Objective: Residential is a common treatment setting for youth with high-severity substance use disorders (SUD). This study evaluated the prevalence of psychiatric symptoms and medication for youth in residential SUD treatment. Methods: Youth in Massachusetts state licensed and funded SUD residential programs completed questionnaires assessing…

Objective: The current study examined the mediating role of distress tolerance on the association between pain-related disability and addiction to opioids, past-month opioid use, and risky opioid use among an ethno-racially diverse sample of young adults with current pain. Methods: Participants were 141 undergraduate college students (78.7%…

Monitoring the Future (MTF) is an ongoing research program conducted at the University of Michigan's Institute for Social Research under a series of investigator-initiated, competing research grants from the National Institute on Drug Abuse beginning in 1975. The integrated MTF study includes annual surveys of nationally representative samples of…

Objective: College students' prescription stimulant and opioid misuse (PSM and POM) share psychosocial risks with other substance use. We sought to extend a prior study of these issues. Methods: National College Health Assessment (2015-2016) participants ages 18-24 years (n = 79,336) reporting 12-month PSM (defined as use of a drug not prescribed…

This volume presents new 2021 findings from the U.S. national Monitoring the Future follow-up (panel) study concerning substance use among the nation's college students and adults from ages 19 through 60. We report 2021 prevalence estimates on numerous illicit and licit substances, examine how substance use differs across this age span, and show…

Monitoring the Future (MTF) has become one of the nation's most relied upon scientific sources of valid information on trends in use of licit and illicit psychoactive drugs by U.S. adolescents, college students, young adults, and adults up to age 60. During the last four decades, the study has tracked and reported on the use of an ever-growing…

Nearly all states and the District of Columbia have policies requiring schools to address prevention of alcohol or drug use and abuse in high school health education curricula, according to National Association of State Boards of Education's (NASBE's) State Health Policy Database. But with the added concerns about the pandemic's impact on youth…

Monitoring the Future (MTF) is a long term study of substance use and related factors among U.S. adolescents, college students, and adult high school graduates through age 60. It is conducted annually and supported by the National Institute on Drug Abuse. MTF findings identify emerging substance use problems, track substance use trends, are…

This occasional paper presents national demographic subgroup data for the 1975-2021 Monitoring the Future (MTF) national survey results on 8th, 10th, and 12th graders' use of drugs, alcohol, and tobacco. The study covers all major classes of illicit and licit psychoactive drugs for an array of population subgroups. The 2020 subgroup data presented…

This study explored substance use trajectories and associations with mental health among an ethnically/racially diverse college student sample before and during the COVID-19 pandemic. We combined repeated cross-sections and panel data from a total of 3,247 college students assessed with an online survey in 2018, 2019, and in three waves in 2020.…

Among adolescents (ages 12-17) and young adults (ages 18-25) enrolled in Medicaid or the Children's Health Insurance Program (CHIP), 0.5% of adolescents had opioid use disorder (OUD), 3.0% had other risky opioid use, 3.4% had another substance use disorder, and 21.6% used other substances without disorder. Compared to adolescents, the prevalence…

This occasional paper presents subgroup findings from the Monitoring the Future (MTF) study on levels of, and trends in, the use of a number of substances for nationally representative samples of high school graduates ages 19-30, "Monitoring the Future National Survey Results on Drug Use, 1975-2018. Volume II, College Students & Adults…

This dissertation addresses several contemporary health challenges affecting the US population, drawing on methods and perspectives from health services research, social demography, and medical sociology. Paper 1 examines the pathways from educational attainment to difficulty with activities of daily living (ADLs) and instrumental activities of…

Monitoring the Future (MTF) is a long-term study of substance use and related factors among U.S. adolescents, college students, and adult high school graduates through age 60. It is conducted annually and supported by the National Institute on Drug Abuse. MTF findings identify emerging substance use problems, track substance use trends, and inform…

Monitoring the Future (MTF) is a long-term study of substance use and related factors among U.S. adolescents, college students, and adult high school graduates through age 60. It is conducted annually and supported by the National Institute on Drug Abuse. MTF findings identify emerging substance use problems, track substance use trends, and inform…