Transcript Office of National Drug Control Policy (ONDCP)

Drug Treatment Demand among
Youth in the United States
M. Fe Caces, Ph.D.
Statistician/Demographer
Office of National Drug Control Policy
Executive Office of the President
Washington, DC
Presentation for the Treatment Demand Indicator (TDI)
2006 Meeting with International Organizations, EMCDDA/OEDT
Lisbon, Portugal, September 2006
Most Frequently Used Illicit Drugs, 2005
Number in Millions, Ages 12 or Older
Number in Thousands, Ages 12 to 17
5,000
100
97.5
80
4,000
60
3,000
4,402
3,383
3,104
2,658
48.7
2,000
1,000
25.4
8/2006
998
665
2.4
0
Lifetime Users
Past Year Users
Past Month Users
1,730
839
Source: SAMHSA, 2005 National Survey on Drug Use and Health.
313
205
Hallucinogens
1.1
5.5
1,144
Nonmedical Use of
Psychotherapeutics
6.4
Nonmedical Use of
Psychotherapeutics
14.6
Marijuana
0
3.8
Cocaine
15.2
Hallucinogens
20
33.7
Inhalants
33.7
2,105
Marijuana
40
Use and Dependence/Abuse for Ages 12 to 17
Number in Thousands
12,000
Lifetime Users
30
Percent who are Dependent/Abuser
in the Past Year
Past Year Users
10,596
10,000
26.8
Past Month Users
% of Lifetime Users
Past Year Dep/Abusers
8,537
8,000
% of Past Year Users
20
20.5
7,363
16.9
6,000
4,000
4,788
4,436
4,645
17.8
11.3
10
3,656
8.9
2,998
2,000
1,909
1,517
979
828
0
Marijuana
Alcohol
Cigarettes
0
Marijuana
Alcohol
Source: SAMHSA, 2004 National Survey on Drug Use and Health.
Cigarettes
More Than 2 Million Youths Estimated to be Substance
Dependents or Abusers in the Past Year
Past Year Dependent/Abusers, Aged 12 to 17 (in Thousands)
Any Illicit Drug
1,186
907
Marijuana
Psychotherapeutics
329
93
Cocaine
Heroin
Dependence or abuse is based on the definition
found in the 4th Edition of the Diagnostic and
Statistical Manual of Mental Disorders (DSM-IV).
128
Hallucinogens
9
108
Inhalants
Alcohol
1,407
555
Drug+Alcohol
2,038
Drug or Alcohol
0
500
1,000
1,500
2,000
Source: SAMHSA, 2005 National Survey on Drug Use and Health (September 2006).
9/2006
2,500
Substance Abuse or Dependence in the Past
Year, by Detailed Age Category
Number in Thousands
1000
900
800
700
600
Drugs or Alcohol
Drugs
500
400
300
200
100
0
12 13 14 15 16 17 18 19 20 21 22 23 24 25
Age
Source: SAMHSA, 2005 National Survey on Drug Use and Health (September 2006).
8/2006
Substance Dependence or Abuse in the Past
Year, by Age and Gender: 2005
Percent Dependent or Abusing in Past Year
14
12
Male
Female
12.0
12.6
10
8
7.8
8.3
6.4
6.2
6
4
2
0
Aged 12 or Older
Aged 12 to 17
Aged 18 or Older
Substance Abuse or Dependence among Youth
in the Past Year, by Race/Ethnicity
Percent who are dependent or abusing (Aged 12 to 17)
15
12
9
Drugs or Alcohol
Drugs
6
3
0
White
Black
Hispanic
Amer.
Indian/
Alaskan
Native
Asian
2 or
More
Races
Source: SAMHSA, 2005 National Survey on Drug Use and Health (September 2006).
8/2006
Substance Abuse or Dependence among Youth
in the Past Year, by County Type
Percent who are dependent or abusing (Aged 12 to 17)
12
10
8
Drugs or Alcohol
Drugs
6
4
2
0
Large
Metro
Small
Metro
Metro
<250k
Urban
Non
Metro
Less
Urban
Non
Metro
Rural
Non
Metro
Source: SAMHSA, 2005 National Survey on Drug Use and Health (September 2006).
8/2006
Received Substance Use Treatment in the Past
Year, by Detailed Age Category
Number in Thousands
175
150
125
100
Drugs or Alcohol
Drugs
75
50
25
0
12 13 14 15 16 17 18 19 20 21 22 23 24 25
Age
Source: SAMHSA, 2005 National Survey on Drug Use and Health (September 2006).
8/2006
Among youths aged 12 to 17 who were classified as
in need of drug treatment, almost nine out of ten did
not feel the need for treatment.
Received drug tx
9.1%
Did not receive tx,
but perceived a
need for tx
3.5%
Did not receive
drug tx and did not
perceive a need for
tx
87.4%
Total in need of treatment = 1.4 million youths
.
9/2006
Source: SAMHSA, Substance Use Treatment Need among Adolescents: 2003-2004.
The NSDUH Report, Issue 24 (2006).
Primary Substance of Abuse among
Younger Admissions to Treatment, 2004
Young Adult Admissions
(Aged 18 to 25)
Youth Admissions
(Aged 12 to 17)
8%
2%
5%
2%
8%
4%
19%
32%
12%
17%
64%
27%
Alcohol
Marijuana
Opiates
Stimulants
Cocaine
Other
Source: SAMHSA, 2004 Treatment Episode Data Set (TEDS) .
9/2006
Source of Referral among
Younger Admissions to Treatment, 2004
Young Adult Admissions
(Aged 18 to 25)
Youth Admissions
(Aged 12 to 17)
11%
16%
9%
10%
52%
11%
47%
1%
27%
17%
Criminal Justice System
Self/Individual
School
Other Community
Other
Source: SAMHSA, 2004 Treatment Episode Data Set (TEDS) .
9/2006