Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
1
Draft
PROOF The National Survey of Childrenrsquos Health
The Mental and Emotional Well-Being of
Children A Portrait of States
and the Nation 2007
June 2010 US Department of Health and Human Services Health Resources and Services Administration
Suggested citation
US Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau
The Mental and Emotional Well-Being of Children A Portrait of States and the Nation 2007 Rockville Maryland US Department of Health and Human Services 2010
Individual copies of this report are available at no cost from the HRSA Information Center PO Box 2910 Merrifield VA 22116 1-888-ASK-HRSA or askhrsagov
The publication is also available online at wwwmchbhrsagov and wwwcdcnchsslaitshtm
Readers are free to duplicate and use all or part of the information contained in this publication however the photographs are copyrighted and permission may be required to reproduce Note These data are based entirely on parental reports and have not been independently verified In addition they only include children whose parents reported that they have been told that they have one of these conditions by a doctor or other health care provider All photos are credited to iStockphoto except page 7 to Renee Schwalberg
The National Survey of Childrenrsquos Health
State Data 31 Alabama 32 Alaska 32 Arizona 33 Arkansas 33 California 34 Colorado 34 Connecticut 35 Delaware 35Table of Contents District of Columbia 36Introduction 4 Florida 36
Mental Health Status 7 Georgia 37 Mental Health Status 8 Hawaii 37 Characteristics of Children with Emotional Behavioral or Developmental Conditions 10 Overlap Among Emotional Behavioral or Developmental Conditions 11 Overlap with Learning Disabilities 12 Overlap with Physical Health Conditions 13 Mental Health Services 15
Idaho 38 Illinois 38 Indiana 39 Iowa 39 Kansas 40 Kentucky Louisiana
40 41
Use of Mental Health Services 16 Maine 41 Maryland 42Health Insurance Coverage 17 Massachusetts 42Adequacy of Health Insurance Coverage 18 Michigan 43
Medical Home 19 Minnesota 43 School and Activities 21 Mississippi 44 Repeating a Grade and School Engagement 22 Missouri 44 Social Skills 23 Montana 45
Nebraska 45Problem Social Behaviors 24 Nevada 46
Activities Outside of School 25 New Hampshire 46 The Childrsquos Family 27 New Jersey 47 Parenting Stress 28 New Mexico 47 Parentsrsquo Health Status 29 New York 48
North Carolina 48Child Care 30 North Dakota 49 Ohio 49 Oklahoma 50 Oregon 50 Pennsylvania 51 Rhode Island 51 South Carolina 52 South Dakota 52 Tennessee 53 Texas 53 Utah 54 Vermont 54 Virginia 55 Washington 55 West Virginia 56
Appendix A Technical Appendix 59 Wisconsin 56 Appendix B Survey Questions 60 Wyoming 57
3
The National Survey of Childrenrsquos Health
Introduction
Children like adults may have mental health problems including depression and anxiety They may also have behavioral conditions such as conduct disorders cognitive disorders such as autism spectrum disorder or neurological conditions such as Tourette Syndrome Children may also be affected by delays in their physical cognitive or emotional development
The 2007 National Survey of Chil-drenrsquos Health asked parents whether their children had ever been diag-nosed with and currently had any of these seven conditions (The exact wording of the questions asked in the survey is presented in Appendix B) This chartbook addresses the health and well-being of the population of children whose parents reported that their children had at least one of these conditions Note however that these data are based entirely on parental reports and have not been independently verified in addition they only include children whose parents reported that they have been told that they have one of these con-ditions by a doctor or other health care provider
The seven conditions included heremdashdepression anxiety Attention Deficit DisorderAttention Deficit Hyperactivity Disorder (ADDADHD) conduct disorders autism spectrum disorders developmental delay and Tourette Syndromemdashmay be grouped together as emotional behavioral or developmental conditions Overall these conditions affect 113 percent of children in the United States or nearly 74 million children Of these
children nearly two-thirds (657 percent) are boys more than half (511 percent) are between the ages of 12 and 17 years and nearly one-quarter (248 percent) have family incomes below the Federal poverty level Boys adolescents and children from low-income families are all dis-proportionately represented among children with reported emotional behavioral or developmental condi-tions compared to the population of children in general
Many children have more than one of these seven diagnoses 403 percent of children with at least one emotional behavioral or develop-mental condition have more than one of the seven conditions These condi-tions also frequently overlap with learning disabilities Of children at least 3 years of age with at least one emotional behavioral or develop-mental condition 458 percent also had learning disabilities compared to 27 percent of children without these conditions In addition one-third of children with emotional behavioral or developmental conditions also had at least one of seven physical health conditions addressed in the survey (asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concus-sion)
Children with emotional behavior-al or developmental conditions are no more likely than other children to be uninsured or to have gaps in their health coverage However they are more likely to be insured through public programs 437 percent of
children with these conditions have public insurance compared to 262 percent of children without these conditions They are also more likely to have insurance that does not ad-equately meet their needs Parents of insured children were asked whether their out-of-pocket costs were rea-sonable whether the plan offered benefits or covered services that met their childrsquos needs and whether their child was allowed to see the provid-ers he or she needed Of children with emotional behavioral or de-velopmental conditions with insur-ance 294 percent were reported to have insurance that did not usually or always meet all of these criteria compared to 238 percent of children without these conditions
A ldquomedical homerdquo or a consistent source of medical care that meets criteria of accessibility continuity comprehensiveness coordination compassion and cultural sensitivity is particularly critical for any child with a chronic condition including emotional behavioral or develop-mental conditions Unfortunately only 402 percent of children with these conditions were reported to get their care through a medical home compared to 585 percent of other children
Children with emotional behav-ioral or developmental conditions can benefit from a variety of services and therapies including counseling and medications However not all children with these conditions are reported to receive these services Overall 456 percent of children with at least one of the seven conditions
4
The National Survey of Childrenrsquos Health
received needed mental health ser-vices according to their parents and just half (501 percent) took medica-tions for their conditions in the past year This finding implies that mental health services for children remains an area of great unmet need
Having an emotional behavioral or developmental condition may affect a variety of important developmental and social processes during child-hood and adolescence Children with at least one of the seven conditions are more likely than other children to repeat a grade in school and are less likely to be engaged in school according to their parents They are less likely to consistently exhibit positive social skills and more likely to show problematic behaviors such as bullying or arguing However it should be noted that these differ-ences are not necessarily attributable to the childrenrsquos conditions other factors such as the familyrsquos situation and the childrsquos neighborhood envi-ronment may be involved as well
The health of a child and the health of the entire family are interdepen-dent The parents of children with emotional behavioral or develop-mental conditions are more likely than the parents of children without these conditions to report that they usually or always feel at least one form of parenting stress (309 and 82 percent respectively) Parentsrsquo physical and mental health is also closely related to that of their chil-dren and both mothers and fathers of children with emotional behav-ioral or developmental conditions are less likely to report that they are
in excellent or very good physical and mental health than parents of children without these conditions
Finally child care can present sub-stantial challenges in any family with young children and these challenges only increase when children have emotional behavioral or develop-mental conditions Of children aged 2 to 5 years with at least one of these conditions 625 percent received some form of nonparental child care The parents of 462 percent reported having at least one problem with child care including having to make different child care arrangements in the past month due to circumstances outside their control or having to quit a job not take a job or greatly change their job in the past year because of child care problems
This chartbook presents a range of indicators on the health and well-be-ing of children who have been diag-nosed with emotional behavioral or developmental conditions on the na-tional level For each state we show the prevalence of the seven condi-tions (grouped together) and the major demographic characteristics of children who have at least one of the conditions Together these data paint a picture of a large and diverse population of children with multiple complex needs These children and their families may need servicesmdash including mental and physical health care special education and social services and supportmdashfrom a variety of systems and providers These analyses provide a useful first step in delineating the relationships among these conditions childrenrsquos socioeco-
nomic characteristics and access to health care However much more re-search is needed to fully understand these complex relationships
The NSCH is sponsored by the Health Resources and Services Administrationrsquos Maternal and Child Health Bureau The Technical Appendices at the end of this book presents information about the sur-vey methodology and sample and the specific questions that were asked about emotional behavioral and developmental conditions For more in-depth information about the sur-vey and its findings other resources are available For more detailed analyses of the surveyrsquos findings the Data Resource Center on Child and Adolescent Health web site provides online access to the survey data The interactive data query feature allows users to create their own tables and to compare survey results at the na-tional and state levels and by relevant subgroups such as age raceethnic-ity and household income The Child amp Adolescent Health Measurement Initiative (CAHMI) leads the Data Re-source Center (DRC) in partnership with state and family leaders includ-ing Title V leaders Family Voices other family organizations and public and private sector child health data experts The web site for the DRC is httpwwwnschdataorg More complex analyses can be conducted using the public use data set available from the National Center for Health Statistics at httpwwwcdcgov nchsaboutmajorslaitsnschhtm
5
The National Survey of Childrenrsquos Health
The Mental and Emotional Well-Being of Children A Portrait of the Nation
7
The National Survey of Childrenrsquos Health
Mental Health Status The survey asked parents of chil-
dren aged 2-17 years whether their child had been diagnosed with and still had any of 16 specific condi-tions 7 of which were related to emotions behavior or development For each condition the survey asked parents whether a doctor had told them that their child had the condi-tion and whether the child still had the condition bull Attention Deficit Disorder (ADD)Attention Deficit Hyper-activity Disorder (ADHD) Chil-dren with these syndromes may have difficulty paying attention be easily distracted and forgetful have trouble listening and follow-ing directions be impatient and have trouble sitting still Some of these children those with ADD only have difficulty with attention and organization Others pri-marily have symptoms involving hyperactivity and impulsivity and others have both ADDADHD is the most common of the emotion-al behavioral and developmental conditions included in the survey the parents of 64 percent of chil-dren reported that their children currently have this condition bull Anxiety Problems While all children may feel anxiety in specific situations some chil-dren experience anxiety disor-
Children Aged 2-17 Years with at Least
One of Seven Emotional Behavioral
or Developmental Conditions
No conditions 887
One condition 67
ders including panic disorder obsessive-compulsive disorder post-tramatic stress disorder and phobias Symptoms may include constant worry obsessions fear of making mistakes and lack of self-confidence The parents of 29 percent of children reported that their children currently have these problems bull Depression Like adults children may experience sadness at times Children may also experience debilitating depression although this condition may express itself differently in children than in adults Symptoms of depression in children include persistent sad-ness or an anxious or empty mood decreased interest in their favorite activities inability to concentrate frequent complaints of headaches and stomachaches and increased irritability anger or hostility The parents of 20 percent of children report that their children have been diagnosed with and currently have depression
Two conditions 26
Three or more conditions 19
bull Oppositional Defiant Disorder (ODD)Conduct Disorder Chil-dren with ODD show a pattern of uncooperative defiant and hostile behavior especially toward adult authority figures Children with ODD may have frequent tantrums argue excessively with adults and question rules and deliberately attempt to annoy or upset others Children with conduct disorder also have difficulty following rules and behaving in socially accept-able ways The parents of 33 per-cent of children report that their children currently have behavioral or conduct problems bull Autism Spectrum Disorders (ASDs) includes a range of diagnoses including Aspergerrsquos Syndrome autism and Pervasive Developmental Disorder (PDD) Children with autism have delays in language communication and social skills Children with Asperg-errsquos disorder have impaired social skills but do not have speech or language delays They often have
The Mental and Emotional Well-Being of Children gt Mental Health Status 8
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
Suggested citation
US Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau
The Mental and Emotional Well-Being of Children A Portrait of States and the Nation 2007 Rockville Maryland US Department of Health and Human Services 2010
Individual copies of this report are available at no cost from the HRSA Information Center PO Box 2910 Merrifield VA 22116 1-888-ASK-HRSA or askhrsagov
The publication is also available online at wwwmchbhrsagov and wwwcdcnchsslaitshtm
Readers are free to duplicate and use all or part of the information contained in this publication however the photographs are copyrighted and permission may be required to reproduce Note These data are based entirely on parental reports and have not been independently verified In addition they only include children whose parents reported that they have been told that they have one of these conditions by a doctor or other health care provider All photos are credited to iStockphoto except page 7 to Renee Schwalberg
The National Survey of Childrenrsquos Health
State Data 31 Alabama 32 Alaska 32 Arizona 33 Arkansas 33 California 34 Colorado 34 Connecticut 35 Delaware 35Table of Contents District of Columbia 36Introduction 4 Florida 36
Mental Health Status 7 Georgia 37 Mental Health Status 8 Hawaii 37 Characteristics of Children with Emotional Behavioral or Developmental Conditions 10 Overlap Among Emotional Behavioral or Developmental Conditions 11 Overlap with Learning Disabilities 12 Overlap with Physical Health Conditions 13 Mental Health Services 15
Idaho 38 Illinois 38 Indiana 39 Iowa 39 Kansas 40 Kentucky Louisiana
40 41
Use of Mental Health Services 16 Maine 41 Maryland 42Health Insurance Coverage 17 Massachusetts 42Adequacy of Health Insurance Coverage 18 Michigan 43
Medical Home 19 Minnesota 43 School and Activities 21 Mississippi 44 Repeating a Grade and School Engagement 22 Missouri 44 Social Skills 23 Montana 45
Nebraska 45Problem Social Behaviors 24 Nevada 46
Activities Outside of School 25 New Hampshire 46 The Childrsquos Family 27 New Jersey 47 Parenting Stress 28 New Mexico 47 Parentsrsquo Health Status 29 New York 48
North Carolina 48Child Care 30 North Dakota 49 Ohio 49 Oklahoma 50 Oregon 50 Pennsylvania 51 Rhode Island 51 South Carolina 52 South Dakota 52 Tennessee 53 Texas 53 Utah 54 Vermont 54 Virginia 55 Washington 55 West Virginia 56
Appendix A Technical Appendix 59 Wisconsin 56 Appendix B Survey Questions 60 Wyoming 57
3
The National Survey of Childrenrsquos Health
Introduction
Children like adults may have mental health problems including depression and anxiety They may also have behavioral conditions such as conduct disorders cognitive disorders such as autism spectrum disorder or neurological conditions such as Tourette Syndrome Children may also be affected by delays in their physical cognitive or emotional development
The 2007 National Survey of Chil-drenrsquos Health asked parents whether their children had ever been diag-nosed with and currently had any of these seven conditions (The exact wording of the questions asked in the survey is presented in Appendix B) This chartbook addresses the health and well-being of the population of children whose parents reported that their children had at least one of these conditions Note however that these data are based entirely on parental reports and have not been independently verified in addition they only include children whose parents reported that they have been told that they have one of these con-ditions by a doctor or other health care provider
The seven conditions included heremdashdepression anxiety Attention Deficit DisorderAttention Deficit Hyperactivity Disorder (ADDADHD) conduct disorders autism spectrum disorders developmental delay and Tourette Syndromemdashmay be grouped together as emotional behavioral or developmental conditions Overall these conditions affect 113 percent of children in the United States or nearly 74 million children Of these
children nearly two-thirds (657 percent) are boys more than half (511 percent) are between the ages of 12 and 17 years and nearly one-quarter (248 percent) have family incomes below the Federal poverty level Boys adolescents and children from low-income families are all dis-proportionately represented among children with reported emotional behavioral or developmental condi-tions compared to the population of children in general
Many children have more than one of these seven diagnoses 403 percent of children with at least one emotional behavioral or develop-mental condition have more than one of the seven conditions These condi-tions also frequently overlap with learning disabilities Of children at least 3 years of age with at least one emotional behavioral or develop-mental condition 458 percent also had learning disabilities compared to 27 percent of children without these conditions In addition one-third of children with emotional behavioral or developmental conditions also had at least one of seven physical health conditions addressed in the survey (asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concus-sion)
Children with emotional behavior-al or developmental conditions are no more likely than other children to be uninsured or to have gaps in their health coverage However they are more likely to be insured through public programs 437 percent of
children with these conditions have public insurance compared to 262 percent of children without these conditions They are also more likely to have insurance that does not ad-equately meet their needs Parents of insured children were asked whether their out-of-pocket costs were rea-sonable whether the plan offered benefits or covered services that met their childrsquos needs and whether their child was allowed to see the provid-ers he or she needed Of children with emotional behavioral or de-velopmental conditions with insur-ance 294 percent were reported to have insurance that did not usually or always meet all of these criteria compared to 238 percent of children without these conditions
A ldquomedical homerdquo or a consistent source of medical care that meets criteria of accessibility continuity comprehensiveness coordination compassion and cultural sensitivity is particularly critical for any child with a chronic condition including emotional behavioral or develop-mental conditions Unfortunately only 402 percent of children with these conditions were reported to get their care through a medical home compared to 585 percent of other children
Children with emotional behav-ioral or developmental conditions can benefit from a variety of services and therapies including counseling and medications However not all children with these conditions are reported to receive these services Overall 456 percent of children with at least one of the seven conditions
4
The National Survey of Childrenrsquos Health
received needed mental health ser-vices according to their parents and just half (501 percent) took medica-tions for their conditions in the past year This finding implies that mental health services for children remains an area of great unmet need
Having an emotional behavioral or developmental condition may affect a variety of important developmental and social processes during child-hood and adolescence Children with at least one of the seven conditions are more likely than other children to repeat a grade in school and are less likely to be engaged in school according to their parents They are less likely to consistently exhibit positive social skills and more likely to show problematic behaviors such as bullying or arguing However it should be noted that these differ-ences are not necessarily attributable to the childrenrsquos conditions other factors such as the familyrsquos situation and the childrsquos neighborhood envi-ronment may be involved as well
The health of a child and the health of the entire family are interdepen-dent The parents of children with emotional behavioral or develop-mental conditions are more likely than the parents of children without these conditions to report that they usually or always feel at least one form of parenting stress (309 and 82 percent respectively) Parentsrsquo physical and mental health is also closely related to that of their chil-dren and both mothers and fathers of children with emotional behav-ioral or developmental conditions are less likely to report that they are
in excellent or very good physical and mental health than parents of children without these conditions
Finally child care can present sub-stantial challenges in any family with young children and these challenges only increase when children have emotional behavioral or develop-mental conditions Of children aged 2 to 5 years with at least one of these conditions 625 percent received some form of nonparental child care The parents of 462 percent reported having at least one problem with child care including having to make different child care arrangements in the past month due to circumstances outside their control or having to quit a job not take a job or greatly change their job in the past year because of child care problems
This chartbook presents a range of indicators on the health and well-be-ing of children who have been diag-nosed with emotional behavioral or developmental conditions on the na-tional level For each state we show the prevalence of the seven condi-tions (grouped together) and the major demographic characteristics of children who have at least one of the conditions Together these data paint a picture of a large and diverse population of children with multiple complex needs These children and their families may need servicesmdash including mental and physical health care special education and social services and supportmdashfrom a variety of systems and providers These analyses provide a useful first step in delineating the relationships among these conditions childrenrsquos socioeco-
nomic characteristics and access to health care However much more re-search is needed to fully understand these complex relationships
The NSCH is sponsored by the Health Resources and Services Administrationrsquos Maternal and Child Health Bureau The Technical Appendices at the end of this book presents information about the sur-vey methodology and sample and the specific questions that were asked about emotional behavioral and developmental conditions For more in-depth information about the sur-vey and its findings other resources are available For more detailed analyses of the surveyrsquos findings the Data Resource Center on Child and Adolescent Health web site provides online access to the survey data The interactive data query feature allows users to create their own tables and to compare survey results at the na-tional and state levels and by relevant subgroups such as age raceethnic-ity and household income The Child amp Adolescent Health Measurement Initiative (CAHMI) leads the Data Re-source Center (DRC) in partnership with state and family leaders includ-ing Title V leaders Family Voices other family organizations and public and private sector child health data experts The web site for the DRC is httpwwwnschdataorg More complex analyses can be conducted using the public use data set available from the National Center for Health Statistics at httpwwwcdcgov nchsaboutmajorslaitsnschhtm
5
The National Survey of Childrenrsquos Health
The Mental and Emotional Well-Being of Children A Portrait of the Nation
7
The National Survey of Childrenrsquos Health
Mental Health Status The survey asked parents of chil-
dren aged 2-17 years whether their child had been diagnosed with and still had any of 16 specific condi-tions 7 of which were related to emotions behavior or development For each condition the survey asked parents whether a doctor had told them that their child had the condi-tion and whether the child still had the condition bull Attention Deficit Disorder (ADD)Attention Deficit Hyper-activity Disorder (ADHD) Chil-dren with these syndromes may have difficulty paying attention be easily distracted and forgetful have trouble listening and follow-ing directions be impatient and have trouble sitting still Some of these children those with ADD only have difficulty with attention and organization Others pri-marily have symptoms involving hyperactivity and impulsivity and others have both ADDADHD is the most common of the emotion-al behavioral and developmental conditions included in the survey the parents of 64 percent of chil-dren reported that their children currently have this condition bull Anxiety Problems While all children may feel anxiety in specific situations some chil-dren experience anxiety disor-
Children Aged 2-17 Years with at Least
One of Seven Emotional Behavioral
or Developmental Conditions
No conditions 887
One condition 67
ders including panic disorder obsessive-compulsive disorder post-tramatic stress disorder and phobias Symptoms may include constant worry obsessions fear of making mistakes and lack of self-confidence The parents of 29 percent of children reported that their children currently have these problems bull Depression Like adults children may experience sadness at times Children may also experience debilitating depression although this condition may express itself differently in children than in adults Symptoms of depression in children include persistent sad-ness or an anxious or empty mood decreased interest in their favorite activities inability to concentrate frequent complaints of headaches and stomachaches and increased irritability anger or hostility The parents of 20 percent of children report that their children have been diagnosed with and currently have depression
Two conditions 26
Three or more conditions 19
bull Oppositional Defiant Disorder (ODD)Conduct Disorder Chil-dren with ODD show a pattern of uncooperative defiant and hostile behavior especially toward adult authority figures Children with ODD may have frequent tantrums argue excessively with adults and question rules and deliberately attempt to annoy or upset others Children with conduct disorder also have difficulty following rules and behaving in socially accept-able ways The parents of 33 per-cent of children report that their children currently have behavioral or conduct problems bull Autism Spectrum Disorders (ASDs) includes a range of diagnoses including Aspergerrsquos Syndrome autism and Pervasive Developmental Disorder (PDD) Children with autism have delays in language communication and social skills Children with Asperg-errsquos disorder have impaired social skills but do not have speech or language delays They often have
The Mental and Emotional Well-Being of Children gt Mental Health Status 8
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
The National Survey of Childrenrsquos Health
State Data 31 Alabama 32 Alaska 32 Arizona 33 Arkansas 33 California 34 Colorado 34 Connecticut 35 Delaware 35Table of Contents District of Columbia 36Introduction 4 Florida 36
Mental Health Status 7 Georgia 37 Mental Health Status 8 Hawaii 37 Characteristics of Children with Emotional Behavioral or Developmental Conditions 10 Overlap Among Emotional Behavioral or Developmental Conditions 11 Overlap with Learning Disabilities 12 Overlap with Physical Health Conditions 13 Mental Health Services 15
Idaho 38 Illinois 38 Indiana 39 Iowa 39 Kansas 40 Kentucky Louisiana
40 41
Use of Mental Health Services 16 Maine 41 Maryland 42Health Insurance Coverage 17 Massachusetts 42Adequacy of Health Insurance Coverage 18 Michigan 43
Medical Home 19 Minnesota 43 School and Activities 21 Mississippi 44 Repeating a Grade and School Engagement 22 Missouri 44 Social Skills 23 Montana 45
Nebraska 45Problem Social Behaviors 24 Nevada 46
Activities Outside of School 25 New Hampshire 46 The Childrsquos Family 27 New Jersey 47 Parenting Stress 28 New Mexico 47 Parentsrsquo Health Status 29 New York 48
North Carolina 48Child Care 30 North Dakota 49 Ohio 49 Oklahoma 50 Oregon 50 Pennsylvania 51 Rhode Island 51 South Carolina 52 South Dakota 52 Tennessee 53 Texas 53 Utah 54 Vermont 54 Virginia 55 Washington 55 West Virginia 56
Appendix A Technical Appendix 59 Wisconsin 56 Appendix B Survey Questions 60 Wyoming 57
3
The National Survey of Childrenrsquos Health
Introduction
Children like adults may have mental health problems including depression and anxiety They may also have behavioral conditions such as conduct disorders cognitive disorders such as autism spectrum disorder or neurological conditions such as Tourette Syndrome Children may also be affected by delays in their physical cognitive or emotional development
The 2007 National Survey of Chil-drenrsquos Health asked parents whether their children had ever been diag-nosed with and currently had any of these seven conditions (The exact wording of the questions asked in the survey is presented in Appendix B) This chartbook addresses the health and well-being of the population of children whose parents reported that their children had at least one of these conditions Note however that these data are based entirely on parental reports and have not been independently verified in addition they only include children whose parents reported that they have been told that they have one of these con-ditions by a doctor or other health care provider
The seven conditions included heremdashdepression anxiety Attention Deficit DisorderAttention Deficit Hyperactivity Disorder (ADDADHD) conduct disorders autism spectrum disorders developmental delay and Tourette Syndromemdashmay be grouped together as emotional behavioral or developmental conditions Overall these conditions affect 113 percent of children in the United States or nearly 74 million children Of these
children nearly two-thirds (657 percent) are boys more than half (511 percent) are between the ages of 12 and 17 years and nearly one-quarter (248 percent) have family incomes below the Federal poverty level Boys adolescents and children from low-income families are all dis-proportionately represented among children with reported emotional behavioral or developmental condi-tions compared to the population of children in general
Many children have more than one of these seven diagnoses 403 percent of children with at least one emotional behavioral or develop-mental condition have more than one of the seven conditions These condi-tions also frequently overlap with learning disabilities Of children at least 3 years of age with at least one emotional behavioral or develop-mental condition 458 percent also had learning disabilities compared to 27 percent of children without these conditions In addition one-third of children with emotional behavioral or developmental conditions also had at least one of seven physical health conditions addressed in the survey (asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concus-sion)
Children with emotional behavior-al or developmental conditions are no more likely than other children to be uninsured or to have gaps in their health coverage However they are more likely to be insured through public programs 437 percent of
children with these conditions have public insurance compared to 262 percent of children without these conditions They are also more likely to have insurance that does not ad-equately meet their needs Parents of insured children were asked whether their out-of-pocket costs were rea-sonable whether the plan offered benefits or covered services that met their childrsquos needs and whether their child was allowed to see the provid-ers he or she needed Of children with emotional behavioral or de-velopmental conditions with insur-ance 294 percent were reported to have insurance that did not usually or always meet all of these criteria compared to 238 percent of children without these conditions
A ldquomedical homerdquo or a consistent source of medical care that meets criteria of accessibility continuity comprehensiveness coordination compassion and cultural sensitivity is particularly critical for any child with a chronic condition including emotional behavioral or develop-mental conditions Unfortunately only 402 percent of children with these conditions were reported to get their care through a medical home compared to 585 percent of other children
Children with emotional behav-ioral or developmental conditions can benefit from a variety of services and therapies including counseling and medications However not all children with these conditions are reported to receive these services Overall 456 percent of children with at least one of the seven conditions
4
The National Survey of Childrenrsquos Health
received needed mental health ser-vices according to their parents and just half (501 percent) took medica-tions for their conditions in the past year This finding implies that mental health services for children remains an area of great unmet need
Having an emotional behavioral or developmental condition may affect a variety of important developmental and social processes during child-hood and adolescence Children with at least one of the seven conditions are more likely than other children to repeat a grade in school and are less likely to be engaged in school according to their parents They are less likely to consistently exhibit positive social skills and more likely to show problematic behaviors such as bullying or arguing However it should be noted that these differ-ences are not necessarily attributable to the childrenrsquos conditions other factors such as the familyrsquos situation and the childrsquos neighborhood envi-ronment may be involved as well
The health of a child and the health of the entire family are interdepen-dent The parents of children with emotional behavioral or develop-mental conditions are more likely than the parents of children without these conditions to report that they usually or always feel at least one form of parenting stress (309 and 82 percent respectively) Parentsrsquo physical and mental health is also closely related to that of their chil-dren and both mothers and fathers of children with emotional behav-ioral or developmental conditions are less likely to report that they are
in excellent or very good physical and mental health than parents of children without these conditions
Finally child care can present sub-stantial challenges in any family with young children and these challenges only increase when children have emotional behavioral or develop-mental conditions Of children aged 2 to 5 years with at least one of these conditions 625 percent received some form of nonparental child care The parents of 462 percent reported having at least one problem with child care including having to make different child care arrangements in the past month due to circumstances outside their control or having to quit a job not take a job or greatly change their job in the past year because of child care problems
This chartbook presents a range of indicators on the health and well-be-ing of children who have been diag-nosed with emotional behavioral or developmental conditions on the na-tional level For each state we show the prevalence of the seven condi-tions (grouped together) and the major demographic characteristics of children who have at least one of the conditions Together these data paint a picture of a large and diverse population of children with multiple complex needs These children and their families may need servicesmdash including mental and physical health care special education and social services and supportmdashfrom a variety of systems and providers These analyses provide a useful first step in delineating the relationships among these conditions childrenrsquos socioeco-
nomic characteristics and access to health care However much more re-search is needed to fully understand these complex relationships
The NSCH is sponsored by the Health Resources and Services Administrationrsquos Maternal and Child Health Bureau The Technical Appendices at the end of this book presents information about the sur-vey methodology and sample and the specific questions that were asked about emotional behavioral and developmental conditions For more in-depth information about the sur-vey and its findings other resources are available For more detailed analyses of the surveyrsquos findings the Data Resource Center on Child and Adolescent Health web site provides online access to the survey data The interactive data query feature allows users to create their own tables and to compare survey results at the na-tional and state levels and by relevant subgroups such as age raceethnic-ity and household income The Child amp Adolescent Health Measurement Initiative (CAHMI) leads the Data Re-source Center (DRC) in partnership with state and family leaders includ-ing Title V leaders Family Voices other family organizations and public and private sector child health data experts The web site for the DRC is httpwwwnschdataorg More complex analyses can be conducted using the public use data set available from the National Center for Health Statistics at httpwwwcdcgov nchsaboutmajorslaitsnschhtm
5
The National Survey of Childrenrsquos Health
The Mental and Emotional Well-Being of Children A Portrait of the Nation
7
The National Survey of Childrenrsquos Health
Mental Health Status The survey asked parents of chil-
dren aged 2-17 years whether their child had been diagnosed with and still had any of 16 specific condi-tions 7 of which were related to emotions behavior or development For each condition the survey asked parents whether a doctor had told them that their child had the condi-tion and whether the child still had the condition bull Attention Deficit Disorder (ADD)Attention Deficit Hyper-activity Disorder (ADHD) Chil-dren with these syndromes may have difficulty paying attention be easily distracted and forgetful have trouble listening and follow-ing directions be impatient and have trouble sitting still Some of these children those with ADD only have difficulty with attention and organization Others pri-marily have symptoms involving hyperactivity and impulsivity and others have both ADDADHD is the most common of the emotion-al behavioral and developmental conditions included in the survey the parents of 64 percent of chil-dren reported that their children currently have this condition bull Anxiety Problems While all children may feel anxiety in specific situations some chil-dren experience anxiety disor-
Children Aged 2-17 Years with at Least
One of Seven Emotional Behavioral
or Developmental Conditions
No conditions 887
One condition 67
ders including panic disorder obsessive-compulsive disorder post-tramatic stress disorder and phobias Symptoms may include constant worry obsessions fear of making mistakes and lack of self-confidence The parents of 29 percent of children reported that their children currently have these problems bull Depression Like adults children may experience sadness at times Children may also experience debilitating depression although this condition may express itself differently in children than in adults Symptoms of depression in children include persistent sad-ness or an anxious or empty mood decreased interest in their favorite activities inability to concentrate frequent complaints of headaches and stomachaches and increased irritability anger or hostility The parents of 20 percent of children report that their children have been diagnosed with and currently have depression
Two conditions 26
Three or more conditions 19
bull Oppositional Defiant Disorder (ODD)Conduct Disorder Chil-dren with ODD show a pattern of uncooperative defiant and hostile behavior especially toward adult authority figures Children with ODD may have frequent tantrums argue excessively with adults and question rules and deliberately attempt to annoy or upset others Children with conduct disorder also have difficulty following rules and behaving in socially accept-able ways The parents of 33 per-cent of children report that their children currently have behavioral or conduct problems bull Autism Spectrum Disorders (ASDs) includes a range of diagnoses including Aspergerrsquos Syndrome autism and Pervasive Developmental Disorder (PDD) Children with autism have delays in language communication and social skills Children with Asperg-errsquos disorder have impaired social skills but do not have speech or language delays They often have
The Mental and Emotional Well-Being of Children gt Mental Health Status 8
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
The National Survey of Childrenrsquos Health
Introduction
Children like adults may have mental health problems including depression and anxiety They may also have behavioral conditions such as conduct disorders cognitive disorders such as autism spectrum disorder or neurological conditions such as Tourette Syndrome Children may also be affected by delays in their physical cognitive or emotional development
The 2007 National Survey of Chil-drenrsquos Health asked parents whether their children had ever been diag-nosed with and currently had any of these seven conditions (The exact wording of the questions asked in the survey is presented in Appendix B) This chartbook addresses the health and well-being of the population of children whose parents reported that their children had at least one of these conditions Note however that these data are based entirely on parental reports and have not been independently verified in addition they only include children whose parents reported that they have been told that they have one of these con-ditions by a doctor or other health care provider
The seven conditions included heremdashdepression anxiety Attention Deficit DisorderAttention Deficit Hyperactivity Disorder (ADDADHD) conduct disorders autism spectrum disorders developmental delay and Tourette Syndromemdashmay be grouped together as emotional behavioral or developmental conditions Overall these conditions affect 113 percent of children in the United States or nearly 74 million children Of these
children nearly two-thirds (657 percent) are boys more than half (511 percent) are between the ages of 12 and 17 years and nearly one-quarter (248 percent) have family incomes below the Federal poverty level Boys adolescents and children from low-income families are all dis-proportionately represented among children with reported emotional behavioral or developmental condi-tions compared to the population of children in general
Many children have more than one of these seven diagnoses 403 percent of children with at least one emotional behavioral or develop-mental condition have more than one of the seven conditions These condi-tions also frequently overlap with learning disabilities Of children at least 3 years of age with at least one emotional behavioral or develop-mental condition 458 percent also had learning disabilities compared to 27 percent of children without these conditions In addition one-third of children with emotional behavioral or developmental conditions also had at least one of seven physical health conditions addressed in the survey (asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concus-sion)
Children with emotional behavior-al or developmental conditions are no more likely than other children to be uninsured or to have gaps in their health coverage However they are more likely to be insured through public programs 437 percent of
children with these conditions have public insurance compared to 262 percent of children without these conditions They are also more likely to have insurance that does not ad-equately meet their needs Parents of insured children were asked whether their out-of-pocket costs were rea-sonable whether the plan offered benefits or covered services that met their childrsquos needs and whether their child was allowed to see the provid-ers he or she needed Of children with emotional behavioral or de-velopmental conditions with insur-ance 294 percent were reported to have insurance that did not usually or always meet all of these criteria compared to 238 percent of children without these conditions
A ldquomedical homerdquo or a consistent source of medical care that meets criteria of accessibility continuity comprehensiveness coordination compassion and cultural sensitivity is particularly critical for any child with a chronic condition including emotional behavioral or develop-mental conditions Unfortunately only 402 percent of children with these conditions were reported to get their care through a medical home compared to 585 percent of other children
Children with emotional behav-ioral or developmental conditions can benefit from a variety of services and therapies including counseling and medications However not all children with these conditions are reported to receive these services Overall 456 percent of children with at least one of the seven conditions
4
The National Survey of Childrenrsquos Health
received needed mental health ser-vices according to their parents and just half (501 percent) took medica-tions for their conditions in the past year This finding implies that mental health services for children remains an area of great unmet need
Having an emotional behavioral or developmental condition may affect a variety of important developmental and social processes during child-hood and adolescence Children with at least one of the seven conditions are more likely than other children to repeat a grade in school and are less likely to be engaged in school according to their parents They are less likely to consistently exhibit positive social skills and more likely to show problematic behaviors such as bullying or arguing However it should be noted that these differ-ences are not necessarily attributable to the childrenrsquos conditions other factors such as the familyrsquos situation and the childrsquos neighborhood envi-ronment may be involved as well
The health of a child and the health of the entire family are interdepen-dent The parents of children with emotional behavioral or develop-mental conditions are more likely than the parents of children without these conditions to report that they usually or always feel at least one form of parenting stress (309 and 82 percent respectively) Parentsrsquo physical and mental health is also closely related to that of their chil-dren and both mothers and fathers of children with emotional behav-ioral or developmental conditions are less likely to report that they are
in excellent or very good physical and mental health than parents of children without these conditions
Finally child care can present sub-stantial challenges in any family with young children and these challenges only increase when children have emotional behavioral or develop-mental conditions Of children aged 2 to 5 years with at least one of these conditions 625 percent received some form of nonparental child care The parents of 462 percent reported having at least one problem with child care including having to make different child care arrangements in the past month due to circumstances outside their control or having to quit a job not take a job or greatly change their job in the past year because of child care problems
This chartbook presents a range of indicators on the health and well-be-ing of children who have been diag-nosed with emotional behavioral or developmental conditions on the na-tional level For each state we show the prevalence of the seven condi-tions (grouped together) and the major demographic characteristics of children who have at least one of the conditions Together these data paint a picture of a large and diverse population of children with multiple complex needs These children and their families may need servicesmdash including mental and physical health care special education and social services and supportmdashfrom a variety of systems and providers These analyses provide a useful first step in delineating the relationships among these conditions childrenrsquos socioeco-
nomic characteristics and access to health care However much more re-search is needed to fully understand these complex relationships
The NSCH is sponsored by the Health Resources and Services Administrationrsquos Maternal and Child Health Bureau The Technical Appendices at the end of this book presents information about the sur-vey methodology and sample and the specific questions that were asked about emotional behavioral and developmental conditions For more in-depth information about the sur-vey and its findings other resources are available For more detailed analyses of the surveyrsquos findings the Data Resource Center on Child and Adolescent Health web site provides online access to the survey data The interactive data query feature allows users to create their own tables and to compare survey results at the na-tional and state levels and by relevant subgroups such as age raceethnic-ity and household income The Child amp Adolescent Health Measurement Initiative (CAHMI) leads the Data Re-source Center (DRC) in partnership with state and family leaders includ-ing Title V leaders Family Voices other family organizations and public and private sector child health data experts The web site for the DRC is httpwwwnschdataorg More complex analyses can be conducted using the public use data set available from the National Center for Health Statistics at httpwwwcdcgov nchsaboutmajorslaitsnschhtm
5
The National Survey of Childrenrsquos Health
The Mental and Emotional Well-Being of Children A Portrait of the Nation
7
The National Survey of Childrenrsquos Health
Mental Health Status The survey asked parents of chil-
dren aged 2-17 years whether their child had been diagnosed with and still had any of 16 specific condi-tions 7 of which were related to emotions behavior or development For each condition the survey asked parents whether a doctor had told them that their child had the condi-tion and whether the child still had the condition bull Attention Deficit Disorder (ADD)Attention Deficit Hyper-activity Disorder (ADHD) Chil-dren with these syndromes may have difficulty paying attention be easily distracted and forgetful have trouble listening and follow-ing directions be impatient and have trouble sitting still Some of these children those with ADD only have difficulty with attention and organization Others pri-marily have symptoms involving hyperactivity and impulsivity and others have both ADDADHD is the most common of the emotion-al behavioral and developmental conditions included in the survey the parents of 64 percent of chil-dren reported that their children currently have this condition bull Anxiety Problems While all children may feel anxiety in specific situations some chil-dren experience anxiety disor-
Children Aged 2-17 Years with at Least
One of Seven Emotional Behavioral
or Developmental Conditions
No conditions 887
One condition 67
ders including panic disorder obsessive-compulsive disorder post-tramatic stress disorder and phobias Symptoms may include constant worry obsessions fear of making mistakes and lack of self-confidence The parents of 29 percent of children reported that their children currently have these problems bull Depression Like adults children may experience sadness at times Children may also experience debilitating depression although this condition may express itself differently in children than in adults Symptoms of depression in children include persistent sad-ness or an anxious or empty mood decreased interest in their favorite activities inability to concentrate frequent complaints of headaches and stomachaches and increased irritability anger or hostility The parents of 20 percent of children report that their children have been diagnosed with and currently have depression
Two conditions 26
Three or more conditions 19
bull Oppositional Defiant Disorder (ODD)Conduct Disorder Chil-dren with ODD show a pattern of uncooperative defiant and hostile behavior especially toward adult authority figures Children with ODD may have frequent tantrums argue excessively with adults and question rules and deliberately attempt to annoy or upset others Children with conduct disorder also have difficulty following rules and behaving in socially accept-able ways The parents of 33 per-cent of children report that their children currently have behavioral or conduct problems bull Autism Spectrum Disorders (ASDs) includes a range of diagnoses including Aspergerrsquos Syndrome autism and Pervasive Developmental Disorder (PDD) Children with autism have delays in language communication and social skills Children with Asperg-errsquos disorder have impaired social skills but do not have speech or language delays They often have
The Mental and Emotional Well-Being of Children gt Mental Health Status 8
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
The National Survey of Childrenrsquos Health
received needed mental health ser-vices according to their parents and just half (501 percent) took medica-tions for their conditions in the past year This finding implies that mental health services for children remains an area of great unmet need
Having an emotional behavioral or developmental condition may affect a variety of important developmental and social processes during child-hood and adolescence Children with at least one of the seven conditions are more likely than other children to repeat a grade in school and are less likely to be engaged in school according to their parents They are less likely to consistently exhibit positive social skills and more likely to show problematic behaviors such as bullying or arguing However it should be noted that these differ-ences are not necessarily attributable to the childrenrsquos conditions other factors such as the familyrsquos situation and the childrsquos neighborhood envi-ronment may be involved as well
The health of a child and the health of the entire family are interdepen-dent The parents of children with emotional behavioral or develop-mental conditions are more likely than the parents of children without these conditions to report that they usually or always feel at least one form of parenting stress (309 and 82 percent respectively) Parentsrsquo physical and mental health is also closely related to that of their chil-dren and both mothers and fathers of children with emotional behav-ioral or developmental conditions are less likely to report that they are
in excellent or very good physical and mental health than parents of children without these conditions
Finally child care can present sub-stantial challenges in any family with young children and these challenges only increase when children have emotional behavioral or develop-mental conditions Of children aged 2 to 5 years with at least one of these conditions 625 percent received some form of nonparental child care The parents of 462 percent reported having at least one problem with child care including having to make different child care arrangements in the past month due to circumstances outside their control or having to quit a job not take a job or greatly change their job in the past year because of child care problems
This chartbook presents a range of indicators on the health and well-be-ing of children who have been diag-nosed with emotional behavioral or developmental conditions on the na-tional level For each state we show the prevalence of the seven condi-tions (grouped together) and the major demographic characteristics of children who have at least one of the conditions Together these data paint a picture of a large and diverse population of children with multiple complex needs These children and their families may need servicesmdash including mental and physical health care special education and social services and supportmdashfrom a variety of systems and providers These analyses provide a useful first step in delineating the relationships among these conditions childrenrsquos socioeco-
nomic characteristics and access to health care However much more re-search is needed to fully understand these complex relationships
The NSCH is sponsored by the Health Resources and Services Administrationrsquos Maternal and Child Health Bureau The Technical Appendices at the end of this book presents information about the sur-vey methodology and sample and the specific questions that were asked about emotional behavioral and developmental conditions For more in-depth information about the sur-vey and its findings other resources are available For more detailed analyses of the surveyrsquos findings the Data Resource Center on Child and Adolescent Health web site provides online access to the survey data The interactive data query feature allows users to create their own tables and to compare survey results at the na-tional and state levels and by relevant subgroups such as age raceethnic-ity and household income The Child amp Adolescent Health Measurement Initiative (CAHMI) leads the Data Re-source Center (DRC) in partnership with state and family leaders includ-ing Title V leaders Family Voices other family organizations and public and private sector child health data experts The web site for the DRC is httpwwwnschdataorg More complex analyses can be conducted using the public use data set available from the National Center for Health Statistics at httpwwwcdcgov nchsaboutmajorslaitsnschhtm
5
The National Survey of Childrenrsquos Health
The Mental and Emotional Well-Being of Children A Portrait of the Nation
7
The National Survey of Childrenrsquos Health
Mental Health Status The survey asked parents of chil-
dren aged 2-17 years whether their child had been diagnosed with and still had any of 16 specific condi-tions 7 of which were related to emotions behavior or development For each condition the survey asked parents whether a doctor had told them that their child had the condi-tion and whether the child still had the condition bull Attention Deficit Disorder (ADD)Attention Deficit Hyper-activity Disorder (ADHD) Chil-dren with these syndromes may have difficulty paying attention be easily distracted and forgetful have trouble listening and follow-ing directions be impatient and have trouble sitting still Some of these children those with ADD only have difficulty with attention and organization Others pri-marily have symptoms involving hyperactivity and impulsivity and others have both ADDADHD is the most common of the emotion-al behavioral and developmental conditions included in the survey the parents of 64 percent of chil-dren reported that their children currently have this condition bull Anxiety Problems While all children may feel anxiety in specific situations some chil-dren experience anxiety disor-
Children Aged 2-17 Years with at Least
One of Seven Emotional Behavioral
or Developmental Conditions
No conditions 887
One condition 67
ders including panic disorder obsessive-compulsive disorder post-tramatic stress disorder and phobias Symptoms may include constant worry obsessions fear of making mistakes and lack of self-confidence The parents of 29 percent of children reported that their children currently have these problems bull Depression Like adults children may experience sadness at times Children may also experience debilitating depression although this condition may express itself differently in children than in adults Symptoms of depression in children include persistent sad-ness or an anxious or empty mood decreased interest in their favorite activities inability to concentrate frequent complaints of headaches and stomachaches and increased irritability anger or hostility The parents of 20 percent of children report that their children have been diagnosed with and currently have depression
Two conditions 26
Three or more conditions 19
bull Oppositional Defiant Disorder (ODD)Conduct Disorder Chil-dren with ODD show a pattern of uncooperative defiant and hostile behavior especially toward adult authority figures Children with ODD may have frequent tantrums argue excessively with adults and question rules and deliberately attempt to annoy or upset others Children with conduct disorder also have difficulty following rules and behaving in socially accept-able ways The parents of 33 per-cent of children report that their children currently have behavioral or conduct problems bull Autism Spectrum Disorders (ASDs) includes a range of diagnoses including Aspergerrsquos Syndrome autism and Pervasive Developmental Disorder (PDD) Children with autism have delays in language communication and social skills Children with Asperg-errsquos disorder have impaired social skills but do not have speech or language delays They often have
The Mental and Emotional Well-Being of Children gt Mental Health Status 8
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
The National Survey of Childrenrsquos Health
The Mental and Emotional Well-Being of Children A Portrait of the Nation
7
The National Survey of Childrenrsquos Health
Mental Health Status The survey asked parents of chil-
dren aged 2-17 years whether their child had been diagnosed with and still had any of 16 specific condi-tions 7 of which were related to emotions behavior or development For each condition the survey asked parents whether a doctor had told them that their child had the condi-tion and whether the child still had the condition bull Attention Deficit Disorder (ADD)Attention Deficit Hyper-activity Disorder (ADHD) Chil-dren with these syndromes may have difficulty paying attention be easily distracted and forgetful have trouble listening and follow-ing directions be impatient and have trouble sitting still Some of these children those with ADD only have difficulty with attention and organization Others pri-marily have symptoms involving hyperactivity and impulsivity and others have both ADDADHD is the most common of the emotion-al behavioral and developmental conditions included in the survey the parents of 64 percent of chil-dren reported that their children currently have this condition bull Anxiety Problems While all children may feel anxiety in specific situations some chil-dren experience anxiety disor-
Children Aged 2-17 Years with at Least
One of Seven Emotional Behavioral
or Developmental Conditions
No conditions 887
One condition 67
ders including panic disorder obsessive-compulsive disorder post-tramatic stress disorder and phobias Symptoms may include constant worry obsessions fear of making mistakes and lack of self-confidence The parents of 29 percent of children reported that their children currently have these problems bull Depression Like adults children may experience sadness at times Children may also experience debilitating depression although this condition may express itself differently in children than in adults Symptoms of depression in children include persistent sad-ness or an anxious or empty mood decreased interest in their favorite activities inability to concentrate frequent complaints of headaches and stomachaches and increased irritability anger or hostility The parents of 20 percent of children report that their children have been diagnosed with and currently have depression
Two conditions 26
Three or more conditions 19
bull Oppositional Defiant Disorder (ODD)Conduct Disorder Chil-dren with ODD show a pattern of uncooperative defiant and hostile behavior especially toward adult authority figures Children with ODD may have frequent tantrums argue excessively with adults and question rules and deliberately attempt to annoy or upset others Children with conduct disorder also have difficulty following rules and behaving in socially accept-able ways The parents of 33 per-cent of children report that their children currently have behavioral or conduct problems bull Autism Spectrum Disorders (ASDs) includes a range of diagnoses including Aspergerrsquos Syndrome autism and Pervasive Developmental Disorder (PDD) Children with autism have delays in language communication and social skills Children with Asperg-errsquos disorder have impaired social skills but do not have speech or language delays They often have
The Mental and Emotional Well-Being of Children gt Mental Health Status 8
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
The National Survey of Childrenrsquos Health
Mental Health Status The survey asked parents of chil-
dren aged 2-17 years whether their child had been diagnosed with and still had any of 16 specific condi-tions 7 of which were related to emotions behavior or development For each condition the survey asked parents whether a doctor had told them that their child had the condi-tion and whether the child still had the condition bull Attention Deficit Disorder (ADD)Attention Deficit Hyper-activity Disorder (ADHD) Chil-dren with these syndromes may have difficulty paying attention be easily distracted and forgetful have trouble listening and follow-ing directions be impatient and have trouble sitting still Some of these children those with ADD only have difficulty with attention and organization Others pri-marily have symptoms involving hyperactivity and impulsivity and others have both ADDADHD is the most common of the emotion-al behavioral and developmental conditions included in the survey the parents of 64 percent of chil-dren reported that their children currently have this condition bull Anxiety Problems While all children may feel anxiety in specific situations some chil-dren experience anxiety disor-
Children Aged 2-17 Years with at Least
One of Seven Emotional Behavioral
or Developmental Conditions
No conditions 887
One condition 67
ders including panic disorder obsessive-compulsive disorder post-tramatic stress disorder and phobias Symptoms may include constant worry obsessions fear of making mistakes and lack of self-confidence The parents of 29 percent of children reported that their children currently have these problems bull Depression Like adults children may experience sadness at times Children may also experience debilitating depression although this condition may express itself differently in children than in adults Symptoms of depression in children include persistent sad-ness or an anxious or empty mood decreased interest in their favorite activities inability to concentrate frequent complaints of headaches and stomachaches and increased irritability anger or hostility The parents of 20 percent of children report that their children have been diagnosed with and currently have depression
Two conditions 26
Three or more conditions 19
bull Oppositional Defiant Disorder (ODD)Conduct Disorder Chil-dren with ODD show a pattern of uncooperative defiant and hostile behavior especially toward adult authority figures Children with ODD may have frequent tantrums argue excessively with adults and question rules and deliberately attempt to annoy or upset others Children with conduct disorder also have difficulty following rules and behaving in socially accept-able ways The parents of 33 per-cent of children report that their children currently have behavioral or conduct problems bull Autism Spectrum Disorders (ASDs) includes a range of diagnoses including Aspergerrsquos Syndrome autism and Pervasive Developmental Disorder (PDD) Children with autism have delays in language communication and social skills Children with Asperg-errsquos disorder have impaired social skills but do not have speech or language delays They often have
The Mental and Emotional Well-Being of Children gt Mental Health Status 8
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
The National Survey of Childrenrsquos Health
continued
an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communication and social skills The parents of 10 percent of children report that their children had ASDs at the time of the survey bull Developmental Delay includes major delays in motor language social or thinking skills The parents of 32 percent of children reported that their child had a developmental delay at the time of the survey bull Tourette Syndrome Chil-dren may have body tics (quick repeated involuntary move-ments) or vocal tics (involuntary speech or sounds) but those with Tourette Syndrome have both and may also have difficulties with attention and learning or develop obsessions and compulsions The parents of 01 percent of children report that their children current-ly have Tourette Syndrome In total 113 percent of children
aged 2-17 years were reported to have at least one of these seven con-ditions at the time of the survey
Prevalence of Diagnosed Emotional
Behavioral or Developmental Conditions
Among Children Aged 2-17 Years
ADDADHD
ODD Conduct Disorder
Developmental Delay
Anxiety
Depression
Autism Spectrum Disorder
Tourette Syndrome
33
32
29
01
10
20
64
1 2 3 4 5 6 7 8
Percent of Children
The Mental and Emotional Well-Being of Children gt Mental Health Status 9
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60
The National Survey of Childrenrsquos Health
Characteristics of Children with
Emotional Behavioral or Developmental
Conditions The population of children with
emotional behavioral or develop-mental conditions differs from that of children without these conditions in many ways Boys are dispro-portionately likely to be diagnosed with these conditions (657 percent of children with one of the seven conditions is male compared to 492 percent of children without one of the conditions) Children with these conditions are more likely to be in the older age groups (because these conditions may not be diagnosed until middle childhood) of children with an emotional behavioral or de-velopmental condition 511 percent were 12 to 17 years old compared to 373 percent of children with none of the conditions In addition children with these conditions are more likely to have low family incomes than chil-dren without them of children with at least one emotional behavioral or developmental condition 248 percent had family incomes below the Federal poverty level compared to 171 percent of children without one of these conditions
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Sex Developmental Conditions by Sex
Female 508
Male 492
Female 343
Male 657
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral or without Emotional Behavioral or
Developmental Conditions by Age Developmental Conditions by Age
Age 12-17 373
Age 6-11 363
Age 2-5 265
Age 12-17 511
Age 6-11 393
Age 2-5 96
Children Aged 2-17 Years with Children Aged 2-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions by Poverty Status Conditions by Poverty Status
400 or More FPL
304
200-399 FPL 318 100-199 FPL
207
lt100 FPL 171
400 or More FPL
244
200-399 FPL 273
100-199 FPL 235
lt100 FPL 248
Federal poverty level was $20650 for a family of four in 2007 Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Children gt Characteristics of Children with Emotional Behavioral or Developmental Conditions 10
The National Survey of Childrenrsquos Health
Overlap Among Emotional Behavioral
or Developmental Conditions
Children may have more than one of the seven emotional behavioral or developmental conditions addressed in the survey Overall 403 percent of children with at least one of the 7 emotional behavioral or develop-mental conditions were reported to have more than one of these diag-noses Children with ADDADHD were the most likely to have only one emotional behavioral or develop-mental diagnosis while the majority of children with the other six condi-tions had more than one condition
Number of Emotional Behavioral
or Developmental Conditions among
Children with at Least One Condition
Three or more conditions
169
Two conditions 234
One condition 597
Including only the seven conditions asked about in the survey
Overlap Within Emotional Behavioral
and Developmental Diagnoses
This condition Only this This condition plus two orcondition plus one other more others
ADDADHD
Developmental Delay
Tourette Syndrome
Anxiety
ODDConduct Disorder
Depression
Autism Spectrum Disorder
10 20 30 40 50 60 70 80 90 100
377 272 351
301 183 516
287 266 447
141 346 513
212 323 465
236 333 431
522 239 239
Percent of Children
Including only the seven conditions asked about in the survey
The Mental and Emotional Well-Being of Children gt Overlap Among Emotional Behavioral or Developmental Conditions 11
The National Survey of Childrenrsquos Health
Prevalence of Learning Disabilities
Among Children Aged 3-17 Years
with Emotional Behavioral
or Developmental Conditions
Does not have learning
disabilities 542
Has learning disabilities
458
Overlap with Learning Disabilities
Children with emotional behav-ioral or developmental conditions may also have learning disabilities Learning disabilities may be caused by problems with the nervous system that interfere with the childrsquos ability to receive process and communicate information These disabilities are generally distinct from emotional behavioral and developmental condi-tions but may overlap with ADD ADHD or other conditions The survey asked whether parents of chil-dren who were at least 3 years old had been told by a doctor health care provider teacher or school official that their child had learning disabili-ties Overall 458 percent of children with at least one of the seven emo-tional behavioral or developmental conditions also have a learning dis-ability among children without emo-tional behavioral or developmental conditions the prevalence of learning disabilities was 27 percent
Of the seven emotional behav-ioral and developmental conditions addressed here the condition that is most likely to overlap with learning disabilities is developmental delay 829 percent of children with devel-opmental delay were also reported to have learning disabilities A major-ity (760 percent) of children with autism spectrum disorders have learning disabilities as well
Prevalence of Learning Disabilities among
Children Aged 3-17 Years with Emotional
Behavioral or Developmental Conditions
Developmental Delay
829
Autism Spectrum Disorder 760
ODDConduct Disorder 481
ADDADHD 476
Tourette Syndrome 444
Anxiety 421
Depression 412
10
Percent of Children
20 30 40 50 60 70 80 90 100
The Mental and Emotional Well-Being of Children gt Overlap with Learning Disabilities 12
The National Survey of Childrenrsquos Health
Overlap with Physical Health Conditions
Children with emotional behav-ioral and developmental conditions may have chronic physical conditions as well The survey asked parents whether their children had been diagnosed with any of seven physical health conditions asthma diabetes bone joint or muscle problems hearing problems vision prob-lems epilepsy or seizure disorder and brain injury or concussion Of children who have an emotional behavioral or developmental condi-tion 333 percent have at least one of these physical health conditions as well Among children aged 2-17 years without an emotional behav-ioral or developmental diagnosis 117 percent have one of these physi-cal health conditions
Prevalence of Chronic Physical Conditions
Among Children with Emotional
Behavioral or Developmental Conditions
Does not have one of 7
chronic physical conditions
667 Has one of 7 chronic physical
conditions 333
Of the 7 conditions asked about in the survey asthma diabetes bone joint or muscle problems hearing problems vision problems epilepsy or seizure disorder and brain injury or concussion
The Mental and Emotional Well-Being of Children gt Overlap with Physical Health Conditions 13
The National Survey of Childrenrsquos Health
Mental Health Services Mental health screening and treatment services including behavioral therapies talk therapy and medications can be es-
sential in helping children with emotional and behavioral problems to lead productive lives This section examines childrenrsquos health insurance coverage and access to needed services and to the medical homes that can help to assure that their care is coordinated and that specialty care is accessible
The Mental and Emotional Well-Being of Children 15
The National Survey of Childrenrsquos Health
Children with Emotional Developmental Children with Emotional Developmental
or Behavioral Conditions Receiving or Behavioral Conditions Taking
Needed Mental Health Services Medications by Number of Conditions
by Number of Conditions 100100
9090
501
411
531
7768080 715
560
456
342
7070
Per
cent
of C
hild
ren
Per
cent
of C
hild
ren
Use of Mental Health Services
A range of services including
6060
5050
4040
3030
counseling therapies and medica- 20 20
tions can help children with emo- 10 10
tional behavioral or developmental conditions However not all children who have these conditions receive treatment for them Overall of chil-dren with one or more emotional behavioral or developmental condi-tions 456 percent received treat-ment or counseling from a mental health professional This percentage was higher for children with more than one condition but even among children with three or more condi-tions more than one quarter (285 percent) did not receive any mental health services
Medications can be particularly helpful in stabilizing emotions im-proving concentration and regulat-ing behavior in children with emo-tional behavioral or developmental conditions A substantial percentage of children with these conditions took medications for their conditions in the past year with percentages ranging from 411 percent of children with one condition to 776 percent of children with three or more condi-tions
One or more One Two Three or more One or more One Two Three or more conditions condition conditions conditions conditions condition conditions conditions
The Mental and Emotional Well-Being of Children gt Use of Mental Health Services 16
The National Survey of Childrenrsquos Health
Health Insurance Coverage
Overall children with emotional behavioral or developmental condi-tions are slightly more likely than the general population of children to have current health insurance However children with these condi-tions are more likely than children without them to have public insur-ance including Medicaid and the Childrenrsquos Health Insurance Program (CHIP) Among children with emo-tional behavioral or developmental conditions 437 percent have public insurance compared to 262 percent of children without these conditions while 497 percent had private insur-ance compared to 640 percent of children without these conditions
Current Health Insurance Coverage Current Health Insurance Coverage
Among Children with Emotional Among Children without Emotional
Behavioral or Developmental Behavioral or Developmental
Conditions by Type of Coverage Conditions by Type of Coverage
Uninsured 66
Public Insurance
437
Private Insurance
497
Percentages may not add to 100 due to rounding
Uninsured 98
Public Insurance
262
Private Insurance
640
Percentages may not add to 100 due to rounding
The Mental and Emotional Well-Being of Childrengt Health Insurance Coverage 17
The National Survey of Childrenrsquos Health
Adequacy of Health Insurance Coverage Adequacy of Health Insurance Coverage
Among Currently Insured Children Among Currently Insured Children
Children with Emotional Behavioral Children without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Health Insurance is not Adequate
238
Adequate Health Insurance
762
Health Insurance is not Adequate
294
Adequate Health Insurance
706
Adequacy of Health Insurance Coverage
Insurance coverage may not al-ways be adequate to meet childrenrsquos needs Parents whose children were currently insured were asked three questions regarding the services and Children Lacking Adequate Health Children Aged 2-17 Years with
costs associated with their childrsquos Insurance Coverage by Number of Emotional Behavioral or
Emotional Developmental Developmental Conditions with health insurance Of insured children or Behavioral Conditions Health Insurance Never or Sometimes aged 2-17 years without emotional
40 Meeting Adequacy Criteriabehavioral or developmental condi- 369
35 Offers Benefits or
294 287 274
238
211
90
120
5 10 15 20 25
tions the parents of 188 percent reported that the out-of-pocket costs were never or sometimes reason-able 70 percent were reported to have health insurance that never or sometimes offers benefits or covers services that meet their needs and 48 percent were reported to have health insurance that never or some- P
erce
nt o
f Chi
ldre
n w
ith C
urre
nt C
over
age
Covers Services 30 that Meet
Childrsquos Needs
25
Allows Child to20 See the Health
Care Providers HeShe Needs15
10 Out-of-Pocket
Costs Are5 Reasonable
times allows them to see the health care providers they need (data not shown)
Children were considered to have adequate health insurance cover-age if their parent answered ldquousu-allyrdquo or ldquoalwaysrdquo to each of the three questions Overall 294 percent of children with emotional or behav-ioral problems lacked adequate insurance compared to 238 percent of children without these conditions Moreover the more such conditions a child has the lower the likelihood that his or her insurance is adequate Among children with three or more
No One One Two Three conditions or more condition conditions or more
conditions conditions
emotional developmental or behav-ioral conditions who had insurance 369 percent did not have adequate coverage
Of the three criteria for adequacy reasonable costs seem to present the most substantial barrier to families of children with emotional behavioral or developmental conditions Of chil-dren with at least one condition the parents of 211 percent reported that the out-of-pocket costs for their chil-
Percent of Children with Current Coverage
drenrsquos care were never or sometimes reasonable 120 percent reported that their childrsquos plan never or some-times offered benefits and covered services that met their childrsquos needs and 90 percent reported that their childrsquos insurance never or some-times offered access to the providers they needed These figures are not mutually exclusive and the parents of some children may have reported more than one of these problems with their childrsquos coverage
The Mental and Emotional Well-Being of Children gt Adequacy of Health Insurance Coverage 18
The National Survey of Childrenrsquos Health
Medical Home A number of aspects of high-qual-
ity health care for children are com-bined into the concept of the medical home As defined by the American Academy of Pediatrics childrenrsquos medical care should be accessible family-centered continuous compre-hensive coordinated compassionate and culturally effective The survey included several questions that sought to measure whether a childrsquos health care met this standard bull Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care bull Whether the child has no prob-lems gaining referrals to specialty care and access to therapies or other services or equipment bull Whether the family is very satis-fied with the level of communica-tion among their childrsquos doctors and other programs bull Whether the family usually or always gets sufficient help coor-dinating care when needed and re-ceives effective care coordination bull Whether the childrsquos doctors usu-ally or always spend enough time with the family listen carefully to their concerns are sensitive to their values and customs provide any information they need and make the family feel like a partner
in their childrsquos care bull Whether an interpreter is usually or always available when needed A child was defined as having a
medical home if his or her care is reported to meet all of these criteria
Among children aged 2-17 years without emotional behavioral or developmental conditions the care of 585 percent of children met this
standard Of children in the same age group with emotional behav-ioral or developmental conditions 402 percent received care through a medical home For children with one condition this proportion was 441 percent for children with two condi-tions 399 percent and for those with three or more conditions 271 percent
0
10
20
30
40
50
Three or more
conditions
Two conditions
One condition
One or more
conditions
No conditions
Per
cent
of C
hild
ren
585
402 441
399
271
Presence of a Medical Home Presence of a Medical Home
Children Aged 2-17 Years Children Aged 2-17 Years
with Emotional Behavioral without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
Does Not Have a Medical Home
415
Has a Medical Home
585
Does Not Have a Medical Home
598
Has a Medical Home
402
Children With a Medical Home
by Number of Emotional
Developmental or Behavioral Conditions
60
The Mental and Emotional Well-Being of Children gt Medical Home 19
The National Survey of Childrenrsquos Health
School and Activities Behavioral emotional and developmental conditions can hamper childrenrsquos ability to succeed in school and to participate
in activities alongside their peers This section reviews a number of indicators of childrenrsquos activities in and out of school compared to children without emotional behavioral or developmental conditions It is important to note that while the differences between the populations of children with and without these conditions
may be stark these differences may not be attributable exclusively to the effects of the conditions Variation in childrenrsquos family circumstances including income and family structure and community characteristics such as neighborhood amenities may also contribute to childrenrsquos school performance and opportunities for activities outside of school
The Mental and Emotional Well-Being of Children 21
The National Survey of Childrenrsquos Health
Repeating a Grade and School Engagement Overall 106 percent of children
aged 6-17 years have repeated a grade since starting kindergarten (data not shown) Among children with at least one emotional behav-ioral or developmental condition this proportion is 268 percent Of those with one condition 222 percent had repeated a grade for those with two conditions 297 percent had repeated a grade and 382 percent of children with three or more conditions had done so (data not shown) Among children with no emotional behavioral or develop-mental conditions 80 percent had repeated a grade
Likewise 805 percent of children aged 6-17 years are reported by their parents to be adequately engaged in school meaning that their parents reported that they usually or always care about doing well in school and do all required homework Among children with at least one emotional behavioral or developmental condi-tion this proportion was 546 per-cent For those with one condition this proportion was 597 percent for those with two conditions 511 percent and for those with three or more conditions 425 percent Among children with no emotional behavioral or developmental condi-tions it was 845 percent (data not shown)
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Have Repeated a Grade Conditions Who Have Repeated a Grade
No 920
Yes 80
No 732
Yes 268
Children Aged 6-17 Years with Children Aged 6-17 Years without
Emotional Behavioral or Developmental Emotional Behavioral or Developmental
Conditions Who Are Engaged in School Conditions Who Are Engaged in School
No 155
Yes 845
No 454
Yes 546
The Mental and Emotional Well-Being of Children gt Repeating a Grade and School Engagement 22
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Social Skills by Number of
Emotional Behavioral or
Developmental Conditions
100 959
90 853 79380
731 70 677
Social Skills Children begin developing positive
social skills at an early age a process Per
cent
of C
hild
ren
60
50
40
that will influence their relation-30
ships with others throughout their lives Parents of children aged 6-17 years were asked if their children had never rarely sometimes usually or always exhibited each of the follow-ing behaviors in the past month showed respect for teachers and neighbors got along well with other children tried to understand other peoplersquos feelings and tried to resolve conflict with classmates family or friends Overall 936 percent of chil-dren aged 6-17 years were reported to usually or always exhibit two or more of these social skills (data not shown)
Among children with emotional behavioral or developmental condi-tions these social skills can be more challenging Of children with at least one of these conditions 793 percent usually or always exhibited two or more of the four skills For children with one condition 853 percent consistently demonstrated positive social skills as did 731 percent of children with two conditions and 677 percent of children with three or more conditions Among children without emotional developmental or behavioral conditions 959 percent consistently demonstrated two of the four social skills
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Social Skills 23
The National Survey of Childrenrsquos Health
Children Aged 6-17 Years with
Problem Social Behaviors by Number
of Emotional Behavioral or
Developmental Conditions
60
50 461
305
265
190
61
Per
cent
of C
hild
ren 40
Problem Social Behaviors
Some children have trouble getting
30
20
along with others Parents of 6- to 17-year-olds were asked if their chil- 10
dren had never rarely sometimes usually or always exhibited each of the following behaviors in the past month arguing too much bullying or being cruel or mean to others being disobedient and being stub-born sullen or irritable Overall 89 percent of children aged 6-17 years were reported to usually or always exhibit two or more of these problem behaviors (data not shown)
Among children with emotional behavioral and developmental condi-tions problem social behaviors are more common More than one-quar-ter (265 percent) of children with at least one condition usually or always exhibit two or more of the four prob-lem behaviors For children with one condition problem behaviors were common in 190 percent of children for children with two conditions this proportion was 305 percent and among children with three or more conditions it was 461 percent Among children without emotional behavioral or developmental condi-tions 61 percent consistently exhibit these problem behaviors
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Problem Social Behaviors 24
The National Survey of Childrenrsquos Health
Participation in Activities Outside of Participation in Activities Outside of
School Among Children Aged 6-17 School Among Children Aged 6-17
Years with Emotional Behavioral Years without Emotional Behavioral
or Developmental Conditions or Developmental Conditions
No 180
Yes 820
No 278
Yes 722
Activities Outside of School
For school-aged children partici-pation in activitiesmdashsuch as sports teams lessons Scouts religious groups or Boysrsquo or Girlsrsquo Clubsmdashafter school or on the weekends can be an important part of overall develop-ment and can provide enrichment and contribute to the development of social skills Parents of children aged
Participation in Activities Outside of
School Among Children Aged 6-17 Years
by Number of Emotional Behavioral
or Developmental Conditions
100
90 820
722 751 736
608
80
70
Per
cent
of C
hild
ren
60
50
40
30
6-17 years were asked if their chil-dren had participated in any of these types of activities in the past year Overall 807 percent of school-aged children participated in at least one organized activity outside of school (data not shown)
Despite the social and behavioral challenges that children with men-tal health problems face they were nearly as likely as children as a whole to participate in activities outside of school A total of 722 percent of children with at least one emo-tional behavioral or developmental condition participated in organized activities While this percentage is lower for children with multiple conditions even among children with three or more conditions more than half (608 percent) participated in activities outside of school Among children without emotional develop-mental or behavioral conditions this percentage was 820
20
10
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Activities Outside of School 25
The National Survey of Childrenrsquos Health
The Childrsquos Family Having a child with an emotional behavioral or developmental condition can affect the health stress and functioning of
the entire family This section explores various aspects of family well-being and how they vary in families with a child with an emotional behavioral or developmental condition
The Mental and Emotional Well-Being of Children 27
The National Survey of Childrenrsquos Health
Parenting Stress The demands of parenting can
cause considerable stress for fami-lies Parents were asked how often during the past month they had felt that their child was much harder to care for than others of his or her age how often the child did things that really bothered them a lot and how often they had felt angry with the child Parents were considered to often feel stressed if they answered ldquousuallyrdquo or ldquoalwaysrdquo to at least one of these measures Overall parents of
Percent of Children with Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Rarely Sometimes Usually or Always
or Never Feel at Least One Feel Stress Form of Stress
691 309
Percent of Children without Emotional
Behavioral or Developmental Conditions
Whose Parents Report Stress
Usually or Always Feel at Least One
Form of Stress 82
Rarely Sometimes or Never Feel Stress
918
Children Whose Parents Usually
or Always Feel Stress by
Number of Emotional Behavioral
or Developmental Conditions
60
540
50
40 375
309 30
218 20
107 percent of children reported of-ten feeling stressed (data not shown)
For parents of children with emo-tional behavioral or developmental conditions stress was much more common Parents of 309 percent of children with at least one condition
Per
cent
of C
hild
ren
10 82
reported usually or always feeling at least one type of stress For parents of children with one condition this proportion was 218 percent for par-ents of children with two conditions 375 percent and for parents of chil-dren with three or more conditions more than half (540 percent) usually or always felt stress Among children with no emotional behavioral or de-velopmental conditions the parents of 82 percent usually or always felt one of these types of stress
No One One Two Three conditions or more condition conditions or more
condition conditions
The Mental and Emotional Well-Being of Children gt Parenting Stress 28
The National Survey of Childrenrsquos Health
Children Whose Mothers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
80 731
546 606
519
370
70
Per
cent
of C
hild
ren
Parentsrsquo Health Status
The health of children is closely related to the health of their parents
60
50
40
30the physical and mental health of
20children and adults are influenced by the health of the family as a whole Parents with physical or mental health problems may be less able to care for their children and childrenrsquos health conditions may make it more difficult for parents to care for them-selves
The survey asked about the physi-cal and mental health of parents who lived with the child Overall the mothers of 711 percent of children reported themselves to be in excel- 80
lent or very good physical and mental health and the fathers of 767 per-cent of children were in excellent or very good physical and mental health (data not shown)
However the health of parents 20
and children are interdependent 10
as is evident in the health status
10
No One One Two Three conditions or more condition conditions or more
condition conditions
Children Whose Fathers are in Excellent
or Very Good Physical and Mental Health
by Number of Emotional Behavioral
or Developmental Conditions
100
90
70
777
668 700
657
552
Per
cent
of C
hild
ren
60
50
40
30
of parents of children with emo-tional behavioral or developmental conditions Overall the mothers of 546 percent and the fathers of 668 percent of children with at least one condition reported their physical and mental health to be excellent or very good This percentage is far lower for parents of children with multiple conditions of children with two
No One conditions or more
condition
conditions the mothers of 519 per-cent were in excellent or very good health and of children with three or more conditions the mothers of 370 percent reported their health as excellent or very good The health of
One Two Three condition conditions or more
conditions
fathers is somewhat better of chil-dren with two conditions the fathers of 657 percent were in excellent or very good health as were the fathers of 552 percent of children with three or more conditions
The Mental and Emotional Well-Being of Children gt Parentsrsquo Health Status 29
The National Survey of Childrenrsquos Health
Child Care Even in the healthiest of families
the availability of child care and the need to make backup child care arrangements in emergencies can cause stress Overall parents of 593 percent of children aged 2 to 5 years reported that their child received some form of nonparental child care of children with emotional behavior-al or developmental problems 625 percent received care In addition 98 percent of children with emo-tional behavioral or developmental conditions did not receive child care that they needed compared to 84 percent of children without these conditions (data not shown)
Parents of children aged 2-5 who received care from someone other than a parent were asked whether they had had to make different child
Per
cent
of C
hild
ren
with
Cur
rent
Cov
erag
e
50 478 473 473
40 352
30
20
10
care arrangements in the past month due to circumstances beyond their control and whether anyone in the family had had to quit a job not take a job or greatly change their job be-cause of child care problems within the past year Overall the parents of 460 percent reported having to make last-minute child care arrangements in the past month and the parents of 109 percent reported having to quit not take or change a job because of child care problems (data not shown)
Children Aged 2-5 Years
Whose Families Experienced
Child Care Problems
One or More Child Care
Issues Reported 702
No Child Care Issues Reported
298
Children Aged 2-5 Years with Emotional
Behavioral or Developmental Conditions
Whose Families Experienced
Child Care Problems
One or More Child Care Issues
Reported 462
No Child Care Issues Reported
538
Children Aged 2-5 Years Whose Families
Had to Make Alternative Child Care
Arrangements in the Past Month by
Number of Emotional Developmental
or Behavioral Conditions 60
520
No One conditions or more
condition
Parents of children with emotional behavioral or developmental condi-tions were especially likely to report child care problems Of children aged 2-5 with one or two conditions the parents of nearly half reported hav-ing to make alternative arrangements at least once and of children with three or more conditions the par-
One Two Three condition conditions or more
conditions
ents of more than half (520 percent) reported having this problem The parents of nearly one-quarter (236 percent) of children with at least one condition had to quit a job not take a job or greatly change their job because of their child care difficulties (data not shown)
The Mental and Emotional Well-Being of Children gt Child Care 30
The National Survey of Childrenrsquos Health
State-Level Data
The Mental and Emotional Well-Being of Children 31
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ala
bam
aA
lask
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
09
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
118
811
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
812
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
912
7
Fe
mal
e
7
9
Fe
mal
e
7
912
16
8Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
189
10
0-19
9 F
PL
131
182
145
200-
399
FPL
10
0
20
0-39
9 F
PL
100
109
73
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
410
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
315
9
Pr
ivat
e
9
0
Pr
ivat
e
9
09
18
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
332
742
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
444
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
367
2 W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
460
43
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
32
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ari
zon
aA
rkan
sas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
815
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
118
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
716
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
519
3
Fe
mal
e
7
9
Fe
mal
e
7
96
211
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
293
100-
199
FPL
13
1
10
0-19
9 F
PL
131
113
135
200-
399
FPL
10
0
20
0-39
9 F
PL
100
92
125
400
FPL
or m
ore
95
400
FPL
or m
ore
95
77
80
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
233
Priv
ate
90
Priv
ate
90
80
98
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
478
47
6
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
237
6
491
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
702
77
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
544
42
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
33
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Cali
forn
iaCo
lora
do
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
810
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
211
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
114
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
911
8
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
dagger
10
0
200-
399
FPL
10
09
1
400
FPL
or m
ore
95
400
FPL
or m
ore
95
123
114
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
133
153
Priv
ate
90
Priv
ate
90
85
86
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
272
37
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
45
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
238
W
hose
hea
lth in
sura
nce
is a
dequ
ate
709
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
708
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
460
or c
ouns
elin
g in
the
past
yea
r
456
45
643
3
or
cou
nsel
ing
in th
e pa
st y
ear
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
34
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Con
nec
ticu
tD
elaw
are
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
115
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
317
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
618
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
520
0
Fe
mal
e
7
9
Fe
mal
e
7
98
610
5Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
160
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
187
400
FPL
or m
ore
95
400
FPL
or m
ore
95
81
116
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
171
214
Priv
ate
90
Priv
ate
90
92
130
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
347
46
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
2
406
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
682
72
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
513
55
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
35
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Dis
tric
t of
Col
um
bia
Flor
ida
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
211
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
214
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
913
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
317
7
Fe
mal
e
7
9
Fe
mal
e
7
98
24
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
150
10
0-19
9 F
PL
131
113
144
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
110
400
FPL
or m
ore
95
400
FPL
or m
ore
95
92
78
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
124
188
Priv
ate
90
Priv
ate
90
104
84
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
428
56
9
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
232
8
388
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
689
54
6
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
505
40
9
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
36
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Geo
rgia
Haw
aii
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
39
58
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
19
28
3
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
141
94
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
115
99
Fe
mal
e
7
9
Fe
mal
e
7
97
56
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
08
56
6
400
FPL
or m
ore
95
400
FPL
or m
ore
95
79
56
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
129
125
Priv
ate
90
Priv
ate
90
75
69
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
439
43
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
247
9
464
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
806
79
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
411
52
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
37
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Idah
oIl
lin
ois
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
79
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
411
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
710
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
112
5
Fe
mal
e
7
9
Fe
mal
e
7
97
26
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
91
20
0-39
9 F
PL
100
97
89
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
18
3Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
010
5
Pr
ivat
e
9
0
Pr
ivat
e
9
06
59
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
0
398
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
347
37
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
1
660
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
2
401
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
38
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ind
ian
aIo
wa
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
410
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
117
113
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
013
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
212
0
Fe
mal
e
7
9
Fe
mal
e
7
99
59
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
228
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
8
200-
399
FPL
10
011
012
8
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
88
4Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
417
6
Pr
ivat
e
9
0
Pr
ivat
e
9
09
98
0Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
8
405
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
393
54
3
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
660
9
685
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
6
576
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
39
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Kan
sas
Ken
tuck
yAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
214
3Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
112
413
6
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
620
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
918
3
Fe
mal
e
7
9
Fe
mal
e
7
910
510
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
326
120
4
10
0-19
9 F
PL
131
100-
199
FPL
13
113
516
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
913
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
59
89
8Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
525
221
4
Pr
ivat
e
9
0
Pr
ivat
e
9
07
810
3Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
343
7
430
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
344
53
2
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
2
789
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
658
0
393
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
40
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Louisiana
Mai
ne
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
315
514
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
714
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
919
718
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
517
817
1
Fe
mal
e
7
9
Fe
mal
e
7
913
211
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
322
630
5
10
0-19
9 F
PL
131
100-
199
FPL
13
119
619
9
20
0-39
9 F
PL
100
200-
399
FPL
10
011
610
3
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
511
99
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
927
9
Pr
ivat
e
9
0
Pr
ivat
e
9
011
68
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
342
0
471
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
409
42
8
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
676
2
755
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
635
6
438
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
41
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mar
ylan
dM
assa
chu
sett
sAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
414
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
18
116
5
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
920
417
3Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
617
6
Fe
mal
e
7
9
Fe
mal
e
7
911
310
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
0
200-
399
FPL
10
09
213
0
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
612
7Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
519
225
2
Pr
ivat
e
9
0
Pr
ivat
e
9
010
811
1Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
4
385
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
398
52
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
669
3
824
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
649
9
529
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
42
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mic
hig
anM
inn
esot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
311
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
917
213
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
610
7
Fe
mal
e
7
9
Fe
mal
e
7
911
010
1Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
140
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
014
6
200-
399
FPL
10
011
39
3
400
FPL
or m
ore
95
400
FPL
or m
ore
95
115
110
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
187
186
Priv
ate
90
Priv
ate
90
100
89
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
359
41
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
250
1
495
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
752
62
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
453
48
4
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
43
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mis
siss
ipp
iM
isso
uri
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
912
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
711
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
912
618
0Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
515
216
2
Fe
mal
e
7
9
Fe
mal
e
7
96
48
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
314
619
7
10
0-19
9 F
PL
131
100-
199
FPL
13
111
814
4
20
0-39
9 F
PL
100
200-
399
FPL
10
010
310
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
39
1Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
513
220
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
68
8Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
336
1
282
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
396
51
0
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
662
4
749
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
634
7
434
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
44
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Mon
tan
aN
ebra
ska
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
811
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
610
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
517
6Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
512
313
0
Fe
mal
e
7
9
Fe
mal
e
7
911
39
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
265
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
011
2
200-
399
FPL
10
07
88
4
400
FPL
or m
ore
95
400
FPL
or m
ore
95
78
71
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
224
288
Priv
ate
90
Priv
ate
90
78
56
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
502
45
8
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
2
476
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
662
81
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
555
57
6
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
45
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nev
ada
New
Ham
psh
ire
All A
ll st
atis
tics
are
bas
ed o
n pa
rent
al r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
412
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
17
410
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
911
917
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
59
615
5
Fe
mal
e
7
9
Fe
mal
e
7
97
29
6Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
169
200-
399
FPL
10
0
20
0-39
9 F
PL
100
88
117
400
FPL
or m
ore
95
400
FPL
or m
ore
95
91
87
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
177
295
Priv
ate
90
Priv
ate
90
71
83
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
373
39
0
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
231
5
473
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
615
71
2
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
288
49
0
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
46
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Jers
eyNew Mexico
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
89
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
87
7
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
137
112
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
156
106
Fem
ale
79
Fem
ale
79
57
75
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
dagger 13
1
100-
199
FPL
dagger
131
20
0-39
9 F
PL
100
20
0-39
9 F
PL
100
85
105
400
FPL
or m
ore
95
400
FPL
or m
ore
95
101
73
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
165
134
Priv
ate
90
Priv
ate
90
96
76
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
28
2
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
246
3
350
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
693
72
5
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
406
36
1
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
47
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
New
Yor
kN
orth
Car
olin
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
310
616
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
218
3
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
821
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
821
0
Fe
mal
e
7
9
Fe
mal
e
7
96
110
7Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
16
319
322
4
10
0-19
9 F
PL
dagger 13
1
10
0-19
9 F
PL
131
161
200-
399
FPL
10
0
20
0-39
9 F
PL
100
101
140
400
FPL
or m
ore
95
400
FPL
or m
ore
95
73
147
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
178
230
Priv
ate
90
Priv
ate
90
75
132
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
381
42
4
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
235
6
433
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
679
71
8
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
421
40
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
48
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Nor
th D
akot
aOhio
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
413
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
111
912
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
120
5Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
513
417
9
Fe
mal
e
7
9
Fe
mal
e
7
99
39
9Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
163
316
100-
199
FPL
13
1
10
0-19
9 F
PL
131
135
148
200-
399
FPL
10
0
20
0-39
9 F
PL
100
95
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
510
76
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
520
526
7
Pr
ivat
e
9
0
Pr
ivat
e
9
09
610
2Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
330
3
408
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
433
59
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
672
5
752
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
7
479
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
49
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Oklahoma
Oregon
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
611
9Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
114
513
8
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
015
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
114
3
Fe
mal
e
7
9
Fe
mal
e
7
911
19
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
205
10
0-19
9 F
PL
131
148
138
200-
399
FPL
10
0
20
0-39
9 F
PL
100
113
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
75
89
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
208
197
Priv
ate
90
Priv
ate
90
86
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
479
40
5
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
1
407
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
729
68
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
389
39
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
50
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Pen
nsy
lvan
iaR
hod
e Is
lan
d
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
313
413
5Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
116
812
2
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
915
119
8Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
518
017
4
Fe
mal
e
7
9
Fe
mal
e
7
98
89
4Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
220
10
0-19
9 F
PL
131
236
173
200-
399
FPL
10
0
20
0-39
9 F
PL
100
106
142
400
FPL
or m
ore
95
400
FPL
or m
ore
95
71
95
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
268
239
Priv
ate
90
Priv
ate
90
72
99
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
446
45
3
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
238
6
428
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
774
75
1
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
631
54
7
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
51
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Sou
th C
arol
ina
Sou
th D
akot
aAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
311
310
4Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
010
1
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
914
514
1Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
514
812
4
Fe
mal
e
7
9
Fe
mal
e
7
97
68
3Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
197
10
0-19
9 F
PL
131
95
125
200-
399
FPL
10
0
20
0-39
9 F
PL
100
107
92
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
57
45
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
518
417
2
Pr
ivat
e
9
0
Pr
ivat
e
9
08
07
6Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
346
9
377
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
472
45
1
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
671
9
730
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
646
3
498
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
52
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Ten
nes
see
Texas
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
48
0Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
79
8
Age
12-1
7 ye
ars
149
Age
12-1
7 ye
ars
149
156
102
Prev
alen
ce b
y S
exPr
eval
ence
by
Sex
M
ale
145
M
ale
145
144
115
Fem
ale
79
Fem
ale
79
104
43
Prev
alen
ce b
y P
over
ty L
evel
Prev
alen
ce b
y P
over
ty L
evel
0-
99
FPL
dagger
163
0-
99
FPL
16
35
8
100-
199
FPL
13
1
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
018
1
200-
399
FPL
10
08
810
5
40
0 F
PL o
r mor
e
9
5
40
0 F
PL o
r mor
e
9
58
17
6Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
521
17
2
Priv
ate
90
Priv
ate
90
73
92
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
455
38
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
248
8
327
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
768
67
7
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
468
44
2
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
53
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Uta
hVe
rmon
tAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
38
715
1Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
110
514
9
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
913
021
2Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
511
019
2
Fe
mal
e
7
9
Fe
mal
e
7
96
411
0Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
13
1
100-
199
FPL
13
112
617
0
20
0-39
9 F
PL
100
200-
399
FPL
10
08
211
9
40
0 F
PL o
r mor
e dagger
95
400
FPL
or m
ore
95
155
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
237
198
Priv
ate
90
Priv
ate
90
68
127
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
415
36
7
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
245
8
389
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
741
72
4
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
493
53
3
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
54
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l Hea
lth
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Vir
gin
iaW
ash
ingt
on
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
All s
tati
stic
s ar
e ba
sed
on p
aren
tal r
epor
ts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
312
412
2Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
113
312
7
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
916
115
7Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
916
1
Fe
mal
e
7
9
Fe
mal
e
7
97
68
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
dagger 16
3
0-99
F
PL
dagger 16
3
100-
199
FPL
dagger
131
10
0-19
9 F
PL
131
130
200-
399
FPL
10
0
20
0-39
9 F
PL
100
124
137
400
FPL
or m
ore
95
400
FPL
or m
ore
95
95
98
Prev
alen
ce b
y In
sura
nce
Type
Prev
alen
ce b
y In
sura
nce
Type
Pu
blic
17
5
Publ
ic
175
195
159
Priv
ate
90
Priv
ate
90
101
105
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ith
emot
iona
l be
havi
oral
w
ith
emot
iona
l be
havi
oral
or
dev
elop
men
tal c
ondi
tion
s
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
40
3 W
ho h
ave
two
or m
ore
cond
ition
s
403
433
43
1
Who
rece
ive
coor
dina
ted
ong
oing
Who
rece
ive
coor
dina
ted
ong
oing
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
236
1
351
W
hose
hea
lth in
sura
nce
is a
dequ
ate
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to m
eet t
heir
need
s
70
6
to
mee
t the
ir ne
eds
706
764
63
0
Who
rece
ived
men
tal h
ealth
trea
tmen
t W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
45
6
or c
ouns
elin
g in
the
past
yea
r
456
474
51
5
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
55
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wes
t V
irgi
nia
Wis
con
sin
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
Al
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
St
ate
Nat
iona
l
St
ate
Nat
iona
l
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
who
hav
e on
e or
mor
e em
otio
nal
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
be
havi
oral
or d
evel
opm
enta
l con
diti
ons
11
314
311
6Pr
eval
ence
by
Age
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 6-
11 y
ears
12
115
313
0
Ag
e 12
-17
year
s
14
9
Ag
e 12
-17
year
s
14
918
913
9Pr
eval
ence
by
Sex
Prev
alen
ce b
y S
ex
Mal
e
14
5
Mal
e
14
516
414
7
Fe
mal
e
7
9
Fe
mal
e
7
912
18
2Pr
eval
ence
by
Pov
erty
Lev
elPr
eval
ence
by
Pov
erty
Lev
el
0-99
F
PL
163
0-
99
FPL
dagger
163
10
0-19
9 F
PL
131
260
10
0-19
9 F
PL
dagger 13
1
200-
399
FPL
10
013
2
200-
399
FPL
10
011
48
9
400
FPL
or m
ore
dagger 9
5
40
0 F
PL o
r mor
e
9
510
2Pr
eval
ence
by
Insu
ranc
e Ty
pePr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pu
blic
17
523
521
0
Pr
ivat
e
9
0
Pr
ivat
e
9
08
08
5Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
Perc
ent o
f chi
ldre
n ag
ed 2
-17
year
s
wit
h em
otio
nal
beha
vior
al
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
or
dev
elop
men
tal c
ondi
tion
s W
ho h
ave
two
or m
ore
cond
ition
s
403
Who
hav
e tw
o or
mor
e co
nditi
ons
40
349
1
381
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
com
preh
ensi
ve c
are
with
in a
med
ical
hom
e
40
2
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
466
31
6
Who
se h
ealth
insu
ranc
e is
ade
quat
e
Who
se h
ealth
insu
ranc
e is
ade
quat
e
to
mee
t the
ir ne
eds
706
to m
eet t
heir
need
s
70
681
4
600
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
Who
rece
ived
men
tal h
ealth
trea
tmen
t
or c
ouns
elin
g in
the
past
yea
r
456
or
cou
nsel
ing
in th
e pa
st y
ear
45
653
1
476
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Es
timat
es fo
r chi
ldre
n ag
ed 2
-5 y
ears
do
not m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
on
the
stat
e le
vel a
nd a
re n
ot re
port
ed dagger
Estim
ate
supp
ress
ed a
s it d
oes n
ot m
eet t
he st
anda
rd fo
r rel
iabi
lity
or p
reci
sion
56
Stat
e
N
atio
nal
Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
w
ho h
ave
one
or m
ore
emot
iona
l
beha
vior
al o
r dev
elop
men
tal c
ondi
tion
s
113
Pr
eval
ence
by
Age
Age
6-11
yea
rs
121
Ag
e 12
-17
year
s 14
9
Prev
alen
ce b
y S
ex
Mal
e 14
5
Fem
ale
79
Prev
alen
ce b
y P
over
ty L
evel
0-99
F
PL
163
100
-199
F
PL
131
200
-399
F
PL
100
40
0 F
PL o
r mor
e 9
5 Pr
eval
ence
by
Insu
ranc
e Ty
pe
Publ
ic
175
Pr
ivat
e 9
0 Pe
rcen
t of c
hild
ren
aged
2-1
7 ye
ars
wit
h em
otio
nal
beha
vior
al
or d
evel
opm
enta
l con
diti
ons
Who
hav
e tw
o or
mor
e co
nditi
ons
403
W
ho re
ceiv
e co
ordi
nate
d o
ngoi
ng
co
mpr
ehen
sive
car
e w
ithin
a m
edic
al h
ome
402
W
hose
hea
lth in
sura
nce
is a
dequ
ate
to
mee
t the
ir ne
eds
706
W
ho re
ceiv
ed m
enta
l hea
lth tr
eatm
ent
or
cou
nsel
ing
in th
e pa
st y
ear
456
The
seve
n co
nditi
ons a
ddre
ssed
in th
e su
rvey
wer
e A
DD
AD
HD
anx
iety
dep
ress
ion
OD
Dc
ondu
ct d
isor
der
autis
m sp
ectr
um d
isor
ders
dev
elop
men
tal d
elay
and
Tour
ette
Syn
drom
e
Estim
ates
for c
hild
ren
aged
2-5
yea
rs d
o no
t mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on o
n th
e st
ate
leve
l and
are
not
repo
rted
daggerEs
timat
e su
ppre
ssed
as i
t doe
s not
mee
t the
stan
dard
for r
elia
bilit
y or
pre
cisi
on
123
127
167
134
111 dagger
159
110
102
224 88
333
391
691
474
Th
e N
atio
nal
Su
rvey
of C
hil
dre
nrsquos
Hea
lth
Th
e M
enta
l an
d E
mot
ion
al W
ell-
Bei
ng
of C
hil
dre
n
A P
ortr
ait
of S
tate
s an
d t
he
Nat
ion
20
07
Wyo
min
gAl
l sta
tist
ics
are
base
d on
par
enta
l rep
orts
57
The National Survey of Childrenrsquos Health
About the Survey The National Survey of Childrenrsquos
Health (NSCH) was fielded using the State and Local Area Integrated Telephone Survey (SLAITS) mecha-nism SLAITS is conducted by the National Center for Health Statistics (NCHS) Centers for Disease Control and Prevention (CDC) It uses the same large-scale random-digit-dial sampling frame as the CDCrsquos National Immunization Survey1
Approximately 28 million tele-phone numbers were randomly generated for inclusion in the NSCH After eliminating numbers that were determined to be nonresidential or nonworking the remaining numbers were called to identify households with children less than 18 years of age From each household with children one child was randomly selected to be the focus of the inter-view
The respondent was the parent or guardian in the household who was knowledgeable about the health and health care of the randomly selected child For 735 percent of the chil-dren the respondent was the mother Respondents for the remaining children were fathers (205 percent) grandparents (42 percent) or other relatives or guardians (18 percent)
Surveys were conducted in Eng-lish Spanish Mandarin Cantonese Vietnamese and Korean Overall 53 percent of the interviews were com-pleted in Spanish and 02 percent of the interviews were conducted in one of the four Asian languages
Technical Appendix
Data Collection Data collection began on April 5
2007 and ended on July 27 2008 with interviews conducted from telephone centers in Chicago Illinois and Las Vegas Nevada A computer-assisted telephone interviewing sys-tem was used to collect the data A total of 91642 interviews were fully or partially completed for the NSCH with 79 percent of the interviews completed in 2007 The number of completed interviews varied by state ranging from 1725 in Vermont to 1932 in Illinois
The interview completion rate which is the proportion of interviews completed after a household was determined to include a child under age 18 was 660 percent The overall response rate which is the product of the resolution rate (the propor-tion of telephone numbers identified as residential or nonresidential) the screener completion rate (the proportion of households success-fully screened for children) and the interview completion rate was 512 percent This rate is based on the assumption that telephone num-bers that were busy or rang with no answer on all attempts were nonresi-dential
Overall response rates ranged from 394 percent in New Jersey to 619 percent in North Dakota Sev-eral efforts were made to increase response rates including sending letters to households in advance to introduce the survey toll-free num-bers left on potential respondentsrsquo answering machines to allow them to call back and small monetary incentives for those households with children who initially declined to participate
Data Analysis For producing the population-
based estimates in this report the data records for each interview were assigned a sampling weight These weights are based on the probability of selection of each household telephone number within each State with adjustments that compensate for households that have multiple telephone numbers for households without telephones and for nonresponse
With data from the US Bureau of the Census the weights were also adjusted by age sex race ethnic-ity household size and educational attainment of the most educated household member to provide a dataset that was more representa-tive of each Statersquos population of noninstitutionalized children less than 18 years of age Analyses were conducted using statistical software that accounts for the weights and the complex survey design
Responses of ldquodonrsquot knowrdquo and ldquorefuse to answerrdquo were consid-ered to be missing data Records with missing data on the variables of interest were excluded from all analyses with one exception For households with missing data for in-come or household size the house-hold income relative to the federal poverty level was multiply imputed
Racial and ethnic groups are mutually exclusive that is data reported for White Black multira-cial and children of other races do not include Hispanics who may be of any race
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 58
The National Survey of Childrenrsquos Health
Accuracy of the Results The data from the NSCH are
subject to the usual variability as-sociated with sample surveys Small differences between survey estimates may be due to random survey error and not to true differences among children or across States
The precision of the survey estimates is based on the sample size and the measure of interest Estimates at the national level will be more precise than estimates at the State level Estimates for all children will be more precise than estimates for subgroups of children (for example children 0-5 years of age or children with the same race) For national estimates of the health and health care for all children the maximum margin of error is 08 percentage points For the State-level indicators for all children the maxi-mum margin of error is 45 percent-age points
Availability of the Data Except for data suppressed to pro-
tect the confidentiality of the survey subjects all data collected in the NSCH are available to the public on the NCHS and MCHB websites Data documentation and additional details on the methodology2 are available from the National Center for Health Statistics (wwwcdcgovnchsslaits htm) Interactive data queries are pos-
sible through the Data Resource Center for the NSCH (wwwchild-healthdataorg) The Data Resource Center provides immediate access to the survey data as well as resources and assistance for interpreting and reporting findings
1 Zell ER Ezzati-Rice TM Battaglia MP Wright RA National immunization survey The methodology of a vaccination surveillance system Public Health Reports 11565-77 2000
2 Blumberg SJ Foster EB Frasier AM et al Design and Operation of the National Survey of Childrenrsquos Health 2007 National Center for Health Statistics Vital Health Stat 1 2009
The Mental and Emotional Well-Being of Children gt Appendix A Technical Appendix 59
The National Survey of Childrenrsquos Health
Appendix B Survey Questions on the Presence of ConditionsBelow are the questions asked
in the National Survey of Childrenrsquos Health to determine whether chil-dren who were at least 2 years old had been diagnosed with and cur-rently have any of seven emotional behavioral or developmental condi-tions These questions only repre-sent a small portion of the survey
For all of the questions listed here respondents could answer ldquoyesrdquo ldquonordquo or ldquoI donrsquot knowrdquo or they could refuse to answer If the respondent did not understand the question the survey-or read the text presented in italics
Now I am going to read you a list of conditions For each condition please tell me if a doctor or other health care provider ever told you that [your child] had the condition even if (heshe) does not have the condition now
Has a doctor or other health care provider ever told you that [your child] hadhellip
K2Q31A Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder that is ADD or ADHD A child with Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder has problems paying attention or sitting still It may cause the child to be easily distracted
[if yes] Does [your child] currently have ADD or ADHD
K2Q32A Depression Depression is an illness that involves the body mood and thoughts It is marked by persistent sadness or an anxious or empty mood It affects how a person feels and the way a person eats sleeps and functions
[if yes] Does [your child] currently have depression
K2Q33A Anxiety problems Anxiety is a feeling of constant worrying Children with severe anxiety problems may be diagnosed as having anxiety disorders Anxiety disorders include panic disorder obsessive-compulsive disorder post-traumatic stress disorder and phobias
[if yes] Does [your child] currently have anxiety problems
K2Q34A Behavioral or conduct prob-lems such as oppositional defiant disorder or conduct disorder Oppositional defiant disorder is an ongoing pattern of defiant and hostile behavior that interferes with a childrsquos life and daily activities
[if yes] Does [your child] currently have behavioral or conduct problems
K2Q35A Autism Aspergerrsquos Disorder pervasive developmental disorder or other autism spectrum disorder Children with autism have delays in language communication and social skills Children with Aspergerrsquos disorder have impaired social skills but do not have speech or language delays They often have an intense interest in a single subject or topic Children with pervasive developmental disorder have severe and persistent delays in language communi-cation and social skills
[if yes] Does [your child] currently have Autism or ASD
K2Q36A Any developmental delay that affects (hisher) ability to learn A child with a developmental delay does not achieve certain skills as quickly other children of the same age A develop-mental delay is a major delay in motor language social or thinking skills
[if yes] Does [your child] currently have developmental delay problems
K2Q38A Tourette Syndrome Tourette Syndrome is a disorder that causes frequent sudden movements or sounds
[if yes] Does [your child] currently have Tourette Syndrome
The Mental and Emotional Well-Being of Children gt Appendix B Survey Questions 60