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Two notes are below the figure, the first of which says "Mental health service for youths aged 12 to 17 is defined as having received treatment/counseling for emotional or behavioral problems not caused by substance use." The second note says, "Nonspecialty settings do not include youths who received mental health services in the past year from a juvenile justice setting." Tests of statistical significance at the .05 level were performed between 2016 and each of the previous years listed