Mental Health Data Available from the 2007 National Survey of Children’s Health Stephen J. Blumberg, Ph.D. Kathleen S. O’Connor, M.P.H. Presented at the CDC Mental Health Workgroup Biennial Mental Health Surveillance Meeting September 10, 2009 Centers for Disease Control and Prevention National Center for Health Statistics

SLAITS: The State and Local Area Integrated Telephone Survey SLAITS is the random-digit-dial (RDD) telephone survey mechanism developed by NCHS to address subnational data needs Surveys conducted using the SLAITS mechanism National Survey of Children with Special Health Care Needs National Survey of Children’s Health National Survey of Adoptive Parents National Survey of Early Childhood Health National Asthma Survey

National Survey of Children’s Health, 2007 Sponsor: The Maternal and Child Health Bureau Purpose: Produce national & state estimates on the health and well-being of children, families, & their communities Sample: Independent random-digit-dial (RDD) samples for all 50 states & the District of Columbia (DC) Random selection: One child 0 – 17 years of age selected from each household with children to be the subject of the interview Respondent: Parent or guardian Interviews: Completed interviews for over 91,000 children nationally (goal: 1,700 completed per state & DC) Response Rate: 46.7% (weighted, overall national)

What is Unique about the 2007 NSCH? One of the largest surveys ever conducted on the health of American children Multiple uses & stakeholders (policymakers, condition-specific researchers, child health experts, et cetera) Addresses relative dearth of child health data at state level Large sample size permits examination of relatively uncommon conditions or circumstances “Core” questions plus age-specific modules 0 to 5 years old 6 to 11 years old 12 to 17 years old Focus on factors that promote resilience & well-being in children

Mental Health Data Available From NSCH Prevalence of specific conditions Learning disability ADD/ADHD Depression Anxiety problems Behavioral or conduct problems Autism or ASD Developmental delay that affects child’s ability to learn Severity assessment of identified conditions Receipt of any treatment or counseling from a mental health professional Use of any medication because of difficulties with emotions, concentration, or behavior Delay or unmet need for mental health services Risk for developmental delay (assessed by Parent’s Evaluation of Developmental Status (PEDS) screening test) Assessment of social competence

Examples of Other NSCH Topic Areas (Potential Covariates) Insurance coverage consistency and adequacy Medical home Child care arrangements Reading for pleasure Television watching Home alone (6-11) Working for pay (12-17) Volunteering (12-17) Weekly attendance at religious services School enrollment and engagement Participation in activities outside of school Repeating a grade Parents’ health status Parenting aggravation Smoking in the household Neighborhood amenities, condition, and social support Child’s safety in neighborhood and at school

Access to the 2007 NSCH data Released May 2009 Public use microdata file in SAS format Extensive documentation Free to download anytime Available at Online data query system (can request SPSS format) Join our listserv for updates

Prevalence of Chronic Mental Health Conditions, Based on Parent Report for Children 2-17 Years of Age ADD / ADHD6.4% 95% CI: 6.0 – 6.8 Depression2.0% 95% CI: 1.7 – 2.2 Anxiety2.9% 95% CI: 2.6 – 3.1 Conduct problems3.3% 95% CI: 3.0 – 3.6 Developmental delay3.2% 95% CI: 2.9 – 3.5 Source: Child and Adolescent Health Measurement Initiative National Survey of Children’s Health, Data Resource Center for Child and Adolescent Health website. Retrieved 09/02/2009 from

Prevalence of Other Emotional and Mental Health Indicators, Based on Parent Report Moderate / high risk for delay (4 months – 5 years) 26.4% 95% CI: 25.0 – 27.8 Positive social skills (6 – 17 years) 93.6% 95% CI: 93.2 – 94.1 Problematic social behaviors (6 – 17 years) 8.8% 95% CI: 8.3 – 9.4 Depressive behaviors (6 – 17 years) 1.3% 95% CI: 1.1 – 1.6 Source: Child and Adolescent Health Measurement Initiative National Survey of Children’s Health, Data Resource Center for Child and Adolescent Health website. Retrieved 09/02/2009 from

Prevalence of Health Care Utilization, Based on Parent Report for Children 2-17 Years of Age Received treatment or counseling from a mental health professional during the past 12 months 8.1% 95% CI: 7.7 – 8.5 Received all needed mental health care or counseling (Among children who needed mental health care or counseling during the past 12 months) 60.0% 95% CI: 57.1 – 63.0 Child takes medication for emotions, concentration, or behavior 6.2% 95% CI: 5.8 – 6.5 Source: Child and Adolescent Health Measurement Initiative National Survey of Children’s Health, Data Resource Center for Child and Adolescent Health website. Retrieved 09/02/2009 from

Prevalence of Selected Family and Neighborhood Characteristics, for Children 0-17 Years of Age Children live with mothers who report fair or poor mental health 7.3% 95% CI: 6.9 – 7.8 Children do not live in a neighborhood described as supportive of children 16.8% 95% CI: 16.1 – 17.4 Source: Child and Adolescent Health Measurement Initiative National Survey of Children’s Health, Data Resource Center for Child and Adolescent Health website. Retrieved 09/02/2009 from

For more information… Stephen J. Blumberg Kathleen S. O’Connor