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Justice Index · Advocacy Lab · Field Guide

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Substance Use & Mental Health (Texas)

Texas adolescent behavioral health indicators have trended alongside regional peers. This page tracks need, access, and outcomes with 2015–2025 comparisons.

What We Track

  • Self-reported SUD/MH prevalence and monthly use rates (ages 12–17)
  • Screening at intake (e.g., MAYSI-2) and referral completion
  • Provider availability, wait times, and telehealth coverage

Methods

Rates are normalized to youth population (12–17). Small-n values pooled across 2–3 years and annotated. Breaks in series from reporting changes are noted to keep trends comparable.

Findings (Stub)

  • — note TX 2015–2025 trend in monthly illicit use; 2019 ≈ 9.1% (compare AR ≈ 9.3%) —
  • — highlight regional disparities (rural/urban; race/ethnicity) —
  • — connect screening → referrals → service completion —

Program & Policy Notes (Stub)

  • School-based mental health, mobile crisis, and telehealth expansions
  • Medicaid/EPSDT access and continuity during supervision and aftercare
  • Integrated care approaches for co-occurring SUD/MH

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