36.3 13.3 (2.21) (2.43) (2.42) (1.69) (2.48) (4.25) (*) (*) 20.0 25.1 * * Two or More Races Hispanic (1.8 Percent) (11.4 Percent) * (*) * (*) 32.4 (2.52) 67.6 (2.52) (3.23) (4.26) (*) (*) 24.3 16.2 28.4 * (3.73) (3.11) (4.46) (*) 21.3 23.8 32.0 22.9 (1.44) (2.03) (2.46) (2.69) (*) (*) (*) (*) * * * * (*) (*) (*) (*) 28.4 * 24.3 35.1 (5.14) (*) (4.23) (4.91) 35.1 4.9 23.5 36.5 (2.53) (1.56) (2.45) (2.36) * 3.1 * * (*) (1.15) (*) (*) * * * * (*) (*) (*) (*) * 18.7 7.0 * (*) (3.81) (1.91) (*) 40.2 14.2 9.7 35.9 (2.68) (1.68) (1.61) (2.83) * * * 9.0 (*) (*) (*) (3.28) 4.1 * 23.0 * (1.92) (*) (4.69) (*) 17.5 * 36.5 12.1 (3.21) (*) (5.43) (3.40) 25.7 31.5 25.5 17.3 (2.24) (2.50) (2.13) (2.08) 25.0 (0.79) 21.4 (0.87) 39.2 (2.70) * (*) * (*) 25.0 (4.39) 35.8 (2.86) 24.3 (0.75) 23.6 (0.84) 28.0 (2.50) * (*) 12.2 (3.20) 30.5 (5.45) 26.4 (2.38) 50.8 (0.89) 55.0 (1.01) 32.9 (2.76) * (*) * (*) * (*) 37.8 (2.73) (continued) Table C.1 Demographic Characteristics of Adults with Serious Mental Illness, Aged 18 or Older, by Race/Ethnicity: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) C-3 Demographic Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Substance Use Disorder4 No Yes Total White (74.4 Percent) Black or African American (9.2 Percent) American Indian or Alaska Native (0.9 Percent) Asian (2.4 Percent) Two or More Races Hispanic (1.8 Percent) (11.4 Percent) 21.5 33.1 19.9 16.8 8.6 (0.63) (0.77) (0.70) (0.63) (0.52) 20.7 35.1 17.8 17.0 9.5 (0.71) (0.90) (0.79) (0.73) (0.63) 23.6 20.9 32.2 17.4 5.8 (2.06) (1.93) (2.54) (2.07) (1.22) 11.9 * * * 3.7 (3.19) (*) (*) (*) (1.79) 12.9 * 8.8 * 3.5 (3.53) (*) (2.66) (*) (1.45) 17.1 * 22.3 14.0 * (3.45) (*) (4.03) (3.39) (*) 28.5 28.7 23.8 12.9 6.0 (2.25) (2.27) (2.42) (1.61) (1.55) 9.4 25.3 30.9 34.4 (0.50) (0.75) (0.83) (0.89) 9.0 26.5 31.3 33.2 (0.60) (0.86) (0.99) (1.02) 10.0 19.4 31.0 39.6 (1.50) (2.01) (2.66) (2.67) 6.1 * * * (2.53) (*) (*) (*) 15.4 * * * (3.75) (*) (*) (*) 6.6 20.4 * * (2.45) (4.15) (*) (*) 10.8 23.5 28.0 37.7 (1.54) (2.39) (2.44) (2.83) 75.1 (0.67) 24.9 (0.67) 75.1 (0.79) 24.9 (0.79) 73.0 (2.20) 27.0 (2.20) * (*) * (*) 89.1 (2.57) 10.9 (2.57) 72.1 (4.61) 27.9 (4.61) 75.0 (2.01) 25.0 (2.01) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. NOTE: Types of mental health service use are not mutually exclusive; therefore totals for individual types will not equal the percentage of any service use. NOTE: The estimates for serious mental illness (SMI) in this table may differ from previously published estimates due to revised estimation procedures. For details on the methodology, see The NSDUH Report: Revised Estimates of Mental Illness from the National Survey on Drug Use and Health. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2011 SMI Data – Revised October 2013). Table C.2 Past Year Use of Mental Health Services among Adults with Serious Mental Illness, Aged 18 or Older, by Race/Ethnicity and Type of Service: Percentages and Standard Errors, 2008-2012, Annual Averages Characteristic Any Mental Health Service Prescription Psychiatric Medication Outpatient Mental Health Service Inpatient Mental Health Service Total 65.6 (0.76) 59.6 (0.80) 43.2 (0.81) 7.7 (0.45) White 69.4 (0.86) 64.2 (0.91) 45.3 (0.94) 7.4 (0.49) Black or African American 57.2 (2.50) 47.0 (2.54) 40.5 (2.49) 11.3 (1.56) American Indian or Alaska Native * (*) * (*) * (*) * (*) Asian * (*) * (*) * (*) 3.1 (1.53) Two or More Races 63.7 (5.09) 50.7 (5.96) * (*) 8.7 (2.38) Hispanic 50.5 (2.63) 44.8 (2.63) 33.6 (2.60) 7.4 (1.34) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). C-4 Table C.3 Past Year Use of Any Mental Health Service among Adults with Serious Mental Illness, Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages C-5 Characteristic Total Gender Male Female Age 18-25 26-34 35-49 50 or Older Marital Status Married Widowed Divorced or Separated Never Married Employment Employed Full Time Employed Part Time Unemployed Other1 Education Less than High School High School Graduate Some College College Graduate Poverty Status2 Below the Federal Poverty Level 100%-199% of the Federal Poverty Level 200% or More of the Federal Poverty Level Total 65.6 (0.76) White 69.4 (0.86) Black or African American 57.2 (2.50) American Indian or Alaska Native * (*) Asian * (*) Two or More Races 63.7 (5.09) Hispanic 50.5 (2.63) 59.7 (1.31) 68.8 (0.94) 62.4 (1.55) 73.4 (1.01) 48.0 (4.55) 61.3 (2.88) * (*) * (*) * (*) * (*) * (*) 65.9 (5.33) 51.5 (4.45) 50.0 (3.24) 52.0 61.1 67.8 72.4 (1.02) (1.48) (1.26) (1.71) 57.6 65.0 71.3 74.5 (1.16) (1.72) (1.34) (1.88) 40.3 56.2 57.9 * (3.21) (4.54) (4.11) (*) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) 40.2 48.7 58.5 * (2.70) (4.78) (4.57) (*) 68.8 66.7 70.6 57.7 (1.32) (4.88) (1.66) (1.16) 72.2 70.0 74.0 61.2 (1.42) (5.32) (1.76) (1.38) 59.9 * 61.9 53.0 (5.93) (*) (5.48) (3.17) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) 54.3 * * 48.5 (4.33) (*) (*) (3.33) 60.1 59.8 59.7 73.9 (1.44) (2.03) (2.58) (1.38) 65.3 64.4 63.2 76.8 (1.63) (2.27) (3.08) (1.56) 44.9 * * 73.3 (4.78) (*) (*) (4.11) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) 42.1 39.5 * 58.8 (4.17) (5.71) (*) (5.21) 56.4 62.9 66.1 74.7 (2.02) (1.39) (1.34) (1.56) 61.6 64.9 69.9 78.9 (2.41) (1.60) (1.50) (1.57) 53.7 63.8 55.3 * (5.86) (4.07) (4.39) (*) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) 38.8 48.1 55.3 * (4.86) (4.80) (4.61) (*) 64.7 (1.74) 69.0 (1.97) 63.1 (4.10) * (*) * (*) * (*) 52.0 (5.14) 61.4 (1.72) 65.9 (1.91) 58.6 (5.21) * (*) * (*) * (*) 44.0 (5.17) 67.9 (1.21) 71.4 (1.30) 50.0 (4.92) * (*) * (*) * (*) 53.1 (4.30) (continued) Table C.3 Past Year Use of Any Mental Health Service among Adults with Serious Mental Illness, Aged 18 or Older, by Race/Ethnicity and Selected Characteristics: Percentages and Standard Errors, 2008-2012, Annual Averages (continued) C-6 Characteristic Insurance None Private Only Medicaid/Medicare Only Other Insurance Only3 Multiple Insurance Types Overall Health Excellent Very Good Good Fair/Poor Past Year Substance Use Disorder4 No Yes Total White Black or African American American Indian or Alaska Native Asian Two or More Races Hispanic 48.9 66.6 74.0 67.9 79.0 (1.58) (1.28) (1.73) (1.94) (2.62) 53.1 70.5 77.6 69.9 83.8 (1.85) (1.37) (2.04) (2.18) (2.73) 41.3 46.6 71.4 * * (4.96) (5.24) (4.15) (*) (*) * * * * * (*) (*) (*) (*) (*) * * * * * (*) (*) (*) (*) (*) * * * * * (*) (*) (*) (*) (*) 36.8 51.9 * * * (4.07) (4.49) (*) (*) (*) 55.0 63.2 65.1 70.4 (2.81) (1.59) (1.54) (1.56) 57.2 68.5 69.0 74.2 (3.41) (1.71) (1.68) (1.73) * 39.9 53.6 69.6 (*) (5.32) (5.22) (4.04) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) * * * * (*) (*) (*) (*) * 51.4 51.8 50.5 (*) (5.76) (4.78) (5.25) 65.7 (0.91) 65.2 (1.39) 69.3 (1.03) 69.5 (1.55) 57.6 (2.99) 56.2 (4.46) * (*) * (*) * (*) * (*) * (*) * (*) 51.6 (3.18) 46.9 (4.21) * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. 2 Respondents aged 18 to 22 currently living in a college dormitory were excluded from the poverty calculation. 3 Other health insurance is defined as having the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), TRICARE, Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), the U.S. Department of Veterans Affairs (VA), military health care, or any other type of health insurance. 4 Substance Use Disorders include dependence or abuse, which are based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). Table C.4 Reasons for Not Using Mental Health Services among Adults with Serious Mental Illness, Aged 18 or Older, Who Reported an Unmet Need for Mental Health Services, by Race/Ethnicity: Percentages and Standard Errors, 20082012, Annual Averages Reason Cost/Insurance1 Low Perceived Need2 Prejudice and Discrimination 3 Structural Barriers4 Did Not Think Mental Health Services Would Help Some Other Reason5 Total 59.9 (1.15) 22.4 (0.97) 30.4 (1.01) 29.9 (1.08) White 62.1 (1.30) 22.8 (1.11) 29.6 (1.15) 28.9 (1.21) Black or African American 51.7 (3.76) 19.7 (2.77) 31.2 (3.23) 31.0 (3.24) 10.1 (0.70) 9.3 (0.69) 10.8 (0.83) 9.0 (0.76) 5.5 (1.36) 7.3 (2.04) American Indian or Alaska Native * (*) * (*) * (*) * (*) Asian * (*) * (*) * (*) * (*) Two or More Races * (*) * (*) 37.4 (5.83) * (*) Hispanic 58.6 (3.82) 20.3 (3.26) 35.4 (3.54) 35.1 (3.74) * (*) * (*) * (*) * (*) 13.0 (3.90) * (*) 8.7 (2.49) 7.3 (2.02) C-7 * Low precision; no estimate reported. NOTE: Due to a low frequency of mental health service, Native Hawaiian or Other Pacific Islanders have been excluded. NOTE: White, black or African American, American Indian or Alaska Native, Asian, and adults reporting two or more races are non-Hispanic. 1 Cost/Insurance includes the following reasons for not using mental health services: could not afford cost, health insurance does not cover any mental health services, or health insurance does not pay enough for mental health services. 2 Low Perceived Need includes the following reasons for not using mental health services: did not feel need for services or could handle the problem without mental health services. 3 Prejudice and Discrimination includes the following reasons for not using mental health services: might cause neighbors/community to have negative opinion, might have negative effect on job, concerned about confidentiality, did not want others to find out, or concerned about being committed/having to take medicine. 4 Structural Barriers include the following reasons for not using mental health services: no transportation/inconvenient, did not know where to go for services, or did not have time. 5 Respondents with unknown or invalid responses to the other-specify question on some other reason for not using mental health services were classified as not having used services for Some Other Reason. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2012 (2008-2010 Data – Revised March 2012). C-8 Appendix D: List of Contributors This National Survey on Drug Use and Health (NSDUH) publication was prepared by the Division of Population Surveys and the Division of Evaluation, Analysis, and Systems Research, Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), in collaboration with the National Institute of Mental Health (NIMH), National Institutes of Health, and RTI International (a trade name of Research Triangle Institute), Research Triangle Park, North Carolina. Work by RTI was performed under Contract No. HHSS283201000003C and Task Order No. HHSS283200700002I/HHS28342005T. Contributors to this publication at SAMHSA include Sarra Hedden and Judith Teich. Contributors at the NIMH include Lisa Colpe. Contributors at RTI, listed alphabetically, include Kimberly Ault, Mark Edlund, Cristie Glasheen, Joel Hampton, Valerie Hoffman, Larry Kroutil, and Richard Van Dorn. Also at RTI, report and Web production staff, listed alphabetically, include Michelle Back, Teresa F. Bass, Debbie F. Bond, Kimberly Cone, Valerie Garner, Anne Gering, E. Andrew Jessup, Shari B. Lambert, Marceline B. Murawski, Pamela Couch Prevatt, Margaret A. Smith, Roxanne Snaauw, Richard S. Straw, Pamela Tuck, and Cheryl Velez. D-1 D-2