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Mental Health in Santa Cruz County 2023

Mental health is a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn well and work well, and contribute to their community. It is an integral component of health and well-being that underpins our individual and collective abilities to make decisions, build relationships and shape the world we live in. Mental health is a basic human right. And it is crucial to personal, community and socio-economic development.

Indicator Gauge Icon Legend

Legend Colors

Red is bad, green is good, blue is not statistically different/neutral.

Compared to Distribution

an indicator guage with the arrow in the green the value is in the best half of communities.

an indicator guage with the arrow in the yellow the value is in the 2nd worst quarter of communities.

an indicator guage with the arrow in the red the value is in the worst quarter of communities.

Compared to Target

green circle with white tick inside it meets target; red circle with white cross inside it does not meet target.

Compared to a Single Value

green diamond with downward arrow inside it lower than the comparison value; red diamond with downward arrow inside it higher than the comparison value; blue diamond with downward arrow inside it not statistically different from comparison value.

Trend

green square outline with upward trending arrow inside it green square outline with downward trending arrow inside it non-significant change over time; green square with upward trending arrow inside it green square with downward trending arrow inside it significant change over time; blue square with equals sign no change over time.

Compared to Prior Value

green triangle with upward trending arrow inside it higher than the previous measurement period; green triangle with downward trending arrow inside it lower than the previous measurement period; blue equals sign no statistically different change  from previous measurement period.

More information about the gauges and icons

Health / Health Care Access & Quality

Health / Health Care Access & Quality

Health / Health Care Access & Quality

Adults who have had a Routine Checkup

Value
Compared to:

Health / Health Care Access & Quality

Adults who have had a Routine Checkup

Value
Compared to:

Adults who have had a Routine Checkup County: Santa Cruz

Current Value:

Adults who have had a Routine Checkup County: Santa Cruz

68.5%
(2022)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 68.5% which is in the best 50% of counties. Counties in the best 50%  have a value higher than 68.4% while counties in the worst 25% have a value lower than 64.9%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (67.0%), Santa Cruz has a value of 68.5% which is higher and better.
CA Value
(67.0%)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (68.5%) is not statistically different from the previously measured value (61.1%).
Prior Value
(61.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Health Care Access & Quality

Community Spending on Health Care

Value
Compared to:

Health / Health Care Access & Quality

Community Spending on Health Care

Value
Compared to:

Community Spending on Health Care County: Santa Cruz

Current Value:

Community Spending on Health Care County: Santa Cruz

6.6%
(2023)
Compared to:
Compared to the CA Value (6.4%), Santa Cruz has a value of 6.6%.
CA Value
(6.4%)
The regional value is compared to the California state value.
Compared to the US Value (8.0%), Santa Cruz has a value of 6.6%.
US Value
(8.0%)
The regional value is compared to the national value.
Compared to the prior value, Santa Cruz (6.6%) is not statistically different from the previously measured value (6.6%).
Prior Value
(6.6%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.

Health / Mental Health & Mental Disorders

Health / Mental Health & Mental Disorders

Health / Mental Health & Mental Disorders

Adults Ever Diagnosed with Depression

Value
Compared to:

Health / Mental Health & Mental Disorders

Adults Ever Diagnosed with Depression

Value
Compared to:

Adults Ever Diagnosed with Depression County: Santa Cruz

Current Value:

Adults Ever Diagnosed with Depression County: Santa Cruz

18.5%
(2021)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 18.5% which is in the best 50% of counties. Counties in the best 50% have a value lower than 18.8% while counties in the worst 25% have a value higher than 19.6%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the US Value (19.5%), Santa Cruz has a value of 18.5% which is lower and better.
US Value
(19.5%)
The regional value is compared to the national value.

Health / Mental Health & Mental Disorders

Adults Needing and Receiving Behavioral Health Care Services

Value
Compared to:

Health / Mental Health & Mental Disorders

Adults Needing and Receiving Behavioral Health Care Services

Value
Compared to:

Adults Needing and Receiving Behavioral Health Care Services County: Santa Cruz

Current Value:

Adults Needing and Receiving Behavioral Health Care Services County: Santa Cruz

67.0%
(2021-2022)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 67.0% which is in the best 50% of counties. Counties in the best 50%  have a value higher than 60.5% while counties in the worst 25% have a value lower than 55.8%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (55.9%), Santa Cruz has a value of 67.0% which is higher and better.
CA Value
(55.9%)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (67.0%) is not statistically different from the previously measured value (58.0%).
Prior Value
(58.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Mental Health & Mental Disorders

Adults Who Ever Thought Seriously About Committing Suicide

Value
Compared to:

Health / Mental Health & Mental Disorders

Adults Who Ever Thought Seriously About Committing Suicide

Value
Compared to:

Adults Who Ever Thought Seriously About Committing Suicide County: Santa Cruz

Current Value:

Adults Who Ever Thought Seriously About Committing Suicide County: Santa Cruz

20.2%
(2021-2022)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 20.2% which is in the best 50% of counties. Counties in the best 50% have a value lower than 20.9% while counties in the worst 25% have a value higher than 24.1%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (19.0%), Santa Cruz has a value of 20.2% which is higher and worse.
CA Value
(19.0%)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (20.2%) is not statistically different from the previously measured value (22.1%).
Prior Value
(22.1%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Mental Health & Mental Disorders

Adults with Likely Serious Psychological Distress

Value
Compared to:

Health / Mental Health & Mental Disorders

Adults with Likely Serious Psychological Distress

Value
Compared to:

Adults with Likely Serious Psychological Distress County: Santa Cruz

Current Value:

Adults with Likely Serious Psychological Distress County: Santa Cruz

17.9%
(2021-2022)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 17.9% which is in the 2nd worst quartile of counties. Counties in the best 50% have a value lower than 16.8% while counties in the worst 25% have a value higher than 20.7%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (16.7%), Santa Cruz has a value of 17.9% which is higher and worse.
CA Value
(16.7%)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (17.9%) is not statistically different from the previously measured value (20.4%).
Prior Value
(20.4%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Mental Health & Mental Disorders

Age-Adjusted Death Rate due to Suicide

Value
Compared to:

Health / Mental Health & Mental Disorders

Age-Adjusted Death Rate due to Suicide

Value
Compared to:

Age-Adjusted Death Rate due to Suicide County: Santa Cruz

Current Value:

Age-Adjusted Death Rate due to Suicide County: Santa Cruz

11.6
Deaths per 100,000 population
(2019-2021)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 11.6 which is in the best 50% of counties. Counties in the best 50% have a value lower than 12.0 while counties in the worst 25% have a value higher than 20.6.
CA Counties
The distribution is based on data from 57 California counties.
Compared to the CA Value (10.3), Santa Cruz has a value of 11.6 which is higher and worse.
CA Value
(10.3)
The regional value is compared to the California state value.
Compared to the US Value (13.5), Santa Cruz has a value of 11.6 which is lower and better.
US Value
(13.5 in 2020)
The regional value is compared to the national value. The source for the national value is Centers for Disease Control and Prevention
Compared to the prior value, Santa Cruz (11.6) is not statistically different from the previously measured value (12.8).
Prior Value
(12.8)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Mental Health & Mental Disorders

Depression: Medicare Population

Value
Compared to:

Health / Mental Health & Mental Disorders

Depression: Medicare Population

Value
Compared to:

Depression: Medicare Population County: Santa Cruz

Current Value:

Depression: Medicare Population County: Santa Cruz

14.0%
(2022)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 14.0% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 12.5% while counties in the worst 25% have a value higher than 14.0%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (14.0%), Santa Cruz has a value of 14.0%.
CA Value
(14.0%)
The regional value is compared to the California state value.
Compared to the US Value (16.0%), Santa Cruz has a value of 14.0% which is lower and better.
US Value
(16.0%)
The regional value is compared to the national value.
Compared to the prior value, Santa Cruz (14.0%) is not statistically different from the previously measured value (14.0%).
Prior Value
(14.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Mental Health & Mental Disorders

Individuals Utilizing Behavioral Health Services at the County of Santa Cruz

Value
Compared to:

Health / Mental Health & Mental Disorders

Individuals Utilizing Behavioral Health Services at the County of Santa Cruz

Value
Compared to:

Individuals Utilizing Behavioral Health Services at the County of Santa Cruz County: Santa Cruz

Current Value:

Individuals Utilizing Behavioral Health Services at the County of Santa Cruz County: Santa Cruz

3,747
People
(2022-2023)
Compared to:
Compared to the prior value, Santa Cruz (3,747) is greater  than the previously measured value (3,448).
Prior Value
(3,448)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Mental Health & Mental Disorders

Mental Health Provider Rate

Value
Compared to:

Health / Mental Health & Mental Disorders

Mental Health Provider Rate

Value
Compared to:

Mental Health Provider Rate County: Santa Cruz

Current Value:

Mental Health Provider Rate County: Santa Cruz

951
Providers per 100,000 population
(2023)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 951 which is in the best 50% of counties. Counties in the best 50%  have a value higher than 401 while counties in the worst 25% have a value lower than 259.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (450), Santa Cruz has a value of 951 which is higher and better.
CA Value
(450)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (951) is greater and better than the previously measured value (914).
Prior Value
(914)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is increasing significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Mental Health & Mental Disorders

Poor Mental Health: 14+ Days

Value
Compared to:

Health / Mental Health & Mental Disorders

Poor Mental Health: 14+ Days

Value
Compared to:

Poor Mental Health: 14+ Days County: Santa Cruz

Current Value:

Poor Mental Health: 14+ Days County: Santa Cruz

15.1%
(2021)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 15.1% which is in the best 50% of counties. Counties in the best 50% have a value lower than 15.3% while counties in the worst 25% have a value higher than 16.6%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the US Value (14.7%), Santa Cruz has a value of 15.1% which is higher and worse.
US Value
(14.7%)
The regional value is compared to the national value.

Health / Mental Health & Mental Disorders

Poor Mental Health: Average Number of Days

Value
Compared to:

Health / Mental Health & Mental Disorders

Poor Mental Health: Average Number of Days

Value
Compared to:

Poor Mental Health: Average Number of Days County: Santa Cruz

Current Value:

Poor Mental Health: Average Number of Days County: Santa Cruz

5.2
Days
(2021)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 5.2 which is in the best 50% of counties. Counties in the best 50% have a value lower than 5.4 while counties in the worst 25% have a value higher than 5.6.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (4.7), Santa Cruz has a value of 5.2 which is higher and worse.
CA Value
(4.7)
The regional value is compared to the California state value.
Compared to the US Value (4.8), Santa Cruz has a value of 5.2 which is higher and worse.
US Value
(4.8)
The regional value is compared to the national value.
Compared to the prior value, Santa Cruz (5.2) is not statistically different from the previously measured value (4.6).
Prior Value
(4.6)
Prior Value compares a measured value with the previously measured value. Confidence intervals were taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Health / Wellness & Lifestyle

Health / Wellness & Lifestyle

Health / Wellness & Lifestyle

Poor Physical Health: 14+ Days

Value
Compared to:

Health / Wellness & Lifestyle

Poor Physical Health: 14+ Days

Value
Compared to:

Poor Physical Health: 14+ Days County: Santa Cruz

Current Value:

Poor Physical Health: 14+ Days County: Santa Cruz

10.5%
(2021)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 10.5% which is in the best 50% of counties. Counties in the best 50% have a value lower than 12.3% while counties in the worst 25% have a value higher than 13.6%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the US Value (10.9%), Santa Cruz has a value of 10.5% which is lower and better.
US Value
(10.9%)
The regional value is compared to the national value.

Economy / Food Insecurity

Economy / Food Insecurity

Economy / Food Insecurity

Food Insecurity Rate

Value
Compared to:

Economy / Food Insecurity

Food Insecurity Rate

Value
Compared to:

Food Insecurity Rate County: Santa Cruz

Current Value:

Food Insecurity Rate County: Santa Cruz

9.0%
(2021)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 9.0% which is in the best 50% of counties. Counties in the best 50% have a value lower than 10.3% while counties in the worst 25% have a value higher than 12.5%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (10.5%), Santa Cruz has a value of 9.0% which is lower and better.
CA Value
(10.5%)
The regional value is compared to the California state value.
Compared to the US Value (10.4%), Santa Cruz has a value of 9.0% which is lower and better.
US Value
(10.4%)
The regional value is compared to the national value.
Compared to the prior value, Santa Cruz (9.0%) is less and better than the previously measured value (10.0%).
Prior Value
(10.0%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Economy / Poverty

Economy / Poverty

Economy / Poverty

Youth not in School or Working

Value
Compared to:

Economy / Poverty

Youth not in School or Working

Value
Compared to:

Youth not in School or Working County: Santa Cruz

Current Value:

Youth not in School or Working County: Santa Cruz

0.5%
(2018-2022)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 0.5% which is in the best 50% of counties. Counties in the best 50% have a value lower than 1.4% while counties in the worst 25% have a value higher than 2.4%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (1.5%), Santa Cruz has a value of 0.5% which is lower and better.
CA Value
(1.5%)
The regional value is compared to the California state value.
Compared to the US Value (1.8%), Santa Cruz has a value of 0.5% which is lower and better.
US Value
(1.8%)
The regional value is compared to the national value.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Education / School Environment

Education / School Environment

Education / School Environment

Youth Connectedness to School

Value
Compared to:

Education / School Environment

Youth Connectedness to School

Value
Compared to:

Youth Connectedness to School County: Santa Cruz

Current Value:

Youth Connectedness to School County: Santa Cruz

47%
(2017-2019)
Compared to:
Compared to the CA Value (40%), Santa Cruz has a value of 47% which is higher and better.
CA Value
(40%)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (47%) is less and worse than the previously measured value (50%).
Prior Value
(50%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is increasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Education / School Environment

Youth who have Caring Relationships with Adults: 11th Graders

Value
Compared to:

Education / School Environment

Youth who have Caring Relationships with Adults: 11th Graders

Value
Compared to:

Youth who have Caring Relationships with Adults: 11th Graders County: Santa Cruz

Current Value:

Youth who have Caring Relationships with Adults: 11th Graders County: Santa Cruz

32.2%
(2017-2019)
Compared to:
Compared to the CA Value (30.2%), Santa Cruz has a value of 32.2% which is higher and better.
CA Value
(30.2%)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (32.2%) is less and worse than the previously measured value (33.6%).
Prior Value
(33.6%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Education / School Environment

Youth who have Caring Relationships with Adults: 9th Graders

Value
Compared to:

Education / School Environment

Youth who have Caring Relationships with Adults: 9th Graders

Value
Compared to:

Youth who have Caring Relationships with Adults: 9th Graders County: Santa Cruz

Current Value:

Youth who have Caring Relationships with Adults: 9th Graders County: Santa Cruz

28.2%
(2017-2019)
Compared to:
Compared to the CA Value (27.0%), Santa Cruz has a value of 28.2% which is higher and better.
CA Value
(27.0%)
The regional value is compared to the California state value.
Compared to the prior value, Santa Cruz (28.2%) is greater and better than the previously measured value (26.6%).
Prior Value
(26.6%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.

Environmental Health / Built Environment

Environmental Health / Built Environment

Environmental Health / Built Environment

Access to Exercise Opportunities

Value
Compared to:

Environmental Health / Built Environment

Access to Exercise Opportunities

Value
Compared to:

Access to Exercise Opportunities County: Santa Cruz

Current Value:

Access to Exercise Opportunities County: Santa Cruz

97.7%
(2024)
Compared to:
Compared to CA Counties, Santa Cruz has a value of 97.7% which is in the best 50% of counties. Counties in the best 50%  have a value higher than 85.7% while counties in the worst 25% have a value lower than 76.2%.
CA Counties
The distribution is based on data from 58 California counties.
Compared to the CA Value (94.2%), Santa Cruz has a value of 97.7% which is higher and better.
CA Value
(94.2%)
The regional value is compared to the California state value.
Compared to the US Value (84.1%), Santa Cruz has a value of 97.7% which is higher and better.
US Value
(84.1%)
The regional value is compared to the national value.
Compared to the prior value, Santa Cruz (97.7%) is greater and better than the previously measured value (96.8%).
Prior Value
(96.8%)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.

Environmental Health / Built Environment

Recreation and Fitness Facilities

Value
Compared to:

Environmental Health / Built Environment

Recreation and Fitness Facilities

Value
Compared to:

Recreation and Fitness Facilities County: Santa Cruz

Current Value:

Recreation and Fitness Facilities County: Santa Cruz

0.13
Facilities per 1,000 population
(2016)
Compared to:
Compared to the US Value (0.06), Santa Cruz has a value of 0.13 which is higher and better.
US Value
(0.06 in 2014)
The regional value is compared to the median value of 3,143 U.S. counties and county equivalents.
Compared to the prior value, Santa Cruz (0.13) is less and worse than the previously measured value (0.14).
Prior Value
(0.14)
Prior Value compares a measured value with the previously measured value. Confidence intervals were not taken into account in determining the direction of the comparison.
Over time, the Santa Cruz value is decreasing, not significantly.
Trend
This comparison measures the indicator’s values over multiple time periods.<br>The Mann-Kendall Test for Statistical Significance is used to evaluate the trend<br>over 4 to 10 periods of measure, subject to data availability and comparability.
Santa Cruz