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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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SOUTH DAKOTA TEEN ADDICTION TREATMENT PROGRAMS

South Dakota Teen Drug Rehab

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: ADOLESCENT DRUG AND ALCOHOL ADDICTION IN SOUTH DAKOTA

• Approximately 7,000 (11.1 percent) adolescents in South Dakota used an illicit drug in the past month; 5,000 (7.5 percent) used marijuana, and 4,000 (6.2 percent) used an illicit drug other than marijuana.

• 2,000 adolescent males and 2,000 adolescent females used pain relievers nonmedically in the 12 months prior to the interview.

• 21.1 percent (14,000) of adolescents used alcohol in the past month, and 13.5 percent (9,000) engaged in binge drinking.

• 3,000 females (8.9 percent) and 3,000 males (8.6 percent) needed but did not receive treatment for alcohol problems in South Dakota.

• 2,000 males (4.9 percent) and 1,000 females (3.8 percent) needed but did not receive treatment for drug problems in South Dakota.

• Females were significantly more likely than adolescent males to have experienced a majordepressive episode (MDE) in the past year (10.8 v. 1.6 percent).

TEEN ILLICIT SUBSTANCE USE IN SOUTH DAKOTA

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

• Approximately 7,000 (11.1 percent) of the 67,000 adolescents in South Dakota used an illicit drug in the past month; 5,000 (7.5 percent) used marijuana, and 4,000 (6.2 percent) used an illicit drug other than marijuana.

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

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

• In South Dakota, 2,000 adolescent males and 2,000 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 (6.4 v. 5.1 percent).

ADOLESCENT ALCOHOL AND ILLICIT DRUG DEPENDENCE OR ABUSE IN SOUTH DAKOTA

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 alcohol abuse or dependence and drug or alcohol dependence were similar between males and females; 4,000 males and 4,000 females abused or were dependent on or abused alcohol or drugs in the past year.

ADOLESCENT SUBSTANCE ABUSE TREATMENT IN SOUTH DAKOTA

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:

• South Dakota showed a 1-day total of 2,314 clients in addiction treatment, the majority of whom (1,751 or 75.7 percent) were in outpatient treatment. Of the total number of clients in treatment on this date, 348 (15 percent) were under the age of 18.

According to 2003–2006 TEDS data:

• Adolescent males accounted for 59.3 percent (3,447) of the 5,814 total adolescent substance abuse treatment admissions in South Dakota.

• Of the total male admissions, 16.7 percent were drug treatment admissions, 59.2 percent were alcohol and drug treatment, 14.0 percent were alcohol treatment, and 10.1 percent did not report type of treatment.

• Of the total adolescent female admissions, 9.5 percent were drug treatment, 60.0 percent were alcohol and drug treatment, 19.1 percent were alcohol treatment, and 11.4 percent did not report type of treatment.

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

• Of the total adolescent male admissions, 72.9 percent (2,512) reported marijuana use and 73.1 percent (2,521) reported alcohol use.

• Of the total adolescent female admissions, 62.9 percent (1,490) reported marijuana use and 79.1 percent (1,873) reported alcohol use.

• Further, 5.4 percent (312) of the total admissions reported methamphetamine use and
5.2 percent (302) of all admissions reported inhalants use.

UNMET NEED FOR SUBSTANCE ABUSE TREATMENT IN SOUTH DAKOTA

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 alcohol and drug problems were similar between adolescent males and females in South Dakota.

• 2,000 males (4.9 percent) and 1,000 females (3.8 percent) needed but did not receive treatment for drug problem in South Dakota.

• 3,000 females (8.9 percent) and 3,000 males (8.6 percent) needed but did not receive
treatment for alcohol problem in South Dakota.

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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