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Contact Mrs. Thomas at tithomas@lwisd.org, ext. 2410

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Contact Mrs. Thomas at tithomas@lwisd.org, ext. 2410

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Contact Mr. Sturgeon at jsturgeon@lwisd.org, ext. 2411

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Contact Mr. Sturgeon at jsturgeon@lwisd.org, ext. 2411

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The following organizations offer counseling services to children and/or families.  

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The following organizations offer counseling services to children and/or families.  

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Lena Pope Home (other locations available)

3131 Sanguinet St.

Fort Worth, TX 76107

817-255-2500

Counseling, family preservation services, and foster care

Medicaid, some private insurances, sliding scale

Azle Pastoral Counseling Center

229 South Stewart

Azle, TX 76020

817-444-2929

Family, marriage, and individual counseling

Sliding scale

Baptist Marriage and Family Counseling Center

4540 Frasier

Fort Worth, TX 76115

817-921-8790

Pre-marital, marital, family and personal problems

Minimal charge, sliding scale

Catholic Charities Diocese of Fort Worth (other locations available)

2701 Burchill Road North

Fort Worth, TX 76105

817-534-0814

Children’s services, clinical counseling, emergency financial assistance, case management

Fees depend on program

Family Counseling Center Association

2401 Oakland

Fort Worth, TX 76103

817-534-2818

Individual counseling

Medicaid, CHIPS, or sliding scale

Jewish Family Services

4049 Kingsridge Road

Fort Worth, TX 76109

817-569-0898

Individual, family, and group counseling, case management, senior citizen program

Sliding scale, $35 minimum for individual session

Mental Health Outreach Service

2601 Tandy

Fort Worth, TX 76103

817-531-8330

Psychologist

Metropolitan Center for Counseling and Psychotherapy

2516 Oakland Blvd Ste 5

Fort Worth, TX 76103

817-535-6300

Individual, family, and group counseling, anger management, substance abuse prevention

Sliding scale, Medicaid/Chips, Managed Care

The Parenting Center

2928 Fifth Street

Fort Worth, TX 76107

817-332-6348

817-665-4357 counseling intake

817-332-6399 parenting advice line

Counseling, parent education, case management

Medicaid, Chip, and some insurance

Walsh Baptist Marriage and Family Counseling Center

4540 Frazier Avenue

Fort Worth, TX 76115

817-921-8790

Individual session - $20; Group session - $10; Payment assistance  available

Warm Place

809 Lipscomb Street

Fort Worth, TX 76104

817-870-2272

Counseling groups for children and adults who have lost a loved one

Shelly Smith Cavin, Ph.D., L.P.C.

Creating Positive Change

Individuals, Couples, Families

Private Practice

4005 Merrett Drive

Lake Worth, TX 76135

drshellyphd@yahoo.com

817-999-5335

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James Sturgeon received his B.S. in Psychology from John Brown University and his M.A. in Professional School Counseling from U.T. Tyler. He is also an LPC(Licensed Professional Counselor). This is his 5th year as a school counselor, but he is going into his 4th year at Collins and his 13th year in education. In his spare time, Mr. Sturgeon loves to travel, cook, create DIY projects, and garden. His travels have taken him to many countries, but his favorites are Italy and Thailand. He is married to Theresa, his wife of three years, and has one child--Sam and two stepchildren--Olivia and Owen.

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Tina Thomas received her B.A. in Psychology from the University of Oklahoma, her M.A. in Education from Cameron University, and her M.S. in Professional School Counseling from Angelo State University. She is in her 24th year of education and her 5th year as a school counselor, but is going into her third year at Collins. She has been married to Jarrod Thomas, USAF retired Master Sergeant since 2009, and is a mother of five and a grandmother of three with another one on the way in a blended family. She loves to Netflix binge, listen to audio books, play card games with her children, spend time with her family, and attend church services. Advocating for students' social/emotional, mental, and academic needs is her passion and she loves being a school counselor.

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Recently, due to an uptick in mental health crisis events, a hotline was created to handle those emergencies specifically. That information, along with Fort Worth emergency and nonemergency numbers are listed below:

Emergency--911
Non-Emergency--817-392-4222
Domestic Violence--817-392-4355
Victim Assistance--817-392-4390
Crimes Against Children--682-382-1500
Child Protective Services--817-989-3000
Mental Health Emergency--988

Hospital and Mental Health Hospitals
Cook Children’s Medical Center
801 7th Avenue
Fort Worth, TX 76104
682-885-3917 (ER)Ages 3-17
John Peter Smith
1500 S. Main Street (10th floor)
Fort Worth, TX 76104
817-927-4151 Ages 13+ |
Mesa Springs Hospital
5560 Mesa Springs Drive
Fort Worth, TX 76123
817-292-4600 Ages 12+
The EXCEL Center of Fort Worth
1220 Presidio
Fort Worth, TX 76102
817-333-2744 Ages 5-18 |
Innovations
6421 Camp Bowie Blvd.
Fort Worth, TX 76116
817-841-8002 Ages 5-18 |
Millwood Hospital
1011 North Cooper Street
Arlington, TX 76011
817-261-3121 Ages 5+
Sundance Hospital Fort Worth
2707 Airport Freeway
Fort Worth, TX 76111
817-222-9191 Ages 5+ |
Texas Health Springwood Behavioral Health Hospital HEB
2717 Tibbets Drive
Bedford, TX 76022
682-236-6023 (24/7)Ages 12+ |
Sundance Hospital Arlington
7000 U.S. 287 Frontage Road
Arlington, TX 76001
817-583-8080 Ages 5+
Texas Health Behavioral  Health Center ~ (outpatient centers)
Alliance – Westport Pkwy.
Southlake – Southlake Blvd.
682-236-6023 (24/7 sched.)By appt for ages 12+ |
University Behavioral Health
2026 W. University Drive
Denton, TX 76201
940-320-8100 Ages 5+ |

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Resources for Children Who Have Experienced Trauma

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Resources for Children Who Have Experienced Trauma

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According to the Substance Abuse and Mental Health Services Administration, otherwise known as SAMHSA, more than two thirds of children reported at least one traumatic event by age 16. If you are an adult who experienced a trauma in childhood, or if you are a child who has recently undergone a traumatic event, you are not alone. These experiences are common to so many individuals and families.

Childhood trauma can have lasting impacts on an individual's ability to feel safe in the world. At the Trauma Therapist Network, we know that people can heal from childhood trauma at any age, no matter how long ago the event may have happened. Below are resources for those who have experienced trauma in childhood, along with resources for adults who support traumatized children. This is not a comprehensive list of resources for childhood trauma. This list is continuously updated. If you would like to submit a suggestion to be added to the list, please use our contact form on the home page.

Updated: 8/1/2021

Organizations offering direct services to survivors and their loved ones:

Childhelp National Child Abuse Hotline: This is a 24-hour hotline with resources to aid in every child abuse situation.

Hotline: 800-422-4453

Textline: 800-422-4453

Chatline: National Live Chat Portal

Information/ Advocacy Websites:

Child Trauma Academy: offers free online courses about childhood trauma.

Child Witness to Violence Project: The Child Witness to Violence Project (CWVP) is a counseling, advocacy, and outreach project that focuses on young children who are the hidden victims of domestic and community violence, and other trauma-related events.

Kids Mental Health Info.com Child Trauma Information and Resources: This website was created to help parents and caregivers understand their child's mental health challenges.

The National Child Traumatic Stress Network :The National Child Traumatic Stress Network (NCTSN) is administered by the Substance Abuse and Mental Health Services Administration (SAMHSA) and is coordinated by the UCLA-Duke University National Center for Child Traumatic Stress (NCCTS). This website offers assistance with seeking mental health guidance and referrals, offers assistance for finding help for abused, neglected, or sexually abused children, and has a plethora of resources available for furthering one's understanding of childhood trauma.

Podcasts

Trauma Chat Episode 2: In this episode of the Trauma Chat Podcast, Laura Reagan, LCSW-C, offers an explanation to the question: "What is trauma?"

Trauma Chat Episode 3:In this episode of the Trauma Chat Podcast, Laura Reagan, LCSW-C,discusses ways that trauma can show up in our lives.

Therapy Chat Episode 19: In this episode of the Therapy Chat Podcast, Laura Reagan, LCSW-C discusses what she calls, "The Epidemic of Childhood Trauma." She offers resources for learning more about this public health issue which affects so many Americans.

Therapy Chat Episode 244: In this episode of the Therapy Chat Podcast, Laura Reagan, LCSW-C sat down with Sharon Martin, LCSW: a licensed therapist, counselor, and mental health and wellness writer based in San Jose, CA. They discuss surprising sources of childhood trauma.

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According to the Substance Abuse and Mental Health Services Administration, otherwise known as SAMHSA, more than two thirds of children reported at least one traumatic event by age 16. If you are an adult who experienced a trauma in childhood, or if you are a child who has recently undergone a traumatic event, you are not alone.

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Data and Stats on Children's Mental Health

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Data and Stats on Children's Mental Health

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Centers for Disease Control and Prevention

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Mental health is an important part of children's overall health and well-being. Mental health includes children's mental, emotional, and behavioral well-being. It affects how children think, feel, and act. It also plays a role in how children handle stress, relate to others, and make healthy choices.

Mental disorders among children are described as serious changes in the way children typically learn, behave, or handle their emotions, causing distress and problems getting through the day. Among the more common mental disorders that can be diagnosed in childhood are attention-deficit/hyperactivity disorder (ADHD), anxiety, and behavior disorders.

There are different ways to assess mental health and mental disorders in children. CDC uses surveys, like the National Survey of Children's Health, to describe the presence of positive indicators of children's mental health and to understand the number of children with diagnosed mental disorders and whether they received treatment. In this type of survey, parents report on indicators of positive mental health for their child and report any diagnoses their child has received from a healthcare provider. The information on this page provides data about indicators of positive mental health in children and mental health disorders that are most common in children.

Facts about mental health in U.S. children

National data on positive mental health indicators that describe mental, emotional, and behavioral well-being for children are limited. Based on the data we do have:

Facts about mental disorders in U.S. children

ADHD, anxiety problems, behavior problems, and depression are the most commonly diagnosed mental disorders in children. Estimates for ever having a diagnosis among children aged 3-17 years, in 2016-19, are given below.

ADHD 9.8% (approximately 6.0 million)

Anxiety 9.4% (approximately 5.8 million)

Behavior problems 8.9% (approximately 5.5 million)

Depression 4.4% (approximately 2.7 million)

Some of these conditions commonly occur together. For example, among children aged 3-17 years in 2016:

Having another mental disorder was most common in children with depression: about 3 in 4 children with depression also had anxiety (73.8%) and almost 1 in 2 had behavior problems (47.2%).

For children with anxiety, more than 1 in 3 also had behavior problems (37.9%) and about 1 in 3 also had depression (32.3%).

For children with behavior problems, more than 1 in 3 also had anxiety (36.6%) and about 1 in 5 also had depression (20.3%).

For adolescents, depression, substance use and suicide are important concerns. Among adolescents aged 12-17 years in 2018-2019 reporting on the past year:

Learn more about high-risk substance use among youth. Learn more about suicide.

Mental, behavioral, and developmental disorders begin in early childhood
1 in 6 U.S. children aged 2-8 years (17.4%) had a diagnosed mental, behavioral, or developmental disorder.

Prevalence of mental disorders change with age

Diagnoses of ADHD, anxiety, and depression become are more common with increased age.

Behavior problems are more common among children aged 6-11 years than younger or older children.

Adverse childhood events (ACEs) are associated with children's physical and mental health. In 2016-2019, among children aged 6-17 years:

Children who were discriminated against based on race or ethnicity had higher percentages of one or more physical health conditions (37.8% versus 27.1%), and one or more mental health conditions (28.9% versus 17.8%).

Racial/ethnic discrimination was almost seven times as common among children with three other ACEs compared to those with no other ACEs.

Note: The estimates reported on this page are based on parent report, using nationally representative surveys. This method has several limitations. It is not known to what extent children receive these diagnoses accurately. Estimates based on parent-reported diagnoses may match those based on medical records, but some children may also have mental disorders that have not been diagnosed, or receive diagnoses that may not be the best fit for their symptoms. Limited information on measuring children's mental health nationally is available.

Read more about children's mental health from a community study.

Access to mental health treatment

Early diagnosis and appropriate services for children and their families can make a difference in the lives of children with mental disorders. Access to providers who can offer services, including screening, referrals, and treatment, varies by location. CDC is working to learn more about access to behavioral health services and supports for children and their families.
View information by state describing the rates of different types of providers who can offer behavioral health services providers by county. Read a recent report describing shortages of services, barriers to treatment, and how integration of behavioral health care with pediatric primary care could address the issues. Read a policy brief on potential ways to increase access to mental health services for children in rural areas
Data sources for mental health and related conditions

There are many different datasets which include information on children's mental health and related conditions for children living in the United States.

Healthy People 2030
Healthy People 2030 sets data-driven national objectives to improve health and well-being over the next decade, including children's mental health and well-being.

National Survey of Family Growth (NSFG)
NSFG gathers information on family life, marriage and divorce, pregnancy, infertility, use of contraception, and general and reproductive health.

National Health and Nutrition Examination Survey (NHANES)
NHANES assesses health and nutritional status through interviews and physical examinations, and includes conditions, symptoms, and concerns associated with mental health and substance abuse, as well as the use and need for mental health services.

National Health Interview Survey (NHIS)
NHIS collects data on children's mental health, mental disorders, such as ADHD, autism spectrum disorder, depression and anxiety problems, and use and need for mental health services.

National Survey of Children's Health (NSCH)
NSCH examines the health of children, with emphasis on well-being, including medical homes, family interactions, the health of parents, school and after-school experiences, and safe neighborhoods. This survey was redesigned in 2016.

For previous versions of this survey, see also:
National Survey of Children's Health (NSCH 2003, 2007, 2011-12)
National Survey of Children with Special Healthcare Needs (NS-CSHCN 2001, 2005-6, 2009-10)

National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome (NS-DATA)
NS-DATA collects information about children, 2-15 years old in 2011-2012, who had ever been diagnosed with ADHD and/or Tourette syndrome (TS), with the goal of better understanding diagnostic practices, level of impairment, and treatments for this group of children.

National Survey on Drug Use and Health (NSDUH)
NSDUH, administered by the Substance Abuse and Mental Health Services Administration (SAMHSA), provides national- and state-level data on the use of tobacco, alcohol, and illicit drugs (including non-medical use of prescription drugs), as well as data on mental health in the United States.

National Vital Statistics System (NVSS)
NVSS contains vital statistics from the official records of live births, deaths, causes of death, marriages, divorces, and annulment recorded by states and independent registration areas

National Youth Tobacco Survey (NYTS)
NYTS is a nationally representative school-based survey on tobacco use by public school students enrolled in grades 6-12.

School Associated Violent Death Study (SAVD)
SAVD plays an important role in monitoring trends related to school-associated violent deaths (including suicide), identifying the factors that increase the risk, and assessing the effects of prevention efforts.

School Health Policies and Programs Study (SHPPS)
SHPPS is a national survey assessing school health policies and practices at the state, district, school, and classroom levels. Collected data includes mental health and social service policies.

Web-based Injury Statistics Query and Reporting System (WISQARS)
WISQARS is an interactive database system that provides customized reports of injury-related data.

Youth Risk Behavior Surveillance System (YRBSS)
The YRBSS monitors health-risk behaviors, including tobacco use, substance abuse, unintentional injuries and violence, sexual behaviors that contribute to unintended pregnancy, and sexually transmitted diseases.

References

1. Perou R, Bitsko RH, Blumberg SJ, Pastor P, Ghandour RM, Gfroerer JC, Hedden SL, Crosby AE, Visser SN, Schieve LA, Parks SE, Hall JE, Brody D, Simile CM, Thompson WW, Baio J, Avenevoli S, Kogan MD, Huang LN. Mental health surveillance among children - United States, 2005-2011. MMWR 2013;62(Suppl; May 16, 2013):1-35. [Read summary]

2. Bitsko RH, Claussen AH, Lichtstein J, Black LJ, Everett Jones S, Danielson MD, Hoenig JM, Davis Jack SP, Brody DJ, Gyawali S, Maenner MM, Warner M, Holland KM, Perou R, Crosby AE, Blumberg SJ, Avenevoli S, Kaminski JW, Ghandour RM. Surveillance of Children's Mental Health - United States, 2013 - 2019 MMWR, , 2022 / 71(Suppl-2);1-42. [Read article]

3. Ghandour RM, Sherman LJ, Vladutiu CJ, Ali MM, Lynch SE, Bitsko RH, Blumberg SJ. Prevalence and treatment of depression, anxiety, and conduct problems in U.S. children. The Journal of Pediatrics, 2018. Published online before print October 12, 2018 [Read summary]

4. Bitsko RH, Holbrook JR, Ghandour RM, Blumberg SJ, Visser SN, Perou R, Walkup J. Epidemiology and impact of healthcare provider diagnosed anxiety and depression among US children. Journal of Developmental and Behavioral Pediatrics. Published online before print April 24, 2018 [Read summary]

5. Cree RA, Bitsko RH, Robinson LR, Holbrook JR, Danielson ML, Smith DS, Kaminski JW, Kenney MK, Peacock G. Health care, family, and community factors associated with mental, behavioral, and developmental disorders and poverty among children aged 2-8 years - United States, 2016. MMWR, 2018;67(5):1377-1383. [Read article]

6. Hutchins HJ, Barry CM, Valentine V, Bacon S, Njai R, Claussen AH, Ghandour RM, Lebrun-Harris LA, Perkins K, Robinson LR (submitted). Perceived racial/ethnic discrimination, physical and mental health conditions in childhood, and the relative role of other adverse experiences. Adversity and Resilience Science published online May 23, 2022. [Read summary]

7. US Department of Health and Human Services Health Resources and Services Administration & Maternal and Child Health Bureau. Mental health: A report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, and National Institutes of Health, National Institute of Mental Health; 1999. [Read report]

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Data and Statistics on Children's Mental Health | CDC

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Read data highlights about children's mental health.

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National Institute of Mental Health (NIMH)

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Mental illnesses are common in the United States. It is estimated that more than one in five U.S. adults live with a mental illness (57.8 million in 2021). Mental illnesses include many different conditions that vary in degree of severity, ranging from mild to moderate to severe. Two broad categories can be used to describe these conditions: Any Mental Illness (AMI) and Serious Mental Illness (SMI). AMI encompasses all recognized mental illnesses. SMI is a smaller and more severe subset of AMI. Additional information on mental illnesses can be found on the NIMH Health Topics Pages.

Definitions

The data presented here are from the 2021 National Survey on Drug Use and Health (NSDUH) by the Substance Abuse and Mental Health Services Administration (SAMHSA). For inclusion in NSDUH prevalence estimates, mental illnesses include those that are diagnosable currently or within the past year; of sufficient duration to meet diagnostic criteria specified within the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV); and, exclude developmental and substance use disorders.

Any Mental Illness

Any mental illness (AMI) is defined as a mental, behavioral, or emotional disorder. AMI can vary in impact, ranging from no impairment to mild, moderate, and even severe impairment (e.g., individuals with serious mental illness as defined below).

Serious Mental Illness

Serious mental illness (SMI) is defined as a mental, behavioral, or emotional disorder resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities. The burden of mental illnesses is particularly concentrated among those who experience disability due to SMI.

Prevalence of Any Mental Illness (AMI)

Figure 1 shows the past year prevalence of AMI among U.S. adults.

In 2021, there were an estimated 57.8 million adults aged 18 or older in the United States with AMI. This number represented 22.8% of all U.S. adults.

The prevalence of AMI was higher among females (27.2%) than males (18.1%).

Young adults aged 18-25 years had the highest prevalence of AMI (33.7%) compared to adults aged 26-49 years (28.1%) and aged 50 and older (15.0%).

The prevalence of AMI was highest among the adults reporting two or more races (34.9%), followed by American Indian / Alaskan Native (AI/AN) adults (26.6%). The prevalence of AMI was lowest among Asian adults (16.4%).

Figure 1

*Persons of Hispanic origin may be of any race; all other racial/ethnic groups are non-Hispanic. NH/OPI = Native Hawaiian / Other Pacific Islander | AI/AN = American Indian / Alaskan Native

Mental Health Services - AMI

Figure 2 presents data on mental health services (including virtual services) received within the past year by U.S. adults aged 18 or older with any mental illness (AMI). NSDUH defines mental health services as having received inpatient treatment/counseling or outpatient treatment/counseling, or having used prescription medication for problems with emotions, nerves, or mental health.

In 2021, among the 57.8 million adults with AMI, 26.5 million (47.2%) received mental health services in the past year.

More females with AMI (51.7%) received mental health services than males with AMI (40.0%).

The percentage of young adults aged 18-25 years with AMI who received mental health services (44.6%) was lower than adults with AMI aged 26-49 years (48.1%) and aged 50 and older (47.4%).

Figure 2

*Persons of Hispanic origin may be of any race; all other racial/ethnic groups are non-Hispanic. Note: Estimates for Native Hawaiian / Other Pacific Islander and, American Indian / Alaskan Native groups are not reported in the above figure due to low precision of data collection in 2021.

Prevalence of Serious Mental Illness (SMI)

Figure 3 shows the past year prevalence of SMI among U.S. adults.

In 2021, there were an estimated 14.1 million adults aged 18 or older in the United States with SMI. This number represented 5.5% of all U.S. adults.

The prevalence of SMI was higher among females (7.0%) than males (4.0%).

Young adults aged 18-25 years had the highest prevalence of SMI (11.4%) compared to adults aged 26-49 years (7.1%) and aged 50 and older (2.5%).

The prevalence of SMI was highest among AI/AN adults (9.3%), followed by adults reporting two or more races (8.2%). The prevalence of SMI was lowest among Asian adults (2.8%).

Figure 3

* Persons of Hispanic origin may be of any race; all other racial/ethnic groups are non-Hispanic. NH/OPI = Native Hawaiian / Other Pacific Islander | AI/AN = American Indian / Alaskan Native.

Mental Health Services - SMI

Figure 4 presents data on mental health services received within the past year by U.S. adults 18 or older with serious mental illness (SMI). The NSDUH defines mental health services as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health.

In 2021, among the 14.1 million adults with SMI, 9.1 million (65.4%) received mental health treatment in the past year.

More females with SMI (67.6%) received mental health treatment than males with SMI (61.3%).

The percentage of young adults aged 18-25 years with SMI who received mental health treatment (57.9%) was lower than adults with SMI aged 26-49 years (67.0%) and aged 50 and older (71.0%).

Figure 4

*Persons of Hispanic origin may be of any race; all other racial/ethnic groups are non-Hispanic. Note: Estimates for Asian, Native Hawaiian / Other Pacific Islander, and American Indian / Alaskan Native groups are not reported in the above figure due to low precision.

Prevalence of Any Mental Disorder Among Adolescents

Based on diagnostic interview data from National Comorbidity Survey Adolescent Supplement (NCS-A), Figure 5 shows lifetime prevalence of any mental disorder among U.S. adolescents aged 13-18.¹

An estimated 49.5% of adolescents had any mental disorder.

Of adolescents with any mental disorder, an estimated 22.2% had severe impairment and/or distress. DSM-IV based criteria were used to determine severity level.

Figure 5

Data Sources

1. Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-9. PMID: 20855043

2. Substance Abuse and Mental Health Services Administration. (2022). Key substance use and mental health indicators in the United States: Results from the 2021 National Survey on Drug Use and Health (HHS Publication No. PEP22-07-01-005, NSDUH Series H-57). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/report/2021-nsduh-annual-national-report .

Statistical Methods and Measurement Caveats

National Survey on Drug Use and Health (NSDUH)

Diagnostic Assessment:

The NSDUH AMI and SMI estimates were generated from a prediction model created from clinical interview data collected on a subset of adult NSDUH respondents who completed an adapted (past 12 month) version of the Structured Clinical Interview for DSM-IV-TR Axis I Disorders (Research Version, Non-patient Edition) (SCID-I/NP; First, Spitzer, Gibbon, & Williams, 2002), and was differentiated by level of functional impairment based on the Global Assessment of Functioning Scale (GAF; Endicott, Spitzer, Fleiss, & Cohen, 1976).

The assessment included diagnostic modules assessing the following: mood, anxiety, eating, impulse control, substance use, adjustment disorders, and a psychotic symptoms screen.

The assessment did not contain diagnostic modules assessing the following: adult attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, schizophrenia or other psychotic disorders (although the assessment included a psychotic symptom screen).

People who only have disorders that are not included in these diagnostic modules may not be adequately detected. However, there are known patterns of high comorbidities among mental disorders; these patterns increase the likelihood that people who meet AMI and/or SMI criteria were detected by the study, as they may also have one or more of the disorders assessed in the SCID-I/NP.

Population:

The entirety of NSDUH respondents for the AMI and SMI estimates were the civilian, non-institutionalized population aged 18 years old or older residing within the United States.

The survey covered residents of households (persons living in houses/townhouses, apartments, condominiums; civilians living in housing on military bases, etc.) and persons in non-institutional group quarters (e.g., shelters, rooming/boarding houses, college dormitories, migratory workers' camps, and halfway houses).

The survey did not cover persons who, for the entire year, had no fixed address (e.g., homeless and/or transient persons not in shelters); were on active military duty; or who resided in institutional group quarters (e.g., correctional facilities, nursing homes, mental institutions, long-term hospitals).

Some people in these excluded categories had AMI and/or SMI, but were not accounted for in the NSDUH AMI and/or SMI estimates.

Data regarding sex of the respondent was assessed using male and female categories only. Gender identity information was not collected in the survey.

Survey Non-response:

In 2021, 53.0% of the selected NSDUH sample of people 18 or older did not complete the interview. This rate of non-response is higher than in previous years. Please see the Background on the 2021 NSDUH and the COVID-19 Pandemic section below for more information.

Reasons for non-response to interviewing include the following: refusal to participate (30.1%); respondent unavailable or never at home (18.8%); and other reasons such as physical/mental incompetence or language barriers (4.2%).

People with mental illness may disproportionately fall into these non-response categories. While NSDUH weighting includes non-response adjustments to reduce bias, these adjustments may not fully account for differential non-response by mental illness status.

Data Suppression:

For some groups, data are not reported due to low precision. Data may be suppressed in the above charts if the data do not meet acceptable ranges for prevalence estimates, standard error estimates, and sample size.

Background on the 2021 NSDUH and the COVID-19 Pandemic:

Data collection methods for the 2021 NSDUH changed in several ways because of the COVID-19 pandemic: the 2021 NSDUH continued the use of multimode data collection procedures (both in-person and virtual data collection) that were first implemented in the fourth quarter of the 2020 NSDUH. Overall, 54.6% of interviews were completed via the web, and 45.4% were completed in person. In 2021, the weighted response rates for household screening and for interviewing were 22.2% and 46.2%, respectively, for an overall response rate of 10.3% for people aged 12 or older.

Given the use of multimode data collection procedures throughout the entirety of the collection year and the rate of non-response, comparison of estimates from the 2021 NSDUH with those from prior years must be made with caution.

Please see the 2021 National Survey on Drug Use and Health Methodological Summary and Definitions report for further information on how these data were collected and calculated.

National Comorbidity Survey Adolescent Supplement (NCS-A)

Diagnostic Assessment and Population:

The NCS-A was carried out under a cooperative agreement sponsored by NIMH to meet a request from Congress to provide national data on the prevalence and correlates of mental disorders among U.S. youth. The NCS-A was a nationally representative, face-to-face survey of 10,123 adolescents aged 13 to 18 years in the continental United States. The survey was based on a dual-frame design that included 904 adolescent residents of the households that participated in the adult U.S. National Comorbidity Survey Replication and 9,244 adolescent students selected from a nationally representative sample of 320 schools. The survey was fielded between February 2001 and January 2004. DSM-IV mental disorders were assessed using a modified version of the fully structured World Health Organization Composite International Diagnostic Interview.

Survey Non-response:

The overall adolescent non-response rate was 24.4%. This is made up of non-response rates of 14.1% in the household sample, 18.2% in the un-blinded school sample, and 77.7% in the blinded school sample. Non-response was largely due to refusal (21.3%), which in the household and un-blinded school samples came largely from parents rather than adolescents (72.3% and 81.0%, respectively). The refusals in the blinded school sample, in comparison, came almost entirely (98.1%) from parents failing to return the signed consent postcard.

For more information, see PMID: 19507169 and the NIMH NCS-A study page.

Last Updated: March 2023

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An overview of statistics for mental illnesses. Mental illnesses are common in the United States. One in six U.S. adults lives with a mental illness (43.4 million in 2015). Mental illnesses include many different conditions that vary in degree of severity, ranging from mild to moderate to severe.

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Break the Stigma Around Children's Mental Health

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All students have the right to:

Be respected and treated with dignity.

A physically and emotionally safe, inclusive and healthy school environment, both in-person and through digital platforms, free from abuse, bullying, harassment, discrimination and any other forms of violence.

Equitable access to a school counseling program that promotes academic, career and social/emotional development and improves student outcomes for all students, including students historically and currently marginalized by the education system.

Equitable access to school counselors who support students from all backgrounds and circumstances and who advocate for and affirm all students regardless of but not limited to ethnic/racial identity; nationality; age; social class; economic status; abilities/disabilities; language; immigration status; sexual orientation; gender identity; gender expression; family type; religious/spiritual identity; and living situations, including emancipated minor status, wards of the state, homelessness or incarceration.

Information and support needed to enhance self-development and affirmation within one’s group identities.

Critical, timely information, beginning with pre-K through grade 12, on how college/university, career and technical school, military, workforce and other postsecondary options can have an impact on their educational choices and future opportunities.

Privacy that is honored to the greatest extent possible, which at times may be limited by school counselors’ balance of other competing interests (e.g., best interests of students, the safety of others, parental rights) and adherence to laws, policies and ethical standards pertaining to confidentiality and disclosure in the school setting.