Substance Use and Mental Health Issues among U.S.-Born American Indians or Alaska Natives, Exams of Advanced Education

Download Substance Use and Mental Health Issues among U.S.-Born American Indians or Alaska Natives and more Exams Advanced Education in PDF only on Docsity! SAMHSA-Substance abuse and mental health services administration study guide solution SAMHSA Helpline - Received calls an average of 68,683 calls per month. This is an increase from 2017, with an average monthly call volume of 67,949 or 815,390 total calls for the year. Substance Use and Mental Health Issues among U.S.-Born American Indians or Alaska Natives Residing on and off Tribal Lands - About 22 percent of American Indians/Alaska Natives (AI/ANs) reside on reservations or other trust lands, which contain unique governments, histories, traditions, communities, languages, and behavioral health challenges. AI/ANs - American Indians/Alaska Natives High rates of substance use and mental health issues - AI/ANs experience high rates of substance use and some mental health issues (e.g., posttraumatic stress) compared with the U.S. general population.The prevalence of substance use and mental health issues among AI/ANs is linked with social determinants of health, including poverty, lack of opportunity, violence and victimization, chronic stress, and barriers to culturally competent behavioral health care. Current Statistics on the Prevalence and Characteristics of People Experiencing Homelessness in the United States - Individuals who are Homeless According to the US Department of Housing and Urban Development's June 2010 Annual Homeless Assessment Report to Congress (2010 AHAR)1, on a given night in January 2010: • 407,966 individuals were homeless in shelters, transitional housing programs, or on the streets (this number does not include persons in family households)i • 109,812 individuals were chronically homeless, a 1% decrease from the previous year National Survey of Homeless Assistance Providers and Clients (NSHAPC) fact sheet - Gender, Age, Race/Ethnicity Among all sheltered individuals over the course of a year (October 2009-September 2010)iii: • 62% were male • 38% were female • 21.8% are under age 18 • 23.5% are 18-30 • 37% are 31 to 50 • 14.9% are 51 to 61 • 2.8% are 62 or older • 41.6% are White, Non-Hispanic • 9.7% are White, Hispanic • 37% are Black/African-American • 4.5% are other single races; • 7.2% are multiple races Mental Illness & Substance Use On a given night in January 2010iv: • 26.2% of all sheltered persons who were homeless had a severe mental illness • 34.7% of all sheltered adults who were homeless had chronic substance use issues 2 Suicidal Thoughts and Behavior in 33 Metropolitan Statistical Areas Update: 2013 to 2015 - Based on combined 2013 to 2015 NSDUH data, an annual average of 9.5 million adults aged 18 or older had serious thoughts of suicide in the past year, 2.7 million made a suicide plan, and 1.3 million attempted suicide. The percentage of adults aged 18 or older who had serious thoughts of suicide in the past year ranged from 2.5 percent in the Miami metropolitan statistical area (MSA) to 6.6 percent in the New Orleans MSA. The percentage of adults aged 18 or older who planned suicide in the past year included 0.4 percent in the Atlanta MSA and 2.1 percent in the New Orleans MSA. The percentage of adults aged 18 or older who attempted suicide in the past year ranged from 0.2 percent in the Albuquerque MSA to 1.0 percent in the Honolulu MSA. EMERGENCY DEPARTMENT VISITS INVOLVING THE ACCIDENTAL INGESTION OF OPIOID PAIN RELIEVERS BY CHILDREN AGED 1 TO 5 - According to the Drug Abuse Warning Network (DAWN), in 2011 an estimated 4,321 emergency department (ED) visits involved accidental ingestion of opioid pain relievers by children aged 1 to 5. The number of ED visits increased 200.7 percent from 1,437 visits in 2004 to 4,321 visits in 2011; however, the number of ED visits was stable between 2009 and 2011. Combined 2004 to 2011 DAWN data show that an estimated 22,174 ED visits involved accidental ingestion of opioid pain relievers by children aged 1 to 5. An estimated 5,977 of these ED visits involved hydrocodone products (Vicodin; Lortab), and 4,365 involved Oxycodone products (OxyContin; Percocet). About 5,222 visits involved buprenorphine (Subutex; Suboxone), a medication used to treat opioid addition. Combined 2004 to 2011 DAWN data show that, among ED visits involving accidental ingestion of opioid pain relievers by children aged 1 to 5, 85 percent involved opioids only; additional drugs were involved in the remaining 15 percent of these ED visits. Combined 2004 to 2011 DAWN data show that, among children aged 1 to 5 taken to the ED for accidental ingestion of opioid pain relievers, 71 percent were treated and released; 16 percent were admitted to the hospital for inpatient care and 11 percent were transferred to another health care facility. 7. According to the 2016 NSDUH, 9.1 percent (0.6 million) of bisexuals aged 18 and older reported heavy alcohol use in the past month. This was higher than the national average (6.8 percent). o For bisexual women, the percentage (9.1 percent) was higher compared to all women (4.3 percent). o For bisexual men, the percentage (9.1 percent) was similar compared to all men (9.5 percent). Substance Use Disorders 8. According to the 2016 NSDUH, 17.1 percent (1.1 million) of bisexuals aged 18 and older had a substance use disorder in the past year. This was higher than the national average (7.9 percent). o For bisexual women, the percentage (17.4 percent) was higher compared to all women (5.6 percent). o For bisexual men, the percentage (16.4 percent) was higher compared to all men (10.5 percent). Substance Use Treatment 9. According to the 2016 NSDUH, 2.6 percent (159,000) of bisexuals aged 18 and older reported receiving treatment for substance use at a specialty facility in the past year. This was higher than the national average (0.9 percent). o For bisexual women, the percentage (2.9 percent) was higher compared to all women (0.6 percent). o For bisexual men, the percentage (1.9 percent) was similar compared to all men (1.2 percent). Mental Health 10. According to the 2016 NSDUH, 45.9 percent (2.8 million) of bisexuals aged 18 and older had any mental illness (AMI) in the past year. This was higher than the national average (18.1 percent). o For bisexual women, the percentage (49.7 percent) was higher compared to all women (21.5 percent). o For bisexual men, the percentage (36.1 percent) was higher compared to all men (14.4 percent). 11. According to the 2016 NSDUH, 16.4 percent (1.0 million) of bisexuals aged 18 and older had a serious mental illness (SMI) in the past year. This was higher than the national average (4.1 percent). o For bisexual women, the percentage (18.4 percent) was higher compared to all women (5.2 percent). o For bisexual men, the percentage (11.0 percent) was higher compared to all men (3.0 percent). 12. According to the 2016 NSDUH, 29.5 percent (1.8 million) of bisexuals aged 18 and older had mental illness excluding past year serious mental illness (SMI) in the past year. This was higher than the national average (13.9 percent). o For bisexual women, the percentage (31.3 percent) was higher compared to all women (16.3 percent). o For bisexual men, the percentage (25.1 percent) was higher compared to all men (11.4 percent). 13. According to the 2016 NSDUH, 28.7 percent (1.8 million) of bisexuals aged 18 and older reported receiving mental health treatment or counseling in the past year. This was higher than the national average (14.3 percent). o For bisexual women, the percentage (31.9 percent) was higher compared to all women (18.2 percent). o For bisexual men, the percentage (20.4 percent) was higher compared to all men (10.1 percent). Lesbians and gays: 2015-2016 NSDUH Summary Sheet - Drug Use 1. According to the 2015-2016 NSDUH, 35.1 percent (1.6 million) of lesbians or gays aged 18 and older reported using illicit drugs in the past year. This was higher than the national average (18.0 percent). o For lesbians, the percentage (29.8 percent) was higher compared to all women (15.2 percent). o For gays, the percentage (39.1 percent) was higher compared to all men (21.1 percent). 2. According to the 2016 NSDUH, 26.7 percent (1.2 million) of lesbians or gays aged 18 and older reported using marijuana in the past year. This was higher than the national average (13.8 percent). o For lesbians, the percentage (24.7 percent) was higher compared to all women (11.0 percent). o For gays, the percentage (28.2 percent) was higher compared to all men (16.9 percent). 3. According to the 2016 NSDUH, 8.0 percent (0.4 million) of lesbians or gays aged 18 and older reported misusing a prescription pain reliever in the past year. This was higher than the national average (4.5 percent). o For lesbians, the percentage (6.5 percent) was higher compared to all women (3.9 percent). o For gays, the percentage (9.1 percent) was higher compared to all men (5.2 percent). 4. According to the 2016 NSDUH, 0.5 percent (22,000) of lesbians or gays aged 18 and older reported using heroin in the past year. This was similar to the national average (0.4 percent). o For lesbians, the percentage (0.3 percent) was similar compared to all women (0.2 percent). o For gays, the percentage (0.7 percent) was similar compared to all men (0.5 percent). 5. According to the 2015-2016 NSDUH, 64.5 percent (2.9 million) of lesbians or gays aged 18 and older reported using alcohol in the past month. This was higher than the national average (55.5 percent). o For lesbians, the percentage (60.6 percent) was higher compared to all women (50.5 percent). o For gays, the percentage (67.4 percent) was higher compared to all men (60.8 percent). 6. According to the 2015-2016 NSDUH, 34.5 percent (1.6 million) of lesbians or gays aged 18 and older reported binge drinking in the past month. This was higher than the national average (26.5 percent). o For lesbians, the percentage (31.5 percent) was higher compared to all women (21.6 percent). o For gays, the percentage (36.7 percent) was higher compared to all men (31.9 percent). 7. According to the 2016 NSDUH, 9.5 percent (0.4 million) of lesbians or gays aged 18 and older reported heavy alcohol use in the past month. This was similar to the national average (6.8 percent). o For lesbians, the percentage (8.9 percent) was higher compared to all women (4.3 percent). o For gays, the percentage (10.0 percent) was similar compared to all men (9.5 percent). Substance Use Disorders 8. According to the 2016 NSDUH, 15.4 percent (0.7 million) of lesbians or gays aged 18 and older had a substance use disorder in the past year. This was higher than the national average (7.9 percent). o For lesbians, the percentage (10.1 percent) was higher compared to all women (5.6 percent). o For gays, the percentage (19.3 percent) was higher compared to all men (10.5 percent). Substance Use Treatment 9. According to the 2016 NSDUH, 1.8 percent (83,000) of lesbians or gays aged 18 and older reported receiving treatment for substance use at a specialty facility in the past year. This was similar to the national average (0.9 percent). o For lesbians, the percentage (1.0 percent) was similar compared to all women (0.6 percent). o For gays, the percentage (2.5 percent) was higher compared to all men (1.2 percent). Mental Health 10. According to the 2016 NSDUH, 31.7 percent (1.4 million) of lesbians or gays aged 18 and older had any mental illness (AMI) in the past year. This was higher than the national average (18.1 percent). o For lesbians, the percentage (33.1 percent) was higher compared to all women (21.5 percent). o For gays, the percentage (30.6 percent) was higher compared to all men (14.4 percent). 11. According to the 2016 NSDUH, 10.9 percent (0.5 million) of lesbians or gays aged 18 and older had a serious mental illness (SMI) in the past year. This was higher than the national average (4.1 percent). o For lesbians, the percentage (11.5 percent) was higher compared to all women (5.2 percent). o For gays, the percentage (10.5 percent) was higher compared to all men (3.0 percent). 12. According to the 2016 NSDUH, 20.8 percent (0.9 million) of lesbians or gays aged 18 and older had a mental illness excluding past year serious mental illness (SMI) in the past year. This was higher than the national average (13.9 percent). o For lesbians, the percentage (21.6 percent) was higher compared to all women (16.3 percent). o For gays, the percentage (20.2 percent) was higher compared to all men (11.4 percent). 13. According to the 2016 NSDUH, 25.2 percent (1.1 million) of lesbians or gays aged 18 and older reported receiving mental health treatment or counseling in the past year. This was higher than the national average (14.3 percent). o For lesbians, the percentage (25.7 percent) was higher compared to all women (18.2 percent). o For gays, the percentage (24.8 percent) was higher compared to all men (10.1 percent).