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Data Source

2021 National Substance Use and Mental Health Services Survey (N-SUMHSS) Release

This report presents the 2021 data and findings from the National Substance Use and Mental Health Services Survey (N-SUMHSS)

Frequently Asked Questions

1. What data does the 2021 N-SUMHSS report include?

  • The 2021 N-SUMHSS annual report includes data on key operational characteristics and services provided by substance use and mental health treatment facilities in the United States, its territories, and D.C. 

2. Where does the data for the 2021 N-SUMHSS report come from? 

  • The 2021 N-SUMHSS annual report data were collected from 20,622 eligible substance use and mental health facilities across 50 states, 7 territories, and D.C. These data include information from the following U.S. territories: American Samoa, the Commonwealth of the Northern Mariana Islands, the Federated States of Micronesia, Guam, Palau, Puerto Rico, and the U.S. Virgin Islands. 

3. What were the eligibility criteria for facility data to be included in the 2021 N-SUMHSS report? 

  • Data from all substance use and mental health treatment facilities were included in the 2021 report with the following exceptions: Department of Defense (DoD) military mental health treatment facilities; individual private practitioners or small group practices not licensed as a substance use and/or mental health clinic or center; jails or prisons; facilities that do not primarily provide specialty mental health treatment services; and halfway houses. For more details on the N-SUMHSS inclusion and exclusion criteria, please refer to Appendix B of the 2021 N-SUMHSS Annual Report. 

4. What was the response rate for 2021 N-SUMHSS? 

  • The overall response rate among facilities eligible for the 2021 N-SUMHSS was 78.8%. Please refer to Appendix A of the 2021 N-SUMHSS Annual Report for state, territory, and D.C. specific response rates.

5. Should I compare the numbers from the N-SSATS and N-MHSS data and reports to the N-SUMHSS data and report? 

  • The N-SUMHSS should not be compared statistically with the previous tables from the N-MHSS and N-SSATS as it is a new survey.

6. How are facilities that provide both substance use and mental health treatment services represented in the report? 

  • Facilities that provide both types of services are included in analyses specific to substance use (SU) and in analyses specific to mental health (MH). Some analyses also include a category for facilities that provide both types of services (SU/MH).

    These categories are not mutually exclusive since SU/MH facilities are also categorized as SU and MH facilities. 

7. How should this report be cited? 

  • Substance Abuse and Mental Health Services Administration. (2022). National Substance Use and Mental Health Services Survey (N-SUMHSS), 2021: Data on Substance Use and Mental Health Treatment Facilities (HHS Publication No. PEP23-07-00-001). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/.

2021 Annual Report

The National Substance Use and Mental Health Services Survey (N-SUMHSS), 2021: Data on Substance Use and Mental Health Treatment Facilities

The 2021 annual report summarizes the following:

  • General profiles of substance use and mental health facilities by operation type, type of care, facilities offering tailored programs for specific groups, and treatment capacity and utilization
  • Use of pharmacotherapies/medications
  • Language assistance services
  • Suicide prevention assistance services

In addition to these sections, the annual report provides an overview and background on the N-SUMHSS, highlights on the 2021 N-SUMHSS data collection, 2021 N-SUMHSS response rates, data tables corresponding to figures included in the report, and the methodology.

2021 Annual Detailed Tables

The 2021 Annual Detailed Tables present in-depth findings on location, characteristics, and utilization of substance use and mental health services as collected by the 2021 National Substance Use and Mental Health Services Survey (N-SUMHSS). The data presented are intended to provide behavioral health services providers; researchers; and federal, state, and local governments with information about the number and characteristics of public and private substance use and mental health treatment facilities nationwide.

2021 State Profiles

The 2021 State Profiles present findings from the annual National Substance Use and Mental Health Services Survey (N-SUMHSS). Each state profile provides summary information on substance use and mental health treatment facilities’ characteristics, services offered, client numbers and a mapping of treatment facility locations within the state.