Bailey King, LMSW

Melissa Reitmeier, PhD, LMSW

Aidyn Iachini, PhD, LSW
Teri Browne, PhD, LMSW
Mariah Moran
© September 2018

Substance Use:
A Primer Module
Introductions & Funding
This project was supported by contract
number Grant number H79TI026428 called
Health Occupations Providing Excellence in
Screening, Brief Intervention, Referral to
Treatment (SBIRT). Points of view in this
document are those of the authors and do not
necessarily represent the official position or
policies of SAMHSA.
 Objectives
 Become familiar with various substances being
used in the United States (U.S.)
 Learn the scope and patterns of substance use in
the U.S.
 Learn the scope and patterns of substance use in
South Carolina
 Understand the broad impact and importance of
addressing substance use
Data Sources
SAMHSA's National Survey on Drug use and Health (NSDUH), 2016
Key Indicators & Data Review

SAMHSA’s 2015‐2016 NSDUH State Result Reports

State Prevalence Estimates & Estimated Totals by State

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

(DMS‐V)
 Alcohol Marijuana Heroin

Methamphetamine Cocaine Hallucinogens

Commonly
Used
Substances Inhalants
Prescription pain
Tranquilizers
relievers

Stimulants Sedatives

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 In 2016, 28.6 million Americans (10.6 %
of population) age 12 or older used illicit
drugs in the month prior to the study.

Patterns of
Illicit Drug Use
Illicit drug use rates by age group in
2016:
7.9% Youth 23.2% Adults 8.9% Adults
from 12‐17 from 18‐25 26 or older

Substance Abuse and Mental Health Services Administration

[SAMHSA], 2017a
 In 2016, 136.7
million Americans
aged 12 or older
reported current
Patterns of use of alcohol
Nearly half of people
Alcohol Use currently using (47.8%)
reported binge alcohol use

1 in 8 people currently using

alcohol (11.9%) reported
heavy alcohol use

Substance Abuse and Mental Health Services Administration

[SAMHSA], 2017a
 In 2016, about 7.3
million people aged
12 to 20 reported
drinking alcohol in
Patterns of the past month
About three fifths of
Underage underage people currently
using alcohol (62.5%)
Alcohol Use reported binge alcohol use

1 in 7 underage people
currently using alcohol
(14.7%) reported heavy
alcohol use

Substance Abuse and Mental Health Services Administration

[SAMHSA], 2017a
Patterns of Substance Use for South
Carolinians aged 12 or older,
2015‐2016
Past Month Substance Use Estimated Numbers Prevalence Rate
Illicit Drug Use 348,000 8.47%
Alcohol Use 1,861,000 45.36%
Binge Alcohol Use 929,000 22.66%

Past Year Substance Use Estimated Numbers Prevalence Rate

Marijuana 448,000 10.92%
Cocaine 69,000 1.69%
Heroin 10,000 0.24%
Misused Pain Relievers 187,000 4.56%

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017b

 Severity: mild, moderate and severe

Substance
Each substance has it’s own diagnosis with diagnostic criteria
Use Disorder that identify common symptoms and side effects of the
substance
Defined

All substance use disorders address:

impaired social pharmacological
risky use
control impairment criteria

American Psychiatric Association, 2013

 Pharmacological Impaired Control
Diagnostic
Criteria
Categories Social
Risky Use
Impairments

American Psychiatric Association, 2013

 National Data: Substance Use Disorders in the Past Year
2.3 million people aged 12 or older met DSM
criteria for both alcohol use disorder and an
illicit drug use disorder in the past year

15.1 million 7.4 million

people met people met
DSM criteria for DSM criteria
alcohol use for illicit drug
disorder in the use disorder in
past year the past year

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 National Data: Substance Use Disorders in the Past Year

1 out of 3 people met

3 out of 4 people met DSM criteria for illicit
DSM criteria for alcohol drug use disorder
use disorder

1 in 9 people met DSM criteria

for both alcohol use disorder and
an illicit drug use disorder

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 National Data: Substance Use Disorders in the Past Year

4 million people diagnosed

with Cannabis Use Disorder

7.4 million people

diagnosed with
past year illicit 1.8 million people diagnosed
drug use disorder with Opioid Use Disorder,
specifically for misuse of
prescription pain relievers

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 Any Substance Use Treatment

Hospital Rehabilitation Facility

Mental Health Center Emergency Room
Substance Private Doctor’s Office Prison or Jail
Use Self‐Help Group

Treatment
Facilities
Specialty Facility
Defined
Hospital Rehabilitation Facility
Mental Health Center

Substance Abuse and Mental Health Services Administration

[SAMHSA], 2017a
 National Data: Need for Substance Use Treatment

1 in 13 Americans aged 12 or older needed substance use

treatment in 2016.

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 National Data: Substance Use Treatment Received

Approx. 624,000 young

adults aged 18 or older

In 2016, 3.6 million

Americans aged 18
or older received
any substance use
treatment
Approx. 3 million adults
aged 26 or older

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 National Data: Substance Use Treatment by Facility

Unknown Facility Type

3.6 million adults aged
18 or older received
Specialty
Treatment Only any substance use
13%
treatment in 2016.

Non‐Specialty
Treatment Only Both Treatment Types
30% 46%

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 National Data: Treatment for Specific Substances

Adults aged 18 or older received treatment for the following

substances during their most recent treatment in the year 2016.

55.4% 19.4% 18.5% 17.8% 14% 11.1%

2 million 629,000 adults 663,000 adults 636,000 adults 500,000 adults 396,000 adults
adults received received received received received
received treatment for treatment for treatment for treatment for treatment for
treatment for misuse of marijuana use heroin use cocaine use meth use
alcohol use prescription
pain relievers

Substance Abuse and Mental Health Services Administration [SAMHSA], 2017a

 State Data: Substance Use
Disorders and Treatment Needs,
2015‐2016
Past Year Use Disorder Estimated Numbers Prevalence Rate
Substance Use Disorder* 318,000 7.76%
Alcohol Use Disorder 236,000 5.75%
Illicit Drug Use Disorder 82,000 2.01%
*Substance Use Disorder is defined as meeting criteria for illicit drug and alcohol use disorders.

Past Year Treatment Need Estimated Numbers Prevalence Rate

Substance Use 296,000 7.21%
Alcohol Use 214,000 5.22%
Illicit Drug Use 109,000 2.66%
*Respondents were classified as needing treatment for a substance use problem if they met
criteria for substance use disorder as defined by the DSM‐V and did not receive treatment from
a specialty facility.
Substance Abuse and Mental Health Services Administration [SAMHSA], 2017b
Why is this important?
You can make a
difference
 What is SBIRT?

Screening

Brief Intervention
Next
Modules
Referral to Treatment

Motivational Interviewing

HOPES Website
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). (pp. 483‐484).
Arlington, VA: American Psychiatric Publishing.

Park‐Lee, E., Lipari, R. N., Hedden, S. L., Kroutil, L. A., & Porter, J. D. (2017, September). Receipt of services for substance use
and mental health issues among adults: Results from the 2016 National Survey on Drug Use and Health. NSDUH Data Review.
Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUH‐DR‐FFR2‐2016/NSDUH‐DR‐FFR2‐2016.pdf

Substance Abuse and Mental Health Services Administration. (2017a). Key substance use and mental health indicators in the
United States: Results from the 2016 National Survey on Drug Use and Health (HHS Publication No. SMA 17‐5044, NSDUH
Series H‐52). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services
Administration. Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUH‐FFR1‐2016/NSDUH‐FFR1‐2016.pdf

Substance Abuse and Mental Health Services Administration. (2017b). 2015‐2016 NSDUH state‐specific tables (HHS Publication
No. SMA 17‐5044, NSDUH Series H‐52). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and
Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/report/2015‐2016‐nsduh‐state‐specific‐
tables