Section 10 PE Tables – Results from the 2019 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

200406

Table 10.1A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	39,826^a	41,195^a	41,417^a	41,381^a	43,714^a	43,846^a	43,553^a	43,421^a	44,652^a	46,632^a	47,635^a	51,495
AGE GROUP
18-25	6,099^a	6,043^a	6,151^a	6,356^a	6,774^a	6,754^a	7,014^a	7,574^a	7,635^a	8,849^a	8,944^a	9,930
26 or Older	33,727^a	35,152^a	35,266^a	35,025^a	36,940^a	37,092^a	36,539^a	35,847^a	37,016^a	37,783^a	38,691^a	41,565
26-49	20,697^a	21,455^a	20,648^a	19,936^a	20,777^a	21,061^a	20,007^a	20,589^a	20,903^a	22,256^a	22,721^a	25,279
50 or Older	13,030^a	13,698^a	14,618^a	15,089	16,163	16,031	16,531	15,257	16,114	15,527	15,969	16,286
GENDER
Male	14,778^a	15,614^a	16,461^a	15,895^a	16,856^a	16,452^a	16,371^a	16,785^a	17,142^a	18,065^a	18,308^a	19,758
Female	25,048^a	25,581^a	24,956^a	25,486^a	26,858^a	27,394^a	27,182^a	26,636^a	27,510^a	28,567^a	29,327^a	31,737
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	34,971^a	36,321^a	36,580^a	36,793^a	38,049^a	37,828^a	37,795^a	37,919^a	38,598^a	40,603^a	40,785^a	44,055
White	28,286^a	29,799^a	29,704^a	29,552^a	30,066^a	30,222^a	30,074^a	30,387^a	31,266^a	32,183^a	32,210^a	34,967
Black or African American	4,314^a	4,113^a	4,520	4,364^a	5,044	4,688	4,603	4,410^a	4,171^a	4,782	4,802	5,174
AIAN	163^a	219	187	357	366	323	271	270	317	246	333	260
NHOPI	*	*	*	*	*	112	204	89^a	181	193	198	164
Asian	1,300^a	1,287^a	1,425^a	1,473^a	1,608^a	1,489^a	1,653^a	1,620^a	1,602^a	2,000	2,081	2,100
Two or More Races	666^a	757^a	584^a	847^a	709^a	995^a	989^a	1,142	1,061^a	1,198	1,160	1,390
Hispanic or Latino	4,855^a	4,874^a	4,837^a	4,589^a	5,665^a	6,018^a	5,758^a	5,502^a	6,053^a	6,028^a	6,850	7,440
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.1B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	17.7^a	18.1^a	18.1^a	17.8^a	18.6^a	18.5^a	18.1^a	17.9^a	18.3^a	18.9^a	19.1^a	20.6
AGE GROUP
18-25	18.5^a	18.0^a	18.1^a	18.5^a	19.6^a	19.4^a	20.1^a	21.7^a	22.1^a	25.8^a	26.3^a	29.4
26 or Older	17.6^a	18.2^a	18.1^a	17.7^a	18.4	18.3^a	17.8^a	17.2^a	17.6^a	17.8^a	18.0^a	19.2
26-49	20.7^a	21.6^a	20.9^a	20.3^a	21.2^a	21.5^a	20.4^a	20.9^a	21.1^a	22.2^a	22.5^a	25.0
50 or Older	14.1	14.5	15.1	15.0	15.8^a	15.3	15.4^a	14.0	14.5	13.8	14.0	14.1
GENDER
Male	13.6^a	14.2^a	14.8^a	14.2^a	14.9^a	14.4^a	14.1^a	14.3^a	14.5^a	15.1^a	15.2^a	16.3
Female	21.5^a	21.8^a	21.1^a	21.1^a	22.0^a	22.3^a	21.8^a	21.2^a	21.7^a	22.3^a	22.8^a	24.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	18.0^a	18.5^a	18.5^a	18.5^a	19.0^a	18.7^a	18.6^a	18.5^a	18.7^a	19.6^a	19.6^a	21.1
White	18.3^a	19.2^a	19.0^a	19.0^a	19.3^a	19.3^a	19.2^a	19.3^a	19.9^a	20.4^a	20.4^a	22.2
Black or African American	16.7	15.6	16.9	16.3	18.6	16.9	16.3	15.4^a	14.5^a	16.2	16.2	17.3
AIAN	17.3	20.0	17.4	27.7	28.3^a	26.0	21.2	21.2	22.8	18.9	22.1	18.7
NHOPI	*	*	*	*	*	14.4	22.3	14.8	16.7	19.4	21.1	16.6
Asian	13.3	12.8	13.7	13.1	13.9	12.3	13.1	12.0	12.1	14.5	14.7	14.4
Two or More Races	26.5	31.1	22.0^a	25.8	20.7^a	28.1	27.1	29.5	26.5	28.6	26.8	31.7
Hispanic or Latino	16.0^a	15.7^a	15.2^a	13.5^a	16.3	16.9	15.6^a	14.5^a	15.7^a	15.2^a	16.9	18.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.2A – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	39,826^a	41,195^a	41,417^a	41,381^a	43,714^a	43,846^a	43,553^a	43,421^a	44,652^a	46,632^a	47,635^a	51,495
GEOGRAPHIC REGION
Northeast	7,865	7,587^a	7,890	6,966^a	7,723^a	7,701^a	7,666^a	7,706^a	7,910	7,920	8,291	8,608
Midwest	9,075^a	9,169^a	9,369^a	9,020^a	9,173^a	9,461^a	9,436^a	9,167^a	8,934^a	10,230^a	10,329^a	11,497
South	13,905^a	14,604^a	14,656^a	15,362^a	16,282^a	16,014^a	15,877^a	16,273^a	16,638^a	16,847^a	16,946^a	18,212
West	8,980^a	9,835^a	9,502^a	10,033^a	10,536^a	10,670^a	10,573^a	10,275^a	11,169^a	11,634^a	12,068^a	13,178
COUNTY TYPE²
Large Metro	21,077^a	21,986^a	21,967^a	21,234^a	23,221^a	23,763^a	23,371^a	23,474^a	24,038^a	25,223^a	25,715^a	28,346
Small Metro	12,622^a	13,011^a	13,151^a	13,905^a	14,040^a	13,492^a	13,260^a	13,832^a	14,068^a	14,626^a	15,312	15,837
Nonmetro	6,127^a	6,198^a	6,299^a	6,243^a	6,452^a	6,591	6,922	6,114^a	6,546	6,782	6,608	7,312
Urbanized	2,554^a	2,418^a	2,500^a	2,589	2,646	2,976	2,975	2,666	2,461^a	2,973	3,153	3,100
Less Urbanized	2,997	3,222	3,155	3,170	3,191	3,047	3,260	2,731^a	3,491	3,214	2,820^a	3,554
Completely Rural	576	558	644	484	615	568	687	717	594	596	635	658
POVERTY LEVEL³
Less Than 100%	6,402^a	6,955^a	7,323^a	8,428	9,945^a	9,109	9,358	8,963	8,665	8,766	9,094	8,646
100-199%	8,925^a	8,885^a	9,756^a	9,813^a	9,890^a	9,721^a	10,046^a	9,597^a	10,727	10,136^a	10,091^a	11,258
200% or More	24,313^a	25,148^a	24,187^a	23,005^a	23,669^a	24,876^a	23,969^a	24,720^a	25,068^a	27,528^a	28,246^a	31,255
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	5,822	5,538	5,320	5,628	5,505
High School Graduate	nc	nc	nc	nc	nc	nc	nc	10,621^a	10,813	10,343^a	11,110	11,705
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	15,450^a	15,797^a	16,525^a	17,171	18,250
College Graduate	nc	nc	nc	nc	nc	nc	nc	11,528^a	12,504^a	14,444^a	13,725^a	16,034
HEALTH INSURANCE⁴
Private	23,775^a	24,949^a	23,693^a	22,565^a	23,589^a	25,011^a	24,456^a	24,972^a	26,307^a	27,933^a	28,245^a	30,795
Medicaid/CHIP	5,287^a	5,767^a	6,084^a	6,664^a	7,085^a	7,282^a	8,776^a	9,147^a	9,845^a	10,090^a	10,410	11,149
Other⁵	8,227^a	8,587^a	9,815^a	9,727^a	11,458	10,796	11,620	10,971	10,990	10,845	11,142	11,598
No Coverage	7,751^a	7,446^a	7,863^a	8,095^a	8,423^a	7,725^a	6,206	5,235	4,636^a	4,901^a	5,371	5,630
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.2B – Any Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	17.7^a	18.1^a	18.1^a	17.8^a	18.6^a	18.5^a	18.1^a	17.9^a	18.3^a	18.9^a	19.1^a	20.6
GEOGRAPHIC REGION
Northeast	18.9	18.0	18.7	16.3^a	18.0	17.8^a	17.6^a	17.6^a	18.1	18.0	18.9	19.7
Midwest	18.4^a	18.4^a	18.7^a	18.0^a	18.2^a	18.6^a	18.5^a	17.9^a	17.4^a	19.8^a	19.9^a	22.1
South	17.0^a	17.6^a	17.4^a	17.9^a	18.7	18.2	17.8^a	17.9^a	18.1	18.1	18.0^a	19.2
West	17.3^a	18.8^a	17.9^a	18.6^a	19.3^a	19.3^a	18.8^a	18.0^a	19.4^a	19.9^a	20.4^a	22.1
COUNTY TYPE²
Large Metro	17.1^a	17.8^a	17.4^a	16.8^a	18.0^a	18.2^a	17.3^a	17.3^a	17.6^a	18.2^a	18.6^a	20.2
Small Metro	18.5^a	18.6^a	18.8^a	19.0^a	19.6	18.7^a	18.8^a	18.7^a	19.2^a	20.1	20.6	20.9
Nonmetro	18.1^a	18.4^a	18.9^a	18.9^a	18.6^a	18.8^a	20.1	18.3^a	18.7^a	19.1^a	18.4^a	21.2
Urbanized	18.8^a	17.1^a	17.9^a	20.2	18.6^a	19.2	20.5	19.4	17.7^a	19.5	19.4	21.6
Less Urbanized	17.7^a	19.8	19.5	18.8^a	19.0	19.1	19.9	17.5^a	19.8	18.7^a	17.2^a	22.0
Completely Rural	17.6	17.2	20.8	14.2	16.6	15.9	19.7	17.1	17.6	19.1	18.9	16.7
POVERTY LEVEL³
Less Than 100%	25.2	25.1	24.7	25.8	26.8	26.1	25.7	24.4^a	24.5^a	25.6	26.3	26.7
100-199%	21.6^a	20.2^a	20.5^a	20.5^a	21.8	20.9^a	21.4^a	19.7^a	21.8^a	20.8^a	20.5^a	23.7
200% or More	15.5^a	16.3^a	16.0^a	15.2^a	15.6^a	16.0^a	15.4^a	15.8^a	15.7^a	16.8^a	17.2^a	18.5
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	16.9	17.2	17.3	18.2	18.3
High School Graduate	nc	nc	nc	nc	nc	nc	nc	17.2^a	17.7^a	17.3^a	18.0	19.3
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	20.9^a	20.8^a	21.5^a	22.3^a	23.7
College Graduate	nc	nc	nc	nc	nc	nc	nc	15.8^a	16.6^a	18.1^a	17.3^a	19.5
HEALTH INSURANCE⁴
Private	15.3^a	16.2^a	15.7^a	14.9^a	15.4^a	16.0^a	15.4^a	15.5^a	16.0^a	16.9^a	17.1^a	18.6
Medicaid/CHIP	28.7	29.9	28.8	28.7	30.5	30.3	29.7	27.1^a	28.2^a	27.9^a	28.3^a	31.2
Other⁵	15.9	16.3	18.1	17.4	19.5^a	17.9	18.5^a	16.7	16.5	16.0	16.3	16.8
No Coverage	22.8	20.5	20.4	21.3	22.3	20.8	20.9	20.4	19.9	20.9	21.8	21.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.3A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	8,331^a	8,383^a	9,334^a	9,011^a	9,570^a	10,018^a	9,822^a	9,765^a	10,360^a	11,190^a	11,373^a	13,115
AGE GROUP
18-25	1,236^a	1,124^a	1,334^a	1,296^a	1,423^a	1,468^a	1,681^a	1,756^a	2,035^a	2,566^a	2,619^a	2,899
26 or Older	7,095^a	7,258^a	7,999^a	7,715^a	8,146^a	8,549^a	8,142^a	8,009^a	8,325^a	8,625^a	8,755^a	10,216
26-49	4,763^a	4,858^a	5,132^a	4,951^a	5,065^a	5,193^a	4,807^a	4,896^a	5,279^a	5,580^a	5,907^a	6,847
50 or Older	2,332^a	2,401^a	2,868	2,764	3,082	3,356	3,335	3,113	3,047	3,044	2,848	3,369
GENDER
Male	2,868^a	2,847^a	3,351^a	3,218^a	3,619^a	3,949^a	3,580^a	3,464^a	3,588^a	3,883^a	4,025^a	4,668
Female	5,463^a	5,535^a	5,983^a	5,793^a	5,951^a	6,068^a	6,242^a	6,301^a	6,772^a	7,307^a	7,348^a	8,447
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,553^a	7,486^a	8,304^a	8,163^a	8,038^a	8,681^a	8,532^a	8,651^a	8,975^a	9,935^a	9,902^a	11,109
White	6,515^a	6,341^a	6,743^a	6,899^a	6,608^a	7,206^a	6,947^a	7,137^a	7,494^a	8,127^a	8,076^a	8,937
Black or African American	657^a	719^a	1,028	743^a	927	792^a	880^a	830^a	881^a	1,023	1,077	1,188
AIAN	28^a	53	87	126	111	72	51	80	68	66	97	93
NHOPI	9	*	*	*	17	10	27	11	21	48	43	25
Asian	220^a	164^a	232^a	214^a	233^a	352	300	227^a	211^a	333	303^a	457
Two or More Races	124^a	183^a	196^a	151^a	144^a	250^a	327	366	300	338	307	409
Hispanic or Latino	778^a	897^a	1,030^a	848^a	1,531^a	1,337^a	1,290^a	1,114^a	1,386^a	1,255^a	1,471^a	2,006
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.3B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	3.7^a	3.7^a	4.1^a	3.9^a	4.1^a	4.2^a	4.1^a	4.0^a	4.2^a	4.5^a	4.6^a	5.2
AGE GROUP
18-25	3.8^a	3.3^a	3.9^a	3.8^a	4.1^a	4.2^a	4.8^a	5.0^a	5.9^a	7.5^a	7.7^a	8.6
26 or Older	3.7^a	3.7^a	4.1^a	3.9^a	4.1^a	4.2^a	4.0^a	3.9^a	4.0^a	4.1^a	4.1^a	4.7
26-49	4.8^a	4.9^a	5.2^a	5.0^a	5.2^a	5.3^a	4.9^a	5.0^a	5.3^a	5.6^a	5.9^a	6.8
50 or Older	2.5	2.5	3.0	2.8	3.0	3.2	3.1	2.8	2.7	2.7	2.5	2.9
GENDER
Male	2.6^a	2.6^a	3.0^a	2.9^a	3.2^a	3.5	3.1^a	3.0^a	3.0^a	3.3^a	3.4^a	3.9
Female	4.7^a	4.7^a	5.1^a	4.8^a	4.9^a	4.9^a	5.0^a	5.0^a	5.3^a	5.7^a	5.7^a	6.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	3.9^a	3.8^a	4.2^a	4.1^a	4.0^a	4.3^a	4.2^a	4.2^a	4.4^a	4.8^a	4.8^a	5.3
White	4.2^a	4.1^a	4.3^a	4.4^a	4.2^a	4.6^a	4.4^a	4.5^a	4.8^a	5.2^a	5.1^a	5.7
Black or African American	2.5^a	2.7^a	3.9	2.8^a	3.4	2.9^a	3.1^a	2.9^a	3.1^a	3.5	3.6	4.0
AIAN	3.0	4.8	8.1	9.8	8.5	5.8	4.0	6.3	4.9	5.1	6.4	6.7
NHOPI	1.2	*	*	*	1.8	1.3	2.9	1.8	1.9	4.8	4.5	2.6
Asian	2.2	1.6^a	2.2	1.9	2.0	2.9	2.4	1.7^a	1.6^a	2.4	2.1	3.1
Two or More Races	4.9^a	7.5	7.4	4.6^a	4.2^a	7.1	8.9	9.5	7.5	8.1	7.1	9.3
Hispanic or Latino	2.6^a	2.9^a	3.2^a	2.5^a	4.4	3.7^a	3.5^a	2.9^a	3.6^a	3.2^a	3.6^a	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: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.4A – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	8,331^a	8,383^a	9,334^a	9,011^a	9,570^a	10,018^a	9,822^a	9,765^a	10,360^a	11,190^a	11,373^a	13,115
GEOGRAPHIC REGION
Northeast	1,619^a	1,476^a	1,651^a	1,436^a	1,569^a	1,660^a	1,744	1,716	1,767	1,711	1,805	2,062
Midwest	1,968^a	2,151^a	2,276^a	2,109^a	1,983^a	2,263^a	2,304^a	2,125^a	2,208^a	2,448^a	2,639	2,918
South	2,785^a	2,827^a	3,113^a	3,108^a	3,572^a	3,873^a	3,521^a	3,604^a	3,745^a	4,177^a	4,027^a	4,766
West	1,959^a	1,928^a	2,293^a	2,357^a	2,445^a	2,221^a	2,253^a	2,319^a	2,641^a	2,854^a	2,902^a	3,369
COUNTY TYPE²
Large Metro	4,465^a	4,344^a	4,783^a	4,230^a	4,936^a	5,093^a	5,141^a	5,108^a	5,448^a	5,579^a	5,740^a	6,743
Small Metro	2,708^a	2,618^a	3,022^a	3,267^a	3,239^a	3,057^a	3,079^a	3,075^a	3,410^a	3,752^a	3,932	4,341
Nonmetro	1,158^a	1,421^a	1,528^a	1,514^a	1,395^a	1,868	1,602^a	1,582^a	1,503^a	1,859	1,701^a	2,031
Urbanized	549^a	528^a	673	634^a	490^a	866	693	756	578^a	793	753	889
Less Urbanized	526^a	716	649^a	748	742	843	748	667^a	799	947	754	938
Completely Rural	83^a	177	206	132	162	160	161	158	126	120	194	205
POVERTY LEVEL³
Less Than 100%	1,486^a	1,792^a	2,075^a	2,481	2,685	2,681	2,560	2,481	2,366	2,508	2,722	2,590
100-199%	2,046^a	1,993^a	2,242^a	2,199^a	2,338^a	2,391^a	2,393^a	2,096^a	2,751^a	2,674^a	2,439^a	3,218
200% or More	4,764^a	4,551^a	4,987^a	4,293^a	4,503^a	4,916^a	4,815^a	5,154^a	5,180^a	5,958^a	6,164^a	7,222
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,237	1,147	1,266	1,218	1,286
High School Graduate	nc	nc	nc	nc	nc	nc	nc	2,238^a	2,418^a	2,667	2,821	3,100
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	3,964^a	4,346^a	4,469^a	4,557^a	5,357
College Graduate	nc	nc	nc	nc	nc	nc	nc	2,326^a	2,449^a	2,788^a	2,778^a	3,372
HEALTH INSURANCE⁴
Private	4,502^a	4,099^a	4,765^a	3,967^a	4,106^a	4,767^a	4,656^a	5,093^a	5,334^a	5,813^a	5,977^a	7,051
Medicaid/CHIP	1,438^a	1,680^a	1,694^a	2,033^a	1,965^a	1,988^a	2,434^a	2,436^a	2,831^a	2,978^a	2,978^a	3,602
Other⁵	1,706^a	1,799^a	2,204	1,941^a	2,569	2,499	2,572	2,622	2,226	2,533	2,338	2,638
No Coverage	1,678	1,710	1,909^a	1,972^a	2,290^a	2,208^a	1,556	1,202^a	1,298	1,369	1,524	1,557
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.4B – Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	3.7^a	3.7^a	4.1^a	3.9^a	4.1^a	4.2^a	4.1^a	4.0^a	4.2^a	4.5^a	4.6^a	5.2
GEOGRAPHIC REGION
Northeast	3.9	3.5^a	3.9	3.4^a	3.7^a	3.8	4.0	3.9	4.0	3.9^a	4.1	4.7
Midwest	4.0^a	4.3^a	4.6^a	4.2^a	3.9^a	4.5^a	4.5^a	4.1^a	4.3^a	4.7^a	5.1	5.6
South	3.4^a	3.4^a	3.7^a	3.6^a	4.1^a	4.4	3.9^a	4.0^a	4.1^a	4.5	4.3^a	5.0
West	3.8^a	3.7^a	4.3^a	4.4^a	4.5^a	4.0^a	4.0^a	4.1^a	4.6^a	4.9	4.9	5.7
COUNTY TYPE²
Large Metro	3.6^a	3.5^a	3.8^a	3.3^a	3.8^a	3.9^a	3.8^a	3.8^a	4.0^a	4.0^a	4.1^a	4.8
Small Metro	4.0^a	3.7^a	4.3^a	4.5^a	4.5^a	4.2^a	4.4^a	4.2^a	4.6^a	5.1	5.3	5.7
Nonmetro	3.4^a	4.2^a	4.6^a	4.6^a	4.0^a	5.3	4.7^a	4.7^a	4.3^a	5.2	4.7^a	5.9
Urbanized	4.0^a	3.7^a	4.8	4.9	3.4^a	5.6	4.8^a	5.5	4.2^a	5.2	4.6^a	6.2
Less Urbanized	3.1^a	4.4^a	4.0^a	4.4^a	4.4	5.3	4.6	4.3^a	4.5^a	5.5	4.6	5.8
Completely Rural	2.5^a	5.5	6.7	3.9	4.4	4.5	4.6	3.8	3.7	3.8	5.8	5.2
POVERTY LEVEL³
Less Than 100%	5.9^a	6.5^a	7.0	7.6	7.2	7.7	7.0	6.8^a	6.7^a	7.3	7.9	8.0
100-199%	4.9^a	4.5^a	4.7^a	4.6^a	5.2^a	5.1^a	5.1^a	4.3^a	5.6^a	5.5^a	5.0^a	6.8
200% or More	3.0^a	2.9^a	3.3^a	2.8^a	3.0^a	3.2^a	3.1^a	3.3^a	3.3^a	3.6^a	3.8^a	4.3
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	3.6	3.6	4.1	3.9	4.3
High School Graduate	nc	nc	nc	nc	nc	nc	nc	3.6^a	4.0^a	4.5	4.6	5.1
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	5.4^a	5.7^a	5.8^a	5.9^a	7.0
College Graduate	nc	nc	nc	nc	nc	nc	nc	3.2^a	3.3^a	3.5^a	3.5^a	4.1
HEALTH INSURANCE⁴
Private	2.9^a	2.7^a	3.2^a	2.6^a	2.7^a	3.0^a	2.9^a	3.2^a	3.2^a	3.5^a	3.6^a	4.3
Medicaid/CHIP	7.8^a	8.7	8.0^a	8.7	8.5^a	8.3^a	8.2^a	7.2^a	8.1^a	8.2^a	8.1^a	10.1
Other⁵	3.3	3.4	4.1	3.5	4.4	4.1	4.1	4.0	3.3	3.7	3.4	3.8
No Coverage	4.9^a	4.7^a	4.9^a	5.2	6.1	5.9	5.2	4.7^a	5.6	5.9	6.2	6.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.5A – Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	31,495^a	32,813^a	32,083^a	32,371^a	34,144^a	33,828^a	33,730^a	33,656^a	34,291^a	35,441^a	36,262^a	38,379
AGE GROUP
18-25	4,863^a	4,919^a	4,817^a	5,060^a	5,351^a	5,286^a	5,333^a	5,818^a	5,600^a	6,283^a	6,326^a	7,031
26 or Older	26,632^a	27,894^a	27,266^a	27,310^a	28,793^a	28,543^a	28,397^a	27,838^a	28,691^a	29,158^a	29,936	31,349
26-49	15,934^a	16,597^a	15,516^a	14,986^a	15,712^a	15,868^a	15,201^a	15,693^a	15,624^a	16,676^a	16,815^a	18,432
50 or Older	10,698^a	11,297^a	11,750	12,325	13,081	12,675	13,197	12,144	13,067	12,482	13,121	12,917
GENDER
Male	11,910^a	12,767^a	13,110^a	12,677^a	13,237^a	12,503^a	12,791^a	13,321^a	13,554^a	14,181	14,283	15,090
Female	19,585^a	20,045^a	18,973^a	19,694^a	20,907^a	21,325^a	20,940^a	20,335^a	20,738^a	21,260^a	21,979^a	23,290
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	27,418^a	28,835^a	28,276^a	28,630^a	30,010^a	29,147^a	29,263^a	29,268^a	29,624^a	30,668^a	30,882^a	32,946
White	21,771^a	23,458^a	22,961^a	22,654^a	23,458^a	23,016^a	23,127^a	23,250^a	23,772^a	24,057^a	24,134^a	26,030
Black or African American	3,657	3,394^a	3,492	3,621	4,118	3,896	3,722	3,580	3,290^a	3,759	3,726	3,986
AIAN	135	166	100	231	256	251	220	190	249	179	235	166
NHOPI	*	*	*	*	*	102	*	78	160	145	156	138
Asian	1,080^a	1,123^a	1,193^a	1,259	1,376	1,137^a	1,353	1,393	1,391	1,668	1,778	1,644
Two or More Races	543^a	574^a	388^a	696^a	565^a	745	663^a	777	761	860	853	981
Hispanic or Latino	4,077^a	3,977^a	3,807^a	3,741^a	4,134^a	4,681^a	4,467^a	4,388^a	4,667^a	4,773^a	5,380	5,433
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200406

Table 10.5B – Any Mental Illness Excluding Serious Mental Illness in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	14.0^a	14.4^a	14.0^a	13.9^a	14.5^a	14.2^a	14.0^a	13.9^a	14.0^a	14.3^a	14.6^a	15.3
AGE GROUP
18-25	14.8^a	14.6^a	14.1^a	14.8^a	15.5^a	15.2^a	15.3^a	16.7^a	16.2^a	18.3^a	18.6^a	20.8
26 or Older	13.9	14.4	14.0	13.8	14.4	14.1	13.8	13.4^a	13.7^a	13.7^a	13.9	14.5
26-49	16.0^a	16.7^a	15.7^a	15.3^a	16.0^a	16.2^a	15.5^a	15.9^a	15.8^a	16.6^a	16.7^a	18.2
50 or Older	11.6	12.0	12.2	12.3	12.8^a	12.1	12.3^a	11.1	11.8	11.1	11.5	11.2
GENDER
Male	11.0^a	11.6	11.8	11.3^a	11.7	10.9^a	11.1^a	11.4^a	11.5^a	11.9	11.9	12.5
Female	16.8^a	17.1	16.0^a	16.3^a	17.1	17.3	16.8^a	16.2^a	16.4^a	16.6^a	17.1^a	18.0
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14.1^a	14.7^a	14.3^a	14.4^a	15.0^a	14.4^a	14.4^a	14.3^a	14.4^a	14.8^a	14.8^a	15.8
White	14.1^a	15.1^a	14.7^a	14.6^a	15.1^a	14.7^a	14.8^a	14.8^a	15.1^a	15.3^a	15.3^a	16.5
Black or African American	14.2	12.9	13.1	13.5	15.2	14.0	13.2	12.5	11.4^a	12.8	12.6	13.3
AIAN	14.3	15.2	9.3	17.9	19.7^a	20.2^a	17.2	14.9	17.9	13.8	15.6	12.0
NHOPI	*	*	*	*	*	13.2	*	13.0	14.7	14.6	16.5	14.0
Asian	11.0	11.2	11.5	11.2	11.9	9.4	10.7	10.3	10.5	12.1	12.5	11.3
Two or More Races	21.6	23.6	14.6^a	21.2	16.5^a	21.1	18.2	20.1	19.0	20.5	19.7	22.4
Hispanic or Latino	13.4	12.8	12.0	11.0^a	11.9	13.1	12.1	11.6^a	12.1	12.0	13.3	13.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200414

Table 10.6A – Co-Occurring Substance Use Disorder and Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group: Numbers in Thousands, 2015-2019
Substance Use Disorder (SUD)/ Mental Illness/Age Group	2015	2016	2017	2018	2019
SUD and Any Mental Illness	8,069^a	8,249^a	8,526^a	9,187	9,536
18-25	2,060^a	2,123^a	2,376	2,447	2,575
26 or Older	6,010^a	6,126^a	6,150^a	6,740	6,961
26-49	4,285^a	4,462^a	4,369^a	5,020	5,218
50 or Older	1,725	1,663	1,782	1,720	1,744
SUD and Serious Mental Illness	2,323^a	2,627^a	3,092^a	3,166	3,564
18-25	593^a	711^a	947	879	958
26 or Older	1,730^a	1,916^a	2,145^a	2,287	2,606
26-49	1,307^a	1,421^a	1,584^a	1,726	1,998
50 or Older	422	496	562	560	607
SUD and Any Mental Illness Excluding Serious Mental Illness	5,747	5,622	5,434	6,021	5,973
18-25	1,467	1,412^a	1,429^a	1,568	1,617
26 or Older	4,280	4,209	4,005	4,453	4,356
26-49	2,978	3,042	2,785^a	3,294	3,219
50 or Older	1,302	1,167	1,220	1,159	1,136
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.6B – Co-Occurring Substance Use Disorder and Mental Illness in Past Year among Persons Aged 18 or Older, by Age Group: Percentages, 2015-2019
Substance Use Disorder (SUD)/ Mental Illness/Age Group	2015	2016	2017	2018	2019
SUD and Any Mental Illness	3.3^a	3.4^a	3.4^a	3.7	3.8
18-25	5.9^a	6.1^a	6.9^a	7.2	7.6
26 or Older	2.9	2.9	2.9^a	3.1	3.2
26-49	4.3^a	4.5^a	4.4^a	5.0	5.2
50 or Older	1.6	1.5	1.6	1.5	1.5
SUD and Serious Mental Illness	1.0^a	1.1^a	1.3	1.3	1.4
18-25	1.7^a	2.1^a	2.8	2.6	2.8
26 or Older	0.8^a	0.9^a	1.0^a	1.1	1.2
26-49	1.3^a	1.4^a	1.6^a	1.7	2.0
50 or Older	0.4	0.4	0.5	0.5	0.5
SUD and Any Mental Illness Excluding Serious Mental Illness	2.4	2.3	2.2	2.4	2.4
18-25	4.2^a	4.1^a	4.2^a	4.6	4.8
26 or Older	2.1	2.0	1.9	2.1	2.0
26-49	3.0	3.1	2.8^a	3.3	3.2
50 or Older	1.2	1.1	1.1	1.0	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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200413

Table 10.7A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2002-2019
Demographic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	27,215^a	27,939^a	27,502^a	28,166^a	28,405^a	29,556^a	30,201^a	30,341^a	31,490^a	31,642^a	34,122^a	34,644^a	35,498^a	34,243^a	34,982^a	36,416^a	37,101^a	40,154
AGE GROUP
18-25	3,256^a	3,511^a	3,459^a	3,615^a	3,526^a	3,387^a	3,612^a	3,740^a	3,717^a	3,899^a	4,120^a	4,221^a	4,135^a	4,044^a	4,423^a	5,073^a	5,120^a	5,756
26 or Older	23,959^a	24,428^a	24,042^a	24,551^a	24,879^a	26,168^a	26,588^a	26,601^a	27,773^a	27,743^a	30,002^a	30,423^a	31,362^a	30,198^a	30,558^a	31,343^a	31,981^a	34,397
26-49	14,492^a	14,476^a	14,348^a	13,889^a	14,054^a	14,311^a	14,030^a	14,481^a	14,627^a	14,543^a	14,811^a	15,101^a	14,930^a	15,057^a	15,154^a	15,695^a	16,113^a	17,931
50 or Older	9,466^a	9,952^a	9,695^a	10,661^a	10,825^a	11,857^a	12,559^a	12,120^a	13,146^a	13,200^a	15,191	15,322	16,432	15,142^a	15,404	15,647	15,868	16,466
GENDER
Male	8,772^a	8,689^a	9,044^a	9,308^a	9,484^a	9,876^a	10,141^a	10,131^a	10,519^a	11,051^a	11,519^a	11,557^a	12,190^a	11,945^a	11,632^a	12,462^a	12,096^a	13,428
Female	18,442^a	19,250^a	18,458^a	18,858^a	18,921^a	19,680^a	20,060^a	20,210^a	20,970^a	20,592^a	22,603^a	23,087^a	23,308^a	22,298^a	23,350^a	23,954^a	25,006^a	26,726
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25,172^a	25,919^a	25,523^a	25,999^a	26,372^a	27,394^a	28,137^a	28,071^a	28,981^a	29,180^a	31,651^a	31,549^a	32,463^a	31,187^a	31,740^a	33,086^a	33,573^a	36,188
White	21,943^a	22,914^a	22,512^a	22,890^a	23,330^a	24,785^a	24,818^a	24,888^a	25,418^a	25,656^a	27,638^a	27,383^a	28,079^a	27,129^a	27,793^a	28,708^a	29,151^a	31,158
Black or African American	1,953^a	2,021^a	2,052^a	2,193^a	1,856^a	1,711^a	2,231^a	2,044^a	2,353^a	2,035^a	2,770	2,460	2,626	2,476	2,393^a	2,525	2,555	2,897
AIAN	227	136	143	169	130	128	124	*	145	210	199	193	178	199	208	170	211	192
NHOPI	29	*	*	*	58	*	*	*	*	21^a	52	32	87	39	60	53	98	59
Asian	668^a	424^a	422^a	365^a	518^a	382^a	442^a	358^a	545^a	728	505^a	768	849	674^a	663^a	823	894	1,012
Two or More Races	352^a	373^a	335^a	317^a	480^a	363^a	469^a	467^a	481^a	529^a	485^a	713	645^a	672	624^a	806	664	869
Hispanic or Latino	2,043^a	2,020^a	1,979^a	2,166^a	2,033^a	2,162^a	2,064^a	2,270^a	2,509^a	2,463^a	2,471^a	3,096^a	3,035^a	3,055^a	3,242^a	3,330^a	3,528	3,965
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200413

Table 10.7B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2002-2019
Demographic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	13.0^a	13.2^a	12.8^a	13.0^a	12.9^a	13.3^a	13.5^a	13.4^a	13.8^a	13.6^a	14.5^a	14.6^a	14.8^a	14.2^a	14.4^a	14.8^a	15.0^a	16.1
AGE GROUP
18-25	10.5^a	11.1^a	10.8^a	11.2^a	10.8^a	10.4^a	11.0^a	11.2^a	11.0^a	11.4^a	12.0^a	12.2^a	11.9^a	11.7^a	12.9^a	14.9^a	15.2^a	17.2
26 or Older	13.4^a	13.5^a	13.2^a	13.3^a	13.3^a	13.8^a	13.9^a	13.8^a	14.3^a	14.0^a	15.0^a	15.0^a	15.3	14.6^a	14.6^a	14.8^a	15.0^a	16.0
26-49	14.5^a	14.5^a	14.4^a	13.9^a	14.0^a	14.3^a	14.1^a	14.6^a	14.9^a	14.9^a	15.2^a	15.5^a	15.3^a	15.3^a	15.4^a	15.7^a	16.1^a	17.8
50 or Older	12.0^a	12.3^a	11.7^a	12.5^a	12.4^a	13.2	13.7	12.9^a	13.6	13.2	14.8	14.6	15.4	13.9	14.0	14.0	14.0	14.4
GENDER
Male	8.7^a	8.5^a	8.8^a	8.9^a	8.9^a	9.2^a	9.4^a	9.3^a	9.5^a	9.9^a	10.2^a	10.1^a	10.6	10.3^a	9.9^a	10.5	10.1^a	11.2
Female	16.9^a	17.5^a	16.6^a	16.8^a	16.6^a	17.1^a	17.3^a	17.2^a	17.8^a	17.1^a	18.6^a	18.8^a	18.8^a	17.8^a	18.5^a	18.8^a	19.5^a	20.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13.6^a	13.9^a	13.6^a	13.7^a	13.8^a	14.2^a	14.5^a	14.3^a	14.7^a	14.7^a	15.8^a	15.7^a	16.0^a	15.3^a	15.5^a	16.0^a	16.2^a	17.4
White	14.7^a	15.2^a	14.9^a	15.1^a	15.3^a	16.1^a	16.1^a	16.0^a	16.3^a	16.6^a	17.8^a	17.6^a	18.0^a	17.3^a	17.7^a	18.3^a	18.6^a	19.8
Black or African American	8.5	8.5	8.5	8.9	7.4^a	6.8^a	8.7	7.8^a	8.9	7.6^a	10.2	8.9	9.4	8.7	8.4	8.7	8.7	9.8
AIAN	17.7	12.6	12.6	15.4	11.9	11.6	13.2	*	13.5	16.3	15.4	15.7	14.1	15.6	15.2	13.2	14.1	13.9
NHOPI	3.9	*	*	*	7.0	*	*	*	*	2.5	5.3	4.2	9.5	6.5	5.5	5.6	10.9	6.1
Asian	8.3	4.9	4.7	4.0^a	5.6	4.0^a	4.5^a	3.6^a	5.3	6.5	4.4^a	6.4	6.8	5.0	5.1	6.0	6.3	7.0
Two or More Races	16.6	17.5	15.8	14.4	21.6	15.8	18.9	19.2	18.2	16.2	14.2^a	20.2	17.7	17.5	15.6	19.4	15.4	20.0
Hispanic or Latino	8.2	7.8^a	7.4^a	7.8^a	7.1^a	7.3^a	6.8^a	7.3^a	7.9^a	7.3^a	7.1^a	8.7	8.3^a	8.1^a	8.5	8.4	8.8	9.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200413

Table 10.8A – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2002-2019
Geographic/Socioeconomic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	27,215^a	27,939^a	27,502^a	28,166^a	28,405^a	29,556^a	30,201^a	30,341^a	31,490^a	31,642^a	34,122^a	34,644^a	35,498^a	34,243^a	34,982^a	36,416^a	37,101^a	40,154
GEOGRAPHIC REGION
Northeast	5,581^a	5,557^a	5,397^a	5,709^a	5,540^a	6,174^a	5,749^a	5,469^a	6,292^a	5,978^a	6,113^a	6,709^a	6,793^a	6,764^a	6,971	6,737^a	7,369	7,503
Midwest	6,160^a	6,837^a	6,577^a	6,790^a	6,755^a	6,738^a	7,046^a	7,187^a	7,266^a	7,531^a	7,858^a	8,181^a	8,274^a	7,683^a	8,461^a	8,573^a	8,868^a	9,740
South	9,214^a	9,871^a	9,364^a	9,976^a	9,934^a	10,394^a	10,285^a	11,141^a	10,793^a	11,236^a	12,632	11,970^a	12,606	12,067^a	12,297^a	12,875	12,569	13,503
West	6,259^a	5,674^a	6,164^a	5,690^a	6,177^a	6,249^a	7,121^a	6,544^a	7,140^a	6,897^a	7,519^a	7,784^a	7,826^a	7,729^a	7,253^a	8,232^a	8,296^a	9,407
COUNTY TYPE¹
Large Metro	14,472^a	14,466^a	14,225^a	14,415^a	14,907^a	14,976^a	15,922^a	15,521^a	16,444^a	16,018^a	17,730^a	18,432^a	18,976^a	18,551^a	18,884^a	19,633^a	19,362^a	21,410
Small Metro	8,615^a	9,032^a	9,034^a	9,181^a	8,483^a	9,594^a	9,654^a	10,108^a	10,305^a	11,002^a	11,099^a	11,062^a	11,192^a	11,210^a	11,115^a	11,627^a	12,252	12,970
Nonmetro	4,128^a	4,441^a	4,243^a	4,569^a	5,016^a	4,986^a	4,624^a	4,712^a	4,741^a	4,622^a	5,293	5,150	5,330	4,481^a	4,983^a	5,156	5,486	5,774
Urbanized	1,936^a	1,947^a	1,856^a	1,742^a	1,893^a	2,150	2,038^a	1,807^a	2,097	1,786^a	2,316	2,303	2,245	1,977^a	1,905^a	2,233	2,585	2,557
Less Urbanized	1,887^a	2,057^a	2,017^a	2,360	2,604	2,433	2,244	2,432	2,175^a	2,491	2,477	2,397	2,561	1,957^a	2,623	2,425	2,338	2,684
Completely Rural	305^a	437	370	467	520	403	341^a	473	469	346^a	500	450	523	547	455	498	563	532
POVERTY LEVEL²
Less Than 100%	3,443^a	3,640^a	4,248^a	4,326^a	3,529^a	4,310^a	3,902^a	4,332^a	4,736^a	5,179	5,939	5,988	6,147	5,302	5,639	5,835	5,832	5,578
100-199%	4,917^a	5,161^a	4,836^a	4,897^a	5,263^a	5,213^a	5,651^a	5,619^a	6,426^a	6,472^a	6,295^a	6,293^a	6,982	6,347^a	7,125	6,827	6,116^a	7,403
200% or More	18,700^a	19,025^a	18,306^a	18,814^a	19,501^a	19,931^a	20,530^a	20,238^a	20,214^a	19,871^a	21,721^a	22,275^a	22,218^a	22,520^a	22,108^a	23,646^a	25,042^a	26,957
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	3,239	3,361	3,239	3,172	3,382
High School Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	7,634	7,291	7,224	7,167	7,939
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	11,714^a	12,243^a	12,696^a	12,994	13,772
College Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	11,656^a	12,087^a	13,257^a	13,768^a	15,061
HEALTH INSURANCE³
Private	19,740^a	19,626^a	19,068^a	18,318^a	19,494^a	19,407^a	20,564^a	19,691^a	20,324^a	19,879^a	21,618^a	22,294^a	22,033^a	22,805^a	22,660^a	23,813^a	24,849^a	26,711
Medicaid/CHIP	3,194^a	3,630^a	3,912^a	4,558^a	3,652^a	4,393^a	4,036^a	4,520^a	4,567^a	5,133^a	4,936^a	5,510^a	6,717^a	6,288^a	7,295	7,597	6,834^a	8,131
Other⁴	--	6,078^a	5,909^a	6,710^a	6,528^a	7,517^a	7,811^a	7,384^a	8,079^a	8,128^a	9,604^a	9,452^a	11,296	10,186	9,866	10,027	10,363	10,935
No Coverage	2,678^a	2,744^a	2,701^a	3,001^a	2,913^a	2,991^a	3,102^a	3,307^a	3,540^a	3,334^a	3,906^a	3,747^a	2,842^a	1,787	1,816	1,916	1,985	2,048
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2002 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200413

Table 10.8B – Received Mental Health Services in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2002-2019
Geographic/Socioeconomic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	13.0^a	13.2^a	12.8^a	13.0^a	12.9^a	13.3^a	13.5^a	13.4^a	13.8^a	13.6^a	14.5^a	14.6^a	14.8^a	14.2^a	14.4^a	14.8^a	15.0^a	16.1
GEOGRAPHIC REGION
Northeast	13.8^a	13.7^a	13.2^a	13.9^a	13.4^a	15.0^a	13.8^a	13.0^a	14.9^a	14.1^a	14.3^a	15.6	15.7	15.6^a	16.1	15.4^a	16.9	17.3
Midwest	12.9^a	14.3^a	13.6^a	13.9^a	13.8^a	13.7^a	14.3^a	14.5^a	14.6^a	15.0^a	15.6^a	16.1^a	16.2^a	15.1^a	16.5^a	16.7^a	17.2^a	18.8
South	12.3^a	13.0^a	12.2^a	12.7^a	12.5^a	12.9^a	12.6^a	13.5	12.9^a	13.1^a	14.5	13.6	14.2	13.4	13.5	13.9	13.4	14.3
West	13.3^a	11.9^a	12.7^a	11.6^a	12.3^a	12.2^a	13.8^a	12.5^a	13.5^a	12.9^a	13.8^a	14.1^a	14.0^a	13.6^a	12.6^a	14.2^a	14.1^a	15.9
COUNTY TYPE¹
Large Metro	12.7^a	12.7^a	12.2^a	12.1^a	12.2^a	12.3^a	13.0^a	12.6^a	13.1^a	12.7^a	13.8^a	14.2^a	14.1^a	13.8^a	13.9^a	14.2^a	14.1^a	15.4
Small Metro	13.7^a	13.9^a	14.1^a	14.1^a	13.4^a	14.4^a	14.2^a	14.5^a	14.8^a	15.1^a	15.6^a	15.4^a	15.9^a	15.2^a	15.2^a	16.0^a	16.6	17.2
Nonmetro	12.6^a	13.6^a	12.7^a	13.8^a	14.4^a	14.7^a	13.7^a	14.0^a	14.3^a	14.0^a	15.3	14.7^a	15.6	13.5^a	14.3^a	14.6^a	15.4	16.8
Urbanized	15.1	13.9^a	13.6^a	14.2^a	14.7^a	16.2	15.0^a	12.8^a	15.0^a	13.9^a	16.3	14.9^a	15.5	14.5^a	13.7^a	14.7^a	16.0	17.9
Less Urbanized	11.7^a	13.7^a	12.0^a	13.8^a	14.3^a	14.6	13.3^a	14.9	13.5^a	14.9	14.8	15.0	15.7	12.6^a	14.9	14.2^a	14.4^a	16.7
Completely Rural	8.1^a	12.1	12.6	12.1	13.8	10.1	10.4	14.6	15.1	10.1	13.6	12.6	15.1	13.1	13.5	16.1	17.1	13.6
POVERTY LEVEL²
Less Than 100%	16.9	16.3	17.4	17.3	13.8^a	16.9	15.5	15.8	16.1	15.9	16.1	17.3	17.0	14.6^a	16.1	17.2	17.1	17.5
100-199%	12.5^a	12.9^a	12.4^a	12.1^a	12.4^a	13.1^a	13.7^a	12.8^a	13.5^a	13.6^a	13.9^a	13.6^a	15.0	13.1^a	14.6	14.1^a	12.5^a	15.6
200% or More	12.6^a	12.8^a	12.2^a	12.5^a	12.9^a	12.8^a	13.1^a	13.1^a	13.4^a	13.2^a	14.3^a	14.4^a	14.3^a	14.4^a	13.9^a	14.5^a	15.3	16.0
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	9.5^a	10.5	10.6	10.4	11.3
High School Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	12.5	12.0	12.2	11.7^a	13.2
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	15.9^a	16.2^a	16.6^a	16.9	18.0
College Graduate	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	nc	16.0^a	16.1^a	16.7^a	17.4	18.3
HEALTH INSURANCE³
Private	12.8^a	12.9^a	12.5^a	12.0^a	12.7^a	12.6^a	13.2^a	12.8^a	13.5^a	13.1^a	14.2^a	14.3^a	13.9^a	14.2^a	13.8^a	14.5^a	15.1^a	16.2
Medicaid/CHIP	19.2^a	22.8	23.2	25.2	21.7	24.0	22.0	23.6	21.7	22.2	21.4	23.1	22.8	18.7^a	21.1	21.2	18.7^a	22.9
Other⁴	--	13.0^a	12.6^a	13.7^a	13.2^a	14.9	15.2	14.0^a	14.9	14.6	16.4	15.7	18.1^a	15.6	14.9	14.9	15.3	15.9
No Coverage	9.7^a	9.1	8.7	9.5^a	8.7	8.8	9.2	9.2	9.2	8.8	10.4^a	10.1^a	9.6^a	7.0	7.9	8.3	8.2	8.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2002 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200413

Table 10.9A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	16,245^a	16,503^a	17,510^a	16,847^a	17,874^a	19,558^a	19,414^a	18,637^a	19,165^a	19,813^a	20,579^a	22,953
AGE GROUP
18-25	1,842^a	1,929^a	1,999^a	2,086^a	2,332^a	2,335^a	2,351^a	2,409^a	2,671^a	3,384^a	3,328^a	3,846
26 or Older	14,403^a	14,574^a	15,511^a	14,761^a	15,542^a	17,223^a	17,064^a	16,228^a	16,493^a	16,429^a	17,251^a	19,107
26-49	8,552^a	8,728^a	8,912^a	8,190^a	8,708^a	9,138^a	8,836^a	8,901^a	8,980^a	9,595^a	9,950^a	11,452
50 or Older	5,852^a	5,846^a	6,599^a	6,571^a	6,834	8,085	8,228	7,327	7,513	6,834	7,301	7,655
GENDER
Male	4,859^a	5,471^a	5,559^a	5,434^a	5,562^a	6,219^a	6,215^a	6,067^a	5,784^a	6,263^a	6,372^a	7,217
Female	11,386^a	11,032^a	11,951^a	11,413^a	12,312^a	13,339^a	13,199^a	12,570^a	13,381^a	13,551^a	14,207^a	15,735
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	15,138^a	15,219^a	15,913^a	15,647^a	16,308^a	17,516^a	17,529^a	16,911^a	17,297^a	17,860^a	18,330^a	20,456
White	13,275^a	13,431^a	13,984^a	13,523^a	13,866^a	14,954^a	14,901^a	14,525^a	15,158^a	15,401^a	15,761^a	17,548
Black or African American	1,238^a	1,079^a	1,326^a	1,266^a	1,717	1,484	1,485	1,380	1,223^a	1,448	1,468	1,688
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	230^a	265^a	301	265^a	*	546	356	345	403	518	487
Two or More Races	*	367^a	*	*	283^a	480	453	523	394^a	457	365^a	596
Hispanic or Latino	1,107^a	1,283^a	1,597^a	1,199^a	1,566^a	2,042	1,885^a	1,726^a	1,868^a	1,953^a	2,249	2,497
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.9B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	40.9^a	40.2^a	42.4^a	40.8^a	41.0^a	44.7	44.7	43.1	43.1	42.6^a	43.3	44.8
AGE GROUP
18-25	30.3^a	32.0^a	32.6^a	32.9^a	34.5^a	34.7^a	33.6^a	32.0^a	35.1^a	38.4	37.3	38.9
26 or Older	42.9^a	41.6^a	44.1	42.2^a	42.2^a	46.5	46.8	45.4	44.7	43.6^a	44.7	46.1
26-49	41.4^a	40.8^a	43.3	41.1^a	42.0^a	43.5	44.2	43.3	43.1	43.3	43.9	45.4
50 or Older	45.2	42.8	45.1	43.6	42.4^a	50.5	49.9	48.3	46.8	44.2	45.8	47.2
GENDER
Male	33.1^a	35.2	33.8	34.2	33.1^a	37.9	38.0	36.3	33.9	34.8	34.9	36.8
Female	45.6^a	43.2^a	48.0	44.9^a	46.0^a	48.8	48.7	47.4	48.8	47.6	48.6	49.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	43.5^a	42.0^a	43.6^a	42.6^a	43.0^a	46.4	46.5	44.8	45.0	44.1^a	45.1	46.6
White	47.1^a	45.2^a	47.1^a	45.9^a	46.2^a	49.6	49.7	48.0^a	48.7	48.0^a	49.1	50.3
Black or African American	28.7	26.5^a	29.6	29.0	34.1	31.7	32.4	31.4	29.3	30.6	30.6	32.9
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	17.9	18.6	20.5	16.5	*	33.0	22.1	21.6	20.2	24.9	23.3
Two or More Races	*	48.4	*	*	40.1	48.4	45.9	46.1	37.1	38.4	31.8^a	43.0
Hispanic or Latino	22.8^a	26.4^a	33.0	26.2^a	27.8^a	34.1	32.8	31.5	31.0	32.6	32.9	33.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.10A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	16,245^a	16,503^a	17,510^a	16,847^a	17,874^a	19,558^a	19,414^a	18,637^a	19,165^a	19,813^a	20,579^a	22,953
GEOGRAPHIC REGION
Northeast	3,221^a	2,943^a	3,388^a	3,177^a	3,298^a	3,633	3,608	3,516	3,568	3,392^a	3,771	4,048
Midwest	3,816^a	3,945^a	4,046^a	3,954^a	4,163^a	4,578^a	4,441^a	4,306^a	4,332^a	4,730^a	4,842^a	5,682
South	5,691^a	5,826^a	6,017^a	5,997^a	6,600^a	6,945	7,010	6,618^a	6,886^a	7,083	7,057	7,650
West	3,516^a	3,789^a	4,058^a	3,719^a	3,813^a	4,402^a	4,356^a	4,196^a	4,379^a	4,609^a	4,909	5,573
COUNTY TYPE²
Large Metro	8,152^a	8,511^a	9,043^a	8,262^a	9,010^a	10,255^a	10,133^a	9,842^a	10,050^a	10,076^a	10,585^a	12,293
Small Metro	5,390^a	5,439^a	5,618^a	6,044^a	6,085^a	6,157^a	6,000^a	6,158^a	6,145^a	6,694	7,058	7,273
Nonmetro	2,702^a	2,552^a	2,850^a	2,541^a	2,779^a	3,147	3,282	2,637^a	2,970	3,044	2,935^a	3,387
Urbanized	1,174	1,060^a	1,179^a	989^a	1,086^a	1,398	1,382	1,195	988^a	1,268	1,314	1,509
Less Urbanized	1,314	1,220^a	1,340	1,359	1,426	1,472	1,588	1,124^a	1,703	1,449	1,292^a	1,587
Completely Rural	214	272	*	193	*	*	312	317	279	327	329	291
POVERTY LEVEL³
Less Than 100%	2,540^a	2,800^a	3,213^a	3,435	4,033	4,083	4,227	3,628	3,642	3,993	4,052	3,860
100-199%	3,436^a	3,325^a	3,934^a	3,938^a	3,808^a	3,936^a	4,202	3,732^a	4,425	4,188^a	3,753^a	4,762
200% or More	10,213^a	10,297^a	10,311^a	9,422^a	9,952^a	11,497^a	10,922^a	11,239^a	11,017^a	11,561^a	12,707^a	14,184
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,958	1,842	1,920	1,877	2,062
High School Graduate	nc	nc	nc	nc	nc	nc	nc	4,276	4,181	3,978^a	4,263	4,550
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	6,885^a	7,181^a	7,489^a	7,776	8,333
College Graduate	nc	nc	nc	nc	nc	nc	nc	5,517^a	5,961^a	6,426^a	6,663^a	8,008
HEALTH INSURANCE⁴
Private	10,132^a	9,923^a	10,312^a	9,436^a	9,909^a	11,135^a	10,824^a	11,299^a	11,359^a	11,668^a	12,721^a	14,061
Medicaid/CHIP	2,549^a	2,976^a	3,039^a	3,350^a	3,345^a	3,883^a	4,625^a	4,341^a	4,825^a	5,048	4,749^a	5,553
Other⁵	3,947^a	3,704^a	4,427^a	4,549^a	5,069	5,288	5,988	5,502	5,051	5,241	5,050	5,633
No Coverage	2,212^a	2,124^a	2,392^a	2,086^a	2,527^a	2,582^a	1,791^a	1,141^a	1,138^a	1,309	1,463	1,419
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.10B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	40.9^a	40.2^a	42.4^a	40.8^a	41.0^a	44.7	44.7	43.1	43.1	42.6^a	43.3	44.8
GEOGRAPHIC REGION
Northeast	41.0^a	38.9^a	43.0	45.6	42.7	47.3	47.2	46.0	45.4	43.1	45.6	47.2
Midwest	42.4^a	43.1^a	43.3^a	43.9^a	45.5^a	48.5	47.1	47.2	48.6	46.3	47.1	49.6
South	41.1	40.1	41.2	39.1	40.7	43.6	44.3	40.7	41.5	42.2	41.8	42.1
West	39.2	38.6	42.8	37.2^a	36.3^a	41.3	41.3	40.9	39.3	39.7	40.8	42.6
COUNTY TYPE²
Large Metro	38.8^a	38.9^a	41.2	39.0^a	38.9^a	43.2	43.5	42.1	42.0	40.1^a	41.2	43.6
Small Metro	43.0	41.9^a	42.8	43.5	43.4	45.9	45.3	44.7	43.9	45.9	46.3	46.0
Nonmetro	44.2	41.2^a	45.4	40.9^a	43.3	47.8	47.5	43.2	45.5	45.0	44.6	46.5
Urbanized	46.0	43.9	47.3	38.2^a	41.1^a	47.0	46.5	44.9	40.2^a	42.7	41.7^a	48.9
Less Urbanized	44.1	37.9	42.6	43.4	45.1	48.4	48.8	41.4	49.0	45.2	46.3	44.9
Completely Rural	37.2	49.0	*	39.8	*	*	45.4	44.3	47.0	54.8	51.9	44.3
POVERTY LEVEL³
Less Than 100%	40.1	40.5	44.0	40.8	40.8	44.9	45.3	40.7	42.1	45.9	44.8	44.9
100-199%	38.6	37.5^a	40.4	40.2	38.6	40.6	41.9	39.1	41.5	41.4	37.3^a	42.4
200% or More	42.1^a	41.0^a	42.7^a	41.1^a	42.1^a	46.3	45.7	45.6	44.1	42.1^a	45.1	45.6
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	33.9	33.4	36.4	33.5	37.7
High School Graduate	nc	nc	nc	nc	nc	nc	nc	40.4	38.9	38.5	38.4	39.2
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	44.7	45.5	45.5	45.5	45.8
College Graduate	nc	nc	nc	nc	nc	nc	nc	47.9	47.9	44.6^a	48.6	50.1
HEALTH INSURANCE⁴
Private	42.7^a	39.9^a	43.5	41.9^a	42.1^a	44.6	44.4	45.4	43.3^a	41.9^a	45.2	45.8
Medicaid/CHIP	48.5	52.2	50.1	50.5	47.5	53.4	52.8	47.6	49.2	50.3	45.7^a	50.1
Other⁵	48.4	43.3	45.2	46.9	44.4	49.0	51.7	50.5	46.2	48.4	45.5	48.8
No Coverage	28.7	28.6	30.6^a	25.8	30.1^a	33.6^a	28.9	21.9	24.6	26.9	27.4	25.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.11A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	5,458^a	5,576^a	6,283^a	5,838^a	6,004^a	6,857^a	6,724^a	6,362^a	6,705^a	7,454^a	7,277^a	8,575
AGE GROUP
18-25	567^a	617^a	714^a	673^a	753^a	791^a	904^a	887^a	1,046^a	1,466	1,406^a	1,626
26 or Older	4,891^a	4,958^a	5,568^a	5,165^a	5,251^a	6,065^a	5,820^a	5,474^a	5,659^a	5,989^a	5,870^a	6,949
26-49	3,192^a	3,133^a	3,446^a	3,144^a	3,216^a	3,552^a	3,180^a	3,231^a	3,480^a	3,687^a	3,753^a	4,455
50 or Older	1,699^a	1,826^a	2,123	2,021	2,035	2,514	2,640	2,243	2,179	2,301	2,118	2,494
GENDER
Male	1,717^a	1,711^a	2,024^a	1,902^a	2,082^a	2,509	2,223	2,017^a	2,053^a	2,239	2,267	2,634
Female	3,741^a	3,865^a	4,258^a	3,936^a	3,922^a	4,347^a	4,501^a	4,345^a	4,652^a	5,216^a	5,009^a	5,942
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,059^a	5,127^a	5,651^a	5,453^a	5,307^a	6,070^a	5,921^a	5,723^a	5,852^a	6,756^a	6,453^a	7,516
White	4,462^a	4,477^a	4,756^a	4,779^a	4,451^a	5,139^a	5,045^a	4,938^a	5,074^a	5,742	5,418^a	6,291
Black or African American	364^a	431^a	566	408^a	551	*	473^a	376^a	500	573	625	686
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	*	448^a	*	386^a	697^a	786	803	639^a	853	698^a	823	1,059
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.11B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	65.7	66.5	67.5	64.9	62.9	68.5	68.5	65.3	64.8	66.7	64.1	65.5
AGE GROUP
18-25	45.9^a	55.0	53.7	52.1	53.1	54.0	53.9	50.7^a	51.5	57.4	53.8	56.4
26 or Older	69.1	68.3	69.8	67.1	64.6	70.9	71.5	68.4	68.1	69.5	67.2	68.1
26-49	67.2	64.5	67.4	63.6	63.5	68.4	66.2	66.1	66.1	66.2	63.7	65.1
50 or Older	73.2	76.1	74.0	73.2	66.3	74.9	79.2	72.2	71.5	75.6	74.4	74.3
GENDER
Male	60.0	60.1	60.7	59.3	57.8	63.6	62.1	58.4	57.4	57.7	56.4	56.5
Female	68.7	69.9	71.2	68.0	66.0	71.6	72.1	69.1	68.8	71.5	68.3	70.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	67.2	68.5	68.2	66.9	66.2	69.9	69.4	66.3	65.3	68.1	65.3	67.8
White	68.7	70.6	70.7	69.4	67.4	71.3	72.7	69.3	67.9	70.7	67.2	70.5
Black or African American	55.4	60.3	55.1	54.9	60.4	*	53.7	45.3^a	56.8	56.2	58.0	57.9
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	*	*	*	*	*	*	*
Hispanic or Latino	*	50.0	*	45.5	45.7	58.9	62.2	57.6	61.6	56.2	56.0	52.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.12A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	5,458^a	5,576^a	6,283^a	5,838^a	6,004^a	6,857^a	6,724^a	6,362^a	6,705^a	7,454^a	7,277^a	8,575
GEOGRAPHIC REGION
Northeast	1,166	1,044^a	1,142	932^a	1,036^a	1,271	1,211	1,171	1,155	1,135	1,184	1,406
Midwest	1,325^a	1,414^a	1,625^a	1,470^a	1,361^a	1,590^a	1,653^a	1,439^a	1,514^a	1,693^a	1,780	2,032
South	1,717^a	1,894^a	1,972^a	1,885^a	2,231^a	2,511	2,394^a	2,355^a	2,472^a	2,690	2,625	2,902
West	1,250^a	1,224^a	1,545^a	1,551^a	1,375^a	1,484^a	1,466^a	1,397^a	1,565^a	1,936	1,688^a	2,235
COUNTY TYPE²
Large Metro	2,871^a	2,757^a	3,148^a	2,652^a	2,983^a	3,506^a	3,453^a	3,261^a	3,510^a	3,535^a	3,587^a	4,439
Small Metro	1,787^a	1,856^a	2,072^a	2,206^a	2,082^a	2,078^a	2,097^a	2,063^a	2,154^a	2,593	2,605	2,812
Nonmetro	800^a	962^a	1,063	981^a	939^a	1,273	1,174	1,037^a	1,040^a	1,326	1,084	1,324
Urbanized	*	374^a	*	380^a	364^a	*	494	436	363^a	569	481	560
Less Urbanized	*	443	457	515	497	630	566	479	565	665	458	621
Completely Rural	*	*	*	*	*	*	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	920^a	1,220^a	1,358	1,611	1,633	1,701	1,741	1,529	1,526	1,730	1,774	1,692
100-199%	1,320^a	1,171^a	1,393^a	1,355^a	1,445^a	1,620^a	1,669	1,310^a	1,778	1,827	1,470^a	2,000
200% or More	3,197^a	3,153^a	3,514^a	2,849^a	2,895^a	3,523^a	3,284^a	3,505^a	3,367^a	3,864^a	4,009^a	4,847
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	739	694	728	788	821
High School Graduate	nc	nc	nc	nc	nc	nc	nc	1,327^a	1,506	1,715	1,622	1,793
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	2,650^a	2,766^a	3,093	3,011	3,470
College Graduate	nc	nc	nc	nc	nc	nc	nc	1,646^a	1,740^a	1,918^a	1,856^a	2,491
HEALTH INSURANCE⁴
Private	3,085^a	2,679^a	3,410^a	2,536^a	2,777^a	3,329^a	3,192^a	3,439^a	3,429^a	3,892^a	3,922^a	4,725
Medicaid/CHIP	1,090^a	1,310^a	1,250^a	1,520^a	1,336^a	1,507^a	1,875^a	1,671^a	2,005^a	2,226	2,033^a	2,540
Other⁵	1,336^a	1,368^a	1,541^a	1,529^a	1,836	2,105	2,096	1,987	1,696	2,033	1,791	2,053
No Coverage	799	911^a	1,000^a	956^a	990^a	1,116^a	736	521	582	547	714	665
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.12B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	65.7	66.5	67.5	64.9	62.9	68.5	68.5	65.3	64.8	66.7	64.1	65.5
GEOGRAPHIC REGION
Northeast	72.2	70.7	69.2	64.9	66.0	76.6	69.5	68.3	65.6	66.7	65.6	68.3
Midwest	67.9	65.7	71.4	69.7	68.8	70.3	71.8	68.0	68.8	69.3	67.5	69.7
South	61.7	67.1	63.4	60.9	62.7	64.8	68.0^a	65.4	66.1	64.5	65.5	61.1
West	63.8	63.5	67.8	65.9	56.3^a	66.9	65.1	60.4	59.3	67.9	58.1^a	66.5
COUNTY TYPE²
Large Metro	64.4	63.5	65.8	62.7	60.6	68.9	67.2	63.9	64.5	63.5	62.5	65.9
Small Metro	66.1	70.9	68.9	67.7	64.5	68.0	68.2	67.4	63.4	69.2	66.4	64.9
Nonmetro	69.7	67.7	69.7	65.0	67.3	68.2	73.3^a	65.7	69.3	71.5	64.1	65.7
Urbanized	*	70.8	*	60.0	74.2	*	71.2	57.9	62.8	71.8	63.8	63.2
Less Urbanized	*	61.9	70.4	69.2	67.0	75.0	75.7	71.8	70.8	70.6	61.4	67.0
Completely Rural	*	*	*	*	*	*	*	*	*	*	*	*
POVERTY LEVEL³
Less Than 100%	61.9	68.1	65.9	64.9	60.9	63.5	68.0	62.0	64.7	69.1	65.3	65.6
100-199%	64.9	58.8	62.1	61.9	61.8	67.8	69.8^a	62.5	64.7	68.3	60.4	62.2
200% or More	67.2	69.3	70.6	66.5	64.5	71.7	68.2	68.0	65.1	65.0	65.1	67.2
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	60.2	61.1	57.8	64.9	64.1
High School Graduate	nc	nc	nc	nc	nc	nc	nc	59.4	62.3	64.4	57.7	58.1
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	66.9	63.7	69.2	66.2	64.9
College Graduate	nc	nc	nc	nc	nc	nc	nc	70.8	71.2	69.0	66.8^a	73.9
HEALTH INSURANCE⁴
Private	68.5	65.4	71.6	63.9	68.0	69.8	68.6	67.6	64.4	67.0	65.8	67.1
Medicaid/CHIP	75.9	78.1	74.4	74.9	68.0	75.8	77.0	68.7	71.1	74.9	68.3	70.8
Other⁵	78.3	76.1	70.3	78.8	71.5	84.3	81.5	76.1	76.2	80.4	76.6	77.8
No Coverage	48.2	53.3^a	52.5	48.8	43.2	50.6	47.3	43.5	44.8	40.2	47.1	42.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.13A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	13,955^a	13,839^a	13,980^a	14,795^a	16,248	15,086^a	16,083	15,606^a	15,817^a	16,603	16,522	17,201
AGE GROUP
18-25	1,770	1,811	1,718	1,813	1,788	1,886	1,785	1,635^a	1,752	1,689	1,792	1,910
26 or Older	12,185^a	12,028^a	12,262^a	12,982^a	14,460	13,200^a	14,299	13,970^a	14,065^a	14,913	14,730	15,291
26-49	5,478^a	5,753^a	5,715^a	6,354	6,103	5,963	6,094	6,156	6,174	6,100	6,163	6,480
50 or Older	6,707^a	6,274^a	6,547^a	6,629^a	8,357	7,237^a	8,204	7,815	7,891	8,813	8,567	8,811
GENDER
Male	5,282^a	4,660^a	4,961^a	5,617	5,958	5,339^a	5,975	5,878	5,848	6,199	5,724	6,210
Female	8,674^a	9,179^a	9,019^a	9,178^a	10,290	9,748^a	10,108	9,728^a	9,969^a	10,403	10,798	10,991
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12,998^a	12,852^a	13,068^a	13,532^a	15,343	14,033^a	14,934	14,277^a	14,443^a	15,226	15,243	15,732
White	11,543^a	11,457^a	11,434^a	12,133^a	13,772	12,429^a	13,178	12,605	12,635	13,307	13,390	13,610
Black or African American	993	964	1,027	770^a	1,054	975	1,141	1,096	1,170	1,077	1,087	1,210
AIAN	50	*	73	43	59	57	82	82	75	65	85	92
NHOPI	*	*	*	16	16	11	38	28	16	7	6	21
Asian	221^a	128^a	280	426	240^a	329	303	317	317	420	376	525
Two or More Races	*	100^a	221	144^a	202	232	192	149^a	230	349	300	274
Hispanic or Latino	958^a	987^a	912^a	1,263	905^a	1,054^a	1,150	1,329	1,374	1,377	1,279	1,469
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.13B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	7.6^a	7.5^a	7.5^a	7.8^a	8.5	7.8^a	8.2	7.9^a	8.0^a	8.3	8.3	8.7
AGE GROUP
18-25	6.6^a	6.6^a	6.2^a	6.5^a	6.5^a	6.8^a	6.4^a	6.0^a	6.6^a	6.7^a	7.2^a	8.1
26 or Older	7.7^a	7.6^a	7.7^a	8.0^a	8.9	8.0^a	8.5	8.2	8.2	8.6	8.4	8.8
26-49	6.9^a	7.4^a	7.4^a	8.2	7.9	7.8	7.8^a	7.9	7.9	7.9^a	7.9	8.6
50 or Older	8.5	7.8^a	8.0	7.8^a	9.7	8.2	9.1	8.4	8.4	9.1	8.8	8.9
GENDER
Male	5.6	5.0^a	5.3^a	5.9	6.2	5.5	6.0	5.9	5.8	6.2	5.7	6.2
Female	9.5^a	10.0^a	9.7^a	9.7^a	10.8	10.2^a	10.4^a	9.9^a	10.1^a	10.5	10.9	11.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.2^a	8.1^a	8.1^a	8.4^a	9.5	8.6^a	9.1	8.6^a	8.7^a	9.2	9.2	9.6
White	9.1^a	9.1^a	9.1^a	9.7^a	11.0	9.9^a	10.4	10.0^a	10.1^a	10.7	10.7	11.1
Black or African American	4.6	4.3	4.7	3.5^a	4.8	4.2	4.9	4.6	4.8	4.4	4.4	4.9
AIAN	6.5	*	8.2	4.6	6.4	6.3	8.3	8.2	7.1	6.3	7.3	8.3
NHOPI	*	*	*	2.4	2.2	1.6	5.4	5.6	1.8	0.9	0.8	2.6
Asian	2.6	1.5^a	3.1	4.4	2.4	3.1	2.8	2.7	2.8	3.6	3.1	4.3
Two or More Races	*	6.0	10.7	5.9	7.5	9.2	7.2	5.5^a	7.9	11.7	9.5	9.2
Hispanic or Latino	3.8	3.8	3.4	4.3	3.1^a	3.6	3.7	4.1	4.3	4.1	3.8	4.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.14A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	13,955^a	13,839^a	13,980^a	14,795^a	16,248	15,086^a	16,083	15,606^a	15,817^a	16,603	16,522	17,201
GEOGRAPHIC REGION
Northeast	2,528^a	2,526^a	2,904^a	2,801^a	2,815^a	3,076	3,185	3,248	3,403	3,345	3,597	3,455
Midwest	3,229^a	3,242^a	3,219^a	3,577	3,696	3,603	3,833	3,377^a	4,129	3,843	4,027	4,058
South	4,594^a	5,315	4,775^a	5,238	6,032	5,025^a	5,596	5,449	5,412	5,792	5,512	5,853
West	3,604	2,756^a	3,082^a	3,178	3,706	3,383	3,470	3,532	2,874^a	3,623	3,387	3,835
COUNTY TYPE²
Large Metro	7,770^a	7,010^a	7,401^a	7,755^a	8,720	8,178	8,844	8,709	8,834	9,558	8,777	9,117
Small Metro	4,264^a	4,669^a	4,687^a	4,959^a	5,014	4,906^a	5,191	5,052	4,970^a	4,933^a	5,194	5,698
Nonmetro	1,921^a	2,160	1,891^a	2,081	2,514	2,003	2,048	1,845^a	2,013^a	2,112	2,551	2,386
Urbanized	864	747^a	919	797	1,230	905	864	782^a	917	964	1,271	1,048
Less Urbanized	931	1,212	835	1,131	1,051	925	973	832^a	920	977	1,046	1,097
Completely Rural	127^a	201	138	153	234	173	211	230	176	171	234	241
POVERTY LEVEL³
Less Than 100%	1,361	1,532	1,523	1,744	1,906	1,904	1,920	1,674	1,997	1,843	1,780	1,718
100-199%	2,216	2,294	2,492	2,535	2,487	2,357	2,781	2,615	2,700	2,639	2,363	2,641
200% or More	10,316^a	9,942^a	9,903^a	10,449^a	11,769	10,778^a	11,296^a	11,281^a	11,090^a	12,085	12,335	12,773
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,281	1,519	1,319	1,295	1,320
High School Graduate	nc	nc	nc	nc	nc	nc	nc	3,358	3,110	3,246	2,904	3,389
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	4,829	5,062	5,207	5,218	5,439
College Graduate	nc	nc	nc	nc	nc	nc	nc	6,138^a	6,125^a	6,831	7,105	7,054
HEALTH INSURANCE⁴
Private	10,433^a	9,768^a	10,012^a	10,443^a	11,709	11,159^a	11,210^a	11,506^a	11,301^a	12,144	12,128	12,650
Medicaid/CHIP	1,487^a	1,543^a	1,528^a	1,783^a	1,591^a	1,628^a	2,091^a	1,947^a	2,469	2,548	2,085^a	2,578
Other⁵	3,863^a	3,680^a	3,652^a	3,580^a	4,535	4,164^a	5,308	4,683	4,815	4,786	5,313	5,301
No Coverage	890^a	1,183^a	1,148^a	1,248^a	1,379^a	1,165^a	1,050^a	647	678	607	522	629
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.14B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with No Past Year Mental Illness, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2019
Geographic/Socioeconomic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	7.6^a	7.5^a	7.5^a	7.8^a	8.5	7.8^a	8.2	7.9^a	8.0^a	8.3	8.3	8.7
GEOGRAPHIC REGION
Northeast	7.5^a	7.4^a	8.5^a	7.9^a	8.0^a	8.7	8.9	9.1	9.6	9.3	10.2	9.9
Midwest	8.0^a	8.0^a	7.9^a	8.7^a	9.0	8.7^a	9.2	8.1^a	9.8	9.3	9.7	10.0
South	6.8	7.8	6.9	7.4	8.5	7.0	7.6	7.4	7.2	7.6	7.2	7.7
West	8.4	6.5^a	7.1	7.3	8.4	7.6	7.6	7.6	6.2^a	7.8	7.3	8.3
COUNTY TYPE²
Large Metro	7.6	6.9^a	7.1^a	7.4	8.3	7.7	7.9	7.8	7.9	8.5	7.8	8.2
Small Metro	7.7^a	8.2^a	8.3^a	8.4^a	8.8	8.4^a	9.1	8.4^a	8.4^a	8.5^a	8.9	9.6
Nonmetro	7.0^a	7.9	7.0^a	7.8	8.9	7.1^a	7.5^a	6.8^a	7.1^a	7.4^a	8.8	8.8
Urbanized	7.9	6.4^a	8.0	7.8	10.6	7.3^a	7.5	7.1^a	8.0	7.9	9.8	9.4
Less Urbanized	6.7	9.3	6.4^a	8.3	7.8	7.2	7.4	6.5^a	6.5^a	7.0^a	7.8	8.7
Completely Rural	4.7	7.5	5.6	5.2	7.6	5.8	7.6	6.7	6.3	6.8	8.8	7.4
POVERTY LEVEL³
Less Than 100%	7.2	7.5	6.9	7.2	7.1	7.5	7.2	6.1	7.6	7.3	7.1	7.4
100-199%	6.9	6.6	6.6	6.7	7.0	6.4	7.6	6.7	7.1	6.9	6.1^a	7.3
200% or More	7.8^a	7.7^a	7.8^a	8.2^a	9.2	8.3^a	8.6^a	8.6^a	8.3^a	8.9	9.1	9.3
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	4.5	5.8	5.2	5.2	5.4
High School Graduate	nc	nc	nc	nc	nc	nc	nc	6.6	6.2	6.6	5.8^a	7.0
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	8.3	8.5	8.7	8.7	9.3
College Graduate	nc	nc	nc	nc	nc	nc	nc	10.0	9.8	10.5	10.9	10.7
HEALTH INSURANCE⁴
Private	7.9^a	7.6^a	7.9^a	8.1^a	9.1	8.5^a	8.4^a	8.5^a	8.2^a	8.9	8.9	9.4
Medicaid/CHIP	11.4	11.5	10.2	10.8	9.9	9.8	10.1	8.0^a	10.0	9.9	8.0^a	10.6
Other⁵	8.9	8.3	8.3	7.8^a	9.6	8.4	10.5	8.6	8.7	8.5	9.4	9.3
No Coverage	3.4	4.1^a	3.8	4.2^a	4.7^a	4.0	4.5^a	3.2	3.7	3.3	2.7	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: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.15A – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness Excluding Serious Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	10,787^a	10,927^a	11,227^a	11,009^a	11,870^a	12,702^a	12,690^a	12,275^a	12,460^a	12,359^a	13,302^a	14,378
AGE GROUP
18-25	1,275^a	1,311^a	1,285^a	1,413^a	1,579^a	1,544^a	1,446^a	1,522^a	1,625^a	1,919^a	1,922^a	2,220
26 or Older	9,512^a	9,615^a	9,942^a	9,596^a	10,291^a	11,157	11,244	10,753^a	10,835^a	10,441^a	11,381	12,158
26-49	5,360^a	5,596^a	5,466^a	5,045^a	5,493^a	5,586^a	5,656^a	5,669^a	5,500^a	5,908^a	6,198^a	6,997
50 or Older	4,153^a	4,020^a	4,476	4,550	4,799	5,571	5,588	5,084	5,334	4,533	5,183	5,161
GENDER
Male	3,143^a	3,760^a	3,535^a	3,532^a	3,480^a	3,709^a	3,992^a	4,050	3,731^a	4,024	4,104	4,584
Female	7,645^a	7,167^a	7,693^a	7,477^a	8,390^a	8,992	8,698^a	8,225^a	8,728^a	8,335^a	9,198	9,794
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,080^a	10,092^a	10,262^a	10,195^a	11,001^a	11,446^a	11,608^a	11,188^a	11,445^a	11,104^a	11,877^a	12,940
White	8,812^a	8,954^a	9,228^a	8,744^a	9,415^a	9,815^a	9,856^a	9,587^a	10,084^a	9,659^a	10,343^a	11,257
Black or African American	874	648^a	760	858	1,166	1,039	1,012	1,004	723^a	876	844	1,001
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	94^a	154	130^a	249	134^a	202	377	272	272	241	385	265
Two or More Races	*	*	121^a	*	199^a	*	261	270	234	246	189^a	341
Hispanic or Latino	708^a	835^a	966^a	814^a	869^a	1,256	1,083^a	1,088^a	1,014^a	1,255	1,425	1,437
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.15B – Received Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness Excluding Serious Mental Illness, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	34.4^a	33.4^a	35.1^a	34.1^a	34.9^a	37.7	37.7	36.6	36.5	35.0^a	36.8	37.6
AGE GROUP
18-25	26.4^a	26.8^a	26.7^a	28.0^a	29.5	29.4	27.2^a	26.3^a	29.2	30.7	30.5	31.7
26 or Older	35.9^a	34.6^a	36.5	35.2^a	35.9^a	39.2	39.7	38.8	37.9	36.0^a	38.1	39.0
26-49	33.7^a	33.8^a	35.3	33.7^a	35.0^a	35.3	37.3	36.2	35.3^a	35.6	36.9	38.1
50 or Older	39.1	35.8	38.1	37.0	36.8	44.1	42.5	42.2	41.0	36.5	39.6	40.2
GENDER
Male	26.6^a	29.6	27.0	27.9	26.3^a	29.7	31.3	30.5	27.7	28.5	28.8	30.7
Female	39.1	35.8^a	40.7	38.1^a	40.3	42.3	41.7	40.6	42.2	39.4^a	42.0	42.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	36.9	35.1^a	36.4^a	35.7^a	36.7^a	39.4	39.8	38.4	38.8	36.4^a	38.6	39.4
White	40.6	38.3^a	40.2^a	38.7^a	40.3^a	42.7	42.7	41.4	42.6	40.3^a	43.0	43.4
Black or African American	23.9	19.3^a	22.0	23.7	28.3	26.7	27.3	28.2	22.0	23.6	22.7	25.4
AIAN	*	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*	*
Asian	8.7	13.7	10.9	19.9	9.7	18.1	27.9	19.6	19.7	14.5	21.7	16.1
Two or More Races	*	*	31.2	*	35.5	*	39.4	35.1	30.8	28.9	22.3^a	34.9
Hispanic or Latino	17.4^a	21.1	25.4	21.8	21.1	27.0	24.3	24.8	21.9	26.4	26.6	26.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.16A – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older, by Age Group: Numbers in Thousands, 2002-2019
Mental Health Services Received/Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL HEALTH SERVICES¹	27,215^a	27,939^a	27,502^a	28,166^a	28,405^a	29,556^a	30,201^a	30,341^a	31,490^a	31,642^a	34,122^a	34,644^a	35,498^a	34,243^a	34,982^a	36,416^a	37,101^a	40,154
Inpatient	1,472^a	1,792^a	1,917^a	2,129	1,596^a	2,145	1,970	1,900^a	1,752^a	1,779^a	1,872^a	2,174	2,411	2,199	2,270	2,357	2,366	2,371
18-25	294^a	324^a	388^a	344^a	345^a	360^a	364^a	359^a	348^a	361^a	397^a	451^a	418^a	483	516	509	545	567
26 or Older	1,179^a	1,468	1,529	1,785	1,251^a	1,784	1,606	1,541	1,404	1,419	1,476	1,723	1,993	1,715	1,754	1,847	1,822	1,804
26-49	811	884	801	930	781	1,125	758	970	749	766	675^a	988	951	867	967	933	1,021	955
50 or Older	367^a	584	728	855	470^a	659	848	571	655	653	801	735	1,042	848	786	914	801	850
Outpatient^1,2	15,487^a	15,065^a	15,226^a	14,856^a	14,712^a	15,433^a	15,327^a	14,394^a	15,144^a	15,473^a	15,468^a	15,640^a	16,082^a	17,069^a	16,875^a	18,517^a	19,461	20,561
18-25	2,077^a	2,096^a	1,976^a	2,070^a	1,912^a	1,837^a	1,948^a	2,039^a	1,946^a	2,126^a	2,239^a	2,172^a	2,204^a	2,280^a	2,519^a	3,052^a	3,131^a	3,456
26 or Older	13,410^a	12,969^a	13,250^a	12,785^a	12,801^a	13,596^a	13,380^a	12,355^a	13,198^a	13,347^a	13,229^a	13,469^a	13,878^a	14,789^a	14,356^a	15,466^a	16,330	17,105
26-49	8,931^a	8,696^a	8,632^a	7,766^a	7,581^a	7,975^a	7,880^a	7,378^a	7,699^a	7,640^a	7,411^a	7,229^a	7,368^a	7,805^a	7,990^a	8,456^a	8,805^a	9,893
50 or Older	4,479^a	4,274^a	4,619^a	5,019^a	5,220^a	5,620^a	5,500^a	4,977^a	5,499^a	5,707^a	5,818^a	6,239	6,510	6,984	6,366	7,009	7,526	7,213
Prescription Medication	22,005^a	23,253^a	22,638^a	23,305^a	23,967^a	24,864^a	25,598^a	25,719^a	26,671^a	26,777^a	29,027^a	29,530^a	30,082^a	28,455^a	29,350^a	29,757^a	30,115^a	32,629
18-25	2,316^a	2,621^a	2,594^a	2,680^a	2,612^a	2,602^a	2,676^a	2,857^a	2,838^a	3,005^a	3,109^a	3,270^a	3,075^a	2,999^a	3,330^a	3,780^a	3,769^a	4,165
26 or Older	19,689^a	20,632^a	20,044^a	20,625^a	21,354^a	22,262^a	22,923^a	22,862^a	23,833^a	23,772^a	25,918^a	26,260^a	27,007^a	25,456^a	26,020^a	25,977^a	26,346^a	28,464
26-49	11,384^a	11,837^a	11,671^a	11,423^a	11,741^a	11,777^a	11,701^a	12,204^a	12,269^a	12,006^a	12,669^a	12,767^a	12,557^a	12,398^a	12,460^a	12,736^a	12,990^a	14,388
50 or Older	8,304^a	8,795^a	8,373^a	9,202^a	9,613^a	10,484^a	11,222^a	10,658^a	11,564^a	11,767^a	13,249	13,494	14,450	13,058	13,560	13,241	13,356	14,076
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200413

Table 10.16B – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older, by Age Group: Percentages, 2002-2019
Mental Health Services Received/Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL HEALTH SERVICES¹	13.0^a	13.2^a	12.8^a	13.0^a	12.9^a	13.3^a	13.5^a	13.4^a	13.8^a	13.6^a	14.5^a	14.6^a	14.8^a	14.2^a	14.4^a	14.8^a	15.0^a	16.1
Inpatient	0.7^a	0.8	0.9	1.0	0.7^a	1.0	0.9	0.8	0.8^a	0.8^a	0.8	0.9	1.0	0.9	0.9	1.0	1.0	1.0
18-25	0.9^a	1.0^a	1.2^a	1.1^a	1.1^a	1.1^a	1.1^a	1.1^a	1.0^a	1.1^a	1.1^a	1.3^a	1.2^a	1.4	1.5	1.5	1.6	1.7
26 or Older	0.7	0.8	0.8	1.0	0.7	0.9	0.8	0.8	0.7	0.7	0.7	0.9	1.0	0.8	0.8	0.9	0.9	0.8
26-49	0.8	0.9	0.8	0.9	0.8	1.1	0.8	1.0	0.8	0.8	0.7^a	1.0	1.0	0.9	1.0	0.9	1.0	0.9
50 or Older	0.5	0.7	0.9	1.0	0.5	0.7	0.9	0.6	0.7	0.7	0.8	0.7	1.0	0.8	0.7	0.8	0.7	0.7
Outpatient^1,2	7.4^a	7.1^a	7.1^a	6.8^a	6.7^a	7.0^a	6.8^a	6.4^a	6.6^a	6.7^a	6.6^a	6.6^a	6.7^a	7.1^a	6.9^a	7.5^a	7.9	8.3
18-25	6.7^a	6.6^a	6.2^a	6.4^a	5.9^a	5.6^a	5.9^a	6.1^a	5.7^a	6.2^a	6.5^a	6.3^a	6.4^a	6.6^a	7.3^a	9.0^a	9.3^a	10.3
26 or Older	7.5	7.2^a	7.3^a	6.9^a	6.8^a	7.2^a	7.0^a	6.4^a	6.8^a	6.7^a	6.6^a	6.7^a	6.8^a	7.1^a	6.9^a	7.3^a	7.6	7.9
26-49	8.9^a	8.7^a	8.6^a	7.8^a	7.6^a	8.0^a	7.9^a	7.5^a	7.8^a	7.8^a	7.6^a	7.4^a	7.5^a	7.9^a	8.1^a	8.5^a	8.8^a	9.8
50 or Older	5.7	5.3^a	5.6	5.9	6.0	6.3	6.0	5.3^a	5.7	5.7	5.7	6.0	6.1	6.4	5.8	6.3	6.6	6.3
Prescription Medication	10.5^a	10.9^a	10.5^a	10.7^a	10.9^a	11.2^a	11.4^a	11.3^a	11.7^a	11.5^a	12.4^a	12.5	12.6	11.8^a	12.0^a	12.1^a	12.2^a	13.1
18-25	7.5^a	8.3^a	8.1^a	8.3^a	8.0^a	8.0^a	8.1^a	8.5^a	8.4^a	8.8^a	9.0^a	9.4^a	8.8^a	8.6^a	9.7^a	11.1^a	11.1^a	12.4
26 or Older	11.0^a	11.4^a	11.0^a	11.1^a	11.4^a	11.7^a	12.0^a	11.8^a	12.2^a	12.0^a	12.9	13.0	13.2	12.3^a	12.4^a	12.3^a	12.3^a	13.2
26-49	11.4^a	11.9^a	11.7^a	11.4^a	11.7^a	11.8^a	11.7^a	12.3^a	12.5^a	12.3^a	13.0^a	13.1^a	12.8^a	12.6^a	12.6^a	12.7^a	12.9^a	14.3
50 or Older	10.5^a	10.9^a	10.1^a	10.8^a	11.0^a	11.7	12.2	11.3	12.0	11.8	12.9	12.9	13.5^a	12.0	12.3	11.8	11.8	12.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200413

Table 10.17A – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Age Group: Numbers in Thousands, 2008-2019
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL HEALTH SERVICES	16,245^a	16,503^a	17,510^a	16,847^a	17,874^a	19,558^a	19,414^a	18,637^a	19,165^a	19,813^a	20,579^a	22,953
Inpatient	1,483	1,322^a	1,102^a	1,346	1,326^a	1,425	1,639	1,488	1,479	1,556	1,580	1,674
18-25	214^a	245^a	205^a	249^a	259^a	281^a	259^a	321^a	348	375	415	436
26 or Older	1,269	1,077	897^a	1,097	1,067	1,143	1,379	1,166	1,131	1,181	1,166	1,238
26-49	592	793	586	569	487^a	685	737	640	701	723	753	730
50 or Older	678	284	311	529	581	458	642	526	430	458	413	508
Outpatient²	9,570^a	9,246^a	9,660^a	9,897^a	9,732^a	10,685^a	10,552^a	10,996^a	10,891^a	11,906^a	12,377^a	13,855
18-25	1,148^a	1,222^a	1,220^a	1,324^a	1,478^a	1,412^a	1,489^a	1,550^a	1,730^a	2,195^a	2,174^a	2,562
26 or Older	8,422^a	8,024^a	8,441^a	8,573^a	8,254^a	9,273^a	9,063^a	9,446^a	9,162^a	9,711^a	10,203^a	11,293
26-49	5,372^a	5,033^a	5,112^a	4,989^a	4,878^a	5,097^a	5,138^a	5,355^a	5,400^a	5,948^a	6,033^a	7,100
50 or Older	3,050^a	2,991^a	3,329^a	3,584	3,376^a	4,176	3,926	4,091	3,761	3,763	4,169	4,194
Prescription Medication	14,100^a	14,305^a	15,288^a	14,700^a	15,422^a	17,025^a	16,851^a	15,883^a	16,518^a	16,603^a	17,219^a	18,854
18-25	1,421^a	1,531^a	1,564^a	1,609^a	1,815^a	1,829^a	1,783^a	1,836^a	2,073^a	2,569^a	2,547^a	2,854
26 or Older	12,679^a	12,775^a	13,724^a	13,092^a	13,606^a	15,196	15,068	14,047^a	14,445^a	14,034^a	14,672^a	16,000
26-49	7,411^a	7,580^a	7,779^a	7,100^a	7,695^a	7,918^a	7,592^a	7,490^a	7,667^a	8,019^a	8,294^a	9,422
50 or Older	5,267^a	5,195^a	5,944	5,992	5,911	7,278	7,476	6,557	6,778	6,015	6,378	6,578
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.17B – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness, by Age Group: Percentages, 2008-2019
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL HEALTH SERVICES	40.9^a	40.2^a	42.4^a	40.8^a	41.0^a	44.7	44.7	43.1	43.1	42.6^a	43.3	44.8
Inpatient	3.7	3.2	2.7	3.3	3.0	3.3	3.8	3.4	3.3	3.3	3.3	3.3
18-25	3.5	4.1	3.3^a	3.9	3.8	4.2	3.7	4.3	4.6	4.2	4.6	4.4
26 or Older	3.8	3.1	2.5	3.1	2.9	3.1	3.8	3.3	3.1	3.1	3.0	3.0
26-49	2.9	3.7	2.8	2.9	2.3	3.3	3.7	3.1	3.4	3.3	3.3	2.9
50 or Older	5.2	2.1	2.1	3.5	3.6	2.9	3.9	3.5	2.7	3.0	2.6	3.1
Outpatient²	24.1^a	22.5^a	23.4^a	24.0^a	22.4^a	24.4^a	24.3^a	25.4	24.5^a	25.7	26.1	27.1
18-25	18.9^a	20.3^a	19.9^a	20.9^a	21.9^a	21.0^a	21.3^a	20.6^a	22.8^a	24.9	24.5	26.0
26 or Older	25.1^a	22.9^a	24.0^a	24.6^a	22.5^a	25.1	24.9^a	26.5	24.9^a	25.8	26.5	27.3
26-49	26.0	23.6^a	24.9^a	25.1^a	23.6^a	24.3^a	25.8^a	26.1^a	26.0^a	26.9	26.7	28.2
50 or Older	23.5	21.9	22.8	23.8	21.0^a	26.1	23.9	27.0	23.4	24.4	26.2	25.9
Prescription Medication	35.5	34.8	36.9	35.6	35.3	38.9^a	38.7^a	36.7	37.1	35.7	36.2	36.7
18-25	23.3^a	25.3^a	25.5^a	25.3^a	26.8	27.2	25.5^a	24.3^a	27.2	29.1	28.6	28.8
26 or Older	37.8	36.4	38.9	37.4	36.9	41.0	41.3^a	39.3	39.1	37.2	38.0	38.5
26-49	35.9	35.3	37.7	35.6	37.1	37.7	38.0	36.4	36.7	36.1	36.6	37.3
50 or Older	40.8	38.1	40.7	39.8	36.7	45.5^a	45.3^a	43.2	42.2	38.8	40.0	40.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.18A – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Age Group: Numbers in Thousands, 2008-2019
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL HEALTH SERVICES	5,458^a	5,576^a	6,283^a	5,838^a	6,004^a	6,857^a	6,724^a	6,362^a	6,705^a	7,454^a	7,277^a	8,575
Inpatient	713	717^a	622^a	796	590^a	832	863	685^a	789	850	824	974
18-25	97^a	128^a	108^a	104^a	121^a	151^a	138^a	156^a	178^a	220	247	262
26 or Older	616	589	514	693	470^a	681	725	529	611	630	577	713
26-49	327^a	472	358	394	244^a	434	386	357	429	461	374	494
50 or Older	289	117	157	299	226	246	339	173	182	169	203	219
Outpatient²	3,822^a	3,731^a	3,961^a	3,957^a	3,706^a	4,685^a	4,328^a	4,249^a	4,384^a	5,033^a	4,970^a	5,773
18-25	406^a	431^a	481^a	480^a	506^a	544^a	658^a	629^a	745^a	1,001	976^a	1,135
26 or Older	3,416^a	3,300^a	3,479^a	3,477^a	3,200^a	4,141	3,670^a	3,620^a	3,639^a	4,032^a	3,994^a	4,638
26-49	2,283^a	2,123^a	2,201^a	2,108^a	2,029^a	2,440^a	2,095^a	2,189^a	2,346^a	2,584^a	2,496^a	3,078
50 or Older	1,133	1,177	1,279	1,369	1,170	1,702	1,575	1,431	1,293	1,448	1,498	1,559
Prescription Medication	4,973^a	5,119^a	5,683^a	5,242^a	5,527^a	6,222^a	6,028^a	5,587^a	6,005^a	6,589^a	6,420^a	7,402
18-25	444^a	488^a	586^a	531^a	648^a	678^a	711^a	703^a	836^a	1,171	1,101^a	1,297
26 or Older	4,529^a	4,631^a	5,097^a	4,711^a	4,879^a	5,544	5,317^a	4,884^a	5,168^a	5,418^a	5,319^a	6,105
26-49	2,861^a	2,888^a	3,134^a	2,831^a	2,971^a	3,152^a	2,886^a	2,846^a	3,116^a	3,266^a	3,395^a	3,860
50 or Older	1,669^a	1,743	1,962	1,880	1,907	2,392	2,430	2,038	2,052	2,152	1,924	2,246
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200413

Table 10.18B – Type of Mental Health Service Received in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Age Group: Percentages, 2008-2019
Mental Health Services Received/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL HEALTH SERVICES	65.7	66.5	67.5	64.9	62.9	68.5	68.5	65.3	64.8	66.7	64.1	65.5
Inpatient	8.6	8.6	6.7	8.8	6.2	8.3	8.8	7.0	7.6	7.6	7.3	7.4
18-25	7.9	11.4	8.1	8.0	8.5	10.3	8.2	8.9	8.8	8.6	9.4	9.0
26 or Older	8.7	8.1	6.4	9.0	5.8	8.0	8.9	6.6	7.4	7.3	6.6	7.0
26-49	6.9	9.7	7.0	8.0	4.8^a	8.4	8.0	7.3	8.1	8.3	6.3	7.2
50 or Older	12.4	4.9	5.5	10.8	7.3	7.3	10.2	5.5	6.0	5.6	7.1	6.5
Outpatient²	46.2	44.6	42.5	44.1	39.0^a	46.9	44.2	43.6	42.6	45.3	43.9	44.2
18-25	33.0^a	38.6	36.2	37.2	35.8	37.3	39.2	36.0	36.8	39.3	37.5	39.6
26 or Older	48.5	45.5	43.5	45.2	39.5^a	48.5	45.2	45.3	44.0	47.1	45.8	45.6
26-49	48.2	43.8	42.9	42.8	40.3	47.1	43.8	44.8	44.8	46.7	42.5	45.1
50 or Older	49.0	49.0	44.6	49.6	38.2	50.7	47.3	46.0	42.6	47.8	52.7	46.4
Prescription Medication	59.7	61.1^a	61.0^a	58.2	57.8	62.1^a	61.4^a	57.3	58.0	58.9	56.5	56.5
18-25	35.9^a	43.4	44.0	41.0	45.5	46.2	42.4	40.0	41.1	45.7	42.1	44.8
26 or Older	63.8	63.8	63.8	61.1	59.9	64.8	65.3^a	61.0	62.1	62.8	60.8	59.8
26-49	60.1	59.5	61.2	57.2	58.7	60.7	60.1	58.2	59.1	58.5	57.6	56.4
50 or Older	71.5	72.6	68.4	68.1	61.9	71.3	72.9	65.6	67.4	70.7	67.5	66.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.19A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year: Numbers in Thousands, 2002-2019
Location of Mental Health Services	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
Outpatient Mental Health Clinic or Center	3,136^a	2,983^a	3,268^a	3,612^a	3,342^a	3,133^a	3,371^a	3,079^a	3,320^a	3,645^a	3,634^a	4,002^a	4,126^a	4,411^a	4,301^a	4,759	4,517^a	5,162
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	8,461^a	8,216^a	7,839^a	8,038^a	7,790^a	8,441^a	8,787^a	7,678^a	8,482^a	8,559^a	8,514^a	9,019^a	9,209^a	10,007^a	9,775^a	10,808^a	12,356	12,429
Doctor's Office - Not Part of a Clinic	3,796^a	3,669	3,752^a	3,159	3,299	3,297	3,009	3,336	3,157	3,014	3,104	2,393^a	2,446^a	2,862	2,531^a	2,980	2,834	3,136
Outpatient Medical Clinic	950	997	1,195	1,126	1,159	1,376	1,354	1,233	1,007	1,161	1,012	1,070	1,156	1,054	1,159	1,031	1,261	1,181
Partial Day Hospital or Day Treatment Program	289	310	293	311	190	349	237	358	283	284	343	194^a	300	335	225	311	285	346
School or University Setting/Clinic/Center¹	107	78^a	84^a	93	88^a	65^a	101	83^a	81^a	84^a	106	83^a	111	95	121	194	149	151
Some Other Place²	288^a	265^a	322^a	144^a	257^a	332	250^a	272^a	325^a	373	256^a	435	393	390	368	448	467	534
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ² Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200407

Table 10.19B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year: Percentages, 2002-2019
Location of Mental Health Services	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
Outpatient Mental Health Clinic or Center	20.4^a	20.0^a	21.6^a	24.5	22.8	20.4^a	22.1^a	21.6^a	22.0^a	23.7	23.5	25.7	25.8	26.0	25.6	25.8	23.3	25.3
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	55.0^a	55.0^a	51.7^a	54.4^a	53.2^a	54.9^a	57.7	53.8^a	56.3^a	55.7^a	55.1^a	57.9	57.5^a	58.9	58.3	58.6	63.8	60.8
Doctor's Office - Not Part of a Clinic	24.7^a	24.6^a	24.8^a	21.4^a	22.5^a	21.4^a	19.8^a	23.4^a	21.0^a	19.6^a	20.1^a	15.4	15.3	16.8	15.1	16.2	14.6	15.3
Outpatient Medical Clinic	6.2	6.7	7.9^a	7.6	7.9^a	9.0^a	8.9^a	8.6^a	6.7	7.6	6.6	6.9	7.2	6.2	6.9	5.6	6.5	5.8
Partial Day Hospital or Day Treatment Program	1.9	2.1	1.9	2.1	1.3	2.3	1.6	2.5	1.9	1.9	2.2	1.2	1.9	2.0	1.3	1.7	1.5	1.7
School or University Setting/Clinic/Center¹	0.7	0.5	0.6	0.6	0.6	0.4^a	0.7	0.6	0.5	0.6	0.7	0.5	0.7	0.6	0.7	1.1	0.8	0.7
Some Other Place²	1.9	1.8	2.1	1.0^a	1.8	2.2	1.6^a	1.9	2.2	2.4	1.7	2.8	2.5	2.3	2.2	2.5	2.4	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: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ² Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200407

Table 10.20A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Any Mental Illness Who Received Outpatient Mental Health Services in Past Year: Numbers in Thousands, 2008-2019
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
Outpatient Mental Health Clinic or Center	2,299^a	2,360^a	2,470^a	2,717^a	2,580^a	3,151^a	3,199^a	3,311^a	3,140^a	3,596	3,479^a	3,990
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	5,402^a	4,893^a	5,312^a	5,324^a	5,157^a	6,032^a	5,865^a	6,183^a	6,170^a	6,624^a	7,605	8,240
Doctor's Office - Not Part of a Clinic	2,062	2,240	2,042	2,072	2,119	1,660^a	1,624^a	2,117	1,768^a	2,119	2,062	2,162
Outpatient Medical Clinic	950	870	657	741	716	740	802	725	793	780	858	857
Partial Day Hospital or Day Treatment Program	211	285	228	227	292	151^a	224	280	189^a	277	263	321
School or University Setting/Clinic/Center²	70	63	44^a	54^a	79	60	82	70	85	134	100	103
Some Other Place³	167	182	234	270	166^a	249	263	262	266	299	286	312
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.20B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Any Mental Illness Who Received Outpatient Mental Health Services in Past Year: Percentages, 2008-2019
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
Outpatient Mental Health Clinic or Center	24.2^a	25.6	25.7	27.6	26.6	29.6	30.4	30.2	28.9	30.2	28.2	29.0
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	56.9	53.1^a	55.3^a	54.0^a	53.1^a	56.6	55.8^a	56.4	56.9	55.7^a	61.6	59.8
Doctor's Office - Not Part of a Clinic	21.7^a	24.3^a	21.3^a	21.0^a	21.8^a	15.6	15.4	19.3^a	16.3	17.8	16.7	15.7
Outpatient Medical Clinic	10.0^a	9.4^a	6.8	7.5	7.4	6.9	7.6	6.6	7.3	6.6	6.9	6.2
Partial Day Hospital or Day Treatment Program	2.2	3.1	2.4	2.3	3.0	1.4	2.1	2.6	1.7	2.3	2.1	2.3
School or University Setting/Clinic/Center²	0.7	0.7	0.5	0.6	0.8	0.6	0.8	0.6	0.8	1.1	0.8	0.8
Some Other Place³	1.8	2.0	2.5	2.8	1.7	2.4	2.5	2.4	2.5	2.5	2.3	2.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200408

Table 10.21A – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Services in Past Year: Numbers in Thousands, 2008-2019
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
Outpatient Mental Health Clinic or Center	1,138^a	1,120^a	1,160^a	1,241^a	1,244^a	1,728	1,548^a	1,522^a	1,545^a	1,810	1,825	2,033
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	2,211^a	1,869^a	2,319^a	2,090^a	1,939^a	2,545^a	2,277^a	2,310^a	2,410^a	2,701^a	2,932^a	3,398
Doctor's Office - Not Part of a Clinic	789	961	799	898	755	669	701	909	721	1,050	880	830
Outpatient Medical Clinic	384	472	321	322	343	291	406	322	392	379	376	422
Partial Day Hospital or Day Treatment Program	123	157	151	146	192	90^a	136	163	127	175	184	183
School or University Setting/Clinic/Center²	24	26	15	16	17	22	43	26	32	63	43	35
Some Other Place³	33^a	50^a	49^a	162	85	109	105	151	88	147	139	180
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200408

Table 10.21B – Locations of Outpatient Mental Health Services among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Services in Past Year: Percentages, 2008-2019
Location of Mental Health Services	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
Outpatient Mental Health Clinic or Center	30.2	30.1	29.5	31.6	33.6	36.9	35.8	35.9	35.4	36.0	36.8	35.3
Office of a Private Therapist, Psychologist, Psychiatrist, Social Worker, or Counselor - Not Part of a Clinic	58.7	50.1^a	59.0	53.3	52.4^a	54.3	52.7^a	54.5	55.2	53.7	59.1	59.1
Doctor's Office - Not Part of a Clinic	20.9^a	25.8^a	20.3^a	22.9^a	20.4^a	14.3	16.2	21.5^a	16.5	20.9^a	17.8	14.4
Outpatient Medical Clinic	10.2	12.7^a	8.2	8.2	9.3	6.2	9.4	7.6	9.0	7.5	7.6	7.3
Partial Day Hospital or Day Treatment Program	3.3	4.2	3.8	3.7	5.2	1.9	3.2	3.8	2.9	3.5	3.7	3.2
School or University Setting/Clinic/Center²	0.6	0.7	0.4	0.4	0.5	0.5	1.0	0.6	0.7	1.3	0.9	0.6
Some Other Place³	0.9^a	1.3	1.3^a	4.1	2.3	2.3	2.4	3.6	2.0	2.9	2.8	3.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. NOTE: Respondents with unknown mental health services information were excluded. NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ² Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient treatment/counseling. ³ Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.22A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2002-2019
Demographic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	11,272^a	10,781^a	10,902^a	11,170^a	10,498^a	10,974^a	10,636^a	12,059^a	11,177^a	10,768^a	11,490^a	10,965^a	11,795^a	11,238^a	11,769^a	13,475^a	14,215^a	16,597
AGE GROUP
18-25	2,621^a	2,628^a	2,614^a	2,688^a	2,436^a	2,472^a	2,618^a	2,630^a	2,565^a	2,581^a	2,565^a	2,575^a	2,796^a	2,917^a	3,227^a	3,894^a	4,261^a	5,079
26 or Older	8,651^a	8,153^a	8,288^a	8,481^a	8,063^a	8,502^a	8,018^a	9,429^a	8,612^a	8,187^a	8,925^a	8,391^a	9,000^a	8,321^a	8,542^a	9,581^a	9,954^a	11,519
26-49	6,783^a	6,349^a	6,564^a	6,049^a	5,838^a	6,444^a	6,018^a	6,642^a	5,825^a	5,968^a	6,104^a	5,905^a	5,815^a	5,708^a	5,917^a	6,527^a	7,110^a	8,480
50 or Older	1,868^a	1,804^a	1,724^a	2,432	2,225^a	2,058^a	1,999^a	2,787	2,786	2,219^a	2,821	2,485	3,185	2,613	2,625	3,054	2,844	3,039
GENDER
Male	3,719^a	3,275^a	3,908^a	3,875^a	3,485^a	3,410^a	3,395^a	3,862^a	3,488^a	3,518^a	3,700^a	3,672^a	3,781^a	3,549^a	3,777^a	4,288^a	4,245^a	5,174
Female	7,552^a	7,506^a	6,993^a	7,295^a	7,014^a	7,564^a	7,241^a	8,196^a	7,689^a	7,250^a	7,790^a	7,294^a	8,014^a	7,689^a	7,993^a	9,187^a	9,969^a	11,424
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10,209^a	9,636^a	9,810^a	9,908^a	9,454^a	9,765^a	9,638^a	10,776^a	9,687^a	9,674^a	10,072^a	9,327^a	10,514^a	9,900^a	10,325^a	11,988^a	12,077^a	14,063
White	8,371^a	8,207^a	8,179^a	8,026^a	7,773^a	8,230^a	8,067^a	8,779^a	8,170^a	7,845^a	8,034^a	7,618^a	8,482^a	8,093^a	8,537^a	9,813^a	9,938^a	11,221
Black or African American	1,303	999^a	1,190^a	1,371	1,066^a	1,048^a	1,200^a	1,384	1,081^a	1,070^a	1,404	1,076^a	1,279	1,061^a	1,078^a	1,174^a	1,228^a	1,555
AIAN	130	56	44	98	62	55	54	87	77	107	148	72	64	90	62	74	80	96
NHOPI	28	22	*	*	*	*	11	17	11	14	18	34	13	23	10	*	20	52
Asian	155^a	178^a	172^a	160^a	198^a	188^a	165^a	287^a	152^a	311^a	240^a	212^a	334^a	262^a	358^a	522	451	636
Two or More Races	222^a	174^a	192^a	185^a	292^a	222^a	141^a	222^a	195^a	328	229^a	315^a	343^a	371	280^a	397	359^a	502
Hispanic or Latino	1,063^a	1,145^a	1,091^a	1,261^a	1,044^a	1,209^a	998^a	1,282^a	1,490^a	1,095^a	1,418^a	1,638^a	1,281^a	1,338^a	1,444^a	1,487^a	2,138^a	2,534
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200407

Table 10.22B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2002-2019
Demographic Characteristic	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	5.4^a	5.1^a	5.1^a	5.1^a	4.8^a	4.9^a	4.7^a	5.3^a	4.9^a	4.6^a	4.9^a	4.6^a	4.9^a	4.6^a	4.8^a	5.5^a	5.7^a	6.7
AGE GROUP
18-25	8.5^a	8.3^a	8.1^a	8.3^a	7.5^a	7.6^a	8.0^a	7.9^a	7.6^a	7.6^a	7.4^a	7.4^a	8.0^a	8.4^a	9.4^a	11.4^a	12.6^a	15.2
26 or Older	4.8^a	4.5^a	4.5^a	4.6^a	4.3^a	4.5^a	4.2^a	4.9^a	4.4^a	4.1^a	4.5^a	4.2^a	4.4^a	4.0^a	4.1^a	4.5^a	4.7^a	5.3
26-49	6.8^a	6.4^a	6.6^a	6.1^a	5.8^a	6.5^a	6.0^a	6.7^a	5.9^a	6.1^a	6.2^a	6.0^a	5.9^a	5.8^a	6.0^a	6.5^a	7.1^a	8.4
50 or Older	2.4	2.2	2.1	2.9	2.5	2.3	2.2	3.0	2.9	2.2	2.8	2.4	3.0	2.4	2.4	2.7	2.5	2.7
GENDER
Male	3.7^a	3.2^a	3.8^a	3.7^a	3.3^a	3.2^a	3.1^a	3.5^a	3.2^a	3.2^a	3.3^a	3.2^a	3.3^a	3.0^a	3.2^a	3.6^a	3.6^a	4.3
Female	6.9^a	6.8^a	6.3^a	6.5^a	6.2^a	6.6^a	6.2^a	7.0^a	6.5^a	6.0^a	6.4^a	5.9^a	6.5^a	6.1^a	6.3^a	7.2^a	7.8^a	8.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.5^a	5.2^a	5.2^a	5.2^a	4.9^a	5.1^a	5.0^a	5.5^a	4.9^a	4.9^a	5.0^a	4.6^a	5.2^a	4.8^a	5.0^a	5.8^a	5.8^a	6.8
White	5.6^a	5.5^a	5.4^a	5.3^a	5.1^a	5.4^a	5.2^a	5.7^a	5.2^a	5.1^a	5.2^a	4.9^a	5.4^a	5.2^a	5.4^a	6.2^a	6.3^a	7.1
Black or African American	5.6	4.2	4.9	5.6	4.2	4.1^a	4.7	5.3	4.1^a	4.0^a	5.2	3.9^a	4.6	3.7^a	3.8^a	4.0^a	4.2^a	5.3
AIAN	10.1	5.2	3.9	8.9	5.7	5.0	5.7	8.0	7.2	8.3	11.4	5.8	5.0	7.1	4.5	5.8	5.4	7.0
NHOPI	3.9	5.2	*	*	*	*	1.4	2.3	1.7	1.6	1.8	4.3	1.4	3.9	0.9^a	*	2.2	5.3
Asian	1.9^a	2.0^a	1.9^a	1.8^a	2.2^a	2.0^a	1.7^a	2.9	1.5^a	2.8	2.1^a	1.8^a	2.7^a	2.0^a	2.7^a	3.8	3.2	4.4
Two or More Races	10.5	8.2	9.1	8.4	13.1	9.6	5.7^a	9.1	7.4^a	10.0	6.7^a	8.9	9.4	9.6	7.0^a	9.5	8.4^a	11.6
Hispanic or Latino	4.2^a	4.5^a	4.1^a	4.6^a	3.6^a	4.1^a	3.3^a	4.1^a	4.7^a	3.2^a	4.1^a	4.6^a	3.5^a	3.6^a	3.8^a	3.8^a	5.3	6.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200407

Table 10.23A – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Age Group: Numbers in Thousands, 2008-2019
Level of Mental Illness/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL ILLNESS	8,173^a	9,092^a	8,680^a	8,541^a	9,092^a	8,422^a	9,037^a	8,798^a	9,239^a	11,052^a	11,208^a	13,321
18-25	1,839^a	1,773^a	1,826^a	1,829^a	1,898^a	1,870^a	2,021^a	2,184^a	2,464^a	3,114^a	3,370^a	4,021
26 or Older	6,334^a	7,318^a	6,855^a	6,712^a	7,194^a	6,552^a	7,016^a	6,613^a	6,775^a	7,938^a	7,839^a	9,300
26-49	4,805^a	5,300^a	4,633^a	4,910^a	5,064^a	4,551^a	4,654^a	4,631^a	4,797^a	5,446^a	5,732^a	7,047
50 or Older	1,529^a	2,019	2,222	1,802	2,130	2,001	2,362	1,983	1,978	2,492	2,107	2,253
SERIOUS MENTAL ILLNESS	3,642^a	3,874^a	3,910^a	3,883^a	3,973^a	3,858^a	4,205^a	3,713^a	4,104^a	4,939^a	5,116^a	6,233
18-25	617^a	587^a	706^a	712^a	709^a	756^a	900^a	878^a	1,091^a	1,431^a	1,549^a	1,803
26 or Older	3,024^a	3,287^a	3,204^a	3,172^a	3,263^a	3,103^a	3,305^a	2,835^a	3,014^a	3,509^a	3,567^a	4,430
26-49	2,133^a	2,386^a	2,271^a	2,235^a	2,335^a	2,201^a	2,179^a	2,118^a	2,088^a	2,520^a	2,660^a	3,251
50 or Older	891	901	933	936	928	902	1,127	717^a	926	989	907	1,178
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.23B – Perceived Unmet Need for Mental Health Services in Past Year among Persons Aged 18 or Older, by Past Year Level of Mental Illness and Age Group: Percentages, 2008-2019
Level of Mental Illness/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
ANY MENTAL ILLNESS	20.6^a	22.1^a	21.0^a	20.7^a	20.8^a	19.3^a	20.8^a	20.3^a	20.7^a	23.7^a	23.6^a	26.0
18-25	30.2^a	29.4^a	29.8^a	28.8^a	28.1^a	27.8^a	28.9^a	29.0^a	32.4^a	35.3^a	37.9^a	40.7
26 or Older	18.9^a	20.9	19.5^a	19.2^a	19.5^a	17.7^a	19.2^a	18.5^a	18.3^a	21.0	20.3^a	22.5
26-49	23.3^a	24.8^a	22.5^a	24.6^a	24.4^a	21.7^a	23.3^a	22.5^a	23.0^a	24.5^a	25.3^a	28.0
50 or Older	11.8	14.8	15.2	12.0	13.2	12.6	14.3	13.0	12.3	16.1	13.2	13.9
SERIOUS MENTAL ILLNESS	43.7	46.3	42.0^a	43.1^a	41.6^a	38.6^a	42.9^a	38.2^a	39.7^a	44.2	45.1	47.7
18-25	50.0^a	52.2^a	53.1^a	55.0^a	49.8^a	51.5^a	53.6^a	50.3^a	53.7^a	55.9^a	59.5	62.5
26 or Older	42.6	45.4	40.1	41.1	40.1	36.4^a	40.7	35.5^a	36.3^a	40.7	40.8	43.5
26-49	44.8	49.2	44.3	45.2	46.2	42.4	45.4	43.3	39.7^a	45.2	45.2	47.6
50 or Older	38.2	37.5	32.7	33.9	30.1	27.1	33.9	23.2^a	30.4	32.5	31.9	35.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.24A – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2002-2019
Receipt of Mental Health Services/Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
RECEIVED MENTAL HEALTH SERVICES	5,228^a	5,296^a	5,227^a	5,468^a	5,636^a	5,536^a	5,408^a	5,959^a	5,942^a	5,865^a	6,067^a	5,882^a	6,451^a	6,037^a	6,219^a	6,991^a	7,349^a	8,573
18-25	1,032^a	1,035^a	1,144^a	1,057^a	1,028^a	948^a	1,031^a	1,020^a	1,071^a	1,076^a	1,082^a	1,094^a	1,228^a	1,269^a	1,402^a	1,776^a	1,763^a	2,193
26 or Older	4,196^a	4,261^a	4,083^a	4,411^a	4,608^a	4,588^a	4,378^a	4,939^a	4,870^a	4,789^a	4,985^a	4,788^a	5,223^a	4,769^a	4,818^a	5,215^a	5,586^a	6,380
26-49	3,302^a	3,203^a	3,180^a	3,023^a	3,174^a	3,401^a	3,210^a	3,486^a	3,252^a	3,258^a	3,182^a	3,222^a	3,022^a	3,146^a	3,174^a	3,414^a	3,654^a	4,522
50 or Older	895^a	1,059^a	903^a	1,388	1,434	1,187^a	1,168^a	1,453	1,618	1,532	1,803	1,567	2,201	1,623	1,644	1,801	1,931	1,858
DID NOT RECEIVE MENTAL HEALTH SERVICES	5,998^a	5,451^a	5,649^a	5,655^a	4,830^a	5,395^a	5,168^a	6,077^a	5,192^a	4,879^a	5,403^a	5,072^a	5,312^a	5,167^a	5,502^a	6,451^a	6,845^a	7,997
18-25	1,577^a	1,581^a	1,460^a	1,612^a	1,401^a	1,520^a	1,575^a	1,604^a	1,485^a	1,496^a	1,477^a	1,476^a	1,561^a	1,638^a	1,811^a	2,103^a	2,489^a	2,883
26 or Older	4,421^a	3,870^a	4,189^a	4,043^a	3,429^a	3,875^a	3,592^a	4,473	3,707^a	3,383^a	3,925^a	3,597^a	3,751^a	3,529^a	3,691^a	4,348^a	4,356^a	5,114
26-49	3,448^a	3,135^a	3,370^a	3,002^a	2,638^a	3,022^a	2,804^a	3,139^a	2,538^a	2,701^a	2,921^a	2,678^a	2,767^a	2,548^a	2,725^a	3,095^a	3,445^a	3,933
50 or Older	973	735^a	819	1,041	791^a	854	788^a	1,334	1,169	682^a	1,004	918	984	981	966	1,253	911	1,181
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200407

Table 10.24B – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Percentages, 2002-2019
Receipt of Mental Health Services/Age Group	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
RECEIVED MENTAL HEALTH SERVICES	46.6^a	49.3	48.1^a	49.2	53.9	50.6	51.1	49.5	53.4	54.6	52.9	53.7	54.8	53.9	53.1	52.0	51.8	51.7
18-25	39.6	39.6	43.9	39.6	42.3	38.4^a	39.5	38.9^a	41.9	41.8	42.3	42.6	44.0	43.7	43.6	45.8	41.5	43.2
26 or Older	48.7^a	52.4	49.4^a	52.2	57.3	54.2	54.9	52.5	56.8	58.6	55.9	57.1	58.2	57.5	56.6	54.5	56.2	55.5
26-49	48.9^a	50.5	48.5^a	50.2	54.6	53.0	53.4	52.6	56.2	54.7	52.1	54.6	52.2	55.2	53.8	52.5	51.5	53.5
50 or Older	47.9^a	59.0	52.4	57.1	64.4	58.2	59.7	52.1	58.1	69.2	64.2	63.0	69.1	62.3	63.0	59.0	67.9	61.2
DID NOT RECEIVE MENTAL HEALTH SERVICES	53.4^a	50.7	51.9^a	50.8	46.1	49.4	48.9	50.5	46.6	45.4	47.1	46.3	45.2	46.1	46.9	48.0	48.2	48.3
18-25	60.4	60.4	56.1	60.4	57.7	61.6^a	60.5	61.1^a	58.1	58.2	57.7	57.4	56.0	56.3	56.4	54.2	58.5	56.8
26 or Older	51.3^a	47.6	50.6^a	47.8	42.7	45.8	45.1	47.5	43.2	41.4	44.1	42.9	41.8	42.5	43.4	45.5	43.8	44.5
26-49	51.1^a	49.5	51.5^a	49.8	45.4	47.0	46.6	47.4	43.8	45.3	47.9	45.4	47.8	44.8	46.2	47.5	48.5	46.5
50 or Older	52.1^a	41.0	47.6	42.9	35.6	41.8	40.3	47.9	41.9	30.8	35.8	37.0	30.9	37.7	37.0	41.0	32.1	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: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019.

200407

Table 10.25A – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2008-2019
Receipt of Mental Health Services/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
RECEIVED MENTAL HEALTH SERVICES	4,702^a	4,999^a	5,177^a	4,932^a	5,249^a	5,058^a	5,380^a	5,196^a	5,289^a	6,085^a	6,223^a	7,480
18-25	821^a	767^a	867^a	841^a	908^a	878^a	1,005^a	1,030^a	1,196^a	1,537^a	1,537^a	1,884
26 or Older	3,881^a	4,232^a	4,310^a	4,090^a	4,341^a	4,180^a	4,374^a	4,166^a	4,093^a	4,548^a	4,686^a	5,596
26-49	2,812^a	2,997^a	2,897^a	2,786^a	2,836^a	2,796^a	2,613^a	2,759^a	2,721^a	3,032^a	3,195^a	4,043
50 or Older	1,068^a	1,235	1,413	1,304	1,505	1,384	1,761	1,407	1,372	1,516	1,491	1,553
DID NOT RECEIVE MENTAL HEALTH SERVICES	3,421^a	4,076^a	3,466^a	3,585^a	3,823^a	3,357^a	3,637^a	3,577^a	3,909^a	4,938^a	4,966^a	5,826
18-25	1,015^a	1,004^a	955^a	978^a	985^a	990^a	1,011^a	1,148^a	1,255^a	1,566^a	1,824^a	2,135
26 or Older	2,406^a	3,072^a	2,510^a	2,608^a	2,839^a	2,367^a	2,626^a	2,429^a	2,655^a	3,372	3,142^a	3,690
26-49	1,988^a	2,288^a	1,701^a	2,115^a	2,228^a	1,751^a	2,025^a	1,862^a	2,061^a	2,396^a	2,527^a	2,990
50 or Older	418^a	784	809	492	611	617	601	567	594	976	614	700
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.25B – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Percentages, 2008-2019
Receipt of Mental Health Services/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
RECEIVED MENTAL HEALTH SERVICES	57.9	55.1	59.9	57.9	57.9	60.1	59.7	59.2	57.5	55.2	55.6	56.2
18-25	44.7	43.3	47.6	46.3	48.0	47.0	49.9	47.3	48.8	49.5	45.7	46.9
26 or Older	61.7	57.9	63.2	61.1	60.5	63.8	62.5	63.2	60.7	57.4	59.9	60.3
26-49	58.6	56.7	63.0^a	56.8	56.0	61.5	56.3	59.7	56.9	55.9	55.8	57.5
50 or Older	71.9	61.2	63.6	72.6	71.1	69.2	74.6	71.3	69.8	60.8	70.8	68.9
DID NOT RECEIVE MENTAL HEALTH SERVICES	42.1	44.9	40.1	42.1	42.1	39.9	40.3	40.8	42.5	44.8	44.4	43.8
18-25	55.3	56.7	52.4	53.7	52.0	53.0	50.1	52.7	51.2	50.5	54.3	53.1
26 or Older	38.3	42.1	36.8	38.9	39.5	36.2	37.5	36.8	39.3	42.6	40.1	39.7
26-49	41.4	43.3	37.0^a	43.2	44.0	38.5	43.7	40.3	43.1	44.1	44.2	42.5
50 or Older	28.1	38.8	36.4	27.4	28.9	30.8	25.4	28.7	30.2	39.2	29.2	31.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.26A – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Numbers in Thousands, 2008-2019
Receipt of Mental Health Services/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
RECEIVED MENTAL HEALTH SERVICES	2,534^a	2,720^a	2,807^a	2,643^a	2,603^a	2,596^a	2,879^a	2,569^a	2,723^a	3,320^a	3,268^a	4,186
18-25	313^a	307^a	406^a	399^a	410^a	425^a	534^a	496^a	608^a	844^a	819^a	1,024
26 or Older	2,221^a	2,413^a	2,401^a	2,243^a	2,193^a	2,170^a	2,346^a	2,073^a	2,115^a	2,475^a	2,448^a	3,162
26-49	1,545^a	1,603^a	1,651^a	1,480^a	1,488^a	1,550^a	1,436^a	1,465^a	1,417^a	1,696^a	1,755^a	2,214
50 or Older	*	*	*	*	*	*	910	*	*	779	*	948
DID NOT RECEIVE MENTAL HEALTH SERVICES	1,091^a	1,151^a	1,087^a	1,230^a	1,351^a	1,262^a	1,325^a	1,137^a	1,375^a	1,606^a	1,845	2,046
18-25	302^a	278^a	298^a	307^a	294^a	329^a	365^a	379^a	482^a	582^a	726	778
26 or Older	789^a	873^a	789^a	923^a	1,056	932^a	959^a	758^a	893^a	1,024	1,119	1,268
26-49	584^a	782^a	606^a	755^a	848	651^a	742^a	649^a	666^a	814^a	905	1,038
50 or Older	*	*	*	*	*	*	217	*	*	210	*	230
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200407

Table 10.26B – Receipt of Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year, by Age Group: Percentages, 2008-2019
Receipt of Mental Health Services/Age Group	2008¹	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
RECEIVED MENTAL HEALTH SERVICES	69.9	70.3	72.1	68.2	65.8	67.3	68.5	69.3	66.5	67.4	63.9	67.2
18-25	50.9	52.5	57.7	56.5	58.2	56.4	59.4	56.7	55.8	59.2	53.0	56.8
26 or Older	73.8	73.4	75.3	70.9	67.5	69.9	71.0	73.2	70.3	70.7	68.6	71.4
26-49	72.6	67.2	73.2	66.2	63.7	70.4	65.9	69.3	68.0	67.6	66.0	68.1
50 or Older	*	*	*	*	*	*	80.7	*	*	78.8	*	80.5
DID NOT RECEIVE MENTAL HEALTH SERVICES	30.1	29.7	27.9	31.8	34.2	32.7	31.5	30.7	33.5	32.6	36.1	32.8
18-25	49.1	47.5	42.3	43.5	41.8	43.6	40.6	43.3	44.2	40.8	47.0	43.2
26 or Older	26.2	26.6	24.7	29.1	32.5	30.1	29.0	26.8	29.7	29.3	31.4	28.6
26-49	27.4	32.8	26.8	33.8	36.3	29.6	34.1	30.7	32.0	32.4	34.0	31.9
50 or Older	*	*	*	*	*	*	19.3	*	*	21.2	*	19.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. NOTE: Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Section 3.4.7 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200414

Table 10.27A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	3,860^a	3,939^a	4,343	4,709	4,596
Received SU Tx at a Specialty Facility BUT NOT MH Services	354^a	238	372^a	303	182
Received MH Services BUT NOT SU Tx at a Specialty Facility	2,953^a	3,128^a	3,255	3,758	3,664
Received SU Tx at a Specialty Facility AND MH Services	551	573	704	645	742
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	4,180^a	4,256^a	4,173^a	4,460	4,867
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	1,453^a	1,717^a	1,979^a	2,197	2,371
Received SU Tx at a Specialty Facility BUT NOT MH Services	98	61	80	84	68
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,100^a	1,339^a	1,534	1,767	1,852
Received SU Tx at a Specialty Facility AND MH Services	254^a	316	365	345	452
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	869^a	898^a	1,113	965	1,188
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	2,406	2,222	2,364	2,512	2,225
Received SU Tx at a Specialty Facility BUT NOT MH Services	255^a	177	292^a	218	115
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,853	1,788	1,721	1,991	1,812
Received SU Tx at a Specialty Facility AND MH Services	297	257	339	300	290
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	3,311	3,358	3,060^a	3,494	3,679
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.27B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	48.0	48.1	51.0	51.4	48.6
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.4^a	2.9	4.4^a	3.3	1.9
Received MH Services BUT NOT SU Tx at a Specialty Facility	36.7	38.2	38.2	41.0	38.7
Received SU Tx at a Specialty Facility AND MH Services	6.8	6.9	8.3	7.0	7.8
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	52.0	51.9	49.0	48.6	51.4
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	62.6	65.6	64.0	69.5	66.6
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.2	2.3	2.6	2.7	1.9
Received MH Services BUT NOT SU Tx at a Specialty Facility	47.4	51.2	49.6	55.9	52.0
Received SU Tx at a Specialty Facility AND MH Services	11.0	12.0	11.8	10.9	12.7
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	37.4	34.4	36.0	30.5	33.4
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	42.1	39.8	43.6^a	41.8	37.7
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.4^a	3.2	5.4^a	3.6	1.9
Received MH Services BUT NOT SU Tx at a Specialty Facility	32.4	32.0	31.7	33.1	30.7
Received SU Tx at a Specialty Facility AND MH Services	5.2	4.6	6.3	5.0	4.9
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	57.9	60.2	56.4^a	58.2	62.3
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.28A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 to 25 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	719^a	888^a	1,108	1,067	1,109
Received SU Tx at a Specialty Facility BUT NOT MH Services	64	66	83^a	49	35
Received MH Services BUT NOT SU Tx at a Specialty Facility	542^a	742^a	874	924	941
Received SU Tx at a Specialty Facility AND MH Services	111	80	150	90	130
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1,324	1,228^a	1,262^a	1,371	1,453
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	315^a	396^a	561	529	577
Received SU Tx at a Specialty Facility BUT NOT MH Services	13	16	13	14	19
Received MH Services BUT NOT SU Tx at a Specialty Facility	247^a	352^a	461	464	491
Received SU Tx at a Specialty Facility AND MH Services	55	27^a	86	51	67
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	278^a	315	386	350	377
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	404^a	492	547	538	532
Received SU Tx at a Specialty Facility BUT NOT MH Services	52^a	50^a	69^a	36	16
Received MH Services BUT NOT SU Tx at a Specialty Facility	295^a	390	413	459	451
Received SU Tx at a Specialty Facility AND MH Services	56	53	63	40	63
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1,046	913^a	876^a	1,020	1,076
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.28B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 18 to 25 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	35.2^a	42.0	46.7	43.8	43.3
Received SU Tx at a Specialty Facility BUT NOT MH Services	3.1^a	3.1^a	3.5^a	2.0	1.4
Received MH Services BUT NOT SU Tx at a Specialty Facility	26.5^a	35.1	36.9	37.9	36.7
Received SU Tx at a Specialty Facility AND MH Services	5.4	3.8	6.3	3.7	5.0
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	64.8^a	58.0	53.3	56.2	56.7
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	53.1	55.7	59.2	60.1	60.5
Received SU Tx at a Specialty Facility BUT NOT MH Services	2.2	2.3	1.4	1.5	2.0
Received MH Services BUT NOT SU Tx at a Specialty Facility	41.6^a	49.6	48.7	52.8	51.4
Received SU Tx at a Specialty Facility AND MH Services	9.3	3.8	9.1	5.8	7.0
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	46.9	44.3	40.8	39.9	39.5
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	27.9	35.0	38.4	34.5	33.1
Received SU Tx at a Specialty Facility BUT NOT MH Services	3.5^a	3.5^a	4.9^a	2.3	1.0
Received MH Services BUT NOT SU Tx at a Specialty Facility	20.3^a	27.7	29.0	29.5	28.0
Received SU Tx at a Specialty Facility AND MH Services	3.8	3.7	4.4	2.5	3.9
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	72.1	65.0	61.6	65.5	66.9
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.29A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	3,141	3,051	3,235	3,642	3,486
Received SU Tx at a Specialty Facility BUT NOT MH Services	289^a	172	289^a	254	147
Received MH Services BUT NOT SU Tx at a Specialty Facility	2,412	2,385	2,381	2,834	2,723
Received SU Tx at a Specialty Facility AND MH Services	440	493	555	555	613
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	2,856^a	3,028	2,911^a	3,089	3,414
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	1,139^a	1,321^a	1,418^a	1,668	1,794
Received SU Tx at a Specialty Facility BUT NOT MH Services	86	45	67	71	48
Received MH Services BUT NOT SU Tx at a Specialty Facility	854^a	987^a	1,073	1,303	1,361
Received SU Tx at a Specialty Facility AND MH Services	199^a	289	279	295	385
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	591^a	583^a	727	615	811
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	2,002	1,730	1,817	1,974	1,692
Received SU Tx at a Specialty Facility BUT NOT MH Services	204^a	127	222^a	183	99
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,558	1,398	1,308	1,531	1,362
Received SU Tx at a Specialty Facility AND MH Services	241	205	276	260	228
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	2,265	2,445	2,184^a	2,474	2,603
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.29B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	52.4	50.2	52.6	54.1	50.5
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.8^a	2.8	4.7^a	3.8	2.1
Received MH Services BUT NOT SU Tx at a Specialty Facility	40.2	39.2	38.7	42.1	39.5
Received SU Tx at a Specialty Facility AND MH Services	7.3	8.1	9.0	8.2	8.8
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	47.6	49.8	47.4	45.9	49.5
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	65.8	69.4	66.1	73.1	68.9
Received SU Tx at a Specialty Facility BUT NOT MH Services	5.0	2.3	3.1	3.1	1.9
Received MH Services BUT NOT SU Tx at a Specialty Facility	49.4	51.8	50.0	57.1	52.2
Received SU Tx at a Specialty Facility AND MH Services	11.5	15.1	13.0	12.9	14.8
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	34.2	30.6	33.9	26.9	31.1
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	46.9^a	41.4	45.4	44.4	39.4
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.8^a	3.0	5.6^a	4.1	2.3
Received MH Services BUT NOT SU Tx at a Specialty Facility	36.5	33.5	32.7	34.4	31.7
Received SU Tx at a Specialty Facility AND MH Services	5.6	4.9	6.9	5.8	5.2
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	53.1^a	58.6	54.6	55.6	60.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.30A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 to 49 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	2,161	2,124^a	2,298	2,481	2,486
Received SU Tx at a Specialty Facility BUT NOT MH Services	228^a	123	213^a	127	113
Received MH Services BUT NOT SU Tx at a Specialty Facility	1,608^a	1,642	1,664	1,942	1,925
Received SU Tx at a Specialty Facility AND MH Services	326	359	410	412	445
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	2,119^a	2,308	2,067^a	2,532	2,686
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	889^a	972^a	1,036^a	1,157	1,325
Received SU Tx at a Specialty Facility BUT NOT MH Services	86	31	54	33	48
Received MH Services BUT NOT SU Tx at a Specialty Facility	641^a	761	751^a	888	972
Received SU Tx at a Specialty Facility AND MH Services	163^a	180^a	232	237	305
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	418^a	436^a	547	565	673
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	1,272	1,152	1,262	1,323	1,161
Received SU Tx at a Specialty Facility BUT NOT MH Services	142^a	92	159^a	94	64
Received MH Services BUT NOT SU Tx at a Specialty Facility	967	881	914	1,054	953
Received SU Tx at a Specialty Facility AND MH Services	163	179	178	175	140
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	1,701	1,872	1,520^a	1,967	2,013
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.30B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 26 to 49 with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	50.5	47.9	52.6	49.5	48.1
Received SU Tx at a Specialty Facility BUT NOT MH Services	5.3^a	2.8	4.9^a	2.5	2.2
Received MH Services BUT NOT SU Tx at a Specialty Facility	37.6	37.0	38.1	38.7	37.2
Received SU Tx at a Specialty Facility AND MH Services	7.6	8.0	9.4	8.2	8.5
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	49.5	52.1	47.4	50.5	51.9
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	68.0	69.0	65.4	67.2	66.3
Received SU Tx at a Specialty Facility BUT NOT MH Services	6.6^a	2.2	3.4	1.9	2.4
Received MH Services BUT NOT SU Tx at a Specialty Facility	49.0	54.1	47.4	51.6	48.6
Received SU Tx at a Specialty Facility AND MH Services	12.4	12.7	14.6	13.7	15.3
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	32.0	31.0	34.6	32.8	33.7
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	42.8	38.1	45.4^a	40.2	36.6
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.8^a	3.0	5.7^a	2.9	2.0
Received MH Services BUT NOT SU Tx at a Specialty Facility	32.5	29.1	32.9	32.0	30.0
Received SU Tx at a Specialty Facility AND MH Services	5.5	5.9	6.4	5.3	4.4
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	57.2	61.9	54.6^a	59.8	63.4
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.31A – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 50 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Numbers in Thousands, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	980	927	938	1,162	1,000
Received SU Tx at a Specialty Facility BUT NOT MH Services	62	49	76	*	35
Received MH Services BUT NOT SU Tx at a Specialty Facility	804	743	716	892	798
Received SU Tx at a Specialty Facility AND MH Services	114	135	145	143	167
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	737	720	844	557	728
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	*	*	*	*	*
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	*	*	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	*	*	*	*	*
Received SU Tx at a Specialty Facility AND MH Services	*	*	*	*	*
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	*	*	*	*	*
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	730	578	555	*	531
Received SU Tx at a Specialty Facility BUT NOT MH Services	62	*	64	*	35
Received MH Services BUT NOT SU Tx at a Specialty Facility	591	517	394	477	408
Received SU Tx at a Specialty Facility AND MH Services	77	26	97	85	88
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	564	573	665	*	590
* = 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 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200414

Table 10.31B – Receipt of Substance Use Treatment at a Specialty Facility and/or Mental Health Services in Past Year among Persons Aged 50 or Older with Past Year Co-Occurring Substance Use Disorder and Level of Mental Illness: Percentages, 2015-2019
Co-Occurring Substance Use Disorder (SUD) and Level of Mental Illness/Receipt of Substance Use Treatment (SU Tx) and Mental Health (MH) Services	2015	2016	2017	2018	2019
SUD and Any Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	57.1	56.3	52.6	67.6	57.9
Received SU Tx at a Specialty Facility BUT NOT MH Services	3.6	3.0	4.3	*	2.0
Received MH Services BUT NOT SU Tx at a Specialty Facility	46.8	45.1	40.2	51.9	46.2
Received SU Tx at a Specialty Facility AND MH Services	6.6	8.1	8.1	8.3	9.6
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	42.9	43.7	47.4	32.4	42.1
SUD and Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	*	*	*	*	*
Received SU Tx at a Specialty Facility BUT NOT MH Services	*	*	*	*	*
Received MH Services BUT NOT SU Tx at a Specialty Facility	*	*	*	*	*
Received SU Tx at a Specialty Facility AND MH Services	*	*	*	*	*
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	*	*	*	*	*
SUD and Any Mental Illness Excluding Serious Mental Illness
Received SU Tx at a Specialty Facility OR MH Services	56.4	50.2	45.5	*	47.4
Received SU Tx at a Specialty Facility BUT NOT MH Services	4.7	*	5.2	*	3.0
Received MH Services BUT NOT SU Tx at a Specialty Facility	45.7	45.0	32.3	41.2	36.5
Received SU Tx at a Specialty Facility AND MH Services	5.9	2.2	8.0	7.3	7.7
Received NEITHER SU Tx at a Specialty Facility NOR MH Services	43.6	49.8	54.5	*	52.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Specialty facilities for substance use treatment include hospitals (inpatient only), rehabilitation facilities (inpatient or outpatient), or mental health centers. NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to persons with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2015-2019.

200323

Table 10.32A – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2005-2019
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	14,194^a	14,239^a	14,835^a	14,462^a	14,836^a	15,556^a	15,153^a	16,026^a	15,670^a	15,655^a	16,079^a	16,225^a	17,297^a	17,720^a	19,357
AGE GROUP
18-25	2,828^a	2,623^a	2,608^a	2,742^a	2,677^a	2,796^a	2,826^a	3,051^a	3,007^a	3,200^a	3,554^a	3,705^a	4,416^a	4,609^a	5,045
26 or Older	11,365^a	11,615^a	12,227^a	11,720^a	12,159^a	12,760^a	12,326^a	12,975^a	12,663^a	12,455^a	12,525^a	12,520^a	12,880^a	13,111^a	14,312
26-49	7,527^a	7,694^a	7,590^a	7,377^a	7,546^a	7,361^a	7,536^a	7,370^a	7,336^a	6,970^a	7,329^a	7,236^a	7,635^a	7,990^a	8,914
50 or Older	3,838^a	3,922^a	4,637	4,343^a	4,613	5,400	4,790	5,606	5,327	5,485	5,196	5,284	5,245	5,121	5,399
GENDER
Male	4,821^a	5,032^a	5,032^a	4,921^a	5,232^a	5,590^a	5,264^a	5,811^a	5,777^a	5,492^a	5,461^a	5,639^a	6,266^a	6,272^a	7,125
Female	9,373^a	9,206^a	9,803^a	9,541^a	9,605^a	9,966^a	9,889^a	10,215^a	9,893^a	10,163^a	10,618^a	10,586^a	11,031^a	11,447	12,233
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12,551^a	12,886^a	13,235^a	12,875^a	13,032^a	13,765^a	13,597^a	13,613^a	13,617^a	13,605^a	14,278^a	14,088^a	15,188^a	15,225^a	16,588
White	10,449^a	10,783^a	11,200^a	10,821^a	10,917^a	11,420^a	11,303^a	11,051^a	11,375^a	10,979^a	11,747^a	11,551^a	12,398	12,224^a	13,319
Black or African American	1,461	1,432^a	1,345^a	1,346^a	1,427^a	1,533	1,472^a	1,686	1,256^a	1,511^a	1,380^a	1,409^a	1,579	1,783	1,841
AIAN	97	100	96	55^a	70	83	92	129	110	74	111	120	102	125	129
NHOPI	48	42	*	*	*	*	28	*	12	60	31	79	45	64	34
Asian	282^a	248^a	256^a	303^a	323^a	393^a	435^a	371^a	468	519	543	511	600	593	669
Two or More Races	214^a	281^a	273^a	271^a	253^a	285^a	267^a	260^a	397^a	461	467	419^a	465	437	595
Hispanic or Latino	1,643^a	1,353^a	1,600^a	1,587^a	1,804^a	1,791^a	1,556^a	2,413	2,053^a	2,050^a	1,801^a	2,137^a	2,109^a	2,495	2,769
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Estimates for 2005 to 2008 are based on an adjusted MDE variable and may differ from estimates published in prior NSDUH reports. See Section 3.4.8 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019.

200323

Table 10.32B – Major Depressive Episode in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2005-2019
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	6.6^a	6.5^a	6.7^a	6.5^a	6.6^a	6.8^a	6.6^a	6.9^a	6.7^a	6.6^a	6.7^a	6.7^a	7.1^a	7.2^a	7.8
AGE GROUP
18-25	8.8^a	8.1^a	8.0^a	8.4^a	8.0^a	8.3^a	8.3^a	8.9^a	8.7^a	9.3^a	10.3^a	10.9^a	13.1^a	13.8^a	15.2
26 or Older	6.2	6.2	6.5	6.2	6.3	6.6	6.3	6.5	6.3	6.1^a	6.1^a	6.0^a	6.1^a	6.2^a	6.7
26-49	7.6^a	7.7^a	7.6^a	7.4^a	7.6^a	7.5^a	7.7^a	7.6^a	7.6^a	7.2^a	7.5^a	7.4^a	7.7^a	8.0^a	8.9
50 or Older	4.5	4.5	5.2	4.8	4.9	5.6^a	4.8	5.5	5.1	5.2	4.8	4.8	4.7	4.5	4.7
GENDER
Male	4.6^a	4.8^a	4.7^a	4.6^a	4.8^a	5.1^a	4.7^a	5.2^a	5.1^a	4.8^a	4.7^a	4.8^a	5.3^a	5.3^a	6.0
Female	8.4^a	8.1^a	8.6^a	8.3^a	8.2^a	8.5^a	8.3^a	8.4^a	8.1^a	8.2^a	8.5^a	8.5^a	8.7^a	9.0	9.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	6.6^a	6.8^a	6.9^a	6.7^a	6.7^a	7.0^a	6.9^a	6.8^a	6.8^a	6.8^a	7.0^a	6.9^a	7.4^a	7.4^a	8.0
White	6.9^a	7.1^a	7.3^a	7.0^a	7.1^a	7.4^a	7.3^a	7.1^a	7.3^a	7.1^a	7.5^a	7.4^a	7.9^a	7.8^a	8.5
Black or African American	6.0	5.7	5.4	5.3	5.5	5.8	5.6	6.3	4.6^a	5.4	4.9^a	5.0^a	5.4	6.1	6.3
AIAN	8.8	9.1	8.7	5.9	6.5	7.8	7.4	10.0	8.9	6.0	8.9	8.7	8.0	8.5	9.4
NHOPI	7.7	5.1	*	*	*	*	3.2	*	1.6	6.7	5.2	7.3	4.7	6.9	3.5
Asian	3.2	2.7^a	2.7^a	3.1	3.3	3.8	4.0	3.2	4.0	4.2	4.1	3.9	4.4	4.3	4.7
Two or More Races	9.7	12.7	11.9	11.1	10.5	10.8	8.3^a	7.7^a	11.4	12.7	12.2	10.5	11.3	10.2	13.7
Hispanic or Latino	6.0	4.7^a	5.5^a	5.3^a	5.9	5.7	4.6^a	7.0	5.8	5.6^a	4.8^a	5.6^a	5.4^a	6.2	6.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Estimates for 2005 to 2008 are based on an adjusted MDE variable and may differ from estimates published in prior NSDUH reports. See Section 3.4.8 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019.

200323

Table 10.33A – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2009-2019
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	8,913^a	9,671^a	9,669^a	10,445^a	10,128^a	10,237^a	10,263^a	10,332^a	11,007^a	11,489^a	13,112
AGE GROUP
18-25	1,739^a	1,771^a	1,779^a	1,975^a	1,971^a	2,078^a	2,239^a	2,388^a	2,887^a	2,968^a	3,407
26 or Older	7,173^a	7,899^a	7,890^a	8,470^a	8,157^a	8,159^a	8,024^a	7,944^a	8,119^a	8,520^a	9,705
26-49	4,783^a	4,558^a	5,036^a	5,008^a	4,786^a	4,496^a	4,795^a	4,627^a	5,019^a	5,284^a	6,101
50 or Older	2,391^a	3,341	2,855^a	3,462	3,371	3,663	3,229	3,317	3,101	3,236	3,604
GENDER
Male	3,149^a	3,540^a	3,335^a	3,840^a	3,813^a	3,502^a	3,478^a	3,500^a	3,777^a	4,013^a	4,646
Female	5,764^a	6,130^a	6,334^a	6,604^a	6,316^a	6,735^a	6,785^a	6,832^a	7,230^a	7,476^a	8,466
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,909^a	8,442^a	8,744^a	8,804^a	8,664^a	8,879^a	9,167^a	8,910^a	9,802^a	9,970^a	11,299
White	6,601^a	7,053^a	7,054^a	7,044^a	7,107^a	7,141^a	7,553^a	7,288^a	7,839^a	7,993^a	9,071
Black or African American	853^a	1,021	1,062	1,140	797^a	957^a	895^a	927^a	1,135	1,150	1,264
AIAN	63	57	86	99	61	51	84	77	82	93	109
NHOPI	*	19	14	*	12	22	22	41	40	55	18
Asian	192^a	168^a	340	247^a	358	346	266	291	401	379	427
Two or More Races	165^a	125^a	187^a	184^a	330	361	347	285	306	299	411
Hispanic or Latino	1,004^a	1,229^a	925^a	1,641	1,464	1,359^a	1,095^a	1,422	1,205^a	1,519	1,813
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019.

200323

Table 10.33B – Major Depressive Episode with Severe Impairment in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2009-2019
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	4.0^a	4.2^a	4.2^a	4.5^a	4.3^a	4.3^a	4.3^a	4.3^a	4.5^a	4.7^a	5.3
AGE GROUP
18-25	5.2^a	5.2^a	5.2^a	5.8^a	5.7^a	6.0^a	6.5^a	7.0^a	8.5^a	8.9^a	10.3
26 or Older	3.7^a	4.1^a	4.0^a	4.3	4.1^a	4.0^a	3.9^a	3.8^a	3.9^a	4.0^a	4.5
26-49	4.8^a	4.7^a	5.2^a	5.1^a	4.9^a	4.6^a	4.9^a	4.7^a	5.0^a	5.3^a	6.1
50 or Older	2.6^a	3.5	2.9	3.4	3.2	3.5	3.0	3.0	2.8	2.9	3.2
GENDER
Male	2.9^a	3.2^a	3.0^a	3.4	3.4^a	3.1^a	3.0^a	3.0^a	3.2^a	3.4^a	3.9
Female	4.9^a	5.2^a	5.3^a	5.5^a	5.2^a	5.5^a	5.5^a	5.5^a	5.7^a	5.9^a	6.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4.1^a	4.3^a	4.4^a	4.4^a	4.3^a	4.4^a	4.5^a	4.4^a	4.8^a	4.8^a	5.5
White	4.3^a	4.6^a	4.6^a	4.6^a	4.6^a	4.6^a	4.9^a	4.7^a	5.0^a	5.1^a	5.8
Black or African American	3.3^a	3.9	4.0	4.2	2.9^a	3.4	3.2^a	3.3^a	3.9	4.0	4.3
AIAN	5.8	5.3	6.9	7.7	5.0	4.1	6.7	5.6	6.4	6.4	7.9
NHOPI	*	2.9	1.7	*	1.5	2.5	3.6	3.8	4.2	5.9	1.8
Asian	1.9	1.6^a	3.1	2.2	3.0	2.8	2.0	2.2	2.9	2.7	3.0
Two or More Races	6.8	4.7^a	5.8^a	5.4^a	9.4	9.9	9.1	7.1	7.5	7.0	9.4
Hispanic or Latino	3.3^a	3.9	2.7^a	4.7	4.2	3.7	2.9^a	3.8	3.1^a	3.8	4.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019.

200323

Table 10.34A – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Major Depressive Episode in Past Year, by Demographic Characteristics: Numbers in Thousands, 2009-2019
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	9,526^a	10,605^a	10,299^a	10,885^a	10,727^a	10,717^a	10,801^a	10,574^a	11,548^a	11,462^a	12,824
AGE GROUP
18-25	1,257^a	1,360^a	1,349^a	1,520^a	1,526^a	1,581^a	1,662^a	1,631^a	2,238^a	2,286^a	2,565
26 or Older	8,270^a	9,245^a	8,950^a	9,365	9,200^a	9,136^a	9,139^a	8,943^a	9,310^a	9,176^a	10,258
26-49	4,888^a	5,013^a	5,124^a	5,071^a	4,884^a	4,723^a	4,938^a	4,871^a	5,128^a	5,142^a	6,135
50 or Older	3,382^a	4,232	3,826	4,294	4,317	4,413	4,201	4,072	4,182	4,034	4,124
GENDER
Male	3,084^a	3,339^a	3,211^a	3,503	3,464	3,422^a	3,208^a	3,174^a	3,650	3,548	4,041
Female	6,443^a	7,266^a	7,088^a	7,382^a	7,263^a	7,295^a	7,593^a	7,400^a	7,898^a	7,914^a	8,783
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8,638^a	9,456^a	9,478^a	9,543^a	9,543^a	9,469^a	9,721^a	9,448^a	10,370	10,118^a	11,223
White	7,468^a	8,203^a	8,252^a	7,950^a	8,150^a	7,877^a	8,297^a	8,037^a	8,737	8,366^a	9,346
Black or African American	760^a	835	800^a	1,047	811^a	879	799^a	855	994	1,090	1,096
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	251	261	346
Two or More Races	*	*	*	*	*	350	314	244	296	288	359
Hispanic or Latino	888^a	1,149^a	821^a	1,341	1,184^a	1,248^a	1,080^a	1,126^a	1,178^a	1,344	1,601
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019.

200323

Table 10.34B – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Major Depressive Episode in Past Year, by Demographic Characteristics: Percentages, 2009-2019
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	64.3	68.2	68.1	68.0	68.6	68.6	67.2	65.3	66.8	64.8	66.3
AGE GROUP
18-25	47.0	48.7	47.8	49.8	50.8	49.5	46.8^a	44.1^a	50.7	49.6	50.9
26 or Older	68.2	72.4	72.7	72.3	72.8	73.5	73.0	71.6	72.4	70.1	71.8
26-49	64.8	68.1	68.1	68.8	66.7	67.9	67.4	67.4	67.3	64.4^a	68.9
50 or Older	73.8	78.4	80.0	76.8	81.3	80.8	80.9	77.3	79.7	78.9	76.5
GENDER
Male	59.0	59.8	61.0	60.3	60.1	62.4^a	58.8	56.6	58.3	56.7	56.8
Female	67.3^a	72.9	71.8	72.4	73.6	72.0	71.6	69.9	71.7	69.2	71.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	66.4	68.7	69.8	70.2	70.3	69.7	68.1	67.2	68.4	66.5	67.7
White	68.6	71.8	73.1	72.0	71.9	71.9	70.6	69.7	70.5	68.5	70.2
Black or African American	53.2	54.5	54.3	62.1	64.6	58.5	57.9	60.8	63.1	61.2	59.6
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	41.9	43.9	51.7
Two or More Races	*	*	*	*	*	75.9^a	67.9	58.4	64.8	65.8	60.3
Hispanic or Latino	49.2	64.2	53.2	55.6	57.7	61.2	60.1	52.7	55.9	53.9	58.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019.

200323

Table 10.35A – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Past Year Major Depressive Episode with Severe Impairment, by Demographic Characteristics: Numbers in Thousands, 2009-2019
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	6,367^a	7,054^a	7,121^a	7,633^a	7,719^a	7,534^a	7,451^a	7,452^a	7,923^a	7,878^a	9,467
AGE GROUP
18-25	890^a	954^a	963^a	1,095^a	1,119^a	1,148^a	1,163^a	1,225^a	1,649^a	1,594^a	1,921
26 or Older	5,477^a	6,100^a	6,159^a	6,538^a	6,599^a	6,386^a	6,288^a	6,228^a	6,274^a	6,283^a	7,546
26-49	3,463^a	3,381^a	3,733^a	3,689^a	3,554^a	3,250^a	3,449^a	3,437^a	3,596^a	3,593^a	4,532
50 or Older	2,014^a	2,719	2,425	2,849	3,046	3,136	2,839	2,791	2,678	2,691	3,014
GENDER
Male	2,020^a	2,288^a	2,291^a	2,509	2,592	2,268^a	2,228^a	2,283^a	2,408^a	2,464	2,868
Female	4,347^a	4,766^a	4,830^a	5,125^a	5,127^a	5,266^a	5,223^a	5,170^a	5,515^a	5,414^a	6,599
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,805^a	6,216^a	6,569^a	6,567^a	6,831^a	6,595^a	6,717^a	6,622^a	7,184^a	6,972^a	8,255
White	4,990^a	5,414^a	5,500^a	5,362^a	5,722^a	5,453^a	5,733^a	5,600^a	5,950^a	5,767^a	6,851
Black or African American	515^a	596	703	755	587	572^a	532^a	626	759	740	808
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	297	*	*	213	*	259
Hispanic or Latino	562^a	838^a	552^a	1,066	887	939	734^a	831^a	739^a	906^a	1,212
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019.

200323

Table 10.35B – Received Treatment for Depression in Past Year among Persons Aged 18 or Older with Past Year Major Depressive Episode with Severe Impairment, by Demographic Characteristics: Percentages, 2009-2019
Demographic Characteristic	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	71.5	72.9	73.7	73.1	76.4^a	73.7	72.7	72.2	72.1	68.6^a	72.2
AGE GROUP
18-25	51.2^a	53.9	54.2	55.5	56.8	55.3	52.0	51.3^a	57.1	53.7	56.4
26 or Older	76.4	77.2	78.1	77.2	81.1	78.4	78.4	78.4	77.4	73.8^a	77.8
26-49	72.4	74.2	74.1	73.7	74.4	72.3	72.0	74.3	71.8	68.0^a	74.4
50 or Older	84.4	81.4	85.0	82.4	90.8^a	85.9	87.9	84.1	86.4	83.1	83.6
GENDER
Male	64.2	64.6	68.8^a	65.4	68.0	64.8	64.1	65.2	63.8	61.4	61.8
Female	75.4	77.7	76.2	77.6	81.5	78.3	77.1	75.7	76.4	72.4^a	78.0
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	73.4	73.6	75.2	74.6	79.1^a	74.4	73.3	74.4	73.4	69.9^a	73.1
White	75.6	76.8	78.0	76.1	80.8^a	76.4	75.9	76.9	75.9	72.2	75.6
Black or African American	60.4	58.4	66.2	66.3	73.7	60.2	59.5	67.7	67.1	64.3	64.1
AIAN	*	*	*	*	*	*	*	*	*	*	*
NHOPI	*	*	*	*	*	*	*	*	*	*	*
Asian	*	*	*	*	*	*	*	*	*	*	*
Two or More Races	*	*	*	*	*	82.4^a	*	*	71.6	*	63.0
Hispanic or Latino	56.0	68.2	59.7	65.0	60.6	69.2	67.1	58.4	61.4	59.6	66.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown past year treatment for depression data were excluded. NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded. NOTE: Respondents with unknown impairment data were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019.

200323

Table 10.36A – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Numbers in Thousands, 2008-2019
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	8,335^a	8,467^a	8,724^a	8,540^a	9,031^a	9,292^a	9,436^a	9,767^a	9,829^a	10,642^a	10,744^a	11,951
18-25	2,227^a	2,027^a	2,257^a	2,329^a	2,489^a	2,568^a	2,586^a	2,878^a	3,022^a	3,555^a	3,709	3,926
18-20	1,022^a	950^a	1,067^a	1,104^a	1,161^a	1,260^a	1,167^a	1,294^a	1,408^a	1,596	1,571	1,747
21-25	1,205^a	1,077^a	1,191^a	1,225^a	1,328^a	1,308^a	1,420^a	1,584^a	1,614^a	1,958	2,138	2,179
26 or Older	6,107^a	6,440^a	6,467^a	6,211^a	6,542^a	6,723^a	6,850^a	6,890^a	6,807^a	7,087^a	7,035^a	8,025
26-49	3,951^a	4,290^a	4,006^a	3,587^a	4,064^a	3,875^a	3,953^a	4,072^a	4,173^a	4,292^a	4,657^a	5,331
26-29	776^a	754^a	742^a	765^a	759^a	808^a	796^a	990^a	944^a	1,175^a	1,284	1,522
30-34	698^a	812^a	755^a	536^a	777^a	888^a	894^a	936^a	1,068	922^a	1,165	1,276
35-39	767	954	593^a	822	726^a	693^a	727^a	720^a	855	753^a	883	990
40-44	811	832	790	680	838	680	850	709	585	800	697	755
45-49	899	938	1,125^a	784	965	805	685	716	721	642	627	787
50 or Older	2,157	2,150	2,461	2,624	2,478	2,849	2,897	2,817	2,634	2,795	2,379	2,693
50-54	695	721	668	931^a	602	1,119^a	873^a	806	796	523	603	583
55-59	599	693	698	656	528	721	832	647	641	749	584	704
60-64	296	280	435	401	548	376	461	519	413	484	427	463
65 or Older	567^a	456^a	660	636	800	632	731	846	783	1,039	766	943
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.36B – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Percentages, 2008-2019
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	3.7^a	3.7^a	3.8^a	3.7^a	3.9^a	3.9^a	3.9^a	4.0^a	4.0^a	4.3^a	4.3^a	4.8
18-25	6.8^a	6.1^a	6.7^a	6.8^a	7.2^a	7.4^a	7.5^a	8.3^a	8.8^a	10.5^a	11.0	11.8
18-20	7.8^a	7.0^a	7.9^a	8.2^a	8.8^a	9.6^a	9.0^a	10.0^a	11.2^a	12.5	12.2	13.4
21-25	6.1^a	5.4^a	5.8^a	5.9^a	6.3^a	6.1^a	6.5^a	7.3^a	7.5^a	9.2^a	10.3	10.7
26 or Older	3.2^a	3.3^a	3.3^a	3.1^a	3.3^a	3.3	3.4^a	3.3^a	3.3^a	3.3^a	3.3^a	3.7
26-49	4.0^a	4.3^a	4.1^a	3.7^a	4.2^a	4.0^a	4.0^a	4.1^a	4.2^a	4.3^a	4.7^a	5.3
26-29	4.6^a	4.5^a	4.5^a	4.5^a	4.4^a	4.7^a	4.7^a	5.8^a	5.5^a	6.6^a	7.3	8.5
30-34	3.8^a	4.2^a	3.8^a	2.8^a	3.9^a	4.4^a	4.3^a	4.4^a	5.0	4.3^a	5.3	5.8
35-39	3.8	4.8	3.1^a	4.2	3.7	3.6	3.7	3.7	4.2	3.6^a	4.1	4.6
40-44	3.8	4.0	3.9	3.4	4.2	3.2	4.2	3.5	3.0^a	4.1	3.6	3.9
45-49	4.0	4.2	5.1^a	3.6	4.5	4.0	3.3	3.5	3.6	3.2	3.2	3.9
50 or Older	2.3	2.3	2.6	2.6	2.4	2.7	2.7	2.6	2.4	2.5	2.1	2.4
50-54	3.2	3.2	3.0	4.0	2.6	4.9^a	3.7	3.5	3.7	2.5	2.9	2.9
55-59	3.4	3.7	3.6	3.5	2.6	3.5	4.0	3.1	2.9	3.4	2.7	3.3
60-64	2.0	1.8	2.6	2.2	3.3	2.1	2.6	2.8	2.2	2.4	2.1	2.3
65 or Older	1.5	1.2	1.7	1.6	1.9	1.5	1.6	1.8	1.6	2.1	1.5	1.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.37A – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	8,335^a	8,467^a	8,724^a	8,540^a	9,031^a	9,292^a	9,436^a	9,767^a	9,829^a	10,642^a	10,744^a	11,951
AGE GROUP
18-25	2,227^a	2,027^a	2,257^a	2,329^a	2,489^a	2,568^a	2,586^a	2,878^a	3,022^a	3,555^a	3,709	3,926
26 or Older	6,107^a	6,440^a	6,467^a	6,211^a	6,542^a	6,723^a	6,850^a	6,890^a	6,807^a	7,087^a	7,035^a	8,025
26-49	3,951^a	4,290^a	4,006^a	3,587^a	4,064^a	3,875^a	3,953^a	4,072^a	4,173^a	4,292^a	4,657^a	5,331
50 or Older	2,157	2,150	2,461	2,624	2,478	2,849	2,897	2,817	2,634	2,795	2,379	2,693
GENDER
Male	3,753^a	3,874^a	4,158^a	3,771^a	4,064^a	4,356^a	4,437^a	4,492^a	4,765^a	4,814	4,885	5,341
Female	4,581^a	4,593^a	4,566^a	4,770^a	4,967^a	4,935^a	4,999^a	5,275^a	5,064^a	5,827^a	5,859^a	6,610
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	7,499^a	7,436^a	7,966^a	7,691^a	7,821^a	8,008^a	8,183^a	8,381^a	8,489^a	9,341	9,248	9,904
White	6,163^a	5,990^a	6,294^a	6,140^a	6,200^a	6,438^a	6,510^a	6,736^a	6,804^a	7,284	7,206	7,818
Black or African American	916^a	921^a	1,083	885^a	965	804^a	908^a	934	1,004	1,097	1,199	1,173
AIAN	26	54	81	169	77	60	60	67	54	63	87	70
NHOPI	32	*	30	*	15	35	11	17	27	74	33	22
Asian	219^a	197^a	335	322^a	379	393	390	317^a	303^a	454	405	522
Two or More Races	141^a	184	142^a	141^a	185^a	278	304	312	298	369	319	298
Hispanic or Latino	836^a	1,031^a	758^a	849^a	1,210^a	1,284^a	1,253^a	1,386^a	1,340^a	1,300^a	1,496^a	2,046
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.37B – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	3.7^a	3.7^a	3.8^a	3.7^a	3.9^a	3.9^a	3.9^a	4.0^a	4.0^a	4.3^a	4.3^a	4.8
AGE GROUP
18-25	6.8^a	6.1^a	6.7^a	6.8^a	7.2^a	7.4^a	7.5^a	8.3^a	8.8^a	10.5^a	11.0	11.8
26 or Older	3.2^a	3.3^a	3.3^a	3.1^a	3.3^a	3.3	3.4^a	3.3^a	3.3^a	3.3^a	3.3^a	3.7
26-49	4.0^a	4.3^a	4.1^a	3.7^a	4.2^a	4.0^a	4.0^a	4.1^a	4.2^a	4.3^a	4.7^a	5.3
50 or Older	2.3	2.3	2.6	2.6	2.4	2.7	2.7	2.6	2.4	2.5	2.1	2.4
GENDER
Male	3.5^a	3.5^a	3.8^a	3.4^a	3.6^a	3.8^a	3.9^a	3.9^a	4.1	4.1	4.1	4.5
Female	3.9^a	3.9^a	3.9^a	4.0^a	4.1^a	4.0^a	4.0^a	4.2^a	4.0^a	4.6^a	4.6^a	5.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	3.9^a	3.8^a	4.0^a	3.9^a	3.9^a	4.0^a	4.0^a	4.1^a	4.1^a	4.5	4.5	4.8
White	4.0^a	3.9^a	4.0^a	4.0^a	4.0^a	4.1^a	4.2^a	4.3^a	4.3^a	4.6	4.6	5.0
Black or African American	3.6	3.5	4.1	3.3	3.6	2.9^a	3.2	3.3	3.5	3.8	4.1	4.0
AIAN	2.8	5.0	7.5	13.1^a	5.9	4.8	4.8	5.3	3.9	5.0	5.8	5.1
NHOPI	4.0	*	4.6	*	1.5	4.6	1.2	2.8	2.5	7.7	3.6	2.3
Asian	2.2^a	2.0^a	3.2	2.9	3.3	3.3	3.1	2.4	2.3^a	3.3	2.9	3.6
Two or More Races	5.7	7.6	5.4	4.4^a	5.5	7.9	8.3	8.1	7.5	8.9	7.4	6.9
Hispanic or Latino	2.8^a	3.3^a	2.4^a	2.5^a	3.5^a	3.6^a	3.4^a	3.7^a	3.5^a	3.3^a	3.7^a	5.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200401

Table 10.38A – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Numbers in Thousands, 2008-2019
Geographic/Socioeconomic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	8,335^a	8,467^a	8,724^a	8,540^a	9,031^a	9,292^a	9,436^a	9,767^a	9,829^a	10,642^a	10,744^a	11,951
GEOGRAPHIC REGION
Northeast	1,488^a	1,520^a	1,606^a	1,514^a	1,655^a	1,655^a	1,643^a	1,755	1,619^a	1,619^a	1,686^a	2,073
Midwest	2,071^a	2,173^a	2,087^a	2,020^a	1,951^a	2,052^a	2,057^a	2,119^a	2,028^a	2,384^a	2,426^a	2,742
South	2,792^a	2,514^a	2,965^a	2,944^a	3,203^a	3,370^a	3,326^a	3,445^a	3,434^a	3,898	3,685	4,059
West	1,984^a	2,260^a	2,067^a	2,062^a	2,222^a	2,215^a	2,410^a	2,449^a	2,748	2,741	2,947	3,076
COUNTY TYPE¹
Large Metro	4,497^a	4,534^a	4,639^a	4,101^a	4,824^a	4,949^a	5,014^a	5,237^a	5,224^a	5,514^a	5,697^a	6,412
Small Metro	2,798^a	2,643^a	2,669^a	3,154^a	2,953^a	2,870^a	2,890^a	3,107^a	3,263^a	3,406^a	3,516	3,899
Nonmetro	1,039^a	1,290^a	1,415	1,286^a	1,255^a	1,472	1,532	1,424	1,342^a	1,722	1,531	1,640
Urbanized	386^a	551	622	494^a	480^a	724	663	672	581	755	778	719
Less Urbanized	553^a	633	647	670	609	665	724	619	626	823	633	785
Completely Rural	100	106	147	122	167	84	144	133	135	144	121	136
POVERTY LEVEL²
Less Than 100%	1,453^a	1,719^a	1,783^a	2,147	2,145	2,271	2,159	2,330	2,117	2,145	2,338	2,290
100-199%	1,908^a	1,837^a	2,019^a	2,047^a	2,281	2,162^a	2,382	2,197^a	2,465	2,370	2,369	2,735
200% or More	4,884^a	4,833^a	4,873^a	4,292^a	4,527^a	4,788^a	4,817^a	5,185^a	5,165^a	6,031^a	5,947^a	6,809
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	1,366	1,339	1,274	1,230	1,286
High School Graduate	nc	nc	nc	nc	nc	nc	nc	2,623	2,408^a	2,626	2,837	2,952
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	3,652^a	3,906^a	4,238^a	4,150^a	4,793
College Graduate	nc	nc	nc	nc	nc	nc	nc	2,126^a	2,175^a	2,504	2,527	2,920
HEALTH INSURANCE³
Private	4,658^a	4,623^a	4,685^a	4,203^a	4,405^a	4,787^a	4,877^a	5,120^a	5,286^a	5,982^a	5,900^a	6,834
Medicaid/CHIP	1,236^a	1,535^a	1,408^a	1,526^a	1,493^a	1,512^a	2,019^a	2,292^a	2,245^a	2,390^a	2,462^a	2,865
Other⁴	1,626^a	1,377^a	1,988	1,672^a	2,088	1,990	2,217	2,318	2,016	2,269	2,021	2,234
No Coverage	1,774	1,787	1,846	2,067^a	2,236^a	2,113^a	1,604	1,360	1,449	1,361	1,625	1,608
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200401

Table 10.38B – Had Serious Thoughts of Suicide in Past Year among Persons Aged 18 or Older, by Geographic and Socioeconomic Characteristics: Percentages, 2008-2019
Geographic/Socioeconomic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	3.7^a	3.7^a	3.8^a	3.7^a	3.9^a	3.9^a	3.9^a	4.0^a	4.0^a	4.3^a	4.3^a	4.8
GEOGRAPHIC REGION
Northeast	3.6^a	3.6^a	3.8^a	3.6^a	3.9^a	3.8^a	3.8^a	4.0	3.7^a	3.7^a	3.9^a	4.8
Midwest	4.2^a	4.4^a	4.2^a	4.0^a	3.9^a	4.0^a	4.0^a	4.1^a	4.0^a	4.6	4.7^a	5.3
South	3.4^a	3.0^a	3.5^a	3.4^a	3.7^a	3.8	3.7^a	3.8	3.8^a	4.2	3.9	4.3
West	3.8^a	4.3^a	3.9^a	3.8^a	4.1^a	4.0^a	4.3^a	4.3^a	4.8	4.7	5.0	5.2
COUNTY TYPE¹
Large Metro	3.7^a	3.7^a	3.7^a	3.3^a	3.8^a	3.8^a	3.7^a	3.9^a	3.9^a	4.0^a	4.1^a	4.6
Small Metro	4.1^a	3.8^a	3.8^a	4.3^a	4.1^a	4.0^a	4.1^a	4.2^a	4.5^a	4.7	4.8	5.2
Nonmetro	3.1^a	3.8^a	4.3	3.9^a	3.6^a	4.2	4.5	4.3	3.9^a	4.9	4.3	4.8
Urbanized	2.9^a	3.9	4.5	3.9	3.4^a	4.7	4.6	4.9	4.2	5.0	4.8	5.0
Less Urbanized	3.3^a	3.9	4.0	4.0	3.6^a	4.2	4.5	4.0	3.6^a	4.8	3.9	4.9
Completely Rural	3.1	3.3	4.8	3.6	4.5	2.3	4.2	3.2	4.0	4.6	3.6	3.5
POVERTY LEVEL²
Less Than 100%	5.8^a	6.3	6.1^a	6.6	5.8^a	6.6	6.0^a	6.4	6.1^a	6.4	6.9	7.2
100-199%	4.6^a	4.2^a	4.3^a	4.3^a	5.0	4.7^a	5.1	4.5^a	5.0	4.9^a	4.9^a	5.8
200% or More	3.1^a	3.1^a	3.2^a	2.8^a	3.0^a	3.1^a	3.1^a	3.3^a	3.3^a	3.7	3.6^a	4.0
EDUCATION
< High School	nc	nc	nc	nc	nc	nc	nc	4.0	4.2	4.2	4.0	4.3
High School Graduate	nc	nc	nc	nc	nc	nc	nc	4.3	4.0^a	4.4	4.6	4.9
Some College/Associate's Degree	nc	nc	nc	nc	nc	nc	nc	5.0^a	5.2^a	5.5^a	5.4^a	6.3
College Graduate	nc	nc	nc	nc	nc	nc	nc	2.9^a	2.9^a	3.2	3.2	3.6
HEALTH INSURANCE³
Private	3.0^a	3.0^a	3.1^a	2.8^a	2.9^a	3.1^a	3.1^a	3.2^a	3.2^a	3.6^a	3.6^a	4.1
Medicaid/CHIP	6.8	8.0	6.7^a	6.6^a	6.5^a	6.3^a	6.9^a	6.8^a	6.5^a	6.7^a	6.8^a	8.1
Other⁴	3.2	2.6	3.7	3.0	3.6	3.3	3.6	3.6	3.1	3.4	3.0	3.3
No Coverage	5.2^a	5.0^a	4.8^a	5.5	5.9	5.7	5.5	5.3	6.3	5.9	6.7	6.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. ¹ Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.39A – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Numbers in Thousands, 2008-2019
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	2,299^a	2,253^a	2,542^a	2,406^a	2,681^a	2,714^a	2,667^a	2,702^a	2,756^a	3,195	3,312	3,455
18-25	643^a	654^a	661^a	663^a	813^a	852^a	806^a	934^a	981^a	1,266	1,160	1,313
18-20	347^a	335^a	324^a	320^a	433^a	434^a	388^a	468^a	469^a	647	523	608
21-25	296^a	320^a	338^a	343^a	380^a	418^a	419^a	466^a	512^a	618	637	705
26 or Older	1,656^a	1,598^a	1,880	1,743	1,868	1,862	1,860	1,768	1,775^a	1,930	2,153	2,142
26-49	1,056^a	1,016^a	1,013^a	1,076^a	1,272	1,249	1,107^a	1,033^a	1,271	1,230	1,450	1,466
26-29	200^a	158^a	147^a	277	232^a	255^a	211^a	272^a	253^a	291	442	412
30-34	209^a	152^a	225^a	124^a	157^a	274	212^a	242^a	344	247	316	361
35-39	221	213	142	264	267	250	252	171	282	192	314	229
40-44	202	265	266	202	288	245	221	169	186	244	200	234
45-49	224	227	233	208	329	226	211	179	206	256	180	231
50 or Older	600	583	867	667	596	614	754	734	504	700	702	676
50-54	259	212	298^a	295^a	157	163	159	295^a	185	168	210	123
55-59	142	169	173	195	113	204	192	151	104	166	222	204
60-64	87	100	108	70	143	90	161	94	116	133	116	133
65 or Older	111	101	288	107	184	157	242	194	99	233	153	216
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.39B – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Percentages, 2008-2019
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	1.0^a	1.0^a	1.1^a	1.0^a	1.1^a	1.1^a	1.1^a	1.1^a	1.1^a	1.3	1.3	1.4
18-25	2.0^a	2.0^a	1.9^a	1.9^a	2.4^a	2.5^a	2.3^a	2.7^a	2.9^a	3.7	3.4	3.9
18-20	2.7^a	2.5^a	2.4^a	2.4^a	3.3^a	3.3^a	3.0^a	3.6^a	3.7^a	5.1	4.1	4.7
21-25	1.5^a	1.6^a	1.7^a	1.7^a	1.8^a	1.9^a	1.9^a	2.1^a	2.4^a	2.9	3.1	3.5
26 or Older	0.9	0.8	1.0	0.9	0.9	0.9	0.9	0.9	0.9	0.9	1.0	1.0
26-49	1.1^a	1.0^a	1.0^a	1.1^a	1.3	1.3	1.1^a	1.1^a	1.3	1.2	1.4	1.5
26-29	1.2^a	0.9^a	0.9^a	1.6	1.4^a	1.5^a	1.2^a	1.6^a	1.5^a	1.6	2.5	2.3
30-34	1.1	0.8^a	1.1	0.6^a	0.8^a	1.4	1.0^a	1.1	1.6	1.1	1.4	1.6
35-39	1.1	1.1	0.7	1.3	1.4	1.3	1.3	0.9	1.4	0.9	1.4	1.1
40-44	0.9	1.3	1.3	1.0	1.4	1.1	1.1	0.8	1.0	1.2	1.0	1.2
45-49	1.0	1.0	1.1	1.0	1.5	1.1	1.0	0.9	1.0	1.3	0.9	1.1
50 or Older	0.7	0.6	0.9	0.7	0.6	0.6	0.7	0.7	0.5	0.6	0.6	0.6
50-54	1.2	1.0	1.4	1.3	0.7	0.7	0.7	1.3^a	0.8	0.8	1.0	0.6
55-59	0.8	0.9	0.9	1.0	0.5	1.0	0.9	0.7	0.5	0.8	1.0	1.0
60-64	0.6	0.6	0.7	0.4	0.9	0.5	0.9	0.5	0.6	0.7	0.6	0.7
65 or Older	0.3	0.3	0.7	0.3	0.4	0.4	0.5	0.4	0.2	0.5	0.3	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: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.40A – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	2,299^a	2,253^a	2,542^a	2,406^a	2,681^a	2,714^a	2,667^a	2,702^a	2,756^a	3,195	3,312	3,455
AGE GROUP
18-25	643^a	654^a	661^a	663^a	813^a	852^a	806^a	934^a	981^a	1,266	1,160	1,313
26 or Older	1,656^a	1,598^a	1,880	1,743	1,868	1,862	1,860	1,768	1,775^a	1,930	2,153	2,142
26-49	1,056^a	1,016^a	1,013^a	1,076^a	1,272	1,249	1,107^a	1,033^a	1,271	1,230	1,450	1,466
50 or Older	600	583	867	667	596	614	754	734	504	700	702	676
GENDER
Male	1,011^a	1,089^a	1,211	1,125	1,225	1,153	1,144	1,257	1,207	1,416	1,528	1,373
Female	1,288^a	1,163^a	1,331^a	1,281^a	1,455^a	1,561^a	1,523^a	1,445^a	1,549^a	1,779	1,784	2,082
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	2,033^a	1,983^a	2,327^a	2,147^a	2,315^a	2,299^a	2,353^a	2,318^a	2,382^a	2,809	2,846	2,835
White	1,674^a	1,578^a	1,751^a	1,666^a	1,786^a	1,915	1,789^a	1,855	1,818^a	2,121	2,094	2,180
Black or African American	250	278	394	237^a	308	248	363	245^a	340	326	468	367
AIAN	12	26	14	*	26	21	16	36	20	35	26	16
NHOPI	8	5	0^a	2	4	19	5	*	4	*	11	11
Asian	31^a	44^a	117	111	143	54^a	100	73^a	70^a	192	117	155
Two or More Races	59	52^a	51^a	45^a	50^a	43^a	80	108	130	104	131	107
Hispanic or Latino	266^a	269^a	215^a	259^a	366^a	415^a	314^a	384^a	374^a	387^a	466	620
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.40B – Made Any Suicide Plans in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	1.0^a	1.0^a	1.1^a	1.0^a	1.1^a	1.1^a	1.1^a	1.1^a	1.1^a	1.3	1.3	1.4
AGE GROUP
18-25	2.0^a	2.0^a	1.9^a	1.9^a	2.4^a	2.5^a	2.3^a	2.7^a	2.9^a	3.7	3.4	3.9
26 or Older	0.9	0.8	1.0	0.9	0.9	0.9	0.9	0.9	0.9	0.9	1.0	1.0
26-49	1.1^a	1.0^a	1.0^a	1.1^a	1.3	1.3	1.1^a	1.1^a	1.3	1.2	1.4	1.5
50 or Older	0.7	0.6	0.9	0.7	0.6	0.6	0.7	0.7	0.5	0.6	0.6	0.6
GENDER
Male	0.9	1.0	1.1	1.0	1.1	1.0	1.0	1.1	1.0	1.2	1.3	1.1
Female	1.1^a	1.0^a	1.1^a	1.1^a	1.2^a	1.3^a	1.2^a	1.2^a	1.2^a	1.4	1.4	1.6
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1.0^a	1.0^a	1.2	1.1^a	1.2^a	1.1^a	1.2^a	1.1^a	1.2^a	1.4	1.4	1.4
White	1.1^a	1.0^a	1.1^a	1.1^a	1.1^a	1.2	1.1^a	1.2	1.2^a	1.4	1.3	1.4
Black or African American	1.0	1.1	1.5	0.9	1.1	0.9	1.3	0.9	1.2	1.1	1.6	1.2
AIAN	1.3	2.4	1.3	*	2.0	1.7	1.3	2.8	1.4	2.7	1.7	1.1
NHOPI	1.0	0.7	0.0^a	0.2	0.4	2.5	0.5	*	0.4	*	1.2	1.1
Asian	0.3^a	0.4^a	1.1	1.0	1.2	0.4^a	0.8	0.5	0.5^a	1.4	0.8	1.1
Two or More Races	2.4	2.1	1.9	1.4	1.5	1.2^a	2.2	2.8	3.3	2.5	3.0	2.5
Hispanic or Latino	0.9^a	0.9^a	0.7^a	0.8^a	1.1	1.2	0.9^a	1.0^a	1.0^a	1.0^a	1.2	1.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they made any suicide plans in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.41A – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Numbers in Thousands, 2008-2019
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	1,088^a	1,040^a	1,122	1,135	1,290	1,312	1,120^a	1,399	1,319	1,388	1,442	1,379
18-25	395^a	372^a	393^a	415^a	508	434^a	433^a	571	616	648	647	604
18-20	242	190^a	205^a	221^a	282	255	190^a	274	334	364	316	300
21-25	153^a	182^a	189^a	194^a	226	180^a	244	298	281	284	332	305
26 or Older	693	668	729	721	782	878	687	827	704	739	795	775
26-49	446	465	399^a	443	502	596	491	506	496	435	521	579
26-29	106	83^a	44^a	119	100	98	99	115	131	114	105	156
30-34	117	81	105	73^a	85	158	91	131	114	83	121	154
35-39	58	121	48	102	87	126	79	77	114	88	157	91
40-44	61	62	86	93	126	135	100	107	60	52	79	105
45-49	103	118	115	55	105	80	123	76	77	97	59	74
50 or Older	247	203	329	278	279	283	196	321	208	304	274	195
50-54	151	51	62	136	56	43	62	136^a	47	105	83	31
55-59	42	50	60	112	53	120	62	67	65	58	118	58
60-64	29	35	47	2	57	59	17	46	25	29	14	13
65 or Older	25	66	160	29	114	60	54	72	71	113	58	94
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.41B – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Detailed Age Category: Percentages, 2008-2019
Age Category	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	0.5	0.5	0.5	0.5	0.6	0.6	0.5	0.6	0.5	0.6	0.6	0.6
18-25	1.2^a	1.1^a	1.2^a	1.2^a	1.5	1.3^a	1.2^a	1.6	1.8	1.9	1.9	1.8
18-20	1.8	1.4^a	1.5^a	1.6^a	2.1	1.9	1.5^a	2.1	2.7	2.9	2.4	2.3
21-25	0.8^a	0.9^a	0.9^a	0.9^a	1.1^a	0.8^a	1.1	1.4	1.3	1.3	1.6	1.5
26 or Older	0.4	0.3	0.4	0.4	0.4	0.4	0.3	0.4	0.3	0.3	0.4	0.4
26-49	0.4	0.5	0.4^a	0.5	0.5	0.6	0.5	0.5	0.5	0.4	0.5	0.6
26-29	0.6	0.5	0.3^a	0.7	0.6	0.6	0.6	0.7	0.8	0.6	0.6	0.9
30-34	0.6	0.4	0.5	0.4	0.4	0.8	0.4	0.6	0.5	0.4	0.6	0.7
35-39	0.3	0.6	0.2	0.5	0.4	0.7	0.4	0.4	0.6	0.4	0.7	0.4
40-44	0.3	0.3	0.4	0.5	0.6	0.6	0.5	0.5	0.3	0.3	0.4	0.5
45-49	0.5	0.5	0.5	0.3	0.5	0.4	0.6	0.4	0.4	0.5	0.3	0.4
50 or Older	0.3	0.2	0.3	0.3	0.3	0.3	0.2	0.3	0.2	0.3	0.2	0.2
50-54	0.7	0.2	0.3	0.6	0.2	0.2	0.3	0.6^a	0.2	0.5	0.4	0.2
55-59	0.2	0.3	0.3	0.6	0.3	0.6	0.3	0.3	0.3	0.3	0.5	0.3
60-64	0.2	0.2	0.3	0.0	0.3	0.3	0.1	0.3	0.1	0.1	0.1	0.1
65 or Older	0.1	0.2	0.4	0.1	0.3	0.1	0.1	0.2	0.1	0.2	0.1	0.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.42A – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2008-2019
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	1,088^a	1,040^a	1,122	1,135	1,290	1,312	1,120^a	1,399	1,319	1,388	1,442	1,379
AGE GROUP
18-25	395^a	372^a	393^a	415^a	508	434^a	433^a	571	616	648	647	604
26 or Older	693	668	729	721	782	878	687	827	704	739	795	775
26-49	446	465	399^a	443	502	596	491	506	496	435	521	579
50 or Older	247	203	329	278	279	283	196	321	208	304	274	195
GENDER
Male	423	464	541	437	513	521	445	621	551	558	578	518
Female	665	575^a	581^a	698	777	791	676	778	768	829	865	861
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	917	922	978	959	1,045	1,038	941	1,164	1,107	1,177	1,136	1,128
White	680	651	686	629	746	786	609	939	783	810	728	764
Black or African American	181	188	224	179	192	179	210	136^a	185	193	276	230
AIAN	6	16	13	*	18	11	18	15	4	12	16	7
NHOPI	*	1	0	2	3	*	5	*	7	*	2	4
Asian	12^a	33	24	97	61	20	71	38	97	76	51	56
Two or More Races	34	32	30^a	23^a	26^a	25^a	27^a	37	31^a	56	65	67
Hispanic or Latino	172	118^a	143^a	176	245	275	180	234	212	211	306	251
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.42B – Attempted Suicide in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2008-2019
Demographic Characteristic	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	0.5	0.5	0.5	0.5	0.6	0.6	0.5	0.6	0.5	0.6	0.6	0.6
AGE GROUP
18-25	1.2^a	1.1^a	1.2^a	1.2^a	1.5	1.3^a	1.2^a	1.6	1.8	1.9	1.9	1.8
26 or Older	0.4	0.3	0.4	0.4	0.4	0.4	0.3	0.4	0.3	0.3	0.4	0.4
26-49	0.4	0.5	0.4^a	0.5	0.5	0.6	0.5	0.5	0.5	0.4	0.5	0.6
50 or Older	0.3	0.2	0.3	0.3	0.3	0.3	0.2	0.3	0.2	0.3	0.2	0.2
GENDER
Male	0.4	0.4	0.5	0.4	0.5	0.5	0.4	0.5	0.5	0.5	0.5	0.4
Female	0.6	0.5^a	0.5^a	0.6	0.6	0.6	0.5	0.6	0.6	0.7	0.7	0.7
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	0.5	0.5	0.5	0.5	0.5	0.5	0.5	0.6	0.5	0.6	0.5	0.5
White	0.4	0.4	0.4	0.4	0.5	0.5	0.4	0.6	0.5	0.5	0.5	0.5
Black or African American	0.7	0.7	0.8	0.7	0.7	0.6	0.8	0.5^a	0.6	0.7	0.9	0.8
AIAN	0.6	1.4	1.2	*	1.4	0.9	1.5	1.2	0.3	1.0	1.1	0.5
NHOPI	*	0.2	0.1	0.2	0.3	*	0.5	*	0.7	*	0.2	0.4
Asian	0.1^a	0.3	0.2	0.9	0.5	0.2	0.6	0.3	0.7	0.6	0.4	0.4
Two or More Races	1.4	1.3	1.1	0.7^a	0.8	0.7^a	0.7	1.0	0.8	1.3	1.5	1.5
Hispanic or Latino	0.6	0.4	0.5	0.5	0.7	0.8	0.5	0.6	0.6	0.5	0.8	0.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Respondents were asked whether they attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019.

200323

Table 10.43A – Serious Psychological Distress in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2005-2019
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	23,103^a	23,743^a	22,901^a	23,314^a	23,243^a	23,567^a	23,511^a	25,312^a	25,209^a	25,505^a	25,018^a	26,023^a	27,570^a	28,690^a	31,190
AGE GROUP
18-25	5,875^a	5,668^a	5,731^a	5,951^a	5,863^a	6,026^a	5,993^a	6,405^a	6,238^a	6,838^a	7,111^a	7,311^a	8,318^a	8,610^a	9,179
26 or Older	17,228^a	18,075^a	17,170^a	17,364^a	17,380^a	17,541^a	17,517^a	18,907^a	18,971^a	18,668^a	17,907^a	18,712^a	19,252^a	20,081^a	22,011
26-49	11,810^a	12,602^a	11,677^a	11,525^a	11,999^a	11,596^a	11,526^a	11,910^a	11,800^a	11,258^a	11,793^a	12,132^a	12,758^a	13,218^a	14,997
50 or Older	5,418^a	5,472^a	5,493^a	5,839^a	5,382^a	5,945^a	5,991^a	6,997	7,171	7,410	6,114^a	6,580	6,494	6,863	7,015
GENDER
Male	8,292^a	9,057^a	8,531^a	8,551^a	8,526^a	9,000^a	9,096^a	9,982^a	9,377^a	9,436^a	9,516^a	10,067^a	10,459^a	11,152^a	12,010
Female	14,811^a	14,686^a	14,370^a	14,763^a	14,717^a	14,566^a	14,415^a	15,329^a	15,832^a	16,070^a	15,502^a	15,956^a	17,111^a	17,538^a	19,181
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	19,965^a	20,673^a	19,941^a	20,288^a	20,248^a	20,250^a	20,577^a	21,299^a	21,220^a	21,898^a	21,438^a	21,920^a	23,730^a	23,968^a	26,153
White	16,017^a	16,373^a	16,154^a	16,412^a	16,598^a	16,229^a	16,138^a	16,204^a	16,495^a	17,023^a	17,045^a	17,465^a	18,566^a	18,697^a	20,069
Black or African American	2,651^a	2,652^a	2,606^a	2,518^a	2,499^a	2,721^a	2,486^a	3,282	2,960^a	2,901^a	2,620^a	2,607^a	2,974^a	3,047^a	3,572
AIAN	230	281	151	96	140	135	211	288^a	199	176	160	177	166	224	162
NHOPI	*	96	50	*	72	*	*	*	49	122	79	84	110	146	100
Asian	628^a	745^a	632^a	795^a	578^a	685^a	954^a	920^a	951^a	1,041	955^a	953^a	1,210	1,183	1,309
Two or More Races	355^a	526^a	349^a	366^a	361^a	400^a	584^a	436^a	565^a	636^a	579^a	634^a	706^a	671^a	941
Hispanic or Latino	3,138^a	3,070^a	2,960^a	3,026^a	2,996^a	3,317^a	2,933^a	4,013^a	3,989^a	3,607^a	3,580^a	4,102^a	3,840^a	4,723	5,037
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Estimates for 2005 to 2007 are based on an adjusted SPD variable and may differ from estimates published in prior NSDUH reports. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019.

200323

Table 10.43B – Serious Psychological Distress in Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2005-2019
Demographic Characteristic	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
TOTAL	10.6^a	10.8^a	10.3^a	10.4^a	10.2^a	10.3^a	10.1^a	10.8^a	10.6^a	10.6^a	10.3^a	10.6^a	11.2^a	11.5^a	12.5
AGE GROUP
18-25	18.1^a	17.3^a	17.5^a	18.1^a	17.5^a	17.7^a	17.5^a	18.5^a	17.9^a	19.6^a	20.4^a	21.1^a	24.2^a	25.3^a	27.2
26 or Older	9.3^a	9.6	9.0^a	9.0^a	9.0^a	9.0^a	8.8^a	9.4^a	9.4^a	9.1^a	8.6^a	8.9^a	9.0^a	9.3^a	10.2
26-49	11.8^a	12.5^a	11.7^a	11.5^a	12.1^a	11.8^a	11.8^a	12.2^a	12.1^a	11.5^a	12.0^a	12.2^a	12.7^a	13.1^a	14.8
50 or Older	6.4	6.3	6.1	6.3	5.7	6.2	6.0	6.8	6.8	6.9^a	5.6	5.9	5.8	6.0	6.1
GENDER
Male	7.9^a	8.5^a	7.9^a	7.9^a	7.8^a	8.1^a	8.1^a	8.8^a	8.2^a	8.2^a	8.1^a	8.5^a	8.8^a	9.3	9.9
Female	13.1^a	12.9^a	12.5^a	12.7^a	12.5^a	12.3^a	11.9^a	12.6^a	12.9^a	12.9^a	12.3^a	12.6^a	13.4^a	13.6^a	14.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	10.5^a	10.8^a	10.3^a	10.4^a	10.3^a	10.3^a	10.4^a	10.6^a	10.5^a	10.8^a	10.5^a	10.6^a	11.4^a	11.5^a	12.5
White	10.5^a	10.7^a	10.5^a	10.6^a	10.7^a	10.4^a	10.4^a	10.4^a	10.6^a	10.9^a	10.8^a	11.1^a	11.8^a	11.9^a	12.7
Black or African American	10.7	10.5	10.3^a	9.8^a	9.5^a	10.2^a	9.3^a	12.1	10.7	10.3^a	9.2^a	9.0^a	10.1^a	10.3^a	11.9
AIAN	20.9^a	25.6^a	13.7	10.2	12.8	12.6	16.3	22.2^a	16.0	13.8	12.6	12.8	12.8	14.9	11.6
NHOPI	*	11.6	7.8	*	9.8	*	*	*	6.4	13.3	13.2	7.7	11.0	15.4	10.1
Asian	6.9	8.0	6.6^a	8.1	5.8^a	6.6^a	8.5	7.9	7.9	8.2	7.1	7.2	8.7	8.3	9.0
Two or More Races	16.1	23.6	15.1^a	14.6^a	14.8^a	15.1^a	17.8	12.7^a	16.0^a	17.4	15.0^a	15.8^a	16.8^a	15.5^a	21.5
Hispanic or Latino	11.3	10.6	10.0^a	10.0^a	9.6^a	10.4^a	8.6^a	11.5	11.2	9.8^a	9.5^a	10.7^a	9.7^a	11.6	12.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues. NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Section 3.3.5 in Chapter 3 of the 2019 National Survey on Drug Use and Health: Methodological Summary and Definitions). NOTE: Estimates for 2005 to 2007 are based on an adjusted SPD variable and may differ from estimates published in prior NSDUH reports. ^a The difference between this estimate and the 2019 estimate is statistically significant at the .05 level. Rounding may make the estimates appear identical. Definitions: Measures and terms are defined in Appendix A. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019.