This is one in a series of brief state-based reports intended to give the reader a quick overview of substance abuse and mental health issues within a single state. The data derive principally from national surveys conducted by the Office of Applied Studies, a component of the Substance Abuse and Mental Health Services Administration (SAMHSA). Sources for all data used in this report appear at the end.

Prevalence of Illicit Substance and Alcohol Use in Ohio
The National Survey on Drug Use and Health (NSDUH) generates state-level estimates for 23 measures of substance use and mental health problems for four age groups: the entire state population over age 12 (12+); individuals age 12 to 17; individuals age 18 to 25; and, individuals age 26 and older (26+). Since state estimates of substance use and abuse were first generated using the combined 2002-2003 NSDUHs and continuing until the most recent state estimates based on the combined 2005-2006 surveys, Ohio’s rates on most drug and alcohol prevalence measures have been at or below the national rates for all age groups. These include past month and past year marijuana use, past month use of a drug other than marijuana and past month alcohol and binge alcohol use.

Drug Abuse and Dependency in Ohio
Questions in NSDUH are used to classify persons as being dependent on or abusing specific substances based on criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV).

Rates of past year dependence on or abuse of illicit drugs have been quite variable across survey years and among age groups. For example, in 2005-2006, the rate for individuals between 12 and 17 was among the lowest 2 in the country, while the rate for individuals 12 and older was among the 10 highest in the country.

Rates of past year alcohol dependence, however have been less variable and have remained at or below the national rates across all survey years. In 2005-2006, the rates on this measure for both individuals age 12 to 17 and those 26 and older were among the lowest in the country.



Addiction Treatment in Ohio
State addiction treatment data for substance use disorders are derived from two primary sources—an annual one-day census in N-SSATS and annual addiction treatment admissions from the Treatment Episode Data Set (TEDS). In the 2006 N-SSATS survey, Ohio showed a total of 34,988 clients in addiction treatment, 32,001 (91%) of whom were in outpatient addiction treatment. Of the total number of clients in addiction treatment on this date, 4,551 (13%) were under the age of 18.

The percentage of admissions mentioning particular drugs or alcohol at the time of admission. Across the last 15 years, there has been a steady decline in the number of admissions mentioning alcohol and increases in the percentage of admissions mentioning either marijuana or heroin.

Across the years for which TEDS data are available, Ohio has seen a substantial shift in the constellation of problems present at addiction treatment admission. Alcohol-only admissions have declined from 42 percent of all admissions in 1992 to 19 percent in 2006. Concomitantly, drug-only admissions have increased from 12 percent in 1992 to 30 percent in 2006.

Unmet Need for Substance Abuse Treatment in Ohio
NSDUH defines unmet addiction treatment need as an individual who meets the criteria for abuse of or dependence on illicit drugs or alcohol according to the DSM-IV, but who has not received specialty treatment for that problem in the past year.

In Ohio, rates of unmet addiction treatment need for both alcohol use and drug use have been at or below the national rates.

Sources:
http://www.justice.gov/dea/pubs/state_factsheets/newjersey.html

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