DRUG AND ALCOHOL ABUSE AMONG TEENS IN MONTANA

Montana Teen Prescription Drug 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.

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.

HIGHLIGHTS OF ALCOHOL AND DRUG ABUSE BY ADOLESCENTS IN MONTANA
• Approximately 11,000 (14.5 percent) adolescents in Montana used an illicit drug in the past month; 9,000 (10.8 percent) used marijuana, and 6,000 (7.3 percent) used an illicit drug other than marijuana.

• 4,000 adolescent males and 5,000 adolescent females used pain relievers nonmedically in the 12 months prior to the interview.

• Rates of illicit drug use and illicit drug use other than marijuana were significantly higher among adolescent females than males in Montana.

• 24.1 percent of adolescents (19,000) used alcohol in the past month, and 17.9 percent (14,000) engaged in binge drinking.

• 3,000 (8.4 percent) adolescent females and 2,000 (5.8 percent) adolescent males needed but did not receive treatment for past-year drug problems.

• Adolescent females in Montana were more than three times as likely as adolescent males to have experienced a major depressive episode (MDE) in the past year (14.6 v. 4.1 percent).

TEEN ILLICIT SUBSTANCE USE IN MONTANA

Marijuana is the most commonly used illicit drug in the United States. According to the combined 2003–2006 NSDUH:

• Approximately 11,000 (14.5 percent) of the 79,000 adolescents in Montana used an illicit
drug in the past month; 9,000 (10.8 percent) used marijuana, and 6,000 (7.3 percent) used an illicit drug other than marijuana.

• Rates of illicit drug use and illicit drug use other than marijuana were significantly higher among adolescent females than males in Montana.

• Rates of past-month marijuana use were similar between Montana adolescent males and
females (10.1 v. 11.6 percent).

The misuse of pain relievers among young adults is also a public health concern.

• In Montana, 4,000 adolescent males and 5,000 adolescent females used pain relievers nonmedically in the 12 months prior to the interview

• There were no significant differences between adolescent females and males in past-year nonmedical pain reliever use (12.0 v. 8.8 percent).

ADOLESCENT ALCOHOL USE AND ABUSE IN MONTANA

• 24.1 percent of adolescents (19,000) used alcohol in the past month, and 17.9 percent (14,000) 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 were similar between adolescent males and females in Montana.

ADOLESCENT ALCOHOL AND ILLICIT DRUG DEPENDENCE OR ABUSE IN MONTANA
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 Montana, rates of illicit drug dependence in the past year and rates of illicit drug dependence or abuse in the past year were significantly higher for adolescent females than males, but rates of past year alcohol dependence, alcohol dependence or abuse, and illicit drug or alcohol dependence or abuse were similar between males and females.

• Of the total female admissions, 23.5 percent were drugs only, 70.5 percent were alcohol and drugs and 6.1 percent were alcohol only.

ADOLESCENT SUBSTANCE ABUSE TREATMENT IN MONTANA
According to the 2006 N-SSATS survey:

• Montana showed a 1-day total of 3,047 clients in treatment, the majority of whom (2,809 or 92.2 percent) were in outpatient treatment. Of the total number of clients in treatment on this date, 311 (10.2 percent) were under the age of 18.

According to 2003–2006 TEDS data:

• Adolescent males accounted for 61.6 percent (2,078) of the 3,376 total adolescent substance abuse treatment admissions.

• Of the total male admissions, 23.1 percent were drug treatment admissions, 69.2 percent were alcohol and drug treatment, and 7.7 percent were alcohol treatment.

• Of the total adolescent female admissions, 15.4 percent were drug treatment, 72.6 percent were alcohol and drug treatment, and 12 percent were alcohol treatment.

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

• Of the total adolescent male admissions, 88.7 percent (1,843) reported marijuana use and 76.9 percent (1,598) reported alcohol use.

• Of the total adolescent female admissions, 81.3 percent (1,055) reported marijuana use and 84.6 percent (1,098) reported alcohol use.

• Further, 9.5 percent (322) of all admissions reported cocaine use, 11 percent (228) of male admissions and 7.2 percent (94) of female admissions. Also, 15.7 percent (531) of total admissions reported methamphetamines use, 10.3 percent (215) of male admissions and 24.3 percent (316) of female admissions.

UNMET NEED FOR SUBSTANCE ABUSE TREATMENT IN MONTANA

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,

• Rates of unmet need for past-year drug problems and past-year alcohol problems were similar between Montana adolescent males and females.

• 3,000 (8.4 percent) adolescent females and 2,000 (5.8 percent) adolescent males needed but did not receive treatment for past-year drug problems.

• 5,000 females (13.1 percent) and 4,000 males (11.1 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

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