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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."

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DRUG AND ALCOHOL ABUSE AMONG TEENS IN MASSACHUSETTS

Real Story from Massachusetts on Teen Alcohol Abuse

Information provided in this page is 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 appear at the end.

HIGHLIGHTS OF ALCOHOL AND DRUG ABUSE BY ADOLESCENTS IN MASSACHUSETTS

• In Massachusetts approximately 68,000 (13.3 percent) of adolescents in Massachusetts used an illicit drug in the past month; 54,000 (10.6 percent) used marijuana, and 26,000 (5.1 percent) used an illicit drug other than marijuana.

• 18,000 males and 20,000 adolescent females used pain relievers nonmedically in the 12 months prior to the interview.

• 20.2 percent (103,000) of adolescents used alcohol in the past month, and 13.1 percent (67,000) engaged in binge drinking.

• 32,000 adolescents needed but did not receive treatment for past-year drug problems.

• 17,000 males and 15,000 females needed but did not receive treatment for drug problems and 17,000 females and 14,000 males needed but did not receive treatment for alcohol problems.

• Adolescent females were almost three times as likely as adolescent males to have experienced a major depressive episode (MDE) in the past year (11.7 v. 4.1 percent).

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

• Approximately 68,000 (13.3 percent) of the 512,000 adolescents in Massachusetts used an illicit drug in the past month; 54,000 (10.6 percent) used marijuana, and 26,000 (5.1 percent) used an illicit drug other than marijuana.

• There were no significant differences in illicit drug use between adolescent males and
females in Massachusetts.

The misuse of pain relievers among youth is also a major public health concern.

• In Massachusetts, 18,000 adolescent males and 20,000 adolescent females used pain relievers nonmedically in the 12 months prior to the interview

• There was no significant difference in rates of nonmedical pain reliever use between females and males (7.8 v. 6.9 percent).

Adolescent Alcohol Use and Abuse in Massachusetts


• In Massachusetts 20.2 percent (103,000) of adolescents used alcohol in the past month, and 13.1 percent (67,000) 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 Massachusetts adolescents were similar between males and females; 17.6 percent of males and 22.9 percent of females currently used alcohol, and 13.9 percent of males and 12.2 percent of females engaged in binge drinking in the month prior to the interview.

ADOLESCENT ALCOHOL AND ILLICIT DRUG DEPENDENCE OR ABUSE IN MASSACHUSETTS
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.

• In Massachusetts, rates of alcohol and drug dependence or abuse were similar between males and females; 25,000 males and 25,000 females abused or were dependent on alcohol or drugs in the past year.

ADOLESCENT SUBSTANCE ABUSE TREATMENT IN MASSACHUSETTS

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 (2) the Treatment Episode Data Set (TEDS), which provides information on annual treatment admissions.

According to the 2006 N-SSATS survey:

• Massachusetts showed a 1-day total of 39,065 clients in treatment, the majority of whom
(34,904 or 89.3 percent) were in outpatient treatment. Of the total number of clients in
treatment on this date, 1,890 (4.8 percent) were under the age of 18.

According to 2003–2006 TEDS data:

• Adolescent males accounted for 69.7 percent (4,233) of the 6,071 total adolescent substance abuse treatment admissions.

• Of the total male admissions, 29.5 percent were drug treatment admissions, 63.8 percent were alcohol and drug treatment, and 6.4 percent were alcohol treatment.

• Of the total adolescent female admissions, 34.3 percent were drug treatment, 55.2 percent were alcohol and drug treatment, and 10.2 percent were alcohol treatment.


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


• Of the total adolescent male admissions, 85 percent (3,597) reported marijuana use, and 70.2 percent (2,973) reported alcohol use.

• Of the total adolescent female admissions, 67.2 percent (1,235) percent reported marijuana use, and 65.4 percent (1,202) reported alcohol use.

• Further, 15.3 percent (931) of total admissions reported cocaine use, 12.6 percent (534) of male admissions and 21.5 percent (397) of female admissions. Similarly, 10.3 percent (627) of total adolescent admissions reported other opiates and synthetics use, 9.4 percent (397) of male admissions and 12.5 percent (230) of female admissions.

UNMET NEED FOR SUBSTANCE ABUSE TREATMENT IN MASSACHUSETTS

NSDUH 2003–2006 estimates that 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,
• There were no significant differences in rates of the unmet need for treatment between males and females.

• 32,000 Massachusetts adolescents (17,000 males and 15,000 females) needed but did not receive treatment for past-year drug problems (Chart 10).

• 17,000 females (6.6 percent) and 14,000 males (5.4 percent) needed but did not receive treatment for past-year alcohol problems (Chart 11).

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.


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