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Results from the 2018 National Survey on Drug Use and Health:
Detailed Tables

190417
Table 10.1C – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 676 695 689 694 725 731 557 611 583 673 644
AGE GROUP                      
18-25 112 108 119 126 122 126 137 133 148 169 151
26 or Older 669 679 677 679 706 723 547 580 574 625 615
26-49 420 432 410 417 434 441 331 337 323 363 351
50 or Older 540 509 527 530 561 550 429 454 448 473 480
GENDER                      
Male 422 430 467 452 434 467 357 381 384 409 395
Female 518 521 507 513 537 544 430 442 443 500 500
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 632 647 640 641 660 667 520 570 542 616 589
White 655 671 657 650 679 678 505 547 559 601 594
Black or African American 249 254 254 232 291 283 223 220 206 228 235
AIAN 30 30 35 68 59 57 47 40 49 32 49
NHOPI * * * * * 29 52 18 46 47 45
Asian 147 139 156 169 182 182 140 144 139 166 176
Two or More Races 89 91 83 105 74 112 80 101 85 99 105
Hispanic or Latino 242 232 245 259 271 297 208 203 238 238 245
* = 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.
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 10.1D – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.30 0.31 0.30 0.30 0.31 0.31 0.23 0.25 0.24 0.27 0.26
AGE GROUP                      
18-25 0.34 0.32 0.35 0.37 0.35 0.36 0.39 0.38 0.43 0.49 0.44
26 or Older 0.35 0.35 0.35 0.34 0.35 0.36 0.27 0.28 0.27 0.29 0.29
26-49 0.42 0.43 0.42 0.43 0.44 0.45 0.34 0.34 0.33 0.36 0.35
50 or Older 0.59 0.54 0.55 0.53 0.55 0.52 0.40 0.42 0.40 0.42 0.42
GENDER                      
Male 0.39 0.39 0.42 0.40 0.38 0.41 0.31 0.33 0.33 0.34 0.33
Female 0.45 0.44 0.43 0.42 0.44 0.44 0.35 0.35 0.35 0.39 0.39
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.33 0.33 0.32 0.32 0.33 0.33 0.26 0.28 0.26 0.30 0.28
White 0.37 0.38 0.36 0.36 0.36 0.37 0.29 0.31 0.30 0.34 0.32
Black or African American 0.86 0.85 0.84 0.75 0.93 0.86 0.67 0.66 0.63 0.68 0.69
AIAN 3.05 2.95 3.08 3.89 3.80 3.64 2.82 2.92 2.78 2.38 3.17
NHOPI * * * * * 3.68 4.95 3.04 3.96 4.36 4.33
Asian 1.37 1.28 1.43 1.38 1.36 1.31 1.04 0.99 1.02 1.09 1.16
Two or More Races 3.25 2.97 2.80 2.78 2.18 2.73 1.88 2.27 1.85 2.10 2.17
Hispanic or Latino 0.80 0.75 0.77 0.76 0.78 0.83 0.57 0.54 0.62 0.60 0.60
* = 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.
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 10.1P – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0003 0.0119 0.0068 0.0006 0.1726 0.0912 0.0032 0.0004 0.0127 0.4580  
AGE GROUP                      
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.4775  
26 or Older 0.3304 0.7502 0.9013 0.4332 0.3665 0.5302 0.5766 0.0517 0.3417 0.5170  
26-49 0.0012 0.0984 0.0041 0.0001 0.0216 0.0835 0.0000 0.0009 0.0029 0.5182  
50 or Older 0.8646 0.4559 0.1097 0.1309 0.0123 0.0603 0.0159 0.9218 0.3777 0.7031  
GENDER                      
Male 0.0015 0.0490 0.4475 0.0484 0.4971 0.1011 0.0149 0.0462 0.1409 0.8401  
Female 0.0335 0.0873 0.0036 0.0036 0.1941 0.3699 0.0669 0.0022 0.0422 0.4160  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.0002 0.0155 0.0150 0.0141 0.1791 0.0558 0.0081 0.0060 0.0323 0.9939  
White 0.0000 0.0123 0.0045 0.0044 0.0203 0.0255 0.0046 0.0145 0.2078 0.9965  
Black or African American 0.6505 0.5648 0.5126 0.9363 0.0453 0.5679 0.9242 0.3651 0.0570 1.0000  
AIAN 0.2769 0.6336 0.2886 0.2661 0.2098 0.4188 0.8427 0.8384 0.8634 0.3953  
NHOPI * * * * * 0.2440 0.8504 0.2147 0.4570 0.7891  
Asian 0.4315 0.2883 0.6030 0.3928 0.6560 0.1764 0.3077 0.1068 0.1099 0.9005  
Two or More Races 0.9465 0.2400 0.1790 0.7882 0.0497 0.6981 0.9132 0.3933 0.9094 0.5479  
Hispanic or Latino 0.3745 0.1952 0.0803 0.0005 0.5279 0.9700 0.1227 0.0043 0.1661 0.0467  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.2C – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 676 695 689 694 725 731 557 611 583 673 644
GEOGRAPHIC REGION                      
Northeast 333 301 282 275 271 284 239 244 253 263 258
Midwest 268 277 276 271 274 280 244 265 248 264 271
South 428 422 442 404 462 476 358 376 360 393 388
West 318 354 361 405 379 395 280 297 321 338 344
COUNTY TYPE2                      
Large Metro 600 631 592 605 660 677 494 547 548 613 595
Small Metro 434 448 483 451 480 452 380 363 402 412 448
Nonmetro 303 291 294 292 315 323 318 253 270 285 286
Urbanized 191 186 178 203 191 230 217 186 155 197 213
Less Urbanized 226 206 213 206 226 220 228 176 223 207 177
Completely Rural 80 85 135 68 108 90 99 103 87 102 122
POVERTY LEVEL3                      
Less Than 100% 279 274 319 333 365 347 298 283 293 310 304
100-199% 359 352 364 339 367 364 309 303 328 319 324
200% or More 625 639 599 606 610 670 444 520 515 574 566
EDUCATION                      
< High School nc nc nc nc nc nc nc 267 236 222 250
High School Graduate nc nc nc nc nc nc nc 304 337 323 351
Some College/Associate's Degree nc nc nc nc nc nc nc 365 377 415 385
College Graduate nc nc nc nc nc nc nc 349 370 411 410
HEALTH INSURANCE4                      
Private 602 609 580 585 594 657 461 516 510 582 574
Medicaid/CHIP 265 255 310 296 299 329 313 291 308 317 334
Other5 416 416 454 415 482 466 379 366 390 395 384
No Coverage 293 283 310 317 333 302 211 186 198 197 207
* = 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.
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 10.2D – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of Percentages, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.30 0.31 0.30 0.30 0.31 0.31 0.23 0.25 0.24 0.27 0.26
GEOGRAPHIC REGION                      
Northeast 0.80 0.72 0.67 0.64 0.63 0.66 0.55 0.56 0.58 0.60 0.59
Midwest 0.54 0.56 0.55 0.54 0.54 0.55 0.48 0.52 0.48 0.51 0.52
South 0.52 0.51 0.53 0.47 0.53 0.54 0.40 0.41 0.39 0.42 0.41
West 0.61 0.68 0.68 0.75 0.69 0.71 0.50 0.52 0.56 0.58 0.58
COUNTY TYPE2                      
Large Metro 0.42 0.43 0.41 0.41 0.43 0.44 0.32 0.34 0.34 0.38 0.37
Small Metro 0.55 0.53 0.58 0.51 0.52 0.53 0.44 0.41 0.42 0.44 0.45
Nonmetro 0.73 0.70 0.75 0.71 0.74 0.77 0.65 0.63 0.61 0.62 0.60
Urbanized 1.04 1.07 1.10 1.31 0.96 1.13 0.92 1.05 0.86 0.95 0.95
Less Urbanized 1.12 1.01 1.03 0.87 1.16 1.19 0.99 0.78 0.90 0.88 0.79
Completely Rural 1.82 2.22 3.20 1.82 2.32 2.00 1.97 2.00 1.80 2.37 2.10
POVERTY LEVEL3                      
Less Than 100% 0.96 0.82 0.90 0.85 0.82 0.82 0.64 0.65 0.69 0.71 0.72
100-199% 0.77 0.73 0.68 0.64 0.69 0.68 0.56 0.57 0.56 0.56 0.59
200% or More 0.35 0.36 0.35 0.35 0.35 0.38 0.27 0.29 0.28 0.31 0.29
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.70 0.69 0.69 0.72
High School Graduate nc nc nc nc nc nc nc 0.45 0.48 0.49 0.51
Some College/Associate's Degree nc nc nc nc nc nc nc 0.43 0.43 0.46 0.45
College Graduate nc nc nc nc nc nc nc 0.42 0.43 0.46 0.43
HEALTH INSURANCE4                      
Private 0.35 0.34 0.35 0.34 0.34 0.36 0.26 0.29 0.27 0.31 0.29
Medicaid/CHIP 1.20 1.06 1.19 1.07 1.11 1.09 0.85 0.73 0.71 0.71 0.76
Other5 0.74 0.70 0.76 0.67 0.71 0.71 0.56 0.52 0.51 0.54 0.53
No Coverage 0.76 0.69 0.69 0.73 0.71 0.70 0.63 0.64 0.74 0.78 0.77
* = 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.
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 10.2P – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0003 0.0119 0.0068 0.0006 0.1726 0.0912 0.0032 0.0004 0.0127 0.4580  
GEOGRAPHIC REGION                      
Northeast 0.9483 0.3354 0.7614 0.0033 0.2780 0.2138 0.0876 0.0976 0.3401 0.2566  
Midwest 0.0415 0.0545 0.1265 0.0097 0.0214 0.0919 0.0483 0.0057 0.0004 0.8782  
South 0.1173 0.5072 0.3899 0.8202 0.3122 0.8319 0.6486 0.8956 0.8373 0.8596  
West 0.0003 0.0684 0.0058 0.0603 0.2124 0.2181 0.0269 0.0021 0.1972 0.5240  
COUNTY TYPE2                      
Large Metro 0.0119 0.1816 0.0395 0.0015 0.3386 0.5729 0.0078 0.0162 0.0631 0.4708  
Small Metro 0.0035 0.0036 0.0140 0.0187 0.1576 0.0067 0.0038 0.0017 0.0276 0.4113  
Nonmetro 0.7862 0.9868 0.5636 0.6010 0.8324 0.6706 0.0560 0.8800 0.6915 0.4167  
Urbanized 0.6397 0.1062 0.2878 0.6584 0.5140 0.8724 0.4589 0.9911 0.1817 0.9927  
Less Urbanized 0.7287 0.0491 0.0819 0.1682 0.1967 0.1988 0.0333 0.7775 0.0346 0.1799  
Completely Rural 0.6401 0.5623 0.6307 0.0886 0.4651 0.2911 0.7744 0.5609 0.6274 0.9596  
POVERTY LEVEL3                      
Less Than 100% 0.3525 0.2653 0.1497 0.6076 0.6788 0.8328 0.4892 0.0371 0.0590 0.4916  
100-199% 0.2552 0.7961 0.9900 0.9610 0.1454 0.6582 0.2407 0.3149 0.1189 0.6890  
200% or More 0.0002 0.0521 0.0098 0.0000 0.0006 0.0148 0.0000 0.0007 0.0004 0.3892  
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.2065 0.2979 0.3523  
High School Graduate nc nc nc nc nc nc nc 0.2268 0.6103 0.2870  
Some College/Associate's Degree nc nc nc nc nc nc nc 0.0273 0.0174 0.2084  
College Graduate nc nc nc nc nc nc nc 0.0141 0.2467 0.1834  
HEALTH INSURANCE4                      
Private 0.0001 0.0452 0.0032 0.0000 0.0004 0.0223 0.0000 0.0001 0.0082 0.7149  
Medicaid/CHIP 0.7601 0.2184 0.7166 0.7721 0.0977 0.1212 0.2180 0.2516 0.9648 0.7562  
Other5 0.6570 0.9376 0.0549 0.1935 0.0005 0.0770 0.0041 0.6281 0.8062 0.7010  
No Coverage 0.3817 0.2094 0.1596 0.6301 0.6421 0.2967 0.3553 0.1393 0.0554 0.4056  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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, the 2008 to 2014 estimates that are used in the comparisons 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 10.3C – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 308 322 362 325 341 380 287 288 297 307 300
AGE GROUP                      
18-25 54 51 59 59 59 61 74 74 82 90 86
26 or Older 302 317 355 320 334 374 279 278 283 290 282
26-49 208 219 224 213 228 244 180 179 177 187 186
50 or Older 224 218 263 224 254 275 208 214 219 209 211
GENDER                      
Male 185 184 220 190 211 260 184 170 169 188 187
Female 248 265 267 261 258 268 213 225 237 230 233
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 288 310 330 309 300 342 265 273 264 287 282
White 280 296 296 284 284 314 236 243 256 272 268
Black or African American 78 89 98 84 104 102 86 84 85 80 96
AIAN 8 13 28 45 35 19 16 24 16 16 23
NHOPI 5 * * * 7 5 11 5 12 15 19
Asian 68 44 60 60 59 103 55 50 40 54 42
Two or More Races 32 40 69 36 26 49 54 58 40 49 42
Hispanic or Latino 100 103 126 99 155 144 110 97 147 101 107
* = 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.
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 10.3D – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.14 0.14 0.16 0.14 0.14 0.16 0.12 0.12 0.12 0.12 0.12
AGE GROUP                      
18-25 0.16 0.15 0.17 0.17 0.17 0.18 0.21 0.21 0.24 0.26 0.25
26 or Older 0.16 0.16 0.18 0.16 0.17 0.18 0.14 0.13 0.13 0.14 0.13
26-49 0.21 0.22 0.23 0.22 0.23 0.25 0.18 0.18 0.18 0.19 0.18
50 or Older 0.24 0.23 0.27 0.22 0.25 0.26 0.19 0.20 0.20 0.19 0.19
GENDER                      
Male 0.17 0.17 0.20 0.17 0.19 0.23 0.16 0.15 0.14 0.16 0.16
Female 0.21 0.23 0.23 0.22 0.21 0.22 0.17 0.18 0.19 0.18 0.18
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.15 0.16 0.17 0.16 0.15 0.17 0.13 0.13 0.13 0.14 0.14
White 0.17 0.18 0.19 0.18 0.17 0.19 0.15 0.16 0.16 0.17 0.16
Black or African American 0.30 0.32 0.36 0.31 0.37 0.36 0.29 0.29 0.29 0.26 0.31
AIAN 0.89 1.21 2.51 3.34 2.52 1.51 1.10 1.85 1.12 1.15 1.60
NHOPI 0.58 * * * 0.76 0.72 1.20 0.89 1.06 1.55 1.97
Asian 0.68 0.43 0.59 0.52 0.50 0.84 0.43 0.38 0.30 0.39 0.29
Two or More Races 1.25 1.58 2.47 1.08 0.79 1.33 1.39 1.43 0.97 1.17 0.96
Hispanic or Latino 0.33 0.33 0.39 0.29 0.44 0.40 0.30 0.26 0.38 0.25 0.26
* = 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.
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 10.3P – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0000 0.0000 0.0123 0.0002 0.0082 0.0792 0.0044 0.0014 0.0497 0.8010  
AGE GROUP                      
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.5568  
26 or Older 0.0647 0.1201 0.9196 0.3729 0.9511 0.5308 0.5593 0.2408 0.5522 0.8991  
26-49 0.0001 0.0008 0.0278 0.0050 0.0222 0.0794 0.0003 0.0005 0.0347 0.2500  
50 or Older 0.9191 0.8761 0.1566 0.3786 0.1038 0.0296 0.0238 0.2103 0.3790 0.4348  
GENDER                      
Male 0.0022 0.0010 0.1902 0.0403 0.5303 0.7128 0.2444 0.0702 0.1524 0.6579  
Female 0.0003 0.0006 0.0246 0.0013 0.0030 0.0061 0.0060 0.0071 0.1618 0.9820  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.0000 0.0000 0.0112 0.0018 0.0003 0.0375 0.0030 0.0056 0.0354 0.8496  
White 0.0002 0.0000 0.0014 0.0055 0.0003 0.0451 0.0018 0.0113 0.1165 0.8779  
Black or African American 0.0116 0.0415 0.6543 0.0513 0.6346 0.0954 0.2306 0.0761 0.1827 0.6830  
AIAN 0.0609 0.4197 0.5800 0.3698 0.4836 0.7715 0.2169 0.9479 0.3812 0.4979  
NHOPI 0.1018 * * * 0.1944 0.1194 0.4838 0.2143 0.2473 0.8980  
Asian 0.8851 0.3425 0.8780 0.7086 0.8263 0.3840 0.6414 0.3708 0.2036 0.5841  
Two or More Races 0.1687 0.8166 0.9069 0.0850 0.0197 0.9866 0.2799 0.1680 0.7747 0.5229  
Hispanic or Latino 0.0121 0.0770 0.4054 0.0041 0.1362 0.8092 0.7645 0.0683 0.9504 0.1996  
* = 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 that are used in the comparisons 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.4C – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 308 322 362 325 341 380 287 288 297 307 300
GEOGRAPHIC REGION                      
Northeast 132 123 131 126 136 132 116 121 130 114 118
Midwest 124 133 153 127 119 149 133 121 116 121 147
South 185 209 213 188 227 256 168 183 180 180 177
West 164 151 187 184 174 196 147 144 165 160 168
COUNTY TYPE2                      
Large Metro 238 260 268 240 267 306 224 228 232 231 224
Small Metro 177 175 181 188 210 196 167 152 191 182 189
Nonmetro 107 112 162 124 121 145 111 119 95 139 123
Urbanized 75 67 104 82 63 111 70 86 61 91 83
Less Urbanized 71 79 92 83 96 96 83 78 74 98 78
Completely Rural 26 45 84 28 44 44 35 48 25 33 54
POVERTY LEVEL3                      
Less Than 100% 112 142 165 182 185 169 139 142 136 142 148
100-199% 156 140 158 148 163 160 143 128 155 131 136
200% or More 241 256 262 231 243 304 209 220 219 237 229
EDUCATION                      
< High School nc nc nc nc nc nc nc 109 104 101 102
High School Graduate nc nc nc nc nc nc nc 124 150 150 151
Some College/Associate's Degree nc nc nc nc nc nc nc 184 183 181 192
College Graduate nc nc nc nc nc nc nc 157 148 164 153
HEALTH INSURANCE4                      
Private 246 215 254 217 209 273 196 216 229 222 226
Medicaid/CHIP 123 134 153 159 160 143 139 141 154 154 153
Other5 157 184 184 160 231 225 168 175 161 175 165
No Coverage 119 123 148 143 162 155 99 92 94 96 101
* = 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.
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 10.4D – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of Percentages, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.14 0.14 0.16 0.14 0.14 0.16 0.12 0.12 0.12 0.12 0.12
GEOGRAPHIC REGION                      
Northeast 0.32 0.29 0.31 0.30 0.32 0.31 0.27 0.28 0.30 0.26 0.27
Midwest 0.25 0.27 0.30 0.25 0.23 0.29 0.26 0.24 0.23 0.23 0.28
South 0.23 0.25 0.25 0.22 0.26 0.29 0.19 0.20 0.20 0.19 0.19
West 0.32 0.29 0.35 0.34 0.32 0.35 0.26 0.25 0.29 0.27 0.28
COUNTY TYPE2                      
Large Metro 0.19 0.20 0.21 0.19 0.20 0.23 0.16 0.16 0.16 0.16 0.16
Small Metro 0.26 0.24 0.25 0.24 0.28 0.27 0.23 0.20 0.25 0.23 0.24
Nonmetro 0.31 0.33 0.47 0.36 0.33 0.40 0.29 0.35 0.25 0.37 0.32
Urbanized 0.53 0.45 0.74 0.62 0.42 0.69 0.41 0.61 0.39 0.55 0.47
Less Urbanized 0.41 0.48 0.55 0.45 0.54 0.57 0.45 0.47 0.39 0.50 0.43
Completely Rural 0.73 1.31 2.43 0.82 1.12 1.11 0.84 1.09 0.66 0.99 1.24
POVERTY LEVEL3                      
Less Than 100% 0.43 0.50 0.53 0.53 0.47 0.46 0.36 0.37 0.37 0.39 0.41
100-199% 0.37 0.32 0.33 0.31 0.35 0.34 0.29 0.26 0.30 0.27 0.27
200% or More 0.15 0.16 0.17 0.15 0.16 0.19 0.13 0.14 0.13 0.14 0.14
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.31 0.31 0.33 0.33
High School Graduate nc nc nc nc nc nc nc 0.20 0.24 0.24 0.24
Some College/Associate's Degree nc nc nc nc nc nc nc 0.24 0.23 0.23 0.24
College Graduate nc nc nc nc nc nc nc 0.21 0.19 0.20 0.18
HEALTH INSURANCE4                      
Private 0.15 0.14 0.17 0.14 0.14 0.17 0.12 0.13 0.13 0.13 0.13
Medicaid/CHIP 0.65 0.67 0.69 0.65 0.66 0.57 0.44 0.41 0.41 0.40 0.41
Other5 0.30 0.34 0.34 0.29 0.38 0.37 0.27 0.26 0.23 0.25 0.24
No Coverage 0.34 0.33 0.38 0.37 0.41 0.41 0.33 0.35 0.39 0.40 0.41
* = 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.
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 10.4P – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0000 0.0000 0.0123 0.0002 0.0082 0.0792 0.0044 0.0014 0.0497 0.8010  
GEOGRAPHIC REGION                      
Northeast 0.5679 0.1247 0.5999 0.0621 0.2641 0.4979 0.7622 0.6239 0.8440 0.5243  
Midwest 0.0037 0.0513 0.2015 0.0198 0.0017 0.1233 0.1325 0.0092 0.0348 0.3401  
South 0.0029 0.0053 0.0682 0.0216 0.5771 0.7475 0.2106 0.2807 0.4721 0.4297  
West 0.0079 0.0026 0.2002 0.2306 0.3090 0.0487 0.0206 0.0294 0.3809 0.9358  
COUNTY TYPE2                      
Large Metro 0.0375 0.0154 0.1870 0.0012 0.2208 0.3987 0.1417 0.1055 0.5100 0.5861  
Small Metro 0.0002 0.0000 0.0053 0.0162 0.0380 0.0040 0.0038 0.0003 0.0636 0.6600  
Nonmetro 0.0031 0.2589 0.8092 0.7427 0.1188 0.2436 0.8647 0.9804 0.2928 0.2933  
Urbanized 0.3916 0.1660 0.8430 0.7074 0.0565 0.2596 0.8386 0.2353 0.4355 0.4595  
Less Urbanized 0.0118 0.7345 0.3930 0.8002 0.7977 0.3483 0.9539 0.6029 0.8821 0.1516  
Completely Rural 0.0239 0.8518 0.7532 0.1952 0.4021 0.4224 0.4327 0.2333 0.1495 0.2375  
POVERTY LEVEL3                      
Less Than 100% 0.0008 0.0294 0.1885 0.6590 0.3034 0.7475 0.1242 0.0403 0.0294 0.3237  
100-199% 0.9928 0.3255 0.5708 0.3956 0.6447 0.6683 0.7121 0.0936 0.1148 0.1668  
200% or More 0.0004 0.0002 0.0390 0.0000 0.0002 0.0133 0.0004 0.0172 0.0115 0.5720  
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.4525 0.4080 0.7130  
High School Graduate nc nc nc nc nc nc nc 0.0027 0.0729 0.7159  
Some College/Associate's Degree nc nc nc nc nc nc nc 0.1131 0.5919 0.7568  
College Graduate nc nc nc nc nc nc nc 0.2526 0.3311 0.9901  
HEALTH INSURANCE4                      
Private 0.0004 0.0000 0.0338 0.0000 0.0000 0.0093 0.0001 0.0119 0.0481 0.6164  
Medicaid/CHIP 0.7117 0.4314 0.9243 0.3971 0.6327 0.7865 0.8162 0.1290 0.9630 0.7875  
Other5 0.7520 0.9617 0.1248 0.8862 0.0370 0.1074 0.0562 0.1223 0.8106 0.3630  
No Coverage 0.0182 0.0053 0.0257 0.0712 0.8262 0.6456 0.0696 0.0040 0.2649 0.5433  
* = 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 that are used in the comparisons 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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, the 2008 to 2014 estimates that are used in the comparisons 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 10.5C – Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 618 623 623 609 660 647 503 527 522 592 562
AGE GROUP                      
18-25 101 99 105 115 113 113 122 125 126 147 134
26 or Older 611 608 613 600 639 639 493 503 515 559 547
26-49 375 377 369 363 373 392 286 294 284 324 308
50 or Older 500 472 474 482 516 499 399 399 413 432 447
GENDER                      
Male 390 398 421 411 391 402 327 345 347 370 351
Female 477 458 457 462 492 490 379 378 387 448 436
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 575 583 579 564 614 582 460 486 492 538 512
White 570 579 575 560 607 578 444 474 480 511 502
Black or African American 230 230 229 216 256 252 204 192 183 205 198
AIAN 30 27 20 52 46 53 39 32 45 29 44
NHOPI * * * * * 29 * 18 45 43 41
Asian 133 133 144 157 170 156 132 127 133 158 163
Two or More Races 83 82 45 99 68 102 61 82 74 86 96
Hispanic or Latino 231 221 223 247 235 260 189 179 201 213 225
* = 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.
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 10.5D – Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.27 0.27 0.27 0.26 0.28 0.27 0.21 0.22 0.21 0.24 0.23
AGE GROUP                      
18-25 0.31 0.29 0.31 0.33 0.33 0.33 0.35 0.36 0.36 0.43 0.40
26 or Older 0.32 0.31 0.31 0.30 0.32 0.32 0.24 0.24 0.25 0.26 0.25
26-49 0.38 0.38 0.37 0.37 0.38 0.40 0.29 0.30 0.29 0.32 0.30
50 or Older 0.54 0.50 0.49 0.48 0.50 0.48 0.37 0.37 0.37 0.38 0.39
GENDER                      
Male 0.36 0.36 0.38 0.37 0.35 0.35 0.28 0.29 0.29 0.31 0.29
Female 0.41 0.39 0.39 0.38 0.40 0.40 0.30 0.30 0.31 0.35 0.34
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.30 0.30 0.29 0.28 0.31 0.29 0.23 0.24 0.24 0.26 0.25
White 0.33 0.34 0.32 0.32 0.34 0.32 0.26 0.27 0.27 0.30 0.28
Black or African American 0.80 0.80 0.77 0.70 0.84 0.78 0.64 0.59 0.58 0.62 0.60
AIAN 3.02 2.65 1.94 3.25 3.15 3.62 2.50 2.37 2.61 2.23 2.78
NHOPI * * * * * 3.61 * 2.98 3.87 4.06 4.00
Asian 1.25 1.24 1.29 1.32 1.29 1.15 0.99 0.85 0.98 1.05 1.08
Two or More Races 3.05 2.81 1.75 2.66 1.99 2.61 1.57 1.93 1.67 1.85 2.03
Hispanic or Latino 0.76 0.71 0.70 0.73 0.68 0.73 0.51 0.47 0.52 0.54 0.55
* = 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.
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 10.5P – Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.1123 0.7156 0.1023 0.0583 0.8907 0.3545 0.0811 0.0211 0.0834 0.4742  
AGE GROUP                      
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0003 0.0000 0.6499  
26 or Older 0.8821 0.2443 0.9347 0.6772 0.2997 0.7203 0.7631 0.1144 0.4552 0.5073  
26-49 0.1496 0.9305 0.0583 0.0044 0.2065 0.3794 0.0046 0.0839 0.0318 0.9403  
50 or Older 0.8905 0.4650 0.3103 0.2166 0.0543 0.3592 0.1426 0.4406 0.6215 0.4268  
GENDER                      
Male 0.0494 0.5871 0.8761 0.2370 0.6739 0.0359 0.0372 0.2120 0.3565 1.0000  
Female 0.6467 0.9810 0.0439 0.1335 0.8997 0.6316 0.5742 0.0466 0.1311 0.3434  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.0576 0.7597 0.1903 0.2725 0.6901 0.3143 0.1803 0.1044 0.2030 0.9103  
White 0.0048 0.6436 0.1783 0.0961 0.5772 0.1766 0.1512 0.1879 0.6079 0.9232  
Black or African American 0.1127 0.7812 0.6106 0.3055 0.0136 0.1506 0.4829 0.9237 0.1511 0.8422  
AIAN 0.7417 0.9078 0.0614 0.5972 0.3267 0.3198 0.6797 0.8434 0.5538 0.5959  
NHOPI * * * * * 0.5321 * 0.4530 0.7478 0.7311  
Asian 0.3578 0.4139 0.5288 0.4393 0.6902 0.0470 0.2098 0.1287 0.1729 0.7597  
Two or More Races 0.6030 0.2621 0.0585 0.6466 0.2662 0.6766 0.5379 0.8916 0.7879 0.7567  
Hispanic or Latino 0.8536 0.5819 0.1406 0.0137 0.1115 0.8656 0.1321 0.0234 0.1324 0.1034  
* = 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 that are used in the comparisons 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) that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.6C – Co-Occurring Substance Use Disorder and Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group: Standard Errors of Numbers in Thousands, 2015-2018
Substance Use Disorder (SUD)/Mental Illness/Age Group 2015 2016 2017 2018
SUD and Any Mental Illness 247 253 246 276
18-25 75 83 86 88
26 or Older 234 236 226 261
26-49 166 179 161 192
50 or Older 159 157 158 170
SUD and Serious Mental Illness 124 141 152 149
18-25 42 49 57 53
26 or Older 116 130 138 140
26-49 87 98 100 105
50 or Older 75 81 95 95
SUD and Any Mental Illness
Excluding Serious Mental Illness
208 206 194 220
18-25 65 68 66 70
26 or Older 200 194 180 211
26-49 141 140 128 155
50 or Older 137 135 131 145
* = 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.
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 10.6D – Co-Occurring Substance Use Disorder and Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group: Standard Errors of Percentages, 2015-2018
Substance Use Disorder (SUD)/Mental Illness/Age Group 2015 2016 2017 2018
SUD and Any Mental Illness 0.10 0.10 0.10 0.11
18-25 0.21 0.24 0.25 0.26
26 or Older 0.11 0.11 0.11 0.12
26-49 0.17 0.18 0.16 0.19
50 or Older 0.15 0.14 0.14 0.15
SUD and Serious Mental Illness 0.05 0.06 0.06 0.06
18-25 0.12 0.14 0.17 0.16
26 or Older 0.06 0.06 0.06 0.07
26-49 0.09 0.10 0.10 0.10
50 or Older 0.07 0.07 0.08 0.08
SUD and Any Mental Illness
Excluding Serious Mental Illness
0.09 0.08 0.08 0.09
18-25 0.19 0.20 0.19 0.21
26 or Older 0.10 0.09 0.08 0.10
26-49 0.14 0.14 0.13 0.15
50 or Older 0.13 0.12 0.12 0.13
* = 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.
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 10.6P – Co-Occurring Substance Use Disorder and Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
Substance Use Disorder (SUD)/Mental Illness/Age Group 2015 2016 2017 2018
SUD and Any Mental Illness 0.0123 0.0338 0.1063  
18-25 0.0002 0.0027 0.4660  
26 or Older 0.1239 0.1878 0.1324  
26-49 0.0136 0.0693 0.0148  
50 or Older 0.7401 0.9639 0.7234  
SUD and Serious Mental Illness 0.0001 0.0151 0.8101  
18-25 0.0000 0.0142 0.4545  
26 or Older 0.0059 0.0858 0.5498  
26-49 0.0036 0.0430 0.3631  
50 or Older 0.3281 0.6875 0.9531  
SUD and Any Mental Illness
Excluding Serious Mental Illness
0.6642 0.3181 0.0590  
18-25 0.1476 0.0634 0.1173  
26 or Older 0.9165 0.6106 0.1394  
26-49 0.2570 0.3376 0.0163  
50 or Older 0.3272 0.8378 0.6979  
* = 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) that are used in the comparisons are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 10.7C – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of 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 570 561 554 573 578 605 646 603 616 594 653 674 541 552 557 608 591
AGE GROUP                                  
18-25 78 89 85 88 93 90 92 90 93 101 102 110 118 107 117 133 120
26 or Older 560 557 551 559 571 596 636 592 610 584 644 667 520 539 545 574 572
26-49 361 354 338 338 373 348 340 359 361 356 374 389 274 285 282 301 291
50 or Older 424 425 423 449 421 473 523 489 506 471 523 544 447 439 459 468 481
GENDER                                  
Male 318 319 327 344 335 361 374 366 379 364 384 427 332 324 328 337 341
Female 474 448 443 435 452 448 503 466 480 456 518 509 424 426 423 468 453
HISPANIC ORIGIN AND RACE                                  
Not Hispanic or Latino 554 527 552 541 550 568 616 563 584 565 614 628 517 522 513 571 560
White 555 580 559 555 575 584 658 620 606 619 676 677 542 549 548 589 589
Black or African American 153 169 175 178 171 144 204 181 195 167 199 196 176 158 163 148 168
AIAN 40 32 35 37 25 29 32 * 29 55 45 37 30 37 35 27 37
NHOPI 10 * * * 25 * * * * 9 18 10 27 12 22 21 32
Asian 124 94 83 67 102 73 96 71 113 136 92 131 122 104 92 101 106
Two or More Races 60 65 52 59 93 56 96 72 98 87 58 96 67 69 60 81 80
Hispanic or Latino 153 163 156 170 161 185 167 190 193 195 187 243 168 166 212 192 183
* = 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.
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 10.7D – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2002-2018
Demographic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.27 0.26 0.26 0.26 0.26 0.27 0.29 0.27 0.27 0.26 0.28 0.28 0.23 0.23 0.23 0.25 0.24
AGE GROUP                                  
18-25 0.25 0.28 0.26 0.27 0.28 0.28 0.28 0.27 0.27 0.30 0.29 0.32 0.34 0.31 0.34 0.39 0.36
26 or Older 0.31 0.31 0.30 0.30 0.30 0.32 0.33 0.31 0.31 0.30 0.32 0.33 0.25 0.26 0.26 0.27 0.27
26-49 0.36 0.35 0.34 0.34 0.37 0.35 0.34 0.36 0.37 0.36 0.38 0.40 0.28 0.29 0.29 0.30 0.29
50 or Older 0.54 0.53 0.51 0.53 0.48 0.53 0.57 0.52 0.52 0.47 0.51 0.52 0.42 0.40 0.42 0.42 0.42
GENDER                                  
Male 0.32 0.31 0.32 0.33 0.32 0.34 0.35 0.34 0.34 0.33 0.34 0.37 0.29 0.28 0.28 0.28 0.29
Female 0.43 0.41 0.40 0.39 0.40 0.39 0.43 0.40 0.41 0.38 0.43 0.41 0.34 0.34 0.34 0.37 0.35
HISPANIC ORIGIN AND RACE                                  
Not Hispanic or Latino 0.30 0.28 0.29 0.29 0.29 0.30 0.32 0.29 0.30 0.28 0.31 0.31 0.26 0.26 0.25 0.28 0.27
White 0.35 0.33 0.33 0.33 0.33 0.35 0.37 0.34 0.34 0.34 0.37 0.37 0.30 0.30 0.31 0.32 0.33
Black or African American 0.59 0.64 0.69 0.67 0.64 0.54 0.73 0.63 0.68 0.59 0.69 0.65 0.58 0.52 0.53 0.48 0.53
AIAN 3.12 3.02 2.96 3.05 2.52 2.62 3.11 * 2.65 3.64 3.23 2.69 2.12 2.54 2.35 2.12 2.45
NHOPI 1.49 * * * 2.99 * * * * 1.09 1.89 1.26 2.92 2.02 2.00 2.28 3.46
Asian 1.47 1.02 0.92 0.74 1.07 0.77 0.94 0.71 1.05 1.15 0.77 1.04 0.94 0.75 0.66 0.72 0.71
Two or More Races 2.65 2.74 2.29 2.42 3.62 2.25 3.42 2.57 3.21 2.44 1.79 2.41 1.69 1.68 1.42 1.83 1.70
Hispanic or Latino 0.61 0.64 0.58 0.62 0.56 0.63 0.55 0.62 0.61 0.58 0.54 0.69 0.46 0.44 0.55 0.49 0.45
* = 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.
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 10.7P – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2002-2017
Demographic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0007 0.0001 0.2183 0.3289 0.6213 0.0149 0.0627 0.5833  
AGE GROUP                                  
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.5977  
26 or Older 0.0001 0.0005 0.0000 0.0000 0.0000 0.0055 0.0111 0.0032 0.0836 0.0172 0.9582 0.8589 0.3248 0.3213 0.3561 0.6484  
26-49 0.0007 0.0007 0.0001 0.0000 0.0000 0.0001 0.0000 0.0017 0.0108 0.0102 0.0559 0.2303 0.0451 0.0695 0.0909 0.3924  
50 or Older 0.0036 0.0131 0.0006 0.0309 0.0135 0.2650 0.6472 0.0961 0.5829 0.2013 0.2048 0.3368 0.0196 0.9076 0.9572 0.9726  
GENDER                                  
Male 0.0009 0.0001 0.0012 0.0043 0.0051 0.0385 0.0890 0.0491 0.1605 0.5913 0.8597 0.9884 0.2750 0.7670 0.5890 0.3538  
Female 0.0000 0.0002 0.0000 0.0000 0.0000 0.0000 0.0001 0.0000 0.0011 0.0000 0.0789 0.1833 0.1471 0.0007 0.0443 0.1559  
HISPANIC ORIGIN AND RACE                                  
Not Hispanic or Latino 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0002 0.0002 0.3582 0.1965 0.6060 0.0154 0.0419 0.6302  
White 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.1074 0.0413 0.1875 0.0075 0.0548 0.5212  
Black or African American 0.7234 0.8081 0.7794 0.8255 0.1015 0.0096 0.9478 0.2456 0.8805 0.1665 0.0908 0.8647 0.3989 0.9579 0.6129 0.9078  
AIAN 0.3628 0.6995 0.7077 0.7395 0.5336 0.4933 0.8273 * 0.8676 0.6103 0.7454 0.6569 0.9888 0.6476 0.7467 0.7863  
NHOPI 0.0663 * * * 0.4002 * * * * 0.0210 0.1606 0.0693 0.7641 0.2789 0.1836 0.2002  
Asian 0.2179 0.2370 0.1748 0.0260 0.5828 0.0262 0.1276 0.0065 0.4010 0.9057 0.0626 0.9575 0.7280 0.2070 0.1900 0.7456  
Two or More Races 0.7136 0.5316 0.8989 0.7308 0.1253 0.9026 0.3622 0.2249 0.4514 0.8062 0.6219 0.1052 0.3169 0.3895 0.9305 0.1154  
Hispanic or Latino 0.4291 0.2429 0.0696 0.2238 0.0195 0.0667 0.0070 0.0622 0.2552 0.0427 0.0201 0.9630 0.4790 0.3133 0.7036 0.6182  
* = 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 that are used in the comparisons 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, the 2002 and 2003 estimates that are used in the comparisons may differ from estimates published prior to the 2004 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 10.8C – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of 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 570 561 554 573 578 605 646 603 616 594 653 674 541 552 557 608 591
GEOGRAPHIC REGION                                  
Northeast 247 254 250 251 227 266 293 247 267 262 250 285 248 244 245 243 262
Midwest 241 215 217 231 223 233 240 246 233 237 244 293 240 249 251 237 260
South 355 341 341 350 378 397 392 407 389 384 418 421 352 332 321 367 345
West 277 299 285 280 296 313 354 308 355 299 362 347 261 279 291 317 310
COUNTY TYPE1                                  
Large Metro 470 479 468 470 501 498 588 533 538 512 551 608 479 469 518 552 536
Small Metro 338 413 346 355 322 399 401 394 395 396 428 439 354 354 368 355 396
Nonmetro 224 234 237 230 257 267 263 232 258 235 273 275 241 205 224 225 256
Urbanized 181 157 160 140 158 172 164 139 174 143 185 206 172 148 136 166 185
Less Urbanized 157 177 154 170 195 197 202 178 169 192 191 183 173 141 182 156 161
Completely Rural 55 81 80 77 93 65 61 88 106 44 80 76 82 87 73 81 102
POVERTY LEVEL2                                  
Less Than 100% 199 214 215 246 192 232 230 202 247 250 281 286 243 211 228 264 232
100-199% 255 276 248 234 251 277 326 284 307 266 308 293 257 248 284 250 239
200% or More 540 542 512 508 542 561 613 585 581 587 615 645 480 528 497 536 567
EDUCATION                                  
< High School nc nc nc nc nc nc nc nc nc nc nc nc nc 178 187 187 177
High School Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 280 284 272 279
Some College/Associate's Degree nc nc nc nc nc nc nc nc nc nc nc nc nc 337 347 371 363
College Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 367 375 417 437
HEALTH INSURANCE3                                  
Private 502 556 509 496 532 541 633 546 563 563 596 628 488 497 503 555 561
Medicaid/CHIP 192 217 217 257 209 263 237 236 260 245 256 277 262 234 276 284 235
Other4 -- 334 329 352 325 367 425 388 394 362 430 455 378 360 373 381 383
No Coverage 188 165 146 158 167 180 180 187 210 196 215 229 150 109 109 136 120
* = 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.
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 10.8D – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of Percentages, 2002-2018
Geographic/Socioeconomic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.27 0.26 0.26 0.26 0.26 0.27 0.29 0.27 0.27 0.26 0.28 0.28 0.23 0.23 0.23 0.25 0.24
GEOGRAPHIC REGION                                  
Northeast 0.61 0.62 0.61 0.61 0.55 0.64 0.70 0.59 0.63 0.62 0.58 0.66 0.57 0.56 0.56 0.55 0.60
Midwest 0.51 0.45 0.45 0.47 0.46 0.47 0.49 0.50 0.47 0.47 0.48 0.58 0.47 0.49 0.49 0.46 0.50
South 0.47 0.45 0.44 0.45 0.48 0.49 0.48 0.49 0.46 0.45 0.48 0.48 0.40 0.37 0.35 0.40 0.37
West 0.59 0.63 0.59 0.57 0.59 0.61 0.68 0.59 0.67 0.56 0.66 0.63 0.47 0.49 0.51 0.55 0.53
COUNTY TYPE1                                  
Large Metro 0.38 0.36 0.36 0.36 0.36 0.40 0.41 0.37 0.39 0.36 0.37 0.40 0.31 0.31 0.33 0.36 0.35
Small Metro 0.47 0.51 0.45 0.49 0.45 0.50 0.52 0.51 0.47 0.44 0.51 0.52 0.41 0.41 0.42 0.40 0.45
Nonmetro 0.62 0.59 0.68 0.60 0.66 0.66 0.70 0.59 0.69 0.57 0.65 0.70 0.53 0.55 0.50 0.53 0.54
Urbanized 1.13 0.94 1.00 0.95 1.09 1.08 1.09 0.85 1.04 0.92 1.04 1.12 0.82 0.81 0.68 0.87 0.87
Less Urbanized 0.87 0.91 0.86 0.88 0.86 0.94 1.05 0.86 0.88 0.83 0.93 1.03 0.80 0.80 0.77 0.71 0.73
Completely Rural 1.37 2.03 2.48 1.60 2.09 1.44 1.69 2.18 2.75 1.30 1.84 1.71 1.84 1.76 1.61 1.70 2.00
POVERTY LEVEL2                                  
Less Than 100% 0.87 0.83 0.81 0.87 0.70 0.83 0.82 0.66 0.75 0.68 0.70 0.72 0.60 0.53 0.57 0.66 0.59
100-199% 0.60 0.61 0.59 0.53 0.56 0.64 0.72 0.61 0.60 0.54 0.61 0.57 0.50 0.48 0.51 0.48 0.47
200% or More 0.33 0.31 0.31 0.31 0.32 0.33 0.34 0.34 0.33 0.33 0.35 0.36 0.27 0.29 0.28 0.29 0.30
EDUCATION                                  
< High School nc nc nc nc nc nc nc nc nc nc nc nc nc 0.50 0.55 0.58 0.54
High School Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 0.42 0.42 0.42 0.42
Some College/Associate's Degree nc nc nc nc nc nc nc nc nc nc nc nc nc 0.41 0.40 0.43 0.43
College Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 0.44 0.43 0.45 0.46
HEALTH INSURANCE3                                  
Private 0.30 0.33 0.30 0.30 0.31 0.32 0.36 0.32 0.33 0.32 0.34 0.35 0.28 0.27 0.27 0.30 0.29
Medicaid/CHIP 1.08 1.18 1.18 1.20 1.11 1.20 1.16 1.07 1.05 0.93 1.05 0.99 0.75 0.62 0.69 0.68 0.60
Other4 -- 0.68 0.66 0.67 0.63 0.70 0.74 0.67 0.66 0.60 0.66 0.69 0.56 0.51 0.51 0.51 0.52
No Coverage 0.63 0.51 0.45 0.48 0.48 0.50 0.50 0.49 0.53 0.50 0.55 0.57 0.47 0.42 0.45 0.56 0.48
* = 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.
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 10.8P – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2002-2017
Geographic/Socioeconomic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0007 0.0001 0.2183 0.3289 0.6213 0.0149 0.0627 0.5833  
GEOGRAPHIC REGION                                  
Northeast 0.0003 0.0002 0.0000 0.0005 0.0000 0.0243 0.0008 0.0000 0.0192 0.0009 0.0015 0.1275 0.1165 0.1031 0.2922 0.0347  
Midwest 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0001 0.0002 0.0018 0.0256 0.1730 0.1792 0.0037 0.3205 0.4333  
South 0.0603 0.4910 0.0264 0.2224 0.1094 0.3854 0.1556 0.9938 0.3438 0.5577 0.0701 0.7617 0.1873 0.8804 0.9482 0.3927  
West 0.3276 0.0059 0.0718 0.0010 0.0197 0.0198 0.6936 0.0461 0.4840 0.0993 0.6967 0.9910 0.8411 0.4629 0.0487 0.9402  
COUNTY TYPE1                                  
Large Metro 0.0074 0.0052 0.0001 0.0001 0.0003 0.0012 0.0482 0.0043 0.0589 0.0070 0.5967 0.7968 0.9254 0.5620 0.8153 0.7122  
Small Metro 0.0000 0.0001 0.0001 0.0003 0.0000 0.0012 0.0006 0.0020 0.0056 0.0175 0.1321 0.0859 0.2442 0.0266 0.0369 0.3729  
Nonmetro 0.0009 0.0269 0.0021 0.0465 0.2337 0.4164 0.0618 0.0900 0.2192 0.0865 0.9219 0.4634 0.8219 0.0151 0.1459 0.2711  
Urbanized 0.4988 0.0979 0.0627 0.1585 0.3343 0.8817 0.4827 0.0089 0.4703 0.1034 0.8449 0.4311 0.6795 0.2042 0.0437 0.2875  
Less Urbanized 0.0183 0.5399 0.0339 0.6180 0.9091 0.8928 0.3949 0.6347 0.4401 0.6736 0.7076 0.6046 0.2408 0.1061 0.6270 0.8240  
Completely Rural 0.0002 0.0776 0.1583 0.0488 0.2479 0.0046 0.0109 0.3879 0.5523 0.0035 0.1915 0.0847 0.4328 0.1703 0.1796 0.6998  
POVERTY LEVEL2                                  
Less Than 100% 0.8536 0.4503 0.7297 0.8587 0.0004 0.8704 0.1191 0.1394 0.2825 0.2000 0.2782 0.8110 0.9378 0.0013 0.2367 0.8660  
100-199% 0.9955 0.6066 0.9154 0.5347 0.8557 0.4683 0.1549 0.6512 0.1722 0.1280 0.0657 0.1455 0.0004 0.3728 0.0030 0.0146  
200% or More 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0369 0.0472 0.0122 0.0404 0.0008 0.0523  
EDUCATION                                  
< High School nc nc nc nc nc nc nc nc nc nc nc nc nc 0.2339 0.8500 0.7543  
High School Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 0.2152 0.6202 0.4523  
Some College/Associate's Degree nc nc nc nc nc nc nc nc nc nc nc nc nc 0.0925 0.2269 0.5502  
College Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 0.0267 0.0370 0.2436  
HEALTH INSURANCE3                                  
Private 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0001 0.0000 0.0004 0.0000 0.0458 0.0843 0.0030 0.0282 0.0014 0.1378  
Medicaid/CHIP 0.6836 0.0023 0.0007 0.0000 0.0196 0.0001 0.0114 0.0001 0.0141 0.0016 0.0253 0.0002 0.0000 1.0000 0.0090 0.0055  
Other4 -- 0.0074 0.0013 0.0670 0.0123 0.6211 0.9066 0.1366 0.6886 0.4032 0.2000 0.6277 0.0002 0.6535 0.6197 0.6002  
No Coverage 0.0557 0.1889 0.4321 0.0541 0.3966 0.3796 0.1511 0.1424 0.1368 0.3393 0.0022 0.0087 0.0251 0.0739 0.6576 0.8770  
* = 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 that are used in the comparisons 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, the 2002 and 2003 estimates that are used in the comparisons may differ from estimates published prior to the 2004 NSDUH.
1 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, the 2002 to 2014 estimates that are used in the comparisons 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 10.9C – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 507 467 510 452 490 558 423 429 455 442 470
AGE GROUP                      
18-25 70 70 73 81 87 86 91 85 99 130 104
26 or Older 499 460 504 444 481 558 412 422 437 412 446
26-49 295 312 305 280 304 327 233 245 242 247 274
50 or Older 414 338 382 348 369 439 333 329 344 320 340
GENDER                      
Male 253 290 292 272 253 336 245 246 247 247 252
Female 428 365 404 372 409 448 337 342 365 346 374
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 491 443 474 445 466 532 414 411 405 416 448
White 464 428 439 420 424 500 359 371 385 384 404
Black or African American 131 110 132 121 155 155 135 117 105 109 123
AIAN * * * * * * * * * * *
NHOPI * * * * * * * * * * *
Asian * 61 62 73 62 * 108 77 65 59 77
Two or More Races * 67 * * 42 81 57 71 49 50 48
Hispanic or Latino 115 131 176 124 150 210 140 119 169 142 151
* = 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.
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 10.9D – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.93 0.86 0.89 0.82 0.82 0.91 0.72 0.72 0.75 0.71 0.68
AGE GROUP                      
18-25 0.94 0.97 0.93 0.98 0.96 0.98 1.05 0.91 0.94 0.98 0.87
26 or Older 1.09 1.00 1.03 0.97 0.96 1.07 0.81 0.84 0.87 0.85 0.82
26-49 1.09 1.10 1.07 1.09 1.10 1.15 0.83 0.89 0.87 0.88 0.82
50 or Older 2.26 1.92 1.93 1.75 1.67 1.95 1.48 1.54 1.57 1.63 1.61
GENDER                      
Male 1.41 1.43 1.44 1.37 1.25 1.59 1.14 1.15 1.15 1.12 1.07
Female 1.19 1.08 1.11 1.09 1.07 1.14 0.90 0.93 0.94 0.89 0.88
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 1.00 0.92 0.94 0.87 0.88 0.98 0.78 0.77 0.80 0.77 0.75
White 1.09 1.01 1.05 1.00 0.97 1.10 0.85 0.84 0.89 0.84 0.82
Black or African American 2.46 2.32 2.39 2.41 2.61 2.71 2.32 2.15 2.09 1.95 1.97
AIAN * * * * * * * * * * *
NHOPI * * * * * * * * * * *
Asian * 4.31 4.03 4.33 3.58 * 4.72 4.03 3.44 2.95 2.97
Two or More Races * 5.81 * * 4.81 5.73 4.14 4.49 3.73 3.79 3.89
Hispanic or Latino 2.11 2.19 2.88 2.33 2.26 2.62 1.97 1.84 2.27 1.87 1.76
* = 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.
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 10.9P – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0404 0.0045 0.3937 0.0182 0.0296 0.2191 0.1663 0.8007 0.8141 0.5049  
AGE GROUP                      
18-25 0.0000 0.0001 0.0002 0.0007 0.0273 0.0458 0.0072 0.0000 0.0913 0.4039  
26 or Older 0.1774 0.0163 0.6300 0.0509 0.0472 0.1734 0.0670 0.5353 0.9933 0.3730  
26-49 0.0650 0.0231 0.6554 0.0436 0.1647 0.7708 0.7776 0.5914 0.5008 0.5853  
50 or Older 0.8263 0.2348 0.7838 0.3582 0.1452 0.0638 0.0623 0.2646 0.6695 0.4815  
GENDER                      
Male 0.3051 0.8613 0.5455 0.6969 0.2677 0.1235 0.0525 0.3922 0.5335 0.9309  
Female 0.0426 0.0001 0.6869 0.0085 0.0599 0.8469 0.9103 0.3516 0.8709 0.4624  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.1998 0.0108 0.2190 0.0331 0.0686 0.2805 0.1913 0.7678 0.9206 0.3893  
White 0.1539 0.0031 0.1523 0.0139 0.0266 0.7162 0.6179 0.3425 0.7426 0.3596  
Black or African American 0.5484 0.1788 0.7310 0.6025 0.2859 0.7457 0.5660 0.7845 0.6493 0.9796  
AIAN * * * * * * * * * *  
NHOPI * * * * * * * * * *  
Asian * 0.1782 0.2080 0.4019 0.0693 * 0.1443 0.5727 0.4828 0.2834  
Two or More Races * 0.0176 * * 0.1796 0.0166 0.0092 0.0142 0.3137 0.2194  
Hispanic or Latino 0.0003 0.0215 0.9648 0.0215 0.0743 0.7040 0.9721 0.5670 0.5155 0.8963  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.10C – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Geographic and Socioeconomic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 507 467 510 452 490 558 423 429 455 442 470
GEOGRAPHIC REGION                      
Northeast 235 193 205 200 191 218 179 179 184 182 192
Midwest 194 194 195 194 192 236 189 202 190 177 213
South 302 306 318 286 324 370 285 254 264 258 272
West 246 236 281 230 242 288 198 210 255 225 268
COUNTY TYPE2                      
Large Metro 382 368 383 345 345 437 328 324 345 351 359
Small Metro 279 268 285 260 292 303 234 240 278 238 283
Nonmetro 202 154 186 166 185 234 184 154 168 175 158
Urbanized 120 95 105 101 104 175 118 106 94 121 108
Less Urbanized 158 111 128 125 131 153 138 106 137 120 101
Completely Rural 46 50 * 30 * * 64 65 51 64 71
POVERTY LEVEL3                      
Less Than 100% 171 162 208 200 223 243 202 175 171 207 191
100-199% 241 215 231 208 219 228 203 181 214 187 179
200% or More 406 386 378 359 364 452 316 346 336 329 373
EDUCATION                      
< High School nc nc nc nc nc nc nc 131 132 142 135
High School Graduate nc nc nc nc nc nc nc 190 216 188 210
Some College/Associate's Degree nc nc nc nc nc nc nc 251 258 255 266
College Graduate nc nc nc nc nc nc nc 229 239 247 276
HEALTH INSURANCE4                      
Private 427 365 375 357 355 413 313 330 337 329 372
Medicaid/CHIP 165 172 220 198 205 243 221 192 208 223 202
Other5 313 263 291 262 284 334 263 258 243 273 241
No Coverage 153 149 175 150 169 202 116 90 88 102 103
* = 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.
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 10.10D – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Geographic and Socioeconomic Characteristics: Standard Errors of Percentages, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.93 0.86 0.89 0.82 0.82 0.91 0.72 0.72 0.75 0.71 0.68
GEOGRAPHIC REGION                      
Northeast 2.22 1.85 2.00 2.07 1.84 1.98 1.66 1.68 1.68 1.76 1.64
Midwest 1.54 1.57 1.57 1.49 1.54 1.72 1.41 1.41 1.51 1.27 1.40
South 1.64 1.58 1.62 1.44 1.44 1.65 1.23 1.19 1.17 1.18 1.13
West 2.04 1.91 1.98 1.78 1.76 2.01 1.49 1.49 1.59 1.48 1.49
COUNTY TYPE2                      
Large Metro 1.34 1.24 1.28 1.23 1.14 1.26 1.02 1.01 1.03 1.01 0.98
Small Metro 1.64 1.55 1.56 1.32 1.45 1.52 1.23 1.21 1.34 1.15 1.23
Nonmetro 2.18 1.98 2.12 1.91 1.97 2.45 1.55 1.80 1.70 1.67 1.44
Urbanized 3.32 3.20 2.93 2.70 2.79 3.80 2.49 2.31 2.54 2.63 1.96
Less Urbanized 3.27 2.71 3.00 2.85 2.66 3.61 2.27 3.14 2.45 2.42 2.18
Completely Rural 5.67 5.75 * 5.84 * * 5.45 5.02 5.36 4.33 5.37
POVERTY LEVEL3                      
Less Than 100% 2.03 1.80 2.08 1.83 1.77 1.83 1.57 1.49 1.49 1.64 1.53
100-199% 2.00 1.77 1.79 1.66 1.86 1.82 1.47 1.45 1.47 1.41 1.43
200% or More 1.22 1.19 1.16 1.13 1.14 1.24 0.99 0.98 0.98 0.94 0.91
EDUCATION                      
< High School nc nc nc nc nc nc nc 1.90 2.04 2.13 2.01
High School Graduate nc nc nc nc nc nc nc 1.41 1.49 1.43 1.46
Some College/Associate's Degree nc nc nc nc nc nc nc 1.14 1.21 1.07 1.12
College Graduate nc nc nc nc nc nc nc 1.41 1.33 1.29 1.31
HEALTH INSURANCE4                      
Private 1.27 1.17 1.17 1.11 1.15 1.17 0.95 0.95 0.96 0.90 0.89
Medicaid/CHIP 2.40 2.15 2.54 2.24 2.27 2.11 1.67 1.58 1.53 1.50 1.50
Other5 2.59 2.33 2.17 2.07 1.82 2.24 1.66 1.59 1.78 1.78 1.70
No Coverage 1.65 1.63 1.80 1.61 1.70 2.04 1.52 1.57 1.62 1.79 1.66
* = 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.
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 10.10P – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Geographic and Socioeconomic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0404 0.0045 0.3937 0.0182 0.0296 0.2191 0.1663 0.8007 0.8141 0.5049  
GEOGRAPHIC REGION                      
Northeast 0.0981 0.0072 0.3211 0.9842 0.2508 0.5059 0.4626 0.8364 0.9519 0.2928  
Midwest 0.0254 0.0606 0.0707 0.1199 0.4556 0.5295 0.9749 0.9439 0.4536 0.6789  
South 0.7459 0.3833 0.7707 0.1543 0.5613 0.3678 0.1288 0.5390 0.8951 0.7938  
West 0.5308 0.3793 0.4184 0.1210 0.0513 0.8338 0.7980 0.9504 0.5271 0.6288  
COUNTY TYPE2                      
Large Metro 0.1394 0.1327 0.9955 0.1460 0.1175 0.2178 0.1016 0.5505 0.6230 0.4409  
Small Metro 0.1081 0.0291 0.0808 0.1291 0.1388 0.8490 0.5926 0.3701 0.2026 0.8346  
Nonmetro 0.8857 0.1637 0.7756 0.1257 0.5809 0.2667 0.1782 0.5398 0.6924 0.8770  
Urbanized 0.2662 0.5624 0.1119 0.2931 0.8557 0.2161 0.1247 0.2655 0.6556 0.7577  
Less Urbanized 0.5835 0.0160 0.3191 0.4232 0.7316 0.6184 0.4331 0.2050 0.4161 0.7307  
Completely Rural 0.0606 0.7132 * 0.1298 * * 0.3921 0.2867 0.5321 0.6972  
POVERTY LEVEL3                      
Less Than 100% 0.0700 0.0748 0.7722 0.0960 0.0893 0.9474 0.7952 0.0497 0.2205 0.6099  
100-199% 0.5938 0.9127 0.1739 0.1831 0.5832 0.1477 0.0263 0.3785 0.0451 0.0488  
200% or More 0.0503 0.0073 0.1075 0.0057 0.0432 0.4254 0.6543 0.7109 0.4786 0.0261  
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.8800 0.9829 0.3175  
High School Graduate nc nc nc nc nc nc nc 0.3223 0.8404 0.9569  
Some College/Associate's Degree nc nc nc nc nc nc nc 0.6394 0.9663 0.9669  
College Graduate nc nc nc nc nc nc nc 0.6955 0.6910 0.0305  
HEALTH INSURANCE4                      
Private 0.1079 0.0003 0.2714 0.0205 0.0351 0.7053 0.5345 0.8649 0.1709 0.0087  
Medicaid/CHIP 0.3142 0.0137 0.1302 0.0726 0.4951 0.0029 0.0019 0.3813 0.0964 0.0313  
Other5 0.3453 0.4434 0.8968 0.6021 0.6614 0.2120 0.0085 0.0326 0.7927 0.2311  
No Coverage 0.5748 0.6076 0.1907 0.5025 0.2560 0.0185 0.4893 0.0134 0.2347 0.8466  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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, the 2008 to 2014 estimates that are used in the comparisons 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 10.11C – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 262 275 302 260 262 333 254 235 258 264 258
AGE GROUP                      
18-25 37 38 45 45 46 49 53 52 63 76 64
26 or Older 259 272 297 258 260 331 250 230 249 254 244
26-49 177 180 183 168 188 202 146 146 144 155 156
50 or Older 192 197 226 194 192 248 193 179 200 194 189
GENDER                      
Male 144 151 177 159 154 233 160 137 137 154 147
Female 217 229 234 206 209 229 185 189 211 199 207
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 251 267 275 252 247 314 237 224 219 246 242
White 234 252 243 234 225 282 213 207 208 235 220
Black or African American 59 74 76 66 77 * 63 53 67 59 78
AIAN * * * * * * * * * * *
NHOPI * * * * * * * * * * *
Asian * * * * * * * * * * *
Two or More Races * * * * * * * * * * *
Hispanic or Latino * 71 * 61 104 109 93 77 133 80 86
* = 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.
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 10.11D – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 1.76 1.68 1.67 1.70 1.65 1.78 1.33 1.33 1.34 1.27 1.24
AGE GROUP                      
18-25 2.28 2.20 2.32 2.27 2.14 2.30 2.13 2.14 2.05 1.94 1.72
26 or Older 2.01 1.92 1.89 1.94 1.92 2.02 1.52 1.56 1.55 1.51 1.49
26-49 2.08 2.06 2.05 2.20 2.27 2.29 1.72 1.68 1.57 1.60 1.55
50 or Older 4.33 3.74 3.74 3.60 3.62 3.51 2.59 3.09 3.16 3.08 3.30
GENDER                      
Male 3.06 2.98 3.17 2.85 2.84 3.37 2.53 2.41 2.36 2.24 2.27
Female 2.14 2.00 1.88 2.00 2.11 1.93 1.50 1.59 1.57 1.45 1.47
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 1.84 1.75 1.73 1.71 1.78 1.87 1.39 1.38 1.37 1.30 1.33
White 1.99 1.89 1.90 1.79 1.97 1.96 1.43 1.47 1.45 1.41 1.50
Black or African American 5.68 5.51 5.01 5.52 5.62 * 4.97 5.01 4.47 4.11 4.03
AIAN * * * * * * * * * * *
NHOPI * * * * * * * * * * *
Asian * * * * * * * * * * *
Two or More Races * * * * * * * * * * *
Hispanic or Latino * 5.59 * 5.68 4.89 5.32 4.24 4.34 4.32 4.09 3.45
* = 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.
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 10.11P – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.4618 0.2430 0.1065 0.6984 0.5598 0.0444 0.0147 0.5233 0.6950 0.1399  
AGE GROUP                      
18-25 0.0061 0.6698 0.9630 0.5581 0.8008 0.9442 0.9679 0.2843 0.4014 0.1551  
26 or Older 0.4372 0.6375 0.2846 0.9597 0.2890 0.1343 0.0411 0.5567 0.6790 0.2713  
26-49 0.1843 0.7581 0.1553 0.9691 0.9515 0.0906 0.3017 0.3028 0.2873 0.2621  
50 or Older 0.8260 0.7327 0.9457 0.8190 0.1024 0.9114 0.2632 0.6383 0.5533 0.7885  
GENDER                      
Male 0.3452 0.3219 0.2649 0.4188 0.6873 0.0768 0.0899 0.5559 0.7735 0.6698  
Female 0.8918 0.5398 0.2288 0.8960 0.3551 0.1734 0.0722 0.7388 0.8301 0.1312  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.4109 0.1433 0.1860 0.4515 0.6964 0.0445 0.0301 0.6266 0.9864 0.1359  
White 0.5506 0.1627 0.1527 0.3437 0.9400 0.0976 0.0088 0.3330 0.7644 0.0933  
Black or African American 0.7111 0.7397 0.6459 0.6486 0.7274 * 0.4988 0.0464 0.8450 0.7421  
AIAN * * * * * * * * * *  
NHOPI * * * * * * * * * *  
Asian * * * * * * * * * *  
Two or More Races * * * * * * * * * *  
Hispanic or Latino * 0.3631 * 0.1143 0.0852 0.6399 0.2550 0.7635 0.3140 0.9734  
* = 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 that are used in the comparisons 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.12C – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic and Socioeconomic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 262 275 302 260 262 333 254 235 258 264 258
GEOGRAPHIC REGION                      
Northeast 117 106 112 100 104 118 102 101 107 99 102
Midwest 109 112 130 113 101 126 122 93 100 98 134
South 150 180 169 149 175 237 152 153 148 155 149
West 134 132 169 147 131 169 125 115 143 143 134
COUNTY TYPE2                      
Large Metro 193 216 214 182 192 270 190 179 187 187 178
Small Metro 152 151 150 151 161 168 141 131 158 149 160
Nonmetro 90 89 144 99 94 116 96 92 77 121 96
Urbanized * 54 * 62 59 * 58 56 46 83 64
Less Urbanized * 59 81 74 71 88 74 68 60 79 57
Completely Rural * * * * * * * * * * *
POVERTY LEVEL3                      
Less Than 100% 82 120 141 152 137 136 116 114 112 121 121
100-199% 132 109 120 113 130 133 120 102 129 112 112
200% or More 207 217 224 181 191 269 182 183 191 192 190
EDUCATION                      
< High School nc nc nc nc nc nc nc 85 82 82 90
High School Graduate nc nc nc nc nc nc nc 99 132 126 122
Some College/Associate's Degree nc nc nc nc nc nc nc 153 151 150 167
College Graduate nc nc nc nc nc nc nc 124 123 128 123
HEALTH INSURANCE4                      
Private 211 174 220 163 173 227 166 177 192 181 194
Medicaid/CHIP 105 121 141 140 121 127 125 115 133 135 127
Other5 138 165 148 145 168 216 155 155 140 165 145
No Coverage 79 94 113 98 104 111 71 59 63 61 69
* = 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.
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 10.12D – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic and Socioeconomic Characteristics: Standard Errors of Percentages, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 1.76 1.68 1.67 1.70 1.65 1.78 1.33 1.33 1.34 1.27 1.24
GEOGRAPHIC REGION                      
Northeast 3.91 3.46 3.65 4.02 3.89 3.17 3.17 3.40 3.05 3.32 2.90
Midwest 2.96 2.91 3.05 2.62 2.80 2.92 2.48 2.69 2.43 2.30 2.45
South 3.26 3.21 3.08 3.13 2.74 3.22 2.22 2.21 2.17 2.05 2.07
West 3.84 3.91 3.47 3.61 3.77 4.27 3.03 3.10 2.97 2.67 2.71
COUNTY TYPE2                      
Large Metro 2.49 2.72 2.38 2.61 2.42 2.72 1.91 1.97 1.88 1.90 1.68
Small Metro 3.11 2.68 2.80 2.64 2.91 2.77 2.24 2.34 2.27 1.94 2.09
Nonmetro 4.23 3.33 4.27 3.43 3.60 3.78 2.92 3.22 2.98 2.67 3.08
Urbanized * 5.22 * 5.72 4.82 * 3.95 4.67 4.79 4.26 4.93
Less Urbanized * 4.92 5.51 4.82 4.94 4.43 4.64 4.77 4.15 3.62 4.20
Completely Rural * * * * * * * * * * *
POVERTY LEVEL3                      
Less Than 100% 3.67 3.24 3.52 3.31 3.40 3.10 2.37 2.83 2.65 2.45 2.60
100-199% 3.73 3.50 3.59 3.32 3.53 3.49 2.53 2.90 2.57 2.18 2.86
200% or More 2.38 2.39 2.26 2.49 2.49 2.54 1.95 1.77 1.98 1.73 1.68
EDUCATION                      
< High School nc nc nc nc nc nc nc 4.34 4.37 3.97 4.25
High School Graduate nc nc nc nc nc nc nc 2.86 2.71 2.44 2.70
Some College/Associate's Degree nc nc nc nc nc nc nc 2.04 1.97 1.75 1.90
College Graduate nc nc nc nc nc nc nc 2.63 2.43 2.44 2.57
HEALTH INSURANCE4                      
Private 2.43 2.39 2.17 2.55 2.52 2.57 1.90 1.81 1.90 1.67 1.68
Medicaid/CHIP 3.64 2.93 3.60 3.17 3.91 3.10 2.29 2.69 2.37 2.01 2.35
Other5 3.91 4.06 4.07 3.50 3.63 2.78 2.42 2.77 2.72 2.64 2.82
No Coverage 3.56 3.32 3.90 3.50 3.41 3.55 3.16 3.69 3.59 3.40 3.33
* = 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.
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 10.12P – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic and Socioeconomic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.4618 0.2430 0.1065 0.6984 0.5598 0.0444 0.0147 0.5233 0.6950 0.1399  
GEOGRAPHIC REGION                      
Northeast 0.1735 0.2616 0.4466 0.8840 0.9300 0.0106 0.3633 0.5499 0.9935 0.7882  
Midwest 0.9109 0.6533 0.3088 0.5323 0.7145 0.4625 0.2075 0.8877 0.7071 0.6001  
South 0.3159 0.6849 0.5674 0.2215 0.4146 0.8572 0.4068 0.9713 0.8541 0.7213  
West 0.2270 0.2625 0.0288 0.0872 0.6962 0.0848 0.0821 0.5827 0.7866 0.0099  
COUNTY TYPE2                      
Large Metro 0.5393 0.7565 0.2584 0.9463 0.5142 0.0487 0.0656 0.6030 0.4387 0.7000  
Small Metro 0.9465 0.1846 0.4734 0.7008 0.5901 0.6494 0.5547 0.7526 0.3545 0.3340  
Nonmetro 0.2848 0.4249 0.2864 0.8417 0.4947 0.3965 0.0322 0.7169 0.2043 0.0696  
Urbanized * 0.3345 * 0.6131 0.1314 * 0.2473 0.3769 0.8802 0.2466  
Less Urbanized * 0.9389 0.1907 0.2183 0.3859 0.0262 0.0225 0.1096 0.1015 0.0808  
Completely Rural * * * * * * * * * *  
POVERTY LEVEL3                      
Less Than 100% 0.4508 0.5076 0.9039 0.9192 0.3033 0.6517 0.4559 0.3861 0.8673 0.2923  
100-199% 0.3439 0.7213 0.7131 0.7391 0.7641 0.1046 0.0144 0.5929 0.2784 0.0333  
200% or More 0.4696 0.1551 0.0535 0.6564 0.8451 0.0317 0.2272 0.2494 0.9941 0.9587  
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.4360 0.5119 0.2337  
High School Graduate nc nc nc nc nc nc nc 0.6514 0.2424 0.0764  
Some College/Associate's Degree nc nc nc nc nc nc nc 0.7920 0.3770 0.2332  
College Graduate nc nc nc nc nc nc nc 0.2826 0.2135 0.5159  
HEALTH INSURANCE4                      
Private 0.3480 0.8909 0.0327 0.5493 0.4553 0.1842 0.2612 0.4637 0.6019 0.6078  
Medicaid/CHIP 0.0786 0.0093 0.1552 0.0909 0.9526 0.0526 0.0092 0.9047 0.4037 0.0255  
Other5 0.7273 0.9209 0.2012 0.6330 0.2620 0.0540 0.1966 0.8897 0.9130 0.3366  
No Coverage 0.8265 0.1926 0.2985 0.7258 0.4138 0.4738 0.9666 0.4507 0.6353 0.1373  
* = 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 that are used in the comparisons 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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, the 2008 to 2014 estimates that are used in the comparisons 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 10.13C – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 503 467 479 460 510 491 405 410 403 474 427
AGE GROUP                      
18-25 73 71 69 73 68 74 83 73 77 78 79
26 or Older 494 455 475 451 502 485 393 403 396 464 420
26-49 234 242 245 268 253 275 186 201 188 212 196
50 or Older 419 385 402 366 436 400 342 348 349 396 376
GENDER                      
Male 310 265 275 292 312 276 248 239 247 270 247
Female 345 362 372 339 413 380 324 326 317 363 340
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 488 450 466 437 497 466 394 396 378 451 412
White 450 418 417 403 473 442 377 378 353 430 380
Black or African American 150 136 140 104 126 126 110 101 120 99 106
AIAN 22 * 17 12 26 14 19 24 21 19 26
NHOPI * * * 8 8 5 13 11 9 4 4
Asian 66 37 95 113 68 74 58 66 62 77 71
Two or More Races * 24 67 35 40 59 35 28 35 63 63
Hispanic or Latino 128 130 108 153 113 141 100 128 137 142 112
* = 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.
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 10.13D – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.25 0.24 0.24 0.22 0.25 0.24 0.19 0.20 0.19 0.23 0.20
AGE GROUP                      
18-25 0.25 0.24 0.23 0.24 0.23 0.26 0.29 0.26 0.28 0.28 0.30
26 or Older 0.29 0.27 0.28 0.26 0.29 0.27 0.22 0.22 0.22 0.25 0.23
26-49 0.28 0.29 0.30 0.32 0.31 0.34 0.23 0.24 0.23 0.25 0.24
50 or Older 0.50 0.46 0.47 0.40 0.48 0.43 0.36 0.35 0.35 0.39 0.37
GENDER                      
Male 0.32 0.27 0.28 0.29 0.31 0.28 0.24 0.23 0.23 0.26 0.24
Female 0.36 0.37 0.38 0.34 0.40 0.37 0.31 0.31 0.30 0.34 0.33
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.29 0.26 0.27 0.25 0.28 0.27 0.22 0.22 0.21 0.26 0.23
White 0.33 0.31 0.31 0.29 0.34 0.32 0.28 0.28 0.26 0.31 0.29
Black or African American 0.67 0.59 0.62 0.45 0.55 0.53 0.45 0.40 0.48 0.39 0.42
AIAN 2.66 * 2.02 1.31 2.75 1.53 1.94 2.17 1.86 1.83 2.13
NHOPI * * * 1.18 1.14 0.77 1.87 2.12 0.95 0.58 0.57
Asian 0.76 0.43 1.03 1.12 0.68 0.68 0.53 0.54 0.51 0.64 0.57
Two or More Races * 1.41 2.99 1.44 1.52 2.23 1.34 1.04 1.16 2.02 1.84
Hispanic or Latino 0.49 0.49 0.39 0.51 0.38 0.46 0.32 0.39 0.42 0.41 0.33
* = 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.
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 10.13P – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0304 0.0095 0.0109 0.0919 0.4556 0.1521 0.8466 0.1731 0.2685 0.8419  
AGE GROUP                      
18-25 0.1259 0.1104 0.0067 0.0671 0.0428 0.2699 0.0643 0.0034 0.1000 0.1841  
26 or Older 0.0615 0.0222 0.0430 0.1941 0.2311 0.2349 0.7742 0.4371 0.4408 0.6643  
26-49 0.0062 0.1486 0.1201 0.5918 0.9624 0.7137 0.7312 0.9586 0.9911 0.8035  
50 or Older 0.6344 0.0907 0.1811 0.0682 0.1367 0.2664 0.5711 0.4020 0.3979 0.5178  
GENDER                      
Male 0.9705 0.0559 0.2830 0.5868 0.1651 0.6063 0.2606 0.4969 0.6005 0.1620  
Female 0.0038 0.0575 0.0127 0.0067 0.8445 0.1430 0.2655 0.0220 0.0690 0.3821  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.0072 0.0018 0.0050 0.0227 0.3880 0.1052 0.7413 0.0907 0.1160 0.9560  
White 0.0004 0.0002 0.0001 0.0110 0.5735 0.0531 0.4773 0.0772 0.0831 0.8635  
Black or African American 0.8045 0.8869 0.7761 0.1093 0.6394 0.7589 0.4686 0.8532 0.5999 0.9470  
AIAN 0.8153 * 0.7597 0.2788 0.7844 0.6885 0.7384 0.7710 0.9289 0.7072  
NHOPI * * * 0.2129 0.2796 0.3812 0.0182 0.0300 0.3812 0.8541  
Asian 0.5869 0.0215 0.9913 0.3201 0.4245 1.0000 0.6571 0.5748 0.6281 0.5735  
Two or More Races * 0.1290 0.7282 0.1281 0.3987 0.9135 0.3071 0.0623 0.4547 0.4158  
Hispanic or Latino 0.9256 0.9384 0.3894 0.4221 0.1603 0.6542 0.8184 0.5449 0.3952 0.5831  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.14C – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Geographic and Socioeconomic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 503 467 479 460 510 491 405 410 403 474 427
GEOGRAPHIC REGION                      
Northeast 192 171 201 187 184 206 205 180 182 195 198
Midwest 173 185 183 184 187 207 181 169 205 186 193
South 311 309 291 298 328 298 246 242 244 309 265
West 306 239 265 241 290 257 184 216 181 240 198
COUNTY TYPE2                      
Large Metro 408 346 366 344 398 383 321 321 339 378 338
Small Metro 271 269 267 264 265 292 228 231 217 234 229
Nonmetro 152 160 165 155 174 133 123 117 118 123 175
Urbanized 93 92 127 102 126 95 88 79 85 94 130
Less Urbanized 118 126 101 128 129 91 77 79 83 83 111
Completely Rural 29 63 33 30 37 38 40 44 38 36 48
POVERTY LEVEL3                      
Less Than 100% 144 126 136 132 163 144 118 109 145 142 124
100-199% 206 187 201 166 197 179 163 171 165 172 154
200% or More 443 404 422 421 452 431 346 353 345 402 386
EDUCATION                      
< High School nc nc nc nc nc nc nc 116 136 120 119
High School Graduate nc nc nc nc nc nc nc 190 182 188 170
Some College/Associate's Degree nc nc nc nc nc nc nc 225 215 253 235
College Graduate nc nc nc nc nc nc nc 268 272 305 297
HEALTH INSURANCE4                      
Private 450 379 413 403 441 436 343 349 347 405 373
Medicaid/CHIP 158 154 140 138 136 124 130 125 168 160 126
Other5 300 282 277 252 307 293 276 245 269 256 285
No Coverage 88 105 105 118 133 125 85 65 66 93 57
* = 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.
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 10.14D – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Geographic and Socioeconomic Characteristics: Standard Errors of Percentages, 2008-2018
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.25 0.24 0.24 0.22 0.25 0.24 0.19 0.20 0.19 0.23 0.20
GEOGRAPHIC REGION                      
Northeast 0.55 0.48 0.56 0.49 0.49 0.57 0.54 0.48 0.49 0.52 0.53
Midwest 0.41 0.43 0.42 0.41 0.42 0.48 0.41 0.39 0.44 0.42 0.44
South 0.43 0.43 0.39 0.39 0.42 0.38 0.32 0.31 0.30 0.38 0.32
West 0.65 0.53 0.59 0.52 0.64 0.54 0.37 0.44 0.37 0.49 0.42
COUNTY TYPE2                      
Large Metro 0.37 0.32 0.33 0.31 0.35 0.33 0.27 0.27 0.28 0.32 0.29
Small Metro 0.46 0.45 0.43 0.39 0.43 0.45 0.36 0.35 0.35 0.37 0.36
Nonmetro 0.53 0.53 0.59 0.51 0.55 0.44 0.40 0.41 0.38 0.39 0.52
Urbanized 0.82 0.74 0.99 0.87 0.95 0.70 0.64 0.60 0.63 0.66 0.88
Less Urbanized 0.80 0.81 0.72 0.78 0.84 0.66 0.54 0.59 0.52 0.53 0.71
Completely Rural 1.09 2.02 1.28 0.95 1.21 1.10 1.37 1.20 1.16 1.07 1.48
POVERTY LEVEL3                      
Less Than 100% 0.72 0.58 0.59 0.52 0.58 0.54 0.44 0.39 0.51 0.53 0.47
100-199% 0.60 0.52 0.52 0.43 0.53 0.47 0.43 0.43 0.40 0.43 0.39
200% or More 0.31 0.30 0.31 0.30 0.33 0.30 0.25 0.25 0.24 0.27 0.27
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.40 0.49 0.46 0.46
High School Graduate nc nc nc nc nc nc nc 0.36 0.35 0.36 0.33
Some College/Associate's Degree nc nc nc nc nc nc nc 0.37 0.33 0.40 0.38
College Graduate nc nc nc nc nc nc nc 0.40 0.40 0.42 0.41
HEALTH INSURANCE4                      
Private 0.32 0.27 0.31 0.29 0.31 0.31 0.24 0.24 0.23 0.28 0.25
Medicaid/CHIP 1.13 1.06 0.89 0.79 0.83 0.72 0.59 0.48 0.63 0.58 0.48
Other5 0.64 0.61 0.59 0.52 0.61 0.57 0.53 0.43 0.46 0.43 0.48
No Coverage 0.33 0.36 0.34 0.39 0.45 0.42 0.36 0.32 0.35 0.49 0.30
* = 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.
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 10.14P – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Geographic and Socioeconomic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0304 0.0095 0.0109 0.0919 0.4556 0.1521 0.8466 0.1731 0.2685 0.8419  
GEOGRAPHIC REGION                      
Northeast 0.0004 0.0001 0.0222 0.0013 0.0023 0.0508 0.0956 0.1226 0.3620 0.1783  
Midwest 0.0043 0.0048 0.0034 0.0830 0.2105 0.1193 0.4127 0.0068 0.9615 0.4768  
South 0.4238 0.2790 0.5642 0.6314 0.0122 0.6789 0.3197 0.7296 0.9101 0.3926  
West 0.1243 0.2714 0.8514 0.9639 0.1272 0.5973 0.4860 0.5731 0.0713 0.4056  
COUNTY TYPE2                      
Large Metro 0.7023 0.0335 0.1079 0.2973 0.3292 0.7750 0.7602 0.9934 0.8067 0.1317  
Small Metro 0.0460 0.2652 0.3041 0.3892 0.8445 0.4252 0.6554 0.4058 0.4193 0.5205  
Nonmetro 0.0159 0.2337 0.0282 0.1781 0.8404 0.0130 0.0554 0.0039 0.0099 0.0387  
Urbanized 0.1087 0.0033 0.1828 0.1110 0.5183 0.0247 0.0339 0.0137 0.1009 0.1068  
Less Urbanized 0.3126 0.1661 0.1902 0.6215 0.9901 0.5351 0.7140 0.1784 0.1763 0.3906  
Completely Rural 0.0261 0.5879 0.1007 0.0419 0.5291 0.0980 0.5283 0.2945 0.2005 0.2568  
POVERTY LEVEL3                      
Less Than 100% 0.8784 0.6285 0.7551 0.8370 0.9578 0.6030 0.9133 0.0933 0.4947 0.7462  
100-199% 0.2767 0.4459 0.4164 0.2877 0.1470 0.5680 0.0097 0.2595 0.0859 0.1451  
200% or More 0.0012 0.0004 0.0015 0.0187 0.8214 0.0403 0.1371 0.1570 0.0227 0.6088  
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.2822 0.4032 0.9452  
High School Graduate nc nc nc nc nc nc nc 0.0878 0.3676 0.0910  
Some College/Associate's Degree nc nc nc nc nc nc nc 0.3849 0.5809 0.8676  
College Graduate nc nc nc nc nc nc nc 0.1447 0.0625 0.5207  
HEALTH INSURANCE4                      
Private 0.0170 0.0004 0.0132 0.0405 0.6164 0.3630 0.1263 0.2409 0.0475 1.0000  
Medicaid/CHIP 0.0060 0.0029 0.0279 0.0021 0.0416 0.0351 0.0046 0.9667 0.0131 0.0115  
Other5 0.5748 0.1840 0.1432 0.0263 0.7782 0.2040 0.1284 0.2448 0.3291 0.1593  
No Coverage 0.1412 0.0031 0.0267 0.0032 0.0003 0.0171 0.0001 0.3053 0.0418 0.3233  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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, the 2008 to 2014 estimates that are used in the comparisons 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 10.15C – 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: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 433 371 397 373 407 460 340 352 343 339 373
AGE GROUP                      
18-25 59 57 55 63 66 69 70 68 73 95 78
26 or Older 425 364 395 367 399 460 329 345 333 318 360
26-49 227 238 232 228 239 258 184 191 184 191 208
50 or Older 367 282 311 288 311 368 276 275 272 251 287
GENDER                      
Male 211 243 237 213 197 236 195 200 189 191 204
Female 368 286 314 316 347 381 276 280 275 282 301
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 421 353 372 363 389 421 332 333 323 323 350
White 397 338 359 340 362 395 288 301 307 298 323
Black or African American 117 80 108 104 133 136 115 100 75 86 91
AIAN * * * * * * * * * * *
NHOPI * * * * * * * * * * *
Asian 28 47 34 69 36 48 98 72 63 48 67
Two or More Races * * 26 * 36 * 47 45 40 35 32
Hispanic or Latino 91 108 129 108 107 178 100 93 104 115 125
* = 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.
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 10.15D – 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: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 1.06 0.94 0.95 0.93 0.92 1.03 0.79 0.81 0.81 0.77 0.79
AGE GROUP                      
18-25 1.00 1.01 0.98 1.02 1.00 1.07 1.12 0.97 1.04 1.09 0.98
26 or Older 1.22 1.09 1.10 1.08 1.08 1.21 0.90 0.95 0.94 0.91 0.94
26-49 1.16 1.18 1.18 1.24 1.22 1.25 0.96 0.98 0.96 0.96 0.95
50 or Older 2.53 2.08 2.09 1.87 1.84 2.20 1.60 1.71 1.67 1.67 1.75
GENDER                      
Male 1.49 1.54 1.51 1.42 1.31 1.58 1.24 1.22 1.20 1.18 1.22
Female 1.38 1.19 1.24 1.26 1.20 1.34 1.03 1.08 1.04 1.01 1.02
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 1.14 1.01 1.02 0.99 0.98 1.08 0.86 0.87 0.90 0.85 0.86
White 1.28 1.12 1.16 1.14 1.11 1.23 0.95 0.97 1.03 0.95 0.97
Black or African American 2.66 2.14 2.67 2.56 2.82 2.98 2.54 2.35 2.01 2.05 2.10
AIAN * * * * * * * * * * *
NHOPI * * * * * * * * * * *
Asian 2.59 3.95 2.82 4.75 2.65 4.08 5.42 4.49 3.83 2.77 3.22
Two or More Races * * 5.51 * 5.49 * 5.08 4.98 4.47 4.01 3.86
Hispanic or Latino 2.06 2.33 2.86 2.50 2.42 3.05 1.93 1.91 2.02 2.05 1.91
* = 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.
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 10.15P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0698 0.0064 0.1617 0.0260 0.1114 0.5030 0.3970 0.8776 0.7861 0.1132  
AGE GROUP                      
18-25 0.0030 0.0081 0.0068 0.0743 0.4907 0.4290 0.0288 0.0026 0.3437 0.9146  
26 or Older 0.1434 0.0149 0.2739 0.0421 0.1131 0.4815 0.2165 0.6215 0.8762 0.0981  
26-49 0.0300 0.0389 0.2884 0.0385 0.2171 0.2994 0.8023 0.5634 0.2185 0.3000  
50 or Older 0.8682 0.1552 0.5759 0.3078 0.2705 0.1152 0.2196 0.3018 0.5642 0.1953  
GENDER                      
Male 0.2414 0.6851 0.3371 0.6085 0.1625 0.6581 0.1731 0.3384 0.4929 0.8323  
Female 0.0981 0.0001 0.4179 0.0167 0.2821 0.8233 0.8621 0.3827 0.8535 0.0778  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.2503 0.0098 0.0980 0.0277 0.1620 0.5623 0.3187 0.8778 0.8754 0.0675  
White 0.1451 0.0016 0.0710 0.0043 0.0658 0.8762 0.8585 0.2463 0.7857 0.0442  
Black or African American 0.7141 0.2614 0.8341 0.7627 0.1116 0.2706 0.1683 0.0812 0.7913 0.7707  
AIAN * * * * * * * * * *  
NHOPI * * * * * * * * * *  
Asian 0.0017 0.1180 0.0117 0.7538 0.0042 0.4930 0.3232 0.7101 0.6894 0.1217  
Two or More Races * * 0.1862 * 0.0507 * 0.0032 0.0404 0.1529 0.2318  
Hispanic or Latino 0.0011 0.0686 0.7282 0.1293 0.0784 0.9097 0.4070 0.5242 0.0946 0.9508  
* = 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 that are used in the comparisons 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) that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.16C – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older, by Age Group: Standard Errors of 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 570 561 554 573 578 605 646 603 616 594 653 674 541 552 557 608 591
Inpatient 123 150 149 177 129 173 221 154 154 148 148 164 148 147 144 138 144
18-25 25 28 33 30 28 31 34 32 31 31 34 36 37 42 38 43 41
26 or Older 121 148 144 174 127 172 219 151 151 143 145 159 145 139 136 134 138
26-49 93 95 88 97 94 107 89 107 84 88 74 102 75 73 79 71 82
50 or Older 76 113 117 142 91 136 205 108 128 107 127 120 127 122 109 116 109
Outpatient1,2 445 398 413 433 438 423 456 420 448 437 435 492 383 400 385 431 442
18-25 65 66 66 70 74 70 70 68 70 76 77 75 87 84 89 100 102
26 or Older 439 391 409 425 428 416 446 413 441 429 432 487 366 392 370 417 420
26-49 294 281 268 269 269 280 259 265 273 275 258 285 198 215 213 219 233
50 or Older 309 280 296 331 323 332 360 320 337 337 341 392 307 320 301 336 335
Prescription Medication 528 529 500 529 536 565 602 564 557 570 612 638 500 512 515 548 541
18-25 68 78 74 75 79 78 79 77 82 86 87 94 104 93 102 114 100
26 or Older 520 528 498 522 531 558 593 556 555 559 604 629 487 502 507 521 529
26-49 317 322 305 306 343 317 319 329 324 328 351 359 252 259 257 270 267
50 or Older 405 409 396 420 392 445 491 461 468 449 502 514 421 411 432 436 445
* = 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.
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.
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Table 10.16D – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older, by Age Group: Standard Errors of 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 0.27 0.26 0.26 0.26 0.26 0.27 0.29 0.27 0.27 0.26 0.28 0.28 0.23 0.23 0.23 0.25 0.24
Inpatient 0.06 0.07 0.07 0.08 0.06 0.08 0.10 0.07 0.07 0.06 0.06 0.07 0.06 0.06 0.06 0.06 0.06
18-25 0.08 0.09 0.10 0.09 0.08 0.09 0.10 0.10 0.09 0.09 0.10 0.11 0.11 0.12 0.11 0.12 0.12
26 or Older 0.07 0.08 0.08 0.09 0.07 0.09 0.11 0.08 0.08 0.07 0.07 0.08 0.07 0.07 0.07 0.06 0.06
26-49 0.09 0.10 0.09 0.10 0.09 0.11 0.09 0.11 0.09 0.09 0.08 0.10 0.08 0.07 0.08 0.07 0.08
50 or Older 0.10 0.14 0.14 0.17 0.10 0.15 0.22 0.11 0.13 0.11 0.12 0.11 0.12 0.11 0.10 0.10 0.10
Outpatient1,2 0.21 0.19 0.19 0.20 0.20 0.19 0.20 0.19 0.20 0.19 0.19 0.21 0.16 0.17 0.16 0.18 0.18
18-25 0.21 0.21 0.21 0.22 0.23 0.21 0.21 0.20 0.21 0.22 0.22 0.22 0.25 0.24 0.26 0.29 0.30
26 or Older 0.25 0.22 0.22 0.23 0.23 0.22 0.23 0.21 0.23 0.22 0.22 0.24 0.18 0.19 0.18 0.20 0.20
26-49 0.29 0.28 0.27 0.27 0.27 0.28 0.26 0.27 0.28 0.28 0.26 0.29 0.20 0.22 0.22 0.22 0.23
50 or Older 0.39 0.35 0.36 0.39 0.37 0.37 0.39 0.34 0.35 0.34 0.33 0.37 0.29 0.29 0.27 0.30 0.30
Prescription Medication 0.25 0.25 0.23 0.24 0.24 0.25 0.27 0.25 0.24 0.25 0.26 0.27 0.21 0.21 0.21 0.22 0.22
18-25 0.22 0.25 0.23 0.23 0.24 0.24 0.24 0.23 0.24 0.25 0.25 0.27 0.30 0.27 0.30 0.33 0.30
26 or Older 0.29 0.29 0.27 0.28 0.28 0.29 0.31 0.29 0.28 0.28 0.30 0.31 0.24 0.24 0.24 0.25 0.25
26-49 0.32 0.32 0.31 0.31 0.34 0.32 0.32 0.33 0.33 0.33 0.36 0.37 0.26 0.26 0.26 0.27 0.27
50 or Older 0.51 0.51 0.48 0.49 0.45 0.50 0.53 0.49 0.49 0.45 0.49 0.49 0.39 0.38 0.39 0.39 0.39
* = 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.
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.
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Table 10.16P – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older, by Age Group: P Values from Tests of Differences of Percentages, 2018 Versus 2002-2017
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 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0007 0.0001 0.2183 0.3289 0.6213 0.0149 0.0627 0.5833  
Inpatient 0.0022 0.2250 0.4832 0.8150 0.0054 0.9191 0.4967 0.1899 0.0335 0.0289 0.0664 0.6740 0.5398 0.5826 0.7790 0.9773  
18-25 0.0000 0.0001 0.0109 0.0003 0.0002 0.0009 0.0016 0.0005 0.0001 0.0002 0.0030 0.0536 0.0138 0.2063 0.5122 0.4922  
26 or Older 0.0386 0.7101 0.8819 0.3232 0.0485 0.4208 0.9162 0.5930 0.1931 0.1634 0.2372 1.0000 0.1986 0.7986 0.8824 0.8273  
26-49 0.0950 0.2967 0.0725 0.4934 0.0553 0.4181 0.0337 0.7737 0.0304 0.0534 0.0034 0.9690 0.6676 0.2234 0.7499 0.4406  
50 or Older 0.0776 0.9180 0.3082 0.1213 0.2408 0.8682 0.3727 0.5107 0.8705 0.7096 0.6260 0.9807 0.0756 0.6214 0.9637 0.4375  
Outpatient1,2 0.0824 0.0035 0.0032 0.0001 0.0000 0.0005 0.0001 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0011 0.0001 0.1873  
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.4518  
26 or Older 0.6462 0.1215 0.1898 0.0156 0.0071 0.1160 0.0315 0.0000 0.0040 0.0022 0.0005 0.0017 0.0010 0.0716 0.0041 0.2300  
26-49 0.6977 0.8561 0.6892 0.0045 0.0006 0.0297 0.0125 0.0002 0.0087 0.0077 0.0007 0.0003 0.0000 0.0087 0.0372 0.3129  
50 or Older 0.0525 0.0034 0.0226 0.1322 0.1702 0.4484 0.1854 0.0029 0.0420 0.0378 0.0339 0.1605 0.1925 0.6072 0.0332 0.3861  
Prescription Medication 0.0000 0.0003 0.0000 0.0000 0.0001 0.0041 0.0299 0.0133 0.1226 0.0570 0.5454 0.3791 0.2005 0.2122 0.7175 0.8228  
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0004 0.8729  
26 or Older 0.0006 0.0191 0.0002 0.0018 0.0134 0.1392 0.3747 0.1945 0.8117 0.4088 0.1098 0.0949 0.0131 0.9517 0.7282 0.8488  
26-49 0.0002 0.0097 0.0018 0.0002 0.0048 0.0056 0.0039 0.1317 0.2617 0.1164 0.9798 0.7624 0.7687 0.3802 0.3983 0.5948  
50 or Older 0.0545 0.1660 0.0069 0.1310 0.2037 0.9185 0.5001 0.4815 0.7256 0.9808 0.0633 0.0733 0.0020 0.6592 0.3516 0.9316  
* = 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 that are used in the comparisons 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.
1 Because of revisions in 2004 to the logical editing of the outpatient mental health services data, the 2002 and 2003 estimates that are used in the comparisons may differ from estimates published prior to the 2004 NSDUH.
2 Because of revisions in 2017 to the outpatient mental health service estimates, the 2010 to 2016 estimates that are used in the comparisons 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.
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Table 10.17C – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Age Group: Standard Errors of 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 507 467 510 452 490 558 423 429 455 442 470
Inpatient 211 121 104 130 121 128 115 115 111 112 110
18-25 24 28 21 26 27 28 26 32 32 38 34
26 or Older 209 118 103 127 121 125 113 108 105 106 106
26-49 81 95 79 76 61 79 69 65 68 62 72
50 or Older 194 70 64 98 105 97 94 92 78 83 77
Outpatient2 361 347 368 348 345 427 297 325 313 321 357
18-25 55 55 58 65 68 64 73 69 79 94 88
26 or Older 355 341 362 344 338 424 288 318 298 308 335
26-49 222 225 222 219 213 246 162 187 186 189 207
50 or Older 281 251 274 271 258 338 234 249 225 241 254
Prescription Medication 460 422 488 428 446 533 398 391 418 416 422
18-25 60 61 64 67 73 74 82 75 83 104 88
26 or Older 455 417 483 420 440 531 388 385 406 393 405
26-49 274 285 285 255 290 304 211 220 219 228 244
50 or Older 373 307 369 334 339 420 318 303 327 308 314
* = 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.
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.
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Table 10.17D – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Age Group: Standard Errors of Percentages, 2008-2018
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
ANY MENTAL HEALTH SERVICES 0.93 0.86 0.89 0.82 0.82 0.91 0.72 0.72 0.75 0.71 0.68
Inpatient 0.51 0.29 0.25 0.31 0.28 0.29 0.26 0.26 0.24 0.24 0.23
18-25 0.39 0.45 0.35 0.40 0.39 0.40 0.37 0.42 0.41 0.42 0.36
26 or Older 0.60 0.33 0.29 0.36 0.32 0.34 0.30 0.29 0.28 0.28 0.27
26-49 0.38 0.43 0.38 0.38 0.30 0.37 0.34 0.31 0.32 0.28 0.30
50 or Older 1.42 0.50 0.44 0.63 0.65 0.60 0.56 0.59 0.48 0.53 0.48
Outpatient2 0.78 0.74 0.78 0.74 0.68 0.84 0.61 0.63 0.60 0.59 0.59
18-25 0.80 0.80 0.82 0.84 0.84 0.82 0.92 0.82 0.84 0.86 0.80
26 or Older 0.90 0.85 0.89 0.87 0.79 0.98 0.70 0.74 0.70 0.71 0.70
26-49 0.89 0.90 0.92 0.98 0.89 0.99 0.71 0.77 0.74 0.75 0.73
50 or Older 1.85 1.63 1.63 1.60 1.40 1.83 1.26 1.41 1.28 1.37 1.33
Prescription Medication 0.91 0.82 0.90 0.82 0.79 0.91 0.71 0.71 0.72 0.69 0.65
18-25 0.84 0.88 0.89 0.92 0.88 0.90 1.00 0.85 0.87 0.90 0.84
26 or Older 1.07 0.96 1.04 0.96 0.92 1.07 0.81 0.84 0.84 0.83 0.79
26-49 1.07 1.08 1.07 1.05 1.10 1.11 0.81 0.86 0.83 0.82 0.79
50 or Older 2.25 1.84 1.94 1.77 1.65 1.92 1.46 1.49 1.54 1.61 1.55
* = 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.
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.
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Table 10.17P – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Age Group: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
ANY MENTAL HEALTH SERVICES 0.0404 0.0045 0.3937 0.0182 0.0296 0.2191 0.1663 0.8007 0.8141 0.5049  
Inpatient 0.4705 0.7644 0.0517 0.8643 0.4205 0.8496 0.1901 0.7539 0.9875 0.9507  
18-25 0.0327 0.3043 0.0093 0.1806 0.1259 0.3822 0.0779 0.4854 0.8832 0.4644  
26 or Older 0.2553 0.9052 0.2348 0.7917 0.7635 0.8756 0.0567 0.5478 0.9135 0.7623  
26-49 0.3516 0.4739 0.3250 0.3420 0.0216 0.8950 0.3899 0.6328 0.9295 0.8717  
50 or Older 0.0819 0.4671 0.4796 0.2504 0.2124 0.7247 0.0797 0.2625 0.9013 0.6042  
Outpatient2 0.0433 0.0002 0.0062 0.0279 0.0000 0.1062 0.0319 0.4489 0.0606 0.6177  
18-25 0.0000 0.0003 0.0001 0.0022 0.0265 0.0027 0.0122 0.0009 0.1506 0.6888  
26 or Older 0.2175 0.0012 0.0317 0.0891 0.0002 0.2411 0.1031 0.9939 0.1040 0.5289  
26-49 0.5599 0.0069 0.1247 0.2007 0.0066 0.0516 0.3626 0.5594 0.4884 0.8750  
50 or Older 0.2521 0.0421 0.1152 0.2631 0.0082 0.9721 0.2021 0.6699 0.1403 0.3568  
Prescription Medication 0.5380 0.1645 0.5217 0.5247 0.3768 0.0171 0.0115 0.6485 0.4036 0.5482  
18-25 0.0000 0.0084 0.0123 0.0099 0.1500 0.2580 0.0218 0.0004 0.2717 0.6590  
26 or Older 0.8493 0.1946 0.4752 0.6405 0.3588 0.0219 0.0047 0.2681 0.3563 0.4749  
26-49 0.5852 0.3502 0.4004 0.4580 0.7217 0.4256 0.2367 0.8645 0.9089 0.6411  
50 or Older 0.7820 0.4147 0.7923 0.9336 0.1395 0.0272 0.0152 0.1423 0.3230 0.5887  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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, the 2010 to 2016 estimates that are used in the comparisons 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.
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Table 10.18C – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Age Group: Standard Errors of 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 262 275 302 260 262 333 254 235 258 264 258
Inpatient 114 86 72 104 74 96 88 72 79 76 77
18-25 15 22 14 16 18 20 18 22 22 30 25
26 or Older 113 83 70 101 74 95 86 68 77 70 75
26-49 59 75 56 59 42 66 46 49 51 52 48
50 or Older 93 35 43 77 60 66 73 48 52 47 58
Outpatient2 218 234 244 214 205 289 186 187 194 197 216
18-25 31 32 38 38 37 39 45 44 52 59 56
26 or Older 215 232 240 212 203 287 182 182 186 192 207
26-49 151 149 146 134 142 170 114 116 122 125 126
50 or Older 153 169 180 161 146 225 140 135 135 144 162
Prescription Medication 253 264 284 249 253 323 241 221 248 255 239
18-25 31 33 42 39 42 45 46 46 55 66 57
26 or Older 251 262 281 247 251 319 237 218 241 245 229
26-49 168 172 176 157 181 190 136 133 137 147 149
50 or Older 191 193 212 187 186 242 180 171 197 192 177
* = 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.
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.
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Table 10.18D – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Age Group: Standard Errors of Percentages, 2008-2018
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
ANY MENTAL HEALTH SERVICES 1.76 1.68 1.67 1.70 1.65 1.78 1.33 1.33 1.34 1.27 1.24
Inpatient 1.29 0.98 0.77 1.11 0.77 0.93 0.85 0.71 0.73 0.65 0.66
18-25 1.18 1.81 1.06 1.19 1.18 1.27 1.05 1.17 1.06 1.10 0.90
26 or Older 1.50 1.10 0.88 1.26 0.89 1.07 1.00 0.82 0.89 0.77 0.83
26-49 1.19 1.44 1.04 1.17 0.82 1.22 0.93 0.95 0.93 0.89 0.79
50 or Older 3.65 1.47 1.50 2.61 1.90 1.93 2.07 1.51 1.67 1.50 1.97
Outpatient2 1.86 1.97 1.89 1.78 1.68 1.97 1.39 1.44 1.40 1.27 1.29
18-25 2.05 2.27 2.30 2.20 2.08 2.13 2.12 2.10 1.88 1.82 1.70
26 or Older 2.16 2.24 2.17 2.04 1.94 2.24 1.64 1.71 1.67 1.58 1.58
26-49 2.23 2.21 2.13 2.17 2.23 2.33 1.74 1.78 1.70 1.64 1.53
50 or Older 4.66 4.74 4.48 4.14 3.62 4.21 3.15 3.25 3.56 3.33 3.69
Prescription Medication 1.81 1.77 1.80 1.80 1.65 1.91 1.42 1.43 1.42 1.34 1.31
18-25 2.12 2.22 2.31 2.22 2.09 2.21 2.02 2.03 2.00 1.91 1.71
26 or Older 2.07 2.01 2.06 2.05 1.91 2.16 1.64 1.70 1.65 1.58 1.60
26-49 2.22 2.17 2.15 2.26 2.25 2.42 1.79 1.78 1.68 1.68 1.64
50 or Older 4.32 4.00 4.10 3.76 3.66 3.74 2.89 3.27 3.29 3.26 3.54
* = 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.
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 10.18P – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Age Group: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
ANY MENTAL HEALTH SERVICES 0.4618 0.2430 0.1065 0.6984 0.5598 0.0444 0.0147 0.5233 0.6950 0.1399  
Inpatient 0.3622 0.2704 0.5644 0.2170 0.2845 0.3545 0.1540 0.8153 0.7023 0.7029  
18-25 0.2900 0.3359 0.3331 0.3407 0.5207 0.5738 0.3727 0.7149 0.6251 0.5334  
26 or Older 0.2225 0.2696 0.8905 0.1136 0.4936 0.3150 0.0770 0.9905 0.5387 0.5223  
26-49 0.7111 0.0393 0.6299 0.2499 0.1806 0.1634 0.1632 0.4470 0.1546 0.1059  
50 or Older 0.2036 0.3576 0.5017 0.2609 0.9419 0.9387 0.2835 0.5264 0.6649 0.5292  
Outpatient2 0.3218 0.7795 0.5295 0.9406 0.0191 0.2089 0.8789 0.8716 0.4865 0.4468  
18-25 0.0899 0.7027 0.6495 0.9173 0.5172 0.9341 0.5235 0.5816 0.7780 0.4679  
26 or Older 0.3249 0.9030 0.3886 0.8162 0.0117 0.3287 0.7973 0.8063 0.4292 0.5755  
26-49 0.0358 0.6457 0.8755 0.9195 0.4200 0.1010 0.5742 0.3332 0.3223 0.0670  
50 or Older 0.5363 0.5432 0.1631 0.5790 0.0050 0.7258 0.2727 0.1728 0.0612 0.3150  
Prescription Medication 0.1544 0.0391 0.0449 0.4417 0.5552 0.0158 0.0125 0.6991 0.4564 0.1997  
18-25 0.0243 0.6300 0.4962 0.7084 0.1980 0.1378 0.9081 0.4552 0.7233 0.1449  
26 or Older 0.2509 0.2481 0.2553 0.9149 0.7036 0.1362 0.0512 0.9273 0.5841 0.3706  
26-49 0.3700 0.4936 0.1812 0.8866 0.7006 0.2888 0.3215 0.8169 0.5314 0.6827  
50 or Older 0.4738 0.3443 0.8697 0.9077 0.2673 0.4697 0.2491 0.6914 0.9722 0.5207  
* = 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 that are used in the comparisons 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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, the 2010 to 2016 estimates that are used in the comparisons 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 10.19C – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year: Standard Errors of 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 184 178 189 236 205 191 210 179 197 221 211 240 195 199 197 220 202
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
363 341 293 309 323 331 360 327 357 330 343 401 300 328 312 357 379
Doctor's Office - Not Part of a Clinic 225 209 228 185 209 220 221 238 208 186 206 207 152 171 147 178 170
Outpatient Medical Clinic 116 129 125 126 132 138 155 139 110 129 107 145 103 96 111 99 106
Partial Day Hospital or Day Treatment Program 54 58 60 70 53 88 43 65 53 59 63 40 50 52 36 46 39
School or University Setting/Clinic/Center1 30 21 18 18 17 15 21 18 16 14 19 19 20 19 23 28 23
Some Other Place2 58 51 60 36 55 72 49 48 67 63 50 71 59 59 51 70 66
* = 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.
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 10.19D – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year: Standard Errors of 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 1.06 1.09 1.10 1.34 1.25 1.16 1.21 1.15 1.18 1.26 1.20 1.36 1.02 1.02 1.02 1.06 0.94
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
1.52 1.51 1.39 1.41 1.49 1.49 1.48 1.55 1.46 1.39 1.42 1.57 1.21 1.19 1.20 1.23 1.11
Doctor's Office - Not Part of a Clinic 1.30 1.18 1.27 1.13 1.21 1.27 1.31 1.41 1.21 1.08 1.17 1.23 0.88 0.91 0.80 0.87 0.82
Outpatient Medical Clinic 0.72 0.83 0.77 0.81 0.85 0.86 0.95 0.93 0.71 0.79 0.67 0.90 0.62 0.54 0.63 0.52 0.52
Partial Day Hospital or Day Treatment Program 0.36 0.39 0.40 0.46 0.35 0.57 0.28 0.45 0.35 0.37 0.40 0.26 0.31 0.31 0.21 0.25 0.20
School or University Setting/Clinic/Center1 0.19 0.14 0.12 0.12 0.12 0.10 0.14 0.12 0.10 0.10 0.12 0.12 0.13 0.11 0.14 0.16 0.12
Some Other Place2 0.38 0.34 0.39 0.24 0.38 0.47 0.32 0.34 0.44 0.41 0.32 0.45 0.36 0.35 0.30 0.38 0.34
* = 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.
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 10.19P – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year: P Values from Tests of Differences of Percentages, 2018 Versus 2002-2017
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 0.0384 0.0199 0.2214 0.4860 0.7561 0.0484 0.4366 0.2435 0.3953 0.8047 0.8924 0.1506 0.0819 0.0645 0.0862 0.0834  
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0010 0.0000 0.0000 0.0000 0.0000 0.0023 0.0001 0.0041 0.0007 0.0019  
Doctor's Office - Not Part of a Clinic 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0010 0.0000 0.0000 0.0003 0.0002 0.6216 0.6027 0.0695 0.6952 0.1945  
Outpatient Medical Clinic 0.7049 0.8706 0.1418 0.2466 0.1603 0.0149 0.0288 0.0449 0.8388 0.2734 0.9597 0.7248 0.3862 0.6894 0.6103 0.2262  
Partial Day Hospital or Day Treatment Program 0.3117 0.1624 0.2951 0.2059 0.6734 0.1852 0.8003 0.0335 0.3105 0.3682 0.0932 0.4851 0.2677 0.1679 0.6595 0.4838  
School or University Setting/Clinic/Center1 0.7433 0.1896 0.1971 0.4180 0.3208 0.0303 0.5556 0.2817 0.1462 0.1513 0.6293 0.1652 0.6610 0.2011 0.8209 0.1594  
Some Other Place2 0.2785 0.1829 0.5569 0.0005 0.1902 0.6550 0.0922 0.2789 0.6294 0.9830 0.0996 0.5044 0.9342 0.7894 0.6209 0.9654  
* = 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 that are used in the comparisons 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, the 2002 and 2003 estimates that are used in the comparisons may differ from estimates published prior to the 2004 NSDUH.
NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, the 2010 to 2016 estimates that are used in the comparisons may differ from estimates published prior to the 2017 NSDUH.
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 10.20C – 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: Standard Errors of 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 155 156 179 189 166 227 175 161 159 176 173
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
268 256 267 242 248 328 214 250 237 244 277
Doctor's Office - Not Part of a Clinic 186 201 160 164 167 174 116 150 122 144 141
Outpatient Medical Clinic 121 114 88 92 94 120 83 79 85 75 81
Partial Day Hospital or Day Treatment Program 41 59 46 54 61 37 39 47 30 43 38
School or University Setting/Clinic/Center2 17 16 11 13 17 15 18 16 19 22 18
Some Other Place3 42 41 58 52 39 55 47 48 45 55 49
* = 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.
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 10.20D – 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: Standard Errors of 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 1.45 1.51 1.61 1.67 1.47 1.78 1.32 1.30 1.25 1.26 1.20
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
1.77 1.90 1.84 1.67 1.77 2.01 1.46 1.44 1.40 1.43 1.34
Doctor's Office - Not Part of a Clinic 1.72 1.83 1.46 1.44 1.52 1.51 1.05 1.20 1.02 1.08 1.05
Outpatient Medical Clinic 1.19 1.17 0.87 0.90 0.93 1.10 0.76 0.69 0.75 0.62 0.63
Partial Day Hospital or Day Treatment Program 0.43 0.62 0.48 0.54 0.62 0.35 0.37 0.43 0.28 0.36 0.30
School or University Setting/Clinic/Center2 0.18 0.18 0.11 0.13 0.17 0.14 0.17 0.15 0.17 0.19 0.15
Some Other Place3 0.44 0.45 0.60 0.53 0.40 0.52 0.44 0.43 0.41 0.46 0.40
* = 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.
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 10.20P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Location of Mental Health Services 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Outpatient Mental Health Clinic or Center 0.0356 0.1822 0.2219 0.7723 0.3953 0.5131 0.2128 0.2573 0.6357 0.2358  
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
0.0348 0.0003 0.0059 0.0004 0.0001 0.0402 0.0036 0.0094 0.0109 0.0024  
Doctor's Office - Not Part of a Clinic 0.0132 0.0003 0.0116 0.0157 0.0058 0.5400 0.3940 0.0967 0.7811 0.4484  
Outpatient Medical Clinic 0.0230 0.0617 0.9236 0.6010 0.7080 1.0000 0.4943 0.7276 0.6881 0.6635  
Partial Day Hospital or Day Treatment Program 0.8691 0.1642 0.6732 0.7852 0.2014 0.1211 0.9897 0.4286 0.3486 0.6770  
School or University Setting/Clinic/Center2 0.7336 0.5722 0.0564 0.1824 0.9836 0.2209 0.8974 0.4032 0.9272 0.1759  
Some Other Place3 0.3348 0.5562 0.8696 0.5243 0.2737 0.9883 0.7489 0.9060 0.8053 0.7375  
* = 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 that are used in the comparisons 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, the 2010 to 2016 estimates that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.21C – 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: Standard Errors of 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 105 102 116 125 108 156 112 106 110 117 128
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
167 152 188 148 151 232 135 138 148 140 163
Doctor's Office - Not Part of a Clinic 105 140 101 109 99 94 76 98 71 94 92
Outpatient Medical Clinic 65 86 69 60 67 68 60 51 57 52 54
Partial Day Hospital or Day Treatment Program 30 38 39 44 48 25 30 31 24 34 30
School or University Setting/Clinic/Center2 10 12 6 7 6 7 14 9 9 15 12
Some Other Place3 17 18 16 45 34 38 25 40 26 34 36
* = 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.
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 10.21D – 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: Standard Errors of 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 2.52 2.53 2.58 2.68 2.56 2.78 2.00 2.06 2.03 1.85 2.11
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
2.66 2.96 2.79 2.63 2.82 2.99 2.15 2.19 2.16 2.10 2.09
Doctor's Office - Not Part of a Clinic 2.45 2.99 2.33 2.33 2.34 1.93 1.67 2.04 1.46 1.61 1.65
Outpatient Medical Clinic 1.64 2.12 1.66 1.47 1.71 1.42 1.31 1.16 1.25 1.00 1.03
Partial Day Hospital or Day Treatment Program 0.80 1.01 0.97 1.09 1.27 0.54 0.69 0.74 0.56 0.66 0.60
School or University Setting/Clinic/Center2 0.26 0.33 0.15 0.17 0.17 0.15 0.34 0.21 0.21 0.30 0.24
Some Other Place3 0.45 0.47 0.41 1.16 0.91 0.82 0.58 0.92 0.58 0.68 0.71
* = 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.
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 10.21P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Location of Mental Health Services 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Outpatient Mental Health Clinic or Center 0.0457 0.0417 0.0294 0.1311 0.3390 0.9781 0.7349 0.7648 0.6276 0.7775  
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
0.8915 0.0135 0.9636 0.0808 0.0552 0.1896 0.0352 0.1389 0.1926 0.0655  
Doctor's Office - Not Part of a Clinic 0.2847 0.0195 0.3743 0.0751 0.3577 0.1703 0.4971 0.1552 0.5759 0.1743  
Outpatient Medical Clinic 0.1790 0.0312 0.7703 0.7322 0.4006 0.4402 0.2778 0.9941 0.3710 0.9708  
Partial Day Hospital or Day Treatment Program 0.6497 0.6648 0.9060 0.9902 0.2997 0.0263 0.5354 0.8910 0.3250 0.7949  
School or University Setting/Clinic/Center2 0.4950 0.6411 0.0755 0.0987 0.1577 0.1410 0.7760 0.4234 0.6452 0.2967  
Some Other Place3 0.0203 0.0806 0.0535 0.3356 0.6573 0.6461 0.6677 0.5196 0.3718 0.9158  
* = 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 that are used in the comparisons 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, the 2010 to 2016 estimates that are used in the comparisons 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.22C – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of 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 330 317 348 360 328 330 322 373 358 338 354 356 292 281 291 338 322
AGE GROUP                                  
18-25 75 76 75 73 77 75 84 79 80 85 79 85 95 95 105 114 115
26 or Older 317 311 335 347 317 320 310 364 347 322 341 343 277 263 262 308 297
26-49 251 236 250 230 233 238 234 245 234 246 238 244 188 181 182 200 205
50 or Older 202 186 204 243 216 209 206 268 247 196 241 227 198 189 194 214 207
GENDER                                  
Male 206 181 211 237 211 192 208 213 193 185 200 200 169 167 172 187 177
Female 255 262 254 259 254 269 249 294 289 279 285 288 227 224 229 263 273
HISPANIC ORIGIN AND RACE                                  
Not Hispanic or Latino 314 296 326 327 314 303 304 348 320 323 329 311 272 266 267 316 296
White 270 280 286 263 275 283 290 311 305 280 297 279 253 249 248 300 281
Black or African American 171 101 134 190 115 102 116 165 101 102 131 118 103 90 88 84 90
AIAN 30 13 11 23 14 14 19 21 22 34 42 19 13 24 15 17 19
NHOPI 15 9 * * * * 8 11 5 8 7 16 7 9 5 * 11
Asian 36 42 40 41 60 44 47 74 42 72 55 41 53 50 58 63 51
Two or More Races 44 43 50 33 81 52 37 38 40 76 54 48 44 48 36 46 37
Hispanic or Latino 108 116 106 142 105 123 115 120 156 101 118 172 96 104 111 98 132
* = 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.
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 10.22D – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2002-2018
Demographic Characteristics 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.16 0.15 0.16 0.17 0.15 0.15 0.14 0.16 0.16 0.15 0.15 0.15 0.12 0.12 0.12 0.14 0.13
AGE GROUP                                  
18-25 0.24 0.24 0.23 0.23 0.23 0.23 0.25 0.24 0.24 0.25 0.23 0.24 0.27 0.27 0.31 0.34 0.34
26 or Older 0.18 0.17 0.18 0.19 0.17 0.17 0.16 0.19 0.18 0.16 0.17 0.17 0.14 0.13 0.13 0.15 0.14
26-49 0.25 0.24 0.25 0.23 0.23 0.24 0.23 0.25 0.24 0.25 0.24 0.25 0.19 0.18 0.18 0.20 0.20
50 or Older 0.26 0.23 0.25 0.29 0.25 0.23 0.22 0.28 0.26 0.20 0.24 0.22 0.19 0.17 0.18 0.19 0.18
GENDER                                  
Male 0.20 0.18 0.20 0.23 0.20 0.18 0.19 0.19 0.17 0.17 0.18 0.18 0.15 0.14 0.15 0.16 0.15
Female 0.23 0.24 0.23 0.23 0.22 0.23 0.21 0.25 0.24 0.23 0.23 0.23 0.18 0.18 0.18 0.21 0.21
HISPANIC ORIGIN AND RACE                                  
Not Hispanic or Latino 0.17 0.16 0.17 0.17 0.16 0.16 0.16 0.18 0.16 0.16 0.16 0.15 0.13 0.13 0.13 0.15 0.14
White 0.17 0.18 0.19 0.17 0.17 0.18 0.18 0.19 0.19 0.18 0.19 0.18 0.15 0.16 0.15 0.18 0.17
Black or African American 0.70 0.41 0.53 0.73 0.44 0.39 0.45 0.60 0.37 0.38 0.46 0.41 0.35 0.31 0.29 0.27 0.30
AIAN 2.35 1.24 1.04 2.05 1.45 1.34 1.99 1.91 1.97 2.50 2.76 1.53 1.02 1.81 1.12 1.23 1.33
NHOPI 1.99 2.12 * * * * 0.97 1.51 0.74 1.00 0.74 2.05 0.72 1.48 0.49 * 1.29
Asian 0.45 0.48 0.45 0.46 0.65 0.46 0.48 0.72 0.40 0.62 0.48 0.34 0.42 0.37 0.43 0.44 0.36
Two or More Races 2.03 1.92 2.25 1.46 3.31 2.14 1.47 1.50 1.45 2.18 1.56 1.41 1.17 1.21 0.88 1.14 0.90
Hispanic or Latino 0.43 0.45 0.40 0.51 0.37 0.42 0.38 0.39 0.49 0.30 0.34 0.48 0.26 0.28 0.29 0.25 0.33
* = 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.
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.
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Table 10.22P – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2002-2017
Demographic Characteristics 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0673 0.0009 0.0014 0.0040 0.0000 0.0001 0.0000 0.0440 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.1438  
AGE GROUP                                  
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0105  
26 or Older 0.4342 0.5296 0.5942 0.7443 0.1055 0.4419 0.0276 0.3411 0.2979 0.0155 0.3649 0.0218 0.1883 0.0006 0.0016 0.4884  
26-49 0.3410 0.0216 0.1102 0.0008 0.0001 0.0431 0.0008 0.2289 0.0002 0.0024 0.0079 0.0013 0.0000 0.0000 0.0001 0.0546  
50 or Older 0.6525 0.3522 0.1637 0.3043 0.8924 0.4826 0.2521 0.1798 0.2223 0.2811 0.4075 0.6535 0.0733 0.6703 0.6004 0.4152  
GENDER                                  
Male 0.5858 0.1382 0.3702 0.5960 0.2764 0.1107 0.0859 0.9145 0.0772 0.0703 0.2314 0.1472 0.1841 0.0136 0.1072 0.7914  
Female 0.0062 0.0025 0.0000 0.0000 0.0000 0.0002 0.0000 0.0165 0.0001 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0464  
HISPANIC ORIGIN AND RACE                                  
Not Hispanic or Latino 0.1673 0.0021 0.0063 0.0066 0.0000 0.0004 0.0001 0.1595 0.0000 0.0000 0.0003 0.0000 0.0009 0.0000 0.0000 0.9027  
White 0.0033 0.0006 0.0003 0.0000 0.0000 0.0001 0.0000 0.0101 0.0000 0.0000 0.0000 0.0000 0.0001 0.0000 0.0001 0.7437  
Black or African American 0.0578 0.9539 0.2341 0.0847 0.9350 0.9032 0.3783 0.1131 0.7917 0.7082 0.0750 0.5505 0.4225 0.2604 0.2801 0.6463  
AIAN 0.0786 0.9379 0.3749 0.1474 0.8680 0.8425 0.8760 0.2580 0.4466 0.3061 0.0496 0.8205 0.8355 0.4323 0.6027 0.8161  
NHOPI 0.4852 0.2273 * * * * 0.5917 0.9593 0.7005 0.6957 0.7818 0.3846 0.5578 0.4031 0.3491 *  
Asian 0.0273 0.0539 0.0276 0.0142 0.1561 0.0351 0.0119 0.6684 0.0012 0.5595 0.0588 0.0041 0.3124 0.0184 0.3994 0.2817  
Two or More Races 0.3428 0.9299 0.7624 1.0000 0.1662 0.5911 0.1225 0.6610 0.5770 0.4778 0.3579 0.7294 0.4859 0.3925 0.2767 0.4286  
Hispanic or Latino 0.0501 0.1259 0.0196 0.2215 0.0008 0.0251 0.0001 0.0213 0.3013 0.0000 0.0098 0.2379 0.0000 0.0001 0.0005 0.0002  
* = 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 that are used in the comparisons 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.
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 10.23C – 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: Standard Errors of 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 296 328 322 298 318 320 252 245 259 303 296
18-25 75 69 74 77 81 77 84 87 97 110 111
26 or Older 288 321 312 286 306 308 244 234 231 279 269
26-49 222 230 211 224 232 220 172 173 171 189 197
50 or Older 181 209 227 179 205 207 172 164 170 190 176
SERIOUS MENTAL ILLNESS 199 205 226 204 200 207 174 150 178 192 181
18-25 40 37 45 50 42 45 53 52 64 71 71
26 or Older 194 202 221 195 195 202 169 145 165 181 164
26-49 138 148 152 148 153 157 121 113 116 127 129
50 or Older 144 131 158 124 132 124 117 94 118 119 104
* = 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.
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 10.23D – 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: Standard Errors of Percentages, 2008-2018
Level of Mental Illness/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
ANY MENTAL ILLNESS 0.66 0.70 0.70 0.66 0.63 0.65 0.52 0.52 0.52 0.58 0.54
18-25 0.97 0.94 0.93 0.93 0.91 0.93 0.99 0.95 0.95 0.96 0.90
26 or Older 0.76 0.81 0.80 0.75 0.72 0.75 0.59 0.60 0.57 0.67 0.62
26-49 0.92 0.93 0.90 0.95 0.94 0.93 0.73 0.74 0.71 0.74 0.71
50 or Older 1.32 1.40 1.44 1.13 1.15 1.21 0.96 1.01 0.99 1.15 1.06
SERIOUS MENTAL ILLNESS 1.84 1.81 1.81 1.72 1.69 1.80 1.45 1.31 1.44 1.33 1.31
18-25 2.31 2.32 2.27 2.35 2.13 2.08 2.12 2.00 2.06 1.79 1.71
26 or Older 2.13 2.07 2.09 1.95 1.96 2.06 1.68 1.53 1.67 1.62 1.58
26-49 2.26 2.20 2.20 2.13 2.28 2.35 1.82 1.79 1.67 1.60 1.66
50 or Older 4.63 4.42 4.29 3.75 3.41 3.49 2.93 2.64 3.33 3.27 3.33
* = 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.
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 10.23P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Level of Mental Illness/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
ANY MENTAL ILLNESS 0.0004 0.0948 0.0034 0.0006 0.0008 0.0000 0.0003 0.0000 0.0002 0.8630  
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0001 0.0485  
26 or Older 0.1361 0.5840 0.4130 0.2574 0.3839 0.0083 0.2260 0.0313 0.0178 0.4184  
26-49 0.0763 0.6473 0.0145 0.5634 0.4350 0.0019 0.0447 0.0065 0.0217 0.4241  
50 or Older 0.4057 0.3786 0.2615 0.4367 0.9851 0.6854 0.4488 0.8984 0.5090 0.0606  
SERIOUS MENTAL ILLNESS 0.5368 0.6070 0.1623 0.3539 0.0966 0.0037 0.2611 0.0002 0.0065 0.5968  
18-25 0.0010 0.0122 0.0258 0.1220 0.0005 0.0031 0.0341 0.0005 0.0308 0.1534  
26 or Older 0.5015 0.0841 0.7890 0.9120 0.7699 0.0889 0.9576 0.0157 0.0530 0.9410  
26-49 0.8868 0.1436 0.7357 0.9937 0.7283 0.3282 0.9164 0.4353 0.0233 0.9877  
50 or Older 0.2658 0.3054 0.8726 0.6884 0.7190 0.3244 0.6427 0.0432 0.7495 0.8921  
* = 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 that are used in the comparisons 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) that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 that are used in the comparisons 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 10.24C – 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: Standard Errors of 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 225 250 212 243 254 246 234 256 286 244 261 274 223 204 217 239 252
18-25 48 48 51 51 53 46 58 54 54 55 57 57 63 64 71 84 77
26 or Older 215 243 207 237 247 243 228 249 281 236 253 267 217 200 204 225 236
26-49 175 186 160 161 179 187 168 184 185 180 174 182 137 140 140 144 154
50 or Older 131 143 132 171 167 155 160 167 203 158 189 182 169 147 154 167 172
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
256 215 264 265 213 226 226 280 223 223 252 226 195 187 197 232 212
18-25 61 67 64 62 59 65 68 68 64 71 68 66 79 74 83 91 99
26 or Older 247 208 252 254 204 214 214 269 214 211 241 216 176 175 175 207 188
26-49 186 168 196 174 158 161 171 168 147 174 176 166 135 116 126 144 152
50 or Older 159 119 156 186 135 134 136 218 153 114 152 135 107 127 120 138 117
* = 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.
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 10.24D – 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: Standard Errors of 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 1.48 1.55 1.46 1.59 1.53 1.51 1.52 1.51 1.61 1.49 1.56 1.58 1.22 1.22 1.22 1.18 1.13
18-25 1.39 1.43 1.53 1.46 1.48 1.50 1.60 1.59 1.53 1.58 1.63 1.59 1.73 1.57 1.54 1.50 1.34
26 or Older 1.88 1.97 1.87 2.04 1.93 1.89 1.94 1.87 2.02 1.90 1.94 2.00 1.47 1.59 1.57 1.55 1.49
26-49 1.81 2.00 1.81 1.98 2.01 1.90 1.95 1.84 1.98 2.04 2.01 2.03 1.62 1.52 1.56 1.53 1.49
50 or Older 5.46 5.06 5.96 5.45 4.61 4.86 5.45 4.91 4.51 4.17 4.16 4.38 2.81 3.78 3.62 3.48 3.42
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
1.48 1.55 1.46 1.59 1.53 1.51 1.52 1.51 1.61 1.49 1.56 1.58 1.22 1.22 1.22 1.18 1.13
18-25 1.39 1.43 1.53 1.46 1.48 1.50 1.60 1.59 1.53 1.58 1.63 1.59 1.73 1.57 1.54 1.50 1.34
26 or Older 1.88 1.97 1.87 2.04 1.93 1.89 1.94 1.87 2.02 1.90 1.94 2.00 1.47 1.59 1.57 1.55 1.49
26-49 1.81 2.00 1.81 1.98 2.01 1.90 1.95 1.84 1.98 2.04 2.01 2.03 1.62 1.52 1.56 1.53 1.49
50 or Older 5.46 5.06 5.96 5.45 4.61 4.86 5.45 4.91 4.51 4.17 4.16 4.38 2.81 3.78 3.62 3.48 3.42
* = 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.
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 10.24P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2002-2017
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 0.0053 0.1921 0.0443 0.1793 0.2752 0.5494 0.7346 0.2298 0.4186 0.1320 0.5596 0.3223 0.0600 0.2156 0.4275 0.8895  
18-25 0.3219 0.3271 0.2251 0.3470 0.6721 0.1307 0.3578 0.2104 0.8281 0.8599 0.7005 0.5976 0.2386 0.2935 0.2827 0.0349  
26 or Older 0.0018 0.1264 0.0044 0.1125 0.6370 0.4121 0.6067 0.1217 0.8121 0.3158 0.9222 0.7110 0.3219 0.5687 0.8360 0.4468  
26-49 0.2752 0.7050 0.2114 0.5988 0.2095 0.5413 0.4414 0.6298 0.0589 0.2078 0.7916 0.2143 0.7418 0.0878 0.2787 0.6585  
50 or Older 0.0019 0.1455 0.0244 0.0937 0.5409 0.1007 0.2012 0.0085 0.0813 0.8164 0.4905 0.3783 0.7918 0.2697 0.3147 0.0724  
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
0.0053 0.1921 0.0443 0.1793 0.2752 0.5494 0.7346 0.2298 0.4186 0.1320 0.5596 0.3223 0.0600 0.2156 0.4275 0.8895  
18-25 0.3219 0.3271 0.2251 0.3470 0.6721 0.1307 0.3578 0.2104 0.8281 0.8599 0.7005 0.5976 0.2386 0.2935 0.2827 0.0349  
26 or Older 0.0018 0.1264 0.0044 0.1125 0.6370 0.4121 0.6067 0.1217 0.8121 0.3158 0.9222 0.7110 0.3219 0.5687 0.8360 0.4468  
26-49 0.2752 0.7050 0.2114 0.5988 0.2095 0.5413 0.4414 0.6298 0.0589 0.2078 0.7916 0.2143 0.7418 0.0878 0.2787 0.6585  
50 or Older 0.0019 0.1455 0.0244 0.0937 0.5409 0.1007 0.2012 0.0085 0.0813 0.8164 0.4905 0.3783 0.7918 0.2697 0.3147 0.0724  
* = 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 that are used in the comparisons 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.
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 10.25C – 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: Standard Errors of 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 219 236 269 219 244 261 198 195 199 219 227
18-25 49 45 48 48 52 51 56 57 68 75 68
26 or Older 215 232 263 213 237 255 195 192 185 207 214
26-49 156 171 174 161 168 171 125 134 128 138 146
50 or Older 153 154 189 146 170 174 151 135 140 149 152
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
179 210 186 191 203 180 164 152 154 196 177
18-25 54 53 52 54 58 54 61 65 63 76 83
26 or Older 171 201 177 182 196 171 150 138 138 178 157
26-49 148 145 119 152 159 132 119 102 108 126 130
50 or Older 87 137 129 98 111 112 86 96 89 121 92
* = 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.
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 10.25D – 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: Standard Errors of 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 1.65 1.66 1.82 1.65 1.72 1.77 1.43 1.38 1.29 1.28 1.22
18-25 1.92 1.98 1.85 1.86 1.96 1.92 2.01 1.94 1.78 1.66 1.53
26 or Older 2.05 1.99 2.21 2.03 2.12 2.18 1.72 1.73 1.64 1.67 1.61
26-49 2.17 2.05 2.16 2.23 2.28 2.25 1.87 1.71 1.69 1.70 1.68
50 or Older 5.05 5.05 4.88 4.49 4.38 4.70 3.19 4.00 3.71 3.80 3.76
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
1.65 1.66 1.82 1.65 1.72 1.77 1.43 1.38 1.29 1.28 1.22
18-25 1.92 1.98 1.85 1.86 1.96 1.92 2.01 1.94 1.78 1.66 1.53
26 or Older 2.05 1.99 2.21 2.03 2.12 2.18 1.72 1.73 1.64 1.67 1.61
26-49 2.17 2.05 2.16 2.23 2.28 2.25 1.87 1.71 1.69 1.70 1.68
50 or Older 5.05 5.05 4.88 4.49 4.38 4.70 3.19 4.00 3.71 3.80 3.76
* = 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.
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 10.25P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Receipt of Mental Health Services/
Age Group
20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
RECEIVED MENTAL HEALTH SERVICES 0.2693 0.7954 0.0514 0.2653 0.2885 0.0375 0.0271 0.0571 0.2871 0.8149  
18-25 0.6839 0.3314 0.4443 0.8287 0.3658 0.6068 0.1019 0.5318 0.1903 0.0893  
26 or Older 0.4745 0.4527 0.2235 0.6420 0.8217 0.1426 0.2482 0.1705 0.7307 0.2967  
26-49 0.3164 0.7404 0.0090 0.7195 0.9528 0.0440 0.8396 0.1139 0.6573 0.9938  
50 or Older 0.8670 0.1253 0.2412 0.7610 0.9554 0.7856 0.4421 0.9325 0.8478 0.0700  
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
0.2693 0.7954 0.0514 0.2653 0.2885 0.0375 0.0271 0.0571 0.2871 0.8149  
18-25 0.6839 0.3314 0.4443 0.8287 0.3658 0.6068 0.1019 0.5318 0.1903 0.0893  
26 or Older 0.4745 0.4527 0.2235 0.6420 0.8217 0.1426 0.2482 0.1705 0.7307 0.2967  
26-49 0.3164 0.7404 0.0090 0.7195 0.9528 0.0440 0.8396 0.1139 0.6573 0.9938  
50 or Older 0.8670 0.1253 0.2412 0.7610 0.9554 0.7856 0.4421 0.9325 0.8478 0.0700  
* = 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons 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.
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 that are used in the comparisons 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 10.26C – 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: Standard Errors of 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 168 180 200 164 164 162 148 131 147 159 151
18-25 27 27 34 36 33 35 39 38 47 54 49
26 or Older 165 178 196 159 160 159 144 128 138 151 140
26-49 115 122 126 115 124 120 91 94 96 101 105
50 or Older * * * * * * 110 * * 109 *
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
102 96 100 112 124 122 99 76 88 99 106
18-25 29 26 29 29 28 31 36 36 39 45 50
26 or Older 96 91 95 108 122 119 91 68 81 88 91
26-49 74 83 77 86 99 96 73 59 59 71 76
50 or Older * * * * * * 52 * * 51 *
* = 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.
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 10.26D – 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: Standard Errors of 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 2.39 2.21 2.32 2.31 2.57 2.49 2.01 1.81 1.78 1.67 1.74
18-25 3.21 3.28 3.12 3.01 3.11 3.11 2.95 3.05 2.65 2.41 2.26
26 or Older 2.74 2.46 2.68 2.78 3.10 3.06 2.33 2.13 2.23 2.10 2.19
26-49 2.93 2.88 2.86 3.00 3.44 3.41 2.52 2.33 2.34 2.24 2.33
50 or Older * * * * * * 4.32 * * 4.76 *
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
2.39 2.21 2.32 2.31 2.57 2.49 2.01 1.81 1.78 1.67 1.74
18-25 3.21 3.28 3.12 3.01 3.11 3.11 2.95 3.05 2.65 2.41 2.26
26 or Older 2.74 2.46 2.68 2.78 3.10 3.06 2.33 2.13 2.23 2.10 2.19
26-49 2.93 2.88 2.86 3.00 3.44 3.41 2.52 2.33 2.34 2.24 2.33
50 or Older * * * * * * 4.32 * * 4.76 *
* = 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.
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 10.26P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Receipt of Mental Health Services/
Age Group
20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
RECEIVED MENTAL HEALTH SERVICES 0.0428 0.0239 0.0049 0.1356 0.5354 0.2661 0.0820 0.0344 0.3260 0.1492  
18-25 0.5994 0.9001 0.2259 0.3534 0.1778 0.3815 0.0967 0.3491 0.4274 0.0566  
26 or Older 0.1432 0.1463 0.0562 0.5321 0.7621 0.7286 0.4622 0.1322 0.6032 0.4903  
26-49 0.0788 0.7400 0.0524 0.9494 0.5833 0.2838 0.9851 0.3137 0.5480 0.6250  
50 or Older * * * * * * * * * *  
DID NOT RECEIVE MENTAL HEALTH
   SERVICES
0.0428 0.0239 0.0049 0.1356 0.5354 0.2661 0.0820 0.0344 0.3260 0.1492  
18-25 0.5994 0.9001 0.2259 0.3534 0.1778 0.3815 0.0967 0.3491 0.4274 0.0566  
26 or Older 0.1432 0.1463 0.0562 0.5321 0.7621 0.7286 0.4622 0.1322 0.6032 0.4903  
26-49 0.0788 0.7400 0.0524 0.9494 0.5833 0.2838 0.9851 0.3137 0.5480 0.6250  
50 or Older * * * * * * * * * *  
* = 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 that are used in the comparisons 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 that are used in the comparisons 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 that are used in the comparisons may differ from previously published estimates due to revised estimation procedures. The mental illness estimates that are used in the comparisons 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.
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 that are used in the comparisons 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 10.27C – 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: Standard Errors of 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 180 173 180 214
Received SU Tx at a Specialty Facility BUT NOT MH Services 49 39 52 75
Received MH Services BUT NOT SU Tx at a Specialty Facility 159 150 154 185
Received SU Tx at a Specialty Facility AND MH Services 60 65 68 65
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 176 180 173 179
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 101 114 125 134
Received SU Tx at a Specialty Facility BUT NOT MH Services 26 18 22 35
Received MH Services BUT NOT SU Tx at a Specialty Facility 91 100 112 122
Received SU Tx at a Specialty Facility AND MH Services 37 50 46 45
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 74 73 87 75
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 143 135 128 155
Received SU Tx at a Specialty Facility BUT NOT MH Services 44 35 46 66
Received MH Services BUT NOT SU Tx at a Specialty Facility 126 118 110 129
Received SU Tx at a Specialty Facility AND MH Services 46 40 50 45
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 155 159 146 159
* = 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.
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 10.27D – 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: Standard Errors of 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 1.58 1.48 1.45 1.49
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.59 0.45 0.60 0.79
Received MH Services BUT NOT SU Tx at a Specialty Facility 1.57 1.41 1.37 1.45
Received SU Tx at a Specialty Facility AND MH Services 0.71 0.75 0.76 0.68
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 1.58 1.48 1.45 1.49
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 2.59 2.27 2.28 2.12
Received SU Tx at a Specialty Facility BUT NOT MH Services 1.09 0.66 0.71 1.09
Received MH Services BUT NOT SU Tx at a Specialty Facility 2.77 2.51 2.36 2.41
Received SU Tx at a Specialty Facility AND MH Services 1.55 1.77 1.42 1.36
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 2.59 2.27 2.28 2.12
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 1.85 1.86 1.76 1.86
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.73 0.59 0.83 1.07
Received MH Services BUT NOT SU Tx at a Specialty Facility 1.81 1.74 1.63 1.70
Received SU Tx at a Specialty Facility AND MH Services 0.78 0.69 0.91 0.74
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 1.85 1.86 1.76 1.86
* = 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.
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 10.27P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
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 0.1120 0.1231 0.8664  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.2452 0.6535 0.2884  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.0462 0.1682 0.1893  
Received SU Tx at a Specialty Facility AND MH Services 0.8476 0.9402 0.2266  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.1120 0.1231 0.8664  
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.0369 0.2271 0.0813  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.3095 0.7939 0.9562  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.0187 0.1853 0.0597  
Received SU Tx at a Specialty Facility AND MH Services 0.9807 0.6107 0.6439  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.0369 0.2271 0.0813  
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.9207 0.4460 0.5140  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.5490 0.6907 0.1928  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.7721 0.6604 0.5772  
Received SU Tx at a Specialty Facility AND MH Services 0.8638 0.6873 0.2777  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.9207 0.4460 0.5140  
* = 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) that are used in the comparisons are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 10.28C – 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: Standard Errors of 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 48 59 64 57
Received SU Tx at a Specialty Facility BUT NOT MH Services 15 13 18 11
Received MH Services BUT NOT SU Tx at a Specialty Facility 41 56 55 52
Received SU Tx at a Specialty Facility AND MH Services 19 15 24 15
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 62 64 67 70
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 32 41 47 40
Received SU Tx at a Specialty Facility BUT NOT MH Services 6 7 6 6
Received MH Services BUT NOT SU Tx at a Specialty Facility 28 41 41 37
Received SU Tx at a Specialty Facility AND MH Services 12 8 20 12
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 27 30 38 33
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 37 42 44 39
Received SU Tx at a Specialty Facility BUT NOT MH Services 13 10 17 10
Received MH Services BUT NOT SU Tx at a Specialty Facility 30 38 38 36
Received SU Tx at a Specialty Facility AND MH Services 14 13 13 10
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 56 57 55 61
* = 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.
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 10.28D – 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: Standard Errors of 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 1.85 2.05 1.86 1.71
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.69 0.61 0.73 0.45
Received MH Services BUT NOT SU Tx at a Specialty Facility 1.68 2.04 1.88 1.68
Received SU Tx at a Specialty Facility AND MH Services 0.89 0.68 0.91 0.62
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 1.85 2.05 1.86 1.71
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 3.54 3.54 3.10 2.75
Received SU Tx at a Specialty Facility BUT NOT MH Services 1.01 1.05 0.66 0.68
Received MH Services BUT NOT SU Tx at a Specialty Facility 3.51 3.74 3.15 2.82
Received SU Tx at a Specialty Facility AND MH Services 1.95 1.05 1.92 1.30
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 3.54 3.54 3.10 2.75
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 2.10 2.40 2.36 2.05
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.88 0.74 1.12 0.60
Received MH Services BUT NOT SU Tx at a Specialty Facility 1.84 2.28 2.25 1.99
Received SU Tx at a Specialty Facility AND MH Services 0.91 0.91 0.90 0.63
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 2.10 2.40 2.36 2.05
* = 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.
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 10.28P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
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 0.0008 0.5065 0.2314  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.1784 0.1357 0.0865  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.0000 0.2948 0.6824  
Received SU Tx at a Specialty Facility AND MH Services 0.1142 0.9484 0.0182  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.0008 0.5065 0.2314  
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.1398 0.3251 0.8247  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.6118 0.5493 0.8921  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.0162 0.4965 0.3325  
Received SU Tx at a Specialty Facility AND MH Services 0.1274 0.2511 0.1432  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.1398 0.3251 0.8247  
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.0252 0.8760 0.2136  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.2480 0.1768 0.0421  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.0008 0.5682 0.8741  
Received SU Tx at a Specialty Facility AND MH Services 0.2435 0.2813 0.0840  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.0252 0.8760 0.2136  
* = 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) that are used in the comparisons are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 10.29C – 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: Standard Errors of 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 173 163 164 204
Received SU Tx at a Specialty Facility BUT NOT MH Services 48 36 49 74
Received MH Services BUT NOT SU Tx at a Specialty Facility 152 141 142 175
Received SU Tx at a Specialty Facility AND MH Services 58 63 63 63
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 166 166 165 170
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 94 105 113 127
Received SU Tx at a Specialty Facility BUT NOT MH Services 25 16 21 35
Received MH Services BUT NOT SU Tx at a Specialty Facility 85 89 101 116
Received SU Tx at a Specialty Facility AND MH Services 35 50 42 43
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 70 68 79 68
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 137 127 118 148
Received SU Tx at a Specialty Facility BUT NOT MH Services 42 33 43 66
Received MH Services BUT NOT SU Tx at a Specialty Facility 121 112 102 123
Received SU Tx at a Specialty Facility AND MH Services 45 38 48 44
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 147 148 139 153
* = 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.
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 10.29D – 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: Standard Errors of 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 2.01 1.88 1.92 1.93
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.78 0.58 0.78 1.07
Received MH Services BUT NOT SU Tx at a Specialty Facility 2.00 1.79 1.82 1.88
Received SU Tx at a Specialty Facility AND MH Services 0.93 0.99 1.00 0.91
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 2.01 1.88 1.92 1.93
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 3.28 2.87 2.99 2.70
Received SU Tx at a Specialty Facility BUT NOT MH Services 1.43 0.82 0.99 1.48
Received MH Services BUT NOT SU Tx at a Specialty Facility 3.51 3.16 3.07 3.15
Received SU Tx at a Specialty Facility AND MH Services 1.96 2.37 1.85 1.85
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 3.28 2.87 2.99 2.70
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 2.35 2.32 2.27 2.40
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.94 0.76 1.06 1.43
Received MH Services BUT NOT SU Tx at a Specialty Facility 2.31 2.18 2.11 2.21
Received SU Tx at a Specialty Facility AND MH Services 1.02 0.88 1.18 0.96
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 2.35 2.32 2.27 2.40
* = 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.
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 10.29P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
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 0.5228 0.1459 0.6018  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.4009 0.4314 0.4811  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.4881 0.2693 0.2254  
Received SU Tx at a Specialty Facility AND MH Services 0.4867 0.8952 0.5500  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.5228 0.1459 0.6018  
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.0820 0.3509 0.0834  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.3705 0.6575 0.9924  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.0985 0.2391 0.1040  
Received SU Tx at a Specialty Facility AND MH Services 0.6208 0.4604 0.9611  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.0820 0.3509 0.0834  
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.4546 0.3769 0.7692  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.7145 0.5012 0.4081  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.5217 0.7703 0.6029  
Received SU Tx at a Specialty Facility AND MH Services 0.8757 0.4539 0.4814  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.4546 0.3769 0.7692  
* = 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) that are used in the comparisons are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 10.30C – 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: Standard Errors of 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 125 110 119 135
Received SU Tx at a Specialty Facility BUT NOT MH Services 39 25 36 27
Received MH Services BUT NOT SU Tx at a Specialty Facility 104 95 98 120
Received SU Tx at a Specialty Facility AND MH Services 47 46 46 47
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 119 130 119 140
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 72 76 80 86
Received SU Tx at a Specialty Facility BUT NOT MH Services 25 11 17 13
Received MH Services BUT NOT SU Tx at a Specialty Facility 63 67 67 76
Received SU Tx at a Specialty Facility AND MH Services 31 30 35 36
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 51 52 61 66
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 96 80 82 97
Received SU Tx at a Specialty Facility BUT NOT MH Services 30 22 31 23
Received MH Services BUT NOT SU Tx at a Specialty Facility 82 70 73 88
Received SU Tx at a Specialty Facility AND MH Services 34 34 31 29
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 107 114 101 125
* = 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.
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 10.30D – 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: Standard Errors of 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 2.02 1.75 1.94 1.89
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.86 0.54 0.81 0.53
Received MH Services BUT NOT SU Tx at a Specialty Facility 1.93 1.64 1.76 1.80
Received SU Tx at a Specialty Facility AND MH Services 1.05 0.99 1.01 0.91
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 2.02 1.75 1.94 1.89
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 3.25 2.85 3.01 3.06
Received SU Tx at a Specialty Facility BUT NOT MH Services 1.87 0.75 1.07 0.75
Received MH Services BUT NOT SU Tx at a Specialty Facility 3.53 2.99 2.92 3.09
Received SU Tx at a Specialty Facility AND MH Services 2.24 1.97 2.01 1.99
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 3.25 2.85 3.01 3.06
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 2.37 2.14 2.27 2.33
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.96 0.72 1.10 0.71
Received MH Services BUT NOT SU Tx at a Specialty Facility 2.23 1.96 2.15 2.21
Received SU Tx at a Specialty Facility AND MH Services 1.12 1.10 1.10 0.87
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 2.37 2.14 2.27 2.33
* = 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.
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 10.30P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
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 0.7121 0.5546 0.2431  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.0057 0.7618 0.0153  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.6498 0.4938 0.8106  
Received SU Tx at a Specialty Facility AND MH Services 0.6677 0.9000 0.3793  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.7121 0.5546 0.2431  
SUD and Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.8506 0.6703 0.6812  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.0224 0.7928 0.2503  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.5864 0.5639 0.3278  
Received SU Tx at a Specialty Facility AND MH Services 0.6745 0.6944 0.7441  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.8506 0.6703 0.6812  
SUD and Any Mental Illness Excluding Serious Mental Illness        
Received SU Tx at a Specialty Facility OR MH Services 0.4455 0.5095 0.1199  
Received SU Tx at a Specialty Facility BUT NOT MH Services 0.1136 0.8638 0.0288  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.8786 0.3341 0.7941  
Received SU Tx at a Specialty Facility AND MH Services 0.9130 0.6898 0.4253  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.4455 0.5095 0.1199  
* = 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) that are used in the comparisons are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 10.31C – 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: Standard Errors of 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 120 118 113 146
Received SU Tx at a Specialty Facility BUT NOT MH Services 29 27 32 *
Received MH Services BUT NOT SU Tx at a Specialty Facility 109 104 101 121
Received SU Tx at a Specialty Facility AND MH Services 34 43 44 41
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 109 106 114 94
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 100 94 86 *
Received SU Tx at a Specialty Facility BUT NOT MH Services 29 * 30 *
Received MH Services BUT NOT SU Tx at a Specialty Facility 90 86 71 87
Received SU Tx at a Specialty Facility AND MH Services 29 17 37 32
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 97 99 101 *
* = 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.
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 10.31D – 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: Standard Errors of 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 4.73 4.87 4.54 4.68
Received SU Tx at a Specialty Facility BUT NOT MH Services 1.67 1.58 1.79 *
Received MH Services BUT NOT SU Tx at a Specialty Facility 4.65 4.73 4.46 5.09
Received SU Tx at a Specialty Facility AND MH Services 1.92 2.53 2.39 2.34
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 4.73 4.87 4.54 4.68
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 5.49 6.00 5.44 *
Received SU Tx at a Specialty Facility BUT NOT MH Services 2.19 * 2.40 *
Received MH Services BUT NOT SU Tx at a Specialty Facility 5.38 5.72 4.95 5.99
Received SU Tx at a Specialty Facility AND MH Services 2.20 1.41 2.94 2.74
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 5.49 6.00 5.44 *
* = 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.
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 10.31P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2015-2017
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 0.1212 0.0948 0.0233  
Received SU Tx at a Specialty Facility BUT NOT MH Services * * *  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.4673 0.3333 0.0889  
Received SU Tx at a Specialty Facility AND MH Services 0.5801 0.9526 0.9585  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services 0.1212 0.0948 0.0233  
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 * * *  
Received SU Tx at a Specialty Facility BUT NOT MH Services * * *  
Received MH Services BUT NOT SU Tx at a Specialty Facility 0.5869 0.6590 0.2689  
Received SU Tx at a Specialty Facility AND MH Services 0.6991 0.0999 0.8664  
Received NEITHER SU Tx at a Specialty Facility NOR MH Services * * *  
* = 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) that are used in the comparisons are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. The mental illness estimates that are used in the comparisons are based on a predictive model and are not direct measures of diagnostic status.
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 10.32C – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2005-2018
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 408 385 406 406 413 436 414 436 443 348 368 368 383 379
AGE GROUP                            
18-25 83 76 78 81 82 85 84 93 89 100 97 107 117 115
26 or Older 396 382 393 402 405 429 402 426 438 330 348 352 362 356
26-49 268 290 255 263 255 262 271 265 279 203 205 202 224 225
50 or Older 273 255 301 319 300 332 298 347 326 259 280 278 267 274
GENDER                            
Male 231 241 255 241 248 277 245 266 276 212 211 211 227 227
Female 321 294 313 332 332 328 333 334 351 274 299 301 296 303
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 375 367 383 381 390 406 387 393 415 324 342 341 359 351
White 335 344 358 370 385 374 372 368 406 291 316 328 341 339
Black or African American 153 142 132 128 129 124 128 148 114 111 104 111 102 127
AIAN 20 25 36 13 17 27 35 35 42 15 26 30 21 25
NHOPI 17 15 * * * * 15 * 7 22 10 27 13 22
Asian 59 56 55 76 60 74 79 64 88 89 82 58 68 71
Two or More Races 36 58 54 49 45 73 43 41 66 56 61 47 49 55
Hispanic or Latino 150 115 146 149 145 164 144 182 178 136 115 158 127 140
* = 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.
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 10.32D – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2005-2018
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.19 0.18 0.18 0.18 0.18 0.19 0.18 0.19 0.19 0.15 0.15 0.15 0.16 0.15
AGE GROUP                            
18-25 0.26 0.23 0.24 0.25 0.24 0.25 0.25 0.27 0.26 0.29 0.28 0.31 0.34 0.34
26 or Older 0.22 0.20 0.21 0.21 0.21 0.22 0.20 0.21 0.22 0.16 0.17 0.17 0.17 0.17
26-49 0.27 0.29 0.26 0.27 0.26 0.27 0.28 0.27 0.29 0.21 0.21 0.21 0.23 0.23
50 or Older 0.32 0.29 0.34 0.35 0.32 0.35 0.30 0.34 0.31 0.24 0.26 0.25 0.24 0.24
GENDER                            
Male 0.22 0.23 0.24 0.22 0.23 0.25 0.22 0.24 0.24 0.19 0.18 0.18 0.19 0.19
Female 0.29 0.26 0.27 0.29 0.28 0.28 0.28 0.28 0.29 0.22 0.24 0.24 0.23 0.24
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 0.20 0.19 0.20 0.20 0.20 0.21 0.20 0.20 0.21 0.16 0.17 0.17 0.17 0.17
White 0.22 0.22 0.22 0.23 0.23 0.23 0.23 0.22 0.25 0.18 0.20 0.20 0.21 0.21
Black or African American 0.58 0.53 0.50 0.48 0.46 0.47 0.48 0.52 0.40 0.38 0.35 0.37 0.34 0.41
AIAN 1.84 2.41 3.13 1.35 1.58 2.47 2.66 2.53 3.16 1.25 2.01 2.10 1.56 1.77
NHOPI 2.68 1.89 * * * * 1.78 * 0.98 2.38 1.75 2.45 1.46 2.34
Asian 0.67 0.60 0.59 0.77 0.61 0.72 0.72 0.54 0.72 0.71 0.61 0.45 0.49 0.49
Two or More Races 1.67 2.46 2.23 1.97 1.75 2.57 1.33 1.23 1.74 1.44 1.54 1.13 1.22 1.25
Hispanic or Latino 0.55 0.40 0.50 0.50 0.47 0.52 0.43 0.53 0.50 0.37 0.31 0.42 0.32 0.35
* = 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.
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 10.32P – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2005-2017
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0089 0.0029 0.0476 0.0027 0.0094 0.1370 0.0080 0.1689 0.0285 0.0032 0.0192 0.0244 0.5561  
AGE GROUP                            
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.1538  
26 or Older 0.9790 0.8259 0.2179 0.9649 0.5570 0.1344 0.6964 0.1983 0.6006 0.8606 0.7293 0.5622 0.8162  
26-49 0.2039 0.4104 0.2787 0.0976 0.2852 0.1500 0.4418 0.2127 0.2305 0.0060 0.0921 0.0375 0.2796  
50 or Older 1.0000 0.9606 0.1029 0.5970 0.3271 0.0096 0.4493 0.0205 0.1342 0.0583 0.4504 0.4345 0.6131  
GENDER                            
Male 0.0250 0.0809 0.0673 0.0167 0.1087 0.5082 0.0663 0.7338 0.5544 0.0700 0.0332 0.0965 0.9272  
Female 0.0947 0.0145 0.2823 0.0511 0.0420 0.1722 0.0482 0.1256 0.0210 0.0230 0.1835 0.1165 0.4104  
HISPANIC ORIGIN AND RACE                            
Not Hispanic or Latino 0.0051 0.0165 0.0754 0.0065 0.0086 0.1795 0.0681 0.0398 0.0339 0.0056 0.1490 0.0502 0.9748  
White 0.0025 0.0145 0.1068 0.0118 0.0163 0.1541 0.1215 0.0272 0.1370 0.0057 0.3418 0.1550 0.7012  
Black or African American 0.8222 0.5639 0.2400 0.1920 0.2804 0.6260 0.3659 0.8398 0.0067 0.1880 0.0198 0.0351 0.2047  
AIAN 0.9057 0.8227 0.9527 0.2530 0.4079 0.8256 0.7300 0.6175 0.9014 0.2710 0.8873 0.9407 0.8340  
NHOPI 0.8194 0.5681 * * * * 0.2171 * 0.0395 0.9548 0.5615 0.8998 0.4420  
Asian 0.1953 0.0453 0.0457 0.2198 0.1975 0.6056 0.7729 0.1608 0.7327 0.9286 0.8405 0.6294 0.8623  
Two or More Races 0.8145 0.3697 0.5052 0.7231 0.9100 0.8389 0.2862 0.1466 0.5984 0.1965 0.3176 0.8634 0.5277  
Hispanic or Latino 0.6657 0.0048 0.2003 0.1073 0.4997 0.3450 0.0030 0.2482 0.4919 0.2512 0.0027 0.2599 0.0708  
* = 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 that are used in the comparisons 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 that are used in the comparisons 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.
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 10.33C – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2009-2018
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 309 347 344 353 355 284 295 299 297 311
AGE GROUP                    
18-25 67 70 68 72 76 83 81 91 98 93
26 or Older 300 338 335 349 353 273 279 283 280 293
26-49 206 207 227 220 229 162 168 158 179 189
50 or Older 213 266 236 285 256 219 222 236 206 222
GENDER                    
Male 183 218 196 225 231 177 168 168 180 184
Female 246 264 273 267 276 226 241 244 228 244
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 289 314 326 315 324 263 278 263 278 286
White 278 287 297 283 307 232 252 246 257 266
Black or African American 94 101 112 118 93 83 78 91 87 102
AIAN 16 21 35 33 19 12 24 21 20 22
NHOPI * 7 9 * 7 9 9 17 13 22
Asian 46 48 76 52 83 83 55 44 58 53
Two or More Races 36 23 39 35 62 50 56 40 41 42
Hispanic or Latino 110 147 102 155 154 115 88 149 93 115
* = 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.
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 10.33D – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2009-2018
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.14 0.15 0.15 0.15 0.15 0.12 0.12 0.12 0.12 0.13
AGE GROUP                    
18-25 0.20 0.21 0.20 0.21 0.22 0.24 0.23 0.27 0.29 0.28
26 or Older 0.16 0.17 0.17 0.18 0.18 0.13 0.14 0.14 0.13 0.14
26-49 0.21 0.21 0.23 0.23 0.24 0.17 0.17 0.16 0.18 0.19
50 or Older 0.23 0.28 0.24 0.28 0.25 0.21 0.21 0.22 0.18 0.20
GENDER                    
Male 0.17 0.20 0.18 0.20 0.20 0.15 0.15 0.14 0.15 0.16
Female 0.21 0.23 0.23 0.22 0.23 0.18 0.19 0.19 0.18 0.19
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 0.15 0.16 0.17 0.16 0.16 0.13 0.14 0.13 0.14 0.14
White 0.17 0.18 0.19 0.18 0.19 0.15 0.16 0.15 0.16 0.16
Black or African American 0.34 0.39 0.43 0.42 0.33 0.29 0.27 0.31 0.29 0.34
AIAN 1.56 1.97 2.66 2.45 1.51 1.02 1.88 1.56 1.48 1.57
NHOPI * 1.16 1.01 * 0.97 0.94 1.55 1.59 1.40 2.29
Asian 0.46 0.47 0.69 0.45 0.69 0.65 0.41 0.34 0.41 0.36
Two or More Races 1.43 0.90 1.20 1.03 1.65 1.31 1.42 0.98 1.02 0.98
Hispanic or Latino 0.36 0.46 0.30 0.45 0.44 0.32 0.24 0.39 0.24 0.29
* = 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.
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 10.33P – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2009-2017
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0001 0.0339 0.0152 0.3279 0.0672 0.0321 0.0285 0.0289 0.3331  
AGE GROUP                    
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.4220  
26 or Older 0.1837 0.7627 0.9802 0.2686 0.7975 0.9734 0.5797 0.3577 0.4136  
26-49 0.1080 0.0224 0.6662 0.5990 0.2377 0.0060 0.1274 0.0193 0.3361  
50 or Older 0.3004 0.0692 0.9724 0.1178 0.2290 0.0375 0.6835 0.6027 0.7593  
GENDER                    
Male 0.0332 0.5061 0.1121 0.8694 0.9531 0.1319 0.0828 0.0810 0.4036  
Female 0.0011 0.0279 0.0532 0.1528 0.0210 0.1219 0.1347 0.1390 0.5435  
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 0.0001 0.0127 0.0689 0.0531 0.0191 0.0201 0.1137 0.0159 0.7357  
White 0.0004 0.0227 0.0329 0.0208 0.0365 0.0154 0.2655 0.0557 0.6780  
Black or African American 0.1537 0.8856 0.9183 0.6026 0.0259 0.2360 0.0652 0.1497 0.9296  
AIAN 0.7915 0.6829 0.8648 0.6519 0.5220 0.2401 0.8809 0.7153 0.9860  
NHOPI * 0.2316 0.0874 * 0.0777 0.1536 0.3994 0.4509 0.5110  
Asian 0.1829 0.0657 0.5954 0.3308 0.6911 0.9316 0.2050 0.3015 0.7208  
Two or More Races 0.9163 0.0857 0.4370 0.2637 0.2042 0.0787 0.2287 0.9193 0.7569  
Hispanic or Latino 0.2355 0.8850 0.0109 0.0785 0.5027 0.8943 0.0237 0.9168 0.0509  
* = 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 that are used in the comparisons 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.
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 10.34C – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Major Depressive Episode in Past Year, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2009-2018
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 365 383 358 390 370 303 314 335 334 333
AGE GROUP                    
18-25 57 65 64 70 67 73 73 78 93 91
26 or Older 359 380 350 385 373 295 306 322 323 312
26-49 223 219 234 228 234 170 172 176 188 191
50 or Older 266 301 270 317 292 238 257 256 252 254
GENDER                    
Male 209 230 210 215 226 184 169 178 189 185
Female 287 305 297 306 306 241 266 273 260 271
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 348 348 344 353 358 283 301 307 314 317
White 327 325 326 314 338 255 276 282 294 290
Black or African American 95 91 97 116 98 85 83 95 86 107
AIAN * * * * * * * * * *
NHOPI * * * * * * * * * *
Asian * * * * * * * * 43 46
Two or More Races * * * * * 49 56 36 41 50
Hispanic or Latino 105 156 103 152 145 111 96 134 101 117
* = 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.
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 10.34D – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Major Depressive Episode in Past Year, by Demographic Characteristics: Standard Errors of Percentages, 2009-2018
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 1.31 1.25 1.24 1.24 1.22 1.03 1.08 1.09 1.01 0.96
AGE GROUP                    
18-25 1.57 1.57 1.64 1.52 1.50 1.64 1.58 1.45 1.40 1.36
26 or Older 1.54 1.47 1.45 1.50 1.50 1.22 1.29 1.26 1.24 1.19
26-49 1.72 1.69 1.74 1.75 1.80 1.36 1.36 1.35 1.36 1.37
50 or Older 2.83 2.55 2.50 2.52 2.64 2.04 2.32 2.23 2.15 2.18
GENDER                    
Male 2.35 2.40 2.22 2.25 2.36 1.92 1.90 1.98 1.79 1.76
Female 1.58 1.43 1.46 1.43 1.45 1.19 1.21 1.23 1.17 1.15
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 1.34 1.30 1.24 1.25 1.31 1.06 1.13 1.13 1.03 1.04
White 1.44 1.42 1.27 1.35 1.46 1.16 1.22 1.19 1.15 1.19
Black or African American 4.17 4.13 4.34 4.06 3.98 3.66 3.70 3.57 3.07 3.00
AIAN * * * * * * * * * *
NHOPI * * * * * * * * * *
Asian * * * * * * * * 5.62 5.15
Two or More Races * * * * * 3.84 5.50 5.20 4.59 5.19
Hispanic or Latino 4.12 4.20 4.40 4.14 4.27 3.28 3.13 3.69 3.06 2.80
* = 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.
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 10.34P – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Major Depressive Episode in Past Year, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2009-2017
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.8016 0.0297 0.0341 0.0389 0.0133 0.0048 0.0875 0.7055 0.1396  
AGE GROUP                    
18-25 0.1981 0.6602 0.3936 0.9235 0.5644 0.9358 0.1787 0.0043 0.5822  
26 or Older 0.3312 0.2085 0.1586 0.2495 0.1483 0.0397 0.0979 0.3745 0.1829  
26-49 0.8749 0.0914 0.0968 0.0487 0.3143 0.0621 0.1216 0.1126 0.1453  
50 or Older 0.1551 0.8776 0.7459 0.5390 0.4787 0.5214 0.5359 0.6213 0.7868  
GENDER                    
Male 0.4384 0.3037 0.1280 0.2085 0.2576 0.0300 0.4361 0.9509 0.5382  
Female 0.3339 0.0408 0.1491 0.0778 0.0159 0.0756 0.1486 0.6411 0.1233  
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 0.9601 0.1911 0.0461 0.0240 0.0268 0.0282 0.3037 0.6616 0.2136  
White 0.9659 0.0736 0.0093 0.0507 0.0768 0.0391 0.2187 0.4643 0.2340  
Black or African American 0.1231 0.1884 0.1951 0.8532 0.4988 0.5788 0.4866 0.9305 0.6540  
AIAN * * * * * * * * *  
NHOPI * * * * * * * * *  
Asian * * * * * * * * 0.7800  
Two or More Races * * * * * 0.1164 0.7813 0.3193 0.8815  
Hispanic or Latino 0.3453 0.0426 0.8888 0.7407 0.4581 0.0912 0.1377 0.7921 0.6332  
* = 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 that are used in the comparisons 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.
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.
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Table 10.35C – 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: Standard Errors of Numbers in Thousands, 2009-2018
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 283 306 298 324 318 255 265 276 259 285
AGE GROUP                    
18-25 48 53 54 58 58 63 59 67 80 73
26 or Older 278 302 293 320 318 250 259 264 248 267
26-49 191 174 198 199 196 138 148 142 147 160
50 or Older 197 238 214 262 246 206 213 222 198 209
GENDER                    
Male 159 183 172 191 202 148 138 149 152 159
Female 230 246 241 253 261 213 225 223 201 227
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 269 269 287 285 302 234 251 244 240 262
White 251 253 264 250 283 206 230 224 223 234
Black or African American 79 76 94 93 85 64 57 80 74 87
AIAN * * * * * * * * * *
NHOPI * * * * * * * * * *
Asian * * * * * * * * * *
Two or More Races * * * * * 47 * * 38 *
Hispanic or Latino 85 139 77 142 123 100 76 129 78 97
* = 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.
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.
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Table 10.35D – 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: Standard Errors of Percentages, 2009-2018
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 1.49 1.47 1.44 1.47 1.36 1.19 1.22 1.23 1.13 1.18
AGE GROUP                    
18-25 1.95 1.94 2.08 1.89 1.80 2.02 1.98 1.75 1.82 1.65
26 or Older 1.72 1.73 1.69 1.75 1.65 1.40 1.40 1.41 1.34 1.43
26-49 1.97 1.89 1.96 2.14 2.12 1.68 1.63 1.52 1.62 1.67
50 or Older 3.20 3.01 3.00 2.91 2.48 2.17 2.26 2.57 2.18 2.43
GENDER                    
Male 2.77 2.87 2.44 2.66 2.87 2.31 2.16 2.27 2.06 2.17
Female 1.70 1.66 1.73 1.64 1.45 1.30 1.41 1.38 1.29 1.39
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 1.47 1.51 1.42 1.50 1.29 1.23 1.29 1.23 1.16 1.21
White 1.58 1.59 1.38 1.65 1.43 1.34 1.35 1.30 1.26 1.34
Black or African American 4.82 5.14 4.62 5.06 4.32 4.55 4.37 3.94 3.46 3.73
AIAN * * * * * * * * * *
NHOPI * * * * * * * * * *
Asian * * * * * * * * * *
Two or More Races * * * * * 4.15 * * 4.97 *
Hispanic or Latino 5.41 4.99 5.30 4.59 5.22 3.97 3.45 4.71 3.89 3.58
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Some 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.
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 10.35P – 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: P Values from Tests of Differences of Percentages, 2018 Versus 2009-2017
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.1285 0.0208 0.0065 0.0166 0.0000 0.0022 0.0168 0.0351 0.0319  
AGE GROUP                    
18-25 0.3257 0.9572 0.8522 0.4871 0.2087 0.5494 0.5109 0.3153 0.1639  
26 or Older 0.2413 0.1231 0.0526 0.1251 0.0008 0.0207 0.0190 0.0201 0.0655  
26-49 0.0907 0.0152 0.0180 0.0373 0.0189 0.0622 0.0796 0.0049 0.1081  
50 or Older 0.7606 0.6517 0.6346 0.8389 0.0282 0.3960 0.1488 0.7759 0.3345  
GENDER                    
Male 0.4288 0.3781 0.0253 0.2530 0.0693 0.2826 0.3797 0.2203 0.4258  
Female 0.1704 0.0138 0.0841 0.0157 0.0000 0.0023 0.0198 0.0854 0.0372  
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 0.0673 0.0568 0.0054 0.0154 0.0000 0.0091 0.0594 0.0115 0.0388  
White 0.0937 0.0272 0.0024 0.0615 0.0000 0.0248 0.0488 0.0119 0.0423  
Black or African American 0.5198 0.3519 0.7520 0.7592 0.0995 0.4932 0.4079 0.5492 0.5920  
AIAN * * * * * * * * *  
NHOPI * * * * * * * * *  
Asian * * * * * * * * *  
Two or More Races * * * * * * * * *  
Hispanic or Latino 0.5763 0.1651 0.9930 0.3572 0.8755 0.0708 0.1233 0.8334 0.7284  
* = 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 that are used in the comparisons 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.
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.
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Table 10.36C – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Standard Errors of Numbers in Thousands, 2008-2018
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 299 299 311 299 305 340 281 280 267 289 282
18-25 74 66 75 85 79 85 87 91 96 108 100
18-20 52 47 56 61 62 62 61 62 78 75 70
21-25 60 51 59 61 60 62 69 74 72 87 85
26 or Older 292 292 296 284 294 327 263 267 247 262 257
26-49 193 200 201 169 208 207 167 165 154 163 170
26-29 82 80 94 78 90 88 71 81 74 88 90
30-34 74 92 86 63 84 106 78 73 78 74 80
35-39 93 103 72 86 94 89 68 71 72 74 75
40-44 88 81 88 83 97 88 73 68 60 73 69
45-49 94 98 111 93 100 85 69 70 70 63 63
50 or Older 210 215 214 229 214 271 194 209 193 210 189
50-54 121 118 111 131 103 209 106 102 108 77 96
55-59 118 118 114 124 95 117 109 98 89 107 86
60-64 77 67 93 84 109 83 80 79 74 84 82
65 or Older 104 107 124 106 123 109 102 121 109 136 102
* = 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.
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 10.36D – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Standard Errors of Percentages, 2008-2018
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.13 0.13 0.14 0.13 0.13 0.14 0.12 0.12 0.11 0.12 0.11
18-25 0.23 0.20 0.22 0.25 0.23 0.24 0.25 0.26 0.28 0.32 0.30
18-20 0.37 0.32 0.39 0.41 0.41 0.44 0.44 0.45 0.56 0.53 0.49
21-25 0.29 0.25 0.27 0.28 0.27 0.28 0.31 0.32 0.31 0.38 0.37
26 or Older 0.15 0.15 0.15 0.14 0.15 0.16 0.13 0.13 0.12 0.12 0.12
26-49 0.19 0.20 0.20 0.17 0.21 0.21 0.17 0.17 0.16 0.16 0.17
26-29 0.47 0.47 0.54 0.44 0.51 0.51 0.41 0.46 0.42 0.47 0.49
30-34 0.39 0.46 0.43 0.32 0.42 0.51 0.36 0.34 0.36 0.34 0.35
35-39 0.45 0.50 0.37 0.44 0.47 0.46 0.34 0.36 0.34 0.35 0.34
40-44 0.41 0.39 0.42 0.40 0.47 0.41 0.36 0.33 0.31 0.36 0.35
45-49 0.41 0.43 0.48 0.42 0.46 0.42 0.33 0.33 0.34 0.31 0.32
50 or Older 0.23 0.23 0.22 0.23 0.21 0.26 0.18 0.19 0.17 0.19 0.17
50-54 0.55 0.52 0.50 0.57 0.43 0.88 0.44 0.43 0.49 0.37 0.46
55-59 0.65 0.62 0.58 0.65 0.46 0.56 0.52 0.46 0.41 0.49 0.40
60-64 0.51 0.43 0.56 0.46 0.63 0.47 0.46 0.41 0.39 0.42 0.40
65 or Older 0.28 0.28 0.32 0.27 0.29 0.25 0.23 0.26 0.23 0.28 0.20
* = 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.
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 10.36P – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0004 0.0005 0.0030 0.0001 0.0045 0.0228 0.0128 0.0652 0.0618 0.9377  
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.2198  
18-20 0.0000 0.0000 0.0000 0.0000 0.0000 0.0001 0.0000 0.0011 0.2055 0.6304  
21-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0492  
26 or Older 0.6004 0.8339 0.8828 0.4211 0.9047 0.8682 0.7430 0.8435 0.8485 0.7454  
26-49 0.0083 0.2207 0.0305 0.0001 0.0715 0.0129 0.0115 0.0381 0.0727 0.1372  
26-29 0.0001 0.0000 0.0001 0.0000 0.0001 0.0003 0.0000 0.0298 0.0036 0.3001  
30-34 0.0046 0.0594 0.0078 0.0000 0.0140 0.1643 0.0532 0.1007 0.6041 0.0455  
35-39 0.6382 0.2210 0.0519 0.8317 0.5809 0.4623 0.4971 0.4756 0.7883 0.3800  
40-44 0.7057 0.4324 0.6163 0.6546 0.3242 0.4476 0.2087 0.9157 0.1958 0.3517  
45-49 0.1549 0.0766 0.0016 0.4415 0.0234 0.1288 0.8232 0.6534 0.4718 0.9246  
50 or Older 0.3713 0.5002 0.0997 0.0619 0.2228 0.0417 0.0117 0.0583 0.2354 0.1108  
50-54 0.7304 0.6634 0.8807 0.1331 0.5616 0.0546 0.2482 0.3705 0.2973 0.4645  
55-59 0.3768 0.1575 0.1834 0.3029 0.8437 0.2335 0.0476 0.5425 0.6683 0.2411  
60-64 0.8192 0.6233 0.4249 0.8456 0.1113 0.9688 0.3763 0.2165 0.9027 0.5582  
65 or Older 0.9365 0.3948 0.5928 0.7829 0.2418 0.8998 0.6630 0.3229 0.6392 0.0745  
* = 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 that are used in the comparisons 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.
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 10.37C – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 299 299 311 299 305 340 281 280 267 289 282
AGE GROUP                      
18-25 74 66 75 85 79 85 87 91 96 108 100
26 or Older 292 292 296 284 294 327 263 267 247 262 257
26-49 193 200 201 169 208 207 167 165 154 163 170
50 or Older 210 215 214 229 214 271 194 209 193 210 189
GENDER                      
Male 206 204 235 194 208 241 202 197 198 207 198
Female 210 211 216 228 221 236 183 199 182 203 199
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 282 280 297 288 282 315 257 261 244 273 264
White 265 256 269 267 258 294 231 232 228 248 245
Black or African American 88 89 103 86 99 95 77 99 85 91 94
AIAN 9 13 24 55 20 15 18 19 12 13 18
NHOPI 18 * 14 * 6 15 5 10 11 31 13
Asian 44 38 72 69 79 87 64 55 52 77 52
Two or More Races 38 48 24 25 31 54 49 41 41 57 41
Hispanic or Latino 92 112 76 84 120 127 100 105 106 92 111
* = 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.
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 10.37D – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.13 0.13 0.14 0.13 0.13 0.14 0.12 0.12 0.11 0.12 0.11
AGE GROUP                      
18-25 0.23 0.20 0.22 0.25 0.23 0.24 0.25 0.26 0.28 0.32 0.30
26 or Older 0.15 0.15 0.15 0.14 0.15 0.16 0.13 0.13 0.12 0.12 0.12
26-49 0.19 0.20 0.20 0.17 0.21 0.21 0.17 0.17 0.16 0.16 0.17
50 or Older 0.23 0.23 0.22 0.23 0.21 0.26 0.18 0.19 0.17 0.19 0.17
GENDER                      
Male 0.19 0.19 0.21 0.17 0.18 0.21 0.18 0.17 0.17 0.17 0.17
Female 0.18 0.18 0.18 0.19 0.18 0.19 0.15 0.16 0.14 0.16 0.16
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.15 0.14 0.15 0.15 0.14 0.16 0.13 0.13 0.12 0.13 0.13
White 0.16 0.16 0.17 0.17 0.16 0.18 0.15 0.15 0.14 0.15 0.15
Black or African American 0.34 0.32 0.38 0.32 0.36 0.34 0.28 0.34 0.28 0.30 0.30
AIAN 0.92 1.24 2.17 3.72 1.50 1.21 1.31 1.52 0.84 1.07 1.23
NHOPI 2.21 * 2.13 * 0.63 1.93 0.53 1.62 1.04 3.13 1.42
Asian 0.46 0.38 0.69 0.61 0.65 0.72 0.51 0.42 0.39 0.55 0.35
Two or More Races 1.48 1.87 0.96 0.78 0.90 1.45 1.26 1.05 1.01 1.34 0.94
Hispanic or Latino 0.30 0.36 0.24 0.25 0.35 0.36 0.27 0.28 0.28 0.23 0.28
* = 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.
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 10.37P – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0004 0.0005 0.0030 0.0001 0.0045 0.0228 0.0128 0.0652 0.0618 0.9377  
AGE GROUP                      
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.2198  
26 or Older 0.6004 0.8339 0.8828 0.4211 0.9047 0.8682 0.7430 0.8435 0.8485 0.7454  
26-49 0.0083 0.2207 0.0305 0.0001 0.0715 0.0129 0.0115 0.0381 0.0727 0.1372  
50 or Older 0.3713 0.5002 0.0997 0.0619 0.2228 0.0417 0.0117 0.0583 0.2354 0.1108  
GENDER                      
Male 0.0141 0.0265 0.2124 0.0030 0.0495 0.3079 0.2931 0.3108 0.9133 0.8913  
Female 0.0084 0.0058 0.0034 0.0132 0.0379 0.0256 0.0115 0.0994 0.0088 0.9813  
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 0.0020 0.0006 0.0350 0.0028 0.0040 0.0162 0.0166 0.0501 0.0752 0.7320  
White 0.0077 0.0010 0.0166 0.0058 0.0062 0.0516 0.0390 0.1786 0.2499 0.8079  
Black or African American 0.2491 0.1844 0.9652 0.0748 0.2554 0.0087 0.0408 0.0748 0.1699 0.4327  
AIAN 0.0520 0.6267 0.4943 0.0638 0.9536 0.5601 0.5660 0.7914 0.1904 0.5804  
NHOPI 0.8591 * 0.6937 * 0.1794 0.6637 0.1139 0.7307 0.5250 0.2316  
Asian 0.2800 0.0803 0.6509 0.9841 0.5855 0.6169 0.7216 0.3781 0.2750 0.5192  
Two or More Races 0.3198 0.9297 0.1364 0.0131 0.1362 0.7725 0.5577 0.6093 0.9623 0.3669  
Hispanic or Latino 0.0202 0.3859 0.0003 0.0012 0.5928 0.8302 0.4541 0.9342 0.5820 0.2610  
* = 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 that are used in the comparisons 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.
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 10.38C – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Geographic/Socioeconomic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 299 299 311 299 305 340 281 280 267 289 282
GEOGRAPHIC REGION                      
Northeast 123 115 121 125 127 128 108 128 114 112 103
Midwest 127 129 130 127 115 130 129 118 115 119 120
South 178 178 193 178 196 225 161 172 154 172 171
West 156 167 156 165 147 185 148 142 155 164 155
COUNTY TYPE1                      
Large Metro 237 239 242 234 242 277 220 231 215 234 229
Small Metro 174 159 161 178 172 178 150 154 159 166 157
Nonmetro 87 100 128 105 119 126 112 103 90 121 107
Urbanized 42 67 76 59 73 99 72 72 64 80 85
Less Urbanized 72 69 97 80 74 83 85 69 59 91 68
Completely Rural 26 30 42 39 52 26 30 31 29 38 31
POVERTY LEVEL2                      
Less Than 100% 108 134 123 159 133 149 122 125 135 125 130
100-199% 137 132 141 135 175 144 144 140 142 132 125
200% or More 232 238 242 226 223 288 203 212 201 235 227
EDUCATION                      
< High School nc nc nc nc nc nc nc 122 114 95 96
High School Graduate nc nc nc nc nc nc nc 138 125 142 145
Some College/Associate's Degree nc nc nc nc nc nc nc 164 163 181 165
College Graduate nc nc nc nc nc nc nc 141 139 160 150
HEALTH INSURANCE3                      
Private 230 231 233 221 210 262 195 217 202 229 219
Medicaid/CHIP 112 125 117 125 122 111 125 141 137 126 128
Other4 157 144 184 152 185 200 152 163 148 171 138
No Coverage 112 123 120 139 156 143 99 90 100 91 103
* = 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.
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.
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Table 10.38D – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Standard Errors of Percentages, 2008-2018
Geographic/Socioeconomic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.13 0.13 0.14 0.13 0.13 0.14 0.12 0.12 0.11 0.12 0.11
GEOGRAPHIC REGION                      
Northeast 0.30 0.27 0.29 0.30 0.30 0.30 0.25 0.30 0.26 0.26 0.24
Midwest 0.26 0.26 0.26 0.25 0.23 0.26 0.25 0.23 0.22 0.23 0.23
South 0.22 0.22 0.23 0.21 0.23 0.26 0.18 0.19 0.17 0.19 0.18
West 0.30 0.32 0.30 0.31 0.27 0.34 0.26 0.25 0.27 0.28 0.26
COUNTY TYPE1                      
Large Metro 0.19 0.19 0.19 0.18 0.18 0.21 0.16 0.16 0.15 0.16 0.16
Small Metro 0.25 0.22 0.23 0.23 0.23 0.24 0.21 0.20 0.21 0.21 0.20
Nonmetro 0.24 0.29 0.38 0.30 0.32 0.34 0.29 0.30 0.23 0.32 0.28
Urbanized 0.30 0.46 0.53 0.45 0.48 0.62 0.45 0.51 0.42 0.47 0.47
Less Urbanized 0.40 0.39 0.58 0.45 0.42 0.48 0.45 0.41 0.30 0.47 0.39
Completely Rural 0.73 0.84 1.21 1.08 1.34 0.68 0.77 0.68 0.75 1.11 0.85
POVERTY LEVEL2                      
Less Than 100% 0.41 0.47 0.41 0.46 0.35 0.41 0.33 0.33 0.38 0.35 0.36
100-199% 0.33 0.30 0.29 0.28 0.37 0.31 0.30 0.28 0.28 0.27 0.25
200% or More 0.14 0.15 0.16 0.15 0.14 0.18 0.13 0.13 0.12 0.14 0.13
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.35 0.35 0.31 0.31
High School Graduate nc nc nc nc nc nc nc 0.22 0.20 0.24 0.23
Some College/Associate's Degree nc nc nc nc nc nc nc 0.22 0.21 0.23 0.21
College Graduate nc nc nc nc nc nc nc 0.19 0.18 0.19 0.18
HEALTH INSURANCE3                      
Private 0.15 0.15 0.15 0.14 0.14 0.16 0.12 0.13 0.12 0.14 0.13
Medicaid/CHIP 0.59 0.63 0.54 0.52 0.52 0.45 0.41 0.40 0.38 0.34 0.35
Other4 0.30 0.27 0.34 0.27 0.31 0.33 0.24 0.25 0.22 0.25 0.20
No Coverage 0.32 0.33 0.31 0.35 0.39 0.38 0.33 0.34 0.41 0.39 0.42
* = 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.
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.
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Table 10.38P – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Geographic/Socioeconomic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0004 0.0005 0.0030 0.0001 0.0045 0.0228 0.0128 0.0652 0.0618 0.9377  
GEOGRAPHIC REGION                      
Northeast 0.4301 0.4931 0.8577 0.4111 0.9890 0.9239 0.8197 0.6455 0.6629 0.6045  
Midwest 0.1573 0.3597 0.1486 0.0551 0.0126 0.0624 0.0585 0.1006 0.0222 0.8667  
South 0.0658 0.0014 0.1651 0.0666 0.3749 0.7334 0.4002 0.6258 0.4899 0.2965  
West 0.0033 0.0921 0.0053 0.0039 0.0125 0.0196 0.0505 0.0514 0.5736 0.4376  
COUNTY TYPE1                      
Large Metro 0.0598 0.0651 0.0694 0.0003 0.1167 0.2151 0.0602 0.2872 0.2129 0.5468  
Small Metro 0.0439 0.0011 0.0023 0.1506 0.0393 0.0145 0.0211 0.0561 0.3253 0.8436  
Nonmetro 0.0012 0.2631 0.9891 0.3477 0.1190 0.8586 0.6392 0.9631 0.2374 0.1871  
Urbanized 0.0004 0.1698 0.6289 0.1364 0.0314 0.8611 0.7255 0.8976 0.3171 0.8373  
Less Urbanized 0.2719 0.9966 0.8535 0.8555 0.6635 0.6552 0.3187 0.8583 0.4967 0.1382  
Completely Rural 0.6091 0.7546 0.4516 0.9685 0.5786 0.2320 0.6534 0.6850 0.7496 0.4866  
POVERTY LEVEL2                      
Less Than 100% 0.0476 0.3067 0.1417 0.6847 0.0370 0.5830 0.0778 0.3308 0.1264 0.2936  
100-199% 0.6039 0.0979 0.1272 0.1466 0.6699 0.6389 0.5267 0.4203 0.6090 0.8695  
200% or More 0.0088 0.0137 0.0517 0.0001 0.0011 0.0167 0.0036 0.1000 0.0427 0.7169  
EDUCATION                      
< High School nc nc nc nc nc nc nc 0.9661 0.6981 0.6998  
High School Graduate nc nc nc nc nc nc nc 0.2642 0.0290 0.5291  
Some College/Associate's Degree nc nc nc nc nc nc nc 0.1470 0.4399 0.6818  
College Graduate nc nc nc nc nc nc nc 0.2853 0.2435 0.8481  
HEALTH INSURANCE3                      
Private 0.0025 0.0030 0.0190 0.0000 0.0002 0.0140 0.0039 0.0259 0.0433 0.7683  
Medicaid/CHIP 0.9821 0.0854 0.9343 0.8234 0.6359 0.4304 0.8470 0.9032 0.6346 0.8852  
Other4 0.6141 0.2824 0.0706 0.9064 0.1150 0.3880 0.0554 0.0687 0.8045 0.2136  
No Coverage 0.0067 0.0014 0.0003 0.0280 0.1983 0.0896 0.0213 0.0136 0.4849 0.1538  
* = 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 that are used in the comparisons 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.
1 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, the 2008 to 2014 estimates that are used in the comparisons 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.
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Table 10.39C – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Standard Errors of Numbers in Thousands, 2008-2018
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 155 157 168 157 156 166 138 138 127 148 155
18-25 39 41 41 44 47 50 49 54 56 67 58
18-20 29 29 28 28 37 35 36 41 40 48 39
21-25 27 29 31 35 31 35 38 39 42 49 43
26 or Older 148 150 164 148 152 156 130 127 114 131 147
26-49 99 94 91 102 120 120 85 78 85 90 100
26-29 40 34 32 54 50 55 35 40 35 43 58
30-34 44 34 42 26 32 62 35 38 47 38 42
35-39 51 49 29 47 62 51 42 32 42 39 49
40-44 43 46 49 50 58 45 36 31 37 40 33
45-49 47 46 44 45 59 46 36 34 35 41 38
50 or Older 108 117 134 111 101 98 98 101 78 94 105
50-54 82 69 74 72 47 47 41 65 45 41 65
55-59 47 56 61 68 43 58 54 40 34 48 53
60-64 29 37 50 32 56 37 54 34 43 42 41
65 or Older 49 37 81 42 56 54 54 56 36 64 41
* = 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.
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 10.39D – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Standard Errors of Percentages, 2008-2018
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.07 0.07 0.07 0.07 0.07 0.07 0.06 0.06 0.05 0.06 0.06
18-25 0.12 0.12 0.12 0.13 0.14 0.14 0.14 0.16 0.16 0.20 0.17
18-20 0.22 0.21 0.20 0.20 0.28 0.26 0.27 0.31 0.31 0.36 0.30
21-25 0.14 0.14 0.15 0.16 0.15 0.16 0.17 0.18 0.19 0.23 0.20
26 or Older 0.08 0.08 0.08 0.07 0.08 0.08 0.06 0.06 0.05 0.06 0.07
26-49 0.10 0.10 0.09 0.10 0.12 0.12 0.09 0.08 0.09 0.09 0.10
26-29 0.23 0.20 0.19 0.32 0.29 0.32 0.21 0.23 0.20 0.24 0.32
30-34 0.24 0.17 0.21 0.13 0.16 0.30 0.17 0.18 0.22 0.17 0.19
35-39 0.25 0.24 0.15 0.24 0.32 0.26 0.21 0.17 0.21 0.19 0.22
40-44 0.20 0.22 0.24 0.25 0.29 0.21 0.18 0.15 0.19 0.20 0.17
45-49 0.21 0.20 0.20 0.21 0.28 0.23 0.18 0.16 0.17 0.20 0.20
50 or Older 0.12 0.12 0.14 0.11 0.10 0.09 0.09 0.09 0.07 0.08 0.09
50-54 0.37 0.31 0.34 0.31 0.20 0.20 0.17 0.28 0.21 0.20 0.31
55-59 0.26 0.30 0.32 0.36 0.21 0.28 0.26 0.19 0.15 0.22 0.25
60-64 0.19 0.24 0.30 0.17 0.33 0.21 0.31 0.18 0.23 0.21 0.20
65 or Older 0.13 0.10 0.21 0.11 0.13 0.13 0.12 0.12 0.08 0.13 0.08
* = 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.
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 10.39P – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Detailed Age Category: P Values from Tests of Differences of Percentages, 2018 Versus 2008-2017
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.0008 0.0002 0.0186 0.0011 0.0328 0.0409 0.0078 0.0117 0.0120 0.6434  
18-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0015 0.0173 0.2928  
18-20 0.0002 0.0000 0.0000 0.0000 0.0638 0.0625 0.0099 0.3431 0.4703 0.0294  
21-25 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0006 0.0132 0.6159  
26 or Older 0.1694 0.0826 0.7003 0.2158 0.4719 0.4036 0.2857 0.1030 0.0711 0.2824  
26-49 0.0061 0.0022 0.0022 0.0162 0.3517 0.2894 0.0139 0.0027 0.2106 0.1088  
26-29 0.0008 0.0000 0.0000 0.0525 0.0080 0.0243 0.0008 0.0261 0.0058 0.0253  
30-34 0.3279 0.0110 0.2909 0.0006 0.0105 0.8479 0.1032 0.2808 0.5066 0.2612  
35-39 0.2979 0.2650 0.0097 0.7641 0.8595 0.7159 0.6196 0.0510 0.8279 0.0783  
40-44 0.7517 0.3714 0.3494 0.9150 0.2282 0.6643 0.7875 0.4044 0.7541 0.4261  
45-49 0.8292 0.7673 0.6649 0.8866 0.0732 0.4981 0.7153 0.8004 0.7280 0.2098  
50 or Older 0.8156 0.9959 0.0923 0.7350 0.7923 0.8069 0.4993 0.6705 0.1708 0.9598  
50-54 0.7365 0.8662 0.4727 0.5670 0.3410 0.3940 0.3204 0.5400 0.6340 0.5576  
55-59 0.5249 0.7673 0.7485 0.9876 0.1395 0.9244 0.7624 0.3204 0.0582 0.4197  
60-64 0.9807 0.8021 0.8130 0.4931 0.4571 0.8259 0.3278 0.8189 0.9050 0.7327  
65 or Older 0.9956 0.7972 0.0473 0.8027 0.3724 0.6812 0.0967 0.4126 0.4025 0.2617  
* = 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 that are used in the comparisons 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.
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 10.40C – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Numbers in Thousands, 2008-2018
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 155 157 168 157 156 166 138 138 127 148 155
AGE GROUP                      
18-25 39 41 41 44 47 50 49 54 56 67 58
26 or Older 148 150 164 148 152 156 130 127 114 131 147
26-49 99 94 91 102 120 120 85 78 85 90 100
50 or Older 108 117 134 111 101 98 98 101 78 94 105
GENDER                      
Male 110 111 119 106 116 105 97 99 91 109 110
Female 113 100 117 115 106 124 99 94 95 108 109
HISPANIC ORIGIN AND RACE                      
Not Hispanic or Latino 143 149 164 149 146 151 127 129 118 138 144
White 134 140 145 126 131 136 117 121 102 114 122
Black or African American 42 48 64 43 50 60 52 39 51 42 63
AIAN 6 9 7 * 10 8 7 16 7 10 8
NHOPI 5 4 0 1 2 12 4 * 2 * 5
Asian 9 16 48 54 49 17 33 18 19 59 30
Two or More Races 26 15 14 14 15 16 20 19 29 21 27
Hispanic or Latino 59 48 31 52 64 67 48 54 46 50 59
* = 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.
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 10.40D – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Standard Errors of Percentages, 2008-2018
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
TOTAL 0.07 0.07 0.07 0.07 0.07 0.07 0.06 0.06 0.05 0.06 0.06
AGE GROUP                      
18-25 0.12 0.12 0.12 0.13 0.14 0.14 0.14 0.16 0.16 0.20 0.17
26 or Older 0.08 0.08 0.08 0.07 0.08 0.08 0.06 0.06 0.05 0.06 0.07
26-49 0.10 0.