TABLE 2

Trends in Treatment Seeking in Adolescents With 12-Month MDEs in the United States (n = 15 529)

Participant GroupsSurvey YearTest of Temporal Trend
2005200620072008200920102011201220132014AOR99% CIP
Treatment seeking for any mental health problems36.437.237.239.232.336.435.436.436.942.01.140.96–1.36.043
Type of provider seen for depression care
 Specialty mental health30.029.130.629.327.329.530.630.530.234.31.191.00–1.42.009
 General medical10.210.412.311.39.710.511.510.39.811.71.040.77–1.40.740
 CAM5.97.46.06.54.15.56.65.34.35.70.800.49–1.30.227
 Any type of provider34.336.136.134.432.435.836.035.034.238.61.110.93–1.34.127
Treatment setting for depression care
 Private mental health care provider21.323.723.722.719.022.821.523.224.329.01.331.08–1.64<.001
 Mental health clinic8.17.67.67.46.67.87.77.78.510.81.391.00–1.93.010
 Day treatment3.64.14.43.03.13.65.35.35.35.81.581.03–2.44.006
 Inpatient3.12.83.03.33.63.13.43.23.55.51.781.13–2.80.001
 Residential2.12.31.51.31.51.72.12.81.93.21.810.92–3.58.024
 In home5.56.76.37.45.45.76.07.55.67.91.250.85–1.82.132
 School counselingaaaa14.914.314.815.815.618.61.630.92–2.89.028
 Multiple settingsb11.412.912.712.710.612.412.514.214.117.11.521.15–2.00<.001
Use of prescription medication for depression16.514.617.815.514.116.215.315.816.920.01.311.02–1.68.006
Currently receiving treatment or counselingc38.439.144.341.739.343.842.548.942.950.71.481.14–1.94<.001
Currently taking prescription medicationd67.767.467.363.766.767.172.872.761.168.71.180.78–1.79.293
Treatment or counseling helpfule32.935.233.936.736.436.638.137.936.136.11.100.82–1.47.367
Prescription medication helpfulf47.245.943.944.343.441.444.047.143.637.70.840.56–1.26.261
  • Data source: The 2005–2014 NSDUH.

  • AOR, adjusted OR. ORs and AORs were estimated in binary logistic regressions with the variable of survey year transformed to a variable ranging from 0 (for 2005) and 1 (for 2014). Thus, AORs represent change in odds over the whole study period. Variables of age, sex, race/ethnicity, student status, family income, parents’ presence in the household, substance use disorders, substance use treatment and any health insurance were included in the models.

  • a Questions regarding school counseling in NSDUH changed in 2009. As a result, data on school counseling for years 2005-2008 were not included in the analysis of temporal trends for this type of care.

  • b Includes any combinations of private mental health provider, mental health clinic, day hospital, inpatient, residential, and in-home settings.

  • c Among participants who received any counseling or therapy for depression in the past year.

  • d Among participants who took any prescription medication for depression in the past year.

  • e Among participants who received any counseling or therapy for depression in the past year. Helpful was defined as reporting that treatment or counseling helped “a lot” or “extremely.”

  • f Among participants who took any prescription medication for depression in the past year. Helpful was defined as reporting that prescription medication helped “a lot” or “extremely.”