2018 Status Report on Missouri's Substance Use and Mental Health

• Report Front Cover
• Title Page
• Preface
• Acknowledgments
• Table of Contents
• Highlights and Data Maps
  • Mental Illness Prevalence
  • Mental Illness Treatment in DMH Programs
  • Serious Mental Illness (SMI) Prevalence
  • Hospital and Emergency Room Episodes with SMI Disorders
  • Major Depressive Episode Prevalence
  • Serious Thoughts of Suicide Prevalence
  • Suicide Deaths
  • Substance Use Disorder Prevalence
  • Substance Use Disorder Treatment in DMH Programs
  • Hospital and Emergency Room Episodes with Alcohol or Drug Disorders
  • Substance Induced Deaths
  • Alcohol Use Disorder Prevalence
  • Alcohol Use Disorder Treatment in DMH Programs
  • Alcohol Use in Past Month
  • Illicit Drug Use Disorder Prevalence
  • Illicit Drug Use Disorder Treatment in DMH Programs
  • Marijuana Use in Past Year
  • Marijuana Use in Past Month
  • Pain Reliever Use Disorder Prevalence
  • Heroin Use in Past Year
  • Tobacco Use in Past Month
  • Smoking Attributable Deaths
  • Out-of Home Placements of Children Due to Parental Substance Use
  • Impaired Driving Traffic Crashes
  • Arrests for Impaired Driving
  • Arrests for Illicit Drugs
  • Incarcerations for Drug Convictions
  • Referrals to Juvenile Courts for Alcohol and Drug Offenses

See Appendix H-1 for illustration of Missouri regions sampled in National Survey on Drug Use and Health.

Latest Estimates for Missouri Regions and U.S. by Age Group, based on 2014-2016 Surveys

• Alcohol Use in the Past Month
• Marijuana Use in the Past Month
• Cigarette Use in the Past Month
• Tobacco Product Use in the Past Month
• Marijuana Use in the Past Year
• Marijuana First-time Use in the Past Year
• Cocaine Use in the Past Year
• Heroin Use in the Past Year
• Alcohol Use Disorder in the Past Year
• Serious Mental Illness in the Past Year
• Any Mental Illness in the Past Year
• Major Depressive Episode in the Past Year
• Serious Thoughts of Suicide in the Past Year
• Receipt of Mental Health Services in the Past Year

Additional Measures for Missouri Regions and U.S., based on 2012-2014 Surveys

• Binge Alcohol Use in the Past Month
• Illicit Drug Use in the Past Month
• Illicit Drug Use other than Marijuana in the Past Month
• Nonmedical Pain Reliever Use in the Past Year
• Binge Drinking Perceived Risk
• Marijuana Use Perceived Risk
• Cigarette Smoking Perceived Risk
• Illicit Drug Use Disorder in the Past Year
• Substance Use Disorder in the Past Year
• Unmet Need for Treatment for Alcohol Use Disorder in the Past Year
• Unmet Need for Treatment for Illicit Drug Use Disorder in the Past Year

Estimates for U.S. by Individual Years of Age

• Alcohol Use
• Marijuana Use
• Cigarette Use
• Tobacco Product Use
• Illicit Drug Use
• Inhalant Use
• Cocaine Use
• Crack Cocaine Use
• Methamphetamine Use
• Opioid Misuse
• Hallucinogen Use

Trend Tables for U.S. Lifetime and Past-Month Use by Age Group

• Population Ages 12 and Older
• Adolescents Ages 12-17
• Young Adults Ages 18-25
• Adults Ages 26 and Older

Substance Use by Missouri Students in Grades 6-12

• Alcohol Use
• Binge Drinking
• Chewing Tobacco Use
• Cigarette Use
• Club Drug Use
• Cocaine Use
• Electronic Cigarette Use
• Hallucinogen Use
• Heroin Use
• Hookah Use
• Inhalant Use
• Marijuana Use
• Methamphetamine Use
• Over-the-Counter Drug Use
• Pharmaceutical Drug Use
• Steroid Use

Mental and Behavioral Health Issues of Missouri Students in Grades 6-12

• Impaired Driving
• Victims of Bullying
• Depression
• Suicide

County-level Missouri Student Survey (MSS) data are included in the geographic profiles in Section E of this report. Comprehensive MSS data are available on the Missouri Behavioral Health Data website at http://seow.dmh.mo.gov/Default.aspx.

Youth Risk Behavior Survey (YRBS): Daily, Past 30-Day, Lifetime, & Early Substance Use

• U.S. and Missouri Students in Grade 9
• U.S. and Missouri Students in Grade 10
• U.S. and Missouri Students in Grade 11
• U.S. and Missouri Students in Grade 12

Monitoring the Future (MTF): Daily, Past 30-Day, Past Year, & Lifetime Substance Use

• U.S. Students in Grade 8
• U.S. Students in Grade 10
• U.S. Students in Grade 12
• U.S. College Students
• U.S. Young Adults Ages 19-28

Missouri Assessment of College Health Behaviors

• Substance Use Issues
• Mental Health Issues
• Alcohol Use
• Illicit Drug Use
• Pharmaceutical Drug Use

Pregnancy Risk Assessment Monitoring System (PRAMS)

• Alcohol Use by Mothers of Newborns
• Cigarette Smoking by Mothers of Newborns

Behavioral Risk Factor Surveillance System (BRFSS)

• Alcohol Use
• Tobacco Use
• Mental Health

See Appendix H-2 for illustration of Missouri counties. Profiles in this section include substance use and mental health indicators, Division of Behavioral Health treatment services provided, and highlights from the 2018 Missouri Student Survey.

Planning Region Profiles

See Appendix H-3 for illustration of Division of Behavioral Health Planning Regions.

• Western Region
• Central Region
• Eastern Region
• Southwest Region
• Southeast Region

Substance Use Service Area Profiles

See Appendix H-4 for illustration of Service Areas for substance use services.

Mental Health Service Area Profiles

See Appendix H-5 for illustration of Service Areas for adult mental health services.

• Fetal Exposure to Alcohol and Other Substances
• Hospital and Emergency Department Episodes for Alcohol Use Disorders
• Hospital and Emergency Department Episodes for Drug Use Disorders
• Hospital and Emergency Department Episodes for Mental Disorders
• Diseases Associated with Substance Use
• Suicide, Homicide, and Substance Related Deaths
• Alcohol Involved Traffic Crashes
• Drug Involved Traffic Crashes
• Substance Involved Boating Crashes
• Alcohol and Drug Arrests
• Juvenile Court Encounters
• Criminal Justice Interventions
• Per Capita Consumption of Beverage Alcohol
• Liquor Licenses
• Tobacco Revenue and Cigarettes Sold
• Unemployment
• Birth, Death, and Population Trends

• Substance Use Treatment Admissions Overview
• Demographic and Treatment Modality Tables for Male Substance Treatment
• Demographic and Treatment Modality Tables for Female Substance Treatment
• Profile Charts for All Substance Treatment Admissions
• Profile Charts for Alcohol Treatment Admissions
• Profile Charts for Marijuana Treatment Admissions
• Profile Charts for Cocaine Treatment Admissions
• Profile Charts for Methamphetamine Treatment Admissions
• Profile Charts for Heroin Treatment Admissions
• Profile Charts for Prescription Drug Treatment Admissions
• Profile Charts for All Other Substance Treatment Admissions

• Map Illustrating Missouri Regions sampled in National Survey on Drug Use and Health
• Map Illustrating Missouri Counties
• Map Illustrating Division of Behavioral Health (DBH) Planning Regions
• Map Illustrating DBH Service Areas for Substance Use Services
• Map Illustrating DBH Service Areas for Adult Mental Health Services
• Missouri Population Estimates by Age, Gender, Race, and Hispanic Origin for years 2010-2017
  • Population estimates in same format for each Missouri county are available at: https://dmh.mo.gov/alcohol-drug/county

Status Report on Missouri's Substance Use & Mental Health