This column examines mental health service use among youths in 1997 and 2002 for 13 U.S. states and for the nation. The data came from the National Survey of America's Families, a nationally representative survey of youths, adults younger than 65 years, and their families that focused on 13 states, with smaller samples for the other states. We previously reported results for 1997 (N=21,824) and 1999 (N=23,423) (2). As in previous years, the 2002 survey asked the caregivers of youths aged six through 17 years (N=22,064) the number of times that the youth received mental health services (treatment for substance abuse or smoking cessation were excluded) from a doctor, mental health counselor, or therapist during the year before the interview. All analyses corrected for the complex survey design of the data, and the presented data are weighted estimates.