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MHMD-9.2 Data Details

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MHMD-9.2 Increase the proportion of adults aged 18 years and older with major depressive episodes (MDEs) 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): 
69.0 (2008)
Target: 
75.9
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over with major depressive episode within the past 12 months who received treatment

Denominator: 

Number of persons aged 18 years and over with major depressive episode in the past 12 months

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

    A modified version of the Composite International Diagnostic Interview is administered to assess criteria necessary for a diagnosis of Major Depressive Episode (MDE) based on DSM IV for adults. A person was defined as having had an MDE if s/he had a period of time in the past 12 months when s/he felt depressed or lost interest or pleasure in daily activities for 2 weeks or longer and had at least five or more of the following nine symptoms in the same 2-week period, with at least one of the symptoms being a depressed mood or loss of interest or pleasure in daily activities: (1) depressed mood most of the day, nearly every day; (2) markedly diminished interest or pleasure in all or almost all activities most of the day, nearly every day; (3) significant weight loss when not dieting or weight gain or decrease or increase in appetite nearly every day; (4) insomnia or hypersomnia nearly every day; (5) psychomotor agitation or retardation nearly every day; (6) fatigue or loss of energy nearly every day; (7) feelings of worthlessness nearly every day; (8) diminished ability to think or concentrate or indecisiveness nearly every day; and (9) recurrent thoughts of death or recurrent suicide ideation.

    Receiving treatment for MDE is defined as an adult having received treatment/counseling if s/he saw or talked to a medical doctor or other professional for MDE in the past year. 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 18-09b in that the data source for objective 18-09b 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 major depressive episode within the past 12 months who received treatment

Denominator: 

Number of persons aged 18 years and over with major depressive episode in the past 12 months

Data Collection Frequency: 
Annual
Methodology Notes: 

      A modified version of the Composite International Diagnostic Interview is administered to assess criteria necessary for a diagnosis of Major Depressive Episode (MDE) based on DSM IV for adults. A person was defined as having had an MDE if s/he had a period of time in the past 12 months when s/he felt depressed or lost interest or pleasure in daily activities for 2 weeks or longer and had at least five or more of the following nine symptoms in the same 2-week period, with at least one of the symptoms being a depressed mood or loss of interest or pleasure in daily activities: (1) depressed mood most of the day, nearly every day; (2) markedly diminished interest or pleasure in all or almost all activities most of the day, nearly every day; (3) significant weight loss when not dieting or weight gain or decrease or increase in appetite nearly every day; (4) insomnia or hypersomnia nearly every day; (5) psychomotor agitation or retardation nearly every day; (6) fatigue or loss of energy nearly every day; (7) feelings of worthlessness nearly every day; (8) diminished ability to think or concentrate or indecisiveness nearly every day; and (9) recurrent thoughts of death or recurrent suicide ideation.

      Receiving treatment for MDE is defined as an adult having received treatment/counseling if s/he saw or talked to a medical doctor or other professional for MDE in the past year. 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 2013, the original baseline was revised from 68.3 to 71.1 due to a change in programming. The target was adjusted from 75.1 to 78.2 to reflect the revised baseline using the original target-setting method. In 2014, the baseline was revised from 71.1 to 69.0 percent due to a methodology change in NSDUH's calculation of estimates. The target was adjusted from 78.2 percent to 75.9 percent to reflect the revised baseline using the original target-setting method.