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MHMD-9.1 Data Details

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MHMD-9.1 Increase the proportion of adults aged 18 years and older with serious mental illness (SMI) who receive treatment

About the Data: National

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Survey on Drug Use and Health
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
65.7 (2008)
Target: 
72.3
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over with serious mental illness who received treatment

Denominator: 

Number of persons aged 18 years and over with serious mental illness

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Data Collection Frequency: 
Annual
Methodology Notes: 

    In the National Survey on Drug Use and Health (NSDUH), Serious Mental illness (SMI) among adults is defined as persons aged 18 or older who currently or at any time in the past year have had a diagnosable mental, behavioral, or emotional disorder (excluding developmental and substance abuse disorders) resulting in substantial impairment in carrying out major life activities. A modified version of the Composite International Diagnostic Interview is administered to assess criteria necessary for a diagnosis of SMI based on the DSM IV for adults.

    Mental health service utilization is defined as receiving, in the 12 months prior to the interview, treatment or counseling for any problem with emotions, nerves, or mental health in any inpatient or outpatient setting, or the use of prescription medication for treatment of any mental or emotional condition. Persons answering affirmatively to any of the battery of questions in the NSDUH mental health service utilization module were considered to have received treatment.

Trend Issues: 
Estimates prior to data year 2015 were removed for martial status, educational attainment, country of birth, and geographic location due to a questionnaire redesign of the National Survey on Drug Use and Health (NSDUH) beginning in data year 2015, which resulted in a break in trend. Estimates were removed for both national level, and state-level data including the category ‘all reporting states’.
Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 18-09a in that the data source for objective 18-09a was the National Comorbidity Survey-Replication, while the data source for this objective is the National Survey on Drug Use and Health.

About the Data: State

Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

Data Source: 
National Survey on Drug Use and Health
Measure: 
percent
Numerator: 

Number of persons aged 18 years and over with serious mental illness who received treatment

Denominator: 

Number of persons aged 18 years and over with serious mental illness

Data Collection Frequency: 
Annual
Methodology Notes: 

      In the National Survey on Drug Use and Health (NSDUH), Serious Mental illness (SMI) among adults is defined as persons aged 18 or older who currently or at any time in the past year have had a diagnosable mental, behavioral, or emotional disorder (excluding developmental and substance abuse disorders) resulting in substantial impairment in carrying out major life activities. A modified version of the Composite International Diagnostic Interview is administered to assess criteria necessary for a diagnosis of SMI based on the DSM IV for adults.

      Mental health service utilization is defined as receiving, in the 12 months prior to the interview, treatment or counseling for any problem with emotions, nerves, or mental health in any inpatient or outpatient setting, or the use of prescription medication for treatment of any mental or emotional condition. Persons answering affirmatively to any of the battery of questions in the NSDUH mental health service utilization module were considered to have received treatment.

Trend Issues: 
Estimates prior to data year 2015 were removed for martial status, educational attainment, country of birth, and geographic location due to a questionnaire redesign of the National Survey on Drug Use and Health (NSDUH) beginning in data year 2015, which resulted in a break in trend. Estimates were removed for both national level, and state-level data including the category ‘all reporting states’.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2014, the original baseline was revised from 58.7 to 65.7 percent due to a methodology change in NSDUH's calculation of estimates. The target was was adjusted from 64.6 to 72.3 percent to reflect the revised baseline using the original target-setting method.