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

190416
Table 8.1A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 46,632 47,635 18,065 18,308 28,567 29,327
18-25 8,849 8,944 3,409 3,526 5,439 5,419
18-20 * 3,262 * 1,280 * 1,982
21-25 * 5,682 * 2,245 * 3,437
26 or Older 37,783 38,691 14,656 14,782 23,127 23,908
26-49 22,256 22,721 8,904 9,037 13,352 13,684
26-29 4,641 4,857 1,818 2,041 2,824 2,817
30-34 5,206a 5,756 2,363 2,352 2,844a 3,404
35-39 4,460 4,848 1,649a 2,025 2,812 2,822
40-44 4,017 3,731 1,538 1,444 2,479 2,287
45-49 3,931 3,530 1,537a 1,176 2,394 2,354
50 or Older 15,527 15,969 5,752 5,745 9,775 10,224
50-54 3,701 3,438 1,426 1,483 2,275 1,955
55-59 3,659 3,591 1,426 1,347 2,233 2,244
60-64 2,712 2,881 1,071 971 1,642 1,910
65 or Older 5,455 6,059 1,829 1,943 3,626 4,116
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190416
Table 8.1B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 18.9 19.1 15.1 15.2 22.3 22.8
18-25 25.8 26.3 19.8 20.6 31.9 32.0
18-20 * 25.0 * 18.6 * 32.2
21-25 * 27.1 * 22.1 * 31.8
26 or Older 17.8 18.0 14.4 14.3 20.9 21.4
26-49 22.2 22.5 18.0 18.1 26.2 26.8
26-29 25.9 27.2 20.9 22.8 30.6 31.7
30-34 24.1 25.9 21.6 21.5 26.6a 30.3
35-39 21.4 22.1 16.1a 18.9 26.5 25.2
40-44 20.3 19.1 16.0 14.8 24.3 23.3
45-49 19.5 18.2 15.4a 12.5 23.6 23.6
50 or Older 13.8 14.0 10.9 10.8 16.3 16.9
50-54 17.6 16.7 14.6 14.8 20.2 18.5
55-59 16.7 16.5 13.6 13.4 19.6 19.2
60-64 13.6 14.1 10.5 9.5 16.7 18.8
65 or Older 11.0 11.8 8.2 8.5 13.2 14.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190416
Table 8.2A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 46,632 47,635 8,849 8,944 37,783 38,691 22,256 22,721 15,527 15,969
GENDER                    
Male 18,065 18,308 3,409 3,526 14,656 14,782 8,904 9,037 5,752 5,745
Female 28,567 29,327 5,439 5,419 23,127 23,908 13,352 13,684 9,775 10,224
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 40,603 40,785 7,187 7,318 33,417 33,466 19,086 19,116 14,331 14,350
White 32,183 32,210 5,302 5,464 26,881 26,746 14,930 15,033 11,951 11,714
Black or African American 4,782 4,802 986 967 3,796 3,835 2,327 2,156 1,469 1,679
AIAN 246 333 50 50 196 282 125 160 70 *
NHOPI 193 198 * * * * * * * *
Asian 2,000 2,081 521 537 1,480 1,544 1,110 1,196 369 348
Two or More Races 1,198 1,160 305 278 893 882 481 433 412 449
Hispanic or Latino 6,028a 6,850 1,662 1,626 4,366a 5,224 3,170a 3,605 1,196 1,619
CURRENT EMPLOYMENT                    
Full-Time 20,878 21,805 3,474 3,634 17,404 18,171 13,010 13,365 4,394 4,806
Part-Time 7,115 7,101 2,510 2,559 4,605 4,542 2,956 2,893 1,650 1,648
Unemployed 2,825 2,756 896 864 1,929 1,892 1,394 1,366 535 526
Other1 15,813 15,972 1,969 1,887 13,844 14,085 4,896 5,096 8,948 8,989
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.2B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 18.9 19.1 25.8 26.3 17.8 18.0 22.2 22.5 13.8 14.0
GENDER                    
Male 15.1 15.2 19.8 20.6 14.4 14.3 18.0 18.1 10.9 10.8
Female 22.3 22.8 31.9 32.0 20.9 21.4 26.2 26.8 16.3 16.9
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 19.6 19.6 26.9 27.7 18.5 18.4 23.8 23.7 14.3 14.2
White 20.4 20.4 28.6 29.9 19.3 19.2 25.9 26.1 14.7 14.3
Black or African American 16.2 16.2 20.4 20.4 15.4 15.4 18.3 16.8 12.3 14.0
AIAN 18.9 22.1 23.2 22.6 18.1 22.0 21.4 26.1 14.2 *
NHOPI 19.4 21.1 * * * * * * * *
Asian 14.5 14.7 24.3 23.7 12.7 13.0 15.4 16.0 8.2 7.8
Two or More Races 28.6 26.8 35.1 37.0 26.9 24.6 31.6 29.2 22.9 21.4
Hispanic or Latino 15.2a 16.9 21.9 21.3 13.6a 15.9 15.7 17.6 10.0 13.0
CURRENT EMPLOYMENT                    
Full-Time 17.0 17.6 24.1 25.0 16.0 16.7 19.3 19.6 10.6 11.7
Part-Time 22.1 22.0 29.1 29.5 19.6 19.3 26.8 26.6 13.2 13.0
Unemployed 26.6 27.6 25.7 27.9 27.0 27.4 29.4 29.2 22.4 23.7
Other1 19.4 19.3 25.3 24.5 18.8 18.7 28.5 29.4 15.9 15.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.3A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 46,632 47,635 8,849 8,944 37,783 38,691 22,256 22,721 15,527 15,969
GEOGRAPHIC REGION                    
Northeast 7,920 8,291 1,481 1,616 6,439 6,675 3,564 3,885 2,875 2,790
Midwest 10,230 10,329 2,035 2,029 8,195 8,300 4,805 4,787 3,390 3,513
South 16,847 16,946 3,038 3,016 13,808 13,930 8,242 8,080 5,567 5,850
West 11,634 12,068 2,294 2,283 9,340 9,785 5,645 5,969 3,695 3,816
COUNTY TYPE                    
Large Metro 25,223 25,715 4,968 4,963 20,255 20,752 12,576 12,714 7,679 8,038
Small Metro 14,626 15,312 2,781 2,856 11,845 12,456 6,736 7,133 5,108 5,323
Nonmetro 6,782 6,608 1,099 1,125 5,683 5,483 2,944 2,874 2,739 2,608
Urbanized 2,973 3,153 562 545 2,410 2,608 1,321 1,435 1,089 1,173
Less Urbanized 3,214 2,820 481 508 2,732a 2,312 1,367 1,207 1,365 1,105
Completely Rural 596 635 56 73 541 562 256 232 285 331
POVERTY LEVEL1                    
Less Than 100% 8,766 9,094 2,129 2,163 6,637 6,931 3,811 3,951 2,826 2,981
100-199% 10,136 10,091 2,165 2,126 7,971 7,966 4,532 4,573 3,438 3,392
200% or More 27,528 28,246 4,353 4,452 23,175 23,794 13,913 14,197 9,262 9,596
EDUCATION                    
< High School 5,320 5,628 936 970 4,384 4,658 2,142 1,993 2,242 2,665
High School Graduate 10,343 11,110 2,413 2,393 7,929 8,717 3,950a 4,463 3,980 4,254
Some College/Associate's Degree 16,525 17,171 4,150 4,092 12,375 13,079 7,678 8,145 4,697 4,935
College Graduate 14,444 13,725 1,349 1,489 13,095 12,236 8,486 8,121 4,609 4,115
HEALTH INSURANCE2                    
Private 27,933 28,245 5,529 5,655 22,404 22,590 13,257 13,379 9,147 9,212
Medicaid/CHIP 10,090 10,410 1,932 1,906 8,158 8,504 5,053 5,033 3,104 3,471
Other3 10,845 11,142 662 577 10,184 10,564 2,195 2,446 7,989 8,119
No Coverage 4,901 5,371 1,042 1,110 3,859 4,260 3,025 3,325 834 935
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.3B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 18.9 19.1 25.8 26.3 17.8 18.0 22.2 22.5 13.8 14.0
GEOGRAPHIC REGION                    
Northeast 18.0 18.9 24.7 27.5 16.9 17.6 20.6 22.7 13.9 13.4
Midwest 19.8 19.9 27.8 28.0 18.5 18.6 23.7 23.5 14.0 14.4
South 18.1 18.0 23.8 23.6 17.2 17.1 21.7 21.1 13.2 13.6
West 19.9 20.4 27.9 28.0 18.6 19.2 22.7 23.7 14.5 14.8
COUNTY TYPE                    
Large Metro 18.2 18.6 25.7 26.1 17.0 17.3 21.0 21.3 12.9 13.4
Small Metro 20.1 20.6 26.2 26.8 19.0 19.6 24.2 24.5 14.8 15.4
Nonmetro 19.1 18.4 25.1 25.7 18.2 17.4 23.1 23.5 14.8 13.5
Urbanized 19.5 19.4 27.3 28.2 18.2 18.3 23.7 25.7 14.3 13.5
Less Urbanized 18.7 17.2 23.5 24.2 18.1 16.2 22.3 21.2 15.2 12.9
Completely Rural 19.1 18.9 20.3 21.3 19.0 18.7 24.8 24.8 15.7 15.9
POVERTY LEVEL1                    
Less Than 100% 25.6 26.3 25.2 25.9 25.8 26.5 26.2 27.2 25.2 25.6
100-199% 20.8 20.5 26.2 25.8 19.7 19.4 23.7 23.7 16.2 15.6
200% or More 16.8 17.2 25.8 26.7 15.8 16.1 20.9 21.2 11.6 11.9
EDUCATION                    
< High School 17.3 18.2 20.3 20.6 16.8 17.8 19.2 17.6 15.0 17.9
High School Graduate 17.3 18.0 23.2 23.0 16.1 17.0 19.2a 21.3 13.8 14.1
Some College/Associate's Degree 21.5 22.3 29.4 30.3 19.7 20.6 25.1 26.3 14.6 15.1
College Graduate 18.1 17.3 26.1 27.4 17.6 16.6 22.4 21.5 12.6 11.4
HEALTH INSURANCE2                    
Private 16.9 17.1 26.5 27.6 15.5 15.6 19.9 19.9 11.8 11.8
Medicaid/CHIP 27.9 28.3 26.0 26.3 28.4 28.8 30.8 31.4 25.3 25.6
Other3 16.0 16.3 26.1 22.5 15.6 16.1 28.6 31.4 13.9 14.0
No Coverage 20.9 21.8 22.4 23.1 20.6 21.5 22.0 23.1 16.8 17.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.4A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 11,190 11,373 3,883 4,025 7,307 7,348
18-25 2,566 2,619 906 917 1,659 1,701
18-20 * 912 * 287 * 625
21-25 * 1,706 * 630 * 1,076
26 or Older 8,625 8,755 2,977 3,108 5,648 5,647
26-49 5,580 5,907 1,870a 2,216 3,710 3,691
26-29 1,195 1,432 347a 567 848 865
30-34 1,260 1,489 474 568 786 921
35-39 1,047 1,135 333 456 714 679
40-44 1,093 884 367 314 726 570
45-49 986 966 349 311 636 656
50 or Older 3,044 2,848 1,107 892 1,938 1,956
50-54 843 858 349 276 494 582
55-59 951 809 404 304 547 505
60-64 506 511 178 116 328 394
65 or Older 745 670 175 196 569 474
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190416
Table 8.4B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 4.5 4.6 3.3 3.4 5.7 5.7
18-25 7.5 7.7 5.3 5.4 9.7 10.0
18-20 * 7.0 * 4.2 * 10.1
21-25 * 8.1 * 6.2 * 10.0
26 or Older 4.1 4.1 2.9 3.0 5.1 5.1
26-49 5.6 5.9 3.8a 4.4 7.3 7.2
26-29 6.7a 8.0 4.0a 6.3 9.2 9.7
30-34 5.8 6.7 4.3 5.2 7.4 8.2
35-39 5.0 5.2 3.3 4.3 6.7 6.1
40-44 5.5 4.5 3.8 3.2 7.1 5.8
45-49 4.9 5.0 3.5 3.3 6.3 6.6
50 or Older 2.7 2.5 2.1 1.7 3.2 3.2
50-54 4.0 4.2 3.6 2.8 4.4 5.5
55-59 4.3 3.7 3.9 3.0 4.8 4.3
60-64 2.5 2.5 1.8 1.1 3.3 3.9
65 or Older 1.5 1.3 0.8 0.9 2.1 1.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190416
Table 8.5A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 11,190 11,373 2,566 2,619 8,625 8,755 5,580 5,907 3,044 2,848
GENDER                    
Male 3,883 4,025 906 917 2,977 3,108 1,870a 2,216 1,107 892
Female 7,307 7,348 1,659 1,701 5,648 5,647 3,710 3,691 1,938 1,956
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 9,935 9,902 2,135 2,133 7,800 7,770 4,925 5,102 2,875 2,667
White 8,127 8,076 1,621 1,661 6,505 6,415 3,975 4,155 2,530 2,260
Black or African American 1,023 1,077 221 213 802 864 592 572 210 292
AIAN 66 97 13 14 53 83 42 52 12 *
NHOPI 48 43 * * 40 38 31 * * *
Asian 333 303 158 132 175 171 154 166 21 5
Two or More Races 338 307 114 109 224 198 130 132 94 67
Hispanic or Latino 1,255 1,471 430 486 825 985 655 804 170 181
CURRENT EMPLOYMENT                    
Full-Time 4,506 4,818 988 1,104 3,518 3,713 2,788 2,878 730 835
Part-Time 1,800 1,866 737 735 1,063 1,131 820 885 242 247
Unemployed 801 789 263 287 538 502 381 406 157 96
Other1 4,083 3,900 577 493 3,506 3,408 1,591 1,738 1,915 1,670
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.5B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 4.5 4.6 7.5 7.7 4.1 4.1 5.6 5.9 2.7 2.5
GENDER                    
Male 3.3 3.4 5.3 5.4 2.9 3.0 3.8a 4.4 2.1 1.7
Female 5.7 5.7 9.7 10.0 5.1 5.1 7.3 7.2 3.2 3.2
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 4.8 4.8 8.0 8.1 4.3 4.3 6.1 6.3 2.9 2.6
White 5.2 5.1 8.7 9.1 4.7 4.6 6.9 7.2 3.1 2.8
Black or African American 3.5 3.6 4.6 4.5 3.3 3.5 4.7 4.4 1.8 2.4
AIAN 5.1 6.4 6.1 6.3 4.9 6.5 7.1 8.5 2.3 *
NHOPI 4.8 4.5 * * 4.5 4.9 7.0 * * *
Asian 2.4 2.1 7.4 5.8 1.5 1.4 2.1 2.2 0.5 0.1
Two or More Races 8.1 7.1 13.1 14.5 6.8 5.5 8.6 8.9 5.2 3.2
Hispanic or Latino 3.2 3.6 5.7 6.4 2.6 3.0 3.3 3.9 1.4 1.4
CURRENT EMPLOYMENT                    
Full-Time 3.7 3.9 6.9 7.6 3.2 3.4 4.1 4.2 1.8 2.0
Part-Time 5.6 5.8 8.5 8.5 4.5 4.8 7.4 8.1 1.9 1.9
Unemployed 7.5 7.9 7.5 9.3 7.5 7.3 8.0 8.7 6.5 4.3
Other1 5.0 4.7 7.4 6.4 4.8 4.5 9.3 10.0 3.4 2.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.6A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 11,190 11,373 2,566 2,619 8,625 8,755 5,580 5,907 3,044 2,848
GEOGRAPHIC REGION                    
Northeast 1,711 1,805 402 442 1,309 1,363 781 972 528 391
Midwest 2,448 2,639 569 643 1,879 1,996 1,289 1,301 590 696
South 4,177 4,027 876 869 3,301 3,158 2,089 2,114 1,212 1,044
West 2,854 2,902 719 665 2,135 2,237 1,421 1,520 715 717
COUNTY TYPE                    
Large Metro 5,579 5,740 1,413 1,455 4,166 4,285 2,887 3,130 1,280 1,155
Small Metro 3,752 3,932 833 816 2,918 3,116 1,825 1,996 1,093 1,120
Nonmetro 1,859 1,701 319 348 1,540 1,354 868 780 672 573
Urbanized 793 753 163 164 630 589 365 361 265 228
Less Urbanized 947 754 144 171 802a 583 452 340 350 243
Completely Rural 120 194 13 13 108 182 51 80 56 102
POVERTY LEVEL1                    
Less Than 100% 2,508 2,722 590 625 1,918 2,097 1,247 1,367 671 730
100-199% 2,674 2,439 680 570 1,994 1,869 1,201 1,320 793 549
200% or More 5,958 6,164 1,247 1,375 4,712 4,789 3,132 3,220 1,580 1,569
EDUCATION                    
< High School 1,266 1,218 304 265 962 953 556 554 406 399
High School Graduate 2,667 2,821 682 707 1,985 2,114 1,160 1,232 825 882
Some College/Associate's Degree 4,469 4,557 1,250 1,274 3,219 3,283 2,237 2,349 983 934
College Graduate 2,788 2,778 330 373 2,459 2,405 1,628 1,772 831 633
HEALTH INSURANCE2                    
Private 5,813 5,977 1,600 1,682 4,213 4,295 2,809 2,824 1,404 1,471
Medicaid/CHIP 2,978 2,978 549 559 2,429 2,420 1,606 1,677 823 743
Other3 2,533 2,338 232a 151 2,301 2,187 719 855 1,582 1,331
No Coverage 1,369 1,524 281 326 1,089 1,199 900 1,014 189 184
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.6B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 4.5 4.6 7.5 7.7 4.1 4.1 5.6 5.9 2.7 2.5
GEOGRAPHIC REGION                    
Northeast 3.9 4.1 6.7 7.5 3.4 3.6 4.5a 5.7 2.5 1.9
Midwest 4.7 5.1 7.8 8.9 4.2 4.5 6.4 6.4 2.4 2.9
South 4.5 4.3 6.9 6.8 4.1 3.9 5.5 5.5 2.9 2.4
West 4.9 4.9 8.7 8.1 4.2 4.4 5.7 6.0 2.8 2.8
COUNTY TYPE                    
Large Metro 4.0 4.1 7.3 7.7 3.5 3.6 4.8 5.3 2.1 1.9
Small Metro 5.1 5.3 7.9 7.6 4.7 4.9 6.6 6.9 3.2 3.2
Nonmetro 5.2 4.7 7.3 7.9 4.9 4.3 6.8 6.4 3.6 3.0
Urbanized 5.2 4.6 7.9 8.5 4.8 4.1 6.5 6.5 3.5 2.6
Less Urbanized 5.5 4.6 7.0 8.1 5.3 4.1 7.4 6.0 3.9 2.8
Completely Rural 3.8 5.8 4.6 3.7 3.8 6.0 5.0 8.5 3.1 4.9
POVERTY LEVEL1                    
Less Than 100% 7.3 7.9 7.0 7.5 7.5 8.0 8.6 9.4 6.0 6.3
100-199% 5.5 5.0 8.2 6.9 4.9 4.6 6.3 6.8 3.7a 2.5
200% or More 3.6 3.8 7.4 8.2 3.2 3.2 4.7 4.8 2.0 1.9
EDUCATION                    
< High School 4.1 3.9 6.6 5.6 3.7 3.6 5.0 4.9 2.7 2.7
High School Graduate 4.5 4.6 6.6 6.8 4.0 4.1 5.6 5.9 2.9 2.9
Some College/Associate's Degree 5.8 5.9 8.9 9.4 5.1 5.2 7.3 7.6 3.0 2.9
College Graduate 3.5 3.5 6.4 6.9 3.3 3.3 4.3 4.7 2.3 1.8
HEALTH INSURANCE2                    
Private 3.5 3.6 7.7 8.2 2.9 3.0 4.2 4.2 1.8 1.9
Medicaid/CHIP 8.2 8.1 7.4 7.7 8.5 8.2 9.8 10.5 6.7 5.5
Other3 3.7 3.4 9.2a 5.9 3.5 3.3 9.4 11.0 2.8 2.3
No Coverage 5.9 6.2 6.0 6.8 5.8 6.1 6.5 7.1 3.8 3.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.7A – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness
(2017)
No
Mental
Illness
(2018)
TOTAL 46,632 47,635 11,190 11,373 35,441 36,262 200,529 201,222
AGE GROUP                
18-25 8,849 8,944 2,566 2,619 6,283 6,326 25,458 25,092
26 or Older 37,783 38,691 8,625 8,755 29,158 29,936 175,071 176,131
26-49 22,256 22,721 5,580 5,907 16,676 16,815 78,054 78,218
50 or Older 15,527 15,969 3,044 2,848 12,482 13,121 97,017 97,913
GENDER                
Male 18,065 18,308 3,883 4,025 14,181 14,283 101,223 101,827
Female 28,567 29,327 7,307 7,348 21,260 21,979 99,306 99,395
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 40,603 40,785 9,935 9,902 30,668 30,882 166,819 167,530
White 32,183 32,210 8,127 8,076 24,057 24,134 125,466 125,557
Black or African American 4,782 4,802 1,023 1,077 3,759 3,726 24,678 24,778
AIAN 246 333 66 97 179 235 1,052 1,174
NHOPI 193 198 48 43 145 156 801 744
Asian 2,000 2,081 333 303 1,668 1,778 11,832 12,107
Two or More Races 1,198 1,160 338 307 860 853 2,990 3,170
Hispanic or Latino 6,028a 6,850 1,255 1,471 4,773 5,380 33,710 33,692
CURRENT EMPLOYMENT                
Full-Time 20,878 21,805 4,506 4,818 16,372 16,987 102,152 101,876
Part-Time 7,115 7,101 1,800 1,866 5,315 5,235 25,069 25,131
Unemployed 2,825 2,756 801 789 2,024 1,967 7,798 7,242
Other1 15,813 15,972 4,083 3,900 11,730 12,072 65,510 66,974
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.7B – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness
(2017)
No
Mental
Illness
(2018)
TOTAL 18.9 19.1 4.5 4.6 14.3 14.6 81.1 80.9
AGE GROUP                
18-25 25.8 26.3 7.5 7.7 18.3 18.6 74.2 73.7
26 or Older 17.8 18.0 4.1 4.1 13.7 13.9 82.2 82.0
26-49 22.2 22.5 5.6 5.9 16.6 16.7 77.8 77.5
50 or Older 13.8 14.0 2.7 2.5 11.1 11.5 86.2 86.0
GENDER                
Male 15.1 15.2 3.3 3.4 11.9 11.9 84.9 84.8
Female 22.3 22.8 5.7 5.7 16.6 17.1 77.7 77.2
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 19.6 19.6 4.8 4.8 14.8 14.8 80.4 80.4
White 20.4 20.4 5.2 5.1 15.3 15.3 79.6 79.6
Black or African American 16.2 16.2 3.5 3.6 12.8 12.6 83.8 83.8
AIAN 18.9 22.1 5.1 6.4 13.8 15.6 81.1 77.9
NHOPI 19.4 21.1 4.8 4.5 14.6 16.5 80.6 78.9
Asian 14.5 14.7 2.4 2.1 12.1 12.5 85.5 85.3
Two or More Races 28.6 26.8 8.1 7.1 20.5 19.7 71.4 73.2
Hispanic or Latino 15.2a 16.9 3.2 3.6 12.0 13.3 84.8a 83.1
CURRENT EMPLOYMENT                
Full-Time 17.0 17.6 3.7 3.9 13.3 13.7 83.0 82.4
Part-Time 22.1 22.0 5.6 5.8 16.5 16.2 77.9 78.0
Unemployed 26.6 27.6 7.5 7.9 19.1 19.7 73.4 72.4
Other1 19.4 19.3 5.0 4.7 14.4 14.6 80.6 80.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.8A – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious Mental
Illness
(2018)
No
Mental
Illness
(2017)
No
Mental
Illness
(2018)
TOTAL 46,632 47,635 11,190 11,373 35,441 36,262 200,529 201,222
GEOGRAPHIC REGION                
Northeast 7,920 8,291 1,711 1,805 6,209 6,486 36,108 35,525
Midwest 10,230 10,329 2,448 2,639 7,783 7,690 41,474 41,584
South 16,847 16,946 4,177 4,027 12,669 12,919 76,112 77,089
West 11,634 12,068 2,854 2,902 8,780 9,166 46,835 47,024
COUNTY TYPE                
Large Metro 25,223 25,715 5,579 5,740 19,643 19,975 113,485 112,896
Small Metro 14,626 15,312 3,752 3,932 10,875 11,380 58,264 58,994
Nonmetro 6,782 6,608 1,859 1,701 4,923 4,907 28,780 29,332
Urbanized 2,973 3,153 793 753 2,180 2,400 12,304 13,061
Less Urbanized 3,214 2,820 947 754 2,267 2,066 13,949 13,550
Completely Rural 596 635 120 194 476 441 2,527 2,721
POVERTY LEVEL1                
Less Than 100% 8,766 9,094 2,508 2,722 6,258 6,373 25,420 25,428
100-199% 10,136 10,091 2,674 2,439 7,462 7,652 38,578 39,168
200% or More 27,528 28,246 5,958 6,164 21,570 22,082 136,038 136,066
EDUCATION                
< High School 5,320 5,628 1,266 1,218 4,054 4,410 25,454 25,286
High School Graduate 10,343 11,110 2,667 2,821 7,676 8,290 49,439 50,449
Some College/Associate's Degree 16,525 17,171 4,469 4,557 12,056 12,614 60,434 59,953
College Graduate 14,444 13,725 2,788 2,778 11,655 10,948 65,202 65,535
HEALTH INSURANCE2                
Private 27,933 28,245 5,813 5,977 22,120 22,268 137,282 137,279
Medicaid/CHIP 10,090 10,410 2,978 2,978 7,112 7,432 26,034 26,407
Other3 10,845 11,142 2,533 2,338 8,312 8,804 56,792 57,106
No Coverage 4,901 5,371 1,369 1,524 3,532 3,847 18,494 19,218
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190417
Table 8.8B – Levels of Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious Mental
Illness
(2018)
No
Mental
Illness
(2017)
No
Mental
Illness
(2018)
TOTAL 18.9 19.1 4.5 4.6 14.3 14.6 81.1 80.9
GEOGRAPHIC REGION                
Northeast 18.0 18.9 3.9 4.1 14.1 14.8 82.0 81.1
Midwest 19.8 19.9 4.7 5.1 15.1 14.8 80.2 80.1
South 18.1 18.0 4.5 4.3 13.6 13.7 81.9 82.0
West 19.9 20.4 4.9 4.9 15.0 15.5 80.1 79.6
COUNTY TYPE                
Large Metro 18.2 18.6 4.0 4.1 14.2 14.4 81.8 81.4
Small Metro 20.1 20.6 5.1 5.3 14.9 15.3 79.9 79.4
Nonmetro 19.1 18.4 5.2 4.7 13.8 13.7 80.9 81.6
Urbanized 19.5 19.4 5.2 4.6 14.3 14.8 80.5 80.6
Less Urbanized 18.7 17.2 5.5 4.6 13.2 12.6 81.3 82.8
Completely Rural 19.1 18.9 3.8 5.8 15.2 13.1 80.9 81.1
POVERTY LEVEL1                
Less Than 100% 25.6 26.3 7.3 7.9 18.3 18.5 74.4 73.7
100-199% 20.8 20.5 5.5 5.0 15.3 15.5 79.2 79.5
200% or More 16.8 17.2 3.6 3.8 13.2 13.4 83.2 82.8
EDUCATION                
< High School 17.3 18.2 4.1 3.9 13.2 14.3 82.7 81.8
High School Graduate 17.3 18.0 4.5 4.6 12.8 13.5 82.7 82.0
Some College/Associate's Degree 21.5 22.3 5.8 5.9 15.7 16.4 78.5 77.7
College Graduate 18.1 17.3 3.5 3.5 14.6 13.8 81.9 82.7
HEALTH INSURANCE2                
Private 16.9 17.1 3.5 3.6 13.4 13.5 83.1 82.9
Medicaid/CHIP 27.9 28.3 8.2 8.1 19.7 20.2 72.1 71.7
Other3 16.0 16.3 3.7 3.4 12.3 12.9 84.0 83.7
No Coverage 20.9 21.8 5.9 6.2 15.1 15.6 79.1 78.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.9A – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 8,526 9,187 2,376 2,447 6,150 6,740 4,369a 5,020 1,782 1,720
GENDER                    
Male 4,579 4,836 1,149 1,152 3,431 3,683 2,356a 2,774 1,075 909
Female 3,947 4,351 1,227 1,295 2,720 3,057 2,013 2,246 707 810
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 7,419 7,845 1,867 2,026 5,552 5,819 3,868 4,276 1,685 1,543
White 5,943 6,123 1,399 1,530 4,544 4,593 3,172 3,339 1,372 1,253
Black or African American 905 1,067 269 249 636 818 437 564 198 255
AIAN 76 79 17 26 59 53 36 48 * *
NHOPI 26 45 * * 19 * 19 * * *
Asian 235 304 80 128 156 177 132 177 24 *
Two or More Races 234 226 95 89 139 137 72 107 67 30
Hispanic or Latino 1,107 1,342 509 421 598a 921 501a 744 97 177
CURRENT EMPLOYMENT                    
Full-Time 4,241a 4,820 947 1,058 3,294 3,762 2,646a 3,113 648 649
Part-Time 1,257 1,404 661 699 596 706 485 579 110 126
Unemployed 865 838 305 271 560 567 460 466 100 101
Other1 2,163 2,124 462 419 1,701 1,705 777 862 923 844
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.9B – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 3.4 3.7 6.9 7.2 2.9 3.1 4.4a 5.0 1.6 1.5
GENDER                    
Male 3.8 4.0 6.7 6.7 3.4 3.6 4.8a 5.6 2.0 1.7
Female 3.1 3.4 7.2 7.6 2.5 2.7 4.0 4.4 1.2 1.3
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 3.6 3.8 7.0 7.7 3.1 3.2 4.8 5.3 1.7 1.5
White 3.8 3.9 7.5 8.4 3.3 3.3 5.5 5.8 1.7 1.5
Black or African American 3.1 3.6 5.6 5.3 2.6 3.3 3.4 4.4 1.7 2.1
AIAN 5.9 5.3 8.1 12.0 5.5 4.1 6.1 7.8 * *
NHOPI 2.6 4.7 * * 2.2 * 4.2 * * *
Asian 1.7 2.1 3.7 5.6 1.3 1.5 1.8 2.4 0.5 *
Two or More Races 5.6 5.2 10.9 11.9 4.2 3.8 4.7 7.2 3.7 1.4
Hispanic or Latino 2.8 3.3 6.7 5.5 1.9a 2.8 2.5a 3.6 0.8 1.4
CURRENT EMPLOYMENT                    
Full-Time 3.4a 3.9 6.6 7.3 3.0 3.4 3.9a 4.6 1.6 1.6
Part-Time 3.9 4.4 7.7 8.0 2.5 3.0 4.4 5.3 0.9 1.0
Unemployed 8.1 8.4 8.8 8.7 7.8 8.2 9.7 10.0 4.2 4.6
Other1 2.7 2.6 5.9 5.4 2.3 2.3 4.5 5.0 1.6 1.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.10A – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 8,526 9,187 2,376 2,447 6,150 6,740 4,369a 5,020 1,782 1,720
GEOGRAPHIC REGION                    
Northeast 1,482 1,637 407 443 1,075 1,194 794 833 281 361
Midwest 1,875 1,889 568 553 1,308 1,336 897 978 411 359
South 3,006 2,945 793 766 2,213 2,178 1,619 1,653 593 526
West 2,163a 2,715 607 684 1,555a 2,031 1,059a 1,557 496 475
COUNTY TYPE                    
Large Metro 4,735 5,165 1,357 1,317 3,378 3,848 2,393a 3,010 985 838
Small Metro 2,739 2,864 778 831 1,960 2,034 1,430 1,453 531 581
Nonmetro 1,053 1,157 241 299 812 858 546 557 266 301
Urbanized 434 556 125 153 309 403 208 307 101 95
Less Urbanized 530 517 102 130 428 387 287 232 140 155
Completely Rural 89 84 13 15 76 68 51 18 25 50
POVERTY LEVEL1                    
Less Than 100% 1,757 1,954 568 614 1,190 1,340 782 870 408 470
100-199% 1,838 1,957 586 569 1,252 1,388 914 1,051 337 337
200% or More 4,871 5,198 1,162 1,186 3,709 4,012 2,672a 3,099 1,037 913
EDUCATION                    
< High School 997 1,188 251 286 746 901 428 496 318 406
High School Graduate 2,043 2,200 629 581 1,414 1,619 910 1,132 504 487
Some College/Associate's Degree 3,386 3,396 1,177 1,175 2,209 2,221 1,666 1,767 544 454
College Graduate 2,099 2,403 318 405 1,781 1,999 1,366 1,625 416 373
HEALTH INSURANCE2                    
Private 4,828 4,964 1,526 1,567 3,302 3,396 2,325 2,570 976 827
Medicaid/CHIP 2,044 2,388 471 479 1,573a 1,908 1,101 1,307 472 601
Other3 1,220 1,218 181 158 1,039 1,060 386 535 653 526
No Coverage 1,254 1,449 292 311 962 1,138 776 937 186 201
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.10B – Co-Occurring Substance Use Disorder and Any Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 3.4 3.7 6.9 7.2 2.9 3.1 4.4a 5.0 1.6 1.5
GEOGRAPHIC REGION                    
Northeast 3.4 3.7 6.8 7.6 2.8 3.1 4.6 4.9 1.4 1.7
Midwest 3.6 3.6 7.8 7.6 2.9 3.0 4.4 4.8 1.7 1.5
South 3.2 3.1 6.2 6.0 2.8 2.7 4.3 4.3 1.4 1.2
West 3.7a 4.6 7.4 8.4 3.1a 4.0 4.3a 6.2 2.0 1.8
COUNTY TYPE                    
Large Metro 3.4 3.7 7.0 6.9 2.8 3.2 4.0a 5.0 1.7 1.4
Small Metro 3.8 3.9 7.3 7.8 3.1 3.2 5.1 5.0 1.5 1.7
Nonmetro 3.0 3.2 5.5 6.8 2.6 2.7 4.3 4.6 1.4 1.6
Urbanized 2.8 3.4 6.1 7.9 2.3 2.8 3.7a 5.5 1.3 1.1
Less Urbanized 3.1 3.2 5.0 6.2 2.8 2.7 4.7 4.1 1.6 1.8
Completely Rural 2.8 2.5 4.7 4.5 2.7 2.3 4.9a 1.9 1.4 2.4
POVERTY LEVEL1                    
Less Than 100% 5.1 5.7 6.7 7.4 4.6 5.1 5.4 6.0 3.6 4.0
100-199% 3.8 4.0 7.1 6.9 3.1 3.4 4.8 5.5 1.6 1.5
200% or More 3.0 3.2 6.9 7.1 2.5 2.7 4.0a 4.6 1.3 1.1
EDUCATION                    
< High School 3.2 3.8 5.4 6.1 2.9 3.4 3.8 4.4 2.1 2.7
High School Graduate 3.4 3.6 6.1 5.6 2.9 3.2 4.4 5.4 1.7 1.6
Some College/Associate's Degree 4.4 4.4 8.3 8.7 3.5 3.5 5.4 5.7 1.7 1.4
College Graduate 2.6 3.0 6.2 7.5 2.4 2.7 3.6 4.3 1.1 1.0
HEALTH INSURANCE2                    
Private 2.9 3.0 7.3 7.7 2.3 2.3 3.5 3.8 1.3 1.1
Medicaid/CHIP 5.7 6.5 6.3 6.6 5.5 6.5 6.7a 8.2 3.9 4.4
Other3 1.8 1.8 7.1 6.2 1.6 1.6 5.0 6.9 1.1 0.9
No Coverage 5.4 5.9 6.3 6.5 5.1 5.8 5.6 6.5 3.8 3.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190417
Table 8.11A – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 3,092 3,166 947 879 2,145 2,287 1,584 1,726 562 560
GENDER                    
Male 1,432 1,376 420 353 1,011 1,022 720 813 291 209
Female 1,660 1,790 527 526 1,134 1,265 863 914 271 351
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 2,726 2,815 764 762 1,962 2,053 1,442 1,498 520 555
White 2,226 2,201 595 606 1,631 1,596 1,209 1,128 422 468
Black or African American 250 376 71 64 179a 312 129a 236 50 76
AIAN 24 37 6 10 17 27 15 27 * *
NHOPI 20 * * * 16 * 16 * * *
Asian 106 71 46 37 60 35 44 35 * *
Two or More Races 101 109 42 46 59 63 29 53 * 11
Hispanic or Latino 366 351 183 117 183 234 142 228 41 6
CURRENT EMPLOYMENT                    
Full-Time 1,380 1,465 359 392 1,021 1,073 849 847 172 226
Part-Time 483 504 278 213 205 291 186 248 20 43
Unemployed 364 347 127 123 237 224 184 178 53 46
Other1 865 849 183 151 682 698 364 453 318 245
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.11B – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 1.3 1.3 2.8 2.6 1.0 1.1 1.6 1.7 0.5 0.5
GENDER                    
Male 1.2 1.1 2.4 2.1 1.0 1.0 1.5 1.6 0.6 0.4
Female 1.3 1.4 3.1 3.1 1.0 1.1 1.7 1.8 0.5 0.6
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 1.3 1.4 2.9 2.9 1.1 1.1 1.8 1.9 0.5 0.5
White 1.4 1.4 3.2 3.3 1.2 1.1 2.1 2.0 0.5 0.6
Black or African American 0.8 1.3 1.5 1.4 0.7a 1.3 1.0a 1.8 0.4 0.6
AIAN 1.8 2.4 2.9 4.3 1.6 2.1 2.6 4.4 * *
NHOPI 2.0 * * * 1.8 * 3.5 * * *
Asian 0.8 0.5 2.1 1.6 0.5 0.3 0.6 0.5 * *
Two or More Races 2.4 2.5 4.8 6.1 1.8 1.8 1.9 3.6 * 0.5
Hispanic or Latino 0.9 0.9 2.4 1.5 0.6 0.7 0.7 1.1 0.3 0.0
CURRENT EMPLOYMENT                    
Full-Time 1.1 1.2 2.5 2.7 0.9 1.0 1.3 1.2 0.4 0.6
Part-Time 1.5 1.6 3.2 2.5 0.9 1.2 1.7 2.3 0.2 0.3
Unemployed 3.4 3.5 3.6 4.0 3.3 3.2 3.9 3.8 2.2 2.1
Other1 1.1 1.0 2.4 2.0 0.9 0.9 2.1 2.6 0.6 0.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.12A – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 3,092 3,166 947 879 2,145 2,287 1,584 1,726 562 560
GEOGRAPHIC REGION                    
Northeast 482 525 135 161 347 364 236 324 111 40
Midwest 644 630 201 227 443 403 344 285 99 118
South 1,079 1,112 309 263 770 849 586 601 184 248
West 886 899 301 228 585 670 417 516 168 154
COUNTY TYPE                    
Large Metro 1,704 1,633 538 474 1,167 1,159 865 987 301 173
Small Metro 994 1,108 318 290 676 818 507 560 168 257
Nonmetro 394 425 91 115 303 310 211 179 92 130
Urbanized 189 193 64 58 125 136 89 98 37 37
Less Urbanized 183 198 25a 55 158 143 109 74 49 70
Completely Rural 22 34 3 3 20 31 13 8 * 23
POVERTY LEVEL1                    
Less Than 100% 696 714 220 222 476 492 358 336 118 157
100-199% 752 791 245 206 507 585 385 464 122 121
200% or More 1,628 1,639 465 429 1,162 1,210 840 926 322 283
EDUCATION                    
< High School 377 375 104 92 273 282 165 197 108 85
High School Graduate 712 816 245 247 467 569 342 345 125 223
Some College/Associate's Degree 1,367 1,220 477 402 890 817 690 655 200 162
College Graduate 636 756 120 137 515 619 387 529 128 90
HEALTH INSURANCE2                    
Private 1,608 1,542 612 575 997 967 750 693 247 273
Medicaid/CHIP 846 929 189 173 657 755 456 574 201 182
Other3 507 455 80 50 427 404 187 231 239 174
No Coverage 473 549 114 110 359 439 303 360 56 79
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.12B – Co-Occurring Substance Use Disorder and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 1.3 1.3 2.8 2.6 1.0 1.1 1.6 1.7 0.5 0.5
GEOGRAPHIC REGION                    
Northeast 1.1 1.2 2.3 2.7 0.9 1.0 1.4 1.9 0.5 0.2
Midwest 1.2 1.2 2.7 3.1 1.0 0.9 1.7 1.4 0.4 0.5
South 1.2 1.2 2.4 2.1 1.0 1.0 1.5 1.6 0.4 0.6
West 1.5 1.5 3.7 2.8 1.2 1.3 1.7 2.1 0.7 0.6
COUNTY TYPE                    
Large Metro 1.2 1.2 2.8 2.5 1.0 1.0 1.4 1.7 0.5 0.3
Small Metro 1.4 1.5 3.0 2.7 1.1 1.3 1.8 1.9 0.5 0.7
Nonmetro 1.1 1.2 2.1 2.6 1.0 1.0 1.7 1.5 0.5 0.7
Urbanized 1.2 1.2 3.1 3.0 0.9 0.9 1.6 1.8 0.5 0.4
Less Urbanized 1.1 1.2 1.2a 2.6 1.0 1.0 1.8 1.3 0.5 0.8
Completely Rural 0.7 1.0 0.9 0.9 0.7 1.0 1.3 0.8 * 1.1
POVERTY LEVEL1                    
Less Than 100% 2.0 2.1 2.6 2.7 1.9 1.9 2.5 2.3 1.1 1.3
100-199% 1.5 1.6 3.0 2.5 1.3 1.4 2.0 2.4 0.6 0.6
200% or More 1.0 1.0 2.8 2.6 0.8 0.8 1.3 1.4 0.4 0.4
EDUCATION                    
< High School 1.2 1.2 2.3 2.0 1.0 1.1 1.5 1.7 0.7 0.6
High School Graduate 1.2 1.3 2.4 2.4 0.9 1.1 1.7 1.6 0.4 0.7
Some College/Associate's Degree 1.8 1.6 3.4 3.0 1.4 1.3 2.3 2.1 0.6 0.5
College Graduate 0.8 1.0 2.3 2.5 0.7 0.8 1.0 1.4 0.4 0.2
HEALTH INSURANCE2                    
Private 1.0 0.9 2.9 2.8 0.7 0.7 1.1 1.0 0.3 0.4
Medicaid/CHIP 2.3 2.5 2.5 2.4 2.3 2.6 2.8 3.6 1.6 1.3
Other3 0.7 0.7 3.2 2.0 0.7 0.6 2.4 3.0 0.4 0.3
No Coverage 2.0 2.2 2.5 2.3 1.9 2.2 2.2 2.5 1.1 1.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190415
Table 8.13A – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 5,434a 6,021 1,429 1,568 4,005 4,453 2,785a 3,294 1,220 1,159
GENDER                    
Male 3,148 3,460 728 799 2,419 2,661 1,635a 1,961 784 700
Female 2,286 2,561 701 769 1,586 1,792 1,150 1,333 436 459
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 4,693 5,030 1,103a 1,264 3,590 3,766 2,426 2,778 1,164 988
White 3,717 3,922 804 924 2,913 2,997 1,963 2,212 950 785
Black or African American 655 691 198 185 456 506 308 328 148 178
AIAN 53 42 11 17 42 25 21 20 * *
NHOPI 6 * * * 3 * 3 * * *
Asian 130a 233 34a 91 96 142 88 142 8 *
Two or More Races 133 117 53 44 80 74 43 55 37 19
Hispanic or Latino 741a 991 326 304 415a 687 359 516 56 171
CURRENT EMPLOYMENT                    
Full-Time 2,861a 3,355 588 666 2,273 2,688 1,797a 2,266 476 422
Part-Time 774 901 383 486 390 415 300 331 91 83
Unemployed 501 491 178 147 323 343 276 289 47 55
Other1 1,298 1,275 279 268 1,019 1,007 413 408 606 599
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190415
Table 8.13B – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 2.2 2.4 4.2 4.6 1.9 2.1 2.8a 3.3 1.1 1.0
GENDER                    
Male 2.6 2.9 4.2 4.7 2.4 2.6 3.3 3.9 1.5 1.3
Female 1.8 2.0 4.1 4.5 1.4 1.6 2.3 2.6 0.7 0.8
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 2.3 2.4 4.1a 4.8 2.0 2.1 3.0 3.5 1.2 1.0
White 2.4 2.5 4.3 5.1 2.1 2.1 3.4 3.8 1.2 1.0
Black or African American 2.2 2.3 4.1 3.9 1.9 2.0 2.4 2.6 1.2 1.5
AIAN 4.1 2.8 5.2 7.7 3.9 2.0 3.5 3.3 * *
NHOPI 0.6 * * * 0.4 * 0.7 * * *
Asian 0.9a 1.6 1.6a 4.0 0.8 1.2 1.2 1.9 0.2 *
Two or More Races 3.2 2.7 6.1 5.8 2.4 2.1 2.8 3.7 2.0 0.9
Hispanic or Latino 1.9 2.4 4.3 4.0 1.3a 2.1 1.8 2.5 0.5 1.4
CURRENT EMPLOYMENT                    
Full-Time 2.3a 2.7 4.1 4.6 2.1 2.5 2.7a 3.3 1.2 1.0
Part-Time 2.4 2.8 4.4 5.6 1.7 1.8 2.7 3.0 0.7 0.7
Unemployed 4.7 4.9 5.1 4.8 4.5 5.0 5.8 6.2 2.0 2.5
Other1 1.6 1.5 3.6 3.5 1.4 1.3 2.4 2.4 1.1 1.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.14A – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 5,434a 6,021 1,429 1,568 4,005 4,453 2,785a 3,294 1,220 1,159
GEOGRAPHIC REGION                    
Northeast 1,000 1,113 272 282 728 830 558 509 170 321
Midwest 1,231 1,259 367 326 864 933 553 692 312 240
South 1,927 1,833 484 503 1,443 1,329 1,033 1,052 410 278
West 1,277a 1,816 306a 456 971a 1,361 642a 1,041 328 320
COUNTY TYPE                    
Large Metro 3,031a 3,532 819 844 2,211a 2,689 1,528a 2,024 684 665
Small Metro 1,745 1,757 460 541 1,285 1,216 922 893 363 323
Nonmetro 658 732 150 183 509 548 335 378 174 171
Urbanized 245a 363 62 96 183 267 119a 209 64 58
Less Urbanized 347 319 78 75 270 244 178 158 92 86
Completely Rural 66 50 10 12 56 37 38a 10 18 27
POVERTY LEVEL1                    
Less Than 100% 1,062 1,240 348 392 714 848 424 535 290 313
100-199% 1,086 1,166 341 363 745 803 529 587 216 216
200% or More 3,243 3,559 696 757 2,547 2,802 1,832a 2,172 715 630
EDUCATION                    
< High School 620 813 147 194 473 619 263 299 210 320
High School Graduate 1,331 1,384 385 334 946 1,050 568a 787 379 263
Some College/Associate's Degree 2,020 2,176 700 772 1,320 1,404 976 1,112 344 292
College Graduate 1,464 1,648 198 267 1,266 1,380 978 1,096 288 284
HEALTH INSURANCE2                    
Private 3,219 3,422 914 992 2,305 2,430 1,576 1,876 730 554
Medicaid/CHIP 1,198 1,459 282 306 916 1,153 645 734 271 419
Other3 714 764 101 108 613 656 199 304 414 352
No Coverage 781 899 177 201 604 699 473 577 131 122
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.14B – Co-Occurring Substance Use Disorder and Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 2.2 2.4 4.2 4.6 1.9 2.1 2.8a 3.3 1.1 1.0
GEOGRAPHIC REGION                    
Northeast 2.3 2.5 4.5 4.8 1.9 2.2 3.2 3.0 0.8 1.5
Midwest 2.4 2.4 5.0 4.5 1.9 2.1 2.7 3.4 1.3 1.0
South 2.1 1.9 3.8 3.9 1.8 1.6 2.7 2.7 1.0 0.6
West 2.2a 3.1 3.7a 5.6 1.9a 2.7 2.6a 4.1 1.3 1.2
COUNTY TYPE                    
Large Metro 2.2a 2.5 4.2 4.4 1.9a 2.2 2.6a 3.4 1.1 1.1
Small Metro 2.4 2.4 4.3 5.1 2.1 1.9 3.3 3.1 1.1 0.9
Nonmetro 1.9 2.0 3.4 4.2 1.6 1.7 2.6 3.1 0.9 0.9
Urbanized 1.6a 2.2 3.0a 4.9 1.4 1.9 2.1a 3.7 0.8 0.7
Less Urbanized 2.0 2.0 3.8 3.6 1.8 1.7 2.9 2.8 1.0 1.0
Completely Rural 2.1 1.5 3.7 3.6 2.0 1.2 3.7a 1.1 1.0 1.3
POVERTY LEVEL1                    
Less Than 100% 3.1 3.6 4.1 4.7 2.8 3.2 2.9 3.7 2.6 2.7
100-199% 2.2 2.4 4.1 4.4 1.8 2.0 2.8 3.0 1.0 1.0
200% or More 2.0 2.2 4.1 4.5 1.7 1.9 2.7a 3.2 0.9 0.8
EDUCATION                    
< High School 2.0 2.6 3.2 4.1 1.8 2.4 2.4 2.6 1.4 2.1
High School Graduate 2.2 2.2 3.7 3.2 1.9 2.1 2.8a 3.8 1.3 0.9
Some College/Associate's Degree 2.6 2.8 5.0 5.7 2.1 2.2 3.2 3.6 1.1 0.9
College Graduate 1.8 2.1 3.8 4.9 1.7 1.9 2.6 2.9 0.8 0.8
HEALTH INSURANCE2                    
Private 1.9 2.1 4.4 4.8 1.6 1.7 2.4 2.8 0.9 0.7
Medicaid/CHIP 3.3 4.0 3.8 4.2 3.2 3.9 3.9 4.6 2.2 3.1
Other3 1.1 1.1 4.0 4.2 0.9 1.0 2.6 3.9 0.7 0.6
No Coverage 3.3 3.7 3.8 4.2 3.2 3.5 3.4 4.0 2.6 2.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2017 and 2018.
190416
Table 8.15A – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Probation Status and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2017)
Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
On
Probation
(2017)
Any
Mental
Illness
Among
Adults
On
Probation
(2018)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2017)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2017)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
On
Probation
(2017)
Serious
Mental
Illness
Among
Adults
On
Probation
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2017)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2018)
TOTAL 18 OR OLDER 46,632 47,635 1,350 1,274 45,240 46,308 11,190 11,373 483 492 10,703 10,873
AGE GROUP                        
18-49 31,105 31,666 1,117 1,084 29,952 30,529 8,146 8,525 369 406 7,772 8,110
18-25 8,849 8,944 286 257 8,553 8,666 2,566 2,619 87 112 2,475 2,504
26-34 9,848a 10,613 451 383 9,389a 10,225 2,455a 2,921 160 108 2,295a 2,811
35-49 12,409 12,108 380 443 12,010 11,637 3,125 2,986 123 186 3,003 2,794
GENDER/AGE GROUP                        
Male 18 or Older 18,065 18,308 749 707 17,309 17,557 3,883 4,025 251 255 3,632 3,763
Male 18-49 12,313 12,563 622 623 11,684 11,896 2,777a 3,133 199 208 2,577 2,918
Female 18 or Older 28,567 29,327 601 567 27,931 28,751 7,307 7,348 233 237 7,071 7,110
Female 18-49 18,792 19,103 495 461 18,269 18,632 5,369 5,393 170 198 5,196 5,192
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown past year probation 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, 2017 and 2018.
190416
Table 8.15B – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Probation Status and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2017)
Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
On
Probation
(2017)
Any
Mental
Illness
Among
Adults
On
Probation
(2018)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2017)
Any
Mental
Illness
Among
Adults
Not on
Probation
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2017)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
On
Probation
(2017)
Serious
Mental
Illness
Among
Adults
On
Probation
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2017)
Serious
Mental
Illness
Among
Adults
Not on
Probation
(2018)
TOTAL 18 OR OLDER 18.9 19.1 36.2 34.0 18.6 19.0 4.5 4.6 13.0 13.1 4.4 4.5
AGE GROUP                        
18-49 23.1 23.5 36.2 36.2 22.8 23.2 6.1 6.3 11.9 13.5 5.9 6.2
18-25 25.8 26.3 30.4 28.3 25.7 26.3 7.5 7.7 9.2 12.3 7.4 7.6
26-34 24.9a 26.5 42.3 37.9 24.5a 26.4 6.2a 7.3 15.0 10.7 6.0a 7.2
35-49 20.4 19.9 35.1 41.1 20.2 19.5 5.1 4.9 11.3 17.3 5.0 4.7
GENDER/AGE GROUP                        
Male 18 or Older 15.1 15.2 29.6 27.3 14.9 15.0 3.3 3.4 9.9 9.8 3.1 3.2
Male 18-49 18.5 18.8 30.0 30.4 18.1 18.5 4.2 4.7 9.6 10.1 4.0a 4.5
Female 18 or Older 22.3 22.8 50.3 49.2 22.1 22.6 5.7 5.7 19.5 20.5 5.6 5.6
Female 18-49 27.7 28.1 48.8 48.7 27.4 27.9 7.9 7.9 16.8 21.0 7.8 7.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown past year probation 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, 2017 and 2018.
190416
Table 8.16A – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Parole/Supervised Release Status and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2017)
Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2017)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2017)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2017)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2017)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2017)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
TOTAL 18 OR OLDER 46,632 47,635 541 537 46,047 47,069 11,190 11,373 178 226 11,008 11,148
AGE GROUP                        
18-49 31,105 31,666 432 432 30,635 31,205 8,146 8,525 115 146 8,027 8,379
18-25 8,849 8,944 87 64 8,753 8,870 2,566 2,619 17 * 2,545 2,589
26-34 9,848a 10,613 * * 9,667a 10,465 2,455a 2,921 * * 2,404a 2,888
35-49 12,409 12,108 * 220 12,215 11,870 3,125 2,986 * 83 3,078 2,902
GENDER/AGE GROUP                        
Male 18 or Older 18,065 18,308 363 345 17,691 17,942 3,883 4,025 115 133 3,767 3,892
Male 18-49 12,313 12,563 261 269 12,042 12,272 2,777a 3,133 58 83 2,718 3,050
Female 18 or Older 28,567 29,327 * * 28,356 29,127 7,307 7,348 * * 7,241 7,255
Female 18-49 18,792 19,103 * * 18,593 18,933 5,369 5,393 * * 5,309 5,330
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown past year parole/supervised release 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, 2017 and 2018.
190416
Table 8.16B – Any Mental Illness and Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Past Year Parole/Supervised Release Status and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Any
Mental
Illness
Among
Adults
Total1
(2017)
Any
Mental
Illness
Among
Adults
Total1
(2018)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2017)
Any
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2017)
Any
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
Total1
(2017)
Serious
Mental
Illness
Among
Adults
Total1
(2018)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2017)
Serious
Mental
Illness
Among
Adults
On Parole/
Supervised
Release
(2018)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2017)
Serious
Mental
Illness
Among
Adults
Not on
Parole/
Supervised
Release
(2018)
TOTAL 18 OR OLDER 18.9 19.1 41.8 35.1 18.8 19.1 4.5 4.6 13.7 14.8 4.5 4.5
AGE GROUP                        
18-49 23.1 23.5 40.8 37.0 23.0 23.4 6.1 6.3 10.8 12.5 6.0 6.3
18-25 25.8 26.3 30.0 25.3 25.8 26.3 7.5 7.7 5.7 * 7.5 7.7
26-34 24.9a 26.5 * * 24.7a 26.5 6.2a 7.3 * * 6.1a 7.3
35-49 20.4 19.9 * 40.4 20.3 19.7 5.1 4.9 * 15.3 5.1 4.8
GENDER/AGE GROUP                        
Male 18 or Older 15.1 15.2 37.0 29.7 15.0 15.1 3.3 3.4 11.7 11.5 3.2 3.3
Male 18-49 18.5 18.8 34.7 30.7 18.3 18.7 4.2 4.7 7.7 9.5 4.1 4.6
Female 18 or Older 22.3 22.8 * * 22.3 22.7 5.7 5.7 * * 5.7 5.7
Female 18-49 27.7 28.1 * * 27.6 28.0 7.9 7.9 * * 7.9 7.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown past year parole/supervised release 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, 2017 and 2018.
190416
Table 8.17A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 36,416 37,101 19,813 20,579 7,454 7,277 12,359 13,302 16,603 16,522
AGE GROUP                    
18-25 5,073 5,120 3,384 3,328 1,466 1,406 1,919 1,922 1,689 1,792
26 or Older 31,343 31,981 16,429 17,251 5,989 5,870 10,441a 11,381 14,913 14,730
26-49 15,695 16,113 9,595 9,950 3,687 3,753 5,908 6,198 6,100 6,163
50 or Older 15,647 15,868 6,834 7,301 2,301 2,118 4,533 5,183 8,813 8,567
GENDER                    
Male 12,462 12,096 6,263 6,372 2,239 2,267 4,024 4,104 6,199 5,724
Female 23,954 25,006 13,551 14,207 5,216 5,009 8,335a 9,198 10,403 10,798
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 33,086 33,573 17,860 18,330 6,756 6,453 11,104 11,877 15,226 15,243
White 28,708 29,151 15,401 15,761 5,742 5,418 9,659 10,343 13,307 13,390
Black or African American 2,525 2,555 1,448 1,468 573 625 876 844 1,077 1,087
AIAN 170 211 * * * * * * 65 85
NHOPI 53 98 * * * * * * 7 6
Asian 823 894 403 518 * * 241 385 420 376
Two or More Races 806 664 457 365 * * 246 189 349 300
Hispanic or Latino 3,330 3,528 1,953 2,249 698 823 1,255 1,425 1,377 1,279
CURRENT EMPLOYMENT                    
Full-Time 15,742 16,601 7,960a 8,828 2,687 2,829 5,273a 5,999 7,782 7,773
Part-Time 5,833 5,601 3,225 3,175 1,246 1,187 1,979 1,988 2,607 2,426
Unemployed 1,666 1,471 1,075 1,034 427 467 648 567 591 437
Other2 13,176 13,429 7,554 7,542 3,094 2,794 4,460 4,749 5,622 5,886
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.17B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 14.8 15.0 42.6 43.3 66.7 64.1 35.0 36.8 8.3 8.3
AGE GROUP                    
18-25 14.9 15.2 38.4 37.3 57.4 53.8 30.7 30.5 6.7 7.2
26 or Older 14.8 15.0 43.6 44.7 69.5 67.2 36.0 38.1 8.6 8.4
26-49 15.7 16.1 43.3 43.9 66.2 63.7 35.6 36.9 7.9 7.9
50 or Older 14.0 14.0 44.2 45.8 75.6 74.4 36.5 39.6 9.1 8.8
GENDER                    
Male 10.5 10.1 34.8 34.9 57.7 56.4 28.5 28.8 6.2 5.7
Female 18.8 19.5 47.6 48.6 71.5 68.3 39.4 42.0 10.5 10.9
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 16.0 16.2 44.1 45.1 68.1 65.3 36.4 38.6 9.2 9.2
White 18.3 18.6 48.0 49.1 70.7 67.2 40.3a 43.0 10.7 10.7
Black or African American 8.7 8.7 30.6 30.6 56.2 58.0 23.6 22.7 4.4 4.4
AIAN 13.2 14.1 * * * * * * 6.3 7.3
NHOPI 5.6 10.9 * * * * * * 0.9 0.8
Asian 6.0 6.3 20.2 24.9 * * 14.5 21.7 3.6 3.1
Two or More Races 19.4 15.4 38.4 31.8 * * 28.9 22.3 11.7 9.5
Hispanic or Latino 8.4 8.8 32.6 32.9 56.2 56.0 26.4 26.6 4.1 3.8
CURRENT EMPLOYMENT                    
Full-Time 12.9 13.5 38.2 40.5 59.7 58.8 32.3a 35.3 7.7 7.7
Part-Time 18.2 17.5 45.5 44.9 69.4 63.8 37.4 38.2 10.4 9.7
Unemployed 15.9 14.9 38.2 37.6 53.3 59.2 32.1 28.9 7.7 6.1
Other2 16.3 16.3 48.1 47.4 76.1 71.8 38.3 39.6 8.6 8.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.18A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 36,416 37,101 19,813 20,579 7,454 7,277 12,359 13,302 16,603 16,522
GEOGRAPHIC REGION                    
Northeast 6,737 7,369 3,392 3,771 1,135 1,184 2,257 2,588 3,345 3,597
Midwest 8,573 8,868 4,730 4,842 1,693 1,780 3,037 3,062 3,843 4,027
South 12,875 12,569 7,083 7,057 2,690 2,625 4,393 4,432 5,792 5,512
West 8,232 8,296 4,609 4,909 1,936 1,688 2,673a 3,221 3,623 3,387
COUNTY TYPE                    
Large Metro 19,633 19,362 10,076 10,585 3,535 3,587 6,540 6,998 9,558 8,777
Small Metro 11,627 12,252 6,694 7,058 2,593 2,605 4,101 4,453 4,933 5,194
Nonmetro 5,156 5,486 3,044 2,935 1,326 1,084 1,718 1,851 2,112a 2,551
Urbanized 2,233 2,585 1,268 1,314 569 481 699 834 964 1,271
Less Urbanized 2,425 2,338 1,449 1,292 665a 458 784 834 977 1,046
Completely Rural 498 563 327 329 * * 235 * 171 234
POVERTY LEVEL2                    
Less Than 100% 5,835 5,832 3,993 4,052 1,730 1,774 2,263 2,278 1,843 1,780
100-199% 6,827a 6,116 4,188 3,753 1,827a 1,470 2,362 2,283 2,639 2,363
200% or More 23,646 25,042 11,561a 12,707 3,864 4,009 7,698a 8,698 12,085 12,335
EDUCATION                    
< High School 3,239 3,172 1,920 1,877 728 788 1,192 1,089 1,319 1,295
High School Graduate 7,224 7,167 3,978 4,263 1,715 1,622 2,263 2,641 3,246 2,904
Some College/Associate's Degree 12,696 12,994 7,489 7,776 3,093 3,011 4,396 4,765 5,207 5,218
College Graduate 13,257 13,768 6,426 6,663 1,918 1,856 4,508 4,807 6,831 7,105
HEALTH INSURANCE3                    
Private 23,813 24,849 11,668a 12,721 3,892 3,922 7,777a 8,800 12,144 12,128
Medicaid/CHIP 7,597a 6,834 5,048 4,749 2,226 2,033 2,823 2,716 2,548a 2,085
Other4 10,027 10,363 5,241 5,050 2,033 1,791 3,208 3,259 4,786 5,313
No Coverage 1,916 1,985 1,309 1,463 547 714 762 749 607 522
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
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, 2017 and 2018.
190416
Table 8.18B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 14.8 15.0 42.6 43.3 66.7 64.1 35.0 36.8 8.3 8.3
GEOGRAPHIC REGION                    
Northeast 15.4a 16.9 43.1 45.6 66.7 65.6 36.6 40.0 9.3 10.2
Midwest 16.7 17.2 46.3 47.1 69.3 67.5 39.1 40.0 9.3 9.7
South 13.9 13.4 42.2 41.8 64.5 65.5 34.8 34.4 7.6 7.2
West 14.2 14.1 39.7 40.8 67.9a 58.1 30.6a 35.3 7.8 7.3
COUNTY TYPE                    
Large Metro 14.2 14.1 40.1 41.2 63.5 62.5 33.5 35.1 8.5 7.8
Small Metro 16.0 16.6 45.9 46.3 69.2 66.4 37.8 39.3 8.5 8.9
Nonmetro 14.6 15.4 45.0 44.6 71.5 64.1 34.9 37.9 7.4a 8.8
Urbanized 14.7 16.0 42.7 41.7 71.8 63.8 32.1 34.7 7.9 9.8
Less Urbanized 14.2 14.4 45.2 46.3 70.6 61.4 34.6 40.8 7.0 7.8
Completely Rural 16.1 17.1 54.8 51.9 * * 49.3 * 6.8 8.8
POVERTY LEVEL2                    
Less Than 100% 17.2 17.1 45.9 44.8 69.1 65.3 36.6 35.9 7.3 7.1
100-199% 14.1a 12.5 41.4a 37.3 68.3a 60.4 31.7 29.9 6.9 6.1
200% or More 14.5 15.3 42.1a 45.1 65.0 65.1 35.8a 39.5 8.9 9.1
EDUCATION                    
< High School 10.6 10.4 36.4 33.5 57.8 64.9 29.7 24.8 5.2 5.2
High School Graduate 12.2 11.7 38.5 38.4 64.4 57.7 29.6 31.9 6.6 5.8
Some College/Associate's Degree 16.6 16.9 45.5 45.5 69.2 66.2 36.7 38.0 8.7 8.7
College Graduate 16.7 17.4 44.6a 48.6 69.0 66.8 38.7a 44.0 10.5 10.9
HEALTH INSURANCE3                    
Private 14.5 15.1 41.9a 45.2 67.0 65.8 35.3a 39.6 8.9 8.9
Medicaid/CHIP 21.2a 18.7 50.3a 45.7 74.9a 68.3 40.0 36.6 9.9a 8.0
Other4 14.9 15.3 48.4 45.5 80.4 76.6 38.7 37.2 8.5 9.4
No Coverage 8.3 8.2 26.9 27.4 40.2 47.1 21.7 19.6 3.3 2.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
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, 2017 and 2018.
190416
Table 8.19A – Received Inpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 2,357 2,366 1,556 1,580 850 824 706 756 801 786
AGE GROUP                    
18-25 509 545 375 415 220 247 155 167 135 130
26 or Older 1,847 1,822 1,181 1,166 630 577 551 588 666 656
26-49 933 1,021 723 753 461 374 262 378 210 268
50 or Older 914 801 458 413 169 203 289 210 456 388
GENDER                    
Male 1,031 1,042 602 728 288 357 314 371 429 315
Female 1,326 1,324 954 853 562 467 392 385 372 472
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 2,055 1,897 1,382 1,252 753 671 628 581 674 645
White 1,510 1,306 1,043 944 618 528 425 416 467 362
Black or African American 386 449 242 226 84 102 159 125 144 223
AIAN 12 27 * 11 * * * * 4 16
NHOPI * * * * * * * * * *
Asian 96 58 49 24 * * 17 9 47 34
Two or More Races 52 56 39 47 17 24 22 23 13 10
Hispanic or Latino 301 469 174a 328 97 153 77a 175 127 141
HEALTH INSURANCE2                    
Private 958 855 624 530 398 291 226 239 334 325
Medicaid/CHIP 972 1,008 635 714 336 380 300 333 336 294
Other3 750 831 400 440 201 209 199 231 350 391
No Coverage 256 251 211 221 63 121 148 101 44 30
CURRENT EMPLOYMENT                    
Full-Time 654 571 448 419 275 217 173 203 207 152
Part-Time 233 285 186 212 127 133 58 79 48 73
Unemployed 256 205 177 133 62 72 115 61 79 71
Other4 1,213 1,306 746 816 387 402 359 413 468 490
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.19B – Received Inpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Demographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 1.0 1.0 3.3 3.3 7.6 7.3 2.0 2.1 0.4 0.4
AGE GROUP                    
18-25 1.5 1.6 4.2 4.6 8.6 9.4 2.5 2.7 0.5 0.5
26 or Older 0.9 0.9 3.1 3.0 7.3 6.6 1.9 2.0 0.4 0.4
26-49 0.9 1.0 3.3 3.3 8.3 6.3 1.6 2.3 0.3 0.3
50 or Older 0.8 0.7 3.0 2.6 5.6 7.1 2.3 1.6 0.5 0.4
GENDER                    
Male 0.9 0.9 3.3 4.0 7.4 8.9 2.2 2.6 0.4 0.3
Female 1.0 1.0 3.3 2.9 7.7 6.4 1.8 1.8 0.4 0.5
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 1.0 0.9 3.4 3.1 7.6 6.8 2.1 1.9 0.4 0.4
White 1.0 0.8 3.2 2.9 7.6 6.5 1.8 1.7 0.4 0.3
Black or African American 1.3 1.5 5.1 4.7 8.2 9.4 4.3 3.4 0.6 0.9
AIAN 0.9 1.8 * 3.2 * * * * 0.4 1.4
NHOPI * * * * * * * * * *
Asian 0.7 0.4 2.5 1.2 * * 1.0 0.5 0.4 0.3
Two or More Races 1.2 1.3 3.3 4.1 5.2 8.0 2.5 2.7 0.4 0.3
Hispanic or Latino 0.8 1.2 2.9 4.8 7.7 10.4 1.6 3.3 0.4 0.4
HEALTH INSURANCE2                    
Private 0.6 0.5 2.2 1.9 6.9 4.9 1.0 1.1 0.2 0.2
Medicaid/CHIP 2.7 2.8 6.3 6.9 11.3 12.8 4.2 4.5 1.3 1.1
Other3 1.1 1.2 3.7 3.9 8.0 8.9 2.4 2.6 0.6 0.7
No Coverage 1.1 1.0 4.3 4.1 4.6 7.9 4.2 2.6 0.2 0.2
CURRENT EMPLOYMENT                    
Full-Time 0.5 0.5 2.1 1.9 6.1 4.5 1.1 1.2 0.2 0.1
Part-Time 0.7 0.9 2.6 3.0 7.1 7.2 1.1 1.5 0.2 0.3
Unemployed 2.4 2.1 6.3 4.9 7.7 9.1 5.7 3.1 1.0 1.0
Other4 1.5 1.6 4.7 5.1 9.5 10.3 3.1 3.4 0.7 0.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.20A – Received Outpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 18,517 19,461 11,906 12,377 5,033 4,970 6,873 7,407 6,611 7,084
AGE GROUP                    
18-25 3,052 3,131 2,195 2,174 1,001 976 1,194 1,199 856 956
26 or Older 15,466 16,330 9,711 10,203 4,032 3,994 5,679 6,208 5,755 6,128
26-49 8,456 8,805 5,948 6,033 2,584 2,496 3,364 3,537 2,509 2,771
50 or Older 7,009 7,526 3,763 4,169 1,448 1,498 2,315 2,671 3,246 3,356
GENDER                    
Male 6,357 6,442 3,780 3,911 1,475 1,613 2,305 2,299 2,577 2,530
Female 12,160 13,019 8,126 8,466 3,558 3,357 4,568 5,108 4,034 4,554
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 16,790 17,587 10,654 11,070 4,555 4,420 6,098 6,650 6,137 6,517
White 14,028 15,105 8,963 9,495 3,791 3,677 5,172a 5,817 5,066 5,611
Black or African American 1,637a 1,307 1,022 812 417 445 605a 366 615 495
AIAN 100 109 * * * * * * 33 48
NHOPI 27 59 * * * * * * 4 *
Asian 572 575 309 364 * * 160 269 263 211
Two or More Races 426 432 270 280 * * 119 129 156 152
Hispanic or Latino 1,727 1,874 1,252 1,307 478 550 774 757 474 567
HEALTH INSURANCE2                    
Private 11,766a 13,034 6,880a 7,751 2,627 2,690 4,253a 5,060 4,886 5,283
Medicaid/CHIP 4,217 3,767 3,165 2,924 1,554 1,397 1,611 1,527 1,052 843
Other3 4,712 5,105 2,998 2,943 1,277 1,213 1,721 1,730 1,713a 2,162
No Coverage 931 973 754 746 354 415 400 332 177 226
CURRENT EMPLOYMENT                    
Full-Time 7,780a 8,678 4,589a 5,241 1,722 1,844 2,867a 3,397 3,191 3,436
Part-Time 3,379 3,269 2,233 2,088 945 912 1,288 1,176 1,146 1,180
Unemployed 906 768 670 586 306 296 364 291 235 182
Other4 6,453 6,747 4,413 4,461 2,060 1,918 2,353 2,542 2,039 2,286
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.20B – Received Outpatient Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Demographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 7.5 7.9 25.7 26.1 45.3 43.9 19.5 20.5 3.3 3.5
AGE GROUP                    
18-25 9.0 9.3 24.9 24.5 39.3 37.5 19.1 19.1 3.4 3.8
26 or Older 7.3 7.6 25.8 26.5 47.1 45.8 19.6 20.8 3.3 3.5
26-49 8.5 8.8 26.9 26.7 46.7 42.5 20.3 21.1 3.2 3.6
50 or Older 6.3 6.6 24.4 26.2 47.8 52.7 18.7 20.4 3.4 3.4
GENDER                    
Male 5.4 5.4 21.0 21.5 38.3 40.2 16.3 16.2 2.6 2.5
Female 9.6 10.2 28.6 29.0 49.0 46.0 21.6 23.3 4.1 4.6
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 8.1 8.5 26.4 27.3 46.1 44.9 20.0 21.6 3.7 3.9
White 8.9a 9.6 28.0 29.6 47.0 45.8 21.6a 24.2 4.1 4.5
Black or African American 5.6a 4.5 21.6a 16.9 40.9 41.4 16.3a 9.9 2.5 2.0
AIAN 7.8 7.3 * * * * * * 3.2 4.2
NHOPI 2.8 6.5 * * * * * * 0.5 *
Asian 4.2 4.1 15.5 17.6 * * 9.6 15.2 2.2 1.7
Two or More Races 10.2 10.1 22.8 24.4 * * 14.0 15.2 5.3 4.9
Hispanic or Latino 4.4 4.7 20.9 19.2 38.7 37.4 16.3 14.1 1.4 1.7
HEALTH INSURANCE2                    
Private 7.1a 7.9 24.7a 27.5 45.4 45.2 19.3a 22.8 3.6 3.9
Medicaid/CHIP 11.8a 10.3 31.7 28.3 53.0 47.2 22.8 20.7 4.1 3.2
Other3 7.0 7.5 27.8 26.5 50.9 52.2 20.8 19.7 3.0a 3.8
No Coverage 4.0 4.0 15.5 14.0 26.0 27.5 11.4 8.7 1.0 1.2
CURRENT EMPLOYMENT                    
Full-Time 6.4a 7.0 22.0 24.1 38.4 38.4 17.5a 20.0 3.1 3.4
Part-Time 10.5 10.2 31.5 29.6 52.9 49.2 24.3 22.6 4.6 4.7
Unemployed 8.6 7.8 23.9 21.4 38.4 37.7 18.2 14.8 3.1 2.5
Other4 8.0 8.2 28.2 28.1 50.9 49.5 20.2 21.2 3.1 3.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.21A – Received Prescription Medication as a Type of Mental Health Service in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 29,757 30,115 16,603 17,219 6,589 6,420 10,014 10,799 13,154 12,896
AGE GROUP                    
18-25 3,780 3,769 2,569 2,547 1,171 1,101 1,398 1,446 1,211 1,222
26 or Older 25,977 26,346 14,034 14,672 5,418 5,319 8,616 9,353 11,943 11,674
26-49 12,736 12,990 8,019 8,294 3,266 3,395 4,753 4,899 4,717 4,696
50 or Older 13,241 13,356 6,015 6,378 2,152 1,924 3,863 4,455 7,226 6,978
GENDER                    
Male 9,812 9,566 5,061 5,185 1,971 1,948 3,090 3,237 4,751 4,381
Female 19,945 20,549 11,542 12,035 4,618 4,473 6,924 7,562 8,403 8,515
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 27,154 27,384 15,082 15,429 5,987 5,722 9,095 9,706 12,072 11,956
White 24,106 24,253 13,246 13,461 5,199 4,859 8,048 8,602 10,860 10,791
Black or African American 1,820 1,885 1,100 1,158 455 525 645 633 720 727
AIAN 126 174 * * * * * * 37 60
NHOPI 37 57 * * * * * * 4 6
Asian 428 507 235 345 * * 145 240 193 162
Two or More Races 637 509 378 298 * * 194 150 259 210
Hispanic or Latino 2,603 2,731 1,521 1,791 602 698 919 1,093 1,082 940
HEALTH INSURANCE2                    
Private 19,277 19,988 9,776 10,480 3,431 3,438 6,344 7,042 9,502 9,508
Medicaid/CHIP 6,377a 5,684 4,290 4,094 1,968 1,814 2,323 2,280 2,087a 1,590
Other3 8,577 8,679 4,663 4,362 1,911 1,624 2,752 2,739 3,914 4,316
No Coverage 1,525 1,582 1,028 1,195 480 604 548 591 497 387
CURRENT EMPLOYMENT                    
Full-Time 12,495 13,123 6,579 7,217 2,327 2,450 4,252 4,768 5,916 5,905
Part-Time 4,613 4,518 2,535 2,614 1,030 995 1,505 1,620 2,077 1,904
Unemployed 1,313 1,196 872 900 378 422 495 478 441 295
Other4 11,336 11,279 6,616 6,488 2,854 2,554 3,762 3,934 4,720 4,791
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.21B – Received Prescription Medication as a Type of Mental Health Service in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Demographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Demographic/Socioeconomic Characteristic Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
TOTAL 12.1 12.2 35.7 36.2 58.9 56.5 28.3 29.9 6.6 6.4
AGE GROUP                    
18-25 11.1 11.1 29.1 28.6 45.7 42.1 22.3 22.9 4.8 4.9
26 or Older 12.3 12.3 37.2 38.0 62.8 60.8 29.6 31.3 6.9 6.7
26-49 12.7 12.9 36.1 36.6 58.5 57.6 28.5 29.2 6.1 6.0
50 or Older 11.8 11.8 38.8 40.0 70.7 67.5 31.0 34.0 7.5 7.2
GENDER                    
Male 8.3 8.0 28.1 28.4 50.8 48.5 21.8 22.8 4.7 4.3
Female 15.7 16.0 40.5 41.1 63.2 60.9 32.6 34.4 8.5 8.6
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 13.1 13.2 37.2 37.9 60.3 57.9 29.7 31.5 7.3 7.2
White 15.3 15.4 41.2 41.8 64.0 60.2 33.5 35.7 8.7 8.6
Black or African American 6.2 6.4 23.2 24.2 44.5 48.8 17.3 17.1 2.9 3.0
AIAN 9.8 11.6 * * * * * * 3.5 5.1
NHOPI 3.8 6.3 * * * * * * 0.5 0.8
Asian 3.1 3.6 11.7 16.6 * * 8.7 13.5 1.6 1.3
Two or More Races 15.3 11.8 31.6 25.9 * * 22.5 17.7 8.7 6.7
Hispanic or Latino 6.6 6.8 25.3 26.2 48.1 47.4 19.3 20.4 3.2 2.8
HEALTH INSURANCE2                    
Private 11.7 12.1 35.0 37.2 59.0 57.5 28.7a 31.7 6.9 7.0
Medicaid/CHIP 17.8a 15.6 42.7 39.4 66.1 61.1 32.9 30.7 8.1a 6.1
Other3 12.7 12.8 43.0 39.3 75.5 69.6 33.1 31.2 6.9 7.6
No Coverage 6.6 6.5 21.0 22.3 35.0 39.7 15.5 15.4 2.7 2.0
CURRENT EMPLOYMENT                    
Full-Time 10.2 10.6 31.5 33.1 51.7 50.9 26.0 28.1 5.8 5.8
Part-Time 14.4 14.1 35.7 36.9 57.3 53.4 28.4 31.0 8.3 7.6
Unemployed 12.4 12.1 31.0 32.8 47.1 53.5 24.5 24.4 5.7 4.1
Other4 14.0 13.7 41.9 40.8 69.9 65.6 32.2 32.8 7.2 7.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
4 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190416
Table 8.22A – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group: Numbers in Thousands, 2017 and 2018
Co-Occurring Substance Use
Disorder (SUD) and Level of
Mental Illness/Age Group
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2017)
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2017)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2017)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2017)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2018)
SUD and Any Mental Illness 4,343 4,709 372 303 3,255a 3,758 704 645
18-25 1,108 1,067 83 49 874 924 150a 90
26 or Older 3,235 3,642 289 254 2,381 2,834 555 555
26-49 2,298 2,481 213 127 1,664 1,942 410 412
50 or Older 938 1,162 76 * 716 892 145 143
SUD and Serious Mental Illness 1,979 2,197 80 84 1,534 1,767 365 345
18-25 561 529 13 14 461 464 86 51
26 or Older 1,418 1,668 67 71 1,073 1,303 279 295
26-49 1,036 1,157 54 33 751 888 232 237
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: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190416
Table 8.22B – Received Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness and Age Group: Percentages, 2017 and 2018
Co-Occurring Substance Use
Disorder (SUD) and Level of
Mental Illness/Age Group
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2017)
Received
Substance Use
Treatment
(SU Tx) at
a Specialty
Facility OR
Mental Health
(MH) Services
(2018)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2017)
Received
SU Tx at a
Specialty
Facility BUT
NOT MH
Services
(2018)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2017)
Received
MH Services
BUT NOT
SU Tx at a
Specialty
Facility
(2018)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2017)
Received
SU Tx at a
Specialty
Facility AND
MH Services
(2018)
SUD and Any Mental Illness 51.0 51.4 4.4 3.3 38.2 41.0 8.3 7.0
18-25 46.7 43.8 3.5 2.0 36.9 37.9 6.3a 3.7
26 or Older 52.6 54.1 4.7 3.8 38.7 42.1 9.0 8.2
26-49 52.6 49.5 4.9a 2.5 38.1 38.7 9.4 8.2
50 or Older 52.6a 67.6 4.3 * 40.2 51.9 8.1 8.3
SUD and Serious Mental Illness 64.0 69.5 2.6 2.7 49.6 55.9 11.8 10.9
18-25 59.2 60.1 1.4 1.5 48.7 52.8 9.1 5.8
26 or Older 66.1 73.1 3.1 3.1 50.0 57.1 13.0 12.9
26-49 65.4 67.2 3.4 1.9 47.4 51.6 14.6 13.7
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: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190416
Table 8.23A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Past Year Level of Mental Illness: Numbers in Thousands, 2017 and 2018
Location of Mental Health Services1 Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness2
(2017)
No
Mental
Illness2
(2018)
Outpatient Mental Health Clinic or Center 4,759 4,517 3,596 3,479 1,810 1,825 1,786 1,655 1,163 1,037
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
10,808a 12,356 6,624a 7,605 2,701 2,932 3,924a 4,672 4,183 4,751
Doctor's Office - Not Part of a Clinic 2,980 2,834 2,119 2,062 1,050 880 1,068 1,182 861 772
Outpatient Medical Clinic 1,031 1,261 780 858 379 376 401 481 251 403
Partial Day Hospital or Day Treatment Program 311 285 277 263 175 184 102 79 35 21
School or University Setting/Clinic/Center3 194 149 134 100 63 43 71 57 59 49
Some Other Place4 448 467 299 286 147 139 153 147 149 181
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
2 Respondents with no mental illness may still have received mental health treatment 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.
3 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.
4 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, 2017 and 2018.
190416
Table 8.23B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Past Year Level of Mental Illness: Percentages, 2017 and 2018
Location of Mental Health Services1 Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness2
(2017)
No
Mental
Illness2
(2018)
Outpatient Mental Health Clinic or Center 25.8 23.3 30.2 28.2 36.0 36.8 26.0 22.4 17.8 14.8
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
58.6a 63.8 55.7a 61.6 53.7 59.1 57.2a 63.2 63.9 67.7
Doctor's Office - Not Part of a Clinic 16.2 14.6 17.8 16.7 20.9 17.8 15.6 16.0 13.2 11.0
Outpatient Medical Clinic 5.6 6.5 6.6 6.9 7.5 7.6 5.8 6.5 3.8 5.7
Partial Day Hospital or Day Treatment Program 1.7 1.5 2.3 2.1 3.5 3.7 1.5 1.1 0.5 0.3
School or University Setting/Clinic/Center3 1.1 0.8 1.1 0.8 1.3 0.9 1.0 0.8 0.9 0.7
Some Other Place4 2.5 2.4 2.5 2.3 2.9 2.8 2.3 2.0 2.3 2.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
2 Respondents with no mental illness may still have received mental health treatment 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.
3 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.
4 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, 2017 and 2018.
190416
Table 8.24A – Types and Locations of Mental Health Services Received in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness: Numbers in Thousands, 2017 and 2018
Type and Location of
Mental Health Services
Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
ANY MENTAL HEALTH SERVICES2 36,416 37,101 19,813 20,579 7,454 7,277 12,359 13,302 16,603 16,522
Outpatient 18,517 19,461 11,906 12,377 5,033 4,970 6,873 7,407 6,611 7,084
Outpatient Mental Health Clinic or Center 4,759 4,517 3,596 3,479 1,810 1,825 1,786 1,655 1,163 1,037
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
10,808a 12,356 6,624a 7,605 2,701 2,932 3,924a 4,672 4,183 4,751
Doctor's Office - Not Part of a Clinic 2,980 2,834 2,119 2,062 1,050 880 1,068 1,182 861 772
Outpatient Medical Clinic 1,031 1,261 780 858 379 376 401 481 251 403
Partial Day Hospital or Day Treatment Program 311 285 277 263 175 184 102 79 35 21
School or University Setting/Clinic/Center3 194 149 134 100 63 43 71 57 59 49
Some Other Place4 448 467 299 286 147 139 153 147 149 181
Inpatient 2,357 2,366 1,556 1,580 850 824 706 756 801 786
Prescription Medication 29,757 30,115 16,603 17,219 6,589 6,420 10,014 10,799 13,154 12,896
DID NOT RECEIVE MENTAL HEALTH SERVICES 209,384 210,232 26,645 26,926 3,714 4,075 22,930 22,851 182,740 183,306
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
3 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.
4 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, 2017 and 2018.
190416
Table 8.24B – Types and Locations of Mental Health Services Received in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness: Percentages, 2017 and 2018
Type and Location of
Mental Health Services
Total
(2017)
Total
(2018)
Any
Mental
Illness
(2017)
Any
Mental
Illness
(2018)
Serious
Mental
Illness
(2017)
Serious
Mental
Illness
(2018)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2017)
Any Mental
Illness
Excluding
Serious
Mental
Illness
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
ANY MENTAL HEALTH SERVICES2 14.8 15.0 42.6 43.3 66.7 64.1 35.0 36.8 8.3 8.3
Outpatient 7.5 7.9 25.7 26.1 45.3 43.9 19.5 20.5 3.3 3.5
Outpatient Mental Health Clinic or Center 1.9 1.8 7.8 7.3 16.3 16.1 5.1 4.6 0.6 0.5
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
4.4a 5.0 14.3a 16.0 24.3 25.9 11.1a 12.9 2.1 2.4
Doctor's Office - Not Part of a Clinic 1.2 1.1 4.6 4.4 9.5 7.8 3.0 3.3 0.4 0.4
Outpatient Medical Clinic 0.4 0.5 1.7 1.8 3.4 3.3 1.1 1.3 0.1 0.2
Partial Day Hospital or Day Treatment Program 0.1 0.1 0.6 0.6 1.6 1.6 0.3 0.2 0.0 0.0
School or University Setting/Clinic/Center3 0.1 0.1 0.3 0.2 0.6 0.4 0.2 0.2 0.0 0.0
Some Other Place4 0.2 0.2 0.6 0.6 1.3 1.2 0.4 0.4 0.1 0.1
Inpatient 1.0 1.0 3.3 3.3 7.6 7.3 2.0 2.1 0.4 0.4
Prescription Medication 12.1 12.2 35.7 36.2 58.9 56.5 28.3 29.9 6.6 6.4
DID NOT RECEIVE MENTAL HEALTH SERVICES 85.2 85.0 57.4 56.7 33.3 35.9 65.0 63.2 91.7 91.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with no mental illness may still have received mental health treatment 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.
2 Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
3 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.
4 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, 2017 and 2018.
190417
Table 8.25A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2017 and 2018
Location of Mental Health Services1 Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
Outpatient Mental Health Clinic or Center 4,759 4,517 824 882 3,935 3,635 2,208 2,103 1,726 1,531
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
10,808a 12,356 1,871 2,062 8,936a 10,294 5,157 5,488 3,780a 4,806
Doctor's Office - Not Part of a Clinic 2,980 2,834 358 307 2,622 2,527 1,342 1,279 1,280 1,248
Outpatient Medical Clinic 1,031 1,261 154 163 876 1,098 496 632 380 466
Partial Day Hospital or Day Treatment Program 311 285 87 111 224 174 137 141 88 33
School or University Setting/Clinic/Center2 194 149 156 123 38 26 38 26 * *
Some Other Place3 448 467 46 64 402 403 173 174 229 229
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
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, 2017 and 2018.
190417
Table 8.25B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Percentages, 2017 and 2018
Location of Mental Health Services1 Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
Outpatient Mental Health Clinic or Center 25.8 23.3 27.2 28.3 25.6 22.4 26.2 24.0 24.8 20.5
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic
58.6a 63.8 61.7a 66.3 58.0a 63.3 61.1 62.6 54.3a 64.3
Doctor's Office - Not Part of a Clinic 16.2 14.6 11.8 9.9 17.0 15.6 15.9 14.6 18.4 16.7
Outpatient Medical Clinic 5.6 6.5 5.1 5.2 5.7 6.8 5.9 7.2 5.5 6.2
Partial Day Hospital or Day Treatment Program 1.7 1.5 2.9 3.6 1.5 1.1 1.6 1.6 1.3 0.4
School or University Setting/Clinic/Center2 1.1 0.8 5.2 4.0 0.3 0.2 0.5 0.3 * *
Some Other Place3 2.5 2.4 1.5 2.1 2.6 2.5 2.1 2.0 3.3 3.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive.
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, 2017 and 2018.
190417
Table 8.26A – Sources of Payment for Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2017 and 2018
Source of Payment1 Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
Self or Family Member Living in Household 6,541a 7,310 1,227 1,371 5,313 5,939 3,093a 3,523 2,220 2,416
Family Member Not Living in Household 399a 621 258 338 141a 283 65a 234 76 49
Private Health Insurance 6,928a 7,889 1,064 1,114 5,864a 6,775 3,392 3,731 2,472 3,045
Medicare 2,855 2,837 254 212 2,602 2,625 805 710 1,797 1,915
Medicaid 2,395 2,318 295 322 2,101 1,996 1,321 1,249 780 747
Rehabilitation Program 65 30 2 9 64 21 22 21 42 *
Employer 1,097 1,289 100 105 997 1,184 692 646 305a 538
VA or Other Military Program 1,074 1,083 59 32 1,015 1,051 401 400 614 652
Other Public Source 477 462 64 63 413 399 184 211 229 187
Other Private Source 174 275 57 42 117a 233 97 131 20a 103
Free Treatment 1,037 886 402 344 635 542 410 360 225 182
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive.
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, 2017 and 2018.
190417
Table 8.26B – Sources of Payment for Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year, by Age Group: Percentages, 2017 and 2018
Source of Payment1 Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
Self or Family Member Living in Household 35.8 37.9 41.1 44.5 34.7 36.7 36.9 40.3 32.1 32.4
Family Member Not Living in Household 2.2a 3.2 8.6 11.0 0.9a 1.7 0.8a 2.7 1.1 0.7
Private Health Insurance 37.9 40.9 35.7 36.1 38.3 41.8 40.5 42.7 35.7 40.8
Medicare 15.6 14.7 8.5 6.9 17.0 16.2 9.6 8.1 26.0 25.7
Medicaid 13.1 12.0 9.9 10.5 13.7 12.3 15.8 14.3 11.3 10.0
Rehabilitation Program 0.4 0.2 0.1 0.3 0.4 0.1 0.3 0.2 0.6 *
Employer 6.0 6.7 3.3 3.4 6.5 7.3 8.3 7.4 4.4 7.2
VA or Other Military Program 5.9 5.6 2.0 1.0 6.6 6.5 4.8 4.6 8.9 8.7
Other Public Source 2.6 2.4 2.2 2.0 2.7 2.5 2.2 2.4 3.3 2.5
Other Private Source 1.0 1.4 1.9 1.3 0.8a 1.4 1.2 1.5 0.3a 1.4
Free Treatment 5.7 4.6 13.5 11.2 4.2 3.3 4.9 4.1 3.3 2.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown mental health services information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple sources of payment for outpatient mental health services; thus, these response categories are not mutually exclusive.
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, 2017 and 2018.
190417
Table 8.27A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 13,475 14,215 6,991 7,349 6,451 6,845
AGE GROUP            
18-25 3,894a 4,261 1,776 1,763 2,103a 2,489
26 or Older 9,581 9,954 5,215 5,586 4,348 4,356
26-49 6,527a 7,110 3,414 3,654 3,095 3,445
50 or Older 3,054 2,844 1,801 1,931 1,253 911
GENDER            
Male 4,288 4,245 1,872 2,025 2,409 2,214
Female 9,187a 9,969 5,119 5,324 4,042a 4,630
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 11,988 12,077 6,265 6,264 5,699 5,792
White 9,813 9,938 5,217 5,393 4,582 4,528
Black or African American 1,174 1,228 630 522 537a 706
AIAN 74 80 * * 30 33
NHOPI * 20 * * 1 *
Asian 522 451 193 115 327 336
Two or More Races 397 359 174 176 223 180
Hispanic or Latino 1,487a 2,138 725a 1,085 752a 1,052
CURRENT EMPLOYMENT            
Full-Time 6,212 6,590 2,897 3,192 3,311 3,397
Part-Time 2,634 2,938 1,426 1,395 1,193a 1,537
Unemployed 938 800 429 405 506 395
Other3 3,692 3,887 2,238 2,356 1,441 1,515
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.27B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 5.5 5.7 19.2 19.9 3.1 3.3
AGE GROUP            
18-25 11.4a 12.6 35.1 34.5 7.3a 8.7
26 or Older 4.5 4.7 16.7 17.5 2.4 2.4
26-49 6.5 7.1 21.8 22.8 3.7 4.1
50 or Older 2.7 2.5 11.5 12.2 1.3 0.9
GENDER            
Male 3.6 3.6 15.1 16.8 2.3 2.1
Female 7.2a 7.8 21.4 21.3 3.9a 4.5
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 5.8 5.8 19.0 18.7 3.3 3.3
White 6.2 6.3 18.2 18.5 3.6 3.5
Black or African American 4.0 4.2 25.1 20.6 2.0a 2.6
AIAN 5.8 5.4 * * 2.6 2.5
NHOPI * 2.2 * * 0.1 *
Asian 3.8 3.2 23.9a 12.9 2.5 2.6
Two or More Races 9.5 8.4 21.7 26.6 6.7 5.0
Hispanic or Latino 3.8a 5.3 21.8a 31.0 2.1a 2.9
CURRENT EMPLOYMENT            
Full-Time 5.1 5.4 18.4 19.3 3.1 3.2
Part-Time 8.2 9.2 24.5 24.9 4.6a 5.8
Unemployed 8.9 8.1 25.8 27.6 5.7 4.7
Other3 4.6 4.7 17.0 17.6 2.1 2.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.28A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 13,475 14,215 6,991 7,349 6,451 6,845
GEOGRAPHIC REGION            
Northeast 2,338 2,468 1,157 1,390 1,170 1,069
Midwest 2,887 3,139 1,552 1,677 1,331 1,458
South 4,724 4,987 2,530 2,439 2,175a 2,543
West 3,527 3,621 1,751 1,844 1,775 1,775
COUNTY TYPE            
Large Metro 7,554 7,952 3,796 3,786 3,741 4,162
Small Metro 4,222 4,427 2,280 2,482 1,932 1,933
Nonmetro 1,699 1,836 915 1,081 778 749
Urbanized 729 870 385 459 344 411
Less Urbanized 861 820 454 526 403 289
Completely Rural 108 145 76 95 32 50
POVERTY LEVEL3            
Less Than 100% 2,644 2,804 1,452 1,651 1,187 1,146
100-199% 2,950 3,135 1,668 1,520 1,270a 1,605
200% or More 7,794 8,160 3,832 4,133 3,946 4,022
EDUCATION            
< High School 1,254 1,303 691 794 557 508
High School Graduate 2,516 2,733 1,253 1,304 1,260 1,426
Some College/Associate's Degree 5,154 5,546 2,757 2,989 2,382 2,546
College Graduate 4,551 4,633 2,289 2,263 2,252 2,365
HEALTH INSURANCE4            
Private 8,050 8,330 4,002 4,139 4,031 4,173
Medicaid/CHIP 3,057 3,199 1,878 1,947 1,174 1,251
Other5 2,144 2,223 1,371 1,502 773 719
No Coverage 1,471a 1,853 552a 762 907 1,091
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
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, 2017 and 2018.
190417
Table 8.28B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 5.5 5.7 19.2 19.9 3.1 3.3
GEOGRAPHIC REGION            
Northeast 5.3 5.7 17.2 18.9 3.2 3.0
Midwest 5.6 6.1 18.1 18.9 3.1 3.4
South 5.1 5.3 19.7 19.4 2.7 3.1
West 6.1 6.2 21.4 22.3 3.6 3.5
COUNTY TYPE            
Large Metro 5.5 5.8 19.4 19.6 3.2 3.5
Small Metro 5.8 6.0 19.6 20.3 3.2 3.1
Nonmetro 4.8 5.1 17.8 19.7 2.6 2.5
Urbanized 4.8 5.4 17.3 17.8 2.7 3.0
Less Urbanized 5.0 5.0 18.7 22.5 2.7 2.1
Completely Rural 3.5 4.4 15.3 17.0 1.2 1.8
POVERTY LEVEL3            
Less Than 100% 7.8 8.2 24.9 28.5 4.2 4.1
100-199% 6.1 6.4 24.5 24.9 3.1a 3.8
200% or More 4.8 5.0 16.2 16.5 2.8 2.9
EDUCATION            
< High School 4.1 4.3 21.4 25.0 2.1 1.9
High School Graduate 4.2 4.5 17.4 18.3 2.4 2.6
Some College/Associate's Degree 6.7 7.2 21.8 23.1 3.7 4.0
College Graduate 5.7 5.9 17.3 16.4 3.4 3.6
HEALTH INSURANCE4            
Private 4.9 5.1 16.8 16.7 2.9 3.0
Medicaid/CHIP 8.5 8.8 24.8 28.6 4.2 4.2
Other5 3.2 3.3 13.7 14.5 1.4 1.3
No Coverage 6.3a 7.6 28.9a 38.4 4.3 4.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
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, 2017 and 2018.
190417
Table 8.29A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 11,052 11,208 6,085 6,223 4,938 4,966
AGE GROUP            
18-25 3,114 3,370 1,537 1,537 1,566a 1,824
26 or Older 7,938 7,839 4,548 4,686 3,372 3,142
26-49 5,446 5,732 3,032 3,195 2,396 2,527
50 or Older 2,492 2,107 1,516 1,491 976a 614
GENDER            
Male 3,403 3,333 1,629 1,675 1,771 1,653
Female 7,649 7,875 4,456 4,548 3,167 3,312
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 9,822 9,469 5,460 5,294 4,342 4,155
White 8,041 7,881 4,546 4,587 3,485 3,278
Black or African American 960 878 545 412 408 466
AIAN * 55 * * * *
NHOPI * * * * * *
Asian 426 328 * 85 254 244
Two or More Races 319 307 154 * 165 138
Hispanic or Latino 1,230a 1,739 625a 928 596a 811
CURRENT EMPLOYMENT            
Full-Time 4,999 5,190 2,499 2,685 2,500 2,505
Part-Time 2,088 2,291 1,188 1,214 886 1,073
Unemployed 803 634 384 353 418a 282
Other3 3,161 3,093 2,014 1,972 1,135 1,106
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.29B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 23.7 23.6 30.7 30.3 18.5 18.5
AGE GROUP            
18-25 35.3a 37.9 45.5 46.3 28.9a 32.8
26 or Older 21.0 20.3 27.7 27.3 15.9 14.7
26-49 24.5 25.3 31.6 32.2 19.0 19.9
50 or Older 16.1 13.2 22.2 20.5 11.3a 7.1
GENDER            
Male 18.9 18.3 26.0 26.5 15.1 13.9
Female 26.8 26.9 32.9 32.1 21.3 22.1
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 24.2 23.3 30.6 29.0 19.2 18.6
White 25.0 24.5 29.5 29.2 20.9 20.1
Black or African American 20.2 18.3 37.6a 28.2 12.4 14.0
AIAN * 16.5 * * * *
NHOPI * * * * * *
Asian 21.3 15.9 * 16.3 15.9 15.8
Two or More Races 26.6 26.8 33.7 * 22.5 17.8
Hispanic or Latino 20.4a 25.5 32.0a 41.6 14.7 17.7
CURRENT EMPLOYMENT            
Full-Time 24.0 23.8 31.4 30.5 19.4 19.3
Part-Time 29.4 32.4 37.0 38.2 22.9 27.7
Unemployed 28.5 23.1 35.7 34.2 24.0a 16.4
Other3 20.0 19.5 26.7 26.3 13.9 13.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: 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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.30A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 11,052 11,208 6,085 6,223 4,938 4,966
GEOGRAPHIC REGION            
Northeast 1,929 1,873 1,005 1,164 914a 702
Midwest 2,383 2,506 1,374 1,428 1,009 1,074
South 3,844 3,972 2,204 2,057 1,621 1,910
West 2,896 2,857 1,502 1,575 1,394 1,280
COUNTY TYPE            
Large Metro 6,098 6,052 3,244 3,124 2,840 2,924
Small Metro 3,525 3,647 2,003 2,204 1,512 1,432
Nonmetro 1,429 1,510 838 895 586 610
Urbanized 609 688 342 374 267 314
Less Urbanized 718 698 423 443 290 250
Completely Rural 102 124 * * * *
POVERTY LEVEL3            
Less Than 100% 2,122 2,323 1,282 1,408 835 909
100-199% 2,545 2,518 1,480 1,354 1,055 1,154
200% or More 6,320 6,270 3,288 3,420 3,016 2,847
EDUCATION            
< High School 988 1,011 607 628 379 381
High School Graduate 2,048 2,236 1,048 1,119 997 1,113
Some College/Associate's Degree 4,374 4,624 2,460 2,666 1,899 1,947
College Graduate 3,643 3,337 1,970 1,810 1,663 1,524
HEALTH INSURANCE4            
Private 6,399 6,327 3,358 3,440 3,025 2,869
Medicaid/CHIP 2,622 2,668 1,694 1,719 924 949
Other5 1,793 1,685 1,232 1,156 560 527
No Coverage 1,270a 1,577 507a 708 754 869
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
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, 2017 and 2018.
190417
Table 8.30B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 23.7 23.6 30.7 30.3 18.5 18.5
GEOGRAPHIC REGION            
Northeast 24.4 22.7 29.7 31.0 20.4a 15.7
Midwest 23.3 24.3 29.1 29.6 18.5 19.7
South 22.8 23.5 31.1 29.2 16.7 19.4
West 25.0 23.8 32.6 32.3 20.0 18.0
COUNTY TYPE            
Large Metro 24.2 23.6 32.2 29.6 18.9 19.4
Small Metro 24.1 23.9 29.9 31.3 19.2 17.5
Nonmetro 21.1 22.9 27.6 30.6 15.8 16.8
Urbanized 20.5 21.9 27.0 28.7 15.7 17.1
Less Urbanized 22.4 24.8 29.2 34.3 16.6 16.7
Completely Rural 17.1 19.6 * * * *
POVERTY LEVEL3            
Less Than 100% 24.3 25.7 32.1 35.0 17.8 18.2
100-199% 25.1 25.1 35.4 36.2 17.8 18.4
200% or More 23.0 22.3 28.4 27.0 19.0 18.4
EDUCATION            
< High School 18.7 18.0 31.6 33.5 11.3 10.2
High School Graduate 19.8 20.2 26.4 26.4 15.7 16.3
Some College/Associate's Degree 26.5 27.1 32.8 34.5 21.2 20.9
College Graduate 25.2 24.3 30.7 27.2 20.8 21.7
HEALTH INSURANCE4            
Private 22.9 22.5 28.8 27.2 18.7 18.6
Medicaid/CHIP 26.1 25.7 33.6 36.3 18.5 16.9
Other5 16.5 15.2 23.5 22.9 10.1 8.7
No Coverage 26.0 29.4 38.8 48.4 21.2 22.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
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, 2017 and 2018.
190417
Table 8.31A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 4,939 5,116 3,320 3,268 1,606 1,845
AGE GROUP            
18-25 1,431 1,549 844 819 582a 726
26 or Older 3,509 3,567 2,475 2,448 1,024 1,119
26-49 2,520 2,660 1,696 1,755 814 905
50 or Older 989 907 779 693 * *
GENDER            
Male 1,503 1,593 878 930 624 663
Female 3,436 3,523 2,441 2,337 983 1,182
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 4,468 4,323 3,060 2,761 1,404 1,559
White 3,667 3,590 2,523 2,398 1,144 1,190
Black or African American 435 391 310 217 122 174
AIAN * * * * * *
NHOPI * * * * * *
Asian * * * * * *
Two or More Races * * * * * *
Hispanic or Latino 471a 793 259a 507 202 286
CURRENT EMPLOYMENT            
Full-Time 2,038 2,144 1,256 1,239 782 905
Part-Time 929 950 648 597 280 353
Unemployed 396 383 * * * *
Other3 1,577 1,639 1,200 1,210 364 426
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.31B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 44.2 45.1 44.6 45.0 43.2 45.4
AGE GROUP            
18-25 55.9 59.5 57.7 58.5 53.5 60.6
26 or Older 40.7 40.8 41.3 41.8 39.0 39.0
26-49 45.2 45.2 46.0 47.0 43.3 42.3
50 or Older 32.5 31.9 33.9 32.7 * *
GENDER            
Male 38.7 39.9 39.2 41.3 38.1 38.0
Female 47.1 48.0 46.8 46.7 47.3 50.9
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 45.0 43.8 45.3 42.9 44.3 45.6
White 45.1 44.6 44.0 44.4 48.1 45.2
Black or African American 42.6 36.3 54.1a 34.8 27.4 38.5
AIAN * * * * * *
NHOPI * * * * * *
Asian * * * * * *
Two or More Races * * * * * *
Hispanic or Latino 37.5a 53.9 37.1a 61.6 37.1 44.2
CURRENT EMPLOYMENT            
Full-Time 45.2 44.6 46.7 44.0 43.0 45.8
Part-Time 51.7 51.1 52.1 50.3 51.0 52.5
Unemployed 49.4 48.6 * * * *
Other3 38.6 42.1 38.8 43.5 37.4 38.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190417
Table 8.32A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 4,939 5,116 3,320 3,268 1,606 1,845
GEOGRAPHIC REGION            
Northeast 766 793 519 569 236 224
Midwest 1,059a 1,290 746 831 313a 458
South 1,837 1,740 1,230 1,101 604 636
West 1,277 1,294 824 766 452 528
COUNTY TYPE            
Large Metro 2,478 2,618 1,638 1,576 829 1,042
Small Metro 1,700 1,742 1,141 1,196 559 546
Nonmetro 761 756 540 496 218 257
Urbanized 285 299 196 179 * *
Less Urbanized 430 391 304 273 * *
Completely Rural * * * * * *
POVERTY LEVEL3            
Less Than 100% 1,112 1,234 780 833 330 401
100-199% 1,268 1,156 875 736 392 416
200% or More 2,531 2,690 1,643 1,682 878 1,007
EDUCATION            
< High School 436 481 312 349 122 *
High School Graduate 1,053 1,133 604 632 448 498
Some College/Associate's Degree 2,004 2,250 1,395 1,508 609 742
College Graduate 1,446 1,252 1,009a 779 428 473
HEALTH INSURANCE4            
Private 2,541 2,566 1,705 1,598 835 965
Medicaid/CHIP 1,323 1,338 999 970 321 368
Other5 866 817 699 662 * 155
No Coverage 664a 918 311a 508 344 409
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
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, 2017 and 2018.
190417
Table 8.32B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Receipt of Past Year Mental Health Services and Geographic and Socioeconomic Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic Characteristic Total1 MENTAL HEALTH SERVICES2
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL 44.2 45.1 44.6 45.0 43.2 45.4
GEOGRAPHIC REGION            
Northeast 44.7 44.1 45.7 48.3 41.8 36.2
Midwest 43.3 48.9 44.1 46.7 41.7a 53.4
South 44.0 43.3 45.8 42.0 40.8 46.2
West 44.8 44.8 42.6 45.8 49.5 43.4
COUNTY TYPE            
Large Metro 44.4 45.8 46.3 44.1 40.8 48.6
Small Metro 45.4 44.3 44.1 45.9 48.4 41.5
Nonmetro 40.9 44.7 40.8 46.1 41.2 42.5
Urbanized 36.0 40.2 34.5 37.6 * *
Less Urbanized 45.4 52.1 45.8 59.9 * *
Completely Rural * * * * * *
POVERTY LEVEL3            
Less Than 100% 44.4 45.5 45.1 47.2 42.6 42.6
100-199% 47.5 47.6 48.0 50.2 46.3 43.3
200% or More 42.5 43.7 42.5 42.0 42.2 47.1
EDUCATION            
< High School 34.5 39.6 42.8 44.4 23.0 *
High School Graduate 39.5 40.3 35.3 39.1 47.2 42.0
Some College/Associate's Degree 44.8 49.6 45.1 50.3 44.3 48.5
College Graduate 51.9 45.2 52.6a 42.1 49.7 51.3
HEALTH INSURANCE4            
Private 43.7 43.1 43.8 40.9 43.5 47.3
Medicaid/CHIP 44.5 45.0 44.9 47.8 43.1 39.0
Other5 34.2 35.0 34.4 37.1 * 28.3
No Coverage 48.6a 60.5 57.1a 71.2 42.3 51.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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: 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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 The Total column includes respondents with unknown mental health services information.
2 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.
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, 2017 and 2018.
190417
Table 8.33A – Detailed Reasons for Not Receiving 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 Receipt of Past Year Mental Health Services: Numbers in Thousands, 2017 and 2018
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL POPULATION 13,475 14,215 6,991 7,349 6,451 6,845
Could Not Afford Cost 5,465 5,411 2,742 2,587 2,705 2,815
Might Cause Neighbors/Community to Have Negative Opinion 1,453 1,467 730 665 721 801
Might Have Negative Effect on Job 1,382 1,320 660 679 722 641
Health Insurance Does Not Cover Any Mental Health Services 1,051 1,100 485 551 558 545
Health Insurance Does Not Pay Enough for Mental Health Services 2,063 2,213 1,195 1,143 867 1,065
Did Not Know Where to Go for Services 3,300 3,432 1,523 1,552 1,767 1,879
Concerned about Confidentiality 1,236 1,199 583 473 652 726
Concerned about Being Committed/Having to Take Medicine 1,537 1,731 816 888 719 841
Did Not Feel Need for Treatment at the Time 1,330 1,465 637 686 691 778
Thought Could Handle the Problem Without Treatment 3,914 3,709 1,695 1,641 2,201 2,067
Treatment Would Not Help 1,547 1,572 746 870 791 703
Did Not Have Time 2,819 2,832 1,340 1,406 1,461 1,415
Did Not Want Others to Find Out 1,156 1,053 437 381 719 671
No Transportation/Inconvenient 630 722 381 459 244 263
Some Other Reason4 1,213a 1,502 739 880 472 618
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 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.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
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, 2017 and 2018.
190417
Table 8.33B – Detailed Reasons for Not Receiving 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 Receipt of Past Year Mental Health Services: Percentages, 2017 and 2018
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0
Could Not Afford Cost 40.8 38.5 39.5 35.7 42.2 41.5
Might Cause Neighbors/Community to Have Negative Opinion 10.8 10.4 10.5 9.2 11.3 11.8
Might Have Negative Effect on Job 10.3 9.4 9.5 9.4 11.3 9.4
Health Insurance Does Not Cover Any Mental Health Services 7.8 7.8 7.0 7.6 8.7 8.0
Health Insurance Does Not Pay Enough for Mental Health Services 15.4 15.7 17.2 15.8 13.5 15.7
Did Not Know Where to Go for Services 24.6 24.4 21.9 21.4 27.6 27.7
Concerned about Confidentiality 9.2 8.5 8.4 6.5 10.2 10.7
Concerned about Being Committed/Having to Take Medicine 11.5 12.3 11.7 12.3 11.2 12.4
Did Not Feel Need for Treatment at the Time 9.9 10.4 9.2 9.5 10.8 11.5
Thought Could Handle the Problem Without Treatment 29.2 26.4 24.4 22.7 34.3 30.4
Treatment Would Not Help 11.6 11.2 10.7 12.0 12.3 10.3
Did Not Have Time 21.1 20.2 19.3 19.4 22.8 20.8
Did Not Want Others to Find Out 8.6 7.5 6.3 5.3 11.2 9.9
No Transportation/Inconvenient 4.7 5.1 5.5 6.3 3.8 3.9
Some Other Reason4 9.1 10.7 10.6 12.2 7.4 9.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 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.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
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, 2017 and 2018.
190417
Table 8.34A – Detailed Reasons for Not Receiving 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 Receipt of Past Year Mental Health Services: Numbers in Thousands, 2017 and 2018
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL POPULATION 11,052 11,208 6,085 6,223 4,938 4,966
Could Not Afford Cost 4,638 4,529 2,430 2,283 2,191 2,238
Might Cause Neighbors/Community to Have Negative Opinion 1,270 1,227 663 616 605 610
Might Have Negative Effect on Job 1,217 1,159 624 618 594 541
Health Insurance Does Not Cover Any Mental Health Services 881 884 418 439 455 441
Health Insurance Does Not Pay Enough for Mental Health Services 1,724 1,846 1,082 1,047 642 794
Did Not Know Where to Go for Services 2,818 2,799 1,371 1,348 1,436 1,449
Concerned about Confidentiality 1,067 1,030 536 429 531 601
Concerned about Being Committed/Having to Take Medicine 1,418 1,564 776 862 639 698
Did Not Feel Need for Treatment at the Time 1,022 1,139 521 605 498 533
Thought Could Handle the Problem Without Treatment 3,147 2,855 1,454 1,387 1,676 1,468
Treatment Would Not Help 1,329 1,329 690 761 630 569
Did Not Have Time 2,186 2,317 1,118 1,255 1,051 1,053
Did Not Want Others to Find Out 1,005 876 404 338 601 538
No Transportation/Inconvenient 554 624 345 440 203 184
Some Other Reason4 1,039a 1,316 652 781 385a 531
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 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.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
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, 2017 and 2018.
190417
Table 8.34B – Detailed Reasons for Not Receiving 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 Receipt of Past Year Mental Health Services: Percentages, 2017 and 2018
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0
Could Not Afford Cost 42.2 40.7 40.1 37.1 44.6 45.2
Might Cause Neighbors/Community to Have Negative Opinion 11.5 11.0 10.9 10.0 12.3 12.3
Might Have Negative Effect on Job 11.1 10.4 10.3 10.1 12.1 10.9
Health Insurance Does Not Cover Any Mental Health Services 8.0 8.0 6.9 7.1 9.3 8.9
Health Insurance Does Not Pay Enough for Mental Health Services 15.7 16.6 17.8 17.0 13.1 16.0
Did Not Know Where to Go for Services 25.6 25.2 22.6 21.9 29.2 29.3
Concerned about Confidentiality 9.7 9.3 8.8 7.0 10.8 12.1
Concerned about Being Committed/Having to Take Medicine 12.9 14.1 12.8 14.0 13.0 14.1
Did Not Feel Need for Treatment at the Time 9.3 10.2 8.6 9.8 10.1 10.8
Thought Could Handle the Problem Without Treatment 28.6 25.7 24.0 22.6 34.1a 29.6
Treatment Would Not Help 12.1 12.0 11.4 12.4 12.8 11.5
Did Not Have Time 19.9 20.8 18.4 20.4 21.4 21.3
Did Not Want Others to Find Out 9.1 7.9 6.7 5.5 12.2 10.9
No Transportation/Inconvenient 5.0 5.6 5.7 7.2 4.1 3.7
Some Other Reason4 9.4a 11.8 10.8 12.7 7.8a 10.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 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.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
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, 2017 and 2018.
190417
Table 8.35A – Detailed Reasons for Not Receiving 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 Receipt of Past Year Mental Health Services: Numbers in Thousands, 2017 and 2018
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL POPULATION 4,939 5,116 3,320 3,268 1,606 1,845
Could Not Afford Cost 2,267 2,351 1,422 1,338 836 1,009
Might Cause Neighbors/Community to Have Negative Opinion 606 667 355 401 250 266
Might Have Negative Effect on Job 622 668 360 417 262 251
Health Insurance Does Not Cover Any Mental Health Services 402 493 224 304 177 189
Health Insurance Does Not Pay Enough for Mental Health Services 820 973 579 617 240 352
Did Not Know Where to Go for Services 1,283 1,365 760 781 513 584
Concerned about Confidentiality 544 617 301 308 243 308
Concerned about Being Committed/Having to Take Medicine 945 1,044 615 624 328 416
Did Not Feel Need for Treatment at the Time 411 473 291 304 118 169
Thought Could Handle the Problem Without Treatment 1,238 1,131 734 663 493 468
Treatment Would Not Help 644 674 378 408 257 266
Did Not Have Time 862 946 575 610 277 335
Did Not Want Others to Find Out 418 454 217 211 201 243
No Transportation/Inconvenient 317 410 237 318 79 92
Some Other Reason4 516 641 359 440 157 202
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 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.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
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, 2017 and 2018.
190417
Table 8.35B – Detailed Reasons for Not Receiving 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 Receipt of Past Year Mental Health Services: Percentages, 2017 and 2018
Reason Did Not Receive Mental Health Services1 Total2 MENTAL HEALTH SERVICES3
Received Not Received
2017 2018 2017 2018 2017 2018
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0
Could Not Afford Cost 46.1 46.1 42.9 41.2 52.5 54.7
Might Cause Neighbors/Community to Have Negative Opinion 12.3 13.1 10.7 12.3 15.7 14.4
Might Have Negative Effect on Job 12.6 13.1 10.9 12.8 16.4 13.6
Health Insurance Does Not Cover Any Mental Health Services 8.2 9.7 6.8 9.4 11.1 10.3
Health Insurance Does Not Pay Enough for Mental Health Services 16.7 19.1 17.5 19.0 15.1 19.1
Did Not Know Where to Go for Services 26.1 26.8 22.9 24.0 32.2 31.6
Concerned about Confidentiality 11.0 12.1 9.1 9.5 15.3 16.7
Concerned about Being Committed/Having to Take Medicine 19.2 20.5 18.5 19.2 20.6 22.5
Did Not Feel Need for Treatment at the Time 8.4 9.3 8.8 9.3 7.4 9.2
Thought Could Handle the Problem Without Treatment 25.2 22.2 22.2 20.4 30.9 25.4
Treatment Would Not Help 13.1 13.2 11.4 12.6 16.1 14.4
Did Not Have Time 17.5 18.6 17.4 18.8 17.4 18.2
Did Not Want Others to Find Out 8.5 8.9 6.6 6.5 12.6 13.2
No Transportation/Inconvenient 6.4 8.0 7.2 9.8 5.0 5.0
Some Other Reason4 10.5 12.6 10.8 13.5 9.9 10.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
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. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple reasons for not receiving mental health services; thus, these response categories are not mutually exclusive.
2 The Total column includes respondents with unknown mental health services information.
3 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.
4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Services were classified as not having received treatment/counseling for Some Other Reason.
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, 2017 and 2018.
190419
Table 8.36A – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 17,297 17,720 6,266 6,272 11,031 11,447
18-25 4,416 4,609 1,618 1,665 2,799 2,943
18-20 1,731 1,818 658 631 1,073 1,187
21-25 2,685 2,790 960 1,034 1,725 1,756
26 or Older 12,880 13,111 4,648 4,607 8,232 8,504
26-49 7,635 7,990 2,744 2,956 4,891 5,034
26-29 1,668a 1,996 564a 797 1,104 1,199
30-34 1,676 1,911 718 696 958a 1,215
35-39 1,432 1,467 457 565 974 902
40-44 1,469 1,319 485 483 984 836
45-49 1,390 1,295 520 415 870 881
50 or Older 5,245 5,121 1,904 1,651 3,341 3,470
50-54 1,297 1,382 521 530 776 852
55-59 1,421 1,281 509 437 911 843
60-64 1,107 971 396 262 710 709
65 or Older 1,420 1,488 478 422 943 1,066
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190419
Table 8.36B – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 7.1 7.2 5.3 5.3 8.7 9.0
18-25 13.1 13.8 9.5 9.9 16.6 17.6
18-20 13.6 14.2 9.9 9.3 17.8 19.6
21-25 12.7 13.5 9.3 10.3 15.9 16.5
26 or Older 6.1 6.2 4.6 4.5 7.5 7.7
26-49 7.7 8.0 5.6 6.0 9.7 10.0
26-29 9.4a 11.4 6.6a 9.1 12.1 13.7
30-34 7.8 8.7 6.6 6.4 9.0a 10.9
35-39 6.9 6.8 4.5 5.4 9.2 8.2
40-44 7.5 6.8 5.1 5.0 9.7 8.6
45-49 7.0 6.7 5.2 4.4 8.7 8.9
50 or Older 4.7 4.5 3.7 3.1 5.6 5.8
50-54 6.3 6.8 5.4 5.3 7.0 8.1
55-59 6.5 5.9 4.9 4.4 8.1 7.3
60-64 5.6 4.8 3.9 2.6 7.3 7.1
65 or Older 2.9 2.9 2.2 1.9 3.5 3.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190419
Table 8.37A – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 11,007 11,489 3,777 4,013 7,230 7,476
18-25 2,887 2,968 1,020 1,087 1,867 1,881
18-20 1,144 1,183 432 417 712 766
21-25 1,743 1,785 588 670 1,155 1,115
26 or Older 8,119 8,520 2,757 2,926 5,363 5,595
26-49 5,019 5,284 1,718 1,980 3,301 3,304
26-29 1,132 1,326 366 530 766 796
30-34 1,035 1,259 381 480 654 778
35-39 1,011 973 327 366 684 606
40-44 1,003 895 324 345 679 550
45-49 837 831 320 258 517 573
50 or Older 3,101 3,236 1,039 946 2,062 2,291
50-54 727 976 297 287 430a 689
55-59 992 852 307 311 684 541
60-64 621 588 230 128 391 460
65 or Older 761 820 204 220 557 601
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190419
Table 8.37B – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2017 and 2018
Age Category Total
(2017)
Total
(2018)
Male
(2017)
Male
(2018)
Female
(2017)
Female
(2018)
TOTAL 4.5 4.7 3.2 3.4 5.7 5.9
18-25 8.5 8.9 6.0 6.5 11.1 11.3
18-20 9.0 9.2 6.5 6.2 11.8 12.6
21-25 8.2 8.6 5.7 6.7 10.7 10.5
26 or Older 3.9 4.0 2.7 2.9 4.9 5.1
26-49 5.0 5.3 3.5 4.0 6.5 6.5
26-29 6.4 7.6 4.3 6.0 8.4 9.1
30-34 4.8 5.7 3.5 4.4 6.2 7.0
35-39 4.9 4.5 3.2 3.5 6.5 5.5
40-44 5.1 4.6 3.4 3.6 6.7 5.7
45-49 4.2 4.3 3.2 2.8 5.2 5.8
50 or Older 2.8 2.9 2.0 1.8 3.5 3.8
50-54 3.5 4.8 3.1 2.9 3.9a 6.6
55-59 4.6 4.0 3.0 3.1 6.1 4.7
60-64 3.1 2.9 2.3 1.3 4.0 4.6
65 or Older 1.5 1.6 0.9 1.0 2.0 2.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.
190418
Table 8.38A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Gender and Age Group: Numbers in Thousands, 2017 and 2018
Gender/Age Group Had MDE
(2017)
Had MDE
(2018)
Had MDE
with Severe
Impairment1
(2017)
Had MDE
with Severe
Impairment1
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
TOTAL 17,297 17,720 11,007 11,489 11,548 11,462 7,923 7,878
18-25 4,416 4,609 2,887 2,968 2,238 2,286 1,649 1,594
26 or Older 12,880 13,111 8,119 8,520 9,310 9,176 6,274 6,283
26-49 7,635 7,990 5,019 5,284 5,128 5,142 3,596 3,593
50 or Older 5,245 5,121 3,101 3,236 4,182 4,034 2,678 2,691
MALE 6,266 6,272 3,777 4,013 3,650 3,548 2,408 2,464
18-25 1,618 1,665 1,020 1,087 701 674 500 496
26 or Older 4,648 4,607 2,757 2,926 2,949 2,875 1,908 1,969
26-49 2,744 2,956 1,718 1,980 1,500 1,660 1,001 1,220
50 or Older 1,904 1,651 1,039 946 1,449 1,215 908 *
FEMALE 11,031 11,447 7,230 7,476 7,898 7,914 5,515 5,414
18-25 2,799 2,943 1,867 1,881 1,537 1,612 1,149 1,099
26 or Older 8,232 8,504 5,363 5,595 6,361 6,302 4,366 4,315
26-49 4,891 5,034 3,301 3,304 3,628 3,482 2,596 2,372
50 or Older 3,341 3,470 2,062 2,291 2,733 2,819 1,770 1,942
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown treatment for depression 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, 2017 and 2018.
190418
Table 8.38B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Gender and Age Group: Percentages, 2017 and 2018
Gender/Age Group Had MDE
(2017)
Had MDE
(2018)
Had MDE
with Severe
Impairment1
(2017)
Had MDE
with Severe
Impairment1
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
TOTAL 7.1 7.2 4.5 4.7 66.8 64.8 72.1a 68.6
18-25 13.1 13.8 8.5 8.9 50.7 49.6 57.1 53.7
26 or Older 6.1 6.2 3.9 4.0 72.4 70.1 77.4 73.8
26-49 7.7 8.0 5.0 5.3 67.3 64.4 71.8 68.0
50 or Older 4.7 4.5 2.8 2.9 79.7 78.9 86.4 83.1
MALE 5.3 5.3 3.2 3.4 58.3 56.7 63.8 61.4
18-25 9.5 9.9 6.0 6.5 43.3 40.5 49.0 45.6
26 or Older 4.6 4.5 2.7 2.9 63.5 62.6 69.2 67.3
26-49 5.6 6.0 3.5 4.0 54.7 56.3 58.3 61.7
50 or Older 3.7 3.1 2.0 1.8 76.1 73.9 87.4 *
FEMALE 8.7 9.0 5.7 5.9 71.7 69.2 76.4a 72.4
18-25 16.6 17.6 11.1 11.3 55.0 54.8 61.6 58.4
26 or Older 7.5 7.7 4.9 5.1 77.4 74.1 81.6a 77.1
26-49 9.7 10.0 6.5 6.5 74.4a 69.2 78.9a 71.8
50 or Older 5.6 5.8 3.5 3.8 81.8 81.3 85.8 84.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown treatment for depression 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, 2017 and 2018.
190418
Table 8.39A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Numbers in Thousands, 2017 and 2018
Demographic Characteristic Had MDE
(2017)
Had MDE
(2018)
Had MDE
with Severe
Impairment1
(2017)
Had MDE
with Severe
Impairment1
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
TOTAL 17,297 17,720 11,007 11,489 11,548 11,462 7,923 7,878
GENDER                
Male 6,266 6,272 3,777 4,013 3,650 3,548 2,408 2,464
Female 11,031 11,447 7,230 7,476 7,898 7,914 5,515 5,414
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 15,188 15,225 9,802 9,970 10,370 10,118 7,184 6,972
White 12,398 12,224 7,839 7,993 8,737 8,366 5,950 5,767
Black or African American 1,579 1,783 1,135 1,150 994 1,090 759 740
AIAN 102 125 82 93 * * * *
NHOPI 45 64 40 55 * * * *
Asian 600 593 401 379 251 261 * *
Two or More Races 465 437 306 299 296 288 213 *
Hispanic or Latino 2,109a 2,495 1,205a 1,519 1,178 1,344 739 906
CURRENT EMPLOYMENT                
Full-Time 7,241 7,750 4,191a 4,784 4,214 4,680 2,595a 3,031
Part-Time 2,985 2,906 1,903 1,813 1,995 1,731 1,399a 1,127
Unemployed 1,133 1,112 774 735 690 648 480 465
Other3 5,938 5,952 4,139 4,158 4,649 4,403 3,448 3,254
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown treatment for depression data were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190418
Table 8.39B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Demographic Characteristics: Percentages, 2017 and 2018
Demographic Characteristic Had MDE
(2017)
Had MDE
(2018)
Had MDE
with Severe
Impairment1
(2017)
Had MDE
with Severe
Impairment1
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
TOTAL 7.1 7.2 4.5 4.7 66.8 64.8 72.1a 68.6
GENDER                
Male 5.3 5.3 3.2 3.4 58.3 56.7 63.8 61.4
Female 8.7 9.0 5.7 5.9 71.7 69.2 76.4a 72.4
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 7.4 7.4 4.8 4.8 68.4 66.5 73.4a 69.9
White 7.9 7.8 5.0 5.1 70.5 68.5 75.9a 72.2
Black or African American 5.4 6.1 3.9 4.0 63.1 61.2 67.1 64.3
AIAN 8.0 8.5 6.4 6.4 * * * *
NHOPI 4.7 6.9 4.2 5.9 * * * *
Asian 4.4 4.3 2.9 2.7 41.9 43.9 * *
Two or More Races 11.3 10.2 7.5 7.0 64.8 65.8 71.6 *
Hispanic or Latino 5.4 6.2 3.1 3.8 55.9 53.9 61.4 59.6
CURRENT EMPLOYMENT                
Full-Time 5.9 6.3 3.4a 3.9 58.2 60.4 61.9 63.4
Part-Time 9.4 9.1 6.0 5.7 66.8a 59.6 73.5a 62.2
Unemployed 10.8 11.3 7.4 7.5 61.0 58.3 62.1 63.4
Other3 7.4 7.3 5.2 5.1 78.5 74.2 83.5a 78.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown treatment for depression data were excluded.
3 The Other Employment category includes students, persons keeping house or caring for children full time, retired or disabled persons, or other persons not in the labor force.
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, 2017 and 2018.
190418
Table 8.40A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Numbers in Thousands, 2017 and 2018
Geographic/Socioeconomic/
Health Characteristic
Had MDE
(2017)
Had MDE
(2018)
Had MDE
with Severe
Impairment1
(2017)
Had MDE
with Severe
Impairment1
(2018)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2017)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
TOTAL 17,297 17,720 11,007 11,489 11,548 11,462 7,923 7,878
GEOGRAPHIC REGION                
Northeast 2,799 2,917 1,652 1,840 1,961 2,035 1,185 1,313
Midwest 3,926 4,120 2,499 2,750 2,718 2,773 1,860 1,994
South 6,253 6,166 4,084 4,147 4,128 3,880 2,886 2,818
West 4,317 4,516 2,772 2,752 2,740 2,773 1,993 1,754
COUNTY TYPE                
Large Metro 9,025 9,356 5,630 5,838 5,829 5,865 3,887 3,826
Small Metro 5,645 5,798 3,598 3,846 3,913 3,921 2,697 2,788
Nonmetro 2,627 2,566 1,779 1,806 1,806 1,677 1,338 1,264
POVERTY LEVEL3                
Less Than 100% 3,509 3,636 2,512 2,634 2,442 2,397 1,925 1,840
100-199% 3,864 3,785 2,650 2,469 2,609 2,345 1,948 1,635
200% or More 9,826 10,198 5,792 6,318 6,442 6,684 4,006 4,375
EDUCATION                
< High School 1,708 1,821 1,133 1,242 1,052 1,168 747 879
High School Graduate 4,081 4,175 2,670 2,830 2,607 2,450 1,884 1,815
Some College/Associate's Degree 6,592 6,953 4,362 4,699 4,506 4,539 3,235 3,285
College Graduate 4,916 4,770 2,842 2,718 3,383 3,305 2,057 1,899
HEALTH INSURANCE4                
Private 9,944 10,245 5,886 6,305 6,571 6,755 4,208 4,350
Medicaid/CHIP 4,014 4,021 2,921 2,902 3,039 2,865 2,334 2,166
Other5 3,892 3,660 2,432 2,522 3,205 2,915 2,149 2,072
No Coverage 1,882a 2,219 1,282 1,378 792 954 610 685
OVERALL HEALTH6                
Excellent 1,951 1,869 1,035 998 1,055 1,039 625 578
Very Good 5,214 5,772 3,214 3,435 3,117 3,448 2,033 2,161
Good 5,651 5,622 3,423 3,636 3,793 3,655 2,470 2,440
Fair/Poor 4,477 4,457 3,332 3,420 3,582 3,319 2,795 2,699
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown treatment for depression data were excluded.
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.
6 Respondents with unknown health 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, 2017 and 2018.
190418
Table 8.40B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year among Persons Aged 18 or Older, and Receipt of Treatment for Depression in Past Year among Persons Aged 18 or Older with MDE or MDE with Severe Impairment in Past Year, by Geographic, Socioeconomic, and Health Characteristics: Percentages, 2017 and 2018
Geographic/Socioeconomic/
Health Characteristic
Had MDE
(2017)
Had MDE
(2018)
Had MDE
with Severe
Impairment1
(2017)
Had MDE
with Severe
Impairment1
(2018)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2017)
Received
Treatment for
Depression in
Past Year
among
Persons with
MDE2
(2018)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2017)
Received
Treatment for
Depression in
Past Year
among Persons
with MDE
with Severe
Impairment1,2
(2018)
TOTAL 7.1 7.2 4.5 4.7 66.8 64.8 72.1a 68.6
GEOGRAPHIC REGION                
Northeast 6.4 6.7 3.8 4.3 70.1 69.8 71.7 71.3
Midwest 7.7 8.0 4.9 5.3 69.2 67.3 74.4 72.5
South 6.8 6.6 4.4 4.5 66.1 63.1 70.7 68.0
West 7.5 7.7 4.8 4.7 63.6 61.5 72.1a 63.7
COUNTY TYPE                
Large Metro 6.6 6.8 4.1 4.3 64.7 62.7 69.2 65.5
Small Metro 7.8 7.9 5.0 5.2 69.4 67.7 75.0 72.5
Nonmetro 7.4 7.2 5.0 5.1 68.8 65.7 75.2 70.1
POVERTY LEVEL3                
Less Than 100% 10.5 10.7 7.5 7.8 69.9 66.0 77.0a 69.9
100-199% 8.1 7.8 5.5 5.1 67.5 62.2 73.5a 66.2
200% or More 6.0 6.3 3.6 3.9 65.6 65.5 69.2 69.2
EDUCATION                
< High School 5.7 6.0 3.8 4.1 61.8 64.6 66.2 70.7
High School Graduate 6.9 6.9 4.5 4.7 63.9 58.7 70.6 64.2
Some College/Associate's Degree 8.7 9.1 5.7 6.2 68.4 65.3 74.3 69.9
College Graduate 6.2 6.1 3.6 3.5 68.9 69.3 72.4 69.9
HEALTH INSURANCE4                
Private 6.1 6.2 3.6 3.8 66.1 65.9 71.5 69.0
Medicaid/CHIP 11.3 11.2 8.2 8.1 75.8 71.3 80.0 74.7
Other5 5.8 5.4 3.6 3.7 82.4 79.8 88.4a 82.2
No Coverage 8.2 9.2 5.6 5.7 42.3 43.1 47.9 49.7
OVERALL HEALTH6                
Excellent 3.7 3.6 2.0 1.9 54.2 55.6 60.4 57.9
Very Good 5.8a 6.5 3.6 3.9 59.8 59.7 63.2 62.9
Good 8.1 7.8 4.9 5.0 67.2 65.1 72.4 67.2
Fair/Poor 13.5 13.2 10.1 10.1 80.1a 74.7 84.0 78.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents with unknown impairment data were excluded.
2 Respondents with unknown treatment for depression data were excluded.
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.
6 Respondents with unknown health 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, 2017 and 2018.
190419
Table 8.41A – Level of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year among Persons Aged 18 or Older, by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances: Numbers in Thousands, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 247,161 248,857 46,632 47,635 11,190 11,373 35,441 36,262 200,529 201,222 17,297 17,720 11,007 11,489 227,299a 228,363
ILLICIT DRUGS 6,804 7,412 3,999 4,361 1,651 1,910 2,348 2,451 2,805 3,051 1,839a 2,230 1,402 1,631 4,820 5,058
Marijuana 3,500 3,910 1,908 2,118 733 748 1,175 1,370 1,591 1,791 843a 1,072 625 702 2,609 2,779
Cocaine 947 973 637 581 284 322 352 259 310 391 261 317 219 247 663 649
Heroin 648 522 456 * 207 * 249 * 192 * 190 * 130 103 424 *
Hallucinogens * * * * * * * * * * * * * * * *
Inhalants * * * * * * * * * * * * * * * *
Methamphetamine 940 1,033 618 752 264a 440 353 312 322 281 249a 427 212 331 644 584
Misuse of
   Psychotherapeutics
2,332 2,370 1,578 1,637 762 820 816 816 754 733 814 833 643 647 1,459 1,488
Pain Relievers 1,579 1,591 1,055 1,061 495 472 559 589 524 529 503 462 405 350 1,023 1,112
Stimulants 510 508 388 380 185 219 204 162 121 128 216 240 179 194 287 249
Tranquilizers or Sedatives 740 683 551 554 294 295 257 259 189 129 332 337 282 264 406 332
Tranquilizers 658 612 486 518 258 275 228 243 172a 94 280 314 246 244 378 292
Sedatives * * * * * * * * * * * * * * * *
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 2,006 1,920 1,331 1,262 610 550 721 713 676 658 614 536 470 400 1,322 1,350
Illicit Drugs Other
   Than Marijuana4
4,034 4,163 2,607 2,705 1,179 1,389 1,428 1,316 1,426 1,457 1,216 1,428 960 1,111 2,703 2,658
ALCOHOL 14,062 14,418 5,879 6,390 2,067 1,971 3,812a 4,420 8,183 8,027 2,532 2,642 1,843 1,728 11,418 11,612
BOTH ILLICIT DRUGS
AND ALCOHOL
2,157 2,487 1,352 1,565 626 715 726 850 805 923 651 833 536 634 1,464 1,613
ILLICIT DRUGS OR
ALCOHOL
18,708 19,343 8,526 9,187 3,092 3,166 5,434a 6,021 10,183 10,156 3,720 4,039 2,709 2,725 14,774 15,056
ILLICIT DRUGS ONLY 4,647 4,925 2,647 2,797 1,025 1,195 1,622 1,601 2,000 2,129 1,188 1,396 866 997 3,356 3,445
ALCOHOL ONLY 11,905 11,930 4,527 4,826 1,441 1,256 3,086a 3,570 7,378 7,105 1,881 1,809 1,307 1,094 9,954 9,999
NO SUBSTANCE USE
DISORDER
228,452 229,515 38,106 38,448 8,098 8,207 30,007 30,241 190,347 191,066 13,576 13,681 8,297 8,764 212,525 213,307
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190419
Table 8.41B – Level of Mental Illness and Major Depressive Episode (MDE) and MDE with Severe Impairment Status in Past Year among Persons Aged 18 or Older, by Past Year Substance Use Disorder Status and Past Year Substance Use Disorder for Specific Substances: Percentages, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 100.0 100.0 18.9 19.1 4.5 4.6 14.3 14.6 81.1 80.9 7.1 7.2 4.5 4.7 92.9 92.8
ILLICIT DRUGS 100.0 100.0 58.8 58.8 24.3 25.8 34.5 33.1 41.2 41.2 27.6 30.6 21.1 22.4 72.4 69.4
Marijuana 100.0 100.0 54.5 54.2 20.9 19.1 33.6 35.0 45.5 45.8 24.4 27.8 18.2 18.3 75.6 72.2
Cocaine 100.0 100.0 67.3 59.8 30.0 33.2 37.2 26.6 32.7 40.2 28.3 32.8 23.7 25.6 71.7 67.2
Heroin 100.0 100.0 70.4 * 32.0 * 38.4 * 29.6 * 31.0 * 21.5 20.5 69.0 *
Hallucinogens * * * * * * * * * * * * * * * *
Inhalants * * * * * * * * * * * * * * * *
Methamphetamine 100.0 100.0 65.7 72.8 28.1a 42.6 37.6 30.2 34.3 27.2 27.9a 42.2 23.7 32.8 72.1a 57.8
Misuse of
   Psychotherapeutics
100.0 100.0 67.7 69.1 32.7 34.6 35.0 34.4 32.3 30.9 35.8 35.9 28.3 27.9 64.2 64.1
Pain Relievers 100.0 100.0 66.8 66.7 31.4 29.7 35.4 37.0 33.2 33.3 33.0 29.3 26.5 22.2 67.0 70.7
Stimulants 100.0 100.0 76.2 74.9 36.2 43.1 39.9 31.8 23.8 25.1 42.9 49.1 35.7 39.7 57.1 50.9
Tranquilizers or Sedatives 100.0 100.0 74.5 81.2 39.7 43.2 34.7 38.0 25.5 18.8 45.0 50.4 38.2 39.5 55.0 49.6
Tranquilizers 100.0 100.0 73.8a 84.7 39.1 45.0 34.7 39.7 26.2a 15.3 42.6 51.8 37.5 40.3 57.4 48.2
Sedatives * * * * * * * * * * * * * * * *
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 100.0 100.0 66.3 65.7 30.4 28.6 35.9 37.1 33.7 34.3 31.7 28.4 24.5 21.2 68.3 71.6
Illicit Drugs Other
   Than Marijuana4
100.0 100.0 64.6 65.0 29.2 33.4 35.4 31.6 35.4 35.0 31.0 34.9 24.6 27.2 69.0 65.1
ALCOHOL 100.0 100.0 41.8 44.3 14.7 13.7 27.1a 30.7 58.2 55.7 18.2 18.5 13.2 12.1 81.8 81.5
BOTH ILLICIT DRUGS
AND ALCOHOL
100.0 100.0 62.7 62.9 29.0 28.7 33.7 34.2 37.3 37.1 30.8 34.1 25.3 25.9 69.2 65.9
ILLICIT DRUGS OR
ALCOHOL
100.0 100.0 45.6 47.5 16.5 16.4 29.0 31.1 54.4 52.5 20.1 21.1 14.7 14.3 79.9 78.9
ILLICIT DRUGS ONLY 100.0 100.0 57.0 56.8 22.1 24.3 34.9 32.5 43.0 43.2 26.1 28.8 19.1 20.6 73.9 71.2
ALCOHOL ONLY 100.0 100.0 38.0 40.4 12.1 10.5 25.9a 29.9 62.0 59.6 15.9 15.3 11.1 9.3 84.1 84.7
NO SUBSTANCE USE
DISORDER
100.0 100.0 16.7 16.8 3.5 3.6 13.1 13.2 83.3 83.2 6.0 6.0 3.7 3.9 94.0 94.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190419
Table 8.42A – Substance Use in Past Year and Past Month among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 47,726 49,031 15,974a 17,496 4,935a 5,614 11,039 11,882 31,752 31,535 6,832a 7,663 4,743 5,169 40,293 40,603
Marijuana 37,841a 40,377 12,240a 13,915 3,665a 4,420 8,575a 9,496 25,600 26,462 5,300a 6,261 3,606a 4,228 32,078 33,566
Cocaine 5,816 5,418 2,175 2,430 913 870 1,262a 1,560 3,640a 2,987 1,002 1,044 746 671 4,744 4,232
Crack 913 753 517 407 255 174 262 233 396 346 222 122 173 88 653 618
Heroin 872 798 533 430 270 206 263 224 339 367 241 160 176 123 588 609
Hallucinogens 4,613a 5,219 1,992a 2,412 744 907 1,248a 1,505 2,621 2,807 1,034 1,236 729 796 3,527 3,853
LSD 1,984 2,115 901 1,046 393 402 508 644 1,084 1,070 513 573 342 375 1,438 1,508
PCP 73 56 53 33 9 17 44 15 20 23 17 23 16 23 56 21
Ecstasy 2,313 2,386 973 1,095 400 392 573 702 1,340 1,292 550 551 401 370 1,742 1,789
Inhalants 1,185 1,341 584 621 215 218 369 403 601 720 270 360 190 172 880 959
Methamphetamine 1,585 1,824 872a 1,126 381a 579 491 548 713 697 388a 580 323 449 1,134 1,192
Misuse of Psychotherapeutics 16,844a 15,686 7,086 7,196 2,505 2,594 4,581 4,602 9,759a 8,490 3,161 3,126 2,311 2,154 13,428a 12,206
Pain Relievers 10,310a 9,253 4,518 4,229 1,598 1,582 2,921 2,646 5,792a 5,024 1,933 1,863 1,401 1,309 8,167a 7,160
Stimulants 5,386a 4,739 2,274 2,331 850 822 1,425 1,509 3,112a 2,409 1,080 1,066 787 715 4,260a 3,598
Tranquilizers or Sedatives 6,251 5,975 3,145 3,203 1,272 1,217 1,873 1,986 3,106 2,772 1,517 1,389 1,178a 929 4,669 4,446
Tranquilizers 5,485 5,319 2,811 2,958 1,112 1,131 1,698 1,827 2,675 2,362 1,345 1,295 1,032 859 4,087 3,903
Sedatives 1,278 1,021 724a 470 343a 202 381 268 554 551 383a 210 307a 165 883 785
Benzodiazepines 5,233 5,039 2,679 2,758 1,067 1,065 1,611 1,693 2,554 2,280 1,295 1,186 985 795 3,893 3,737
Opioids 10,632a 9,551 4,711 4,374 1,695 1,657 3,016 2,717 5,921a 5,177 2,017 1,913 1,463 1,342 8,404a 7,393
Illicit Drugs Other Than
   Marijuana4
22,458 21,422 9,087 9,392 3,154 3,315 5,933 6,077 13,370a 12,029 4,023 4,063 2,969 2,766 18,107a 16,883
PAST MONTH USE
Alcohol 138,123 137,602 26,536 27,214 6,245 6,288 20,291 20,926 111,587 110,388 10,013 10,121 6,046 6,307 127,030 126,207
Binge Alcohol Use5 65,326 65,891 14,243 14,891 3,546 3,676 10,697 11,215 51,083 51,000 5,382 5,670 3,351 3,448 59,424 59,607
Heavy Alcohol Use 16,543 16,437 4,163 4,227 1,257 1,163 2,906 3,063 12,380 12,211 1,762 1,742 1,186 1,045 14,668 14,531
Cigarette Use 47,905 46,284 13,133 13,399 3,973 4,236 9,161 9,163 34,772a 32,885 5,070 5,405 3,602 3,844 42,189a 40,114
Daily Cigarette Use 27,691 27,229 7,755 7,937 2,477 2,748 5,278 5,190 19,935 19,292 3,021 3,184 2,229 2,317 24,308 23,690
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.42B – Substance Use in Past Year and Past Month among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 19.3 19.7 34.3a 36.7 44.1a 49.4 31.1 32.8 15.8 15.7 39.5a 43.2 43.1 45.0 17.7 17.8
Marijuana 15.3a 16.2 26.2a 29.2 32.8a 38.9 24.2a 26.2 12.8 13.2 30.6a 35.3 32.8a 36.8 14.1 14.7
Cocaine 2.4 2.2 4.7 5.1 8.2 7.7 3.6a 4.3 1.8a 1.5 5.8 5.9 6.8 5.8 2.1 1.9
Crack 0.4 0.3 1.1 0.9 2.3 1.5 0.7 0.6 0.2 0.2 1.3a 0.7 1.6a 0.8 0.3 0.3
Heroin 0.4 0.3 1.1 0.9 2.4 1.8 0.7 0.6 0.2 0.2 1.4 0.9 1.6 1.1 0.3 0.3
Hallucinogens 1.9a 2.1 4.3a 5.1 6.6 8.0 3.5 4.2 1.3 1.4 6.0 7.0 6.6 6.9 1.6 1.7
LSD 0.8 0.9 1.9 2.2 3.5 3.5 1.4 1.8 0.5 0.5 3.0 3.2 3.1 3.3 0.6 0.7
PCP 0.0 0.0 0.1 0.1 0.1 0.2 0.1 0.0 0.0 0.0 0.1 0.1 0.1 0.2 0.0 0.0
Ecstasy 0.9 1.0 2.1 2.3 3.6 3.4 1.6 1.9 0.7 0.6 3.2 3.1 3.6 3.2 0.8 0.8
Inhalants 0.5 0.5 1.3 1.3 1.9 1.9 1.0 1.1 0.3 0.4 1.6 2.0 1.7 1.5 0.4 0.4
Methamphetamine 0.6 0.7 1.9 2.4 3.4a 5.1 1.4 1.5 0.4 0.3 2.2 3.3 2.9 3.9 0.5 0.5
Misuse of Psychotherapeutics 6.8a 6.3 15.2 15.1 22.4 22.8 12.9 12.7 4.9a 4.2 18.3 17.6 21.0 18.8 5.9a 5.3
Pain Relievers 4.2a 3.7 9.7 8.9 14.3 13.9 8.2 7.3 2.9a 2.5 11.2 10.5 12.7 11.4 3.6a 3.1
Stimulants 2.2a 1.9 4.9 4.9 7.6 7.2 4.0 4.2 1.6a 1.2 6.2 6.0 7.1 6.2 1.9a 1.6
Tranquilizers or Sedatives 2.5 2.4 6.7 6.7 11.4 10.7 5.3 5.5 1.5 1.4 8.8 7.8 10.7a 8.1 2.1 1.9
Tranquilizers 2.2 2.1 6.0 6.2 9.9 9.9 4.8 5.0 1.3 1.2 7.8 7.3 9.4a 7.5 1.8 1.7
Sedatives 0.5 0.4 1.6a 1.0 3.1a 1.8 1.1 0.7 0.3 0.3 2.2a 1.2 2.8a 1.4 0.4 0.3
Benzodiazepines 2.1 2.0 5.7 5.8 9.5 9.4 4.5 4.7 1.3 1.1 7.5 6.7 9.0a 6.9 1.7 1.6
Opioids 4.3a 3.8 10.1 9.2 15.1 14.6 8.5 7.5 3.0a 2.6 11.7 10.8 13.3 11.7 3.7a 3.2
Illicit Drugs Other Than
   Marijuana4
9.1a 8.6 19.5 19.7 28.2 29.2 16.7 16.8 6.7a 6.0 23.3 22.9 27.0 24.1 8.0a 7.4
PAST MONTH USE
Alcohol 55.9 55.3 56.9 57.1 55.8 55.3 57.3 57.7 55.6 54.9 57.9 57.1 54.9 54.9 55.9 55.3
Binge Alcohol Use5 26.4 26.5 30.5 31.3 31.7 32.3 30.2 30.9 25.5 25.3 31.1 32.0 30.4 30.0 26.1 26.1
Heavy Alcohol Use 6.7 6.6 8.9 8.9 11.2 10.2 8.2 8.4 6.2 6.1 10.2 9.8 10.8 9.1 6.5 6.4
Cigarette Use 19.4a 18.6 28.2 28.1 35.5 37.2 25.8 25.3 17.3a 16.3 29.3 30.5 32.7 33.5 18.6a 17.6
Daily Cigarette Use 11.2 10.9 16.6 16.7 22.1 24.2 14.9 14.3 9.9 9.6 17.5 18.0 20.3 20.2 10.7 10.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.43A – Substance Use in Past Year and Past Month among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 13,522 13,168 4,577 4,761 1,568 1,556 3,009 3,204 8,946 8,408 2,430 2,549 1,625 1,645 10,918 10,368
Marijuana 11,956 11,829 4,061 4,251 1,378 1,372 2,683 2,879 7,895 7,578 2,158 2,266 1,426 1,477 9,642 9,349
Cocaine 2,128 1,967 770 852 340 270 430a 582 1,358a 1,115 387 401 284 248 1,712 1,500
Crack 108 87 67 48 45 25 22 23 41 39 35 24 34 18 59 58
Heroin 214 157 127 93 67 39 60 55 87 64 57 48 42 40 136 103
Hallucinogens 2,406 2,332 1,045 1,014 385 339 660 675 1,361 1,317 540 568 359 360 1,831 1,699
LSD 1,310 1,187 600 551 252 193 349 358 709 636 339 310 214 196 942 864
PCP 27 10 18 5 6 1 12 4 9 5 7 1 7 * 20 4
Ecstasy 1,209 1,063 493 454 178 135 315 320 716 608 252 261 169 151 940 782
Inhalants 562 495 262 227 96 73 166 155 300 268 134 135 95 79 403 349
Methamphetamine 375a 273 219 154 102 67 117 88 156 119 95 87 80 71 259a 164
Misuse of Psychotherapeutics 4,956a 4,202 2,034 1,881 803 667 1,231 1,214 2,922a 2,321 1,136 1,015 786 672 3,741a 3,087
Pain Relievers 2,460a 1,858 1,146a 853 472a 332 674a 521 1,314a 1,005 625a 482 447a 325 1,770a 1,312
Stimulants 2,545a 2,216 998 962 404 317 594 645 1,547a 1,254 560 532 384 352 1,966a 1,649
Tranquilizers or Sedatives 1,949a 1,658 939 871 412 332 527 539 1,011a 787 522 439 395a 299 1,404a 1,186
Tranquilizers 1,880a 1,566 909 821 388 308 521 512 971a 745 497 408 374a 282 1,360a 1,125
Sedatives 199 194 123 123 76 64 47 60 76 71 88 79 72 51 112 115
Benzodiazepines 1,830a 1,526 882 792 372 300 509 492 948a 733 474 402 352 278 1,332a 1,096
Opioids 2,494a 1,895 1,157a 877 479a 338 678a 539 1,337a 1,018 630a 493 452a 332 1,798a 1,339
Illicit Drugs Other Than
   Marijuana4
6,657a 6,006 2,625 2,556 975 881 1,651 1,675 4,032a 3,450 1,407 1,365 981 889 5,159a 4,488
PAST MONTH USE
Alcohol 19,330a 18,757 5,408 5,575 1,634 1,689 3,774 3,886 13,922 13,182 2,754 2,897 1,763 1,829 16,345 15,589
Binge Alcohol Use5 12,652a 11,876 3,579 3,586 1,080 1,056 2,499 2,530 9,073a 8,290 1,805 1,805 1,171 1,128 10,685a 9,883
Heavy Alcohol Use 3,307 3,074 985 973 315 309 669 665 2,322 2,101 517 476 330 275 2,750 2,525
Cigarette Use 7,653a 6,514 2,563a 2,221 922 782 1,641a 1,438 5,090a 4,294 1,290 1,116 910a 750 6,246a 5,212
Daily Cigarette Use 2,939a 2,438 1,094a 842 418a 311 676a 531 1,845a 1,596 571a 385 404a 265 2,323a 1,979
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.43B – Substance Use in Past Year and Past Month among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 39.4 38.7 51.7 53.2 61.1 59.4 47.9 50.7 35.1 33.5 55.0 55.3 56.3 55.4 37.1 35.9
Marijuana 34.9 34.8 45.9 47.5 53.7 52.4 42.7 45.5 31.0 30.2 48.9 49.2 49.4 49.8 32.8 32.4
Cocaine 6.2 5.8 8.7 9.5 13.2 10.3 6.8a 9.2 5.3a 4.4 8.8 8.7 9.8 8.3 5.8 5.2
Crack 0.3 0.3 0.8 0.5 1.7 0.9 0.4 0.4 0.2 0.2 0.8 0.5 1.2 0.6 0.2 0.2
Heroin 0.6 0.5 1.4 1.0 2.6 1.5 1.0 0.9 0.3 0.3 1.3 1.1 1.4 1.3 0.5 0.4
Hallucinogens 7.0 6.9 11.8 11.3 15.0 12.9 10.5 10.7 5.3 5.3 12.2 12.3 12.4 12.1 6.2 5.9
LSD 3.8 3.5 6.8 6.2 9.8 7.4 5.5 5.7 2.8 2.5 7.7 6.7 7.4 6.6 3.2 3.0
PCP 0.1 0.0 0.2 0.1 0.2 0.0 0.2 0.1 0.0 0.0 0.2 0.0 0.2 * 0.1 0.0
Ecstasy 3.5 3.1 5.6 5.1 6.9 5.1 5.0 5.1 2.8 2.4 5.7 5.7 5.9 5.1 3.2 2.7
Inhalants 1.6 1.5 3.0 2.5 3.7 2.8 2.6 2.4 1.2 1.1 3.0 2.9 3.3 2.7 1.4 1.2
Methamphetamine 1.1 0.8 2.5 1.7 4.0 2.5 1.9 1.4 0.6 0.5 2.2 1.9 2.8 2.4 0.9a 0.6
Misuse of Psychotherapeutics 14.4a 12.3 23.0 21.0 31.3a 25.5 19.6 19.2 11.5a 9.2 25.7a 22.0 27.2a 22.7 12.7a 10.7
Pain Relievers 7.2a 5.5 12.9a 9.5 18.4a 12.7 10.7a 8.2 5.2a 4.0 14.1a 10.5 15.5a 11.0 6.0a 4.5
Stimulants 7.4a 6.5 11.3 10.7 15.8a 12.1 9.5 10.2 6.1a 5.0 12.7 11.5 13.3 11.9 6.7a 5.7
Tranquilizers or Sedatives 5.7a 4.9 10.6 9.7 16.0a 12.7 8.4 8.5 4.0a 3.1 11.8 9.5 13.7a 10.1 4.8a 4.1
Tranquilizers 5.5a 4.6 10.3 9.2 15.1a 11.8 8.3 8.1 3.8a 3.0 11.3a 8.9 13.0a 9.5 4.6a 3.9
Sedatives 0.6 0.6 1.4 1.4 3.0 2.4 0.7 0.9 0.3 0.3 2.0 1.7 2.5 1.7 0.4 0.4
Benzodiazepines 5.3a 4.5 10.0 8.9 14.5 11.5 8.1 7.8 3.7a 2.9 10.7 8.7 12.2 9.3 4.5a 3.8
Opioids 7.3a 5.6 13.1a 9.8 18.7a 12.9 10.8a 8.5 5.3a 4.1 14.3a 10.7 15.7a 11.2 6.1a 4.6
Illicit Drugs Other Than
   Marijuana4
19.4a 17.6 29.7 28.6 38.0 33.6 26.3 26.5 15.8a 13.7 31.9 29.6 34.0 30.0 17.5a 15.5
PAST MONTH USE
Alcohol 56.3 55.1 61.1 62.3 63.7 64.5 60.1 61.4 54.7a 52.5 62.4 62.8 61.1 61.6 55.6a 54.0
Binge Alcohol Use5 36.9a 34.9 40.4 40.1 42.1 40.3 39.8 40.0 35.6a 33.0 40.9 39.2 40.6 38.0 36.3a 34.2
Heavy Alcohol Use 9.6 9.0 11.1 10.9 12.3 11.8 10.7 10.5 9.1 8.4 11.7 10.3 11.4 9.3 9.3 8.7
Cigarette Use 22.3a 19.1 29.0a 24.8 35.9a 29.9 26.1a 22.7 20.0a 17.1 29.2a 24.2 31.5a 25.3 21.2a 18.0
Daily Cigarette Use 8.6a 7.2 12.4a 9.4 16.3a 11.9 10.8a 8.4 7.2a 6.4 12.9a 8.3 14.0a 8.9 7.9a 6.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.44A – Substance Use in Past Year and Past Month among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 34,203a 35,863 11,397a 12,735 3,367a 4,058 8,030 8,677 22,806 23,128 4,402a 5,113 3,118 3,525 29,374 30,235
Marijuana 25,885a 28,548 8,180a 9,664 2,287a 3,047 5,892a 6,617 17,705 18,884 3,142a 3,995 2,180a 2,751 22,436a 24,217
Cocaine 3,688 3,451 1,406 1,578 573 600 832 978 2,282 1,872 615 643 462 423 3,032 2,733
Crack 806 666 451 359 211 149 240 210 355 307 187 98 139 70 594 559
Heroin 658 641 406 337 203 168 203 169 252 304 184 111 134 83 452 505
Hallucinogens 2,207a 2,887 947a 1,397 359a 568 588a 830 1,260 1,490 494a 668 369 436 1,696a 2,154
LSD 674a 928 300a 495 141 209 159a 286 374 434 173 264 128 179 496 645
PCP 46 45 35 28 3 17 32 11 11 18 10 23 9 23 36 16
Ecstasy 1,103 1,324 479 640 222 258 257 383 624 683 299 290 231 219 802 1,008
Inhalants 623 846 322 394 119 145 203 248 301 452 136 225 95 93 476 610
Methamphetamine 1,210a 1,551 654a 972 279a 512 375 460 556 578 293a 492 242 377 875 1,028
Misuse of Psychotherapeutics 11,888 11,484 5,052 5,315 1,702 1,927 3,350 3,388 6,837 6,169 2,026 2,111 1,525 1,482 9,687 9,119
Pain Relievers 7,850 7,395 3,373 3,376 1,125 1,251 2,247 2,125 4,477 4,019 1,308 1,381 954 984 6,397 5,848
Stimulants 2,841 2,524 1,276 1,369 446 505 831 864 1,565a 1,154 521 533 402 363 2,293 1,949
Tranquilizers or Sedatives 4,302 4,317 2,207 2,332 860 885 1,346 1,448 2,095 1,985 995 950 784 630 3,265 3,260
Tranquilizers 3,605 3,753 1,902 2,137 724 822 1,177 1,315 1,704 1,616 848 887 658 577 2,726 2,778
Sedatives 1,079 827 601a 347 267a 138 333 208 478 480 295a 131 235a 113 772 670
Benzodiazepines 3,403 3,513 1,797 1,966 695 765 1,102 1,201 1,606 1,547 821 784 633 517 2,561 2,641
Opioids 8,138 7,656 3,554 3,497 1,215 1,319 2,338 2,179 4,585 4,159 1,387 1,420 1,011 1,010 6,606 6,054
Illicit Drugs Other Than
   Marijuana4
15,800 15,416 6,462 6,837 2,179 2,434 4,283 4,402 9,338 8,579 2,616 2,699 1,988 1,877 12,947 12,395
PAST MONTH USE
Alcohol 118,794 118,844 21,128 21,639 4,611 4,599 16,517 17,039 97,665 97,206 7,259 7,224 4,283 4,477 110,685 110,618
Binge Alcohol Use5 52,674 54,015 10,664 11,304 2,466 2,620 8,198 8,685 42,010 42,711 3,578 3,864 2,180 2,321 48,739 49,724
Heavy Alcohol Use 13,236 13,363 3,178 3,253 941 854 2,237 2,399 10,058 10,110 1,246 1,266 856 771 11,919 12,006
Cigarette Use 40,252 39,770 10,570 11,178 3,050 3,454 7,520 7,724 29,682 28,592 3,780 4,289 2,692 3,094 35,944 34,901
Daily Cigarette Use 24,751 24,792 6,661 7,096 2,059 2,436 4,602 4,659 18,090 17,696 2,450 2,799 1,825 2,052 21,985 21,711
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.44B – Substance Use in Past Year and Past Month among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 16.1 16.7 30.2a 32.9 39.0a 46.4 27.5 29.0 13.0 13.1 34.2a 39.0 38.4 41.4 14.8 15.2
Marijuana 12.2a 13.3 21.6a 25.0 26.5a 34.8 20.2 22.1 10.1 10.7 24.4a 30.5 26.8a 32.3 11.3a 12.1
Cocaine 1.7 1.6 3.7 4.1 6.6 6.9 2.9 3.3 1.3a 1.1 4.8 4.9 5.7 5.0 1.5 1.4
Crack 0.4 0.3 1.2 0.9 2.4 1.7 0.8 0.7 0.2 0.2 1.5 0.7 1.7 0.8 0.3 0.3
Heroin 0.3 0.3 1.1 0.9 2.4 1.9 0.7 0.6 0.1 0.2 1.4 0.8 1.7 1.0 0.2 0.3
Hallucinogens 1.0a 1.3 2.5a 3.6 4.2a 6.5 2.0a 2.8 0.7 0.8 3.8 5.1 4.5 5.1 0.9a 1.1
LSD 0.3a 0.4 0.8a 1.3 1.6 2.4 0.5a 1.0 0.2 0.2 1.3 2.0 1.6 2.1 0.3 0.3
PCP 0.0 0.0 0.1 0.1 0.0 0.2 0.1 0.0 0.0 0.0 0.1 0.2 0.1 0.3 0.0 0.0
Ecstasy 0.5 0.6 1.3 1.7 2.6 2.9 0.9 1.3 0.4 0.4 2.3 2.2 2.9 2.6 0.4 0.5
Inhalants 0.3 0.4 0.9 1.0 1.4 1.7 0.7 0.8 0.2 0.3 1.1 1.7 1.2 1.1 0.2 0.3
Methamphetamine 0.6a 0.7 1.7a 2.5 3.2a 5.9 1.3 1.5 0.3 0.3 2.3a 3.8 3.0 4.4 0.4 0.5
Misuse of Psychotherapeutics 5.6 5.3 13.4 13.7 19.7 22.0 11.5 11.3 3.9 3.5 15.7 16.1 18.8 17.4 4.9 4.6
Pain Relievers 3.7 3.4 8.9 8.7 13.0 14.3 7.7 7.1 2.6 2.3 10.2 10.5 11.8 11.5 3.2 2.9
Stimulants 1.3 1.2 3.4 3.5 5.2 5.8 2.8 2.9 0.9a 0.7 4.0 4.1 5.0 4.3 1.2a 1.0
Tranquilizers or Sedatives 2.0 2.0 5.8 6.0 10.0 10.1 4.6 4.8 1.2 1.1 7.7 7.2 9.7 7.4 1.6 1.6
Tranquilizers 1.7 1.7 5.0 5.5 8.4 9.4 4.0 4.4 1.0 0.9 6.6 6.8 8.1 6.8 1.4 1.4
Sedatives 0.5 0.4 1.6a 0.9 3.1a 1.6 1.1a 0.7 0.3 0.3 2.3a 1.0 2.9a 1.3 0.4 0.3
Benzodiazepines 1.6 1.6 4.8 5.1 8.1 8.7 3.8 4.0 0.9 0.9 6.4 6.0 7.8 6.1 1.3 1.3
Opioids 3.8 3.6 9.4 9.0 14.1 15.1 8.0 7.3 2.6 2.4 10.8 10.8 12.4 11.9 3.3 3.0
Illicit Drugs Other Than
   Marijuana4
7.4 7.2 17.1 17.7 25.3 27.8 14.7 14.7 5.3a 4.9 20.3 20.6 24.5 22.0 6.5 6.2
PAST MONTH USE
Alcohol 55.8 55.3 55.9 55.9 53.5 52.5 56.6 56.9 55.8 55.2 56.4 55.1 52.8 52.5 55.9 55.5
Binge Alcohol Use5 24.7 25.1 28.2 29.2 28.6 29.9 28.1 29.0 24.0 24.2 27.8 29.5 26.8 27.2 24.6 24.9
Heavy Alcohol Use 6.2 6.2 8.4 8.4 10.9 9.8 7.7 8.0 5.7 5.7 9.7 9.7 10.5 9.0 6.0 6.0
Cigarette Use 18.9 18.5 28.0 28.9 35.4 39.4 25.8 25.8 17.0 16.2 29.3 32.7 33.2 36.3 18.2 17.5
Daily Cigarette Use 11.6 11.5 17.6 18.3 23.9 27.8 15.8 15.6 10.3 10.0 19.0 21.4 22.5 24.1 11.1 10.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.45A – Substance Use in Past Year and Past Month among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 22,443a 23,942 8,138a 9,258 2,528a 2,956 5,610a 6,302 14,305 14,684 3,061a 3,607 2,253 2,483 19,108 19,991
Marijuana 17,556a 19,660 6,120a 7,307 1,826a 2,367 4,294a 4,941 11,436a 12,352 2,273a 2,960 1,682a 2,019 15,082a 16,430
Cocaine 2,793 2,823 1,088a 1,380 463 545 625a 835 1,705 1,443 501 609 363 395 2,260 2,140
Crack 379 359 249 221 132 94 117 127 130 138 120 69 85 41 243 282
Heroin 500 460 299 282 141 147 159 135 201 178 138 101 100 74 341 344
Hallucinogens 1,966a 2,571 839a 1,273 340a 521 499a 752 1,127 1,298 433a 617 338 403 1,516a 1,889
LSD 555a 881 245a 479 122 209 123a 270 310 402 129a 264 102 179 421a 597
PCP 45 42 34 26 3 15 31 11 11 16 10 20 9 20 35 15
Ecstasy 1,069 1,283 478 629 222 258 256 371 591 654 299 290 231 219 767 967
Inhalants 530 617 249 333 90 134 158 199 282 284 107 190 86 93 413 416
Methamphetamine 876a 1,149 483a 753 188a 403 294 350 393 396 221a 365 180a 292 613 753
Misuse of Psychotherapeutics 8,097 7,849 3,730 3,991 1,293 1,402 2,437 2,589 4,367a 3,858 1,482 1,480 1,133 1,078 6,505 6,233
Pain Relievers 5,128 4,765 2,462 2,416 879 850 1,584 1,566 2,666 2,348 989 883 744 674 4,051 3,769
Stimulants 2,545 2,363 1,162 1,314 396 484 767 830 1,383a 1,049 484 511 365 341 2,039 1,821
Tranquilizers or Sedatives 2,798 2,912 1,556 1,718 612 691 945 1,027 1,242 1,195 673 682 528 497 2,094 2,177
Tranquilizers 2,478 2,613 1,389 1,567 551 647 837 920 1,089 1,046 611 635 486 460 1,842 1,933
Sedatives 497 527 292 287 107 116 185 172 205 239 128 113 94 95 363 398
Benzodiazepines 2,331 2,466 1,308 1,485 535 613 773 871 1,023 981 592 589 469 424 1,717 1,833
Opioids 5,295 4,913 2,553 2,484 922 898 1,631 1,586 2,742 2,429 1,022 914 767 691 4,185 3,880
Illicit Drugs Other Than
   Marijuana4
10,802 10,751 4,706 5,169 1,623 1,790 3,083 3,378 6,096 5,583 1,882 1,970 1,435 1,394 8,757 8,585
PAST MONTH USE
Alcohol 61,774 61,713 13,953 14,535 3,436 3,449 10,517 11,086 47,821 47,178 4,837 4,912 3,037 3,097 56,537 56,247
Binge Alcohol Use5 32,684 33,381 7,700 8,220 1,894 1,992 5,805 6,227 24,984 25,161 2,567 2,752 1,616 1,687 29,907 30,360
Heavy Alcohol Use 7,958 8,072 2,179 2,431 714 663 1,464a 1,768 5,779 5,641 845 945 621 580 7,061 7,079
Cigarette Use 23,606 23,603 7,019 7,457 2,135 2,353 4,884 5,104 16,587 16,146 2,540 2,795 1,877 2,030 20,778 20,386
Daily Cigarette Use 13,721 13,818 4,348 4,735 1,407 1,599 2,941 3,136 9,373 9,083 1,589 1,771 1,233 1,327 11,948 11,825
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.45B – Substance Use in Past Year and Past Month among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 22.4a 23.7 36.6a 40.7 45.3a 50.1 33.6a 37.5 18.3 18.8 40.1a 45.1 44.9 47.0 20.8 21.8
Marijuana 17.5a 19.5 27.5a 32.2 32.7a 40.1 25.7a 29.4 14.7a 15.8 29.8a 37.1 33.5 38.2 16.4a 17.9
Cocaine 2.8 2.8 4.9a 6.1 8.3 9.2 3.7a 5.0 2.2 1.8 6.6 7.6 7.2 7.5 2.5 2.3
Crack 0.4 0.4 1.1 1.0 2.4 1.6 0.7 0.8 0.2 0.2 1.6 0.9 1.7 0.8 0.3 0.3
Heroin 0.5 0.5 1.3 1.2 2.5 2.5 1.0 0.8 0.3 0.2 1.8 1.3 2.0 1.4 0.4 0.4
Hallucinogens 2.0a 2.5 3.8a 5.6 6.1a 8.8 3.0a 4.5 1.4 1.7 5.7a 7.7 6.7 7.6 1.7a 2.1
LSD 0.6a 0.9 1.1a 2.1 2.2 3.5 0.7a 1.6 0.4 0.5 1.7a 3.3 2.0 3.4 0.5a 0.7
PCP 0.0 0.0 0.2 0.1 0.1 0.2 0.2 0.1 0.0 0.0 0.1 0.3 0.2 0.4 0.0 0.0
Ecstasy 1.1 1.3 2.1 2.8 4.0 4.4 1.5 2.2 0.8 0.8 3.9 3.6 4.6 4.1 0.8 1.1
Inhalants 0.5 0.6 1.1 1.5 1.6 2.3 0.9 1.2 0.4 0.4 1.4 2.4 1.7 1.8 0.4 0.5
Methamphetamine 0.9a 1.1 2.2a 3.3 3.4a 6.8 1.8 2.1 0.5 0.5 2.9a 4.6 3.6 5.5 0.7 0.8
Misuse of Psychotherapeutics 8.1 7.8 16.8 17.6 23.2 23.7 14.6 15.4 5.6a 4.9 19.4 18.5 22.6 20.4 7.1 6.8
Pain Relievers 5.1 4.7 11.1 10.6 15.7 14.4 9.5 9.3 3.4 3.0 13.0 11.1 14.8 12.8 4.4 4.1
Stimulants 2.5 2.3 5.2 5.8 7.1 8.2 4.6 4.9 1.8a 1.3 6.3 6.4 7.3 6.5 2.2 2.0
Tranquilizers or Sedatives 2.8 2.9 7.0 7.6 11.0 11.7 5.7 6.1 1.6 1.5 8.8 8.5 10.5 9.4 2.3 2.4
Tranquilizers 2.5 2.6 6.2 6.9 9.9 10.9 5.0 5.5 1.4 1.3 8.0 7.9 9.7 8.7 2.0 2.1
Sedatives 0.5 0.5 1.3 1.3 1.9 2.0 1.1 1.0 0.3 0.3 1.7 1.4 1.9 1.8 0.4 0.4
Benzodiazepines 2.3 2.4 5.9 6.5 9.6 10.4 4.6 5.2 1.3 1.3 7.8 7.4 9.4 8.0 1.9 2.0
Opioids 5.3 4.9 11.5 10.9 16.5 15.2 9.8 9.4 3.5 3.1 13.4 11.4 15.3 13.1 4.6 4.2
Illicit Drugs Other Than
   Marijuana4
10.8 10.7 21.1 22.7 29.1 30.3 18.5 20.1 7.8 7.1 24.6 24.7 28.6 26.4 9.5 9.4
PAST MONTH USE
Alcohol 61.6 61.1 62.7 64.0 61.6 58.4 63.1a 65.9 61.3 60.3 63.3 61.5 60.5 58.6 61.6 61.3
Binge Alcohol Use5 32.6 33.1 34.6 36.2 34.0 33.7 34.8 37.0 32.0 32.2 33.6 34.4 32.2 31.9 32.6 33.1
Heavy Alcohol Use 7.9 8.0 9.8 10.7 12.8 11.2 8.8a 10.5 7.4 7.2 11.1 11.8 12.4 11.0 7.7 7.7
Cigarette Use 23.5 23.4 31.5 32.8 38.3 39.8 29.3 30.4 21.3 20.6 33.3 35.0 37.4 38.4 22.6 22.2
Daily Cigarette Use 13.7 13.7 19.5 20.8 25.2 27.1 17.6 18.6 12.0 11.6 20.8 22.2 24.6 25.1 13.0 12.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.46A – Substance Use in Past Year and Past Month among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 11,760 11,921 3,259 3,477 839 1,102 2,420 2,375 8,501 8,444 1,341 1,506 865 1,042 10,267 10,244
Marijuana 8,329 8,889 2,060 2,357 461 681 1,599 1,676 6,269 6,532 869 1,035 498 732 7,354 7,787
Cocaine 895 628 317 198 110 55 207 143 577 430 114 34 99 28 773 593
Crack 427 307 202 138 79 55 123 83 225 169 67 28 54 28 352 277
Heroin 158 180 107 55 63 21 44 34 51 125 47 10 34 9 111 162
Hallucinogens 241 317 108 124 * 47 88 78 133 192 61 51 * 33 180 264
LSD 120 48 56 16 * * 36 16 64 32 45 * * * 75 48
PCP * * 1 2 * 2 1 * * * * 2 * 2 * *
Ecstasy 35 41 1 11 * * 1 11 34 30 * * * * 35 41
Inhalants 93 229 73 61 29 11 45 50 19a 168 29 35 9 * 64a 194
Methamphetamine 334 402 171 219 90 110 81 110 163 182 72 127 62 86 262 275
Misuse of Psychotherapeutics 3,792 3,635 1,322 1,324 409 525 913 799 2,470 2,311 544 631 393 404 3,181 2,887
Pain Relievers 2,722 2,630 910 960 247 401 663 559 1,812 1,670 319 497 210 310 2,346 2,078
Stimulants 296 160 114 55 50 22 64 34 182 105 37 23 37 22 254 128
Tranquilizers or Sedatives 1,504 1,405 650 615 249 194 402 420 853 790 321 268 255 132 1,171 1,083
Tranquilizers 1,127 1,141 513 570 173 176 340 394 614 571 237 253 172 117 885 845
Sedatives 581a 300 308a 59 160a 23 148a 37 273 241 167a 18 141a 18 408 271
Benzodiazepines 1,072 1,047 489 481 160 152 329 330 583 565 229 195 164 93 843 808
Opioids 2,844 2,743 1,001 1,013 293 420 707 593 1,843 1,730 366 506 244 319 2,421 2,174
Illicit Drugs Other Than
   Marijuana4
4,999 4,665 1,756 1,668 556 644 1,200 1,024 3,243 2,997 734 729 553 484 4,190 3,810
PAST MONTH USE
Alcohol 57,020 57,131 7,175 7,104 1,175 1,150 6,000 5,953 49,845 50,028 2,422 2,312 1,247 1,380 54,148 54,371
Binge Alcohol Use5 19,990 20,634 2,964 3,085 572 628 2,392 2,457 17,026 17,549 1,011 1,112 564 634 18,832 19,364
Heavy Alcohol Use 5,277 5,291 999 822 227 191 772 631 4,278 4,469 400 321 234 191 4,858 4,926
Cigarette Use 16,646 16,166 3,551 3,721 916 1,101 2,635 2,620 13,095 12,445 1,240 1,493 816 1,064 15,166 14,516
Daily Cigarette Use 11,030 10,974 2,313 2,361 652 837 1,661 1,524 8,717 8,613 861 1,028 592 725 10,038 9,886
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190419
Table 8.46B – Substance Use in Past Year and Past Month among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
PAST YEAR USE
Illicit Drugs 10.4 10.5 21.0 21.8 27.5a 38.7 19.4 18.1 8.8 8.6 25.6 29.4 27.9 32.2 9.7 9.5
Marijuana 7.4 7.8 13.3 14.8 15.2a 23.9 12.8 12.8 6.5 6.7 16.6 20.2 16.1 22.6 6.9 7.2
Cocaine 0.8 0.6 2.0 1.2 3.6 1.9 1.7 1.1 0.6 0.4 2.2 0.7 3.2 0.9 0.7 0.5
Crack 0.4 0.3 1.3 0.9 2.6 1.9 1.0 0.6 0.2 0.2 1.3 0.6 1.8 0.9 0.3 0.3
Heroin 0.1 0.2 0.7 0.3 2.1 0.7 0.4 0.3 0.1 0.1 0.9 0.2 1.1 0.3 0.1 0.1
Hallucinogens 0.2 0.3 0.7 0.8 * 1.6 0.7 0.6 0.1 0.2 1.2 1.0 * 1.0 0.2 0.2
LSD 0.1 0.0 0.4 0.1 * * 0.3 0.1 0.1 0.0 0.9 * * * 0.1 0.0
PCP * * 0.0 0.0 * 0.1 0.0 * * * * 0.0 * 0.1 * *
Ecstasy 0.0 0.0 0.0 0.1 * * 0.0 0.1 0.0 0.0 * * * * 0.0 0.0
Inhalants 0.1 0.2 0.5 0.4 0.9 0.4 0.4 0.4 0.0a 0.2 0.5 0.7 0.3 * 0.1a 0.2
Methamphetamine 0.3 0.4 1.1 1.4 3.0 3.8 0.6 0.8 0.2 0.2 1.4 2.5 2.0 2.6 0.2 0.3
Misuse of Psychotherapeutics 3.4 3.2 8.5 8.3 13.4 18.4 7.3 6.1 2.5 2.4 10.4 12.3 12.7 12.5 3.0 2.7
Pain Relievers 2.4 2.3 5.9 6.0 8.1 14.1 5.3 4.3 1.9 1.7 6.1 9.7 6.8 9.6 2.2 1.9
Stimulants 0.3 0.1 0.7 0.3 1.6 0.8 0.5 0.3 0.2 0.1 0.7 0.4 1.2 0.7 0.2 0.1
Tranquilizers or Sedatives 1.3 1.2 4.2 3.8 8.2 6.8 3.2 3.2 0.9 0.8 6.1 5.2 8.2 4.1 1.1 1.0
Tranquilizers 1.0 1.0 3.3 3.6 5.7 6.2 2.7 3.0 0.6 0.6 4.5 4.9 5.5 3.6 0.8 0.8
Sedatives 0.5a 0.3 2.0a 0.4 5.3a 0.8 1.2a 0.3 0.3 0.2 3.2a 0.3 4.6a 0.6 0.4 0.3
Benzodiazepines 1.0 0.9 3.1 3.0 5.2 5.3 2.6 2.5 0.6 0.6 4.4 3.8 5.3 2.9 0.8 0.7
Opioids 2.5 2.4 6.4 6.3 9.6 14.8 5.7 4.5 1.9 1.8 7.0 9.9 7.9 9.9 2.3 2.0
Illicit Drugs Other Than
   Marijuana4
4.4 4.1 11.3 10.4 18.3 22.6 9.6 7.8 3.3 3.1 14.0 14.2 17.8 14.9 3.9 3.5
PAST MONTH USE
Alcohol 50.7 50.2 46.2 44.5 38.6 40.4 48.1 45.4 51.4 51.1 46.2 45.1 40.2 42.6 51.0 50.4
Binge Alcohol Use5 17.8 18.1 19.1 19.3 18.8 22.0 19.2 18.7 17.5 17.9 19.3 21.7 18.2 19.6 17.7 18.0
Heavy Alcohol Use 4.7 4.6 6.4 5.1 7.5 6.7 6.2 4.8 4.4 4.6 7.6 6.3 7.6 5.9 4.6 4.6
Cigarette Use 14.8 14.2 22.9 23.3 30.1 38.6 21.1 20.0 13.5 12.7 23.6 29.2 26.3 32.9 14.3 13.5
Daily Cigarette Use 9.8 9.6 14.9 14.8 21.4 29.4 13.3 11.6 9.0 8.8 16.4 20.1 19.1 22.4 9.5 9.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
5 Estimates of binge alcohol use include use by those who were heavy alcohol users.
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, 2017 and 2018.
190418
Table 8.47A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 247,161 248,857 46,632 47,635 11,190 11,373 35,441 36,262 200,529 201,222 17,297 17,720 11,007 11,489 227,299 228,363
ILLICIT DRUGS 6,804 7,412 3,999 4,361 1,651 1,910 2,348 2,451 2,805 3,051 1,839a 2,230 1,402 1,631 4,820 5,058
Marijuana 3,500 3,910 1,908 2,118 733 748 1,175 1,370 1,591 1,791 843a 1,072 625 702 2,609 2,779
Cocaine 947 973 637 581 284 322 352 259 310 391 261 317 219 247 663 649
Heroin 648 522 456 333 207 146 249 187 192 189 190 132 130 103 424 372
Hallucinogens 260 235 185 157 70 99 115a 58 75 78 66 108 58 86 192a 117
Inhalants 70 95 59 62 13 23 46 40 11 33 30 28 20 18 38 67
Methamphetamine 940 1,033 618 752 264a 440 353 312 322 281 249a 427 212 331 644 584
Misuse of
   Psychotherapeutics
2,332 2,370 1,578 1,637 762 820 816 816 754 733 814 833 643 647 1,459 1,488
Pain Relievers 1,579 1,591 1,055 1,061 495 472 559 589 524 529 503 462 405 350 1,023 1,112
Stimulants 510 508 388 380 185 219 204 162 121 128 216 240 179 194 287 249
Tranquilizers or Sedatives 740 683 551 554 294 295 257 259 189 129 332 337 282 264 406 332
Tranquilizers 658 612 486 518 258 275 228 243 172a 94 280 314 246 244 378 292
Sedatives 188 100 156a 62 80 43 76a 20 31 38 116a 42 87 39 71 50
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 2,006 1,920 1,331 1,262 610 550 721 713 676 658 614 536 470 400 1,322 1,350
Illicit Drugs Other
   Than Marijuana4
4,034 4,163 2,607 2,705 1,179 1,389 1,428 1,316 1,426 1,457 1,216 1,428 960 1,111 2,703 2,658
ALCOHOL 14,062 14,418 5,879 6,390 2,067 1,971 3,812a 4,420 8,183 8,027 2,532 2,642 1,843 1,728 11,418 11,612
BOTH ILLICIT DRUGS
AND ALCOHOL
2,157 2,487 1,352 1,565 626 715 726 850 805 923 651 833 536 634 1,464 1,613
ILLICIT DRUGS OR
ALCOHOL
18,708 19,343 8,526 9,187 3,092 3,166 5,434a 6,021 10,183 10,156 3,720 4,039 2,709 2,725 14,774 15,056
ILLICIT DRUGS ONLY 4,647 4,925 2,647 2,797 1,025 1,195 1,622 1,601 2,000 2,129 1,188 1,396 866 997 3,356 3,445
ALCOHOL ONLY 11,905 11,930 4,527 4,826 1,441 1,256 3,086a 3,570 7,378 7,105 1,881 1,809 1,307 1,094 9,954 9,999
NO SUBSTANCE USE
DISORDER
228,452 229,515 38,106 38,448 8,098 8,207 30,007 30,241 190,347 191,066 13,576 13,681 8,297 8,764 212,525 213,307
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.47B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 2.8 3.0 8.6 9.2 14.7 16.8 6.6 6.8 1.4 1.5 10.6a 12.6 12.7 14.2 2.1 2.2
Marijuana 1.4 1.6 4.1 4.4 6.6 6.6 3.3 3.8 0.8 0.9 4.9a 6.0 5.7 6.1 1.1 1.2
Cocaine 0.4 0.4 1.4 1.2 2.5 2.8 1.0 0.7 0.2 0.2 1.5 1.8 2.0 2.1 0.3 0.3
Heroin 0.3 0.2 1.0 0.7 1.9 1.3 0.7 0.5 0.1 0.1 1.1 0.7 1.2 0.9 0.2 0.2
Hallucinogens 0.1 0.1 0.4 0.3 0.6 0.9 0.3a 0.2 0.0 0.0 0.4 0.6 0.5 0.8 0.1a 0.1
Inhalants 0.0 0.0 0.1 0.1 0.1 0.2 0.1 0.1 0.0 0.0 0.2 0.2 0.2 0.2 0.0 0.0
Methamphetamine 0.4 0.4 1.3 1.6 2.4a 3.9 1.0 0.9 0.2 0.1 1.4a 2.4 1.9 2.9 0.3 0.3
Misuse of
   Psychotherapeutics
0.9 1.0 3.4 3.4 6.8 7.2 2.3 2.3 0.4 0.4 4.7 4.7 5.8 5.6 0.6 0.7
Pain Relievers 0.6 0.6 2.3 2.2 4.4 4.2 1.6 1.6 0.3 0.3 2.9 2.6 3.7 3.0 0.5 0.5
Stimulants 0.2 0.2 0.8 0.8 1.7 1.9 0.6 0.4 0.1 0.1 1.2 1.4 1.6 1.7 0.1 0.1
Tranquilizers or Sedatives 0.3 0.3 1.2 1.2 2.6 2.6 0.7 0.7 0.1 0.1 1.9 1.9 2.6 2.3 0.2 0.1
Tranquilizers 0.3 0.2 1.0 1.1 2.3 2.4 0.6 0.7 0.1a 0.0 1.6 1.8 2.2 2.1 0.2 0.1
Sedatives 0.1 0.0 0.3a 0.1 0.7 0.4 0.2a 0.1 0.0 0.0 0.7a 0.2 0.8 0.3 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 0.8 0.8 2.9 2.7 5.5 4.8 2.0 2.0 0.3 0.3 3.6 3.0 4.3 3.5 0.6 0.6
Illicit Drugs Other
   Than Marijuana4
1.6 1.7 5.6 5.7 10.5 12.2 4.0 3.6 0.7 0.7 7.0 8.1 8.7 9.7 1.2 1.2
ALCOHOL 5.7 5.8 12.6 13.4 18.5 17.3 10.8a 12.2 4.1 4.0 14.6 14.9 16.7 15.0 5.0 5.1
BOTH ILLICIT DRUGS
AND ALCOHOL
0.9 1.0 2.9 3.3 5.6 6.3 2.0 2.3 0.4 0.5 3.8 4.7 4.9 5.5 0.6 0.7
ILLICIT DRUGS OR
ALCOHOL
7.6 7.8 18.3 19.3 27.6 27.8 15.3 16.6 5.1 5.0 21.5 22.8 24.6 23.7 6.5 6.6
ILLICIT DRUGS ONLY 1.9 2.0 5.7 5.9 9.2 10.5 4.6 4.4 1.0 1.1 6.9 7.9 7.9 8.7 1.5 1.5
ALCOHOL ONLY 4.8 4.8 9.7 10.1 12.9 11.0 8.7 9.8 3.7 3.5 10.9 10.2 11.9a 9.5 4.4 4.4
NO SUBSTANCE USE
DISORDER
92.4 92.2 81.7 80.7 72.4 72.2 84.7 83.4 94.9 95.0 78.5 77.2 75.4 76.3 93.5 93.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.48A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 34,306 34,036 8,849 8,944 2,566 2,619 6,283 6,326 25,458 25,092 4,416 4,609 2,887 2,968 29,422 28,886
ILLICIT DRUGS 2,512 2,599 1,328 1,409 558 566 771 843 1,183 1,190 690 810 520 555 1,765 1,745
Marijuana 1,799 2,003 881 1,048 356 399 525a 649 918 955 442a 585 326 381 1,317 1,388
Cocaine 243 212 158 142 84 67 74 75 85 70 71 78 62 59 167 133
Heroin 165a 101 118 74 63 31 56 43 46 28 56 39 45 33 92 60
Hallucinogens 130 138 96 75 43 49 53 26 34 63 32 48 27 39 97 84
Inhalants 29 40 27 25 11 2 16 23 2 15 17 11 9 11 10 29
Methamphetamine 188 134 140 91 80 47 60 45 48 43 63 53 47 43 110 77
Misuse of
   Psychotherapeutics
639 551 439a 332 212 190 226a 142 200 219 256 227 211 172 372 317
Pain Relievers 339a 248 233a 149 119 84 114a 65 106 99 133 93 113 72 197 154
Stimulants 187 185 147 102 68 64 79a 38 40a 83 95 79 78 62 92 105
Tranquilizers or Sedatives 288 224 206 157 107 89 99 68 83 67 126 114 109 93 162 108
Tranquilizers 278 223 199 156 103 87 97 68 79 67 120 112 106 92 158 108
Sedatives 24 9 17 7 11 7 6 * 7 3 15 7 13 6 9 3
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 445a 312 304a 195 160a 101 144 95 140 116 166 118 141 94 257 190
Illicit Drugs Other
   Than Marijuana4
1,028 914 674 550 328 284 346 266 354 364 350 345 283 264 645 551
ALCOHOL 3,444 3,424 1,544 1,564 598 530 946 1,033 1,900 1,861 868 835 634 561 2,543 2,520
BOTH ILLICIT DRUGS
AND ALCOHOL
879 905 497 526 209 217 288 309 382 379 273 308 206 223 590 576
ILLICIT DRUGS OR
ALCOHOL
5,076 5,118 2,376 2,447 947 879 1,429 1,568 2,701 2,671 1,284 1,337 948 893 3,719 3,688
ILLICIT DRUGS ONLY 1,632 1,694 831 883 348 349 483 534 801 811 416 502 314 332 1,176 1,169
ALCOHOL ONLY 2,565 2,519 1,047 1,038 389 313 658 725 1,518 1,482 594 527 428 338 1,954 1,944
NO SUBSTANCE USE
DISORDER
29,230 28,918 6,473 6,498 1,619 1,739 4,854 4,758 22,757 22,421 3,132 3,271 1,939 2,076 25,703 25,198
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.48B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 18 to 25, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 7.3 7.6 15.0 15.8 21.7 21.6 12.3 13.3 4.6 4.7 15.6 17.6 18.0 18.7 6.0 6.0
Marijuana 5.2 5.9 10.0a 11.7 13.9 15.3 8.4a 10.3 3.6 3.8 10.0a 12.7 11.3 12.8 4.5 4.8
Cocaine 0.7 0.6 1.8 1.6 3.3 2.6 1.2 1.2 0.3 0.3 1.6 1.7 2.2 2.0 0.6 0.5
Heroin 0.5a 0.3 1.3 0.8 2.5 1.2 0.9 0.7 0.2 0.1 1.3 0.8 1.6 1.1 0.3 0.2
Hallucinogens 0.4 0.4 1.1 0.8 1.7 1.9 0.9 0.4 0.1 0.3 0.7 1.0 0.9 1.3 0.3 0.3
Inhalants 0.1 0.1 0.3 0.3 0.4 0.1 0.3 0.4 0.0 0.1 0.4 0.2 0.3 0.4 0.0 0.1
Methamphetamine 0.5 0.4 1.6 1.0 3.1 1.8 1.0 0.7 0.2 0.2 1.4 1.2 1.6 1.4 0.4 0.3
Misuse of
   Psychotherapeutics
1.9 1.6 5.0a 3.7 8.3 7.3 3.6a 2.2 0.8 0.9 5.8 4.9 7.3 5.8 1.3 1.1
Pain Relievers 1.0a 0.7 2.6a 1.7 4.6 3.2 1.8a 1.0 0.4 0.4 3.0 2.0 3.9 2.4 0.7 0.5
Stimulants 0.5 0.5 1.7 1.1 2.7 2.4 1.3a 0.6 0.2a 0.3 2.1 1.7 2.7 2.1 0.3 0.4
Tranquilizers or Sedatives 0.8 0.7 2.3 1.8 4.2 3.4 1.6 1.1 0.3 0.3 2.8 2.5 3.8 3.1 0.6 0.4
Tranquilizers 0.8 0.7 2.3 1.7 4.0 3.3 1.5 1.1 0.3 0.3 2.7 2.4 3.7 3.1 0.5 0.4
Sedatives 0.1 0.0 0.2 0.1 0.4 0.2 0.1 * 0.0 0.0 0.3 0.1 0.4 0.2 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1.3a 0.9 3.4a 2.2 6.2a 3.8 2.3 1.5 0.6 0.5 3.8 2.6 4.9a 3.2 0.9 0.7
Illicit Drugs Other
   Than Marijuana4
3.0 2.7 7.6a 6.1 12.8 10.8 5.5 4.2 1.4 1.5 7.9 7.5 9.8 8.9 2.2 1.9
ALCOHOL 10.0 10.1 17.5 17.5 23.3 20.2 15.1 16.3 7.5 7.4 19.6 18.1 22.0 18.9 8.6 8.7
BOTH ILLICIT DRUGS
AND ALCOHOL
2.6 2.7 5.6 5.9 8.2 8.3 4.6 4.9 1.5 1.5 6.2 6.7 7.1 7.5 2.0 2.0
ILLICIT DRUGS OR
ALCOHOL
14.8 15.0 26.8 27.4 36.9 33.6 22.7 24.8 10.6 10.6 29.1 29.0 32.8 30.1 12.6 12.8
ILLICIT DRUGS ONLY 4.8 5.0 9.4 9.9 13.6 13.3 7.7 8.4 3.1 3.2 9.4 10.9 10.9 11.2 4.0 4.0
ALCOHOL ONLY 7.5 7.4 11.8 11.6 15.2 12.0 10.5 11.5 6.0 5.9 13.5 11.4 14.8a 11.4 6.6 6.7
NO SUBSTANCE USE
DISORDER
85.2 85.0 73.2 72.6 63.1 66.4 77.3 75.2 89.4 89.4 70.9 71.0 67.2 69.9 87.4 87.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.49A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 212,854 214,821 37,783 38,691 8,625 8,755 29,158 29,936 175,071 176,131 12,880 13,111 8,119 8,520 197,877 199,477
ILLICIT DRUGS 4,292 4,814 2,670 2,952 1,093 1,344 1,577 1,608 1,622 1,861 1,150 1,420 882 1,076 3,055 3,313
Marijuana 1,701 1,907 1,027 1,070 377 349 650 721 674 837 400 487 300 322 1,292 1,391
Cocaine 703 760 479 439 200 255 278 184 225 321 191 239 157 188 496 516
Heroin 483 421 338 259 145 115 193 144 146 161 135 93 85 70 332 312
Hallucinogens 130 97 89 82 27 50 61 32 41 15 34 60 31 47 95a 32
Inhalants 41 55 32 37 2 21 30 17 9 18 13 17 11 8 28 38
Methamphetamine 751 899 477 661 184a 393 293 268 274 238 186a 374 164 289 535 507
Misuse of
   Psychotherapeutics
1,693 1,819 1,139 1,305 549 630 590 674 554 514 558 606 433 475 1,086 1,171
Pain Relievers 1,240 1,343 822 913 376 388 445 525 418 430 370 369 292 277 826 959
Stimulants 323 323 241 279 116 155 125 124 82 44 121 161 101 132 195 145
Tranquilizers or Sedatives 451 458 345 397 187 206 158 191 106 62 206 224 172 171 244 224
Tranquilizers 380 390 286 363 155 188 132 175 93a 27 160 202 141 152 220 184
Sedatives 164 91 139a 56 69 36 70 20 25 35 101 36 74 34 61 48
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1,562 1,608 1,026 1,067 450 449 577 618 535 541 448 418 330 306 1,065 1,159
Illicit Drugs Other
   Than Marijuana4
3,006 3,248 1,933 2,155 851 1,105 1,082 1,050 1,073 1,093 867 1,083 677 847 2,058 2,107
ALCOHOL 10,618 10,994 4,335 4,827 1,469 1,440 2,866a 3,386 6,283 6,167 1,665 1,807 1,209 1,167 8,875 9,092
BOTH ILLICIT DRUGS
AND ALCOHOL
1,278 1,582 855 1,039 416 498 439 541 423 544 378 526 329 411 875 1,038
ILLICIT DRUGS OR
   ALCOHOL
13,632 14,225 6,150 6,740 2,145 2,287 4,005 4,453 7,482 7,485 2,436 2,701 1,762 1,832 11,055 11,368
ILLICIT DRUGS ONLY 3,014 3,231 1,815 1,913 677 846 1,139 1,067 1,199 1,318 772 894 553 665 2,180 2,276
ALCOHOL ONLY 9,340 9,411 3,480 3,788 1,053 943 2,428 2,845 5,860 5,623 1,287 1,282 880 756 8,001 8,055
NO SUBSTANCE USE
DISORDER
199,222a 200,596 31,633 31,951 6,479 6,468 25,153 25,483 167,590 168,646 10,444 10,410 6,358 6,688 186,822 188,109
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.49B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 2.0 2.2 7.1 7.6 12.7 15.4 5.4 5.4 0.9 1.1 8.9 10.8 10.9 12.6 1.5 1.7
Marijuana 0.8 0.9 2.7 2.8 4.4 4.0 2.2 2.4 0.4 0.5 3.1 3.7 3.7 3.8 0.7 0.7
Cocaine 0.3 0.4 1.3 1.1 2.3 2.9 1.0 0.6 0.1 0.2 1.5 1.8 1.9 2.2 0.3 0.3
Heroin 0.2 0.2 0.9 0.7 1.7 1.3 0.7 0.5 0.1 0.1 1.0 0.7 1.0 0.8 0.2 0.2
Hallucinogens 0.1 0.0 0.2 0.2 0.3 0.6 0.2 0.1 0.0 0.0 0.3 0.5 0.4 0.6 0.0a 0.0
Inhalants 0.0 0.0 0.1 0.1 0.0 0.2 0.1 0.1 0.0 0.0 0.1 0.1 0.1 0.1 0.0 0.0
Methamphetamine 0.4 0.4 1.3 1.7 2.1a 4.5 1.0 0.9 0.2 0.1 1.4a 2.9 2.0 3.4 0.3 0.3
Misuse of
   Psychotherapeutics
0.8 0.8 3.0 3.4 6.4 7.2 2.0 2.3 0.3 0.3 4.3 4.6 5.3 5.6 0.5 0.6
Pain Relievers 0.6 0.6 2.2 2.4 4.4 4.4 1.5 1.8 0.2 0.2 2.9 2.8 3.6 3.3 0.4 0.5
Stimulants 0.2 0.2 0.6 0.7 1.3 1.8 0.4 0.4 0.0 0.0 0.9 1.2 1.2 1.5 0.1 0.1
Tranquilizers or Sedatives 0.2 0.2 0.9 1.0 2.2 2.3 0.5 0.6 0.1 0.0 1.6 1.7 2.1 2.0 0.1 0.1
Tranquilizers 0.2 0.2 0.8 0.9 1.8 2.1 0.5 0.6 0.1a 0.0 1.2 1.5 1.7 1.8 0.1 0.1
Sedatives 0.1 0.0 0.4a 0.1 0.8 0.4 0.2 0.1 0.0 0.0 0.8 0.3 0.9 0.4 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 0.7 0.7 2.7 2.8 5.2 5.1 2.0 2.1 0.3 0.3 3.5 3.2 4.1 3.6 0.5 0.6
Illicit Drugs Other
   Than Marijuana4
1.4 1.5 5.1 5.6 9.9a 12.6 3.7 3.5 0.6 0.6 6.7 8.3 8.3 9.9 1.0 1.1
ALCOHOL 5.0 5.1 11.5 12.5 17.0 16.5 9.8 11.3 3.6 3.5 12.9 13.8 14.9 13.7 4.5 4.6
BOTH ILLICIT DRUGS
AND ALCOHOL
0.6 0.7 2.3 2.7 4.8 5.7 1.5 1.8 0.2 0.3 2.9 4.0 4.1 4.8 0.4 0.5
ILLICIT DRUGS OR
ALCOHOL
6.4 6.6 16.3 17.4 24.9 26.1 13.7 14.9 4.3 4.2 18.9 20.6 21.7 21.5 5.6 5.7
ILLICIT DRUGS ONLY 1.4 1.5 4.8 4.9 7.8 9.7 3.9 3.6 0.7 0.7 6.0 6.8 6.8 7.8 1.1 1.1
ALCOHOL ONLY 4.4 4.4 9.2 9.8 12.2 10.8 8.3 9.5 3.3 3.2 10.0 9.8 10.8 8.9 4.0 4.0
NO SUBSTANCE USE
DISORDER
93.6 93.4 83.7 82.6 75.1 73.9 86.3 85.1 95.7 95.8 81.1 79.4 78.3 78.5 94.4 94.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.50A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 100,310 100,939 22,256 22,721 5,580 5,907 16,676 16,815 78,054 78,218 7,635 7,990 5,019 5,284 91,772 91,692
ILLICIT DRUGS 3,129a 3,570 1,950a 2,329 813 1,019 1,137 1,310 1,179 1,241 821a 1,087 647 833 2,247 2,422
Marijuana 1,282a 1,550 768 941 271 345 497 596 514 609 289a 439 242 306 984 1,087
Cocaine 498 591 330 361 166 201 164 161 168 230 171 205 139 160 319 381
Heroin 373 280 253 224 101 106 152 117 120 57 99 84 62 61 257 188
Hallucinogens 114 95 72 80 27 48 45 32 41 15 34 58 31 45 78 32
Inhalants 19 45 17 28 2 11 16 17 * 18 13 8 11 8 6 38
Methamphetamine 515a 712 350a 511 132a 293 217 218 165 200 153 251 131 206 331 443
Misuse of
   Psychotherapeutics
1,154 1,216 795 936 371 443 424 494 359 279 377 410 293 345 745 771
Pain Relievers 798 838 559 610 254 245 304 365 240 228 255 218 205 192 518 605
Stimulants 268 281 193 239 102 133 92 106 75 42 107 140 87 110 154 125
Tranquilizers or Sedatives 292 275 219 246 104 142 115 104 73 28 121 130 99 112 170 142
Tranquilizers 244 241 179 215 87 127 92 88 65 26 90 111 83 95 154 127
Sedatives 79 53 67 51 27 31 40 20 12 * 47 31 33 29 30 22
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1,048 1,005 707 731 312 297 395 434 341 274 312 258 234 212 706 723
Illicit Drugs Other
   Than Marijuana4
2,100 2,287 1,369 1,602 628 781 742 822 730 685 624 762 487 616 1,420 1,482
ALCOHOL 6,922 7,387 3,066a 3,547 1,108 1,096 1,959a 2,451 3,855 3,840 1,251 1,326 935 868 5,612 5,983
BOTH ILLICIT DRUGS
AND ALCOHOL
978 1,219 648a 856 337 389 311a 467 330 363 317 443 270 333 639 764
ILLICIT DRUGS OR
ALCOHOL
9,073 9,738 4,369a 5,020 1,584 1,726 2,785a 3,294 4,704 4,718 1,755 1,970 1,312 1,368 7,220 7,642
ILLICIT DRUGS ONLY 2,152 2,351 1,302 1,473 476 630 827 843 849 878 504 643 377 500 1,608 1,659
ALCOHOL ONLY 5,944 6,168 2,419 2,691 771 707 1,648a 1,984 3,525 3,477 934 883 665 535 4,973 5,220
NO SUBSTANCE USE
DISORDER
91,237 91,201 17,888 17,701 3,997 4,180 13,891 13,521 73,349 73,500 5,880 6,020 3,706 3,916 84,552 84,050
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.50B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 26 to 49, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 3.1 3.5 8.8a 10.3 14.6 17.3 6.8 7.8 1.5 1.6 10.7a 13.6 12.9 15.8 2.4 2.6
Marijuana 1.3 1.5 3.5 4.1 4.9 5.8 3.0 3.5 0.7 0.8 3.8a 5.5 4.8 5.8 1.1 1.2
Cocaine 0.5 0.6 1.5 1.6 3.0 3.4 1.0 1.0 0.2 0.3 2.2 2.6 2.8 3.0 0.3 0.4
Heroin 0.4 0.3 1.1 1.0 1.8 1.8 0.9 0.7 0.2 0.1 1.3 1.0 1.2 1.2 0.3 0.2
Hallucinogens 0.1 0.1 0.3 0.4 0.5 0.8 0.3 0.2 0.1 0.0 0.4 0.7 0.6 0.9 0.1 0.0
Inhalants 0.0 0.0 0.1 0.1 0.0 0.2 0.1 0.1 * 0.0 0.2 0.1 0.2 0.1 0.0 0.0
Methamphetamine 0.5a 0.7 1.6a 2.3 2.4a 5.0 1.3 1.3 0.2 0.3 2.0 3.1 2.6 3.9 0.4 0.5
Misuse of
   Psychotherapeutics
1.1 1.2 3.6 4.1 6.7 7.5 2.5 2.9 0.5 0.4 4.9 5.1 5.8 6.5 0.8 0.8
Pain Relievers 0.8 0.8 2.5 2.7 4.6 4.2 1.8 2.2 0.3 0.3 3.3 2.7 4.1 3.6 0.6 0.7
Stimulants 0.3 0.3 0.9 1.1 1.8 2.3 0.5 0.6 0.1 0.1 1.4 1.7 1.7 2.1 0.2 0.1
Tranquilizers or Sedatives 0.3 0.3 1.0 1.1 1.9 2.4 0.7 0.6 0.1 0.0 1.6 1.6 2.0 2.1 0.2 0.2
Tranquilizers 0.2 0.2 0.8 0.9 1.6 2.2 0.6 0.5 0.1 0.0 1.2 1.4 1.7 1.8 0.2 0.1
Sedatives 0.1 0.1 0.3 0.2 0.5 0.5 0.2 0.1 0.0 * 0.6 0.4 0.6 0.5 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 1.0 1.0 3.2 3.2 5.6 5.0 2.4 2.6 0.4 0.3 4.1 3.2 4.7 4.0 0.8 0.8
Illicit Drugs Other
   Than Marijuana4
2.1 2.3 6.2 7.1 11.2 13.2 4.4 4.9 0.9 0.9 8.2 9.5 9.7 11.7 1.5 1.6
ALCOHOL 6.9 7.3 13.8a 15.6 19.9 18.6 11.7a 14.6 4.9 4.9 16.4 16.6 18.6 16.4 6.1 6.5
BOTH ILLICIT DRUGS
AND ALCOHOL
1.0 1.2 2.9 3.8 6.0 6.6 1.9a 2.8 0.4 0.5 4.2 5.6 5.4 6.3 0.7 0.8
ILLICIT DRUGS OR
ALCOHOL
9.0 9.6 19.6a 22.1 28.4 29.2 16.7a 19.6 6.0 6.0 23.0 24.7 26.1 25.9 7.9 8.3
ILLICIT DRUGS ONLY 2.1 2.3 5.9 6.5 8.5 10.7 5.0 5.0 1.1 1.1 6.6 8.0 7.5 9.5 1.8 1.8
ALCOHOL ONLY 5.9 6.1 10.9 11.8 13.8 12.0 9.9a 11.8 4.5 4.4 12.2 11.1 13.3a 10.1 5.4 5.7
NO SUBSTANCE USE
DISORDER
91.0 90.4 80.4a 77.9 71.6 70.8 83.3a 80.4 94.0 94.0 77.0 75.3 73.9 74.1 92.1 91.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.51A – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Numbers in Thousands, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 112,544 113,882 15,527 15,969 3,044 2,848 12,482 13,121 97,017 97,913 5,245 5,121 3,101 3,236 106,105 107,785
ILLICIT DRUGS 1,163 1,243 720 623 280 325 440 298 442 621 329 333 235 243 808 891
Marijuana 419 357 259 129 106a 4 153 125 159 227 111 48 58 16 308 305
Cocaine 206 169 149 78 34 55 114a 23 57 91 19 34 18 28 178 135
Heroin 110 140 84 36 43 9 41 27 26 105 35 9 23 9 75 124
Hallucinogens 16 * 16 2 * 2 16 * * * * 2 * 2 16 *
Inhalants 23 10 15 10 * * 15 * 8 * * 10 * * 23 *
Methamphetamine 237 187 128 150 52 100 76 50 109 37 33 123 33 83 203a 64
Misuse of
   Psychotherapeutics
540 603 344 368 178 188 166 181 196 235 181 196 140 130 342 399
Pain Relievers 442 505 263 302 122 142 141 160 179 203 116 151 87 85 308 354
Stimulants 55 42 48 40 * 22 33 18 7 * 15 22 * 22 41 20
Tranquilizers or Sedatives 159 183 126 150 83 63 43 87 33 33 85 94 73 59 74 82
Tranquilizers 136 148 107 148 68 61 40 87 29 * 70 91 58 56 66 57
Sedatives 85 38 72a 5 42 5 30 * 13 33 54 5 42 5 31 26
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 513 604 320 336 138 152 182 184 194 268 137 160 95 94 359 437
Illicit Drugs Other
   Than Marijuana4
906 961 564 553 223 325 341 229 342 408 243 321 190 231 638 625
ALCOHOL 3,696 3,607 1,269 1,280 361 344 908 936 2,428 2,327 413 481 274 299 3,263 3,109
BOTH ILLICIT DRUGS
AND ALCOHOL
300 364 207 183 79 109 128 74 93 181 61 82 59 78 236 274
ILLICIT DRUGS OR
ALCOHOL
4,559 4,486 1,782 1,720 562 560 1,220 1,159 2,777 2,767 681 732 449 464 3,835 3,726
ILLICIT DRUGS ONLY 863 880 513 440 201 216 312 224 349 440 268 251 175 165 572 617
ALCOHOL ONLY 3,396 3,243 1,062 1,097 282 236 780 861 2,335 2,146 352 399 215 221 3,027 2,835
NO SUBSTANCE USE
DISORDER
107,985a 109,396 13,745 14,250 2,483 2,288 11,262 11,962 94,240 95,146 4,564 4,390 2,652 2,773 102,270 104,059
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190418
Table 8.51B – Substance Use Disorder Status and Substance Use Disorder for Specific Substances in Past Year among Persons Aged 50 or Older, by Past Year Level of Mental Illness and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status: Percentages, 2017 and 2018
Substance Use
Disorder Status
Total
(2017)
Total
(2018)
Any
Mental
Illness1
(2017)
Any
Mental
Illness1
(2018)
Serious
Mental
Illness1
(2017)
Serious
Mental
Illness1
(2018)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2017)
Any
Mental
Illness
Excluding
Serious
Mental
Illness1
(2018)
No
Mental
Illness1
(2017)
No
Mental
Illness1
(2018)
MDE2
(2017)
MDE2
(2018)
MDE with
Severe
Impairment2,3
(2017)
MDE with
Severe
Impairment2,3
(2018)
No
MDE2
(2017)
No
MDE2
(2018)
TOTAL POPULATION 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
ILLICIT DRUGS 1.0 1.1 4.6 3.9 9.2 11.4 3.5 2.3 0.5 0.6 6.3 6.5 7.6 7.5 0.8 0.8
Marijuana 0.4 0.3 1.7 0.8 3.5a 0.1 1.2 1.0 0.2 0.2 2.1 0.9 1.9 0.5 0.3 0.3
Cocaine 0.2 0.1 1.0 0.5 1.1 1.9 0.9a 0.2 0.1 0.1 0.4 0.7 0.6 0.9 0.2 0.1
Heroin 0.1 0.1 0.5 0.2 1.4 0.3 0.3 0.2 0.0 0.1 0.7 0.2 0.7 0.3 0.1 0.1
Hallucinogens 0.0 * 0.1 0.0 * 0.1 0.1 * * * * 0.0 * 0.1 0.0 *
Inhalants 0.0 0.0 0.1 0.1 * * 0.1 * 0.0 * * 0.2 * * 0.0 *
Methamphetamine 0.2 0.2 0.8 0.9 1.7 3.5 0.6 0.4 0.1 0.0 0.6 2.4 1.1 2.6 0.2a 0.1
Misuse of
   Psychotherapeutics
0.5 0.5 2.2 2.3 5.8 6.6 1.3 1.4 0.2 0.2 3.4 3.8 4.5 4.0 0.3 0.4
Pain Relievers 0.4 0.4 1.7 1.9 4.0 5.0 1.1 1.2 0.2 0.2 2.2 2.9 2.8 2.6 0.3 0.3
Stimulants 0.0 0.0 0.3 0.2 * 0.8 0.3 0.1 0.0 * 0.3 0.4 * 0.7 0.0 0.0
Tranquilizers or Sedatives 0.1 0.2 0.8 0.9 2.7 2.2 0.3 0.7 0.0 0.0 1.6 1.8 2.4 1.8 0.1 0.1
Tranquilizers 0.1 0.1 0.7 0.9 2.2 2.1 0.3 0.7 0.0 * 1.3 1.8 1.9 1.7 0.1 0.1
Sedatives 0.1 0.0 0.5a 0.0 1.4 0.2 0.2 * 0.0 0.0 1.0 0.1 1.3 0.2 0.0 0.0
Benzodiazepines -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Opioids 0.5 0.5 2.1 2.1 4.5 5.3 1.5 1.4 0.2 0.3 2.6 3.1 3.1 2.9 0.3 0.4
Illicit Drugs Other
   Than Marijuana4
0.8 0.8 3.6 3.5 7.3 11.4 2.7 1.7 0.4 0.4 4.6 6.3 6.1 7.1 0.6 0.6
ALCOHOL 3.3 3.2 8.2 8.0 11.9 12.1 7.3 7.1 2.5 2.4 7.9 9.4 8.8 9.2 3.1 2.9
BOTH ILLICIT DRUGS
AND ALCOHOL
0.3 0.3 1.3 1.1 2.6 3.8 1.0 0.6 0.1 0.2 1.2 1.6 1.9 2.4 0.2 0.3
ILLICIT DRUGS OR
ALCOHOL
4.1 3.9 11.5 10.8 18.5 19.7 9.8 8.8 2.9 2.8 13.0 14.3 14.5 14.3 3.6 3.5
ILLICIT DRUGS ONLY 0.8 0.8 3.3 2.8 6.6 7.6 2.5 1.7 0.4 0.4 5.1 4.9 5.7 5.1 0.5 0.6
ALCOHOL ONLY 3.0 2.8 6.8 6.9 9.3 8.3 6.2 6.6 2.4 2.2 6.7 7.8 6.9 6.8 2.9 2.6
NO SUBSTANCE USE
DISORDER
95.9 96.1 88.5 89.2 81.5 80.3 90.2 91.2 97.1 97.2 87.0 85.7 85.5 85.7 96.4 96.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 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.
2 Respondents with unknown past year MDE information were excluded.
3 Respondents with unknown impairment data were excluded.
4 Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
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, 2017 and 2018.
190606
Table 8.52A – Types of Professionals Seen among Persons Aged 18 or Older with Major Depressive Episode in Past Year Who Saw or Talked to a Professional about Depression in Past Year, by Age Group: Numbers in Thousands, 2017 and 2018
Type of Professional1 Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 10,546 10,604 2,054 2,126 8,492 8,477 4,818 4,715 3,674 3,762
HEALTH PROFESSIONAL 10,114 10,232 1,997 2,045 8,117 8,187 4,630 4,595 3,486 3,592
General Practitioner or Family Doctor 6,131 6,209 928 943 5,203 5,266 2,716 2,716 2,487 2,550
Other Medical Doctor2 1,212 1,112 140 174 1,072 938 534 454 538 483
Psychologist 3,123 3,384 766 790 2,358 2,594 1,568 1,507 789 1,087
Psychiatrist or Psychotherapist 3,458 3,821 796 814 2,662 3,007 1,620 1,804 1,043 1,203
Social Worker 1,266 1,273 219 232 1,047 1,040 636 561 411 479
Counselor 2,885 3,175 847 844 2,037 2,332 1,507 1,438 530a 894
Other Mental Health Professional3 920 1,054 177 211 743 842 484 554 259 289
Nurse, Occupational Therapist, or Other Health Professional 827 868 183 189 644 679 365 334 279 345
ALTERNATIVE SERVICE PROFESSIONAL 1,994 1,930 309 296 1,685 1,634 910 761 775 873
Religious or Spiritual Advisor 1,601 1,493 254 235 1,348 1,258 773a 528 574 730
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 585 669 75 78 510 591 239 332 270 259
OTHER PROFESSIONAL4 73 108 8 28 64 80 24 38 40 42
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row.
2 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
3 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
4 Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression 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, 2017 and 2018.
190606
Table 8.52B – Types of Professionals Seen among Persons Aged 18 or Older with Major Depressive Episode in Past Year Who Saw or Talked to a Professional about Depression in Past Year, by Age Group: Percentages, 2017 and 2018
Type of Professional1 Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
HEALTH PROFESSIONAL 96.1 96.8 97.6 96.2 95.7 96.9 96.2 97.8 95.1 95.8
General Practitioner or Family Doctor 58.3 58.7 45.3 44.4 61.4 62.4 56.4 57.8 67.9 68.0
Other Medical Doctor2 11.5 10.5 6.8 8.2 12.6 11.1 11.1 9.7 14.7 12.9
Psychologist 29.7 32.0 37.4 37.2 27.8 30.7 32.6 32.1 21.5 29.0
Psychiatrist or Psychotherapist 32.9 36.2 38.9 38.3 31.4 35.6 33.7 38.4 28.5 32.1
Social Worker 12.0 12.0 10.7 10.9 12.4 12.3 13.2 12.0 11.2 12.8
Counselor 27.4 30.0 41.4 39.7 24.0 27.6 31.3 30.6 14.5a 23.8
Other Mental Health Professional3 8.7 10.0 8.6 9.9 8.8 10.0 10.1 11.8 7.1 7.7
Nurse, Occupational Therapist, or Other Health Professional 7.9 8.2 9.0 8.9 7.6 8.0 7.6 7.1 7.6 9.2
ALTERNATIVE SERVICE PROFESSIONAL 18.9 18.3 15.1 13.9 19.9 19.4 18.9 16.2 21.1 23.3
Religious or Spiritual Advisor 15.2 14.1 12.4 11.1 15.9 14.9 16.1a 11.2 15.7 19.5
Herbalist, Chiropractor, Acupuncturist, or Massage Therapist 5.6 6.3 3.7 3.7 6.0 7.0 5.0 7.1 7.4 6.9
OTHER PROFESSIONAL4 0.7 1.0 0.4 1.3 0.8 1.0 0.5 0.8 1.1 1.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
a The difference between this estimate and the 2018 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical.
1 Respondents could indicate multiple types of professionals; thus, these response categories are not mutually exclusive. Respondents with unknown type of professional data were excluded from the estimates for each specific type of professional but were included in the Total row.
2 Other Medical Doctor includes cardiologists, gynecologists, urologists, and other medical doctors that are not general practitioners or family doctors.
3 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
4 Respondents with unknown or invalid responses to the other-specify question on other types of professionals seen for depression 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, 2017 and 2018.
190606
Table 8.53A – Types of Professionals Seen among Persons Aged 18 or Older with Major Depressive Episode with Severe Impairment in Past Year Who Saw or Talked to a Professional about Depression in Past Year, by Age Group: Numbers in Thousands, 2017 and 2018
Type of Professional1 Aged 18+
(2017)
Aged 18+
(2018)
Aged 18-25
(2017)
Aged 18-25
(2018)
Aged 26+
(2017)
Aged 26+
(2018)
Aged 26-49
(2017)
Aged 26-49
(2018)
Aged 50+
(2017)
Aged 50+
(2018)
TOTAL 7,278 7,332 1,515 1,480 5,763 5,852 3,381 3,319 2,381 2,533
HEALTH PROFESSIONAL 7,082 7,105 1,491 1,423 5,591 5,682 3,285 3,237 2,306 2,445
General Practitioner or Family Doctor 4,273 4,478 704 704 3,569 3,774 1,894 1,939 1,675 1,835
Other Medical Doctor2 798 775 122 131 676 645 369 345 307 300
Psychologist 2,475 2,546 651 609 1,825 1,937 1,258 1,139 567 798
Psychiatrist or Psychotherapist 2,540 2,970 621 600 1,919a 2,370 1,199 1,416 720 954
Social Worker 1,052 984 169 166 882 818 546 461 337 358
Counselor 2,232 2,355 662 616 1,570 1,738 1,175 1,096 394 642
Other Mental Health Professional3 801 873 149 164 652 708 416 478 236 230
Nurse, Occupational Therapist, or Other Health Professional 665 678 130 142 535 536 328 286 207 250
ALTERNATIVE SERVICE PROFESSIONAL 1,456 1,316 252 196 1,204 1,120 666 563 539 557
Religious or Spiritual Advisor 1,191 1,016 198 151 993 865 564