1. Use of mental health services by U.S. children, 2005* Gloria A. Simpson Robin A. Cohen Patricia N. Pastor Cynthia A. Reuben *Findings are based on the report “U. S. Children 4-17 Years of Age Who Received Services for Emotional or Behavioral Difficulties: Preliminary Data From the 2005 National Health Interview Survey” located at http://www.cdc.gov/nchs/products/pubs/pubd/hestats/children2005/children2005.htm

2. The 2003 report of the New Freedom Commission on Mental Health called attention to the use and quality of mental health services.

3. New questions on children’s use of mental health services Funded by Center for Mental Health Services, Substance Abuse and Mental Health Services Administration (SAMHSA) Input from staff at the National Institute of Mental Health (NIMH) Fielded in NHIS Sample Child Questionnaire in 2005 Questions asked of parents or a person who knows about the child’s health

4. Content of the new questions A parent seeing or talking to a health care provider or school staff about the child’s emotional or behavioral health The child receiving prescription medicine for an emotional or behavioral difficulty The child receiving prescription medicine specifically for difficulties with concentration, hyperactivity or impulsivity

5. Content of the new questions (con.) The child receiving treatment or help other than medication for emotional or behavioral difficulties Where the child received treatment or help other than medication

6. How can we get these data out quickly?

7. Preliminary data from Early Release Program Data collected from January to June 2005 Total of 4,668 children ages 4 to 17 years Released prior to final data editing

8. Analysis Used SUDAAN software Differences between percentages evaluated using two-sided significance tests at the.05 level

9. Types of services or help received by children 4-17 years in the past 12 months for difficulties by sex of child Source: January – June 2005 National Health Interview Survey *Difficulties with emotions, concentration, behavior, or being able to get along with others ** Includes only children whose most recently prescribed medication for difficulties was medication for ADHD symptoms. Parent talked to health care provider or school staff Prescribed medication Prescribed medication for ADHD symptoms** Treatment other than medication Percent

10. Types of services or help received by children 4- 17 years in the past 12 months for difficulties* by age of child Source: January – June 2005 National Health Interview Survey * Difficulties with emotions, concentration, behavior, or being able to get along with others ** Includes only children whose most recently prescribed medication for difficulties was medication for ADHD symptoms. Parent talked to health care provider or school staff Prescribed medication Prescribed medication for ADHD symptoms** Treatment other than medication Percent

11. Mental health private practice center or clinic Percent Providers of treatment* for children 4 to 17 years who received treatment other than medication for difficulties in the past 12 months** Child’s school Pediatrician or general doctor Other place *Includes all providers of treatment other medication for children who received treatment from at least one provider in the past 12 months. **Difficulties with emotions, concentration, behavior, or being able to get along with others Source: January – June 2005 National Health Interview Survey