Section 10 PE Tables – Results from the 2018 National Survey on Drug Use and Health: Detailed Tables, Sections 1

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Table 10.1A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	39,826^a	41,195^a	41,417^a	41,381^a	43,714^a	43,846^a	43,553^a	43,421^a	44,652^a	46,632	47,635
AGE GROUP
18-25	6,099^a	6,043^a	6,151^a	6,356^a	6,774^a	6,754^a	7,014^a	7,574^a	7,635^a	8,849	8,944
26 or Older	33,727^a	35,152^a	35,266^a	35,025^a	36,940	37,092	36,539^a	35,847^a	37,016^a	37,783	38,691
26-49	20,697^a	21,455^a	20,648^a	19,936^a	20,777^a	21,061^a	20,007^a	20,589^a	20,903^a	22,256	22,721
50 or Older	13,030^a	13,698^a	14,618	15,089	16,163	16,031	16,531	15,257	16,114	15,527	15,969
GENDER
Male	14,778^a	15,614^a	16,461^a	15,895^a	16,856^a	16,452^a	16,371^a	16,785^a	17,142^a	18,065	18,308
Female	25,048^a	25,581^a	24,956^a	25,486^a	26,858^a	27,394^a	27,182^a	26,636^a	27,510^a	28,567	29,327
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	34,971^a	36,321^a	36,580^a	36,793^a	38,049^a	37,828^a	37,795^a	37,919^a	38,598^a	40,603	40,785
White	28,286^a	29,799^a	29,704^a	29,552^a	30,066^a	30,222^a	30,074^a	30,387^a	31,266	32,183	32,210
Black or African American	4,314	4,113^a	4,520	4,364	5,044	4,688	4,603	4,410	4,171^a	4,782	4,802
AIAN	163^a	219^a	187^a	357	366	323	271	270	317	246	333
NHOPI	*	*	*	*	*	112	204	89^a	181	193	198
Asian	1,300^a	1,287^a	1,425^a	1,473^a	1,608	1,489^a	1,653	1,620	1,602^a	2,000	2,081
Two or More Races	666^a	757^a	584^a	847^a	709^a	995	989	1,142	1,061	1,198	1,160
Hispanic or Latino	4,855^a	4,874^a	4,837^a	4,589^a	5,665^a	6,018^a	5,758^a	5,502^a	6,053^a	6,028^a	6,850
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

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Table 10.1B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	17.7^a	18.1^a	18.1^a	17.8^a	18.6	18.5	18.1^a	17.9^a	18.3^a	18.9	19.1
AGE GROUP
18-25	18.5^a	18.0^a	18.1^a	18.5^a	19.6^a	19.4^a	20.1^a	21.7^a	22.1^a	25.8	26.3
26 or Older	17.6	18.2	18.1	17.7	18.4	18.3	17.8	17.2	17.6	17.8	18.0
26-49	20.7^a	21.6	20.9^a	20.3^a	21.2^a	21.5	20.4^a	20.9^a	21.1^a	22.2	22.5
50 or Older	14.1	14.5	15.1	15.0	15.8^a	15.3	15.4^a	14.0	14.5	13.8	14.0
GENDER
Male	13.6^a	14.2^a	14.8	14.2^a	14.9	14.4	14.1^a	14.3^a	14.5	15.1	15.2
Female	21.5^a	21.8	21.1^a	21.1^a	22.0	22.3	21.8	21.2^a	21.7^a	22.3	22.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	18.0^a	18.5^a	18.5^a	18.5^a	19.0	18.7	18.6^a	18.5^a	18.7^a	19.6	19.6
White	18.3^a	19.2^a	19.0^a	19.0^a	19.3^a	19.3^a	19.2^a	19.3^a	19.9	20.4	20.4
Black or African American	16.7	15.6	16.9	16.3	18.6^a	16.9	16.3	15.4	14.5	16.2	16.2
AIAN	17.3	20.0	17.4	27.7	28.3	26.0	21.2	21.2	22.8	18.9	22.1
NHOPI	*	*	*	*	*	14.4	22.3	14.8	16.7	19.4	21.1
Asian	13.3	12.8	13.7	13.1	13.9	12.3	13.1	12.0	12.1	14.5	14.7
Two or More Races	26.5	31.1	22.0	25.8	20.7^a	28.1	27.1	29.5	26.5	28.6	26.8
Hispanic or Latino	16.0	15.7	15.2	13.5^a	16.3	16.9	15.6	14.5^a	15.7	15.2^a	16.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

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Table 10.2A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	39,826^a	41,195^a	41,417^a	41,381^a	43,714^a	43,846^a	43,553^a	43,421^a	44,652^a	46,632	47,635
GEOGRAPHIC REGION
Northeast	7,865	7,587	7,890	6,966^a	7,723	7,701	7,666	7,706	7,910	7,920	8,291
Midwest	9,075^a	9,169^a	9,369^a	9,020^a	9,173^a	9,461^a	9,436^a	9,167^a	8,934^a	10,230	10,329
South	13,905^a	14,604^a	14,656^a	15,362^a	16,282	16,014	15,877^a	16,273	16,638	16,847	16,946
West	8,980^a	9,835^a	9,502^a	10,033^a	10,536^a	10,670^a	10,573^a	10,275^a	11,169	11,634	12,068
COUNTY TYPE²
Large Metro	21,077^a	21,986^a	21,967^a	21,234^a	23,221^a	23,763^a	23,371^a	23,474^a	24,038^a	25,223	25,715
Small Metro	12,622^a	13,011^a	13,151^a	13,905^a	14,040	13,492^a	13,260^a	13,832^a	14,068^a	14,626	15,312
Nonmetro	6,127	6,198	6,299	6,243	6,452	6,591	6,922	6,114	6,546	6,782	6,608
Urbanized	2,554^a	2,418^a	2,500^a	2,589	2,646	2,976	2,975	2,666	2,461^a	2,973	3,153
Less Urbanized	2,997	3,222	3,155	3,170	3,191	3,047	3,260	2,731	3,491^a	3,214	2,820
Completely Rural	576	558	644	484	615	568	687	717	594	596	635
POVERTY LEVEL³
Less Than 100%	6,402^a	6,955^a	7,323^a	8,428	9,945	9,109	9,358	8,963	8,665	8,766	9,094
100-199%	8,925^a	8,885^a	9,756	9,813	9,890	9,721	10,046	9,597	10,727	10,136	10,091
200% or More	24,313^a	25,148^a	24,187^a	23,005^a	23,669^a	24,876^a	23,969^a	24,720^a	25,068^a	27,528	28,246
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	5,822	5,538	5,320	5,628
High School Graduate	nc	nc	nc	nc	nc	nc	nc	10,621	10,813	10,343	11,110
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	15,450^a	15,797^a	16,525	17,171
College Graduate	nc	nc	nc	nc	nc	nc	nc	11,528^a	12,504^a	14,444	13,725
HEALTH INSURANCE⁴
Private	23,775^a	24,949^a	23,693^a	22,565^a	23,589^a	25,011^a	24,456^a	24,972^a	26,307^a	27,933	28,245
Medicaid/CHIP	5,287^a	5,767^a	6,084^a	6,664^a	7,085^a	7,282^a	8,776^a	9,147^a	9,845	10,090	10,410
Other⁵	8,227^a	8,587^a	9,815^a	9,727^a	11,458	10,796	11,620	10,971	10,990	10,845	11,142
No Coverage	7,751^a	7,446^a	7,863^a	8,095^a	8,423^a	7,725^a	6,206^a	5,235	4,636^a	4,901	5,371
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

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Table 10.2B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	17.7^a	18.1^a	18.1^a	17.8^a	18.6	18.5	18.1^a	17.9^a	18.3^a	18.9	19.1
GEOGRAPHIC REGION
Northeast	18.9	18.0	18.7	16.3^a	18.0	17.8	17.6	17.6	18.1	18.0	18.9
Midwest	18.4^a	18.4	18.7	18.0^a	18.2^a	18.6	18.5^a	17.9^a	17.4^a	19.8	19.9
South	17.0	17.6	17.4	17.9	18.7	18.2	17.8	17.9	18.1	18.1	18.0
West	17.3^a	18.8	17.9^a	18.6	19.3	19.3	18.8^a	18.0^a	19.4	19.9	20.4
COUNTY TYPE²
Large Metro	17.1^a	17.8	17.4^a	16.8^a	18.0	18.2	17.3^a	17.3^a	17.6	18.2	18.6
Small Metro	18.5^a	18.6^a	18.8^a	19.0^a	19.6	18.7^a	18.8^a	18.7^a	19.2^a	20.1	20.6
Nonmetro	18.1	18.4	18.9	18.9	18.6	18.8	20.1	18.3	18.7	19.1	18.4
Urbanized	18.8	17.1	17.9	20.2	18.6	19.2	20.5	19.4	17.7	19.5	19.4
Less Urbanized	17.7	19.8^a	19.5	18.8	19.0	19.1	19.9^a	17.5	19.8^a	18.7	17.2
Completely Rural	17.6	17.2	20.8	14.2	16.6	15.9	19.7	17.1	17.6	19.1	18.9
POVERTY LEVEL³
Less Than 100%	25.2	25.1	24.7	25.8	26.8	26.1	25.7	24.4^a	24.5	25.6	26.3
100-199%	21.6	20.2	20.5	20.5	21.8	20.9	21.4	19.7	21.8	20.8	20.5
200% or More	15.5^a	16.3	16.0^a	15.2^a	15.6^a	16.0^a	15.4^a	15.8^a	15.7^a	16.8	17.2
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	16.9	17.2	17.3	18.2
High School Graduate	nc	nc	nc	nc	nc	nc	nc	17.2	17.7	17.3	18.0
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	20.9^a	20.8^a	21.5	22.3
College Graduate	nc	nc	nc	nc	nc	nc	nc	15.8^a	16.6	18.1	17.3
HEALTH INSURANCE⁴
Private	15.3^a	16.2^a	15.7^a	14.9^a	15.4^a	16.0^a	15.4^a	15.5^a	16.0^a	16.9	17.1
Medicaid/CHIP	28.7	29.9	28.8	28.7	30.5	30.3	29.7	27.1	28.2	27.9	28.3
Other⁵	15.9	16.3	18.1	17.4	19.5^a	17.9	18.5^a	16.7	16.5	16.0	16.3
No Coverage	22.8	20.5	20.4	21.3	22.3	20.8	20.9	20.4	19.9	20.9	21.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

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Table 10.3A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	8,331^a	8,383^a	9,334^a	9,011^a	9,570^a	10,018^a	9,822^a	9,765^a	10,360^a	11,190	11,373
AGE GROUP
18-25	1,236^a	1,124^a	1,334^a	1,296^a	1,423^a	1,468^a	1,681^a	1,756^a	2,035^a	2,566	2,619
26 or Older	7,095^a	7,258^a	7,999	7,715^a	8,146	8,549	8,142	8,009	8,325	8,625	8,755
26-49	4,763^a	4,858^a	5,132^a	4,951^a	5,065^a	5,193^a	4,807^a	4,896^a	5,279^a	5,580	5,907
50 or Older	2,332	2,401	2,868	2,764	3,082	3,356	3,335	3,113	3,047	3,044	2,848
GENDER
Male	2,868^a	2,847^a	3,351^a	3,218^a	3,619	3,949	3,580	3,464^a	3,588	3,883	4,025
Female	5,463^a	5,535^a	5,983^a	5,793^a	5,951^a	6,068^a	6,242^a	6,301^a	6,772	7,307	7,348
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,553^a	7,486^a	8,304^a	8,163^a	8,038^a	8,681^a	8,532^a	8,651^a	8,975^a	9,935	9,902
White	6,515^a	6,341^a	6,743^a	6,899^a	6,608^a	7,206^a	6,947^a	7,137^a	7,494	8,127	8,076
Black or African American	657^a	719^a	1,028	743^a	927	792^a	880	830	881	1,023	1,077
AIAN	28^a	53	87	126	111	72	51	80	68	66	97
NHOPI	9	*	*	*	17	10	27	11	21	48	43
Asian	220	164^a	232	214	233	352	300	227	211	333	303
Two or More Races	124^a	183^a	196	151^a	144^a	250	327	366	300	338	307
Hispanic or Latino	778^a	897^a	1,030^a	848^a	1,531	1,337	1,290	1,114^a	1,386	1,255	1,471
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

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Table 10.3B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	3.7^a	3.7^a	4.1^a	3.9^a	4.1^a	4.2	4.1^a	4.0^a	4.2^a	4.5	4.6
AGE GROUP
18-25	3.8^a	3.3^a	3.9^a	3.8^a	4.1^a	4.2^a	4.8^a	5.0^a	5.9^a	7.5	7.7
26 or Older	3.7	3.7	4.1	3.9	4.1	4.2	4.0	3.9	4.0	4.1	4.1
26-49	4.8^a	4.9^a	5.2^a	5.0^a	5.2^a	5.3	4.9^a	5.0^a	5.3^a	5.6	5.9
50 or Older	2.5	2.5	3.0	2.8	3.0	3.2^a	3.1^a	2.8	2.7	2.7	2.5
GENDER
Male	2.6^a	2.6^a	3.0	2.9^a	3.2	3.5	3.1	3.0	3.0	3.3	3.4
Female	4.7^a	4.7^a	5.1^a	4.8^a	4.9^a	4.9^a	5.0^a	5.0^a	5.3	5.7	5.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	3.9^a	3.8^a	4.2^a	4.1^a	4.0^a	4.3^a	4.2^a	4.2^a	4.4^a	4.8	4.8
White	4.2^a	4.1^a	4.3^a	4.4^a	4.2^a	4.6^a	4.4^a	4.5^a	4.8	5.2	5.1
Black or African American	2.5^a	2.7^a	3.9	2.8	3.4	2.9	3.1	2.9	3.1	3.5	3.6
AIAN	3.0	4.8	8.1	9.8	8.5	5.8	4.0	6.3	4.9	5.1	6.4
NHOPI	1.2	*	*	*	1.8	1.3	2.9	1.8	1.9	4.8	4.5
Asian	2.2	1.6	2.2	1.9	2.0	2.9	2.4	1.7	1.6	2.4	2.1
Two or More Races	4.9	7.5	7.4	4.6	4.2^a	7.1	8.9	9.5	7.5	8.1	7.1
Hispanic or Latino	2.6^a	2.9	3.2	2.5^a	4.4	3.7	3.5	2.9	3.6	3.2	3.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.4A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	8,331^a	8,383^a	9,334^a	9,011^a	9,570^a	10,018^a	9,822^a	9,765^a	10,360^a	11,190	11,373
GEOGRAPHIC REGION
Northeast	1,619	1,476	1,651	1,436^a	1,569	1,660	1,744	1,716	1,767	1,711	1,805
Midwest	1,968^a	2,151^a	2,276	2,109^a	1,983^a	2,263	2,304	2,125^a	2,208^a	2,448	2,639
South	2,785^a	2,827^a	3,113^a	3,108^a	3,572	3,873	3,521^a	3,604	3,745	4,177	4,027
West	1,959^a	1,928^a	2,293^a	2,357^a	2,445	2,221^a	2,253^a	2,319^a	2,641	2,854	2,902
COUNTY TYPE²
Large Metro	4,465^a	4,344^a	4,783^a	4,230^a	4,936^a	5,093	5,141	5,108^a	5,448	5,579	5,740
Small Metro	2,708^a	2,618^a	3,022^a	3,267^a	3,239^a	3,057^a	3,079^a	3,075^a	3,410	3,752	3,932
Nonmetro	1,158^a	1,421	1,528	1,514	1,395	1,868	1,602	1,582	1,503	1,859	1,701
Urbanized	549	528^a	673	634	490^a	866	693	756	578	793	753
Less Urbanized	526^a	716	649	748	742	843	748	667	799	947	754
Completely Rural	83	177	206	132	162	160	161	158	126	120	194
POVERTY LEVEL³
Less Than 100%	1,486^a	1,792^a	2,075^a	2,481	2,685	2,681	2,560	2,481	2,366	2,508	2,722
100-199%	2,046	1,993^a	2,242	2,199	2,338	2,391	2,393	2,096	2,751	2,674	2,439
200% or More	4,764^a	4,551^a	4,987^a	4,293^a	4,503^a	4,916^a	4,815^a	5,154^a	5,180^a	5,958	6,164
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,237	1,147	1,266	1,218
High School Graduate	nc	nc	nc	nc	nc	nc	nc	2,238^a	2,418	2,667	2,821
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	3,964^a	4,346	4,469	4,557
College Graduate	nc	nc	nc	nc	nc	nc	nc	2,326^a	2,449	2,788	2,778
HEALTH INSURANCE⁴
Private	4,502^a	4,099^a	4,765^a	3,967^a	4,106^a	4,767^a	4,656^a	5,093^a	5,334^a	5,813	5,977
Medicaid/CHIP	1,438^a	1,680^a	1,694^a	2,033^a	1,965^a	1,988^a	2,434^a	2,436^a	2,831	2,978	2,978
Other⁵	1,706^a	1,799^a	2,204	1,941	2,569	2,499	2,572	2,622	2,226	2,533	2,338
No Coverage	1,678	1,710	1,909^a	1,972^a	2,290^a	2,208^a	1,556	1,202^a	1,298	1,369	1,524
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.4B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	3.7^a	3.7^a	4.1^a	3.9^a	4.1^a	4.2	4.1^a	4.0^a	4.2^a	4.5	4.6
GEOGRAPHIC REGION
Northeast	3.9	3.5	3.9	3.4	3.7	3.8	4.0	3.9	4.0	3.9	4.1
Midwest	4.0^a	4.3	4.6	4.2^a	3.9^a	4.5	4.5	4.1^a	4.3^a	4.7	5.1
South	3.4^a	3.4^a	3.7	3.6^a	4.1	4.4	3.9	4.0	4.1	4.5	4.3
West	3.8^a	3.7^a	4.3	4.4	4.5	4.0^a	4.0^a	4.1^a	4.6	4.9	4.9
COUNTY TYPE²
Large Metro	3.6^a	3.5^a	3.8	3.3^a	3.8	3.9	3.8	3.8	4.0	4.0	4.1
Small Metro	4.0^a	3.7^a	4.3^a	4.5^a	4.5^a	4.2^a	4.4^a	4.2^a	4.6	5.1	5.3
Nonmetro	3.4^a	4.2	4.6	4.6	4.0	5.3	4.7	4.7	4.3	5.2	4.7
Urbanized	4.0	3.7	4.8	4.9	3.4	5.6	4.8	5.5	4.2	5.2	4.6
Less Urbanized	3.1^a	4.4	4.0	4.4	4.4	5.3	4.6	4.3	4.5	5.5	4.6
Completely Rural	2.5^a	5.5	6.7	3.9	4.4	4.5	4.6	3.8	3.7	3.8	5.8
POVERTY LEVEL³
Less Than 100%	5.9^a	6.5^a	7.0	7.6	7.2	7.7	7.0	6.8^a	6.7^a	7.3	7.9
100-199%	4.9	4.5	4.7	4.6	5.2	5.1	5.1	4.3	5.6	5.5	5.0
200% or More	3.0^a	2.9^a	3.3^a	2.8^a	3.0^a	3.2^a	3.1^a	3.3^a	3.3^a	3.6	3.8
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	3.6	3.6	4.1	3.9
High School Graduate	nc	nc	nc	nc	nc	nc	nc	3.6^a	4.0	4.5	4.6
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	5.4	5.7	5.8	5.9
College Graduate	nc	nc	nc	nc	nc	nc	nc	3.2	3.3	3.5	3.5
HEALTH INSURANCE⁴
Private	2.9^a	2.7^a	3.2^a	2.6^a	2.7^a	3.0^a	2.9^a	3.2^a	3.2^a	3.5	3.6
Medicaid/CHIP	7.8	8.7	8.0	8.7	8.5	8.3	8.2	7.2	8.1	8.2	8.1
Other⁵	3.3	3.4	4.1	3.5	4.4^a	4.1	4.1	4.0	3.3	3.7	3.4
No Coverage	4.9^a	4.7^a	4.9^a	5.2	6.1	5.9	5.2	4.7^a	5.6	5.9	6.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.5A – Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	31,495^a	32,813^a	32,083^a	32,371^a	34,144^a	33,828^a	33,730^a	33,656^a	34,291^a	35,441	36,262
AGE GROUP
18-25	4,863^a	4,919^a	4,817^a	5,060^a	5,351^a	5,286^a	5,333^a	5,818^a	5,600^a	6,283	6,326
26 or Older	26,632^a	27,894^a	27,266^a	27,310^a	28,793	28,543	28,397^a	27,838^a	28,691	29,158	29,936
26-49	15,934	16,597	15,516^a	14,986^a	15,712^a	15,868	15,201^a	15,693^a	15,624^a	16,676	16,815
50 or Older	10,698^a	11,297^a	11,750^a	12,325	13,081	12,675	13,197	12,144	13,067	12,482	13,121
GENDER
Male	11,910^a	12,767^a	13,110^a	12,677^a	13,237^a	12,503^a	12,791^a	13,321^a	13,554	14,181	14,283
Female	19,585^a	20,045^a	18,973^a	19,694^a	20,907	21,325	20,940	20,335^a	20,738^a	21,260	21,979
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	27,418^a	28,835^a	28,276^a	28,630^a	30,010	29,147^a	29,263^a	29,268^a	29,624	30,668	30,882
White	21,771^a	23,458	22,961	22,654^a	23,458	23,016	23,127	23,250	23,772	24,057	24,134
Black or African American	3,657	3,394	3,492	3,621	4,118	3,896	3,722	3,580	3,290	3,759	3,726
AIAN	135	166	100^a	231	256	251	220	190	249	179	235
NHOPI	*	*	*	*	*	102	*	78	160	145	156
Asian	1,080^a	1,123^a	1,193^a	1,259^a	1,376	1,137^a	1,353^a	1,393	1,391	1,668	1,778
Two or More Races	543^a	574^a	388^a	696	565^a	745	663	777	761	860	853
Hispanic or Latino	4,077^a	3,977^a	3,807^a	3,741^a	4,134^a	4,681^a	4,467^a	4,388^a	4,667^a	4,773	5,380
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.5B – Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	14.0	14.4	14.0	13.9	14.5	14.2	14.0	13.9^a	14.0	14.3	14.6
AGE GROUP
18-25	14.8^a	14.6^a	14.1^a	14.8^a	15.5^a	15.2^a	15.3^a	16.7^a	16.2^a	18.3	18.6
26 or Older	13.9	14.4	14.0	13.8	14.4	14.1	13.8	13.4	13.7	13.7	13.9
26-49	16.0	16.7	15.7	15.3^a	16.0	16.2	15.5^a	15.9	15.8^a	16.6	16.7
50 or Older	11.6	12.0	12.2	12.3	12.8	12.1	12.3	11.1	11.8	11.1	11.5
GENDER
Male	11.0^a	11.6	11.8	11.3	11.7	10.9^a	11.1^a	11.4	11.5	11.9	11.9
Female	16.8	17.1	16.0^a	16.3	17.1	17.3	16.8	16.2^a	16.4	16.6	17.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14.1	14.7	14.3	14.4	15.0	14.4	14.4	14.3	14.4	14.8	14.8
White	14.1^a	15.1	14.7	14.6	15.1	14.7	14.8	14.8	15.1	15.3	15.3
Black or African American	14.2	12.9	13.1	13.5	15.2^a	14.0	13.2	12.5	11.4	12.8	12.6
AIAN	14.3	15.2	9.3	17.9	19.7	20.2	17.2	14.9	17.9	13.8	15.6
NHOPI	*	*	*	*	*	13.2	*	13.0	14.7	14.6	16.5
Asian	11.0	11.2	11.5	11.2	11.9	9.4^a	10.7	10.3	10.5	12.1	12.5
Two or More Races	21.6	23.6	14.6	21.2	16.5	21.1	18.2	20.1	19.0	20.5	19.7
Hispanic or Latino	13.4	12.8	12.0	11.0^a	11.9	13.1	12.1	11.6^a	12.1	12.0	13.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.6A – Co-Occurring Substance Use Disorder and Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group: Numbers in Thousands, 2015-2018
Substance Use Disorder (SUD)/Mental Illness/Age Group	2015	2016	2017	2018
SUD and Any Mental Illness	8,069^a	8,249^a	8,526	9,187
18-25	2,060^a	2,123^a	2,376	2,447
26 or Older	6,010^a	6,126	6,150	6,740
26-49	4,285^a	4,462^a	4,369^a	5,020
50 or Older	1,725	1,663	1,782	1,720
SUD and Serious Mental Illness	2,323^a	2,627^a	3,092	3,166
18-25	593^a	711^a	947	879
26 or Older	1,730^a	1,916^a	2,145	2,287
26-49	1,307^a	1,421^a	1,584	1,726
50 or Older	422	496	562	560
SUD and Any Mental Illness Excluding Serious Mental Illness	5,747	5,622	5,434^a	6,021
18-25	1,467	1,412	1,429	1,568
26 or Older	4,280	4,209	4,005	4,453
26-49	2,978	3,042	2,785^a	3,294
50 or Older	1,302	1,167	1,220	1,159
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190417

Table 10.6B – Co-Occurring Substance Use Disorder and Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group: Percentages, 2015-2018
Substance Use Disorder (SUD)/Mental Illness/Age Group	2015	2016	2017	2018
SUD and Any Mental Illness	3.3^a	3.4^a	3.4	3.7
18-25	5.9^a	6.1^a	6.9	7.2
26 or Older	2.9	2.9	2.9	3.1
26-49	4.3^a	4.5	4.4^a	5.0
50 or Older	1.6	1.5	1.6	1.5
SUD and Serious Mental Illness	1.0^a	1.1^a	1.3	1.3
18-25	1.7^a	2.1^a	2.8	2.6
26 or Older	0.8^a	0.9	1.0	1.1
26-49	1.3^a	1.4^a	1.6	1.7
50 or Older	0.4	0.4	0.5	0.5
SUD and Any Mental Illness Excluding Serious Mental Illness	2.4	2.3	2.2	2.4
18-25	4.2	4.1	4.2	4.6
26 or Older	2.1	2.0	1.9	2.1
26-49	3.0	3.1	2.8^a	3.3
50 or Older	1.2	1.1	1.1	1.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190417

Table 10.7A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2002-2018
Demographic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	27,215^a	27,939^a	27,502^a	28,166^a	28,405^a	29,556^a	30,201^a	30,341^a	31,490^a	31,642^a	34,122^a	34,644^a	35,498^a	34,243^a	34,982^a	36,416	37,101
AGE GROUP
18-25	3,256^a	3,511^a	3,459^a	3,615^a	3,526^a	3,387^a	3,612^a	3,740^a	3,717^a	3,899^a	4,120^a	4,221^a	4,135^a	4,044^a	4,423^a	5,073	5,120
26 or Older	23,959^a	24,428^a	24,042^a	24,551^a	24,879^a	26,168^a	26,588^a	26,601^a	27,773^a	27,743^a	30,002^a	30,423	31,362	30,198^a	30,558	31,343	31,981
26-49	14,492^a	14,476^a	14,348^a	13,889^a	14,054^a	14,311^a	14,030^a	14,481^a	14,627^a	14,543^a	14,811^a	15,101^a	14,930^a	15,057^a	15,154^a	15,695	16,113
50 or Older	9,466^a	9,952^a	9,695^a	10,661^a	10,825^a	11,857^a	12,559^a	12,120^a	13,146^a	13,200^a	15,191	15,322	16,432	15,142	15,404	15,647	15,868
GENDER
Male	8,772^a	8,689^a	9,044^a	9,308^a	9,484^a	9,876^a	10,141^a	10,131^a	10,519^a	11,051^a	11,519	11,557	12,190	11,945	11,632	12,462	12,096
Female	18,442^a	19,250^a	18,458^a	18,858^a	18,921^a	19,680^a	20,060^a	20,210^a	20,970^a	20,592^a	22,603^a	23,087^a	23,308^a	22,298^a	23,350^a	23,954	25,006
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25,172^a	25,919^a	25,523^a	25,999^a	26,372^a	27,394^a	28,137^a	28,071^a	28,981^a	29,180^a	31,651^a	31,549^a	32,463	31,187^a	31,740^a	33,086	33,573
White	21,943^a	22,914^a	22,512^a	22,890^a	23,330^a	24,785^a	24,818^a	24,888^a	25,418^a	25,656^a	27,638	27,383^a	28,079	27,129^a	27,793	28,708	29,151
Black or African American	1,953^a	2,021^a	2,052^a	2,193	1,856^a	1,711^a	2,231	2,044^a	2,353	2,035^a	2,770	2,460	2,626	2,476	2,393	2,525	2,555
AIAN	227	136	143	169	130	128	124	*	145	210	199	193	178	199	208	170	211
NHOPI	29^a	*	*	*	58	*	*	*	*	21^a	52	32^a	87	39	60	53	98
Asian	668	424^a	422^a	365^a	518^a	382^a	442^a	358^a	545^a	728	505^a	768	849	674	663	823	894
Two or More Races	352^a	373^a	335^a	317^a	480	363^a	469	467	481	529	485	713	645	672	624	806	664
Hispanic or Latino	2,043^a	2,020^a	1,979^a	2,166^a	2,033^a	2,162^a	2,064^a	2,270^a	2,509^a	2,463^a	2,471^a	3,096	3,035	3,055	3,242	3,330	3,528
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190417

Table 10.7B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2002-2018
Demographic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	13.0^a	13.2^a	12.8^a	13.0^a	12.9^a	13.3^a	13.5^a	13.4^a	13.8^a	13.6^a	14.5	14.6	14.8	14.2^a	14.4	14.8	15.0
AGE GROUP
18-25	10.5^a	11.1^a	10.8^a	11.2^a	10.8^a	10.4^a	11.0^a	11.2^a	11.0^a	11.4^a	12.0^a	12.2^a	11.9^a	11.7^a	12.9^a	14.9	15.2
26 or Older	13.4^a	13.5^a	13.2^a	13.3^a	13.3^a	13.8^a	13.9^a	13.8^a	14.3	14.0^a	15.0	15.0	15.3	14.6	14.6	14.8	15.0
26-49	14.5^a	14.5^a	14.4^a	13.9^a	14.0^a	14.3^a	14.1^a	14.6^a	14.9^a	14.9^a	15.2	15.5	15.3^a	15.3	15.4	15.7	16.1
50 or Older	12.0^a	12.3^a	11.7^a	12.5^a	12.4^a	13.2	13.7	12.9	13.6	13.2	14.8	14.6	15.4^a	13.9	14.0	14.0	14.0
GENDER
Male	8.7^a	8.5^a	8.8^a	8.9^a	8.9^a	9.2^a	9.4	9.3^a	9.5	9.9	10.2	10.1	10.6	10.3	9.9	10.5	10.1
Female	16.9^a	17.5^a	16.6^a	16.8^a	16.6^a	17.1^a	17.3^a	17.2^a	17.8^a	17.1^a	18.6	18.8	18.8	17.8^a	18.5^a	18.8	19.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13.6^a	13.9^a	13.6^a	13.7^a	13.8^a	14.2^a	14.5^a	14.3^a	14.7^a	14.7^a	15.8	15.7	16.0	15.3^a	15.5^a	16.0	16.2
White	14.7^a	15.2^a	14.9^a	15.1^a	15.3^a	16.1^a	16.1^a	16.0^a	16.3^a	16.6^a	17.8	17.6^a	18.0	17.3^a	17.7	18.3	18.6
Black or African American	8.5	8.5	8.5	8.9	7.4	6.8^a	8.7	7.8	8.9	7.6	10.2	8.9	9.4	8.7	8.4	8.7	8.7
AIAN	17.7	12.6	12.6	15.4	11.9	11.6	13.2	*	13.5	16.3	15.4	15.7	14.1	15.6	15.2	13.2	14.1
NHOPI	3.9	*	*	*	7.0	*	*	*	*	2.5^a	5.3	4.2	9.5	6.5	5.5	5.6	10.9
Asian	8.3	4.9	4.7	4.0^a	5.6	4.0^a	4.5	3.6^a	5.3	6.5	4.4	6.4	6.8	5.0	5.1	6.0	6.3
Two or More Races	16.6	17.5	15.8	14.4	21.6	15.8	18.9	19.2	18.2	16.2	14.2	20.2	17.7	17.5	15.6	19.4	15.4
Hispanic or Latino	8.2	7.8	7.4	7.8	7.1^a	7.3	6.8^a	7.3	7.9	7.3^a	7.1^a	8.7	8.3	8.1	8.5	8.4	8.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190417

Table 10.8A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2002-2018
Geographic/Socioeconomic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	27,215^a	27,939^a	27,502^a	28,166^a	28,405^a	29,556^a	30,201^a	30,341^a	31,490^a	31,642^a	34,122^a	34,644^a	35,498^a	34,243^a	34,982^a	36,416	37,101
GEOGRAPHIC REGION
Northeast	5,581^a	5,557^a	5,397^a	5,709^a	5,540^a	6,174^a	5,749^a	5,469^a	6,292^a	5,978^a	6,113^a	6,709	6,793	6,764	6,971	6,737	7,369
Midwest	6,160^a	6,837^a	6,577^a	6,790^a	6,755^a	6,738^a	7,046^a	7,187^a	7,266^a	7,531^a	7,858^a	8,181	8,274	7,683^a	8,461	8,573	8,868
South	9,214^a	9,871^a	9,364^a	9,976^a	9,934^a	10,394^a	10,285^a	11,141^a	10,793^a	11,236^a	12,632	11,970	12,606	12,067	12,297	12,875	12,569
West	6,259^a	5,674^a	6,164^a	5,690^a	6,177^a	6,249^a	7,121^a	6,544^a	7,140^a	6,897^a	7,519	7,784	7,826	7,729	7,253^a	8,232	8,296
COUNTY TYPE¹
Large Metro	14,472^a	14,466^a	14,225^a	14,415^a	14,907^a	14,976^a	15,922^a	15,521^a	16,444^a	16,018^a	17,730^a	18,432	18,976	18,551	18,884	19,633	19,362
Small Metro	8,615^a	9,032^a	9,034^a	9,181^a	8,483^a	9,594^a	9,654^a	10,108^a	10,305^a	11,002^a	11,099^a	11,062^a	11,192^a	11,210	11,115^a	11,627	12,252
Nonmetro	4,128^a	4,441^a	4,243^a	4,569^a	5,016	4,986	4,624^a	4,712^a	4,741^a	4,622^a	5,293	5,150	5,330	4,481^a	4,983	5,156	5,486
Urbanized	1,936^a	1,947^a	1,856^a	1,742^a	1,893^a	2,150	2,038^a	1,807^a	2,097	1,786^a	2,316	2,303	2,245	1,977^a	1,905^a	2,233	2,585
Less Urbanized	1,887^a	2,057	2,017	2,360	2,604	2,433	2,244	2,432	2,175	2,491	2,477	2,397	2,561	1,957	2,623	2,425	2,338
Completely Rural	305^a	437	370	467	520	403	341	473	469	346	500	450	523	547	455	498	563
POVERTY LEVEL²
Less Than 100%	3,443^a	3,640^a	4,248^a	4,326^a	3,529^a	4,310^a	3,902^a	4,332^a	4,736^a	5,179	5,939	5,988	6,147	5,302	5,639	5,835	5,832
100-199%	4,917^a	5,161^a	4,836^a	4,897^a	5,263^a	5,213^a	5,651	5,619	6,426	6,472	6,295	6,293	6,982^a	6,347	7,125^a	6,827^a	6,116
200% or More	18,700^a	19,025^a	18,306^a	18,814^a	19,501^a	19,931^a	20,530^a	20,238^a	20,214^a	19,871^a	21,721^a	22,275^a	22,218^a	22,520^a	22,108^a	23,646	25,042
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3,239	3,361	3,239	3,172
High School Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7,634	7,291	7,224	7,167
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	11,714^a	12,243	12,696	12,994
College Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	11,656^a	12,087^a	13,257	13,768
HEALTH INSURANCE³
Private	19,740^a	19,626^a	19,068^a	18,318^a	19,494^a	19,407^a	20,564^a	19,691^a	20,324^a	19,879^a	21,618^a	22,294^a	22,033^a	22,805^a	22,660^a	23,813	24,849
Medicaid/CHIP	3,194^a	3,630^a	3,912^a	4,558^a	3,652^a	4,393^a	4,036^a	4,520^a	4,567^a	5,133^a	4,936^a	5,510^a	6,717	6,288	7,295	7,597^a	6,834
Other⁴	--	6,078^a	5,909^a	6,710^a	6,528^a	7,517^a	7,811^a	7,384^a	8,079^a	8,128^a	9,604	9,452	11,296	10,186	9,866	10,027	10,363
No Coverage	2,678^a	2,744^a	2,701^a	3,001^a	2,913^a	2,991^a	3,102^a	3,307^a	3,540^a	3,334^a	3,906^a	3,747^a	2,842^a	1,787	1,816	1,916	1,985
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2002 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190417

Table 10.8B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2002-2018
Geographic/Socioeconomic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	13.0^a	13.2^a	12.8^a	13.0^a	12.9^a	13.3^a	13.5^a	13.4^a	13.8^a	13.6^a	14.5	14.6	14.8	14.2^a	14.4	14.8	15.0
GEOGRAPHIC REGION
Northeast	13.8^a	13.7^a	13.2^a	13.9^a	13.4^a	15.0^a	13.8^a	13.0^a	14.9^a	14.1^a	14.3^a	15.6	15.7	15.6	16.1	15.4^a	16.9
Midwest	12.9^a	14.3^a	13.6^a	13.9^a	13.8^a	13.7^a	14.3^a	14.5^a	14.6^a	15.0^a	15.6^a	16.1	16.2	15.1^a	16.5	16.7	17.2
South	12.3	13.0	12.2^a	12.7	12.5	12.9	12.6	13.5	12.9	13.1	14.5	13.6	14.2	13.4	13.5	13.9	13.4
West	13.3	11.9^a	12.7	11.6^a	12.3^a	12.2^a	13.8	12.5^a	13.5	12.9	13.8	14.1	14.0	13.6	12.6^a	14.2	14.1
COUNTY TYPE¹
Large Metro	12.7^a	12.7^a	12.2^a	12.1^a	12.2^a	12.3^a	13.0^a	12.6^a	13.1	12.7^a	13.8	14.2	14.1	13.8	13.9	14.2	14.1
Small Metro	13.7^a	13.9^a	14.1^a	14.1^a	13.4^a	14.4^a	14.2^a	14.5^a	14.8^a	15.1^a	15.6	15.4	15.9	15.2^a	15.2^a	16.0	16.6
Nonmetro	12.6^a	13.6^a	12.7^a	13.8^a	14.4	14.7	13.7	14.0	14.3	14.0	15.3	14.7	15.6	13.5^a	14.3	14.6	15.4
Urbanized	15.1	13.9	13.6	14.2	14.7	16.2	15.0	12.8^a	15.0	13.9	16.3	14.9	15.5	14.5	13.7^a	14.7	16.0
Less Urbanized	11.7^a	13.7	12.0^a	13.8	14.3	14.6	13.3	14.9	13.5	14.9	14.8	15.0	15.7	12.6	14.9	14.2	14.4
Completely Rural	8.1^a	12.1	12.6	12.1^a	13.8	10.1^a	10.4^a	14.6	15.1	10.1^a	13.6	12.6	15.1	13.1	13.5	16.1	17.1
POVERTY LEVEL²
Less Than 100%	16.9	16.3	17.4	17.3	13.8^a	16.9	15.5	15.8	16.1	15.9	16.1	17.3	17.0	14.6^a	16.1	17.2	17.1
100-199%	12.5	12.9	12.4	12.1	12.4	13.1	13.7	12.8	13.5	13.6	13.9	13.6	15.0^a	13.1	14.6^a	14.1^a	12.5
200% or More	12.6^a	12.8^a	12.2^a	12.5^a	12.9^a	12.8^a	13.1^a	13.1^a	13.4^a	13.2^a	14.3^a	14.4^a	14.3^a	14.4^a	13.9^a	14.5	15.3
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	9.5	10.5	10.6	10.4
High School Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	12.5	12.0	12.2	11.7
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	15.9	16.2	16.6	16.9
College Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	16.0^a	16.1^a	16.7	17.4
HEALTH INSURANCE³
Private	12.8^a	12.9^a	12.5^a	12.0^a	12.7^a	12.6^a	13.2^a	12.8^a	13.5^a	13.1^a	14.2^a	14.3	13.9^a	14.2^a	13.8^a	14.5	15.1
Medicaid/CHIP	19.2	22.8^a	23.2^a	25.2^a	21.7^a	24.0^a	22.0^a	23.6^a	21.7^a	22.2^a	21.4^a	23.1^a	22.8^a	18.7	21.1^a	21.2^a	18.7
Other⁴	--	13.0^a	12.6^a	13.7	13.2^a	14.9	15.2	14.0	14.9	14.6	16.4	15.7	18.1^a	15.6	14.9	14.9	15.3
No Coverage	9.7	9.1	8.7	9.5	8.7	8.8	9.2	9.2	9.2	8.8	10.4^a	10.1^a	9.6^a	7.0	7.9	8.3	8.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2002 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190417

Table 10.9A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	16,245^a	16,503^a	17,510^a	16,847^a	17,874^a	19,558	19,414	18,637^a	19,165^a	19,813	20,579
AGE GROUP
18-25	1,842^a	1,929^a	1,999^a	2,086^a	2,332^a	2,335^a	2,351^a	2,409^a	2,671^a	3,384	3,328
26 or Older	14,403^a	14,574^a	15,511^a	14,761^a	15,542^a	17,223	17,064	16,228	16,493	16,429	17,251
26-49	8,552^a	8,728^a	8,912^a	8,190^a	8,708^a	9,138	8,836^a	8,901^a	8,980^a	9,595	9,950
50 or Older	5,852^a	5,846^a	6,599	6,571	6,834	8,085	8,228	7,327	7,513	6,834	7,301
GENDER
Male	4,859^a	5,471^a	5,559^a	5,434^a	5,562^a	6,219	6,215	6,067	5,784	6,263	6,372
Female	11,386^a	11,032^a	11,951^a	11,413^a	12,312^a	13,339	13,199	12,570^a	13,381	13,551	14,207
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	15,138^a	15,219^a	15,913^a	15,647^a	16,308^a	17,516	17,529	16,911^a	17,297	17,860	18,330
White	13,275^a	13,431^a	13,984^a	13,523^a	13,866^a	14,954	14,901	14,525^a	15,158	15,401	15,761
Black or African American	1,238	1,079^a	1,326	1,266	1,717	1,484	1,485	1,380	1,223	1,448	1,468
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	230^a	265^a	301^a	265^a	*	546	356	345	403	518
Two or More Races	*	367	*	*	283	480	453	523	394	457	365
Hispanic or Latino	1,107^a	1,283^a	1,597^a	1,199^a	1,566^a	2,042	1,885	1,726^a	1,868	1,953	2,249
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.9B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	40.9^a	40.2^a	42.4	40.8^a	41.0^a	44.7	44.7	43.1	43.1	42.6	43.3
AGE GROUP
18-25	30.3^a	32.0^a	32.6^a	32.9^a	34.5^a	34.7^a	33.6^a	32.0^a	35.1	38.4	37.3
26 or Older	42.9	41.6^a	44.1	42.2	42.2^a	46.5	46.8	45.4	44.7	43.6	44.7
26-49	41.4	40.8^a	43.3	41.1^a	42.0	43.5	44.2	43.3	43.1	43.3	43.9
50 or Older	45.2	42.8	45.1	43.6	42.4	50.5	49.9	48.3	46.8	44.2	45.8
GENDER
Male	33.1	35.2	33.8	34.2	33.1	37.9	38.0	36.3	33.9	34.8	34.9
Female	45.6^a	43.2^a	48.0	44.9^a	46.0	48.8	48.7	47.4	48.8	47.6	48.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	43.5	42.0^a	43.6	42.6^a	43.0	46.4	46.5	44.8	45.0	44.1	45.1
White	47.1	45.2^a	47.1	45.9^a	46.2^a	49.6	49.7	48.0	48.7	48.0	49.1
Black or African American	28.7	26.5	29.6	29.0	34.1	31.7	32.4	31.4	29.3	30.6	30.6
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	17.9	18.6	20.5	16.5	*	33.0	22.1	21.6	20.2	24.9
Two or More Races	*	48.4^a	*	*	40.1	48.4^a	45.9^a	46.1^a	37.1	38.4	31.8
Hispanic or Latino	22.8^a	26.4^a	33.0	26.2^a	27.8	34.1	32.8	31.5	31.0	32.6	32.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.10A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	16,245^a	16,503^a	17,510^a	16,847^a	17,874^a	19,558	19,414	18,637^a	19,165^a	19,813	20,579
GEOGRAPHIC REGION
Northeast	3,221	2,943^a	3,388	3,177^a	3,298	3,633	3,608	3,516	3,568	3,392	3,771
Midwest	3,816^a	3,945^a	4,046^a	3,954^a	4,163^a	4,578	4,441	4,306	4,332	4,730	4,842
South	5,691^a	5,826^a	6,017^a	5,997^a	6,600	6,945	7,010	6,618	6,886	7,083	7,057
West	3,516^a	3,789^a	4,058^a	3,719^a	3,813^a	4,402	4,356	4,196^a	4,379	4,609	4,909
COUNTY TYPE²
Large Metro	8,152^a	8,511^a	9,043^a	8,262^a	9,010^a	10,255	10,133	9,842	10,050	10,076	10,585
Small Metro	5,390^a	5,439^a	5,618^a	6,044^a	6,085^a	6,157^a	6,000^a	6,158^a	6,145^a	6,694	7,058
Nonmetro	2,702	2,552	2,850	2,541	2,779	3,147	3,282	2,637	2,970	3,044	2,935
Urbanized	1,174	1,060	1,179	989^a	1,086	1,398	1,382	1,195	988^a	1,268	1,314
Less Urbanized	1,314	1,220	1,340	1,359	1,426	1,472	1,588	1,124	1,703^a	1,449	1,292
Completely Rural	214	272	*	193	*	*	312	317	279	327	329
POVERTY LEVEL³
Less Than 100%	2,540^a	2,800^a	3,213^a	3,435^a	4,033	4,083	4,227	3,628	3,642	3,993	4,052
100-199%	3,436	3,325	3,934	3,938	3,808	3,936	4,202	3,732	4,425^a	4,188	3,753
200% or More	10,213^a	10,297^a	10,311^a	9,422^a	9,952^a	11,497^a	10,922^a	11,239^a	11,017^a	11,561^a	12,707
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,958	1,842	1,920	1,877
High School Graduate	nc	nc	nc	nc	nc	nc	nc	4,276	4,181	3,978	4,263
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	6,885^a	7,181	7,489	7,776
College Graduate	nc	nc	nc	nc	nc	nc	nc	5,517^a	5,961	6,426	6,663
HEALTH INSURANCE⁴
Private	10,132^a	9,923^a	10,312^a	9,436^a	9,909^a	11,135^a	10,824^a	11,299^a	11,359^a	11,668^a	12,721
Medicaid/CHIP	2,549^a	2,976^a	3,039^a	3,350^a	3,345^a	3,883^a	4,625	4,341	4,825	5,048	4,749
Other⁵	3,947^a	3,704^a	4,427	4,549	5,069	5,288	5,988^a	5,502	5,051	5,241	5,050
No Coverage	2,212^a	2,124^a	2,392^a	2,086^a	2,527^a	2,582^a	1,791^a	1,141^a	1,138^a	1,309	1,463
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.10B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	40.9^a	40.2^a	42.4	40.8^a	41.0^a	44.7	44.7	43.1	43.1	42.6	43.3
GEOGRAPHIC REGION
Northeast	41.0	38.9^a	43.0	45.6	42.7	47.3	47.2	46.0	45.4	43.1	45.6
Midwest	42.4^a	43.1	43.3	43.9	45.5	48.5	47.1	47.2	48.6	46.3	47.1
South	41.1	40.1	41.2	39.1	40.7	43.6	44.3	40.7	41.5	42.2	41.8
West	39.2	38.6	42.8	37.2	36.3	41.3	41.3	40.9	39.3	39.7	40.8
COUNTY TYPE²
Large Metro	38.8	38.9	41.2	39.0	38.9	43.2	43.5	42.1	42.0	40.1	41.2
Small Metro	43.0	41.9^a	42.8	43.5	43.4	45.9	45.3	44.7	43.9	45.9	46.3
Nonmetro	44.2	41.2	45.4	40.9	43.3	47.8	47.5	43.2	45.5	45.0	44.6
Urbanized	46.0	43.9	47.3	38.2	41.1	47.0	46.5	44.9	40.2	42.7	41.7
Less Urbanized	44.1	37.9^a	42.6	43.4	45.1	48.4	48.8	41.4	49.0	45.2	46.3
Completely Rural	37.2	49.0	*	39.8	*	*	45.4	44.3	47.0	54.8	51.9
POVERTY LEVEL³
Less Than 100%	40.1	40.5	44.0	40.8	40.8	44.9	45.3	40.7^a	42.1	45.9	44.8
100-199%	38.6	37.5	40.4	40.2	38.6	40.6	41.9^a	39.1	41.5^a	41.4^a	37.3
200% or More	42.1	41.0^a	42.7	41.1^a	42.1^a	46.3	45.7	45.6	44.1	42.1^a	45.1
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	33.9	33.4	36.4	33.5
High School Graduate	nc	nc	nc	nc	nc	nc	nc	40.4	38.9	38.5	38.4
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	44.7	45.5	45.5	45.5
College Graduate	nc	nc	nc	nc	nc	nc	nc	47.9	47.9	44.6^a	48.6
HEALTH INSURANCE⁴
Private	42.7	39.9^a	43.5	41.9^a	42.1^a	44.6	44.4	45.4	43.3	41.9^a	45.2
Medicaid/CHIP	48.5	52.2^a	50.1	50.5	47.5	53.4^a	52.8^a	47.6	49.2	50.3^a	45.7
Other⁵	48.4	43.3	45.2	46.9	44.4	49.0	51.7^a	50.5^a	46.2	48.4	45.5
No Coverage	28.7	28.6	30.6	25.8	30.1	33.6^a	28.9	21.9^a	24.6	26.9	27.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.11A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	5,458^a	5,576^a	6,283^a	5,838^a	6,004^a	6,857	6,724	6,362^a	6,705	7,454	7,277
AGE GROUP
18-25	567^a	617^a	714^a	673^a	753^a	791^a	904^a	887^a	1,046^a	1,466	1,406
26 or Older	4,891^a	4,958^a	5,568	5,165^a	5,251	6,065	5,820	5,474	5,659	5,989	5,870
26-49	3,192^a	3,133^a	3,446	3,144^a	3,216^a	3,552	3,180^a	3,231^a	3,480	3,687	3,753
50 or Older	1,699	1,826	2,123	2,021	2,035	2,514	2,640	2,243	2,179	2,301	2,118
GENDER
Male	1,717^a	1,711^a	2,024	1,902	2,082	2,509	2,223	2,017	2,053	2,239	2,267
Female	3,741^a	3,865^a	4,258^a	3,936^a	3,922^a	4,347^a	4,501	4,345^a	4,652	5,216	5,009
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,059^a	5,127^a	5,651^a	5,453^a	5,307^a	6,070	5,921	5,723^a	5,852	6,756	6,453
White	4,462^a	4,477^a	4,756^a	4,779^a	4,451^a	5,139	5,045	4,938	5,074	5,742	5,418
Black or African American	364^a	431	566	408^a	551	*	473	376^a	500	573	625
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	*	448^a	*	386^a	697	786	803	639	853	698	823
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.11B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	65.7	66.5	67.5	64.9	62.9	68.5^a	68.5^a	65.3	64.8	66.7	64.1
AGE GROUP
18-25	45.9^a	55.0	53.7	52.1	53.1	54.0	53.9	50.7	51.5	57.4	53.8
26 or Older	69.1	68.3	69.8	67.1	64.6	70.9	71.5^a	68.4	68.1	69.5	67.2
26-49	67.2	64.5	67.4	63.6	63.5	68.4	66.2	66.1	66.1	66.2	63.7
50 or Older	73.2	76.1	74.0	73.2	66.3	74.9	79.2	72.2	71.5	75.6	74.4
GENDER
Male	60.0	60.1	60.7	59.3	57.8	63.6	62.1	58.4	57.4	57.7	56.4
Female	68.7	69.9	71.2	68.0	66.0	71.6	72.1	69.1	68.8	71.5	68.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	67.2	68.5	68.2	66.9	66.2	69.9^a	69.4^a	66.3	65.3	68.1	65.3
White	68.7	70.6	70.7	69.4	67.4	71.3	72.7^a	69.3	67.9	70.7	67.2
Black or African American	55.4	60.3	55.1	54.9	60.4	*	53.7	45.3^a	56.8	56.2	58.0
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	*	50.0	*	45.5	45.7	58.9	62.2	57.6	61.6	56.2	56.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.12A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	5,458^a	5,576^a	6,283^a	5,838^a	6,004^a	6,857	6,724	6,362^a	6,705	7,454	7,277
GEOGRAPHIC REGION
Northeast	1,166	1,044	1,142	932	1,036	1,271	1,211	1,171	1,155	1,135	1,184
Midwest	1,325^a	1,414^a	1,625	1,470	1,361^a	1,590	1,653	1,439^a	1,514	1,693	1,780
South	1,717^a	1,894^a	1,972^a	1,885^a	2,231	2,511	2,394	2,355	2,472	2,690	2,625
West	1,250^a	1,224^a	1,545	1,551	1,375	1,484	1,466	1,397	1,565	1,936	1,688
COUNTY TYPE²
Large Metro	2,871^a	2,757^a	3,148	2,652^a	2,983^a	3,506	3,453	3,261	3,510	3,535	3,587
Small Metro	1,787^a	1,856^a	2,072^a	2,206	2,082^a	2,078^a	2,097^a	2,063^a	2,154	2,593	2,605
Nonmetro	800^a	962	1,063	981	939	1,273	1,174	1,037	1,040	1,326	1,084
Urbanized	*	374	*	380	364	*	494	436	363	569	481
Less Urbanized	*	443	457	515	497	630	566	479	565	665^a	458
Completely Rural	*	*	*	*	*	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	920^a	1,220^a	1,358^a	1,611	1,633	1,701	1,741	1,529	1,526	1,730	1,774
100-199%	1,320	1,171	1,393	1,355	1,445	1,620	1,669	1,310	1,778	1,827^a	1,470
200% or More	3,197^a	3,153^a	3,514	2,849^a	2,895^a	3,523	3,284^a	3,505	3,367^a	3,864	4,009
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	739	694	728	788
High School Graduate	nc	nc	nc	nc	nc	nc	nc	1,327	1,506	1,715	1,622
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	2,650	2,766	3,093	3,011
College Graduate	nc	nc	nc	nc	nc	nc	nc	1,646	1,740	1,918	1,856
HEALTH INSURANCE⁴
Private	3,085^a	2,679^a	3,410	2,536^a	2,777^a	3,329^a	3,192^a	3,439	3,429	3,892	3,922
Medicaid/CHIP	1,090^a	1,310^a	1,250^a	1,520^a	1,336^a	1,507^a	1,875	1,671^a	2,005	2,226	2,033
Other⁵	1,336^a	1,368	1,541	1,529	1,836	2,105	2,096	1,987	1,696	2,033	1,791
No Coverage	799	911	1,000^a	956^a	990^a	1,116^a	736	521^a	582	547	714
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.12B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	65.7	66.5	67.5	64.9	62.9	68.5^a	68.5^a	65.3	64.8	66.7	64.1
GEOGRAPHIC REGION
Northeast	72.2	70.7	69.2	64.9	66.0	76.6^a	69.5	68.3	65.6	66.7	65.6
Midwest	67.9	65.7	71.4	69.7	68.8	70.3	71.8	68.0	68.8	69.3	67.5
South	61.7	67.1	63.4	60.9	62.7	64.8	68.0	65.4	66.1	64.5	65.5
West	63.8	63.5	67.8^a	65.9	56.3	66.9	65.1	60.4	59.3	67.9^a	58.1
COUNTY TYPE²
Large Metro	64.4	63.5	65.8	62.7	60.6	68.9^a	67.2	63.9	64.5	63.5	62.5
Small Metro	66.1	70.9	68.9	67.7	64.5	68.0	68.2	67.4	63.4	69.2	66.4
Nonmetro	69.7	67.7	69.7	65.0	67.3	68.2	73.3^a	65.7	69.3	71.5	64.1
Urbanized	*	70.8	*	60.0	74.2	*	71.2	57.9	62.8	71.8	63.8
Less Urbanized	*	61.9	70.4	69.2	67.0	75.0^a	75.7^a	71.8	70.8	70.6	61.4
Completely Rural	*	*	*	*	*	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	61.9	68.1	65.9	64.9	60.9	63.5	68.0	62.0	64.7	69.1	65.3
100-199%	64.9	58.8	62.1	61.9	61.8	67.8	69.8^a	62.5	64.7	68.3^a	60.4
200% or More	67.2	69.3	70.6	66.5	64.5	71.7^a	68.2	68.0	65.1	65.0	65.1
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	60.2	61.1	57.8	64.9
High School Graduate	nc	nc	nc	nc	nc	nc	nc	59.4	62.3	64.4	57.7
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	66.9	63.7	69.2	66.2
College Graduate	nc	nc	nc	nc	nc	nc	nc	70.8	71.2	69.0	66.8
HEALTH INSURANCE⁴
Private	68.5	65.4	71.6^a	63.9	68.0	69.8	68.6	67.6	64.4	67.0	65.8
Medicaid/CHIP	75.9	78.1^a	74.4	74.9	68.0	75.8	77.0^a	68.7	71.1	74.9^a	68.3
Other⁵	78.3	76.1	70.3	78.8	71.5	84.3	81.5	76.1	76.2	80.4	76.6
No Coverage	48.2	53.3	52.5	48.8	43.2	50.6	47.3	43.5	44.8	40.2	47.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.13A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	13,955^a	13,839^a	13,980^a	14,795^a	16,248	15,086^a	16,083	15,606	15,817	16,603	16,522
AGE GROUP
18-25	1,770	1,811	1,718	1,813	1,788	1,886	1,785	1,635	1,752	1,689	1,792
26 or Older	12,185^a	12,028^a	12,262^a	12,982^a	14,460	13,200^a	14,299	13,970	14,065	14,913	14,730
26-49	5,478^a	5,753	5,715	6,354	6,103	5,963	6,094	6,156	6,174	6,100	6,163
50 or Older	6,707^a	6,274^a	6,547^a	6,629^a	8,357	7,237^a	8,204	7,815	7,891	8,813	8,567
GENDER
Male	5,282	4,660^a	4,961^a	5,617	5,958	5,339	5,975	5,878	5,848	6,199	5,724
Female	8,674^a	9,179^a	9,019^a	9,178^a	10,290	9,748^a	10,108	9,728^a	9,969	10,403	10,798
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12,998^a	12,852^a	13,068^a	13,532^a	15,343	14,033	14,934	14,277	14,443	15,226	15,243
White	11,543^a	11,457^a	11,434^a	12,133^a	13,772	12,429	13,178	12,605	12,635	13,307	13,390
Black or African American	993	964	1,027	770^a	1,054	975	1,141	1,096	1,170	1,077	1,087
AIAN	50	*	73	43	59	57	82	82	75	65	85
NHOPI	*	*	*	16	16	11	38^a	28	16	7	6
Asian	221	128^a	280	426	240	329	303	317	317	420	376
Two or More Races	*	100^a	221	144^a	202	232	192	149^a	230	349	300
Hispanic or Latino	958	987	912^a	1,263	905^a	1,054	1,150	1,329	1,374	1,377	1,279
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.13B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	7.6^a	7.5^a	7.5^a	7.8	8.5	7.8	8.2	7.9	8.0	8.3	8.3
AGE GROUP
18-25	6.6	6.6	6.2^a	6.5	6.5^a	6.8	6.4	6.0^a	6.6	6.7	7.2
26 or Older	7.7	7.6^a	7.7^a	8.0	8.9	8.0	8.5	8.2	8.2	8.6	8.4
26-49	6.9^a	7.4	7.4	8.2	7.9	7.8	7.8	7.9	7.9	7.9	7.9
50 or Older	8.5	7.8	8.0	7.8	9.7	8.2	9.1	8.4	8.4	9.1	8.8
GENDER
Male	5.6	5.0	5.3	5.9	6.2	5.5	6.0	5.9	5.8	6.2	5.7
Female	9.5^a	10.0	9.7^a	9.7^a	10.8	10.2	10.4	9.9^a	10.1	10.5	10.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.2^a	8.1^a	8.1^a	8.4^a	9.5	8.6	9.1	8.6	8.7	9.2	9.2
White	9.1^a	9.1^a	9.1^a	9.7^a	11.0	9.9	10.4	10.0	10.1	10.7	10.7
Black or African American	4.6	4.3	4.7	3.5	4.8	4.2	4.9	4.6	4.8	4.4	4.4
AIAN	6.5	*	8.2	4.6	6.4	6.3	8.3	8.2	7.1	6.3	7.3
NHOPI	*	*	*	2.4	2.2	1.6	5.4^a	5.6^a	1.8	0.9	0.8
Asian	2.6	1.5^a	3.1	4.4	2.4	3.1	2.8	2.7	2.8	3.6	3.1
Two or More Races	*	6.0	10.7	5.9	7.5	9.2	7.2	5.5	7.9	11.7	9.5
Hispanic or Latino	3.8	3.8	3.4	4.3	3.1	3.6	3.7	4.1	4.3	4.1	3.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.14A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	13,955^a	13,839^a	13,980^a	14,795^a	16,248	15,086^a	16,083	15,606	15,817	16,603	16,522
GEOGRAPHIC REGION
Northeast	2,528^a	2,526^a	2,904^a	2,801^a	2,815^a	3,076	3,185	3,248	3,403	3,345	3,597
Midwest	3,229^a	3,242^a	3,219^a	3,577	3,696	3,603	3,833	3,377^a	4,129	3,843	4,027
South	4,594^a	5,315	4,775	5,238	6,032	5,025	5,596	5,449	5,412	5,792	5,512
West	3,604	2,756^a	3,082	3,178	3,706	3,383	3,470	3,532	2,874	3,623	3,387
COUNTY TYPE²
Large Metro	7,770	7,010^a	7,401^a	7,755^a	8,720	8,178	8,844	8,709	8,834	9,558	8,777
Small Metro	4,264^a	4,669	4,687	4,959	5,014	4,906	5,191	5,052	4,970	4,933	5,194
Nonmetro	1,921^a	2,160	1,891^a	2,081^a	2,514	2,003^a	2,048^a	1,845^a	2,013^a	2,112^a	2,551
Urbanized	864^a	747^a	919	797^a	1,230	905^a	864^a	782^a	917^a	964	1,271
Less Urbanized	931	1,212	835	1,131	1,051	925	973	832	920	977	1,046
Completely Rural	127	201	138	153	234	173	211	230	176	171	234
POVERTY LEVEL³
Less Than 100%	1,361^a	1,532	1,523	1,744	1,906	1,904	1,920	1,674	1,997	1,843	1,780
100-199%	2,216	2,294	2,492	2,535	2,487	2,357	2,781	2,615	2,700	2,639	2,363
200% or More	10,316^a	9,942^a	9,903^a	10,449^a	11,769	10,778^a	11,296^a	11,281	11,090^a	12,085	12,335
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,281	1,519	1,319	1,295
High School Graduate	nc	nc	nc	nc	nc	nc	nc	3,358	3,110	3,246	2,904
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	4,829	5,062	5,207	5,218
College Graduate	nc	nc	nc	nc	nc	nc	nc	6,138^a	6,125^a	6,831	7,105
HEALTH INSURANCE⁴
Private	10,433^a	9,768^a	10,012^a	10,443^a	11,709	11,159	11,210	11,506	11,301	12,144	12,128
Medicaid/CHIP	1,487^a	1,543^a	1,528^a	1,783	1,591^a	1,628^a	2,091	1,947	2,469	2,548^a	2,085
Other⁵	3,863^a	3,680^a	3,652^a	3,580^a	4,535	4,164^a	5,308	4,683	4,815	4,786	5,313
No Coverage	890^a	1,183^a	1,148^a	1,248^a	1,379^a	1,165^a	1,050^a	647	678	607	522
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.14B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2018
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	7.6^a	7.5^a	7.5^a	7.8	8.5	7.8	8.2	7.9	8.0	8.3	8.3
GEOGRAPHIC REGION
Northeast	7.5^a	7.4^a	8.5^a	7.9^a	8.0^a	8.7	8.9	9.1	9.6	9.3	10.2
Midwest	8.0^a	8.0^a	7.9^a	8.7	9.0	8.7	9.2	8.1^a	9.8	9.3	9.7
South	6.8	7.8	6.9	7.4	8.5^a	7.0	7.6	7.4	7.2	7.6	7.2
West	8.4	6.5	7.1	7.3	8.4	7.6	7.6	7.6	6.2	7.8	7.3
COUNTY TYPE²
Large Metro	7.6	6.9^a	7.1	7.4	8.3	7.7	7.9	7.8	7.9	8.5	7.8
Small Metro	7.7^a	8.2	8.3	8.4	8.8	8.4	9.1	8.4	8.4	8.5	8.9
Nonmetro	7.0^a	7.9	7.0^a	7.8	8.9	7.1^a	7.5	6.8^a	7.1^a	7.4^a	8.8
Urbanized	7.9	6.4^a	8.0	7.8	10.6	7.3^a	7.5^a	7.1^a	8.0	7.9	9.8
Less Urbanized	6.7	9.3	6.4	8.3	7.8	7.2	7.4	6.5	6.5	7.0	7.8
Completely Rural	4.7^a	7.5	5.6	5.2^a	7.6	5.8	7.6	6.7	6.3	6.8	8.8
POVERTY LEVEL³
Less Than 100%	7.2	7.5	6.9	7.2	7.1	7.5	7.2	6.1	7.6	7.3	7.1
100-199%	6.9	6.6	6.6	6.7	7.0	6.4	7.6^a	6.7	7.1	6.9	6.1
200% or More	7.8^a	7.7^a	7.8^a	8.2^a	9.2	8.3^a	8.6	8.6	8.3^a	8.9	9.1
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	4.5	5.8	5.2	5.2
High School Graduate	nc	nc	nc	nc	nc	nc	nc	6.6	6.2	6.6	5.8
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	8.3	8.5	8.7	8.7
College Graduate	nc	nc	nc	nc	nc	nc	nc	10.0	9.8	10.5	10.9
HEALTH INSURANCE⁴
Private	7.9^a	7.6^a	7.9^a	8.1^a	9.1	8.5	8.4	8.5	8.2^a	8.9	8.9
Medicaid/CHIP	11.4^a	11.5^a	10.2^a	10.8^a	9.9^a	9.8^a	10.1^a	8.0	10.0^a	9.9^a	8.0
Other⁵	8.9	8.3	8.3	7.8^a	9.6	8.4	10.5	8.6	8.7	8.5	9.4
No Coverage	3.4	4.1^a	3.8^a	4.2^a	4.7^a	4.0^a	4.5^a	3.2	3.7^a	3.3	2.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.15A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness Excluding Serious Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	10,787^a	10,927^a	11,227^a	11,009^a	11,870^a	12,702	12,690	12,275^a	12,460	12,359	13,302
AGE GROUP
18-25	1,275^a	1,311^a	1,285^a	1,413^a	1,579^a	1,544^a	1,446^a	1,522^a	1,625^a	1,919	1,922
26 or Older	9,512^a	9,615^a	9,942^a	9,596^a	10,291^a	11,157	11,244	10,753	10,835	10,441^a	11,381
26-49	5,360^a	5,596	5,466^a	5,045^a	5,493^a	5,586	5,656	5,669	5,500^a	5,908	6,198
50 or Older	4,153^a	4,020^a	4,476	4,550	4,799	5,571	5,588	5,084	5,334	4,533	5,183
GENDER
Male	3,143^a	3,760	3,535	3,532	3,480^a	3,709	3,992	4,050	3,731	4,024	4,104
Female	7,645^a	7,167^a	7,693^a	7,477^a	8,390	8,992	8,698	8,225^a	8,728	8,335^a	9,198
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,080^a	10,092^a	10,262^a	10,195^a	11,001	11,446	11,608	11,188	11,445	11,104	11,877
White	8,812^a	8,954^a	9,228^a	8,744^a	9,415	9,815	9,856	9,587	10,084	9,659	10,343
Black or African American	874	648	760	858	1,166^a	1,039	1,012	1,004	723	876	844
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	94^a	154^a	130^a	249	134^a	202^a	377	272	272	241	385
Two or More Races	*	*	121	*	199	*	261	270	234	246	189
Hispanic or Latino	708^a	835^a	966^a	814^a	869^a	1,256	1,083^a	1,088^a	1,014^a	1,255	1,425
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.15B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness Excluding Serious Mental Illness, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	34.4	33.4^a	35.1	34.1^a	34.9	37.7	37.7	36.6	36.5	35.0	36.8
AGE GROUP
18-25	26.4^a	26.8^a	26.7^a	28.0	29.5	29.4	27.2^a	26.3^a	29.2	30.7	30.5
26 or Older	35.9	34.6^a	36.5	35.2^a	35.9	39.2	39.7	38.8	37.9	36.0	38.1
26-49	33.7^a	33.8^a	35.3	33.7^a	35.0	35.3	37.3	36.2	35.3	35.6	36.9
50 or Older	39.1	35.8	38.1	37.0	36.8	44.1	42.5	42.2	41.0	36.5	39.6
GENDER
Male	26.6	29.6	27.0	27.9	26.3	29.7	31.3	30.5	27.7	28.5	28.8
Female	39.1	35.8^a	40.7	38.1^a	40.3	42.3	41.7	40.6	42.2	39.4	42.0
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	36.9	35.1^a	36.4	35.7^a	36.7	39.4	39.8	38.4	38.8	36.4	38.6
White	40.6	38.3^a	40.2	38.7^a	40.3	42.7	42.7	41.4	42.6	40.3^a	43.0
Black or African American	23.9	19.3	22.0	23.7	28.3	26.7	27.3	28.2	22.0	23.6	22.7
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	8.7^a	13.7	10.9^a	19.9	9.7^a	18.1	27.9	19.6	19.7	14.5	21.7
Two or More Races	*	*	31.2	*	35.5	*	39.4^a	35.1^a	30.8	28.9	22.3
Hispanic or Latino	17.4^a	21.1	25.4	21.8	21.1	27.0	24.3	24.8	21.9	26.4	26.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.16A – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older, by Age Group: Numbers in Thousands, 2002-2018
Mental Health Services Received/Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL HEALTH SERVICES¹	27,215^a	27,939^a	27,502^a	28,166^a	28,405^a	29,556^a	30,201^a	30,341^a	31,490^a	31,642^a	34,122^a	34,644^a	35,498^a	34,243^a	34,982^a	36,416	37,101
Inpatient	1,472^a	1,792^a	1,917^a	2,129	1,596^a	2,145	1,970	1,900^a	1,752^a	1,779^a	1,872^a	2,174	2,411	2,199	2,270	2,357	2,366
18-25	294^a	324^a	388^a	344^a	345^a	360^a	364^a	359^a	348^a	361^a	397^a	451	418^a	483	516	509	545
26 or Older	1,179^a	1,468	1,529	1,785	1,251^a	1,784	1,606	1,541	1,404^a	1,419^a	1,476	1,723	1,993	1,715	1,754	1,847	1,822
26-49	811	884	801	930	781	1,125	758^a	970	749^a	766^a	675^a	988	951	867	967	933	1,021
50 or Older	367^a	584	728	855	470^a	659	848	571	655	653	801	735	1,042	848	786	914	801
Outpatient^1,2	15,487^a	15,065^a	15,226^a	14,856^a	14,712^a	15,433^a	15,327^a	14,394^a	15,144^a	15,473^a	15,468^a	15,640^a	16,082^a	17,069^a	16,875^a	18,517	19,461
18-25	2,077^a	2,096^a	1,976^a	2,070^a	1,912^a	1,837^a	1,948^a	2,039^a	1,946^a	2,126^a	2,239^a	2,172^a	2,204^a	2,280^a	2,519^a	3,052	3,131
26 or Older	13,410^a	12,969^a	13,250^a	12,785^a	12,801^a	13,596^a	13,380^a	12,355^a	13,198^a	13,347^a	13,229^a	13,469^a	13,878^a	14,789^a	14,356^a	15,466	16,330
26-49	8,931	8,696	8,632	7,766^a	7,581^a	7,975^a	7,880^a	7,378^a	7,699^a	7,640^a	7,411^a	7,229^a	7,368^a	7,805^a	7,990^a	8,456	8,805
50 or Older	4,479^a	4,274^a	4,619^a	5,019^a	5,220^a	5,620^a	5,500^a	4,977^a	5,499^a	5,707^a	5,818^a	6,239^a	6,510^a	6,984	6,366^a	7,009	7,526
Prescription Medication	22,005^a	23,253^a	22,638^a	23,305^a	23,967^a	24,864^a	25,598^a	25,719^a	26,671^a	26,777^a	29,027	29,530	30,082	28,455^a	29,350	29,757	30,115
18-25	2,316^a	2,621^a	2,594^a	2,680^a	2,612^a	2,602^a	2,676^a	2,857^a	2,838^a	3,005^a	3,109^a	3,270^a	3,075^a	2,999^a	3,330^a	3,780	3,769
26 or Older	19,689^a	20,632^a	20,044^a	20,625^a	21,354^a	22,262^a	22,923^a	22,862^a	23,833^a	23,772^a	25,918	26,260	27,007	25,456	26,020	25,977	26,346
26-49	11,384^a	11,837^a	11,671^a	11,423^a	11,741^a	11,777^a	11,701^a	12,204	12,269	12,006^a	12,669	12,767	12,557	12,398	12,460	12,736	12,990
50 or Older	8,304^a	8,795^a	8,373^a	9,202^a	9,613^a	10,484^a	11,222^a	10,658^a	11,564^a	11,767^a	13,249	13,494	14,450	13,058	13,560	13,241	13,356
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190417

Table 10.16B – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older, by Age Group: Percentages, 2002-2018
Mental Health Services Received/Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL HEALTH SERVICES¹	13.0^a	13.2^a	12.8^a	13.0^a	12.9^a	13.3^a	13.5^a	13.4^a	13.8^a	13.6^a	14.5	14.6	14.8	14.2^a	14.4	14.8	15.0
Inpatient	0.7^a	0.8	0.9	1.0	0.7^a	1.0	0.9	0.8	0.8^a	0.8^a	0.8	0.9	1.0	0.9	0.9	1.0	1.0
18-25	0.9^a	1.0^a	1.2^a	1.1^a	1.1^a	1.1^a	1.1^a	1.1^a	1.0^a	1.1^a	1.1^a	1.3	1.2^a	1.4	1.5	1.5	1.6
26 or Older	0.7^a	0.8	0.8	1.0	0.7^a	0.9	0.8	0.8	0.7	0.7	0.7	0.9	1.0	0.8	0.8	0.9	0.9
26-49	0.8	0.9	0.8	0.9	0.8	1.1	0.8^a	1.0	0.8^a	0.8	0.7^a	1.0	1.0	0.9	1.0	0.9	1.0
50 or Older	0.5	0.7	0.9	1.0	0.5	0.7	0.9	0.6	0.7	0.7	0.8	0.7	1.0	0.8	0.7	0.8	0.7
Outpatient^1,2	7.4	7.1^a	7.1^a	6.8^a	6.7^a	7.0^a	6.8^a	6.4^a	6.6^a	6.7^a	6.6^a	6.6^a	6.7^a	7.1^a	6.9^a	7.5	7.9
18-25	6.7^a	6.6^a	6.2^a	6.4^a	5.9^a	5.6^a	5.9^a	6.1^a	5.7^a	6.2^a	6.5^a	6.3^a	6.4^a	6.6^a	7.3^a	9.0	9.3
26 or Older	7.5	7.2	7.3	6.9^a	6.8^a	7.2	7.0^a	6.4^a	6.8^a	6.7^a	6.6^a	6.7^a	6.8^a	7.1	6.9^a	7.3	7.6
26-49	8.9	8.7	8.6	7.8^a	7.6^a	8.0^a	7.9^a	7.5^a	7.8^a	7.8^a	7.6^a	7.4^a	7.5^a	7.9^a	8.1^a	8.5	8.8
50 or Older	5.7	5.3^a	5.6^a	5.9	6.0	6.3	6.0	5.3^a	5.7^a	5.7^a	5.7^a	6.0	6.1	6.4	5.8^a	6.3	6.6
Prescription Medication	10.5^a	10.9^a	10.5^a	10.7^a	10.9^a	11.2^a	11.4^a	11.3^a	11.7	11.5	12.4	12.5	12.6	11.8	12.0	12.1	12.2
18-25	7.5^a	8.3^a	8.1^a	8.3^a	8.0^a	8.0^a	8.1^a	8.5^a	8.4^a	8.8^a	9.0^a	9.4^a	8.8^a	8.6^a	9.7^a	11.1	11.1
26 or Older	11.0^a	11.4^a	11.0^a	11.1^a	11.4^a	11.7	12.0	11.8	12.2	12.0	12.9	13.0	13.2^a	12.3	12.4	12.3	12.3
26-49	11.4^a	11.9^a	11.7^a	11.4^a	11.7^a	11.8^a	11.7^a	12.3	12.5	12.3	13.0	13.1	12.8	12.6	12.6	12.7	12.9
50 or Older	10.5	10.9	10.1^a	10.8	11.0	11.7	12.2	11.3	12.0	11.8	12.9	12.9	13.5^a	12.0	12.3	11.8	11.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190417

Table 10.17A – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Age Group: Numbers in Thousands, 2008-2018
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL HEALTH SERVICES	16,245^a	16,503^a	17,510^a	16,847^a	17,874^a	19,558	19,414	18,637^a	19,165^a	19,813	20,579
Inpatient	1,483	1,322	1,102^a	1,346	1,326	1,425	1,639	1,488	1,479	1,556	1,580
18-25	214^a	245^a	205^a	249^a	259^a	281^a	259^a	321^a	348	375	415
26 or Older	1,269	1,077	897	1,097	1,067	1,143	1,379	1,166	1,131	1,181	1,166
26-49	592	793	586	569	487^a	685	737	640	701	723	753
50 or Older	678	284	311	529	581	458	642	526	430	458	413
Outpatient²	9,570^a	9,246^a	9,660^a	9,897^a	9,732^a	10,685^a	10,552^a	10,996^a	10,891^a	11,906	12,377
18-25	1,148^a	1,222^a	1,220^a	1,324^a	1,478^a	1,412^a	1,489^a	1,550^a	1,730^a	2,195	2,174
26 or Older	8,422^a	8,024^a	8,441^a	8,573^a	8,254^a	9,273	9,063^a	9,446	9,162^a	9,711	10,203
26-49	5,372^a	5,033^a	5,112^a	4,989^a	4,878^a	5,097^a	5,138^a	5,355^a	5,400^a	5,948	6,033
50 or Older	3,050^a	2,991^a	3,329^a	3,584	3,376^a	4,176	3,926	4,091	3,761	3,763	4,169
Prescription Medication	14,100^a	14,305^a	15,288^a	14,700^a	15,422^a	17,025	16,851	15,883^a	16,518	16,603	17,219
18-25	1,421^a	1,531^a	1,564^a	1,609^a	1,815^a	1,829^a	1,783^a	1,836^a	2,073^a	2,569	2,547
26 or Older	12,679^a	12,775^a	13,724	13,092^a	13,606	15,196	15,068	14,047	14,445	14,034	14,672
26-49	7,411^a	7,580	7,779	7,100^a	7,695	7,918	7,592^a	7,490^a	7,667	8,019	8,294
50 or Older	5,267^a	5,195^a	5,944	5,992	5,911	7,278	7,476^a	6,557	6,778	6,015	6,378
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.17B – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Age Group: Percentages, 2008-2018
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL HEALTH SERVICES	40.9^a	40.2^a	42.4	40.8^a	41.0^a	44.7	44.7	43.1	43.1	42.6	43.3
Inpatient	3.7	3.2	2.7	3.3	3.0	3.3	3.8	3.4	3.3	3.3	3.3
18-25	3.5^a	4.1	3.3^a	3.9	3.8	4.2	3.7	4.3	4.6	4.2	4.6
26 or Older	3.8	3.1	2.5	3.1	2.9	3.1	3.8	3.3	3.1	3.1	3.0
26-49	2.9	3.7	2.8	2.9	2.3^a	3.3	3.7	3.1	3.4	3.3	3.3
50 or Older	5.2	2.1	2.1	3.5	3.6	2.9	3.9	3.5	2.7	3.0	2.6
Outpatient²	24.1^a	22.5^a	23.4^a	24.0^a	22.4^a	24.4	24.3^a	25.4	24.5	25.7	26.1
18-25	18.9^a	20.3^a	19.9^a	20.9^a	21.9^a	21.0^a	21.3^a	20.6^a	22.8	24.9	24.5
26 or Older	25.1	22.9^a	24.0^a	24.6	22.5^a	25.1	24.9	26.5	24.9	25.8	26.5
26-49	26.0	23.6^a	24.9	25.1	23.6^a	24.3	25.8	26.1	26.0	26.9	26.7
50 or Older	23.5	21.9^a	22.8	23.8	21.0^a	26.1	23.9	27.0	23.4	24.4	26.2
Prescription Medication	35.5	34.8	36.9	35.6	35.3	38.9^a	38.7^a	36.7	37.1	35.7	36.2
18-25	23.3^a	25.3^a	25.5^a	25.3^a	26.8	27.2	25.5^a	24.3^a	27.2	29.1	28.6
26 or Older	37.8	36.4	38.9	37.4	36.9	41.0^a	41.3^a	39.3	39.1	37.2	38.0
26-49	35.9	35.3	37.7	35.6	37.1	37.7	38.0	36.4	36.7	36.1	36.6
50 or Older	40.8	38.1	40.7	39.8	36.7	45.5^a	45.3^a	43.2	42.2	38.8	40.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.18A – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Age Group: Numbers in Thousands, 2008-2018
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL HEALTH SERVICES	5,458^a	5,576^a	6,283^a	5,838^a	6,004^a	6,857	6,724	6,362^a	6,705	7,454	7,277
Inpatient	713	717	622	796	590^a	832	863	685	789	850	824
18-25	97^a	128^a	108^a	104^a	121^a	151^a	138^a	156^a	178^a	220	247
26 or Older	616	589	514	693	470	681	725	529	611	630	577
26-49	327	472	358	394	244^a	434	386	357	429	461	374
50 or Older	289	117	157	299	226	246	339	173	182	169	203
Outpatient²	3,822^a	3,731^a	3,961^a	3,957^a	3,706^a	4,685	4,328^a	4,249^a	4,384	5,033	4,970
18-25	406^a	431^a	481^a	480^a	506^a	544^a	658^a	629^a	745^a	1,001	976
26 or Older	3,416	3,300^a	3,479	3,477	3,200^a	4,141	3,670	3,620	3,639	4,032	3,994
26-49	2,283	2,123	2,201	2,108^a	2,029^a	2,440	2,095^a	2,189	2,346	2,584	2,496
50 or Older	1,133	1,177	1,279	1,369	1,170	1,702	1,575	1,431	1,293	1,448	1,498
Prescription Medication	4,973^a	5,119^a	5,683^a	5,242^a	5,527^a	6,222	6,028	5,587^a	6,005	6,589	6,420
18-25	444^a	488^a	586^a	531^a	648^a	678^a	711^a	703^a	836^a	1,171	1,101
26 or Older	4,529^a	4,631^a	5,097	4,711	4,879	5,544	5,317	4,884	5,168	5,418	5,319
26-49	2,861^a	2,888^a	3,134	2,831^a	2,971	3,152	2,886^a	2,846^a	3,116	3,266	3,395
50 or Older	1,669	1,743	1,962	1,880	1,907	2,392	2,430^a	2,038	2,052	2,152	1,924
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190417

Table 10.18B – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Age Group: Percentages, 2008-2018
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL HEALTH SERVICES	65.7	66.5	67.5	64.9	62.9	68.5^a	68.5^a	65.3	64.8	66.7	64.1
Inpatient	8.6	8.6	6.7	8.8	6.2	8.3	8.8	7.0	7.6	7.6	7.3
18-25	7.9	11.4	8.1	8.0	8.5	10.3	8.2	8.9	8.8	8.6	9.4
26 or Older	8.7	8.1	6.4	9.0	5.8	8.0	8.9	6.6	7.4	7.3	6.6
26-49	6.9	9.7^a	7.0	8.0	4.8	8.4	8.0	7.3	8.1	8.3	6.3
50 or Older	12.4	4.9	5.5	10.8	7.3	7.3	10.2	5.5	6.0	5.6	7.1
Outpatient²	46.2	44.6	42.5	44.1	39.0^a	46.9	44.2	43.6	42.6	45.3	43.9
18-25	33.0	38.6	36.2	37.2	35.8	37.3	39.2	36.0	36.8	39.3	37.5
26 or Older	48.5	45.5	43.5	45.2	39.5^a	48.5	45.2	45.3	44.0	47.1	45.8
26-49	48.2^a	43.8	42.9	42.8	40.3	47.1	43.8	44.8	44.8	46.7	42.5
50 or Older	49.0	49.0	44.6	49.6	38.2^a	50.7	47.3	46.0	42.6	47.8	52.7
Prescription Medication	59.7	61.1^a	61.0^a	58.2	57.8	62.1^a	61.4^a	57.3	58.0	58.9	56.5
18-25	35.9^a	43.4	44.0	41.0	45.5	46.2	42.4	40.0	41.1	45.7	42.1
26 or Older	63.8	63.8	63.8	61.1	59.9	64.8	65.3	61.0	62.1	62.8	60.8
26-49	60.1	59.5	61.2	57.2	58.7	60.7	60.1	58.2	59.1	58.5	57.6
50 or Older	71.5	72.6	68.4	68.1	61.9	71.3	72.9	65.6	67.4	70.7	67.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190418

Table 10.19A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year: Numbers in Thousands, 2002-2018
Location of Mental Health Services	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
Outpatient Mental Health Clinic or Center	3,136^a	2,983^a	3,268^a	3,612^a	3,342^a	3,133^a	3,371^a	3,079^a	3,320^a	3,645^a	3,634^a	4,002	4,126	4,411	4,301	4,759	4,517
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	8,461^a	8,216^a	7,839^a	8,038^a	7,790^a	8,441^a	8,787^a	7,678^a	8,482^a	8,559^a	8,514^a	9,019^a	9,209^a	10,007^a	9,775^a	10,808^a	12,356
Doctor's Office - Not Part of a Clinic	3,796^a	3,669^a	3,752^a	3,159	3,299	3,297	3,009	3,336	3,157	3,014	3,104	2,393	2,446	2,862	2,531	2,980	2,834
Outpatient Medical Clinic	950^a	997	1,195	1,126	1,159	1,376	1,354	1,233	1,007	1,161	1,012	1,070	1,156	1,054	1,159	1,031	1,261
Partial Day Hospital or Day Treatment Program	289	310	293	311	190	349	237	358	283	284	343	194	300	335	225	311	285
School or University Setting/Clinic/Center¹	107	78^a	84^a	93	88^a	65^a	101	83^a	81^a	84^a	106	83^a	111	95	121	194	149
Some Other Place²	288^a	265^a	322	144^a	257^a	332	250^a	272^a	325	373	256^a	435	393	390	368	448	467
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ² Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190418

Table 10.19B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year: Percentages, 2002-2018
Location of Mental Health Services	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
Outpatient Mental Health Clinic or Center	20.4^a	20.0^a	21.6	24.5	22.8	20.4^a	22.1	21.6	22.0	23.7	23.5	25.7	25.8	26.0	25.6	25.8	23.3
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	55.0^a	55.0^a	51.7^a	54.4^a	53.2^a	54.9^a	57.7^a	53.8^a	56.3^a	55.7^a	55.1^a	57.9^a	57.5^a	58.9^a	58.3^a	58.6^a	63.8
Doctor's Office - Not Part of a Clinic	24.7^a	24.6^a	24.8^a	21.4^a	22.5^a	21.4^a	19.8^a	23.4^a	21.0^a	19.6^a	20.1^a	15.4	15.3	16.8	15.1	16.2	14.6
Outpatient Medical Clinic	6.2	6.7	7.9	7.6	7.9	9.0^a	8.9^a	8.6^a	6.7	7.6	6.6	6.9	7.2	6.2	6.9	5.6	6.5
Partial Day Hospital or Day Treatment Program	1.9	2.1	1.9	2.1	1.3	2.3	1.6	2.5^a	1.9	1.9	2.2	1.2	1.9	2.0	1.3	1.7	1.5
School or University Setting/Clinic/Center¹	0.7	0.5	0.6	0.6	0.6	0.4^a	0.7	0.6	0.5	0.6	0.7	0.5	0.7	0.6	0.7	1.1	0.8
Some Other Place²	1.9	1.8	2.1	1.0^a	1.8	2.2	1.6	1.9	2.2	2.4	1.7	2.8	2.5	2.3	2.2	2.5	2.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ² Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190418

Table 10.20A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Any Mental Illness Who Received Outpatient Mental Health Services in Past Year: Numbers in Thousands, 2008-2018
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
Outpatient Mental Health Clinic or Center	2,299^a	2,360^a	2,470^a	2,717^a	2,580^a	3,151	3,199	3,311	3,140	3,596	3,479
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	5,402^a	4,893^a	5,312^a	5,324^a	5,157^a	6,032^a	5,865^a	6,183^a	6,170^a	6,624^a	7,605
Doctor's Office - Not Part of a Clinic	2,062	2,240	2,042	2,072	2,119	1,660	1,624^a	2,117	1,768	2,119	2,062
Outpatient Medical Clinic	950	870	657	741	716	740	802	725	793	780	858
Partial Day Hospital or Day Treatment Program	211	285	228	227	292	151^a	224	280	189	277	263
School or University Setting/Clinic/Center²	70	63	44^a	54^a	79	60	82	70	85	134	100
Some Other Place³	167	182	234	270	166	249	263	262	266	299	286
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190418

Table 10.20B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Any Mental Illness Who Received Outpatient Mental Health Services in Past Year: Percentages, 2008-2018
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
Outpatient Mental Health Clinic or Center	24.2^a	25.6	25.7	27.6	26.6	29.6	30.4	30.2	28.9	30.2	28.2
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	56.9^a	53.1^a	55.3^a	54.0^a	53.1^a	56.6^a	55.8^a	56.4^a	56.9^a	55.7^a	61.6
Doctor's Office - Not Part of a Clinic	21.7^a	24.3^a	21.3^a	21.0^a	21.8^a	15.6	15.4	19.3	16.3	17.8	16.7
Outpatient Medical Clinic	10.0^a	9.4	6.8	7.5	7.4	6.9	7.6	6.6	7.3	6.6	6.9
Partial Day Hospital or Day Treatment Program	2.2	3.1	2.4	2.3	3.0	1.4	2.1	2.6	1.7	2.3	2.1
School or University Setting/Clinic/Center²	0.7	0.7	0.5	0.6	0.8	0.6	0.8	0.6	0.8	1.1	0.8
Some Other Place³	1.8	2.0	2.5	2.8	1.7	2.4	2.5	2.4	2.5	2.5	2.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190418

Table 10.21A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Services in Past Year: Numbers in Thousands, 2008-2018
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
Outpatient Mental Health Clinic or Center	1,138^a	1,120^a	1,160^a	1,241^a	1,244^a	1,728	1,548	1,522	1,545	1,810	1,825
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	2,211^a	1,869^a	2,319^a	2,090^a	1,939^a	2,545	2,277^a	2,310^a	2,410^a	2,701	2,932
Doctor's Office - Not Part of a Clinic	789	961	799	898	755	669	701	909	721	1,050	880
Outpatient Medical Clinic	384	472	321	322	343	291	406	322	392	379	376
Partial Day Hospital or Day Treatment Program	123	157	151	146	192	90^a	136	163	127	175	184
School or University Setting/Clinic/Center²	24	26	15^a	16^a	17	22	43	26	32	63	43
Some Other Place³	33^a	50^a	49^a	162	85	109	105	151	88	147	139
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190418

Table 10.21B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Services in Past Year: Percentages, 2008-2018
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
Outpatient Mental Health Clinic or Center	30.2^a	30.1^a	29.5^a	31.6	33.6	36.9	35.8	35.9	35.4	36.0	36.8
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	58.7	50.1^a	59.0	53.3	52.4	54.3	52.7^a	54.5	55.2	53.7	59.1
Doctor's Office - Not Part of a Clinic	20.9	25.8^a	20.3	22.9	20.4	14.3	16.2	21.5	16.5	20.9	17.8
Outpatient Medical Clinic	10.2	12.7^a	8.2	8.2	9.3	6.2	9.4	7.6	9.0	7.5	7.6
Partial Day Hospital or Day Treatment Program	3.3	4.2	3.8	3.7	5.2	1.9^a	3.2	3.8	2.9	3.5	3.7
School or University Setting/Clinic/Center²	0.6	0.7	0.4	0.4	0.5	0.5	1.0	0.6	0.7	1.3	0.9
Some Other Place³	0.9^a	1.3	1.3	4.1	2.3	2.3	2.4	3.6	2.0	2.9	2.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190418

Table 10.22A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2002-2018
Demographic Characteristics	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	11,272^a	10,781^a	10,902^a	11,170^a	10,498^a	10,974^a	10,636^a	12,059^a	11,177^a	10,768^a	11,490^a	10,965^a	11,795^a	11,238^a	11,769^a	13,475	14,215
AGE GROUP
18-25	2,621^a	2,628^a	2,614^a	2,688^a	2,436^a	2,472^a	2,618^a	2,630^a	2,565^a	2,581^a	2,565^a	2,575^a	2,796^a	2,917^a	3,227^a	3,894^a	4,261
26 or Older	8,651^a	8,153^a	8,288^a	8,481^a	8,063^a	8,502^a	8,018^a	9,429	8,612^a	8,187^a	8,925^a	8,391^a	9,000^a	8,321^a	8,542^a	9,581	9,954
26-49	6,783	6,349^a	6,564	6,049^a	5,838^a	6,444^a	6,018^a	6,642	5,825^a	5,968^a	6,104^a	5,905^a	5,815^a	5,708^a	5,917^a	6,527^a	7,110
50 or Older	1,868^a	1,804^a	1,724^a	2,432	2,225^a	2,058^a	1,999^a	2,787	2,786	2,219^a	2,821	2,485	3,185	2,613	2,625	3,054	2,844
GENDER
Male	3,719	3,275^a	3,908	3,875	3,485^a	3,410^a	3,395^a	3,862	3,488^a	3,518^a	3,700^a	3,672^a	3,781	3,549^a	3,777	4,288	4,245
Female	7,552^a	7,506^a	6,993^a	7,295^a	7,014^a	7,564^a	7,241^a	8,196^a	7,689^a	7,250^a	7,790^a	7,294^a	8,014^a	7,689^a	7,993^a	9,187^a	9,969
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,209^a	9,636^a	9,810^a	9,908^a	9,454^a	9,765^a	9,638^a	10,776^a	9,687^a	9,674^a	10,072^a	9,327^a	10,514^a	9,900^a	10,325^a	11,988	12,077
White	8,371^a	8,207^a	8,179^a	8,026^a	7,773^a	8,230^a	8,067^a	8,779^a	8,170^a	7,845^a	8,034^a	7,618^a	8,482^a	8,093^a	8,537^a	9,813	9,938
Black or African American	1,303	999	1,190	1,371	1,066	1,048	1,200	1,384	1,081	1,070	1,404	1,076	1,279	1,061	1,078	1,174	1,228
AIAN	130	56	44	98	62	55	54	87	77	107	148	72	64	90	62	74	80
NHOPI	28	22	*	*	*	*	11	17	11	14	18	34	13	23	10	*	20
Asian	155^a	178^a	172^a	160^a	198^a	188^a	165^a	287	152^a	311	240^a	212^a	334	262^a	358	522	451
Two or More Races	222^a	174^a	192^a	185^a	292	222^a	141^a	222^a	195^a	328	229^a	315	343	371	280	397	359
Hispanic or Latino	1,063^a	1,145^a	1,091^a	1,261^a	1,044^a	1,209^a	998^a	1,282^a	1,490^a	1,095^a	1,418^a	1,638^a	1,281^a	1,338^a	1,444^a	1,487^a	2,138
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190418

Table 10.22B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2002-2018
Demographic Characteristics	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	5.4	5.1^a	5.1^a	5.1^a	4.8^a	4.9^a	4.7^a	5.3^a	4.9^a	4.6^a	4.9^a	4.6^a	4.9^a	4.6^a	4.8^a	5.5	5.7
AGE GROUP
18-25	8.5^a	8.3^a	8.1^a	8.3^a	7.5^a	7.6^a	8.0^a	7.9^a	7.6^a	7.6^a	7.4^a	7.4^a	8.0^a	8.4^a	9.4^a	11.4^a	12.6
26 or Older	4.8	4.5	4.5	4.6	4.3	4.5	4.2^a	4.9	4.4	4.1^a	4.5	4.2^a	4.4	4.0^a	4.1^a	4.5	4.7
26-49	6.8	6.4^a	6.6	6.1^a	5.8^a	6.5^a	6.0^a	6.7	5.9^a	6.1^a	6.2^a	6.0^a	5.9^a	5.8^a	6.0^a	6.5	7.1
50 or Older	2.4	2.2	2.1	2.9	2.5	2.3	2.2	3.0	2.9	2.2	2.8	2.4	3.0	2.4	2.4	2.7	2.5
GENDER
Male	3.7	3.2	3.8	3.7	3.3	3.2	3.1	3.5	3.2	3.2	3.3	3.2	3.3	3.0^a	3.2	3.6	3.6
Female	6.9^a	6.8^a	6.3^a	6.5^a	6.2^a	6.6^a	6.2^a	7.0^a	6.5^a	6.0^a	6.4^a	5.9^a	6.5^a	6.1^a	6.3^a	7.2^a	7.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.5	5.2^a	5.2^a	5.2^a	4.9^a	5.1^a	5.0^a	5.5	4.9^a	4.9^a	5.0^a	4.6^a	5.2^a	4.8^a	5.0^a	5.8	5.8
White	5.6^a	5.5^a	5.4^a	5.3^a	5.1^a	5.4^a	5.2^a	5.7^a	5.2^a	5.1^a	5.2^a	4.9^a	5.4^a	5.2^a	5.4^a	6.2	6.3
Black or African American	5.6	4.2	4.9	5.6	4.2	4.1	4.7	5.3	4.1	4.0	5.2	3.9	4.6	3.7	3.8	4.0	4.2
AIAN	10.1	5.2	3.9	8.9	5.7	5.0	5.7	8.0	7.2	8.3	11.4^a	5.8	5.0	7.1	4.5	5.8	5.4
NHOPI	3.9	5.2	*	*	*	*	1.4	2.3	1.7	1.6	1.8	4.3	1.4	3.9	0.9	*	2.2
Asian	1.9^a	2.0	1.9^a	1.8^a	2.2	2.0^a	1.7^a	2.9	1.5^a	2.8	2.1	1.8^a	2.7	2.0^a	2.7	3.8	3.2
Two or More Races	10.5	8.2	9.1	8.4	13.1	9.6	5.7	9.1	7.4	10.0	6.7	8.9	9.4	9.6	7.0	9.5	8.4
Hispanic or Latino	4.2	4.5	4.1^a	4.6	3.6^a	4.1^a	3.3^a	4.1^a	4.7	3.2^a	4.1^a	4.6	3.5^a	3.6^a	3.8^a	3.8^a	5.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190418

Table 10.23A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Age Group: Numbers in Thousands, 2008-2018
Level of Mental Illness/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL ILLNESS	8,173^a	9,092^a	8,680^a	8,541^a	9,092^a	8,422^a	9,037^a	8,798^a	9,239^a	11,052	11,208
18-25	1,839^a	1,773^a	1,826^a	1,829^a	1,898^a	1,870^a	2,021^a	2,184^a	2,464^a	3,114	3,370
26 or Older	6,334^a	7,318	6,855^a	6,712^a	7,194	6,552^a	7,016^a	6,613^a	6,775^a	7,938	7,839
26-49	4,805^a	5,300	4,633^a	4,910^a	5,064^a	4,551^a	4,654^a	4,631^a	4,797^a	5,446	5,732
50 or Older	1,529^a	2,019	2,222	1,802	2,130	2,001	2,362	1,983	1,978	2,492	2,107
SERIOUS MENTAL ILLNESS	3,642^a	3,874^a	3,910^a	3,883^a	3,973^a	3,858^a	4,205^a	3,713^a	4,104^a	4,939	5,116
18-25	617^a	587^a	706^a	712^a	709^a	756^a	900^a	878^a	1,091^a	1,431	1,549
26 or Older	3,024^a	3,287	3,204	3,172	3,263	3,103	3,305	2,835^a	3,014^a	3,509	3,567
26-49	2,133^a	2,386	2,271	2,235^a	2,335	2,201^a	2,179^a	2,118^a	2,088^a	2,520	2,660
50 or Older	891	901	933	936	928	902	1,127	717	926	989	907
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190418

Table 10.23B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Age Group: Percentages, 2008-2018
Level of Mental Illness/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
ANY MENTAL ILLNESS	20.6^a	22.1	21.0^a	20.7^a	20.8^a	19.3^a	20.8^a	20.3^a	20.7^a	23.7	23.6
18-25	30.2^a	29.4^a	29.8^a	28.8^a	28.1^a	27.8^a	28.9^a	29.0^a	32.4^a	35.3^a	37.9
26 or Older	18.9	20.9	19.5	19.2	19.5	17.7^a	19.2	18.5^a	18.3^a	21.0	20.3
26-49	23.3	24.8	22.5^a	24.6	24.4	21.7^a	23.3^a	22.5^a	23.0^a	24.5	25.3
50 or Older	11.8	14.8	15.2	12.0	13.2	12.6	14.3	13.0	12.3	16.1	13.2
SERIOUS MENTAL ILLNESS	43.7	46.3	42.0	43.1	41.6	38.6^a	42.9	38.2^a	39.7^a	44.2	45.1
18-25	50.0^a	52.2^a	53.1^a	55.0	49.8^a	51.5^a	53.6^a	50.3^a	53.7^a	55.9	59.5
26 or Older	42.6	45.4	40.1	41.1	40.1	36.4	40.7	35.5^a	36.3	40.7	40.8
26-49	44.8	49.2	44.3	45.2	46.2	42.4	45.4	43.3	39.7^a	45.2	45.2
50 or Older	38.2	37.5	32.7	33.9	30.1	27.1	33.9	23.2^a	30.4	32.5	31.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190531

Table 10.24A – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2002-2018
Receipt of Mental Health Services/ Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
RECEIVED MENTAL HEALTH SERVICES	5,228^a	5,296^a	5,227^a	5,468^a	5,636^a	5,536^a	5,408^a	5,959^a	5,942^a	5,865^a	6,067^a	5,882^a	6,451^a	6,037^a	6,219^a	6,991	7,349
18-25	1,032^a	1,035^a	1,144^a	1,057^a	1,028^a	948^a	1,031^a	1,020^a	1,071^a	1,076^a	1,082^a	1,094^a	1,228^a	1,269^a	1,402^a	1,776	1,763
26 or Older	4,196^a	4,261^a	4,083^a	4,411^a	4,608^a	4,588^a	4,378^a	4,939	4,870	4,789^a	4,985	4,788^a	5,223	4,769^a	4,818^a	5,215	5,586
26-49	3,302	3,203	3,180^a	3,023^a	3,174^a	3,401	3,210	3,486	3,252	3,258	3,182^a	3,222	3,022^a	3,146^a	3,174^a	3,414	3,654
50 or Older	895^a	1,059^a	903^a	1,388^a	1,434^a	1,187^a	1,168^a	1,453^a	1,618	1,532	1,803	1,567	2,201	1,623	1,644	1,801	1,931
DID NOT RECEIVE MENTAL HEALTH SERVICES	5,998^a	5,451^a	5,649^a	5,655^a	4,830^a	5,395^a	5,168^a	6,077^a	5,192^a	4,879^a	5,403^a	5,072^a	5,312^a	5,167^a	5,502^a	6,451	6,845
18-25	1,577^a	1,581^a	1,460^a	1,612^a	1,401^a	1,520^a	1,575^a	1,604^a	1,485^a	1,496^a	1,477^a	1,476^a	1,561^a	1,638^a	1,811^a	2,103^a	2,489
26 or Older	4,421	3,870	4,189	4,043	3,429^a	3,875	3,592^a	4,473	3,707^a	3,383^a	3,925	3,597^a	3,751^a	3,529^a	3,691^a	4,348	4,356
26-49	3,448	3,135	3,370	3,002	2,638^a	3,022	2,804^a	3,139	2,538^a	2,701^a	2,921^a	2,678^a	2,767^a	2,548^a	2,725^a	3,095	3,445
50 or Older	973	735	819	1,041	791	854	788	1,334	1,169	682	1,004	918	984	981	966	1,253	911
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190531

Table 10.24B – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Percentages, 2002-2018
Receipt of Mental Health Services/ Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
RECEIVED MENTAL HEALTH SERVICES	46.6^a	49.3	48.1^a	49.2	53.9	50.6	51.1	49.5	53.4	54.6	52.9	53.7	54.8	53.9	53.1	52.0	51.8
18-25	39.6	39.6	43.9	39.6	42.3	38.4	39.5	38.9	41.9	41.8	42.3	42.6	44.0	43.7	43.6	45.8^a	41.5
26 or Older	48.7^a	52.4	49.4^a	52.2	57.3	54.2	54.9	52.5	56.8	58.6	55.9	57.1	58.2	57.5	56.6	54.5	56.2
26-49	48.9	50.5	48.5	50.2	54.6	53.0	53.4	52.6	56.2	54.7	52.1	54.6	52.2	55.2	53.8	52.5	51.5
50 or Older	47.9^a	59.0	52.4^a	57.1	64.4	58.2	59.7	52.1^a	58.1	69.2	64.2	63.0	69.1	62.3	63.0	59.0	67.9
DID NOT RECEIVE MENTAL HEALTH SERVICES	53.4^a	50.7	51.9^a	50.8	46.1	49.4	48.9	50.5	46.6	45.4	47.1	46.3	45.2	46.1	46.9	48.0	48.2
18-25	60.4	60.4	56.1	60.4	57.7	61.6	60.5	61.1	58.1	58.2	57.7	57.4	56.0	56.3	56.4	54.2^a	58.5
26 or Older	51.3^a	47.6	50.6^a	47.8	42.7	45.8	45.1	47.5	43.2	41.4	44.1	42.9	41.8	42.5	43.4	45.5	43.8
26-49	51.1	49.5	51.5	49.8	45.4	47.0	46.6	47.4	43.8	45.3	47.9	45.4	47.8	44.8	46.2	47.5	48.5
50 or Older	52.1^a	41.0	47.6^a	42.9	35.6	41.8	40.3	47.9^a	41.9	30.8	35.8	37.0	30.9	37.7	37.0	41.0	32.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2018.

190531

Table 10.25A – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2008-2018
Receipt of Mental Health Services/ Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
RECEIVED MENTAL HEALTH SERVICES	4,702^a	4,999^a	5,177^a	4,932^a	5,249^a	5,058^a	5,380^a	5,196^a	5,289^a	6,085	6,223
18-25	821^a	767^a	867^a	841^a	908^a	878^a	1,005^a	1,030^a	1,196^a	1,537	1,537
26 or Older	3,881^a	4,232	4,310	4,090^a	4,341	4,180	4,374	4,166	4,093^a	4,548	4,686
26-49	2,812	2,997	2,897	2,786	2,836	2,796	2,613^a	2,759^a	2,721^a	3,032	3,195
50 or Older	1,068	1,235	1,413	1,304	1,505	1,384	1,761	1,407	1,372	1,516	1,491
DID NOT RECEIVE MENTAL HEALTH SERVICES	3,421^a	4,076^a	3,466^a	3,585^a	3,823^a	3,357^a	3,637^a	3,577^a	3,909^a	4,938	4,966
18-25	1,015^a	1,004^a	955^a	978^a	985^a	990^a	1,011^a	1,148^a	1,255^a	1,566^a	1,824
26 or Older	2,406^a	3,072	2,510^a	2,608^a	2,839	2,367^a	2,626^a	2,429^a	2,655^a	3,372	3,142
26-49	1,988^a	2,288	1,701^a	2,115^a	2,228	1,751^a	2,025^a	1,862^a	2,061^a	2,396	2,527
50 or Older	418	784	809	492	611	617	601	567	594	976^a	614
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190531

Table 10.25B – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Percentages, 2008-2018
Receipt of Mental Health Services/ Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
RECEIVED MENTAL HEALTH SERVICES	57.9	55.1	59.9	57.9	57.9	60.1^a	59.7^a	59.2	57.5	55.2	55.6
18-25	44.7	43.3	47.6	46.3	48.0	47.0	49.9	47.3	48.8	49.5	45.7
26 or Older	61.7	57.9	63.2	61.1	60.5	63.8	62.5	63.2	60.7	57.4	59.9
26-49	58.6	56.7	63.0^a	56.8	56.0	61.5^a	56.3	59.7	56.9	55.9	55.8
50 or Older	71.9	61.2	63.6	72.6	71.1	69.2	74.6	71.3	69.8	60.8	70.8
DID NOT RECEIVE MENTAL HEALTH SERVICES	42.1	44.9	40.1	42.1	42.1	39.9^a	40.3^a	40.8	42.5	44.8	44.4
18-25	55.3	56.7	52.4	53.7	52.0	53.0	50.1	52.7	51.2	50.5	54.3
26 or Older	38.3	42.1	36.8	38.9	39.5	36.2	37.5	36.8	39.3	42.6	40.1
26-49	41.4	43.3	37.0^a	43.2	44.0	38.5^a	43.7	40.3	43.1	44.1	44.2
50 or Older	28.1	38.8	36.4	27.4	28.9	30.8	25.4	28.7	30.2	39.2	29.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190531

Table 10.26A – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2008-2018
Receipt of Mental Health Services/ Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
RECEIVED MENTAL HEALTH SERVICES	2,534^a	2,720^a	2,807	2,643^a	2,603^a	2,596^a	2,879	2,569^a	2,723^a	3,320	3,268
18-25	313^a	307^a	406^a	399^a	410^a	425^a	534^a	496^a	608^a	844	819
26 or Older	2,221	2,413	2,401	2,243	2,193	2,170	2,346	2,073^a	2,115	2,475	2,448
26-49	1,545	1,603	1,651	1,480	1,488	1,550	1,436^a	1,465^a	1,417^a	1,696	1,755
50 or Older	*	*	*	*	*	*	910	*	*	779	*
DID NOT RECEIVE MENTAL HEALTH SERVICES	1,091^a	1,151^a	1,087^a	1,230^a	1,351^a	1,262^a	1,325^a	1,137^a	1,375^a	1,606	1,845
18-25	302^a	278^a	298^a	307^a	294^a	329^a	365^a	379^a	482^a	582^a	726
26 or Older	789^a	873	789^a	923	1,056	932	959	758^a	893	1,024	1,119
26-49	584^a	782	606^a	755	848	651^a	742	649^a	666^a	814	905
50 or Older	*	*	*	*	*	*	217	*	*	210	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190531

Table 10.26B – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Percentages, 2008-2018
Receipt of Mental Health Services/ Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
RECEIVED MENTAL HEALTH SERVICES	69.9^a	70.3^a	72.1^a	68.2	65.8	67.3	68.5	69.3^a	66.5	67.4	63.9
18-25	50.9	52.5	57.7	56.5	58.2	56.4	59.4	56.7	55.8	59.2	53.0
26 or Older	73.8	73.4	75.3	70.9	67.5	69.9	71.0	73.2	70.3	70.7	68.6
26-49	72.6	67.2	73.2	66.2	63.7	70.4	65.9	69.3	68.0	67.6	66.0
50 or Older	*	*	*	*	*	*	80.7	*	*	78.8	*
DID NOT RECEIVE MENTAL HEALTH SERVICES	30.1^a	29.7^a	27.9^a	31.8	34.2	32.7	31.5	30.7^a	33.5	32.6	36.1
18-25	49.1	47.5	42.3	43.5	41.8	43.6	40.6	43.3	44.2	40.8	47.0
26 or Older	26.2	26.6	24.7	29.1	32.5	30.1	29.0	26.8	29.7	29.3	31.4
26-49	27.4	32.8	26.8	33.8	36.3	29.6	34.1	30.7	32.0	32.4	34.0
50 or Older	*	*	*	*	*	*	19.3	*	*	21.2	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190418

Table 10.27A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	3,860^a	3,939^a	4,343	4,709
Received SU Tx at a Specialty Facility BUT NOT MH Services	354	238	372	303
Received MH Services BUT NOT SU Tx at a Specialty Facility	2,953^a	3,128^a	3,255^a	3,758
Received SU Tx at a Specialty Facility AND MH Services	551	573	704	645
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	4,180	4,256	4,173	4,460
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	1,453^a	1,717^a	1,979	2,197
Received SU Tx at a Specialty Facility BUT NOT MH Services	98	61	80	84
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,100^a	1,339^a	1,534	1,767
Received SU Tx at a Specialty Facility AND MH Services	254	316	365	345
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	869	898	1,113	965
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	2,406	2,222	2,364	2,512
Received SU Tx at a Specialty Facility BUT NOT MH Services	255	177	292	218
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,853	1,788	1,721	1,991
Received SU Tx at a Specialty Facility AND MH Services	297	257	339	300
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	3,311	3,358	3,060^a	3,494
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.27B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	48.0	48.1	51.0	51.4
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.4	2.9	4.4	3.3
Received MH Services BUT NOT SU Tx at a Specialty Facility	36.7^a	38.2	38.2	41.0
Received SU Tx at a Specialty Facility AND MH Services	6.8	6.9	8.3	7.0
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	52.0	51.9	49.0	48.6
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	62.6^a	65.6	64.0	69.5
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.2	2.3	2.6	2.7
Received MH Services BUT NOT SU Tx at a Specialty Facility	47.4^a	51.2	49.6	55.9
Received SU Tx at a Specialty Facility AND MH Services	11.0	12.0	11.8	10.9
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	37.4^a	34.4	36.0	30.5
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	42.1	39.8	43.6	41.8
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.4	3.2	5.4	3.6
Received MH Services BUT NOT SU Tx at a Specialty Facility	32.4	32.0	31.7	33.1
Received SU Tx at a Specialty Facility AND MH Services	5.2	4.6	6.3	5.0
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	57.9	60.2	56.4	58.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.28A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 to 25 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	719^a	888^a	1,108	1,067
Received SU Tx at a Specialty Facility BUT NOT MH Services	64	66	83	49
Received MH Services BUT NOT SU Tx at a Specialty Facility	542^a	742^a	874	924
Received SU Tx at a Specialty Facility AND MH Services	111	80	150^a	90
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1,324	1,228	1,262	1,371
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	315^a	396^a	561	529
Received SU Tx at a Specialty Facility BUT NOT MH Services	13	16	13	14
Received MH Services BUT NOT SU Tx at a Specialty Facility	247^a	352^a	461	464
Received SU Tx at a Specialty Facility AND MH Services	55	27	86	51
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	278	315	386	350
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	404^a	492	547	538
Received SU Tx at a Specialty Facility BUT NOT MH Services	52	50	69	36
Received MH Services BUT NOT SU Tx at a Specialty Facility	295^a	390	413	459
Received SU Tx at a Specialty Facility AND MH Services	56	53	63	40
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1,046	913	876	1,020
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.28B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 to 25 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	35.2^a	42.0	46.7	43.8
Received SU Tx at a Specialty Facility BUT NOT MH Services	3.1	3.1	3.5	2.0
Received MH Services BUT NOT SU Tx at a Specialty Facility	26.5^a	35.1	36.9	37.9
Received SU Tx at a Specialty Facility AND MH Services	5.4	3.8	6.3^a	3.7
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	64.8^a	58.0	53.3	56.2
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	53.1	55.7	59.2	60.1
Received SU Tx at a Specialty Facility BUT NOT MH Services	2.2	2.3	1.4	1.5
Received MH Services BUT NOT SU Tx at a Specialty Facility	41.6^a	49.6	48.7	52.8
Received SU Tx at a Specialty Facility AND MH Services	9.3	3.8	9.1	5.8
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	46.9	44.3	40.8	39.9
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	27.9^a	35.0	38.4	34.5
Received SU Tx at a Specialty Facility BUT NOT MH Services	3.5	3.5	4.9^a	2.3
Received MH Services BUT NOT SU Tx at a Specialty Facility	20.3^a	27.7	29.0	29.5
Received SU Tx at a Specialty Facility AND MH Services	3.8	3.7	4.4	2.5
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	72.1^a	65.0	61.6	65.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.29A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	3,141	3,051^a	3,235	3,642
Received SU Tx at a Specialty Facility BUT NOT MH Services	289	172	289	254
Received MH Services BUT NOT SU Tx at a Specialty Facility	2,412	2,385^a	2,381	2,834
Received SU Tx at a Specialty Facility AND MH Services	440	493	555	555
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	2,856	3,028	2,911	3,089
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	1,139^a	1,321^a	1,418	1,668
Received SU Tx at a Specialty Facility BUT NOT MH Services	86	45	67	71
Received MH Services BUT NOT SU Tx at a Specialty Facility	854^a	987^a	1,073	1,303
Received SU Tx at a Specialty Facility AND MH Services	199	289	279	295
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	591	583	727	615
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	2,002	1,730	1,817	1,974
Received SU Tx at a Specialty Facility BUT NOT MH Services	204	127	222	183
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,558	1,398	1,308	1,531
Received SU Tx at a Specialty Facility AND MH Services	241	205	276	260
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	2,265	2,445	2,184	2,474
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.29B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	52.4	50.2	52.6	54.1
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.8	2.8	4.7	3.8
Received MH Services BUT NOT SU Tx at a Specialty Facility	40.2	39.2	38.7	42.1
Received SU Tx at a Specialty Facility AND MH Services	7.3	8.1	9.0	8.2
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	47.6	49.8	47.4	45.9
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	65.8	69.4	66.1	73.1
Received SU Tx at a Specialty Facility BUT NOT MH Services	5.0	2.3	3.1	3.1
Received MH Services BUT NOT SU Tx at a Specialty Facility	49.4	51.8	50.0	57.1
Received SU Tx at a Specialty Facility AND MH Services	11.5	15.1	13.0	12.9
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	34.2	30.6	33.9	26.9
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	46.9	41.4	45.4	44.4
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.8	3.0	5.6	4.1
Received MH Services BUT NOT SU Tx at a Specialty Facility	36.5	33.5	32.7	34.4
Received SU Tx at a Specialty Facility AND MH Services	5.6	4.9	6.9	5.8
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	53.1	58.6	54.6	55.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.30A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 to 49 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	2,161	2,124^a	2,298	2,481
Received SU Tx at a Specialty Facility BUT NOT MH Services	228^a	123	213	127
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,608^a	1,642^a	1,664	1,942
Received SU Tx at a Specialty Facility AND MH Services	326	359	410	412
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	2,119^a	2,308	2,067^a	2,532
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	889^a	972	1,036	1,157
Received SU Tx at a Specialty Facility BUT NOT MH Services	86	31	54	33
Received MH Services BUT NOT SU Tx at a Specialty Facility	641^a	761	751	888
Received SU Tx at a Specialty Facility AND MH Services	163	180	232	237
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	418	436	547	565
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	1,272	1,152	1,262	1,323
Received SU Tx at a Specialty Facility BUT NOT MH Services	142	92	159	94
Received MH Services BUT NOT SU Tx at a Specialty Facility	967	881	914	1,054
Received SU Tx at a Specialty Facility AND MH Services	163	179	178	175
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1,701	1,872	1,520^a	1,967
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.30B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 to 49 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	50.5	47.9	52.6	49.5
Received SU Tx at a Specialty Facility BUT NOT MH Services	5.3^a	2.8	4.9^a	2.5
Received MH Services BUT NOT SU Tx at a Specialty Facility	37.6	37.0	38.1	38.7
Received SU Tx at a Specialty Facility AND MH Services	7.6	8.0	9.4	8.2
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	49.5	52.1	47.4	50.5
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	68.0	69.0	65.4	67.2
Received SU Tx at a Specialty Facility BUT NOT MH Services	6.6^a	2.2	3.4	1.9
Received MH Services BUT NOT SU Tx at a Specialty Facility	49.0	54.1	47.4	51.6
Received SU Tx at a Specialty Facility AND MH Services	12.4	12.7	14.6	13.7
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	32.0	31.0	34.6	32.8
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	42.8	38.1	45.4	40.2
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.8	3.0	5.7^a	2.9
Received MH Services BUT NOT SU Tx at a Specialty Facility	32.5	29.1	32.9	32.0
Received SU Tx at a Specialty Facility AND MH Services	5.5	5.9	6.4	5.3
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	57.2	61.9	54.6	59.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.31A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 50 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	980	927	938	1,162
Received SU Tx at a Specialty Facility BUT NOT MH Services	62	49	76	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	804	743	716	892
Received SU Tx at a Specialty Facility AND MH Services	114	135	145	143
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	737	720	844	557
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	*	*	*	*
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	*	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	*	*	*	*
Received SU Tx at a Specialty Facility AND MH Services	*	*	*	*
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	*	*	*	*
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	730	578	555	*
Received SU Tx at a Specialty Facility BUT NOT MH Services	62	*	64	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	591	517	394	477
Received SU Tx at a Specialty Facility AND MH Services	77	26	97	85
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	564	573	665	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190418

Table 10.31B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 50 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2018
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	57.1	56.3	52.6^a	67.6
Received SU Tx at a Specialty Facility BUT NOT MH Services	3.6	3.0	4.3	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	46.8	45.1	40.2	51.9
Received SU Tx at a Specialty Facility AND MH Services	6.6	8.1	8.1	8.3
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	42.9	43.7	47.4^a	32.4
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	*	*	*	*
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	*	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	*	*	*	*
Received SU Tx at a Specialty Facility AND MH Services	*	*	*	*
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	*	*	*	*
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	56.4	50.2	45.5	*
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.7	*	5.2	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	45.7	45.0	32.3	41.2
Received SU Tx at a Specialty Facility AND MH Services	5.9	2.2	8.0	7.3
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	43.6	49.8	54.5	*
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2018.

190419

Table 10.32A – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2005-2018
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	14,194^a	14,239^a	14,835^a	14,462^a	14,836^a	15,556^a	15,153^a	16,026^a	15,670^a	15,655^a	16,079^a	16,225^a	17,297	17,720
AGE GROUP
18-25	2,828^a	2,623^a	2,608^a	2,742^a	2,677^a	2,796^a	2,826^a	3,051^a	3,007^a	3,200^a	3,554^a	3,705^a	4,416	4,609
26 or Older	11,365^a	11,615^a	12,227	11,720^a	12,159	12,760	12,326	12,975	12,663	12,455	12,525	12,520	12,880	13,111
26-49	7,527	7,694	7,590	7,377	7,546	7,361	7,536	7,370	7,336	6,970^a	7,329^a	7,236^a	7,635	7,990
50 or Older	3,838^a	3,922^a	4,637	4,343	4,613	5,400	4,790	5,606	5,327	5,485	5,196	5,284	5,245	5,121
GENDER
Male	4,821^a	5,032^a	5,032^a	4,921^a	5,232^a	5,590	5,264^a	5,811	5,777	5,492^a	5,461^a	5,639^a	6,266	6,272
Female	9,373^a	9,206^a	9,803^a	9,541^a	9,605^a	9,966^a	9,889^a	10,215^a	9,893^a	10,163^a	10,618	10,586^a	11,031	11,447
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12,551^a	12,886^a	13,235^a	12,875^a	13,032^a	13,765^a	13,597^a	13,613^a	13,617^a	13,605^a	14,278	14,088^a	15,188	15,225
White	10,449^a	10,783^a	11,200^a	10,821^a	10,917^a	11,420	11,303	11,051^a	11,375	10,979^a	11,747	11,551	12,398	12,224
Black or African American	1,461	1,432	1,345^a	1,346^a	1,427^a	1,533	1,472	1,686	1,256^a	1,511	1,380^a	1,409^a	1,579	1,783
AIAN	97	100	96	55^a	70	83	92	129	110	74	111	120	102	125
NHOPI	48	42	*	*	*	*	28	*	12^a	60	31	79	45	64
Asian	282^a	248^a	256^a	303^a	323^a	393	435	371^a	468	519	543	511	600	593
Two or More Races	214^a	281	273^a	271^a	253^a	285	267^a	260^a	397	461	467	419	465	437
Hispanic or Latino	1,643^a	1,353^a	1,600^a	1,587^a	1,804^a	1,791^a	1,556^a	2,413	2,053	2,050^a	1,801^a	2,137	2,109^a	2,495
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Estimates for 2005 to 2008 are based on an adjusted MDE variable and may differ from estimates published in prior NSDUH reports. See Section 3.4.8 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2018.

190419

Table 10.32B – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2005-2018
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	6.6^a	6.5^a	6.7^a	6.5^a	6.6^a	6.8	6.6^a	6.9	6.7^a	6.6^a	6.7^a	6.7^a	7.1	7.2
AGE GROUP
18-25	8.8^a	8.1^a	8.0^a	8.4^a	8.0^a	8.3^a	8.3^a	8.9^a	8.7^a	9.3^a	10.3^a	10.9^a	13.1	13.8
26 or Older	6.2	6.2	6.5	6.2	6.3	6.6	6.3	6.5	6.3	6.1	6.1	6.0	6.1	6.2
26-49	7.6	7.7	7.6	7.4	7.6	7.5	7.7	7.6	7.6	7.2^a	7.5	7.4^a	7.7	8.0
50 or Older	4.5	4.5	5.2	4.8	4.9	5.6^a	4.8	5.5^a	5.1	5.2	4.8	4.8	4.7	4.5
GENDER
Male	4.6^a	4.8	4.7	4.6^a	4.8	5.1	4.7	5.2	5.1	4.8	4.7^a	4.8	5.3	5.3
Female	8.4	8.1^a	8.6	8.3	8.2^a	8.5	8.3^a	8.4	8.1^a	8.2^a	8.5	8.5	8.7	9.0
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	6.6^a	6.8^a	6.9	6.7^a	6.7^a	7.0	6.9	6.8^a	6.8^a	6.8^a	7.0	6.9	7.4	7.4
White	6.9^a	7.1^a	7.3	7.0^a	7.1^a	7.4	7.3	7.1^a	7.3	7.1^a	7.5	7.4	7.9	7.8
Black or African American	6.0	5.7	5.4	5.3	5.5	5.8	5.6	6.3	4.6^a	5.4	4.9^a	5.0^a	5.4	6.1
AIAN	8.8	9.1	8.7	5.9	6.5	7.8	7.4	10.0	8.9	6.0	8.9	8.7	8.0	8.5
NHOPI	7.7	5.1	*	*	*	*	3.2	*	1.6^a	6.7	5.2	7.3	4.7	6.9
Asian	3.2	2.7^a	2.7^a	3.1	3.3	3.8	4.0	3.2	4.0	4.2	4.1	3.9	4.4	4.3
Two or More Races	9.7	12.7	11.9	11.1	10.5	10.8	8.3	7.7	11.4	12.7	12.2	10.5	11.3	10.2
Hispanic or Latino	6.0	4.7^a	5.5	5.3	5.9	5.7	4.6^a	7.0	5.8	5.6	4.8^a	5.6	5.4	6.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Estimates for 2005 to 2008 are based on an adjusted MDE variable and may differ from estimates published in prior NSDUH reports. See Section 3.4.8 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2018.

190419

Table 10.33A – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2009-2018
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	8,913^a	9,671^a	9,669^a	10,445^a	10,128^a	10,237^a	10,263^a	10,332^a	11,007	11,489
AGE GROUP
18-25	1,739^a	1,771^a	1,779^a	1,975^a	1,971^a	2,078^a	2,239^a	2,388^a	2,887	2,968
26 or Older	7,173^a	7,899	7,890	8,470	8,157	8,159	8,024	7,944	8,119	8,520
26-49	4,783	4,558^a	5,036	5,008	4,786	4,496^a	4,795	4,627^a	5,019	5,284
50 or Older	2,391^a	3,341	2,855	3,462	3,371	3,663	3,229	3,317	3,101	3,236
GENDER
Male	3,149^a	3,540	3,335^a	3,840	3,813	3,502^a	3,478^a	3,500^a	3,777	4,013
Female	5,764^a	6,130^a	6,334^a	6,604^a	6,316^a	6,735^a	6,785^a	6,832	7,230	7,476
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,909^a	8,442^a	8,744^a	8,804^a	8,664^a	8,879^a	9,167	8,910^a	9,802	9,970
White	6,601^a	7,053^a	7,054^a	7,044^a	7,107^a	7,141^a	7,553	7,288	7,839	7,993
Black or African American	853^a	1,021	1,062	1,140	797^a	957	895^a	927	1,135	1,150
AIAN	63	57	86	99	61	51	84	77	82	93
NHOPI	*	19	14	*	12	22	22	41	40	55
Asian	192^a	168^a	340	247	358	346	266	291	401	379
Two or More Races	165^a	125^a	187	184^a	330	361	347	285	306	299
Hispanic or Latino	1,004^a	1,229	925^a	1,641	1,464	1,359	1,095^a	1,422	1,205^a	1,519
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2018.

190419

Table 10.33B – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2009-2018
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	4.0^a	4.2^a	4.2^a	4.5	4.3	4.3^a	4.3^a	4.3^a	4.5	4.7
AGE GROUP
18-25	5.2^a	5.2^a	5.2^a	5.8^a	5.7^a	6.0^a	6.5^a	7.0^a	8.5	8.9
26 or Older	3.7	4.1	4.0	4.3	4.1	4.0	3.9	3.8	3.9	4.0
26-49	4.8	4.7^a	5.2	5.1	4.9	4.6^a	4.9	4.7^a	5.0	5.3
50 or Older	2.6	3.5	2.9	3.4	3.2	3.5^a	3.0	3.0	2.8	2.9
GENDER
Male	2.9^a	3.2	3.0	3.4	3.4	3.1	3.0	3.0	3.2	3.4
Female	4.9^a	5.2^a	5.3	5.5	5.2^a	5.5	5.5	5.5	5.7	5.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4.1^a	4.3^a	4.4	4.4	4.3^a	4.4^a	4.5	4.4^a	4.8	4.8
White	4.3^a	4.6^a	4.6^a	4.6^a	4.6^a	4.6^a	4.9	4.7	5.0	5.1
Black or African American	3.3	3.9	4.0	4.2	2.9^a	3.4	3.2	3.3	3.9	4.0
AIAN	5.8	5.3	6.9	7.7	5.0	4.1	6.7	5.6	6.4	6.4
NHOPI	*	2.9	1.7	*	1.5	2.5	3.6	3.8	4.2	5.9
Asian	1.9	1.6	3.1	2.2	3.0	2.8	2.0	2.2	2.9	2.7
Two or More Races	6.8	4.7	5.8	5.4	9.4	9.9	9.1	7.1	7.5	7.0
Hispanic or Latino	3.3	3.9	2.7^a	4.7	4.2	3.7	2.9^a	3.8	3.1	3.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2018.

190419

Table 10.34A – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Major Depressive Episode in Past Year, by Demographic Characteristics: Numbers in Thousands, 2009-2018
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	9,526^a	10,605	10,299^a	10,885	10,727	10,717	10,801	10,574	11,548	11,462
AGE GROUP
18-25	1,257^a	1,360^a	1,349^a	1,520^a	1,526^a	1,581^a	1,662^a	1,631^a	2,238	2,286
26 or Older	8,270	9,245	8,950	9,365	9,200	9,136	9,139	8,943	9,310	9,176
26-49	4,888	5,013	5,124	5,071	4,884	4,723	4,938	4,871	5,128	5,142
50 or Older	3,382	4,232	3,826	4,294	4,317	4,413	4,201	4,072	4,182	4,034
GENDER
Male	3,084	3,339	3,211	3,503	3,464	3,422	3,208	3,174	3,650	3,548
Female	6,443^a	7,266	7,088^a	7,382	7,263	7,295	7,593	7,400	7,898	7,914
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8,638^a	9,456	9,478	9,543	9,543	9,469	9,721	9,448	10,370	10,118
White	7,468^a	8,203	8,252	7,950	8,150	7,877	8,297	8,037	8,737	8,366
Black or African American	760^a	835	800^a	1,047	811	879	799^a	855	994	1,090
AIAN	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	251	261
Two or More Races	*	*	*	*	*	350	314	244	296	288
Hispanic or Latino	888^a	1,149	821^a	1,341	1,184	1,248	1,080	1,126	1,178	1,344
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2018.

190419

Table 10.34B – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Major Depressive Episode in Past Year, by Demographic Characteristics: Percentages, 2009-2018
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	64.3	68.2^a	68.1^a	68.0^a	68.6^a	68.6^a	67.2	65.3	66.8	64.8
AGE GROUP
18-25	47.0	48.7	47.8	49.8	50.8	49.5	46.8	44.1^a	50.7	49.6
26 or Older	68.2	72.4	72.7	72.3	72.8	73.5^a	73.0	71.6	72.4	70.1
26-49	64.8	68.1	68.1	68.8^a	66.7	67.9	67.4	67.4	67.3	64.4
50 or Older	73.8	78.4	80.0	76.8	81.3	80.8	80.9	77.3	79.7	78.9
GENDER
Male	59.0	59.8	61.0	60.3	60.1	62.4^a	58.8	56.6	58.3	56.7
Female	67.3	72.9^a	71.8	72.4	73.6^a	72.0	71.6	69.9	71.7	69.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	66.4	68.7	69.8^a	70.2^a	70.3^a	69.7^a	68.1	67.2	68.4	66.5
White	68.6	71.8	73.1^a	72.0	71.9	71.9^a	70.6	69.7	70.5	68.5
Black or African American	53.2	54.5	54.3	62.1	64.6	58.5	57.9	60.8	63.1	61.2
AIAN	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	41.9	43.9
Two or More Races	*	*	*	*	*	75.9	67.9	58.4	64.8	65.8
Hispanic or Latino	49.2	64.2^a	53.2	55.6	57.7	61.2	60.1	52.7	55.9	53.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2018.

190605

Table 10.35A – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Past Year Major Depressive Episode with Severe Impairment, by Demographic Characteristics: Numbers in Thousands, 2009-2018
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	6,367^a	7,054^a	7,121	7,633	7,719	7,534	7,451	7,452	7,923	7,878
AGE GROUP
18-25	890^a	954^a	963^a	1,095^a	1,119^a	1,148^a	1,163^a	1,225^a	1,649	1,594
26 or Older	5,477^a	6,100	6,159	6,538	6,599	6,386	6,288	6,228	6,274	6,283
26-49	3,463	3,381	3,733	3,689	3,554	3,250	3,449	3,437	3,596	3,593
50 or Older	2,014^a	2,719	2,425	2,849	3,046	3,136	2,839	2,791	2,678	2,691
GENDER
Male	2,020^a	2,288	2,291	2,509	2,592	2,268	2,228	2,283	2,408	2,464
Female	4,347^a	4,766	4,830	5,125	5,127	5,266	5,223	5,170	5,515	5,414
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,805^a	6,216^a	6,569	6,567	6,831	6,595	6,717	6,622	7,184	6,972
White	4,990^a	5,414	5,500	5,362	5,722	5,453	5,733	5,600	5,950	5,767
Black or African American	515	596	703	755	587	572	532	626	759	740
AIAN	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	297	*	*	213	*
Hispanic or Latino	562^a	838	552^a	1,066	887	939	734	831	739	906
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2018.

190605

Table 10.35B – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Past Year Major Depressive Episode with Severe Impairment, by Demographic Characteristics: Percentages, 2009-2018
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	71.5	72.9^a	73.7^a	73.1^a	76.4^a	73.7^a	72.7^a	72.2^a	72.1^a	68.6
AGE GROUP
18-25	51.2	53.9	54.2	55.5	56.8	55.3	52.0	51.3	57.1	53.7
26 or Older	76.4	77.2	78.1	77.2	81.1^a	78.4^a	78.4^a	78.4^a	77.4	73.8
26-49	72.4	74.2^a	74.1^a	73.7^a	74.4^a	72.3	72.0	74.3^a	71.8	68.0
50 or Older	84.4	81.4	85.0	82.4	90.8^a	85.9	87.9	84.1	86.4	83.1
GENDER
Male	64.2	64.6	68.8^a	65.4	68.0	64.8	64.1	65.2	63.8	61.4
Female	75.4	77.7^a	76.2	77.6^a	81.5^a	78.3^a	77.1^a	75.7	76.4^a	72.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	73.4	73.6	75.2^a	74.6^a	79.1^a	74.4^a	73.3	74.4^a	73.4^a	69.9
White	75.6	76.8^a	78.0^a	76.1	80.8^a	76.4^a	75.9^a	76.9^a	75.9^a	72.2
Black or African American	60.4	58.4	66.2	66.3	73.7	60.2	59.5	67.7	67.1	64.3
AIAN	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	82.4	*	*	71.6	*
Hispanic or Latino	56.0	68.2	59.7	65.0	60.6	69.2	67.1	58.4	61.4	59.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2018.

190419

Table 10.36A – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Numbers in Thousands, 2008-2018
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	8,335^a	8,467^a	8,724^a	8,540^a	9,031^a	9,292^a	9,436^a	9,767^a	9,829^a	10,642	10,744
18-25	2,227^a	2,027^a	2,257^a	2,329^a	2,489^a	2,568^a	2,586^a	2,878^a	3,022^a	3,555	3,709
18-20	1,022^a	950^a	1,067^a	1,104^a	1,161^a	1,260^a	1,167^a	1,294^a	1,408	1,596	1,571
21-25	1,205^a	1,077^a	1,191^a	1,225^a	1,328^a	1,308^a	1,420^a	1,584^a	1,614^a	1,958	2,138
26 or Older	6,107^a	6,440	6,467	6,211^a	6,542	6,723	6,850	6,890	6,807	7,087	7,035
26-49	3,951^a	4,290	4,006^a	3,587^a	4,064^a	3,875^a	3,953^a	4,072^a	4,173^a	4,292	4,657
26-29	776^a	754^a	742^a	765^a	759^a	808^a	796^a	990^a	944^a	1,175	1,284
30-34	698^a	812^a	755^a	536^a	777^a	888^a	894^a	936^a	1,068	922^a	1,165
35-39	767	954	593^a	822	726	693	727	720	855	753	883
40-44	811	832	790	680	838	680	850	709	585	800	697
45-49	899^a	938^a	1,125^a	784	965^a	805	685	716	721	642	627
50 or Older	2,157	2,150	2,461	2,624	2,478	2,849	2,897	2,817	2,634	2,795	2,379
50-54	695	721	668	931^a	602	1,119^a	873	806	796	523	603
55-59	599	693	698	656	528	721	832	647	641	749	584
60-64	296	280	435	401	548	376	461	519	413	484	427
65 or Older	567	456^a	660	636	800	632	731	846	783	1,039	766
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.36B – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Percentages, 2008-2018
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	3.7^a	3.7^a	3.8^a	3.7^a	3.9^a	3.9^a	3.9^a	4.0	4.0	4.3	4.3
18-25	6.8^a	6.1^a	6.7^a	6.8^a	7.2^a	7.4^a	7.5^a	8.3^a	8.8^a	10.5	11.0
18-20	7.8^a	7.0^a	7.9^a	8.2^a	8.8^a	9.6^a	9.0^a	10.0^a	11.2	12.5	12.2
21-25	6.1^a	5.4^a	5.8^a	5.9^a	6.3^a	6.1^a	6.5^a	7.3^a	7.5^a	9.2^a	10.3
26 or Older	3.2	3.3	3.3	3.1	3.3	3.3	3.4	3.3	3.3	3.3	3.3
26-49	4.0^a	4.3	4.1^a	3.7^a	4.2	4.0^a	4.0^a	4.1^a	4.2	4.3	4.7
26-29	4.6^a	4.5^a	4.5^a	4.5^a	4.4^a	4.7^a	4.7^a	5.8^a	5.5^a	6.6	7.3
30-34	3.8^a	4.2	3.8^a	2.8^a	3.9^a	4.4	4.3	4.4	5.0	4.3^a	5.3
35-39	3.8	4.8	3.1	4.2	3.7	3.6	3.7	3.7	4.2	3.6	4.1
40-44	3.8	4.0	3.9	3.4	4.2	3.2	4.2	3.5	3.0	4.1	3.6
45-49	4.0	4.2	5.1^a	3.6	4.5^a	4.0	3.3	3.5	3.6	3.2	3.2
50 or Older	2.3	2.3	2.6	2.6	2.4	2.7^a	2.7^a	2.6	2.4	2.5	2.1
50-54	3.2	3.2	3.0	4.0	2.6	4.9	3.7	3.5	3.7	2.5	2.9
55-59	3.4	3.7	3.6	3.5	2.6	3.5	4.0^a	3.1	2.9	3.4	2.7
60-64	2.0	1.8	2.6	2.2	3.3	2.1	2.6	2.8	2.2	2.4	2.1
65 or Older	1.5	1.2	1.7	1.6	1.9	1.5	1.6	1.8	1.6	2.1	1.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.37A – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	8,335^a	8,467^a	8,724^a	8,540^a	9,031^a	9,292^a	9,436^a	9,767^a	9,829^a	10,642	10,744
AGE GROUP
18-25	2,227^a	2,027^a	2,257^a	2,329^a	2,489^a	2,568^a	2,586^a	2,878^a	3,022^a	3,555	3,709
26 or Older	6,107^a	6,440	6,467	6,211^a	6,542	6,723	6,850	6,890	6,807	7,087	7,035
26-49	3,951^a	4,290	4,006^a	3,587^a	4,064^a	3,875^a	3,953^a	4,072^a	4,173^a	4,292	4,657
50 or Older	2,157	2,150	2,461	2,624	2,478	2,849	2,897	2,817	2,634	2,795	2,379
GENDER
Male	3,753^a	3,874^a	4,158^a	3,771^a	4,064^a	4,356	4,437	4,492	4,765	4,814	4,885
Female	4,581^a	4,593^a	4,566^a	4,770^a	4,967^a	4,935^a	4,999^a	5,275^a	5,064^a	5,827	5,859
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,499^a	7,436^a	7,966^a	7,691^a	7,821^a	8,008^a	8,183^a	8,381^a	8,489^a	9,341	9,248
White	6,163^a	5,990^a	6,294^a	6,140^a	6,200^a	6,438^a	6,510^a	6,736	6,804	7,284	7,206
Black or African American	916^a	921^a	1,083	885^a	965	804^a	908^a	934	1,004	1,097	1,199
AIAN	26^a	54	81	169	77	60	60	67	54	63	87
NHOPI	32	*	30	*	15	35	11	17	27	74	33
Asian	219^a	197^a	335	322	379	393	390	317	303	454	405
Two or More Races	141^a	184^a	142^a	141^a	185^a	278	304	312	298	369	319
Hispanic or Latino	836^a	1,031^a	758^a	849^a	1,210	1,284	1,253	1,386	1,340	1,300	1,496
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.37B – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	3.7^a	3.7^a	3.8^a	3.7^a	3.9^a	3.9^a	3.9^a	4.0	4.0	4.3	4.3
AGE GROUP
18-25	6.8^a	6.1^a	6.7^a	6.8^a	7.2^a	7.4^a	7.5^a	8.3^a	8.8^a	10.5	11.0
26 or Older	3.2	3.3	3.3	3.1	3.3	3.3	3.4	3.3	3.3	3.3	3.3
26-49	4.0^a	4.3	4.1^a	3.7^a	4.2	4.0^a	4.0^a	4.1^a	4.2	4.3	4.7
50 or Older	2.3	2.3	2.6	2.6	2.4	2.7^a	2.7^a	2.6	2.4	2.5	2.1
GENDER
Male	3.5^a	3.5^a	3.8	3.4^a	3.6^a	3.8	3.9	3.9	4.1	4.1	4.1
Female	3.9^a	3.9^a	3.9^a	4.0^a	4.1^a	4.0^a	4.0^a	4.2	4.0^a	4.6	4.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	3.9^a	3.8^a	4.0^a	3.9^a	3.9^a	4.0^a	4.0^a	4.1	4.1	4.5	4.5
White	4.0^a	3.9^a	4.0^a	4.0^a	4.0^a	4.1	4.2^a	4.3	4.3	4.6	4.6
Black or African American	3.6	3.5	4.1	3.3	3.6	2.9^a	3.2^a	3.3	3.5	3.8	4.1
AIAN	2.8	5.0	7.5	13.1	5.9	4.8	4.8	5.3	3.9	5.0	5.8
NHOPI	4.0	*	4.6	*	1.5	4.6	1.2	2.8	2.5	7.7	3.6
Asian	2.2	2.0	3.2	2.9	3.3	3.3	3.1	2.4	2.3	3.3	2.9
Two or More Races	5.7	7.6	5.4	4.4^a	5.5	7.9	8.3	8.1	7.5	8.9	7.4
Hispanic or Latino	2.8^a	3.3	2.4^a	2.5^a	3.5	3.6	3.4	3.7	3.5	3.3	3.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.38A – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	8,335^a	8,467^a	8,724^a	8,540^a	9,031^a	9,292^a	9,436^a	9,767^a	9,829^a	10,642	10,744
GEOGRAPHIC REGION
Northeast	1,488	1,520	1,606	1,514	1,655	1,655	1,643	1,755	1,619	1,619	1,686
Midwest	2,071^a	2,173	2,087	2,020^a	1,951^a	2,052^a	2,057^a	2,119	2,028^a	2,384	2,426
South	2,792^a	2,514^a	2,965^a	2,944^a	3,203	3,370	3,326	3,445	3,434	3,898	3,685
West	1,984^a	2,260^a	2,067^a	2,062^a	2,222^a	2,215^a	2,410^a	2,449^a	2,748	2,741	2,947
COUNTY TYPE¹
Large Metro	4,497^a	4,534^a	4,639^a	4,101^a	4,824^a	4,949^a	5,014^a	5,237	5,224	5,514	5,697
Small Metro	2,798^a	2,643^a	2,669^a	3,154	2,953^a	2,870^a	2,890^a	3,107	3,263	3,406	3,516
Nonmetro	1,039^a	1,290	1,415	1,286	1,255	1,472	1,532	1,424	1,342	1,722	1,531
Urbanized	386^a	551^a	622	494^a	480^a	724	663	672	581	755	778
Less Urbanized	553	633	647	670	609	665	724	619	626	823	633
Completely Rural	100	106	147	122	167	84	144	133	135	144	121
POVERTY LEVEL²
Less Than 100%	1,453^a	1,719^a	1,783^a	2,147	2,145	2,271	2,159	2,330	2,117	2,145	2,338
100-199%	1,908^a	1,837^a	2,019	2,047	2,281	2,162	2,382	2,197	2,465	2,370	2,369
200% or More	4,884^a	4,833^a	4,873^a	4,292^a	4,527^a	4,788^a	4,817^a	5,185^a	5,165^a	6,031	5,947
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,366	1,339	1,274	1,230
High School Graduate	nc	nc	nc	nc	nc	nc	nc	2,623	2,408^a	2,626	2,837
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	3,652^a	3,906	4,238	4,150
College Graduate	nc	nc	nc	nc	nc	nc	nc	2,126^a	2,175	2,504	2,527
HEALTH INSURANCE³
Private	4,658^a	4,623^a	4,685^a	4,203^a	4,405^a	4,787^a	4,877^a	5,120^a	5,286^a	5,982	5,900
Medicaid/CHIP	1,236^a	1,535^a	1,408^a	1,526^a	1,493^a	1,512^a	2,019^a	2,292	2,245	2,390	2,462
Other⁴	1,626	1,377^a	1,988	1,672	2,088	1,990	2,217	2,318	2,016	2,269	2,021
No Coverage	1,774	1,787	1,846	2,067^a	2,236^a	2,113^a	1,604	1,360	1,449	1,361	1,625
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.38B – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2018
Geographic/Socioeconomic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	3.7^a	3.7^a	3.8^a	3.7^a	3.9^a	3.9^a	3.9^a	4.0	4.0	4.3	4.3
GEOGRAPHIC REGION
Northeast	3.6	3.6	3.8	3.6	3.9	3.8	3.8	4.0	3.7	3.7	3.9
Midwest	4.2	4.4	4.2	4.0	3.9^a	4.0	4.0	4.1	4.0^a	4.6	4.7
South	3.4	3.0^a	3.5	3.4	3.7	3.8	3.7	3.8	3.8	4.2	3.9
West	3.8^a	4.3	3.9^a	3.8^a	4.1^a	4.0^a	4.3	4.3	4.8	4.7	5.0
COUNTY TYPE¹
Large Metro	3.7	3.7	3.7	3.3^a	3.8	3.8	3.7	3.9	3.9	4.0	4.1
Small Metro	4.1^a	3.8^a	3.8^a	4.3	4.1^a	4.0^a	4.1^a	4.2	4.5	4.7	4.8
Nonmetro	3.1^a	3.8	4.3	3.9	3.6	4.2	4.5	4.3	3.9	4.9	4.3
Urbanized	2.9^a	3.9	4.5	3.9	3.4^a	4.7	4.6	4.9	4.2	5.0	4.8
Less Urbanized	3.3	3.9	4.0	4.0	3.6	4.2	4.5	4.0	3.6	4.8	3.9
Completely Rural	3.1	3.3	4.8	3.6	4.5	2.3	4.2	3.2	4.0	4.6	3.6
POVERTY LEVEL²
Less Than 100%	5.8^a	6.3	6.1	6.6	5.8^a	6.6	6.0	6.4	6.1	6.4	6.9
100-199%	4.6	4.2	4.3	4.3	5.0	4.7	5.1	4.5	5.0	4.9	4.9
200% or More	3.1^a	3.1^a	3.2	2.8^a	3.0^a	3.1^a	3.1^a	3.3	3.3^a	3.7	3.6
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	4.0	4.2	4.2	4.0
High School Graduate	nc	nc	nc	nc	nc	nc	nc	4.3	4.0^a	4.4	4.6
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	5.0	5.2	5.5	5.4
College Graduate	nc	nc	nc	nc	nc	nc	nc	2.9	2.9	3.2	3.2
HEALTH INSURANCE³
Private	3.0^a	3.0^a	3.1^a	2.8^a	2.9^a	3.1^a	3.1^a	3.2^a	3.2^a	3.6	3.6
Medicaid/CHIP	6.8	8.0	6.7	6.6	6.5	6.3	6.9	6.8	6.5	6.7	6.8
Other⁴	3.2	2.6	3.7	3.0	3.6	3.3	3.6	3.6	3.1	3.4	3.0
No Coverage	5.2^a	5.0^a	4.8^a	5.5^a	5.9	5.7	5.5^a	5.3^a	6.3	5.9	6.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.39A – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Numbers in Thousands, 2008-2018
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	2,299^a	2,253^a	2,542^a	2,406^a	2,681^a	2,714^a	2,667^a	2,702^a	2,756^a	3,195	3,312
18-25	643^a	654^a	661^a	663^a	813^a	852^a	806^a	934^a	981^a	1,266	1,160
18-20	347^a	335^a	324^a	320^a	433	434	388^a	468	469	647^a	523
21-25	296^a	320^a	338^a	343^a	380^a	418^a	419^a	466^a	512^a	618	637
26 or Older	1,656^a	1,598^a	1,880	1,743^a	1,868	1,862	1,860	1,768	1,775^a	1,930	2,153
26-49	1,056^a	1,016^a	1,013^a	1,076^a	1,272	1,249	1,107^a	1,033^a	1,271	1,230	1,450
26-29	200^a	158^a	147^a	277^a	232^a	255^a	211^a	272^a	253^a	291^a	442
30-34	209	152^a	225	124^a	157^a	274	212	242	344	247	316
35-39	221	213	142^a	264	267	250	252	171^a	282	192	314
40-44	202	265	266	202	288	245	221	169	186	244	200
45-49	224	227	233	208	329^a	226	211	179	206	256	180
50 or Older	600	583	867	667	596	614	754	734	504	700	702
50-54	259	212	298	295	157	163	159	295	185	168	210
55-59	142	169	173	195	113	204	192	151	104	166	222
60-64	87	100	108	70	143	90	161	94	116	133	116
65 or Older	111	101	288	107	184	157	242	194	99	233	153
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.39B – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Percentages, 2008-2018
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	1.0^a	1.0^a	1.1^a	1.0^a	1.1^a	1.1^a	1.1^a	1.1^a	1.1^a	1.3	1.3
18-25	2.0^a	2.0^a	1.9^a	1.9^a	2.4^a	2.5^a	2.3^a	2.7^a	2.9^a	3.7	3.4
18-20	2.7^a	2.5^a	2.4^a	2.4^a	3.3	3.3	3.0^a	3.6	3.7	5.1^a	4.1
21-25	1.5^a	1.6^a	1.7^a	1.7^a	1.8^a	1.9^a	1.9^a	2.1^a	2.4^a	2.9	3.1
26 or Older	0.9	0.8	1.0	0.9	0.9	0.9	0.9	0.9	0.9	0.9	1.0
26-49	1.1^a	1.0^a	1.0^a	1.1^a	1.3	1.3	1.1^a	1.1^a	1.3	1.2	1.4
26-29	1.2^a	0.9^a	0.9^a	1.6	1.4^a	1.5^a	1.2^a	1.6^a	1.5^a	1.6^a	2.5
30-34	1.1	0.8^a	1.1	0.6^a	0.8^a	1.4	1.0	1.1	1.6	1.1	1.4
35-39	1.1	1.1	0.7^a	1.3	1.4	1.3	1.3	0.9	1.4	0.9	1.4
40-44	0.9	1.3	1.3	1.0	1.4	1.1	1.1	0.8	1.0	1.2	1.0
45-49	1.0	1.0	1.1	1.0	1.5	1.1	1.0	0.9	1.0	1.3	0.9
50 or Older	0.7	0.6	0.9	0.7	0.6	0.6	0.7	0.7	0.5	0.6	0.6
50-54	1.2	1.0	1.4	1.3	0.7	0.7	0.7	1.3	0.8	0.8	1.0
55-59	0.8	0.9	0.9	1.0	0.5	1.0	0.9	0.7	0.5	0.8	1.0
60-64	0.6	0.6	0.7	0.4	0.9	0.5	0.9	0.5	0.6	0.7	0.6
65 or Older	0.3	0.3	0.7^a	0.3	0.4	0.4	0.5	0.4	0.2	0.5	0.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.40A – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	2,299^a	2,253^a	2,542^a	2,406^a	2,681^a	2,714^a	2,667^a	2,702^a	2,756^a	3,195	3,312
AGE GROUP
18-25	643^a	654^a	661^a	663^a	813^a	852^a	806^a	934^a	981^a	1,266	1,160
26 or Older	1,656^a	1,598^a	1,880	1,743^a	1,868	1,862	1,860	1,768	1,775^a	1,930	2,153
26-49	1,056^a	1,016^a	1,013^a	1,076^a	1,272	1,249	1,107^a	1,033^a	1,271	1,230	1,450
50 or Older	600	583	867	667	596	614	754	734	504	700	702
GENDER
Male	1,011^a	1,089^a	1,211^a	1,125^a	1,225	1,153^a	1,144^a	1,257	1,207^a	1,416	1,528
Female	1,288^a	1,163^a	1,331^a	1,281^a	1,455^a	1,561	1,523	1,445^a	1,549	1,779	1,784
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2,033^a	1,983^a	2,327^a	2,147^a	2,315^a	2,299^a	2,353^a	2,318^a	2,382^a	2,809	2,846
White	1,674^a	1,578^a	1,751	1,666^a	1,786	1,915	1,789	1,855	1,818	2,121	2,094
Black or African American	250^a	278^a	394	237^a	308^a	248^a	363	245^a	340	326	468
AIAN	12	26	14	*	26	21	16	36	20	35	26
NHOPI	8	5	0^a	2	4	19	5	*	4	*	11
Asian	31^a	44^a	117	111	143	54	100	73	70	192	117
Two or More Races	59	52^a	51^a	45^a	50^a	43^a	80	108	130	104	131
Hispanic or Latino	266^a	269^a	215^a	259^a	366	415	314^a	384	374	387	466
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.40B – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	1.0^a	1.0^a	1.1^a	1.0^a	1.1^a	1.1^a	1.1^a	1.1^a	1.1^a	1.3	1.3
AGE GROUP
18-25	2.0^a	2.0^a	1.9^a	1.9^a	2.4^a	2.5^a	2.3^a	2.7^a	2.9^a	3.7	3.4
26 or Older	0.9	0.8	1.0	0.9	0.9	0.9	0.9	0.9	0.9	0.9	1.0
26-49	1.1^a	1.0^a	1.0^a	1.1^a	1.3	1.3	1.1^a	1.1^a	1.3	1.2	1.4
50 or Older	0.7	0.6	0.9	0.7	0.6	0.6	0.7	0.7	0.5	0.6	0.6
GENDER
Male	0.9^a	1.0^a	1.1	1.0^a	1.1	1.0^a	1.0^a	1.1	1.0^a	1.2	1.3
Female	1.1^a	1.0^a	1.1^a	1.1^a	1.2	1.3	1.2	1.2^a	1.2	1.4	1.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1.0^a	1.0^a	1.2	1.1^a	1.2^a	1.1^a	1.2^a	1.1^a	1.2^a	1.4	1.4
White	1.1^a	1.0^a	1.1	1.1^a	1.1	1.2	1.1	1.2	1.2	1.4	1.3
Black or African American	1.0^a	1.1	1.5	0.9^a	1.1	0.9^a	1.3	0.9^a	1.2	1.1	1.6
AIAN	1.3	2.4	1.3	*	2.0	1.7	1.3	2.8	1.4	2.7	1.7
NHOPI	1.0	0.7	0.0^a	0.2	0.4	2.5	0.5	*	0.4	*	1.2
Asian	0.3^a	0.4	1.1	1.0	1.2	0.4	0.8	0.5	0.5	1.4	0.8
Two or More Races	2.4	2.1	1.9	1.4^a	1.5^a	1.2^a	2.2	2.8	3.3	2.5	3.0
Hispanic or Latino	0.9	0.9	0.7^a	0.8	1.1	1.2	0.9	1.0	1.0	1.0	1.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.41A – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Numbers in Thousands, 2008-2018
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	1,088^a	1,040^a	1,122^a	1,135^a	1,290	1,312	1,120^a	1,399	1,319	1,388	1,442
18-25	395^a	372^a	393^a	415^a	508^a	434^a	433^a	571	616	648	647
18-20	242	190^a	205^a	221^a	282	255	190^a	274	334	364	316
21-25	153^a	182^a	189^a	194^a	226^a	180^a	244^a	298	281	284	332
26 or Older	693	668	729	721	782	878	687	827	704	739	795
26-49	446	465	399	443	502	596	491	506	496	435	521
26-29	106	83	44^a	119	100	98	99	115	131	114	105
30-34	117	81	105	73	85	158	91	131	114	83	121
35-39	58^a	121	48^a	102	87	126	79	77	114	88	157
40-44	61	62	86	93	126	135	100	107	60	52	79
45-49	103	118	115	55	105	80	123	76	77	97	59
50 or Older	247	203	329	278	279	283	196	321	208	304	274
50-54	151	51	62	136	56	43	62	136	47	105	83
55-59	42	50	60	112	53	120	62	67	65	58	118
60-64	29	35	47	2	57	59	17	46	25	29	14
65 or Older	25	66	160	29	114	60	54	72	71	113	58
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.41B – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Percentages, 2008-2018
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	0.5	0.5^a	0.5	0.5	0.6	0.6	0.5^a	0.6	0.5	0.6	0.6
18-25	1.2^a	1.1^a	1.2^a	1.2^a	1.5^a	1.3^a	1.2^a	1.6	1.8	1.9	1.9
18-20	1.8^a	1.4^a	1.5^a	1.6^a	2.1	1.9	1.5^a	2.1	2.7	2.9	2.4
21-25	0.8^a	0.9^a	0.9^a	0.9^a	1.1^a	0.8^a	1.1^a	1.4	1.3	1.3	1.6
26 or Older	0.4	0.3	0.4	0.4	0.4	0.4	0.3	0.4	0.3	0.3	0.4
26-49	0.4	0.5	0.4	0.5	0.5	0.6	0.5	0.5	0.5	0.4	0.5
26-29	0.6	0.5	0.3^a	0.7	0.6	0.6	0.6	0.7	0.8	0.6	0.6
30-34	0.6	0.4	0.5	0.4	0.4	0.8	0.4	0.6	0.5	0.4	0.6
35-39	0.3^a	0.6	0.2^a	0.5	0.4	0.7	0.4	0.4	0.6	0.4	0.7
40-44	0.3	0.3	0.4	0.5	0.6	0.6	0.5	0.5	0.3	0.3	0.4
45-49	0.5	0.5	0.5	0.3	0.5	0.4	0.6	0.4	0.4	0.5	0.3
50 or Older	0.3	0.2	0.3	0.3	0.3	0.3	0.2	0.3	0.2	0.3	0.2
50-54	0.7	0.2	0.3	0.6	0.2	0.2	0.3	0.6	0.2	0.5	0.4
55-59	0.2	0.3	0.3	0.6	0.3	0.6	0.3	0.3	0.3	0.3	0.5
60-64	0.2	0.2	0.3	0.0	0.3	0.3	0.1	0.3	0.1	0.1	0.1
65 or Older	0.1	0.2	0.4	0.1	0.3	0.1	0.1	0.2	0.1	0.2	0.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.42A – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2018
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	1,088^a	1,040^a	1,122^a	1,135^a	1,290	1,312	1,120^a	1,399	1,319	1,388	1,442
AGE GROUP
18-25	395^a	372^a	393^a	415^a	508^a	434^a	433^a	571	616	648	647
26 or Older	693	668	729	721	782	878	687	827	704	739	795
26-49	446	465	399	443	502	596	491	506	496	435	521
50 or Older	247	203	329	278	279	283	196	321	208	304	274
GENDER
Male	423	464	541	437	513	521	445	621	551	558	578
Female	665	575^a	581^a	698	777	791	676	778	768	829	865
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	917	922	978	959	1,045	1,038	941	1,164	1,107	1,177	1,136
White	680	651	686	629	746	786	609	939^a	783	810	728
Black or African American	181	188	224	179	192	179	210	136^a	185	193	276
AIAN	6	16	13	*	18	11	18	15	4^a	12	16
NHOPI	*	1	0	2	3	*	5	*	7	*	2
Asian	12	33	24	97	61	20	71	38	97	76	51
Two or More Races	34	32	30	23^a	26	25^a	27	37	31	56	65
Hispanic or Latino	172^a	118^a	143^a	176^a	245	275	180^a	234	212	211	306
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.42B – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2018
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	0.5	0.5^a	0.5	0.5	0.6	0.6	0.5^a	0.6	0.5	0.6	0.6
AGE GROUP
18-25	1.2^a	1.1^a	1.2^a	1.2^a	1.5^a	1.3^a	1.2^a	1.6	1.8	1.9	1.9
26 or Older	0.4	0.3	0.4	0.4	0.4	0.4	0.3	0.4	0.3	0.3	0.4
26-49	0.4	0.5	0.4	0.5	0.5	0.6	0.5	0.5	0.5	0.4	0.5
50 or Older	0.3	0.2	0.3	0.3	0.3	0.3	0.2	0.3	0.2	0.3	0.2
GENDER
Male	0.4	0.4	0.5	0.4	0.5	0.5	0.4	0.5	0.5	0.5	0.5
Female	0.6	0.5^a	0.5^a	0.6	0.6	0.6	0.5	0.6	0.6	0.7	0.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.5	0.5	0.5	0.5	0.5	0.5	0.5	0.6	0.5	0.6	0.5
White	0.4	0.4	0.4	0.4	0.5	0.5	0.4	0.6^a	0.5	0.5	0.5
Black or African American	0.7	0.7	0.8	0.7	0.7	0.6	0.8	0.5^a	0.6	0.7	0.9
AIAN	0.6	1.4	1.2	*	1.4	0.9	1.5	1.2	0.3	1.0	1.1
NHOPI	*	0.2	0.1	0.2	0.3	*	0.5	*	0.7	*	0.2
Asian	0.1	0.3	0.2	0.9	0.5	0.2	0.6	0.3	0.7	0.6	0.4
Two or More Races	1.4	1.3	1.1	0.7	0.8	0.7	0.7	1.0	0.8	1.3	1.5
Hispanic or Latino	0.6	0.4^a	0.5^a	0.5	0.7	0.8	0.5	0.6	0.6	0.5	0.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2018.

190419

Table 10.43A – Serious Psychological Distress in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2005-2018
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	23,103^a	23,743^a	22,901^a	23,314^a	23,243^a	23,567^a	23,511^a	25,312^a	25,209^a	25,505^a	25,018^a	26,023^a	27,570	28,690
AGE GROUP
18-25	5,875^a	5,668^a	5,731^a	5,951^a	5,863^a	6,026^a	5,993^a	6,405^a	6,238^a	6,838^a	7,111^a	7,311^a	8,318	8,610
26 or Older	17,228^a	18,075^a	17,170^a	17,364^a	17,380^a	17,541^a	17,517^a	18,907	18,971	18,668^a	17,907^a	18,712^a	19,252	20,081
26-49	11,810^a	12,602	11,677^a	11,525^a	11,999^a	11,596^a	11,526^a	11,910^a	11,800^a	11,258^a	11,793^a	12,132^a	12,758	13,218
50 or Older	5,418^a	5,472^a	5,493^a	5,839^a	5,382^a	5,945	5,991	6,997	7,171	7,410	6,114	6,580	6,494	6,863
GENDER
Male	8,292^a	9,057^a	8,531^a	8,551^a	8,526^a	9,000^a	9,096^a	9,982^a	9,377^a	9,436^a	9,516^a	10,067^a	10,459	11,152
Female	14,811^a	14,686^a	14,370^a	14,763^a	14,717^a	14,566^a	14,415^a	15,329^a	15,832^a	16,070^a	15,502^a	15,956^a	17,111	17,538
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	19,965^a	20,673^a	19,941^a	20,288^a	20,248^a	20,250^a	20,577^a	21,299^a	21,220^a	21,898^a	21,438^a	21,920^a	23,730	23,968
White	16,017^a	16,373^a	16,154^a	16,412^a	16,598^a	16,229^a	16,138^a	16,204^a	16,495^a	17,023^a	17,045^a	17,465^a	18,566	18,697
Black or African American	2,651	2,652	2,606	2,518^a	2,499^a	2,721	2,486^a	3,282	2,960	2,901	2,620^a	2,607^a	2,974	3,047
AIAN	230	281	151	96^a	140	135	211	288	199	176	160	177	166	224
NHOPI	*	96	50^a	*	72	*	*	*	49^a	122	79	84	110	146
Asian	628^a	745^a	632^a	795^a	578^a	685^a	954	920	951	1,041	955	953	1,210	1,183
Two or More Races	355^a	526	349^a	366^a	361^a	400^a	584	436^a	565	636	579	634	706	671
Hispanic or Latino	3,138^a	3,070^a	2,960^a	3,026^a	2,996^a	3,317^a	2,933^a	4,013^a	3,989^a	3,607^a	3,580^a	4,102^a	3,840^a	4,723
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Estimates for 2005 to 2007 are based on an adjusted SPD variable and may differ from estimates published in prior NSDUH reports. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2018.

190419

Table 10.43B – Serious Psychological Distress in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2005-2018
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018
TOTAL	10.6^a	10.8^a	10.3^a	10.4^a	10.2^a	10.3^a	10.1^a	10.8^a	10.6^a	10.6^a	10.3^a	10.6^a	11.2	11.5
AGE GROUP
18-25	18.1^a	17.3^a	17.5^a	18.1^a	17.5^a	17.7^a	17.5^a	18.5^a	17.9^a	19.6^a	20.4^a	21.1^a	24.2	25.3
26 or Older	9.3	9.6	9.0	9.0	9.0	9.0	8.8	9.4	9.4	9.1	8.6^a	8.9	9.0	9.3
26-49	11.8^a	12.5	11.7^a	11.5^a	12.1^a	11.8^a	11.8^a	12.2^a	12.1^a	11.5^a	12.0^a	12.2^a	12.7	13.1
50 or Older	6.4	6.3	6.1	6.3	5.7	6.2	6.0	6.8	6.8	6.9^a	5.6	5.9	5.8	6.0
GENDER
Male	7.9^a	8.5^a	7.9^a	7.9^a	7.8^a	8.1^a	8.1^a	8.8	8.2^a	8.2^a	8.1^a	8.5^a	8.8	9.3
Female	13.1	12.9	12.5^a	12.7^a	12.5^a	12.3^a	11.9^a	12.6^a	12.9	12.9	12.3^a	12.6^a	13.4	13.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10.5^a	10.8^a	10.3^a	10.4^a	10.3^a	10.3^a	10.4^a	10.6^a	10.5^a	10.8^a	10.5^a	10.6^a	11.4	11.5
White	10.5^a	10.7^a	10.5^a	10.6^a	10.7^a	10.4^a	10.4^a	10.4^a	10.6^a	10.9^a	10.8^a	11.1^a	11.8	11.9
Black or African American	10.7	10.5	10.3	9.8	9.5	10.2	9.3	12.1^a	10.7	10.3	9.2	9.0	10.1	10.3
AIAN	20.9	25.6	13.7	10.2	12.8	12.6	16.3	22.2	16.0	13.8	12.6	12.8	12.8	14.9
NHOPI	*	11.6	7.8	*	9.8	*	*	*	6.4^a	13.3	13.2	7.7	11.0	15.4
Asian	6.9	8.0	6.6	8.1	5.8^a	6.6	8.5	7.9	7.9	8.2	7.1	7.2	8.7	8.3
Two or More Races	16.1	23.6^a	15.1	14.6	14.8	15.1	17.8	12.7	16.0	17.4	15.0	15.8	16.8	15.5
Hispanic or Latino	11.3	10.6	10.0^a	10.0^a	9.6^a	10.4	8.6^a	11.5	11.2	9.8^a	9.5^a	10.7	9.7^a	11.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2018 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Estimates for 2005 to 2007 are based on an adjusted SPD variable and may differ from estimates published in prior NSDUH reports. ^a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2018.