Household Pulse Survey : Mental health care
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Household Pulse Survey : Mental health care

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      To rapidly monitor recent changes in mental health care, the National Center for Health Statistics (NCHS) partnered with the Census Bureau on an experimental data system called the Household Pulse Survey. This 20-minute online survey was designed to complement the ability of the federal statistical system to rapidly respond and provide relevant information about the impact of the coronavirus pandemic in the U.S. The data collection period for Phase 1 of the Household Pulse Survey occurred between April 23, 2020 and July 21, 2020. Phase 2 data collection occurred between August 19, 2020 and October 26, 2020. Phase 3 data collection occurred between October 28, 2020 and March 29, 2021. Phase 3.1 data collection occurred between April 14, 2021 and July 5, 2021. Phase 3.2 data collection occurred between July 21, 2021 and October 11, 2021. Data collection for Phase 3.3 began on December 1, 2021 and will continue through February 7, 2022. Data collection for Phase 3.4 is scheduled to begin on February 23, 2022 and will continue through May 2, 2022.

      Beginning in Phase 2, NCHS included questions about the impact of the coronavirus pandemic on mental health care. Estimates on this page are derived from the Household Pulse Survey and show the percentage of adults aged 18 and over who in the past four weeks a) took prescription medication for their mental health, b) received counseling or therapy from a mental health professional, or c) needed counseling or therapy from a mental health professional but did not get it (unmet mental health need). See the technical notes for more information on these measures.

      Questions on the receipt of prescription medication, counseling or therapy, and unmet mental health need were included on the National Health Interview Survey (NHIS) in 2019. The NHIS, conducted by NCHS, is the major source for high-quality data used to monitor the nation’s health. Estimates of mental health care based on the 2019 NHIS may be useful benchmarks for comparison with estimates from the Household Pulse Survey. It is important to note that whereas the Household Pulse Survey asks about receipt of care in the past 4 weeks, the NHIS asks these questions with a 12-month reference period. In 2019, 15.8% of adults aged 18 and over took prescription medication for their mental health in the past year and 9.5% received counseling or therapy from a mental health professional in the past year (NCHS Data Brief 380). In 2019, 4.3% of adults aged ≥ 18 years did not receive counseling or therapy due to cost in the past 12 months.

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