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Epidemiology of Co-Occurring Substance Use & Mental Disorders Beatrice A. Rouse, Ph.D. Senior Epidemiologist, SAMH

Epidemiology of Co-Occurring Substance Use & Mental Disorders Beatrice A. Rouse, Ph.D. Senior Epidemiologist, SAMHSA. Council of State and Territorial Epidemiologists (CSTE) June 24-28, 2007. Objectives:. Present basic epidemiology of co-occurring substance use & mental disorders

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Epidemiology of Co-Occurring Substance Use & Mental Disorders Beatrice A. Rouse, Ph.D. Senior Epidemiologist, SAMH

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  1. Epidemiology of Co-Occurring Substance Use & Mental DisordersBeatrice A. Rouse, Ph.D. Senior Epidemiologist, SAMHSA Council of State and Territorial Epidemiologists (CSTE)June 24-28, 2007

  2. Objectives: Present basic epidemiology of co-occurring substance use & mental disorders Discuss implications for States & Territories Suggest needed research Provide sources for further information Beatrice A. Rouse, Ph.D. Senior Epidemiologist, SAMHSA

  3. http://dasis3.samhsa.gov SAMHSA Substance Abuse Treatment Facility Locator

  4. Youth: Past Year Major Depressive Episode Source: SAMHSA, National Survey on Drug Use & Health 2004-2005.

  5. Youth: Depression in Past Yearby Race & Ethnicity Source: SAMHSA, National Survey on Drug Use & Health 2005.

  6. Youth: Co-Occurring Substance Use and Depression in Past Year Source: SAMHSA, National Survey on Drug Use & Health 2005.

  7. Youth Needing Substance Abuse or Mental Health Treatment: % Received 2004 2005 2004 2005 Substance Abuse Treatment Mental Health Treatment Source: SAMHSA, National Survey on Drug Use & Health 2004-2005.

  8. Adults: Past Year Major Depressive Episode Source: SAMHSA, National Survey on Drug Use & Health 2004-2005.

  9. Adults: Depression in Past Yearby Race & Ethnicity Source: SAMHSA, National Survey on Drug Use & Health 2004-2005.

  10. Adults: Co-Occurring Substance Use and Depression in Past Year Source: SAMHSA, National Survey on Drug Use & Health 2005.

  11. Adults: Mental Health Treatment Received Source: SAMHSA, National Survey on Drug Use & Health 2002-2005.

  12. Adults with Co-Occurring Disorders: Treatment Received Source: SAMHSA, National Survey on Drug Use & Health 2005.

  13. Adults: Reason for No Mental Health Treatment Among Those with Unmet Need Source: SAMHSA, National Survey on Drug Use & Health 2005.

  14. Maine: Drug Related Deaths (DAWN) Source: SAMHSA, Drug Abuse Warning Network, 2003.

  15. Age 12+: Past Year Nonmedical Use of Prescription Psychotherapeutic Drugs Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  16. Age 12+: Past Year Nonmedical Use of Pain Relievers Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  17. Age 12+: Past Year Nonmedical Use of Tranquilizers Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  18. Age 12+: Past Year Nonmedical Use of Stimulants Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  19. Age 12+: Past Year Nonmedical Use of Sedatives Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  20. Adults: Past Year Serious Psychological Distress by State Treatment Planning Area Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  21. Age 12+: Any Illicit Drug Use in Past Month by State Treatment Planning Area Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  22. Age 12+: Binge Drinking in Past Month by State Treatment Planning Area Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  23. Age 12+: Any Tobacco Use Past Month by State Treatment Planning Area Source: SAMHSA, National Survey on Drug Use & Health 2002-2004.

  24. Populations of Interest • Veterans • Homeless • Disabled • Pregnant Women • Criminal Justice Involved • Immigrants • Tribal Communities

  25. SAMHSA COSIGCo-Occurring State Incentive Grants • develop and enhance the infrastructure of States, federally recognized Tribes, and tribal organizations …and their treatment service systems • to increase their capacity to provide accessible, effective, comprehensive, coordinated/integrated, and evidence-based treatment services to persons with co-occurring substance abuse and mental health disorders, and to their families.

  26. States with SAMHSA COSIG Grants • Cohort 1: • Alaska • Arkansas • Hawaii • Louisiana • Missouri • Pennsylvania • Texas Cohort 3: Connecticut D.C. Maine Vermont Cohort 4: Minnesota South Carolina Cohort 2: Arizona New Mexico Oklahoma Virginia

  27. For Further Information: • Beatrice A. Rouse, Ph.D. • Senior Epidemiologist • Office of Applied Studies • Substance Abuse & Mental Health Services Administration (SAMHSA) • Prevalence & Correlates - - http://oas.samhsa.gov • Reports on Co-Occurring Disorders - - http://oas.samhsa.gov/dual.cfm • SAMHSA Co-Occurring Center for Excellence - - • http://www.coce.samhsa.gov/ • SAMHSA National Registry of Evidence-based Programs and Practices - -http://www.nrepp.samhsa.gov/

  28. Handouts: SAMHSA: State Estimates of Substance Use from the 2004-2005 National Surveys on Drug Use & Health SAMHSA: From Exclusion to Belonging - - Transforming Mental Health Care in America SAMHSA: Definitions and Terms Relating to Co-Occurring Disorders Beatrice A. Rouse, Ph.D. Senior Epidemiologist, SAMHSA

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