• Alcohol use ranged from a low of 29.3% in Utah to 62.1% in Wisconsin.
• Among teens, the only state to see an increase in tobacco use was California, from 9.2% to 10.9%.
Among all age groups nationwide, illicit drug use remained steady, but Florida, Nevada, Washington state and Washington, D.C. showed significant declines.
Past-month use of illicit drugs including marijuana dropped from 11.6% to 9.6% in Washington, D.C.; from 8.7% to 7.8% in Florida; from 10.3% to 8.7% in Nevada; and from 10% to 8.5% in Washington state.
Washington state has increased its spending on prevention and treatment from $180 million to $300 million over five years, says Doug Allen, acting director of the division of alcohol and substance abuse for the state's Department of Social & Health Services.
"We think we're turning the corner, but you're always holding your breath," Allen said.
Alaska had the highest rate of illegal drug use in the nation for the second year in a row. Mississippi displaced Utah as the state for drug-free living.
Nearly 12% of Alaskans said they had used an illicit drug in the past month. The national average for past month drug use is about 8%.
Alaska also had high rates of pot smoking and binge drinking. One in 10 Alaskans reported past month use of pot.
Drug treatment in Alaska is in short supply. Alaska had the highest percentage of people 12 and older who needed drug treatment but did not receive it.
States should be using the data to gauge whether their prevention and treatment programs are working, said SAMHSA administrator Charles Curie.
tailor an approach based on their own data," Curie