Majority of America's 2 Million Adolescents Suffering from Depression Episodes Did Not Receive Treatment in the Past Year



Adolescents without health insurance were less than half as likely to get treatment as those with Medicaid/Children’s Health Insurance Program (CHIP) or private health insurance coverage

A new report which coincides with Children’s Mental Health Awareness Day reveals that 8.2 percent (2 million) youths aged 12 to 17 experienced at least one major depressive episode (MDE) in the past year. Only about two-fifths (38.9 percent) of these adolescents received treatment during this period according to the report by the Substance Abuse and Mental Health Services Administration (SAMHSA).

The report also found that health insurance coverage seemed to be a major factor in determining whether adolescents experiencing MDEs in the past year received treatment.  Among these adolescents, those without health insurance coverage were far less likely to have received treatment (17.2 percent) than those with Medicaid/CHIP (42.9 percent) or private health insurance (40.6 percent).

Based on a nationwide SAMHSA survey, Major Depressive Episode and Treatment among Adolescents also reveals the types of treatments adolescents received for MDEs.  The report shows that among treated adolescents:

• 58.8 percent saw or spoke with a counselor
• 36.8 percent saw or spoke with a psychologist
• 27.3 percent saw or spoke with a psychiatrist or psychotherapist
• 26.6 percent saw or spoke with a general practitioner or family doctor

In addition, the report shows that less than half (46.8 percent) of adolescents who received treatment for an MDE in the past year used prescription medication for their condition.

“This report contributes to the growing realization that much more must be done to meet enormous mental health needs of our young people,” said SAMHSA’s Acting Administrator, Eric Broderick, D.D.S, M.P.H. “This report, along with the enactment of the Mental Health Parity and Addiction Equity Act and the recent landmark report by the National Research Council and Institute of Medicine on children’s mental health, highlight our nation’s growing concern and commitment to alleviating the damage and suffering inflicted by untreated mental disorders on children, their families and their communities.”  

The report is drawn from SAMHSA’s 2007 National Survey on Drug Use and Health (NSDUH), which collected data from a representative sample of approximately 22,000 adolescents throughout the United States.

An MDE is defined as a period of two weeks or longer during which there is either depressed mood or loss of interest or pleasure and at least four other symptoms that reflect a change in functioning, including problems with sleep, eating, energy, concentration, and self-image.

The full report is available on the web at. Copies may be obtained free of charge by calling SAMHSA’s Health Information Network at 1-877-SAMHSA-7 (1-877-726-4727) or  For related publications and information, visit .
Copies of the National Research Council and Institute of Medicine’s Preventing Mental, Emotional and Behavioral Disorders Among Young People: Progress and Possibilities report are available from the National Academies Press at 202-334-3313 or 1-800-624-6242, or viewed on line at .

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