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National Survey of Alcohol, Drug, and Mental Health Problems [Healthcare for Communities], 1997-1998

Resource Type
Dataset : survey data
  • Wells, Kenneth B. (University of California, Los Angeles, and RAND)
  • Sturm, Roland (RAND)
  • Burnam, Audrey (RAND)
Other Title
  • Archival Version (Subtitle)
Collective Title
  • Community Tracking Study Series
Publication Date
Funding Reference
  • Robert Wood Johnson Foundation
Free Keywords
alcohol abuse; drug abuse; drug treatment; health care services; insurance coverage; mental disorders; mental health services; self medication; treatment programs
  • Abstract

    This survey is a component of the Robert Wood Johnson Foundation's Health Tracking Initiative, a program designed to monitor changes within the health care system and their effects on people. Focusing on care and treatment for alcohol, drug, and mental health conditions, the survey reinterviewed respondents to the 1996-1997 CTS Household Survey (COMMUNITY TRACKING STUDY HOUSEHOLD SURVEY, 1996-1997, AND FOLLOWBACK SURVEY, 1997-1998: [UNITED STATES] [ICPSR 2524]). Topics covered by the questionnaire include (1) demographics, (2) health and daily activities, (3) mental health, (4) alcohol and illicit drug use, (5) use of medications, (6) health insurance coverage including coverage for mental health, (7) access, utilization, and quality of behavioral health care, (8) work, income, and wealth, and (9) life difficulties. Five imputed versions of the data are included in the collection for analysis with multiple imputation techniques.
  • Table of Contents


    • DS0: Study-Level Files
    • DS1: Unimputed Data File
    • DS2: First Imputed Data File
    • DS3: Second Imputed Data File
    • DS4: Third Imputed Data File
    • DS5: Fourth Imputed Data File
    • DS6: Fifth Imputed Data File
    • DS7: SAS Transport File (XPORT) for Parts 1-6
Temporal Coverage
  • 1997 / 1998
    Time period: 1997--1998
  • 1997 / 1998
    Collection date: 1997--1998
Geographic Coverage
  • United States
Sampled Universe
Civilian, noninstitutionalized persons in the contiguous 48 states of the United States.
A stratified probability sample was selected from a sampling frame consisting of 30,375 adult respondents from the COMMUNITY TRACKING STUDY HOUSEHOLD SURVEY, 1996-1997, AND FOLLOWBACK SURVEY, 1997-1998 (ICPSR 2524). Respondents who were poor, mentally distressed, and users of mental health services were oversampled.
Collection Mode
  • (1) By matching on common identification variables, the data can be linked to the COMMUNITY TRACKING STUDY HOUSEHOLD SURVEY, 1996-1997, AND FOLLOWBACK SURVEY, 1997-1998 (ICPSR 2524). (2) The SAS transport file was created using the SAS XPORT engine. (3) The data maps are provided by ICPSR as ASCII text files and the codebook is provided by the principal investigators as a Portable Document Format (PDF) file. The PDF file format was developed by Adobe Systems Incorporated and can be accessed using PDF reader software, such as the Adobe Acrobat Reader. Information on how to obtain a copy of the Acrobat Reader is provided on the ICPSR Web site.

2006-03-30 File CB3025.ALL.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.2003-12-09 The codebook descriptions of variables TANSUP, EMOSUP, and SOCSUP were corrected.2003-09-10 A variable specifying the date of interview has been added to the collection. Funding insitution(s): Robert Wood Johnson Foundation (030407 and 031280).
One or more files in this study are not available for download due to special restrictions; consult the study documentation to learn more on how to obtain the data.
Alternative Identifiers
  • 3025 (Type: ICPSR Study Number)
  • Is previous version of
    DOI: 10.3886/ICPSR03025.v1
  • Ong, Michael K., Zhou, Qiong, Sung, Hai-Yen. Primary care providers advising smokers to quit: Comparing effectiveness between those with and without alcohol, drug, or mental disorders. Nicotine and Tobacco Research.13, (12), 1193-1201.2011.
    • ID: 10.1093/ntr/ntr167 (DOI)
  • Teh, Carrie Farmer, Zaslavsky, Alan M., Reynolds, Charles F., III, Cleary, Paul D.. Effect of depression treatment on chronic pain outcomes. Psychosomatic Medicine.72, (1), 61-67.2010.
    • ID: 10.1097/PSY.0b013e3181c2a7a8 (DOI)
  • Saverimuttu, Leandra Therese DeSilva. Are State Mental Health Insurance Mandates Effective?. Dissertation, University of Pennsylvania. 2009.
  • Teh, Carrie Farmer, Reynolds, Charles F., III, Cleary, Paul D.. Quality of depression care for people with coincident chronic medical conditions. General Hospital Psychiatry.30, (6), 528-535.2008.
    • ID: 10.1016/j.genhosppsych.2008.07.002 (DOI)
  • Stockdale, Susan E., Tang, Lingqi, Zhang, Lily, Belin, Thomas R., Wells, Kenneth B.. The effects of health sector market factors and vulnerable group membership on access to alcohol, drug, and mental health care. Health Services Research.42, (3), 1020-1041.2007.
    • ID: 10.1111/j.1475-6773.2006.00636.x (DOI)
  • Stockdale, Susan E., Wellsa, Kenneth B., Tang, Lingqi, Belinc, Thomas R., Zhang, Lily, Sherbourne, Cathy D.. The importance of social context: Neighborhood stressors, stress-buffering mechanisms, and alcohol, drug, and mental health disorders. Social Science and Medicine.65, (9), 1867-1881.2007.
  • Edlund, Mark J., Belin, Thomas R., Tang, Lingqi. Geographic variation in alcohol, drug, and mental health services utilization: What are the sources of the variation?. Journal of Mental Health Policy and Economics.9, (3), 123-132.2006.
  • Eibner, Christine, Sturm, Roland. US-based indices of area-level deprivation: Results from HealthCare for Communities. Social Science and Medicine.62, (2), 348-359.2006.
  • McGuire, Thomas G., Alegria, Margarita, Cook, Benjamin L., Wells, Kenneth B., Zaslavshy, Alan M.. Implementing the institute of medicine definition of disparities: An application to mental health care.(Methods). Health Services Research.41, (5), 1979-2005.2006.
    • ID: 10.1111/j.1475-6773.2006.00583.x (DOI)
  • Ojeda, Victoria D., McGuire,Thomas G.. Gender and racial/ethnic differences in use of outpatient mental health and substance use services by depressed adults. Psychiatric Quarterly.77, (3), 211-222.2006.
    • ID: 10.1007/s11126-006-9008-9 (DOI)
  • Stockdale, Susan E., Klap, Ruth, Belin, Thomas R., Zhang, Lily, Wells, Kenneth B.. Longitudinal patterns of alcohol, drug, and mental health need and care in a national sample of U.S. adults. Psychiatric Services.57, (1), 93-99.2006.
    • ID: 10.1176/ (DOI)
  • Sullivan, Mark D, Edlund, Mark J, Zhang, Lily, Unutzer, Jurgen, Wells, Kenneth B. Association between mental health disorders, problem drug use, and regular prescription opioid use. Archives of Internal Medicine.166, (19), 2087-2093.2006.
    • ID: 10.1001/archinte.166.19.2087 (DOI)
  • Tian, Haijun. Caring for Depression and Comorbid Pain: Evidence from HRS and HCC. Dissertation, Pardee RAND Graduate School. 2006.
  • D'Amico, Elizabeth J., Paddock, Susan M., Burnam, Audrey, Kung, Fuan-Yue. Identification of and guidance for problem drinking by general medical providers: Results from a national survey. Medical Care.43, (3), 229-236.2005.
    • ID: 10.1097/00005650-200503000-00005 (DOI)
  • Edlund, Mark J., Unutzer, Jurgen, Wells, Kenneth. Clinician screening and treatment of alcohol, drug, and mental problems in primary care: Results from healthcare for communities. Medical Care.42, (12), 1158-1166.2004.
    • ID: 10.1097/00005650-200412000-00002 (DOI)
  • Mechanic, David, Bilder, Scott. Treatment of people with mental illness: A decade-long perspective. Health Affairs.23, (4), 84-95.2004.
    • ID: 10.1377/hlthaff.23.4.84 (DOI)
  • Edlund, Mark J., Young, Alexander S., Kung, Fuan Yue, Sherbourne, Cathy. Does Satisfaction Reflect the Technical Quality of Mental Health Care?. Health Services Research.38, (2), 631-645.2003.
    • ID: 10.1111/1475-6773.00137 (DOI)
  • Klap, Ruth, Unroe, Kathleen Tschantz, Unutzer, Jurgen. Caring for Mental Illness in the United States: A Focus on Older Adults. American Journal of Geriatric Psychiatry.11, (5), 517-524.2003.
    • ID: 10.1176/appi.ajgp.11.5.517 (DOI)
  • Mechanic, David. Removing barriers to care among persons with psychiatric symptoms. Health Affairs.21, (3), 137 -2002.
    • ID: 10.1377/hlthaff.21.3.137 (DOI)
  • Mechanic, David, Bilder, Scott, McAlpine, Donna D.. Employing Persons With Serious Mental Illness. Health Affairs.21, (5), 242 -2002.
    • ID: 10.1377/hlthaff.21.5.242 (DOI)
  • Sturm, Roland. The effects of obesity, smoking, and drinking on medical problems and costs. Health Affairs.21, (2), 245-253.2002.
    • ID: 10.1377/hlthaff.21.2.245 (DOI)
  • Sturm, Roland, Gresenz, Carole R.. Relations of income inequality and family income to chronic medical conditions and mental health disorders: National survey. BMJ -- Clinical Research Edition.324, (7328), 20-23.2002.
    • ID: 10.1136/bmj.324.7328.20 (DOI)
  • Wells, Kenneth B., Sherbourne, Cathy D., Sturm, Roland, Young, Alexander S., Burnam, M. Audrey. Alcohol, drug abuse, and mental health care for uninsured and insured adults. Health Services Research.37, (4), 1055-1066.2002.
    • ID: 10.1034/j.1600-0560.2002.65.x (DOI)
  • Gresenz, Carole R., Sturm, Roland, Tang, L.. Income and mental health: Unraveling community and individual level relationships. Journal of Mental Health Policy and Economics.4, 197-203.2001.
  • Ringel, Jeanne S., Sturm, Roland. Financial burden and out-of-pocket expenditures for mental health across different sosioeconomic groups: Results from Healthcare for Communities. Journal of Mental Health Policy and Economics.4, (3), 141-150.2001.
  • Sturm, Roland. State parity legislation and changes in health insurance and perceived access to care among individuals with mental illness: 1996-1998. Journal of Mental Health Policy and Economics.3, 209-213.2001.
    • ID: 10.1002/mhp.97 (DOI)
  • Sturm, Roland, Sherbourne, Cathy D.. Are barriers to mental health and substance abuse care still rising?. Journal of Behavioral Health Services and Research.28, (1), 81-88.2001.
    • ID: 10.1007/BF02287236 (DOI)
  • Sturm, Roland, Wells, Kenneth B.. Does obesity contribute as much to morbidity as poverty or smoking?. Public Health (UK).115, (4), 229-235.2001.
    • ID: 10.1016/S0033-3506(01)00449-8 (DOI)
  • Watkins, K.E., Burnam, Audrey, Kung, F.Y., Paddock, S.. A national survey of care for persons with co-occurring mental and substance use disorders. Psychiatric Services.52, (8), 1062-1068.2001.
    • ID: 10.1176/ (DOI)
  • Wells, Kenneth, Klap, Ruth, Koike, Alan, Sherbourne, Cathy. Ethnic disparities in unment need for alcoholism, drug abuse, and mental health care. American Journal of Psychiatry.158, (12), 2027-2032.2001.
    • ID: 10.1176/appi.ajp.158.12.2027 (DOI)
  • Young, Alexander S., Klap, Ruth, Sherbourne, Cathy D., Wells, Kenneth B.. The quality of care for depressive and anxiety disorders in the United States. Archives of General Psychiatry.58, (1), 55 -2001.
    • ID: 10.1001/archpsyc.58.1.55 (DOI)
  • Gresenz, Carole R., Sturm, Roland. New dimensions of economic well-being among people with mental illness: Evidence from Healthcare for Communities. Health Services Research.35, (5, Pt. III), 32-42.2000.
    • ID: (URL)
  • Gresenz, Carole Roan, Stockdale, Susan E., Wells, Kenneth B.. Community effects on access to behavioral health care. Health Services Research.35, (1), 293-306.2000.
  • McAlpine, D.D., Mechanic, D.. Utilization of specialty mental health care among persons with severe mental illness: The roles of demographics, need, insurance, and risk. Health Services Research.35, (1 Pt. 2), 277-292.2000.
  • McAlpine, Donna D., Mechanic, David. Utilization of speciality mental health care among persons with severe mental illness: The roles of demographics, need, insurance, and risk. Health Services Research.35, (1), 277-292.2000.
  • Pacula, Rosalie L., Sturm, Roland. Mental health parity legislation: Much ado about nothing?. Health Services Research.35, (1, Pt. 2), 263-275.2000.
  • Sturm, Roland, Unutzer, Jurgen. State legislation and the use of complementary and alternative medicine. Inquiry (Rochester): The Journal of Health Care Organization, Provision and Financing.37, (4), 423-429.2000.
  • Sturm, Roland, Wells, Kenneth B.. Health insurance may be improving--but not for individuals with mental illness. Health Services Research.35, (1, Pt. 2), 253-262.2000.
  • Unutzer, Jurgen, Klap, Ruth, Sturm, Roland, Young, Alexander S., Marmon, Tonya, Shatkin, Jess, Wells, Kenneth B.. Mental disorders and the use of alternative medicine: Results from a national survey. American Journal of Psychiatry.157, (11), 1851-1857.2000.
    • ID: 10.1176/appi.ajp.157.11.1851 (DOI)
  • Zuvekas, Samuel H.. Assessing state parity legislation. Journal of Mental Health Policy and Economics.3, (4), 215-217.2000.
    • ID: 10.1002/mhp.101 (DOI)
  • Sturm, Roland, Gresenz, Carole R., Pacula, Rosalie L., Wells, Kenneth B.. Labor force participation by persons with mental illness. Psychiatric Services.50, (11), 1407 -1999.
  • Sturm, Roland, Gresenz, Carole, Sherbourne, Cathy, Minnium, Katy, Bhattacharya, Jay, Farley, Donna, Burnam, M. Audrey, Wells, Kenneth B., Klap, Ruth, Young, Alexander S.. The design of healthcare for communities: A study of health care delivery for alcohol drug abuse, and mental health conditions. Inquiry (Rochester): The Journal of Health Care Organization, Provision and Financing.36, (2), 221-233.1999.
  • Sturm, Roland, Pacula, Rosalie L.. State mental health parity laws: Cause or consequence of differences in use?. Health Affairs.18, (5), 182-192.1999.
    • ID: 10.1377/hlthaff.18.5.182 (DOI)
  • Unutzer, J.. Development of Healthcare for Communites Household Survey Instrument. Los Angeles, CA: UCLA/RAND Research Center on Managed Care for Psychiatric Disorders. 1997.
  • Burnam, M.A., Young, A.S.. Development of Healthcare for Communities Household Survey Instrument. Los Angeles, CA: UCLA/RAND Research Center on Managed Care for Psychiatric Disorders. 1996.

Update Metadata: 2015-08-05 | Issue Number: 8 | Registration Date: 2015-06-15

Wells, Kenneth B.; Sturm, Roland; Burnam, Audrey (2001): National Survey of Alcohol, Drug, and Mental Health Problems [Healthcare for Communities], 1997-1998. Archival Version. Community Tracking Study Series. Version: v0. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset.