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"Underage drinking presents an enormous public health issue. Alcohol is the drug of choice among children and adolescents. Annually, about 5,000 youth under age 21 die from motor vehicle crashes, other unintentional injuries, and homicides and suicides that involve underage drinking."

"In 2006, 1.4 million youth ages 12 to 17 needed treatment for an alcohol problem. Of this group, only 101,000 of them received any treatment at a specialty facility."

National Institute on Alcohol Abuse and Alcoholism
 
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DRUG AND ALCOHOL ABUSE AMONG TEENS IN ARIZONA

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Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males and females experience different biological, social, and cognitive changes. During this life stage, millions of adolescents experiment with substance use and engage in behaviors that can affect healthy neurological and psychological development. Understanding the behavioral health differences between adolescent males and females can help to inform public health policy and build prevention and intervention programs that strategically target the different needs of adolescent males and females.

ALCOHOL AND OTHER DRUG USE BY TEENS IN ARIZONA
• Approximately 66,000 (12.9 percent) adolescents in Arizona used an illicit drug in the past month; 45,000 adolescents (8.9 percent) used marijuana and 35,000 (6.8 percent) used an illicit drug other than marijuana.

• Adolescent females were significantly more likely than adolescent males (11.2 v. 6.7 percent) to have used pain relievers nonmedically in the 12 months prior to the interview.

• 18.8 percent of adolescents (96,000) used alcohol in the past month, and 12.4 percent (63,000) engaged in binge drinking.

• 37,000 Arizona adolescents (20,000 males and 17,000 females) needed but did not receive treatment for drug problems.

• 15,000 females (6.1 percent) and 16,000 males (6.2 percent) needed but did not receive treatment for alcohol problems.

• Adolescent females were more than three times as likely as adolescent males to have
experienced an major depressive episode (MDE) in the past year (14.1 v. 4.4 percent).

The data described in the Adolescent Behavioral Health reports derive principally from national surveys conducted by the Office of Applied Studies, a component of the Substance Abuse and Mental Health Services Administration. Sources for all data used in this report appears below.

TEEN ILLICIT SUBSTANCE USE IN ARIZONA
Marijuana is the most commonly used illicit drug in the United States. According to the combined 2003–2006 NSDUH:

• Approximately 66,000 (12.9 percent) of the 511,000 adolescents in Arizona used an illicit drug in the past month; 45,000 (8.9 percent) used marijuana, and 35,000 (6.8 percent) used an illicit drug other than marijuana.

• There were no significant differences on measures of past-month illicit substance use between males and females in Arizona.

The misuse of pain relievers among youth is also a major public health concern.
• In Arizona, adolescent females were significantly more likely than adolescent males |(11.2 v. 6.7 percent) to have used pain relievers nonmedically in the 12 months prior to the interview.

Adolescent Alcohol Use and Abuse in Arizona

• 18.8 percent of adolescents (96,000) used alcohol in the past month, and 12.4 percent (63,000) engaged in binge drinking. Binge drinking is defined as 5 or more drinks on the same occasion on at least 1 day of past 30 days.

• Rates of current alcohol use and past month binge drinking among Arizona adolescents were similar between males and females; 17.7 percent of males and 19.9 percent of females currently used alcohol, and 13.2 percent of males and 11.5 percent of females engaged in binge drinking in the month prior to the interview.

ADOLESCENT ALCOHOL AND ILLICIT DRUG DEPENDENCE OR ABUSE IN ARIZONA

According to the 2003–2006 NSDUH:

• Nationwide nearly 1.5 million adolescents were dependent on or abused alcohol in the past year and more than 1.2 million adolescents were dependent or abused illicit drugs.

• Overall, the rates of past-year abuse or dependence on alcohol were significantly higher
for females than males (6.0 v. 5.4 percent), but rates of past-year abuse or dependence on
illicit drugs were similar between males and females.

• Rates of past year drug or alcohol dependence or abuse were also similar between males and females in Arizona; 28,000 males and 26,000 females abused or were dependent on
alcohol or drugs.

ADOLESCENT SUBSTANCE ABUSE TREATMENT IN ARIZONA
State treatment data for substance use disorders are derived from two primary sources: (1) National Survey of Substance Abuse Treatment Services (N-SSATS), an annual 1-day census of clients in treatment and the Treatment Episode Data Set (TEDS), which provides information on annual treatment admissions.

According to the 2006 N-SSATS survey:

• Arizona showed a 1-day total of 26,913 clients in treatment, the majority of whom (24,958 or 92.7 percent) were in outpatient treatment. Of the total number of clients in treatment on this date, 2,097 (7.8 percent) were under the age of 18.

According to 2003–2006 TEDS data:
• Adolescent males accounted for 53 percent (1,844) of the 3,475 adolescent substance abuse treatment admissions.

• Of the total male admissions, 2.8 percent were alcohol only admissions, 20.5 percent were alcohol and drug admissions, 60.9 percent were other drugs only admissions, and 15.8 reported no treatment type.

• Of the total adolescent female admissions (1,591), 64.9 percent were other drugs only treatment, 18.2 percent were alcohol and drug treatment, 4.1 percent were alcohol only treatment, and 12.8 percent did not report treatment type.

Among adolescent admissions in Arizona, marijuana and alcohol were the most prevalent substances of abuse.

• Of the total male admissions, 35.2 percent (663) reported marijuana use and 23.4 percent (440) reported alcohol use.

• Of the total female admissions, 27.7 percent (440) reported marijuana use and 22.3 percent (355) reported alcohol use.

• Further, 50.6 percent (1,757) of total admissions reported other substance use; 48 percent (899) of male admissions and 54 percent (858) of female admissions; and 2.3 percent (79) of total admissions reported cocaine use 2.1 percent (40) of male admissions and 2.5 percent (39) of female admissions. Similarly, 7.3 percent (253) of adolescent admissions reported methamphetamine use, 6.4 percent (120) of male admissions and 8.4 percent (133) of female admissions.

UNMET NEED FOR SUBSTANCE ABUSE TREATMENT IN ARIZONA
NSDUH 2003–2006 estimates more than 1.16 million adolescents needed but did not receive treatment for illicit drug problems and more than 1.3 million needed but did not receive treatment for alcohol problems. NSDUH defines “unmet treatment need” as an individual who meets the criteria for abuse of or dependence on illicit drugs or alcohol according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), but who has not received specialty treatment for that problem in the past year.

In 2003–2006,
• Rates of unmet need for past-year alcohol problems and rates of unmet need for past-year
drug problems were similar between adolescent males and females in Arizona.

• 37,000 Arizona adolescents (20,000 males and 17,000 females) needed but did not receive
treatment for drug problems in the past year.

• 15,000 females (6.1 percent) and 16,000 males (6.2 percent) needed but did not receive
treatment for alcohol problems.

Sources:
Facility Data: National Survey of Substance Abuse Treatment Services (N-SSATS)–2006 is available at: http://www.dasis.samhsa.gov.

Center for Mental Health Services Uniform Reporting System Output Tables 2006 is available at: http://mentalhealth.samhsa. gov/cmhs/MentalHealthStatistics/URS2006.asp

Substance Abuse Treatment Data: Treatment Episode Data Set–Concatenated File–is available from the Substance Abuse and Mental Health Data Archive: http://www. icpsr.umich.edu/SDA/SAMHDA.

Mental Health Treatment Data: Center for Mental Health Services Uniform Reporting System Output Tables 2006 is available at: http://mentalhealth.samhsa.gov/cmhs/ MentalHealthStatistics/URS2006.asp.

TOLL FREE TEEN DRUG REHAB HELP LINE IN ARIZONA: 1-888-757-6237 or e-mail us.

If you have any questions, please know that we are here to provide you with support and guidance, 24 hours a day, seven days a week. We welcome the opportunity to answer your questions free of charge about teen behavior, substance use, adolescent addiction, teen drug rehab, or other related matters.
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